TY 2018 Form 990

- TIN:

Form990

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)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

A For the 2019 calendar year, or tax year beginning 10-01-2018 , and ending 09-30-2019

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

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 $ 2,321,586,528

F Name and address of principal officer:
Sandra Fenwick
300 Longwood Avenue
Boston,MA02115

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

www.childrenshospital.org

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1982

M State of legal domicile: MA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: Provider of pediatric healthcare, education, research & community service
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	14,622
6	Total number of volunteers (estimate if necessary) .............	6	723
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-5,469,037
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	417,494,538	415,137,440
9	Program service revenue (Part VIII, line 2g) .........	1,422,617,116	1,527,371,090
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	137,401,872	44,327,243
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	42,141,263	59,892,635
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,019,654,789	2,046,728,408
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,578,746	11,365,599
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)	883,472,221	928,799,601
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	1,310,640	1,378,073
b	Total fundraising expenses (Part IX, column (D), line 25) 35,863,926
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	908,711,285	968,474,584
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,802,072,892	1,910,017,857
19	Revenue less expenses. Subtract line 18 from line 12.......	217,581,897	136,710,551
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	5,982,517,057	6,333,481,693
21	Total liabilities (Part X, line 26).............	1,922,917,072	2,123,101,198
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,059,599,985	4,210,380,495

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

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	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2018)

Form 990 (2018)

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..............

Briefly describe the organization’s mission: Boston Children's Hospital is the nation's premier pediatric hospital and research enterprise. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, lifesaving care to children across the world facing rare and complex conditions. Our vision is to build on our legacy of discovery and innovation to harness our powerful combination of life-changing care and world-changing research to drive the breakthroughs that advance and improve the health and well-being of children everywhere. Our four-part mission is to provide access to safe, high quality, compassionate and innovative clinical care to children; research new cures and treatments for diseases and methods of care delivery; train the next generation of pediatric caregivers; and improve the health and well-being of children, with a special emphasis on helping the children of Boston grow and learn in safe, healthy environments.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

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 $ 1,235,635,575 including grants of $ 11,365,599 ) (Revenue $ 1,505,413,240 )
	CLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. 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.In FY2019, Boston Children's saw more than 670,000 outpatient visits, 61,000 emergency department visits, 23,000 inpatient or observation stays, and 29,000 inpatient or day surgeries. Our inpatient case mix index was 2.26 and the average length of stay was 5.8 days. Of the bedded cases, more than 16.8% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 35% (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. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. 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. While the numbers are not finalized, we're projecting a Medicaid loss over $120M for FY19. In FY18 (the most recent complete year we have), for our Massachusetts patients, 39.4% of our gross patient service revenue (GPSR) was from Medicaid, including carved out behavioral health programs and the Children's Medical Security Plan.Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.BCH is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served-patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.We've attempted to manage these trends by delivering care in lower cost settings including community hospitals that we help support, and by transitioning inpatient care to multi-specialty outpatient settings where possible. We've built care teams that work effectively across disciplines. We've strived to create a more welcoming and family-centered environment for children & families on the Longwood campus. We need to do more.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment & training), BCH has formed partnerships with community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital, Charlton Memorial in Fall River, Milford Regional, St. Luke's in New Bedford, Tobey Hospital in Wareham & South Shore Hospital. We've also expanded partnerships with Barbara Bush Hospital at Maine Medical Center and Hasbro Children's Hospital in Providence, RI. Additionally, our physicians see patients at Massachusetts General 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 & outpatient specialty services for children. BCH also operates satellite facilities in Lexington, North Dartmouth, Peabody & Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology, behavioral health 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 & Weymouth. The Pediatric Physicians Organization at Children's consists of more than 300 physicians and 100 nurse practitioners and physician assistants across Massachusetts who work in close collaboration with Boston Children's. Additionally, our BCH Physicians partnership is a multi-specialty, pediatric practice with strong medical and academic roots, whose more than 276 physicians serve families in 57 locations throughout New York's Metropolitan Area, the Hudson Valley, Connecticut and New Jersey.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 & quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier & more comfortable for all the patients & families we serve. For example:Focus on Quality and Safety: At BCH, a dedication to quality & patient safety is embedded in everything we do. We continuously measure & track our performance in order to improve the care we provide. We believe measurement is essential for providing world-class care. If we don't track how we're doing, we can't identify areas of care that need improvement. And we can't identify high-performing areas that could serve as a model throughout BCH & the health care industry as a whole. By closely watching our quality & safety outcomes, we push ourselves to get better every day & raise the standard of care everywhere. We are committed to transparency in our efforts to constantly improve quality & safety, and clinical departments at BCH publish information on both in their own sections of our website.We value the insights of parents, patients & families when it comes to quality and safety. Parents know their child best, and they often have excellent ideas about how care can be improved. Adult family members, and children who are old enough, are encouraged to voice their observations, opinions or concerns to members of the care team. Doctors, nurses, researchers & administrators throughout BCH are continually exploring new ways of improving the quality of care we provide. Whenever possible, we share our successes & breakthroughs with the wider world, so that other health care professionals can learn from our experience and join us in raising the standard of care for children everywhere.In addition, BCH is engaged in an ongoing enterprise-wide commitment, extending to all staff as well as patients and families, to be a High Reliability Organization, one where ZERO preventable harm will occur to any patient, family member or team member. Foster innovation: Through the work of the Innovation and Digital Health Accelerator, BCH reinforces a commitment to, and investment in pediatric innovation. We are combining our data, clinical expertise, and health care technology development experience, with leading worldwide industry partners - including start-ups - to transform health care. Through the IDHA, we continue to make significant investments in the area of digital and technology-driven care. We know that the patient's journey is going to be not only more personalized as it comes to their care, but clearly more digital.Some of our ongoing projects include:- Circulation, which leverages on-demand transportation services to ease the burden of non-emergency medical transportation- Mightier, which uses the power of video games to help kids 6-14 struggling with anxiety and controlling emotions build emotional strength and resilience- An Early Literacy Screening App that can effectively screen for early signs of literacy challenges in only 30 minutes and link to risk-specific evidence-based responses for screening- Mindlight Medical, a brain-based diagnostic service that leverages EEG data to provide risk assessment & monitoring services for autism in infants as early as 3-6 months.

4b	(Code: ) (Expenses $ 334,680,695 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.We have the world's largest pediatric research program-more the 1 million square feet of dedicated research space-for many reasons. The most important reason is our focus on our patients. We are constantly evolving care, and caring for increasingly complex patients - patients with congenital heart conditions, childhood cancers, complex neurological and neurosurgical conditions, and more. Research occurs in every clinical department, and our advancement of basic research helps us to advance the understanding of disease, but also model the diseases we see in pediatrics. In FY2019, Boston Children's received a total of $410M in research funding-federal (NIH, etc.), non-federal direct and indirect. We are the 5th largest NIH funding recipient of all hospitals in the U.S. and received 16%+ more NIH funding secured than any other pediatric hospital. Our funding amount has a multiplier effect, serving as a magnet for medical education, research and corporate investments.Boston Children's research faculty and trainees in 2019 produced over 3,000 publications.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. In FY2019 alone, we disclosed 153 inventions, received 269 patents, executed 54 licensing agreements and 24 sponsored research agreements, and formed six startup companies to help bring our innovations to the patient bedside. Our research specialties include:- Research-driven discovery science platforms- Established collaborations focused on childhood diseases- World-leading, disease-specific expertise- Therapeutic trials experience- Comprehensive understanding of regulatory landscapes- Top-level genetics and genomics research infrastructure- Deeply phenotyped disease cohorts- World-class informatics

4c	(Code: ) (Expenses $ 42,726,096 including grants of $ 0 ) (Revenue $ 21,581,499 )
	Teaching: We are proud to be the primary teaching hospital of Harvard Medical School, and our Nursing Department partners with 27 schools of nursing throughout Massachusetts and New England. We are home to the largest and most competitive training program in pediatrics, seeding the word with the next generations of scientists, innovators and caregivers.We offer more than 70 Training Programs (41 are accredited - more than any other freestanding children's hospital), and host nearly 500 BCH-based residents and clinical fellows annually. 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. Boston Children's has trained approximately 20% of the practicing pediatric cardiology specialists in the U.S., and 42 of those trainees have been pediatric cardiology division chiefs.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.Our Department of Continuing Medical Education enables clinicians around the world to tap into Boston Children's expertise. We were the first pediatric hospital to receive joint accreditation, Our Simulation Program is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Our groundbreaking programs in simulation technology, 3D printing, advanced genomic testing, and other areas allow us to bring new techniques to medicine that are unique to our institution - many of them specialized for the care of the smallest babies.We are the only pediatric hospital to offer certification for physicians in use of robotic equipment, helping surgeons develop and perfect new robotic procedures and surgical techniques. We offer the only Pediatric Addiction Medicine program in the U.S., as well as the only Orthopedic Sports Medicine program located at a children's hospital. We also offer the largest programs in Pediatric Anesthesiology, Pediatric Cardiology, and Pediatric Critical Care, in the nation. Boston Children's offers the only programs in New England for The only training programs in New England for Adolescent Medicine, Congenital Cardiac Surgery, and Neurodevelopmental Disabilities; and the only training programs in Massachusetts for Adolescent Medicine, Congenital Cardiac Surgery, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, and Pediatric Surgery.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Community:Boston Children's Hospital was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission-community. Through the years, Boston Children's has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes, and promote health equity.Boston Children's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others to address the social determinants of health-those issues that have an impact on an individual's health such as exposure to violence, or living in poverty. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Understanding community needsBoston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The full report from the 2019 assessment can be found at http://www.childrenshospital.org/about-us/community-mission/community-needs-assessment. Key themes include how poverty impacts child and community health, access to stable and affordable housing, concerns about food access and insecurity, and the importance of prevention and focus on early childhood issues. Health concerns for families continue to be around asthma, obesity, and mental and behavioral health. The findings inform the direction of Boston Children's Strategic Implementation Plan which outlines how the hospital will use its resources and partner with others to address those themes and improve community health. This process also ensures that the hospital is utilizing its resources and leveraging community partnerships in the most effective way. The assessment was approved by the Boston Children's Board of Trustees in the Fall of 2019. The 2019 assessment identified the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston-specifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston which include Lexington, North Dartmouth, Peabody, Waltham, and Weymouth. This assessment also included data from the Boston Collaborative Community Health Needs Assessment, also known as the Boston CHNA-CHIP Collaborative. This assessment included a wide range of Boston stakeholders-community organizations, community development corporations, health centers, hospitals, and the Boston Public Health Commission. It was the first large-scale collaborative city-wide assessment and plan conducted in Boston. While community health assessment and planning work are often conducted by individual organizations, the Boston CHNA-CHIP Collaborative aligns and coordinates resources between multi-sector stakeholders across the city. Boston Children's was a founding member and staff participated in the Steering Committee and work groups. Details about this process and the findings can be found in the full report. 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 continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with Boston Children's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the Boston Children's formal assessment process. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leader: Boston Children's has identified priority health areas-asthma, obesity, mental and behavioral health, and early childhood development-and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,229 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 82% and emergency department visits by 55%.- 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 1,409 students received school-based services. The program also provided 1,400 hours of consultation to school staff and families and 53 workshops were held on social, emotional, and behavioral health.- 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, in making healthier choices and behavior 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. Last year, 65% of children participating in FIC have reduced their Body Mass Index. 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 two Boston community health centers. Last year, 731 children were cared for by the ASK team. Expanding community commitmentBoston Children's has an opportunity to build on its history of partnering with the community to make a significant impact on the health of children and to address the social determinants that can affect an individual's health such as the environment that surrounds them, their housing conditions and consequences from exposure to violence or living in poverty. Boston Children's will distribute new funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds-Boston Children's Collaboration for Community Health-will be distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Boston Children's has released funding in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Zero to Five Child Health and Development, Family Housing Stability and Economic Opportunity, Community Physical Activity, Recreation and Food Access and through the Children's Health Equity Collaborative.More details on the Collaboration and the funded partners can be found at BostonChildrens.org/funding

	(Code: ) (Expenses $ 7,857,862 including grants of $ 0 ) (Revenue $ 0 )
	Community (continued):Addressing social determinants of healthBoston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. Boston Children's partners 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. FY19, BCHNP's Training and Access Project (TAP) provided support to 20 schools by providing training and consultation in building sustainable systems in schools to support student behavioral health needs.- Workforce Development. Boston Children's recognizes that one of the most significant ways to support the community and help to ensure a diverse workforce is the recruitment and retention of Boston residents as employees. Boston Children's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation and Jewish Vocational Services. Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. - Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners-the Boston Public Health Commission and 11 Boston community health centers. Boston Children's also has relationships with a wide array of community organizations, which provide a voice for the families and neighborhoods they represent. Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters in Massachusetts and throughout the nation that affect children's wellbeing, such as increasing access to quality pediatric mental health programs, promoting better treatment and access to services for children with medical complexity and chronic conditions, improving the landscape for pediatric medical research and advancing innovative public health policies. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law) and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with 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. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's is engaged in efforts to preserve and improve Medicaid and the Children's Health Insurance Program, which serve as a safety net for children in all fifty states, ensuring their access to high-quality, effective coverage and facilitates important quality measurement and improvement initiatives.In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program - for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification, treating children in the most appropriate settings, enhancing coordination among state health care agencies, and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. Since that time, the CMHC has had several 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, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, Boston Children's 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. Boston Children's has established the over 5,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an in-depth training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. The CAN hosts monthly educational sessions, 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 at the federal and state levels. Staff members from departments throughout the hospital regularly engage with the CAN to receive information about policy changes that may impact their patient population or schedule in-service presentations about current events in Washington and at the state level.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 7,857,862 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses1,620,900,228

Form 990 (2018)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment

...

Yes

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 I Click to see attachment

.............

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 II Click to see attachment

..............

Yes

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 III Click to see attachment

.................

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 I Click to see attachment

..................

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 II Click to see attachment

...

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

.............

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 IV Click to see attachment

..............

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 V Click to see attachment

......

Yes

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.

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

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 VII Click to see attachment

.......

11b

Yes

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 VIII Click to see attachment

.......

11c

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 IX Click to see attachment

............

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

11e

Yes

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 X Click to see attachment

11f

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

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

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

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

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

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

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

Yes

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

Yes

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

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment

20a

Yes

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

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

Yes

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

Yes

Form 990 (2018)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

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

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

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

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

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

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

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

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................

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.........

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 current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................

28a

A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................

28b

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

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M.. Click to see attachment

Yes

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

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........

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

Yes

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

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

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

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

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 VI Click to see attachment

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. ............

Yes

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

Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..

1,952

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Form 990 (2018)

Page 5

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 ..................

14,622

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)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

Yes

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)? ..

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).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

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? ...

Yes

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Yes

Organizations that may receive deductible contributions under section 170(c).

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? ....................

Yes

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Yes

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

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? .........................

Did the sponsoring organization make any taxable distributions under section 4966?...

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

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

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

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

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

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....

Yes

Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................

Form 990 (2018)

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

Enter the number of voting members of the governing body at the end of the tax year

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.

Enter the number of voting members included in line 1a, above, who are independent

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? .................

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? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

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? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

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.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

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

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

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

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

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

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?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

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

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

List the States with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (or 1024-A 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.

Own website Another's website Upon request Other (explain in Schedule O)

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.

State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBullet

Doug Vanderslice300 Longwood Avenue Boston,MA02115 (617) 355-6000

Form 990 (2018)

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.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

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.

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.

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
(A) Name and Title
(1) Douglas Berthiaume...................................................................... Director - Chairman	5.00 ................. 5.00	X		0	0	0
(2) Allan Bufferd...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(3) Winston Henderson...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(4) Stephen Karp...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(5) Steven Krichmar...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(6) Robert Langer...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(7) Harvey Lodish PhD...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(8) Gary Loveman...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(9) Ralph C Martin...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(10) Thomas Melendez...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(11) Kathleen Regan...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(12) Robert A Smith...................................................................... Director - Vice Chair	2.00 ................. 2.00	X		0	0	0
(13) Alison Taunton-RigbyPhD...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(14) Marc B Wolpow...................................................................... Director	1.00 ................. 1.00	X		0	0	0
(15) Sandra Fenwick...................................................................... CEO, Noncomp Director	55.00 ................. 6.00	X	X	2,606,425	0	77,051
(16) Kevin Churchwell MD...................................................................... President & COO/Noncomp Director	55.00 ................. 5.00	X	X	1,543,129	0	75,817
(17) Doug Vanderslice...................................................................... EVP, Treasurer & CFO	55.00 ................. 7.00		X	1,513,352	0	55,817

Form 990 (2018)

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)					(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
(A) Name and Title
(18) Bruce Balter........................................................................ Asst Treasurer/Dir Corp Finance	55.00 .......................5.00	X				267,629	0	50,653
(19) Michele Garvin Esq........................................................................ General Counsel & Secretary	55.00 .......................6.00	X				909,793	0	47,262
(20) Dionne Mottley........................................................................ Asst Sec/Exec Asst	55.00 .......................5.00	X				60,077	0	7,456
(21) Laura J Wood DNP MS RN........................................................................ CNO/Noncomp Director	55.00 .......................5.00		X			619,506	0	46,840
(22) Demosthenes Argys........................................................................ SVP, & Chief Administrative Officer	55.00 .......................5.00		X			687,652	0	44,700
(23) August Cervini........................................................................ VP, Research Administration	55.00 .......................5.00		X			400,518	0	42,029
(24) Michael Gillespie........................................................................ VP, Clinical Services	55.00 .......................5.00		X			492,436	0	36,069
(25) Cynthia Haines........................................................................ SVP, International Services	55.00 .......................5.00		X			627,094	0	48,357
(26) Patricia Hickey PhD MBA RN NEA-BC........................................................................ VP, Cardiovascular Services	55.00 .......................5.00		X			394,938	0	39,897
(27) Lisa Hogarty........................................................................ SVP, RE Planning and Development	55.00 .......................5.00		X			600,433	0	48,268
(28) Daniel Nigrin MD........................................................................ SVP & Chief Information Officer	55.00 .......................5.00		X			640,764	0	40,877
(29) Philip Rotner........................................................................ Chief Investment Officer	55.00 .......................5.00		X			1,430,107	0	62,807
(30) Wendy Warring........................................................................ SVP, Network Development	55.00 .......................5.00		X			678,867	0	45,057
(31) Nader Rifai PhD........................................................................ Director, Chemistry	55.00 .......................0.00			X		684,753	0	42,902
(32) Lynn Susman........................................................................ President, Children's Hospital Trust	55.00 .......................0.00			X		631,673	0	58,082
(33) Reginald Stover........................................................................ VP, Human Resources	55.00 .......................0.00			X		621,874	0	22,751
(34) Martin Kelly........................................................................ Director, Investments	55.00 .......................0.00			X		641,298	0	39,714
(35) Alison Svizzero........................................................................ Director, Investments	55.00 .......................0.00			X		583,880	0	20,858
(36) James Mandell MD........................................................................ Former CEO	0.00 .......................				X	674,930	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	17,311,128	0	953,264

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

2,333

Yes

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 ..............

Yes

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...........................

Yes

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 ........

Section B. Independent Contractors

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
Suffolk Construction 65 Allerton Street Boston,MA02119	Construction Services	139,503,168
The Brigham and Women's Hospital 75 Francis Street Boston,MA02115	Healthcare/Research Services	28,978,007
Shepley Bulfinch Two Seaport Lane Boston,MA02210	Architectural Services	12,780,774
VPNE Parking Solutions 343 Congress Street Boston,MA02210	Parking Serives	8,111,991
PricewaterhouseCoopers LLP PO Box 7247-8001 Philadelphia,PA19170	Consulting Services	7,724,481
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 277

Form 990 (2018)

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

(D)
Revenue
excluded from
tax under sections
512 - 514

1a	Federated campaigns..		1a	37,348
b	Membership dues..		1b
c	Fundraising events..		1c	4,219,036
d	Related organizations		1d
e	Government grants (contributions)		1e	231,488,798

f	All other contributions, gifts, grants, and similar amounts not included above		1f	179,392,258

g	Noncash contributions included in lines 1a - 1f:$ 15,183,774
h Total. Add lines 1a-1f.......		415,137,440

		Business Code
2a	Patient Svc Revenue	621110	1,434,737,224	1,434,737,224
b	Prog Svc Grants	621110	52,905,804	52,905,804
c	Graduate Medical Educa	611710	21,581,499	21,581,499
d	Prof Svc Revenue	621110	17,770,212	17,770,212
e	Lab Revenue	621500	376,351		376,351
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,527,371,090

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,336,616		-352,577	10,689,193
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			8,354,266			8,354,266
		(ii) Personal	(i) Real
6a	Gross rents		15,100,941
b	Less: rental expenses		8,459,072
c	Rental income or (loss)		6,641,869
d	Net rental income or (loss)......			6,641,869		-5,670,876	12,312,745
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		298,412,299
b	Less: cost or other basis and sales expenses		264,421,672
c	Gain or (loss)		33,990,627
d	Net gain or (loss).....			33,990,627			33,990,627
8a	Gross income from fundraising events (not including $ 4,219,036of contributions reported on line 1c). See Part IV, line 18 ....
	a		1,885,820
b	Less: direct expenses ...b		1,977,376
c	Net income or (loss) from fundraising events..			-91,556			-91,556
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..
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..
Business Code			Miscellaneous Revenue
11a	Other General Services		900099	27,759,876			27,759,876
b	Parking Revenue		812930	8,524,714			8,524,714
c	Cafeteria Sales		722210	7,894,079			7,894,079
d	All other revenue ....			809,387		178,065	631,322
e	Total. Add lines 11a–11d ......			44,988,056
12	Total revenue. See Instructions......			2,046,728,408	1,526,994,739	-5,469,037	110,065,266

Form 990 (2018)

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	9,973,085	9,973,085
2	Grants and other assistance to domestic individuals. See Part IV, line 22	1,392,514	1,392,514
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	14,241,675		14,241,675
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	740,588,925	581,410,652	141,500,723	17,677,550
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	38,923,190	37,436,141	239,877	1,247,172
9	Other employee benefits .......	65,555,689	63,414,949	345,324	1,795,416
10	Payroll taxes ...........	69,490,122	66,835,274	428,255	2,226,593
11	Fees for services (non-employees):
a	Management ......	7,615,654	2,254,591	5,361,063
b	Legal .........	3,917,196	1,520,256	2,396,940
c	Accounting ...........	1,770,096	693,038	1,074,608	2,450
d	Lobbying ...........	107,669	107,669
e	Professional fundraising services. See Part IV, line 17	1,378,073			1,378,073
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)	279,539,505	237,750,422	41,035,477	753,606
12	Advertising and promotion ....	2,142,100	1,861,730	264,526	15,844
13	Office expenses .......	41,667,273	18,230,446	15,852,021	7,584,806
14	Information technology ......	38,886,347	12,772,679	25,544,371	569,297
15	Royalties ..
16	Occupancy ...........	108,479,940	107,009,241		1,470,699
17	Travel ............	6,975,275	5,502,471	1,350,723	122,081
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,266,446	1,185,690		80,756
20	Interest ...........	36,045,670	35,566,224	479,446
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	120,863,104	119,923,521		939,583
23	Insurance ...	8,155,701	5,925,759	2,229,942
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	258,005,886	257,097,154	908,732
b	Uncollectible Accts	34,188,976	34,188,976
c	Uncompensated Care	10,336,281	10,336,281
d	Free Care	8,511,465	8,511,465
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,910,017,857	1,620,900,228	253,253,703	35,863,926
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 if following SOP 98-2 (ASC 958-720).

Form 990 (2018)

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

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			607,592	2	30,179,033
3	Pledges and grants receivable, net ......			269,599,895	3	252,769,686
4	Accounts receivable, net .............			297,700,414	4	325,186,584
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 ........			27,808,866	8	31,244,443
9	Prepaid expenses and deferred charges ......			27,006,801	9	19,740,177
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,253,196,418
b	Less: accumulated depreciation	10b	1,886,293,682	1,197,239,382	10c	1,366,902,736
11	Investments—publicly traded securities .			264,908,943	11	237,357,146
12	Investments—other securities. See Part IV, line 11 .....			1,070,412,496	12	1,124,465,251
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			2,403,230	14	2,279,295
15	Other assets. See Part IV, line 11 ...........			2,824,829,438	15	2,943,357,342
16	Total assets. Add lines 1 through 15 (must equal line 34)...			5,982,517,057	16	6,333,481,693

17	Accounts payable and accrued expenses .....	315,085,352	17	310,682,550
18	Grants payable ...		18
19	Deferred revenue .........	122,272,940	19	148,299,094
20	Tax-exempt bond liabilities .........	872,393,932	20	872,102,006
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 ..	347,349,157	23	347,442,169
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	265,815,691	25	444,575,379
26	Total liabilities. Add lines 17 through 25..	1,922,917,072	26	2,123,101,198

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,381,710,816	27	2,474,416,269
28	Temporarily restricted net assets ...........	879,854,728	28	904,708,832
29	Permanently restricted net assets	798,034,441	29	831,255,394
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	4,059,599,985	33	4,210,380,495
34	Total liabilities and net assets/fund balances ........	5,982,517,057	34	6,333,481,693

Form 990 (2018)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

2,046,728,408

Total expenses (must equal Part IX, column (A), line 25) ............

1,910,017,857

Revenue less expenses. Subtract line 2 from line 1 ..............

136,710,551

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..

4,059,599,985

Net unrealized gains (losses) on investments ...............

-76,287,661

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

-3,768,169

Other changes in net assets or fund balances (explain in Schedule O) ........

94,125,789

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))

4,210,380,495

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

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:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

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:

Separate basis Consolidated basis Both consolidated and separate basis

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?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

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?

Yes

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.

Yes

Form 990 (2018)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	307,902,601	342,539,011	444,270,077	417,494,538	415,137,440	1,927,343,667
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	307,902,601	342,539,011	444,270,077	417,494,538	415,137,440	1,927,343,667
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)..						35,557,274
6	Public support. Subtract line 5 from line 4.						1,891,786,393

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..	307,902,601	342,539,011	444,270,077	417,494,538	415,137,440	1,927,343,667
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	32,931,142	24,495,716	25,976,961	31,911,194	31,356,204	146,671,217
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	264,130	-270,120	-4,277,019	-2,548,588	-5,469,037	-12,300,634
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	28,227,656	27,213,103	30,424,665	26,920,013	44,809,991	157,595,428
11	Total support. Add lines 7 through 10						2,219,309,678

Gross receipts from related activities, etc. (see instructions) ..................

6,738,295,650

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

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

85.240 %

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

84.570 %

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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.)..

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

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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, Part II, Line 10, Explanation of Other Income:	Other General Services Parking Revenue Cafeteria Revenue

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization Children's Hospital Corporation

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2018

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

158,793

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

120,000

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

532,451

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

811,244

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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 2019, 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 as a lobbyist, although her involvement in these efforts was minimal. Three Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2019 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 $196,875 - Amy DeLong Registered Lobbyist Children's Hospital personnel $56,946 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $8,377 - Kathryn Audette Children's Hospital personnel $66,043 - Katherine Ginnis Children's Hospital personnel $21,203 - Jamie Gaynes Children's Hospital personnel $75,338 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,669 Total Lobbyist/Consultant Expenses = $532,451 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $158,793 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $120,000 TOTAL LOBBYING EXPENSES = $811,244 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.

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 2019, 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 as a lobbyist, although her involvement in these efforts was minimal. Three Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2019 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 $196,875 - Amy DeLong Registered Lobbyist Children's Hospital personnel $56,946 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $8,377 - Kathryn Audette Children's Hospital personnel $66,043 - Katherine Ginnis Children's Hospital personnel $21,203 - Jamie Gaynes Children's Hospital personnel $75,338 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,669 Total Lobbyist/Consultant Expenses = $532,451 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $158,793 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $120,000 TOTAL LOBBYING EXPENSES = $811,244 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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	1,162,157,000	1,134,782,000	1,007,240,000	939,779,000	976,027,000
b	Contributions ...	21,654,000	-461,000	11,924,000	33,474,000	26,449,000
c	Net investment earnings, gains, and losses	7,419,000	32,789,000	152,501,000	77,339,000	-22,205,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	19,871,000	4,953,000	36,883,000	43,352,000	40,492,000
f	Administrative expenses ....
g	End of year balance ......	1,171,359,000	1,162,157,000	1,134,782,000	1,007,240,000	939,779,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

57.210 %

Permanent endowment SchDMd Bullet

20.330 %

Temporarily restricted endowment SchDMd Bullet

22.460 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	12,619,348		12,619,348
b	Buildings ....	1,943,188,590	1,146,409,357	796,779,233
c	Leasehold improvements
d	Equipment ....	860,339,232	733,903,403	126,435,829
e	Other .....	437,049,248	5,980,922	431,068,326
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,366,902,736

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther 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) 3rd Pty External Administered Trusts	50,447,805	F
(B) Abrams Capital	28,674,352	F
(C) AKO European Long-Only Fund	23,474,245	F
(D) Bain Cap Distr & Special Situations	4,409,375	F
(E) Bain Capital Fund IX	746,396	F
(F) Bain Capital Fund X	1,278,654	F
(G) Bain Capital Venture Fund 2012	1,719,910	F
(H) Bain Capital Venture Fund 2014	5,347,763	F
(I) Baupost	67,533,548	F
(J) Brookside Capital	74,256	F
(K) Commure, Inc.	407,999	F
(L) Convexity	24,194	F
(M) Costanoa Ventures III, LP	1,621,710	F
(N) Costanoa Ventures Opportunity Fund, L.P.	1,348,707	F
(O) Crosslink Crossover Fund VI	2,683,039	F
(P) Crosslink Crossover Fund VII	4,907,382	F
(Q) Crosslink Ventures VIII-B, L.P.	1,854,220	F
(R) Davidson Kempner	66,219,821	F
(S) Deccan Value	25,938,211	F
(T) Deerfield Partners, LP	16,267,007	F
(U) Deerfield Private Design Fund IV	3,944,672	F
(V) Deerfield Special Situations Fund	2,761,912	F
(W) Deerfield Healthcare Innov Fund II	541,675	F
(X) Dune Real Estate Fund III	4,347,469	F
(Y) ECM Feeder Fund I	22,648,698	F
(Z) Energy Capital Partners II	1,073,255	F
(AA) Energy Capital Partners III	5,748,571	F
(AB) Fidelity Notes Payable	2,549,657	F
(AC) Fine Points Capital II	28,040,069	F
(AD) Flare Capital Partners I	3,213,319	F
(AE) Flare Capital Partners II	54,491	F
(AF) Gaoling Feeder, Ltd.	17,450,953	F
(AG) Golden Gate Capital	19,622,157	F
(AH) Highfields Capital	2,121,811	F
(AI) Hillhouse Fund III	3,914,270	F
(AJ) Hillhouse Fund IV, L.P.	290,918	F
(AK) Himalaya Capital Investors, L.P.	24,753,249	F
(AL) HMI Capital Partners	34,983,713	F
(AM) Holdco.Opp. Fund II	731,041	F
(AN) Holdco.Opp. Fund III	99,058	F
(AO) ICHIGO Japan Fund B	17,764,450	F
(AP) Insignia Ventures Partners Fund I L.P.	2,594,282	F
(AQ) JMC Capital I-B	5,424,807	F
(AR) JMC Platform Fund II-B	5,135,026	F
(AS) JVL Energy	4,565,647	F
(AT) King Street	63,789,251	F
(AU) Lone Star Fund IX	2,533,964	F
(AV) Lone Star Fund VIII	1,527,469	F
(AW) Madison Avenue Offshore Ltd.	8,500,493	F
(AX) Matrix China II	7,775,655	F
(AY) Matrix China III	8,895,786	F
(AZ) Matrix China IV	6,171,101	F
(BA) Matrix India II	4,936,171	F
(BB) Matrix Partners China V, L.P.	3,479,460	F
(BC) Matrix Partners India III, LLC	881,859	F
(BD) Matrix Partners X	2,655,657	F
(BE) Matrix Partners XI, L.P.	547,682	F
(BF) Maveron Equity Partners VI	3,382,992	F
(BG) MIT Private Equity Fund	12,412,411	F
(BH) Morphic Holding, LLC	171,710	F
(BI) Nalanda	22,900,504	F
(BJ) Park West Investors Ltd	35,005,631	F
(BK) Riverstone	1,272,737	F
(BL) Rivulet Capital Offshore Fund, Ltd.	34,515,957	F
(BM) Roundshield III, LP	2,457,974	F
(BN) Sankaty Credit Opport Fund IV	718,629	F
(BO) Sequoia Capital China Growth Fund V, L.P.	2,638,287	F
(BP) Sequoia Capital China Seed Fund I, L.P.	258,329	F
(BQ) Sequoia Capital China Venture Fund VII, L.P.	883,200	F
(BR) Sequoia Capital Global Equities	18,122,593	F
(BS) Sequoia Capital Global Growth Fund II	10,345,911	F
(BT) Sequoia Capital Global Growth Fund III	994,614	F
(BU) Sequoia Capital India IV	8,001,504	F
(BV) Sequoia Capital India V	4,385,954	F
(BW) Sequoia Capital India VI	1,629,517	F
(BX) Sequoia Capital India Seed Fund I Ltd.	161,568	F
(BY) Sequoia Capital U.S. Venture Fund XVI, L.P.	296,159	F
(BZ) Sequoia China Growth III	9,420,920	F
(CA) Sequoia China Growth IV	5,806,714	F
(CB) Sequoia China Venture Fund IV	1,179,411	F
(CC) Sequoia China Venture Fund V	1,597,597	F
(CD) Sequoia China Venture Fund VI	1,354,933	F
(CE) Sequoia US GrowFund VII	5,152,880	F
(CF) Sequoia US Growth Fund VIII	1,918,865	F
(CG) Sequoia US Venture Fund XIV	3,823,320	F
(CH) Sequoia US Venture Fund XV	1,285,024	F
(CI) SequoiaUSGrowFund V	1,383,188	F
(CJ) SequoiaUSGrowFund VI	2,960,264	F
(CK) Somerset	17,567,727	F
(CL) SPUR Ventures II	6,417,736	F
(CM) Steadfast	23,691,647	F
(CN) Sunridge Agribusiness Opp. I, LP	1,480,429	F
(CO) Taris Biomedical	4,590	F
(CP) Tenfore Holdings Fund II, L.P.	3,206,257	F
(CQ) Tourmaline Capital Fund II LP	122,424	F
(CR) Underscore VC Fund I, LP	2,624,963	F
(CS) Underscore. VC Fund II, L.P.	818,784	F
(CT) Union Park Capital II L.P.	1,958,837	F
(CU) Wellington - Energy	7,390,039	F
(CV) Wellington EM Opportunities	34,415,384	F
(CW) Wellington Ultra Short Duration	159,605,707	F
(CX) Westbrook IX	1,536,120	F
(CY) Westbrook X	2,880,480	F
(CZ) Whale Rock Flagship Fund, LTD.	15,136,039	F
(DA) Blacksheep Fund	8,740,176	F
(DB) Incentive Active Value Long Only Fund	9,380,303	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,124,465,251

Part VIII

InvestmentsProgram 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.)

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				2,829,792,591
(2) Expected Insur Recoveries for Prof Liability Claims				43,804,270
(3) Investment in Subsidiaries				36,805,883
(4) CERNER Asset				14,689,273
(5) Other Assets - Miscellaneous				18,265,325
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,943,357,342

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	29,499,366
Estimated Insured Professional Liability Losses	43,804,270
Salary & Other Benefits	897,268
Funds Held for Others	32,832,917
Reserve for Medical Malpractice	4,547,858
Other Liabilities - Miscellaneous	10,330,502
Lease Obligations	26,364,338
Interest Rate Swap Liability	161,652,686
Accrued Pension Cost	119,537,473
Cerner Contra Asset	15,108,701
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	444,575,379
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) 2018

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 X, Line 2:	There is no FIN48/ASC740 footnote in the organization's audited financial statements.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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.

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? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

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	49,653
	East Asia & The Pacific	0	0	Program Services	Patient Care, Research & Education	225,203
	Europe	0	0	Program Services	Patient Care, Research & Education	403,728
	Middle East and North Africa -	0	0	Program Services	Patient Care, Research & Education	82,598
	North America	0	0	Program Services	Patient Care, Research & Education	142,135
	South America	0	0	Program Services	Patient Care, Research & Education	76,974
	South Asia	0	0	Program Services	Patient Care, Research & Education	155,364
	Sub-Saharan Africa	0	0	Program Services	Patient Care, Research & Education	193,268
	Central America & the Caribbean	0	0	Investment		419,705,269
	Sub-Saharan Africa	0	0	Investment		42,897,076
	Europe	0	0	Investment		12,678,578






3a	Sub-total .....	0	0			1,328,923
b	Total from continuation sheets to Part I ...					475,280,923
c	Totals (add lines 3a and 3b)	0	0			476,609,846

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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 submit a request for reimbursement, and provide itemized receipts as supporting documentation. Reimbursement 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 authorizations are documented 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 submission and authorization of a completed reimbursement request with 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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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 arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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	897,942	501,974	395,968
	Charity Dynamics LLC 4031 Guadalupe Street Austin, TX78751	Online Counsel		No	648,126	468,638	179,489
	Sarah Gardner 13 Smokey Hill Rd Wayland, MA01778	Fundraising Counsel		No	580,900	81,250	499,650
	Bentz Whaley Flessner 7251 Ohms Lane Minneapolis, MN55439	Counsel/Reports		No	0	106,026	-106,026
	Connelly Partners LLC 46 Waltham Street Boston, MA02118	Fundraising Counsel		No	0	80,456	-80,456
	Advizor Solutions Inc 1333 Butterfield Road Suite 400 Downers Grove, IL60515	Fundraising Counsel		No	0	7,214	-7,214
	The Pursuant Group Inc 15660 Dallas Pkwy STE 1000 Dallas, TX75248	Fundraising Counsel		No	0	12,000	-12,000
	CKathryn W Miree & Associates 2205 16th Ave S Unit A Birmingham, AL35205	Fundraising Counsel		No	0	5,262	-5,262
	Copper Reef Enterprises 6965 El Camino Real Carlsbad, CA92009	Fundraising Counsel		No	0	88,110	-88,110
	Market Street Research Inc 9 1/2 Market Street Northampton, MA01060	Fundraising Counsel		No	0	27,143	-27,143
Total . . . . . . . . . . . . . . . . . . . .					2,126,968	1,378,073	748,896

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) 2018

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.

		(a) Event #1 Dinner/Auction (event type)	(b) Event #2 Investment Conference (event type)	(c) Other events 4 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	2,946,101	1,203,500	1,955,255	6,104,856
2	Less: Contributions . . . .	2,108,386	895,375	1,215,275	4,219,036
3	Gross income (line 1 minus line 2) . . . . . .	837,715	308,125	739,980	1,885,820

4	Cash prizes . . . . .	0	0	0
5	Noncash prizes . . . .	0	0	0
6	Rent/facility costs . . . .	0	45,000	41,500	86,500
7	Food and beverages . . .	277,426	99,474	174,392	551,292
8	Entertainment . . . .	0	0	13,290	13,290
9	Other direct expenses . . .	687,252	134,493	504,549	1,326,294
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,977,376
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-91,556

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Doug Vanderslice CFO Treasurer

Address

300 Longwood Avenue
Boston,MA02115

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	31,096,136	19,664,813	11,431,323	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	397,744,105	263,471,642	134,272,463	7.160 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	428,840,241	283,136,455	145,703,786	7.770 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6,131,908	236,673	5,895,235	0.310 %
f	Health professions education (from Worksheet 5) . . .	42,726,096	6,797,851	35,928,245	1.920 %
g	Subsidized health services (from Worksheet 6) . . . .	29,418,270	26,159,216	3,259,054	0.170 %
h	Research (from Worksheet 7) .	423,047,752	403,786,293	19,261,459	1.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,725,954		1,725,954	0.090 %
j	Total. Other Benefits . .	503,049,980	436,980,033	66,069,947	3.520 %
k	Total. Add lines 7d and 7j .	931,890,221	720,116,488	211,773,733	11.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	15	1,568,573	1,568,573	0.080 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	10	791,186	791,186	0.040 %
8	Workforce development
9	Other
10	Total	25	2,359,759	2,359,759	0.120 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

34,188,976

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

12,306,065

Enter Medicare allowable costs of care relating to payments on line 5.....

10,429,554

Subtract line 6 from line 5. This is the surplus (or shortfall)........

1,876,511

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2018

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?1Name, 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)
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) 2018

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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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 .................

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..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.childrenshospital.org

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): childrenshospital.org/about-us/community-mission/community-needs-assessment

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2018

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

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.childrenshospital.org/financialassistance

The FAP application form was widely available on a website (list url):

www.childrenshospital.org/financialassistance

A plain language summary of the FAP was widely available on a website (list url):
www.childrenshospital.org/financialassistance

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	Boston Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Boston Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

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, 16j, 18e, 19e, 20e, 21c, 21d, 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:Patient/Parent will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Hospital financial assistance programs. For patients not qualifying for public assistance, information collected will be provided to the Director, Financial Clearance and Financial Counseling, for determination of eligibility in the Hospital Financial Assistance Program. Patients who potentially qualify for financial assistance will be approved by the Hospital Chief Financial Officer, Sr. Director Patient Financial Services and/or Director, Financial Clearance and Financial Counseling, with consultation and approval of the appropriate Foundation Chief or a designee as appropriate.
Boston Children's Hospital	Part V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial 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.

Schedule H (Form 990) 2018

Page 9

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 - Boston Children's at 333 Longwood Ave 333 Longwood Avenue Boston,MA02115	Outpatient Pediatric Clinic
7
8
9
10

Schedule H (Form 990) 2018

Page 10

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 $34,188,976 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 FY19, Children's reported two types of community building activities: $1,568,573 for 15 community support programs and $791,186 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 2:	Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2.
Part III, Line 3:	There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care.
Part III, Line 4:	Children's Medical Center and Subsidiaries' Audited Financial Statements contain the following bad debt footnote:"As a result of the adoption of ASU 2014-09, beginning on October 1, 2018, the provision for uncollectible accounts is considered an implicit price concession and is a direct reduction to net patient services revenue and is no longer presented separately on the consolidated statements of operations.Prior to the adoption of ASU 2014-09, the Medical Center and its subsidiaries record a provision for uncollectible accounts related primarily to uninsured accounts and copayment and deductible amounts to record the net self-pay accounts receivable at the estimated amounts expected to be collected. The provision for uncollectible accounts was 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 were reduced by an allowance for uncollectible accounts. Periodically throughout the year, management assessed the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. Following the adoption of ASU 2014-09, such uncollectible patient activity no longer meets the criteria for revenue recognition and is now classified as an implicit price concession. Additionally, the provision for uncollectible amounts, when applicable, will now be presented as an expense item rather than a reduction to net patient services revenue.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."
Part III, Line 8:	Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b:	Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Directors. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website.
Part VI, Line 2:	Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners. For more information, visit www.childrenshospital.org/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-one person voluntary Board of Directors. Eighteen 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 4% 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) 2018

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) Health Resources In Action 622 Washington Street Dorchester,MA02124	04-2229839	501(c)(3)	310,544	0	Community Partnership
(2) Boston Public Health Commission 1010 Massachusetts Ave Boston,MA02118	04-3316655	115	295,686	0	Community Partnership
(3) Bowdoin Street Health Center Inc 230 Bowdoin Street Boston,MA02122	04-2529788	501(c)(3)	95,000	0	Support of Community Health Center
(4) Community Catalyst Inc 30 Winter Street 10th Floor Boston,MA02108	04-3355127	501(c)(3)	30,000	0	Advocacy Support
(5) The Dimock Center 55 Dimock Street Roxbury,MA02119	04-3487835	501(c)(3)	205,000	0	Community Partnership
(6) Fenway Community Development Corporation 73 Hemenway Street Boston,MA02115	04-2666507	501(c)(3)	40,000	0	Community Partnership
(7) Project RIGHT 320 A Blue Hill Avenue Dorchester,MA02121	04-3265420	501(c)(3)	75,000	0	Advocacy Support
(8) Mattapan Community Health Center 1425 Blue Hill Ave Mattapan,MA02426	04-2544151	501(c)(3)	82,500	0	Support of the Community Health Center
(9) Sociedad Latina Inc 1530 Tremont Street Roxbury,MA02120	04-2678255	501(c)(3)	60,000	0	Community Partnership
(10) South Cove Community Health Center Inc 145 South Street Boston,MA02111	04-2501818	501(c)(3)	85,000	0	Support of the Community Health Center
(11) South End Community Health Center Inc 1601 Washington Street Boston,MA02118	04-2456134	501(c)(3)	85,000	0	Support of the Community Health Center
(12) Upham's Corner Community Center Inc 500 Columbia Road Dorchester,MA02125	04-2708670	501(c)(3)	80,000	0	Support of the Community Health Center
(13) Whittier Street Health Center Committee Inc 1125 Tremont Street Roxbury,MA02120	04-2619517	501(c)(3)	23,750	0	Support of the Community Health Center
(14) Nurtury Inc 95 Berkeley Street Suite 306 Boston,MA02116	04-2105893	501(c)(3)	2,500	0	Community Partnership
(15) Massachusetts League of Community Health Centers 40 Court Street 10th Floor Boston,MA02108	04-2507409	501(c)(3)	5,000	0	Community Partnership
(16) The Hyde Square Task Force Inc 375 Centre Street Jamaica Plain,MA02130	04-3118543	501(c)(3)	2,500	0	Community Partnership
(17) Massachusetts Public Health Association 101 Tremont Street Boston,MA02108	04-2326503	501(c)(3)	204,793	0	Community Partnership
(18) Smart from the Start Inc 68 Annunciation Road Boston,MA02120	45-4952663	501(c)(3)	3,000	0	Community Partnership
(19) Health Law Advocates 30 Winter Street 10th Floor Boston,MA02108	04-3298116	501(c)(3)	25,000	0	Advocacy Support
(20) Mass Society for the Prevention of Cruelty to Children 3815 Washington Street Ste 2 Boston,MA02130	04-2103596	501(c)(3)	380,432	0	Advocacy Support
(21) Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston,MA02110	04-1103090	501(c)(3)	10,000	0	Community Partnership
(22) Massachusetts Communities Action Network 50 Mt Vernon Street Boston,MA02125	04-2863903	501(c)(3)	2,500	0	Community Partnership
(23) Center for Comm Health Education Research & Service Inc 320 Huntington Avenue Boston,MA02115	04-3286409	501(c)(3)	149,938	0	Community Partnership
(24) Express Yourself Inc 6 Ellis Street Peabody,MA01960	04-3294365	501(c)(3)	2,500	0	Community Partnership
(25) Breakthrough Greater Boston PO Box 381486 Cambridge,MA02238	04-3307783	501(c)(3)	2,500	0	Community Partnership
(26) NAACP Boston 30 Martin Luther King Boulevard Roxbury,MA02119	04-3574060	501(c)(3)	5,500	0	Massachusetts Voter Education
(27) Boston Municipal Research Bureau 333 Washington Street Boston,MA02108	22-2673755	501(c)(3)	7,500	0	Community Partnership
(28) Mission Hill Neighborhood Housing Services 1620 Tremont Street Mission Hill,MA02120	23-7428011	501(c)(3)	1,000	0	Community Partnership
(29) Black Ministerial Alliance of Greater Boston 2010 Columbus Avenue Boston,MA02119	04-3499852	501(c)(3)	2,500	0	Community Partnership
(30) Brigham and Women's Hospital Inc 3297 Washington Street Jamaica Plain,MA02130	04-2312909	501(c)(3)	160,000	0	Support of Community Health Center
(31) City of Boston City Hall Plaza Boston,MA02201	04-6001380	115	1,416,439	0	Community Partnership
(32) Charles River Community Health Inc 287 Western Avenue Allston,MA02134	23-7221597	501(c)(3)	130,000	0	Support of Community Health Center
(33) Massachusetts Budget and Policy Center 15 Court Square Suite 700 Boston,MA02108	04-2967537	501(c)(3)	30,000	0	Advocacy Support
(34) Metropolitan Boston Housing Project 125 Lincoln Street 3rd Floor Boston,MA02111	04-2775991	501(c)(3)	22,500	0	Community Partnership
(35) Urban Edge 1542 Columbus Avenue Suite 2 Roxbury,MA02119	22-2483475	501(c)(3)	1,000	0	Community Partnership
(36) Massachusetts Associtation for Mental Health 50 Federal Street 6th Floor Boston,MA02110	04-2104711	501(c)(3)	5,000	0	Advocacy Support
(37) Massachusetts Health Council 200 Reservoir Road Suite 101 Needham,MA02494	04-2296739	501(c)(3)	5,000	0	Community Partnership
(38) Boston Center for Youth and Families 75 Newbury Street 3rd Flooe Boston,MA02116	04-2602576	501(c)(3)	152,352	0	Community Partnership
(39) City LifeVida Urbana PO Box 300107 Boston,MA02130	04-2660311	501(c)(3)	150,000	0	Community Partnership
(40) Mission Hill Little League PO Box 02120 Roxbury,MA02120	04-3415069	501(c)(3)	2,000	0	Community Partnership
(41) Family Nurturing Center of Massachusetts 200 Bowdoin Street Dorchester,MA02122	31-1626186	501(c)(3)	240,881	0	Community Partnership
(42) Family Independence Initiative 1201 Martin Luther King Jr Way Suite 100 Oakland,CA94612	02-0784790	501(c)(3)	104,500	0	Community Partnership
(43) Friends of the Children 555 Armory Street Boston,MA02130	20-1581289	501(c)(3)	2,500	0	Community Partnership
(44) Waltham Boys & Girls Club 20 Exchange Street Waltham,MA02451	04-2103927	501(c)(3)	50,000	0	Community Partnership
(45) Boston Children's Museum 308 Congress Street Boston,MA02210	04-2103993	501(c)(3)	105,414	0	Community Partnership
(46) Third Sector New England Inc 89 South Street Suite 700 Boston,MA02110	04-2261109	501(c)(3)	261,878	0	Community Partnership
(47) The Community Builders Inc 185 Dartmouth Street Boston,MA02116	04-2324773	501(c)(3)	283,849	0	Community Partnership
(48) United Way of Massachusetts Bay Inc 51 Sleeper Street Boston,MA02210	04-2382233	501(c)(3)	99,798	0	Community Partnership
(49) Haley House Inc 23 Dartmouth Street Boston,MA02116	04-2437845	501(c)(3)	100,000	0	Community Partnership
(50) Massachusetts Housing Finance Agency One Beacon Street Boston,MA02108	04-2443980	115	75,000	0	Community Partnership
(51) Youth Enrichment Services Inc 412 Massachusetts Avenue Boston,MA02118	04-2509466	501(c)(3)	50,000	0	Community Partnership
(52) Chinatown People Progressive Association Inc 28 Ash Street Boston,MA02111	04-2631569	501(c)(3)	150,000	0	Community Partnership
(53) Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain,MA02130	04-2652919	501(c)(3)	225,000	0	Community Partnership
(54) Health Care for All Inc One Federal Street 5th Floor Boston,MA02110	04-3071598	501(c)(3)	180,000	0	Community Partnership & Advocacy Support
(55) Urban College of Boston 2 Boylston Street 2nd Floor Boston,MA02116	04-3403049	501(c)(3)	150,000	0	Community Partnership
(56) Boston Housing Authority (Homestart) 52 Chauncy Street 7th Floor boston,MA02111	04-6001907	115	150,000	0	Community Partnership
(57) Boston Educational Development Foundation Inc 7 Palmer Street 2nd Floor Roxbury,MA02119	22-2514422	501(c)(3)	88,936	0	Community Partnership
(58) Massachusetts Affordable Housing Alliance Inc 1803 Dorchester Avenue Dorchester,MA02124	22-3042637	501(c)(3)	156,127	0	Community Partnership
(59) Boston Chinatown Neighborhood Center Inc 885 Washington Street Boston,MA02111	23-7209691	501(c)(3)	129,258	0	Community Partnership
(60) Boston's Higher Ground 384 Warren Street Roxbury,MA02119	27-3660369	501(c)(3)	300,000	0	Community Partnership
(61) Commonwheels Inc 59 Aldie Street 1 Allston,MA02134	45-4645136	501(c)(3)	49,530	0	Community Partnership
(62) Fresh Truck Inc 69 Shirley Street Boston,MA02119	46-2848535	501(c)(3)	1,000	0	Community Partnership
(63) Raising a Reader Massachusetts 3 School Street 3rd Floor Boston,MA02108	80-0297898	501(c)(3)	146,000	0	Community Partnership
(64) Playworks Education Energized 380 Washington Sreet Oakland,CA94607	94-3251867	501(c)(3)	50,000	0	Community Partnership
(65) Massachusetts Law Reform Institute Inc 99 Chauncy Street Suite 500 Boston,MA02111	04-6004303	501(c)(3)	15,000	0	Advocacy Support
(66) Dudley Street Neighborhood Initiative Inc 550 Dudley Street Roxbury,MA02119	04-2859066	501(c)(3)	150,000	0	Community Partnership
(67) Dot House Health 1353 Dorchester Avenue Dorchester,MA02122	23-7125970	501(c)(3)	150,000	0	Community Partnership
(68) Spontaneous Celebrations Inc 45 Danforth Street Jamaica Plain,MA02130	01-3253364	501(c)(3)	10,000	0	Community Partnership
(69) Simmons University School of Social Work 300 The Fenway Boston,MA02115	04-2103629	501(c)(3)	99,925	0	Community Partnership
(70) Cambridge Family & Children's Service 60 Gore Street Cambridge,MA02141	04-2104057	501(c)(3)	75,000	0	Community Partnership
(71) West End House 105 Allston Street Allston,MA02134	04-2105825	501(c)(3)	25,000	0	Community Partnership
(72) Freedom House 5 Crawford Street Boston,MA02121	04-2240448	501(c)(3)	150,000	0	Community Partnership
(73) TSNE MissionWorks 89 South Street Suite 700 Boston,MA02116	04-2261109	501(c)(3)	85,000	0	Community Partnership
(74) Community Music Center of Boston Inc 34 Warren Avenue Boston,MA02116	04-2437973	501(c)(3)	17,500	0	Community Partnership
(75) HopeWell Inc 3 Allied Drive Suite 308 Dedham,MA02026	04-2438910	501(c)(3)	25,000	0	Community Partnerships
(76) William James College Inc 1 Wells Ave Boston,MA02459	04-2620216	501(c)(3)	249,998	0	Community Partnership
(77) Boston Private Industry Council 2 Oliver Street Boston,MA02109	04-2676661	501(c)(3)	75,000		Community Partnership
(78) Community Service Care Inc 295 Centre Street 31 Jamaica Plain,MA02130	04-2754281	501(c)(3)	150,000	0	Community Partnership
(79) Mathematica 955 Massachusetts Avenue Suite 801 Cambridge,MA02139	22-2112296	501(c)(3)	278,973	0	Community Partnership
(80) BAGLY Inc 28 Court Square Boston,MA02108	04-2785336	501(c)(3)	100,000	0	Community Partnership
(81) Children's Services of Roxbury 520 Dudley Street Boston,MA02119	04-3082352	501(c)(3)	99,999	0	Community Partnership
(82) Boston Healthcare for the Homeless Program 780 Albany Street Boston,MA02118	04-3160480	501(c)(3)	18,500	0	Community Partnership
(83) UMass Boston Wheatley 2 160 DCSP Boston,MA02125	04-3167352	501(c)(3)	249,610	0	Community Partnership
(84) Foundation for Salem Public Education 45 Cherry Street Lynn,MA01902	04-3276653	501(c)(3)	1,000	0	Community Partnership
(85) Familes First 9 Galen Street Suite 400 Watertown,MA02472	04-3413397	501(c)(3)	3,000	0	Community Partnership
(86) Roxbury Presbyterian Church Social Impact Center 328 Warren Street Roxbury,MA02119	04-3506648	501(c)(3)	50,000	0	Community Partnership
(87) Fenway High School Fund 67 Alleghany Street Boston,MA02120	04-6719813	501(c)(3)	20,000	0	Community Partnership
(88) Madison Park Development Corporation 184 Dudley Street 102 Boston,MA02119	23-7164223	501(c)(3)	75,000	0	Community Partnership
(89) East Boston Neighborhood Health Center 10 Gove Street East Boston,MA02128	23-7425849	501(c)(3)	188,857	0	Community Partnership
(90) Youth and Family Enrichment Services 1613 Blue Hill Avenue Suite 303 Mattapan,MA02126	27-2507783	501(c)(3)	45,868	0	Community Partnership
(91) ABCD 178 Tremont Street Boston,MA02111	04-2304133	501(c)(3)	5,000	0	Community Partnership
(92) Girls on the Run Greater Boston 89 South Street LL00 Boston,MA02111	46-3532424	501(c)(3)	2,000	0	Community Partnership
(93) Fenway Community Center 1282 Boylston Street Boston,MA02215	47-5582148	501(c)(3)	3,000	0	Community Partnership
(94) Rennie Center for Education Research & Policy 114 State Street Boston,MA02109	51-0548106	501(c)(3)	17,500	0	Advocacy Support
(95) Peer Health Exchange 745 Atlantic Ave Boston,MA02111	56-2374305	501(c)(3)	24,250	0	Community Partnership
(96) Dana Farber Cancer Institute 450 Brookline Avenue Boston,MA02215	04-2263040	501(c)(3)	10,000	0	Advocacy Support
(97) The Children's Trust Inc 55 Court Street 4th Floor Boston,MA02108	04-3123184	501(c)(3)	4,500	0	Advocacy Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Sibylla Orth Young Fund for Student Aid	21	39,000		FMV
(2) Nursing Education Scholarship Fund	91	181,900		FMV
(3) Joshua T. Shairs Cardiology Fund	3	3,000		FMV
(4) Family Resource Center Fund	21		47,146	FMV	Educational Resources
(5) Yawkey Family Inn Fund	2462		171,634	FMV	Housing Assistance
(6) Devon Nicole House Operating Fund	1321		47,447	FMV	Housing Assistance
(7) Pet Therapy Program Fund	4749		134,792	Other	Theurapeutic dog visits made to inpatients
(8) Sandra & Geoffrey Fenwick Family Income Fund	96		928	FMV	Bereavement programs for families
(9) Extraordinary Needs Fund II	100	97,573		FMV
(10) Volunteer Department Fund	1000		10,540	FMV	Supplies, Catering and Entertainment for Patients and Patient's families.
(11) Broadway Sam Fund	1331		39,935	FMV	Tickets for Art and Entertainment Events
(12) Family Services Fund	2588		206,817	FMV	Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
(13) Milagros Para las Family Fund	561		60,327	FMV	Translation services and program support for spanish speaking families.
(14) Barber Family Endowment Fund	19		18,534	FMV	Teen Advisory Committee expenses
(15) Hale Center for Families Endowment Operating Fund	664		97,061	FMV	Child Life Specialist and art supplies.
(16) Matthew Puffer Parking Fund	25	7,360		FMV
(17) Foster Grandparent Program Fund	1000		14,175	FMV	Sponsored dog show, music events, magic shows and face painting activities
(18) Amos's Endowment/Operating Fund	2577		5,376	FMV	Supplies for Center for Families to meet patient family needs,specifically printed materials to inform families of services available (center brochures in multiple languages)
(19) Patient Family Housing Fund	85	182,763		FMV	Covers 6 apartments for long-term (one to 4 month stays) patient families - rent, furniture, electricity, cable & supplies
(20) Room to Heal Fund	33		6,899	FMV	Did You Know lunch series catering, printed materials for family resurces (Milagros, hotel information, and CFF guide), and ICU Parent Sleep Space room cards
(21) Telemachus and Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund	219		18,357	FMV	PACT Hope Program support, comfort sheets for end of life, Keeping Connections event supplies and parking vouchers, and Memorial Service hall reservation and printed material.
(22) Alexander Mosse Baer Entertainment Fund	100		950	FMV	Sponsored one dog show and four magic shows

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Part I, Line 2:

Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships and Joshua T. Shairs Cardiology Funds are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at 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) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's Hospital Corporation

Employer identification number

04-2774441

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Sandra Fenwick CEO, Noncomp Director	(i) (ii)	1,168,187 ------------- 0	900,000 ------------- 0	538,238 ------------- 0	27,500 ------------- 0	49,551 ------------- 0	2,683,476 ------------- 0	0 ------------- 0
2Kevin Churchwell MD President & COO/Noncomp Director	(i) (ii)	782,233 ------------- 0	450,000 ------------- 0	310,896 ------------- 0	22,000 ------------- 0	53,817 ------------- 0	1,618,946 ------------- 0	0 ------------- 0
3Doug Vanderslice EVP, Treasurer & CFO	(i) (ii)	710,929 ------------- 0	225,090 ------------- 0	577,333 ------------- 0	22,000 ------------- 0	33,817 ------------- 0	1,569,169 ------------- 0	0 ------------- 0
4Bruce Balter Asst Treasurer/Dir Corp Finance	(i) (ii)	235,560 ------------- 0	15,689 ------------- 0	16,380 ------------- 0	32,986 ------------- 0	17,667 ------------- 0	318,282 ------------- 0	0 ------------- 0
5Michele Garvin Esq General Counsel & Secretary	(i) (ii)	563,935 ------------- 0	232,655 ------------- 0	113,203 ------------- 0	24,750 ------------- 0	22,512 ------------- 0	957,055 ------------- 0	0 ------------- 0
6Laura J Wood DNP MS RN CNO/Noncomp Director	(i) (ii)	437,382 ------------- 0	104,243 ------------- 0	77,881 ------------- 0	22,000 ------------- 0	24,840 ------------- 0	666,346 ------------- 0	0 ------------- 0
7Demosthenes Argys SVP, & Chief Administrative Officer	(i) (ii)	487,486 ------------- 0	113,421 ------------- 0	86,745 ------------- 0	24,750 ------------- 0	19,950 ------------- 0	732,352 ------------- 0	0 ------------- 0
8August Cervini VP, Research Administration	(i) (ii)	282,386 ------------- 0	73,505 ------------- 0	44,627 ------------- 0	19,250 ------------- 0	22,779 ------------- 0	442,547 ------------- 0	0 ------------- 0
9Michael Gillespie VP, Clinical Services	(i) (ii)	364,515 ------------- 0	66,420 ------------- 0	61,501 ------------- 0	22,000 ------------- 0	14,069 ------------- 0	528,505 ------------- 0	0 ------------- 0
10Cynthia Haines SVP, International Services	(i) (ii)	428,591 ------------- 0	119,630 ------------- 0	78,873 ------------- 0	22,000 ------------- 0	26,357 ------------- 0	675,451 ------------- 0	0 ------------- 0
11Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Services	(i) (ii)	331,840 ------------- 0	31,044 ------------- 0	32,054 ------------- 0	33,000 ------------- 0	6,897 ------------- 0	434,835 ------------- 0	0 ------------- 0
12Lisa Hogarty SVP, RE Planning and Development	(i) (ii)	424,650 ------------- 0	100,553 ------------- 0	75,230 ------------- 0	22,000 ------------- 0	26,268 ------------- 0	648,701 ------------- 0	0 ------------- 0
13Daniel Nigrin MD SVP & Chief Information Officer	(i) (ii)	456,897 ------------- 0	107,010 ------------- 0	76,857 ------------- 0	24,750 ------------- 0	16,127 ------------- 0	681,641 ------------- 0	0 ------------- 0
14Philip Rotner Chief Investment Officer	(i) (ii)	660,018 ------------- 0	580,317 ------------- 0	189,772 ------------- 0	22,000 ------------- 0	40,807 ------------- 0	1,492,914 ------------- 0	0 ------------- 0
15Wendy Warring SVP, Network Development	(i) (ii)	485,492 ------------- 0	112,545 ------------- 0	80,830 ------------- 0	24,750 ------------- 0	20,307 ------------- 0	723,924 ------------- 0	0 ------------- 0
16Nader Rifai PhD Director, Chemistry	(i) (ii)	461,592 ------------- 0	210,264 ------------- 0	12,897 ------------- 0	30,250 ------------- 0	12,652 ------------- 0	727,655 ------------- 0	0 ------------- 0
17Lynn Susman President, Children's Hospital Trust	(i) (ii)	438,562 ------------- 0	115,000 ------------- 0	78,111 ------------- 0	27,500 ------------- 0	30,582 ------------- 0	689,755 ------------- 0	0 ------------- 0
18Reginald Stover VP, Human Resources	(i) (ii)	386,090 ------------- 0	150,000 ------------- 0	85,784 ------------- 0	0 ------------- 0	22,751 ------------- 0	644,625 ------------- 0	0 ------------- 0
19Martin Kelly Director, Investments	(i) (ii)	355,220 ------------- 0	284,467 ------------- 0	1,611 ------------- 0	22,000 ------------- 0	17,714 ------------- 0	681,012 ------------- 0	0 ------------- 0
20Alison Svizzero Director, Investments	(i) (ii)	325,553 ------------- 0	257,818 ------------- 0	509 ------------- 0	19,250 ------------- 0	1,608 ------------- 0	604,738 ------------- 0	0 ------------- 0
21James Mandell MD Former CEO	(i) (ii)	0 ------------- 0	0 ------------- 0	674,930 ------------- 0	0 ------------- 0	0 ------------- 0	674,930 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	One officer received a gross up payment during the year. This amount was included in taxable income and is reported on Form 990, Part VII and Schedule J.
Part I, Line 1b	The one reportable listed benefit in line 1a was approved by the Hospital's board level compensation committee. The committee is comprised of members of the board who are not employed the Organization.
Part I, Lines 4a-b	Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Director or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2018, a contribution of $56,475 August Cervini, received in 2018, a contribution of $22,655 Kevin Churchwell, received in 2018, a contribution of $131,500 Sandra Fenwick, received in 2018, a contribution of $495,500 Michele Garvin, received in 2018, a contribution of $78,258 Michael Gillespie, received in 2018, a contribution of $35,944 Cynthia Haines, received in 2018, a contribution of $49,071 Lisa Hogarty, received in 2018, a contribution of $46,083 Daniel Nigrin, received in 2018, a contribution of $51,195 Philip Rotner, received in 2018, a contribution of $165,642 Reginald Stover, received in 2018, a contribution of $30,756 Lynn Susman, received in 2018, a contribution of $51,088 Doug Vanderslice, received in 2018, a contribution of $102,130 Wendy Warring, received in 2018, a contribution of $53,178 Laura Wood, received in 2018, a contribution of $47,856 During Calendar Year 2018, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2018, a distribution of $674,930

Schedule J (Form 990) 2018

Additional Data

Software ID:
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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA Revenue Bonds Series N	04-2456011	57586EUJ8	05-13-2010	341,590,000	Refunded Series G, H, I, J & K		X		X		X
B	MDFA Revenue Bonds Series O	04-3431814	NoneAvail	12-11-2013	200,640,000	Refunded Series L		X		X		X
C	MDFA Revenue Bonds Series P	04-3431814	57583UK31	05-21-2014	136,685,000	New bldg construction, reno. & capital equip		X		X		X
D	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
	MDFA Revenue Bonds Series S	04-3431814	NoneAvail	12-19-2017	135,215,000	Refunded Series M		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 ..................	341,590,000		200,640,000		151,753,430		50,255,000
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 ...............	2,025,862		640,000		1,753,430		255,000
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............					150,000,000		50,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2013		2013		2016
	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) 2018

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 ....	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 .........	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) 2018

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 N Date the Rebate Computation was Performed: 09/30/2014 Issuer Name: MDFA, Revenue Bonds Series O Date the Rebate Computation was Performed: 12/11/2018 Issuer Name: MDFA, Revenue Bonds Series P Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series Q Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series R Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series S Date the Rebate Computation was Performed: 12/01/2019

Schedule K (Form 990) 2018

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA Revenue Bonds Series N	04-2456011	57586EUJ8	05-13-2010	341,590,000	Refunded Series G, H, I, J & K		X		X		X
B	MDFA Revenue Bonds Series O	04-3431814	NoneAvail	12-11-2013	200,640,000	Refunded Series L		X		X		X
C	MDFA Revenue Bonds Series P	04-3431814	57583UK31	05-21-2014	136,685,000	New bldg construction, reno. & capital equip		X		X		X
D	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
	MDFA Revenue Bonds Series S	04-3431814	NoneAvail	12-19-2017	135,215,000	Refunded Series M		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 ..................	341,590,000		200,640,000		151,753,430		50,255,000
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 ...............	2,025,862		640,000		1,753,430		255,000
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............					150,000,000		50,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2013		2013		2016
	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) 2018

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 ....	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 .........	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) 2018

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

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete 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 image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	91	14,958,119	Mean Value on Gift Date
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....	X	19	4,325	Mkt Value per Donor
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Travel/Dining )	X	4	155,000	Mkt Value per Donor
26 Other ( Misc. Other )	X	26	65,830	Mkt Value per Donor
27 Other ( )
28 Other ( )

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

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

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) (2018)

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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets or the Hospital; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties.
Form 990, Part VI, Section B, line 11b	The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the Chief Executive Officer, President & Chief Operating Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing.
Form 990, Part VI, Section B, line 12c	The Hospital's Conflict of Interest and Commitment policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, volunteer sand employees of the Hospital. Directors, chiefs of service and division chiefs, senior directors and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the policies of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he/she has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he/she has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he/she has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his/her time and effort as to make it impractical for them to fulfill their assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15	The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: Chief Executive Officer President & Chief Operating Officer Executive Vice President of Finance, IS & RE & 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 Vice President & Chief Marketing Officer Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Senior 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 111,194,937. Management and general expenses 12,014,781. Fundraising expenses 0. Total expenses 123,209,718. Purchased Research Services: Program service expenses 49,027,918. Management and general expenses 6,652. Fundraising expenses 0. Total expenses 49,034,570. Consulting Services: Program service expenses 20,420,420. Management and general expenses 15,945,778. Fundraising expenses 488,268. Total expenses 36,854,466. Misc. Purchased Services: Program service expenses 25,005,773. Management and general expenses 7,548,842. Fundraising expenses 159,007. Total expenses 32,713,622. Nursing Agency Fees: Program service expenses 11,234,248. Management and general expenses 383,652. Fundraising expenses 0. Total expenses 11,617,900. Laundry Services: Program service expenses 2,349,807. Management and general expenses 46,046. Fundraising expenses 0. Total expenses 2,395,853. Security Services: Program service expenses 8,214,112. Management and general expenses 114,703. Fundraising expenses 310. Total expenses 8,329,125. Catering Fees: Program service expenses 1,006,853. Management and general expenses 260,639. Fundraising expenses 26,488. Total expenses 1,293,980. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,717,030. Fundraising expenses 0. Total expenses 1,717,030. Temp Agency Fees: Program service expenses 8,384,518. Management and general expenses 2,740,557. Fundraising expenses 79,533. Total expenses 11,204,608. Ambulance Services: Program service expenses 121,561. Management and general expenses 0. Fundraising expenses 0. Total expenses 121,561. Environmental Services: Program service expenses 790,275. Management and general expenses 256,797. Fundraising expenses 0. Total expenses 1,047,072.
Form 990, Part XI, line 9:	Net Transfers/Support from Children's Medical Center 194,968,968. Pension Adjustment -98,688,719. Other Adjustments 993. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others -2,155,453.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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) Children's One Brookline Place LLC 300 Longwood Avenue Boston,MA02115 20-5850015	Real Estate Holdings	MA	0	0	Children's Hospital Corporation
(2) Children's Brookline Place LLC 300 Longwood Avenue Boston,MA02115 26-1523020	Real Estate Holdings	MA	0	0	Children's Hospital Corporation
(3) Children's Five Brookline Place LLC 300 Longwood Avenue Boston,MA02115 20-5850117	Real Estate Holdings	MA	0	0	Children's Hospital Corporation
(4) BCH Washington Street LLC 300 Longwood Avenue Boston,MA02115 81-4382691	Real Estate Holdings	MA	-5,657,956	40,136,225	Children's Hospital Corporation
(5) BCH Pearl Street LLC 300 Longwood Avenue Boston,MA02115 81-7393086	Real Estate Holdings	MA	0	9,884,746	Children's Hospital Corporation
(6) BCH Brookline Ave LLC 300 Longwood Avenue Boston,MA02115 81-4457294	Real Estate Holdings	MA	156,434	4,248,817	Children's Hospital Corporation
(7) Boston Children's Health International LLC 300 Longwood Avenue Boston,MA02115 81-4377341	Inactive	MA	0	0	Children's Medical Center Corp
(8) Children's Westland LLC 300 Longwood Avenue Boston,MA02115 26-2904847	Inactive	MA	0	0	Longwood Research Institute
(9) BCH 819 Beacon Street LLC 300 Longwood Avenue Boston,MA02115 81-4382691	Real Estate Holdings	MA	1,121,863	10,609,971	Longwood Research Institute
(10) Children's Waltham Medical Center LLC 300 Longwood Avenue Boston,MA02115 20-2076874	Real Estate Holdings	MA	0	0	Children's Medical Center Corp
(11) Boston Children's Health Accountable Care LLC 300 Longwood Avenue Boston,MA02115 30-0991601	Accountable Care	MA	18,624,963	13,313,733	Children's Hospital Corporation
(12) BCD Hospital Energy Collaborative LLC 300 Longwood Avenue Boston,MA02115 82-1711826	Hospital Energy	MA	0	0	Children's Hospital Corporation
(13) Boston Children's Health Physicians LLP 300 Longwood Avenue Boston,MA02115 13-3956599	Healthcare	NY	156,732,549	65,771,311	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?
(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	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)	Line 12c, III-FI	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)	Line 12c, III-FI	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)	Line 10	Children's Medical Center Corporation		No
(4)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)	Line 12d, III-O	N/A		No
(5)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)	Line 7	Children's Hospital Corporation	Yes
(6)Children's Hospital League Corporation 300 Longwood Avenue Boston,MA02115 04-2780811	Fundraising	MA	501(c)(3)	Line 7	Children's Hospital Corporation	Yes
(7)Blood Research Institute Inc 300 Longwood Avenue Boston,MA02115 04-3136318	Owning & Leasing Real Estate	MA	501(c)(3)	Line 12c, III-FI	Children's Medical Center Corporation		No
(8)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 12b, II	N/A		No
(9)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 12b, II	N/A		No
(10)New England Life Flight Inc Hangar 1727 Hanscom AFB Bedford,MA01730 22-2582060	Critical Care Transport	MA	501(c)(3)	Line 12b, II	N/A		No
(11)Longwood Medical Energy Collaborative Inc 160 Longwood Avenue Boston,MA02115 04-3476764	Energy Related Initiatives	MA	501(c)(3)	Line 12a, I	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No

Schedule R (Form 990) 2018

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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) 2018

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

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) 2018

Additional Data

Software ID:
Software Version:

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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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) .	Yes	No
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No