TY 2019 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

2019

Open to Public Inspection

A For the 2019 calendar year, or tax year beginning 10-01-2019 , and ending 09-30-2020

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 $ 2,250,683,519

F Name and address of principal officer:
Kevin B Churchwell MD
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 2019 (Part V, line 2a) ......	5	14,847
6	Total number of volunteers (estimate if necessary) .............	6	543
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-2,691,040
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	-2,691,040

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	415,137,440	573,205,044
9	Program service revenue (Part VIII, line 2g) .........	1,527,371,090	1,379,095,356
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	44,327,243	19,243,990
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	59,892,635	70,974,342
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,046,728,408	2,042,518,732
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	11,365,599	12,559,169
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)	928,799,601	1,017,848,594
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	1,378,073	1,292,158
b	Total fundraising expenses (Part IX, column (D), line 25) 32,597,691
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	968,474,584	955,115,970
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,910,017,857	1,986,815,891
19	Revenue less expenses. Subtract line 18 from line 12.......	136,710,551	55,702,841
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,333,481,693	7,478,850,382
21	Total liabilities (Part X, line 26).............	2,123,101,198	2,913,133,641
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,210,380,495	4,565,716,741

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.

Sign Here

	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 (2019)

Form 990 (2019)

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: See Schedule O

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 $ 1,303,333,876 including grants of $ 12,559,169 ) (Revenue $ 1,356,864,105 )
	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 FY2020, 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 2.16 and the average length of stay was 5.81 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.Boston Children's is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. Boston Children's 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. Boston Children's also provides clinical care for the largest number of uninsured children in the state. Due to an extension on Medicaid data until July 1, 2021, we do not have our complete FY20 data yet, but we incurred a Medicaid loss over $120M for FY19. For our Massachusetts patients, 40.1% 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.Boston Children's is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served - patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.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), Boston Children's has formed partnerships with community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital, & 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. Boston Children's 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 500 physicians, nurse practitioners, and physician assistants in over 100 locations throughout 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 300 physicians serve families in 57 locations throughout New York's Metropolitan Area, the Hudson Valley, Connecticut and New Jersey.Each year, Boston Children's 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 Boston Children's, 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 Boston Children's & 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 Boston Children's 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 Boston Children's 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, Boston Children's 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. Fostering Innovation: Through the work of the Innovation and Digital Health Accelerator, Boston Children's 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.

4b	(Code: ) (Expenses $ 343,699,587 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 FY2020, Boston Children's received a total of $420M in research funding - federal (NIH, etc.), non-federal direct and indirect. We are the 4th largest NIH funding recipient of all hospitals in the U.S. and received 17%+ 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 2020 produced over 4,000 publications. This continues a historical count of research publications in the top 25 Eigenfactor scientific journals for 5 years running.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 FY2020 alone, we disclosed 153 inventions, received 269 patents, executed 54 licensing agreements and 24 sponsored research agreements, and formed 6 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 Our research Innovation Initiatives include: Children's Rare Cohorts Initiative (CRCI) Digestive Biology Hemoglobinopathies Gene Therapy Innovation & Digital Health Accelerator OPENPediatrics Organs on Chips Precision Medicine Simulator Program (SIMPeds) Virtual Visits

4c	(Code: ) (Expenses $ 40,738,107 including grants of $ 0 ) (Revenue $ 22,231,251 )
	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 (44 are accredited - more than any other freestanding children's hospital), and host over 500 Boston Children's-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.Our Simulation Program (SIMPeds) 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.SIMPeds has run over 1,000 courses, servicing roughly 4,000 participants from all sectors of the hospital, and is one of the first pediatric hospital programs to be accredited through the Society for Simulation in Healthcare. 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 (BCH) was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission - community. Through the years, BCH 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.BCH's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others in the community to address the social determinants of health. These are issues that can have a significant impact on an individual's health such as exposure to violence, experiencing food insecurity, living in poverty or having unstable housing. In all its endeavors, BCH focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Community response to COVID: The COVID pandemic disproportionally impacted communities of color, immigrant communities, and those living in low-income neighborhoods. In 2020, BCH directed resources to support our community partners including community health centers to help address the many needs of families. Food insecurity concerns only increased for families during the pandemic. The hospital continues to support and has reallocated funds to help health centers with purchasing and distributing food to families in-need. Families were also reached through our primary care locations including the Martha Eliot Health Center and the Primary Care at Longwood. The hospital also provided flexibility in the use of its funds made available through the Collaboration for Community Health (see below for more details on the Collaboration) and allowed its funded partners to redirect their efforts to meet priority needs and adjust during this public health emergency. In the summer and fall of 2020, the hospital also released additional funds through the Collaboration to support childcare providers in Boston with grants ranging from $3,500 - $10,000. In total, 130 childcare providers received grants. These funds were used by childcare providers to follow public health guidelines, adapt physical spaces, and cover increased costs for staff, overhead, personal protective equipment, and cleaning supplies.Understanding community needs: BCH 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 https://www.childrenshospital.org/community-health/community-health-needs. Key themes include the impacts of poverty on child and community health, the importance of stable and affordable housing, concerns about food insecurity, and a 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 BCH'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 BCH 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 Bostonspecifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by BCH'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. (http://www.childrenshospital.org/community-health/community-health-needs)A formal and comprehensive needs assessment is only one part of BCH's approach to understanding the health needs and vital resources within the community. BCH is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with BCH's key partners - community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, BCH has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the BCH 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: BCH 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 BCH has the clinical expertise, resources, and partnerships to make a difference. BCH's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.-The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,300 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 population served is 40% Black and 45% Latino.The program has reduced the percentage of patients with any asthma-related hospitalizations by 82% and emergency department visits by 54%.-Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP places clinicians in Boston schools to provide a comprehensive array of services to better meet the needs of children and adolescents. Last year, more than 1,147 students received school-based services. The program also provided 1,515 hours of consultation to school staff and families and 45 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 at-risk for obesity, 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, 63% 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.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Community (Continued)Expanded commitment through the Collaboration for Community Health: BCH had an opportunity to build on its history of partnering with the community. In August 2018, Boston Children's started to distribute additional funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These fundsBoston Children's Collaboration for Community Healthare distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, 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.To date, $18.1 million has been awarded to 56 organizations that are addressing health disparities and the social determinants of health. More details on the Collaboration and the funded projects can be found at BostonChildrens.org/fundingAddressing social determinants of health: BCH also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. BCH partners with the Boston Public Schools (BPS) to support and strengthen the system as well as to work directly in school settings to reach students and help families overcome barriers that may prevent their children from functioning well in school. BCHNP's Training and Access Project (TAP) provided support to 25 schools by providing training and consultation in building sustainable systems in schools to support student behavioral health needs.- Workforce Development. BCH recognizes that one of the most significant ways to support the community and help to ensure a diverse workforce is the recruitment and retention of Boston residents as employees. BCH's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation and Jewish Vocational Services. BCH also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. Last year, the program was virtual with 41 high school and 15 college students participating. - Partnering to support the health and social infrastructure in place for families. BCH is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partnersthe Boston Public Health Commission and 11 Boston community health centers. BCH 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 net: BCH remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. BCH also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that BCH offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and families: As the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of BCH'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. BCH has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.BCH is an effective advocate on legislative and regulatory matters in Massachusetts and at the federal level 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 grounded in racial equity. BCH's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law, and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with only 1.3 percent of children uninsuredthe lowest rate in the country. Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, BCH 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.

	(Code: ) (Expenses $ 10,039,551 including grants of $ 0 ) (Revenue $ 0 )
	Community (Continued)In 2006, BCH (including its Boston Children's Hospital Neighborhood Partnerships Program for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification of behavioral health needs, treating children in the most appropriate settings, enhancing coordination among state health care agencies, and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. 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, addressing the emergency room boarding crisis, improving mental health in schools, and creating a behavioral health urgent care system. In addition, the CMHC is working to address mental health parity compliance (legislative and regulatory) Additionally, BCH works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, BCH has reframed the public health work to include social determinants of health and racial and social justice as an essential component. With this in mind, our priorities now include closing the SNAP Gap, addressing issues in the housing market, and expanding the earned income tax credit. The hospital also lends expertise in efforts to reduce racial inequities in maternal and infant health, lead poisoning, and improve child passenger safety legislation. BCH 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. During the COVID crisis, the CAN has found creative solutions to keep advocates engaged including virtual advocacy briefings and trainings, a roundtable featuring a patient advocate and the President of BCH, Dr. Kevin Churchwell, for new legislators, as well as online event partnerships with the Office of Health Equity and Office of Community Health.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 10,039,551 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses1,697,811,121

Form 990 (2019)

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......

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

Form 990 (2019)

Page 4

Part IV

Checklist of Required Schedules (continued)

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

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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....

28b

A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? 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 ..

2,141

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 (2019)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

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

14,847

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? ........

Sponsoring organizations maintaining donor advised funds.

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 (2019)

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

MA , NJ , NY , FL , NH

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 (2019)

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.

See instructions for the order in which to list the persons above.

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) Sandra Fenwick...................................................................... CEO, Noncomp Director	55.00 ................. 6.00	X	X			3,006,745	0	74,520
(2) Kevin Churchwell MD...................................................................... President & COO/Noncomp Director	55.00 ................. 5.00	X	X			1,903,112	0	75,239
(3) Doug Vanderslice...................................................................... EVP, Treasurer & CFO	55.00 ................. 7.00		X			1,494,018	0	68,621
(4) Philip Rotner...................................................................... Chief Investment Officer	55.00 ................. 5.00			X		1,428,022	0	57,780
(5) Michele Garvin Esq...................................................................... General Counsel & Secretary	55.00 ................. 6.00		X			1,056,045	0	62,085
(6) James E Lock MD...................................................................... Former Chief of Cardiology	55.00 ................. 5.00				X	842,502	0	0
(7) Demosthenes Argys...................................................................... SVP, & Chief Administrative Officer	55.00 ................. 5.00			X		763,923	0	45,518
(8) Wendy Warring...................................................................... SVP, Network Development	55.00 ................. 5.00			X		736,010	0	45,748
(9) Lynn Susman...................................................................... President, Children's Hospital Trust	55.00 ................. 5.00				X	697,371	0	59,287
(10) Daniel Nigrin MD...................................................................... SVP & Chief Information Officer	55.00 ................. 5.00			X		715,963	0	38,895
(11) Cynthia Haines...................................................................... SVP, International Service	55.00 ................. 5.00			X		691,631	0	46,341
(12) Nader Rifai PhD...................................................................... Director, Chemistry	55.00 ................. 5.00				X	689,410	0	43,648
(13) Laura J Wood DNP MS RN...................................................................... SVP, Chief Nursing Officer	55.00 ................. 5.00			X		682,285	0	50,424
(14) Martin Kelly...................................................................... Director, Investments	55.00 ................. 5.00				X	688,045	0	41,947
(15) Lisa Hogarty...................................................................... SVP, RE Planning and Development	55.00 ................. 5.00			X		651,034	0	46,252
(16) Reginald Stover...................................................................... VP, Human Resources	55.00 ................. 5.00				X	665,889	0	18,054
(17) Michael Gillespie...................................................................... VP, Clinical Services	55.00 ................. 5.00			X		552,043	0	36,710

Form 990 (2019)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) August Cervini........................................................................ VP, Research Administration	55.00 .......................5.00			X	428,019	0	40,090
(19) Patricia Hickey PhD MBA RN NEA-BC........................................................................ VP, Cardiovascular Service	55.00 .......................5.00			X	411,789	0	40,489
(20) Bruce Balter........................................................................ Asst Treasurer/Dir Corp Finance	55.00 .......................5.00		X		274,815	0	52,624
(21) Christine Grenache........................................................................ Asst Sec/Exec Asst	55.00 .......................5.00		X		81,808	0	10,852
(22) Douglas Berthiaume........................................................................ Director - Chairman	5.00 .......................5.00	X			0	0	0
(23) Allan Bufferd........................................................................ Director	1.00 .......................1.00	X			0	0	0
(24) Winston Henderson........................................................................ Director	1.00 .......................1.00	X			0	0	0
(25) Stephen Karp........................................................................ Director	1.00 .......................1.00	X			0	0	0
(26) Steven Krichmar........................................................................ Director	1.00 .......................1.00	X			0	0	0
(27) Robert Langer........................................................................ Director	1.00 .......................1.00	X			0	0	0
(28) Harvey Lodish PhD........................................................................ Director	1.00 .......................1.00	X			0	0	0
(29) Gary Loveman........................................................................ Director	1.00 .......................1.00	X			0	0	0
(30) Ralph C Martin........................................................................ Director	1.00 .......................1.00	X			0	0	0
(31) Thomas Melendez........................................................................ Director	1.00 .......................1.00	X			0	0	0
(32) Kathleen Regan........................................................................ Director	1.00 .......................1.00	X			0	0	0
(33) Robert A Smith........................................................................ Director - Vice Chair	2.00 .......................2.00	X			0	0	0
(34) Alison Taunton-RigbyPhD........................................................................ Director	1.00 .......................1.00	X			0	0	0
(35) Marc B Wolpow........................................................................ Director	1.00 .......................1.00	X			0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	18,460,479	0	955,124

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

2,634

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

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	183,452,744
The Brigham and Women's Hospital 75 Francis Street Boston,MA02115	Healthcare/Research Services	13,079,244
VPNE Parking Solutions 343 Congress Street Boston,MA02210	Parking Serives	10,141,482
Turner Construction Company Two Seaport Lane Suite 200 Boston,MA02210	Construction Services	9,812,071
PricewaterhouseCoopers LLP PO Box 7247-8001 Philadelphia,PA19170	Consulting Services	9,294,427
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 305

Form 990 (2019)

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	32,342
b	Membership dues..		1b
c	Fundraising events..		1c	4,480,517
d	Related organizations		1d
e	Government grants (contributions)		1e	330,656,385

f	All other contributions, gifts, grants, and similar amounts not included above		1f	238,035,800

g	Noncash contributions included in lines 1a - 1f:$		1g	28,052,867

h Total. Add lines 1a-1f.......		573,205,044

		Business Code
2a	Patient Svc Revenue	621110	1,295,222,529	1,295,222,529
b	Prof Svc Revenue	621110	49,797,033	49,797,033
c	Graduate Medical Educa	611710	22,231,251	22,231,251
d	Prog Svc Grants	621110	11,844,543	11,844,543
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,379,095,356

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,696,362			12,696,362
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			14,235,232			14,235,232
		(ii) Personal	(i) Real
6a	Gross rents		19,268,985	6a
b	Less: rental expenses		9,491,241	6b
c	Rental income or (loss)		9,777,744	6c
d	Net rental income or (loss).......			9,777,744		-2,747,980	12,525,724
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		203,940,196	7a
b	Less: cost or other basis and sales expenses		197,392,568	7b
c	Gain or (loss)		6,547,628	7c
d	Net gain or (loss).........			6,547,628			6,547,628
8a	Gross income from fundraising events (not including $ 4,480,517of contributions reported on line 1c). See Part IV, line 18 ....
			8a	837,470
b	Less: direct expenses ...		8b	1,280,978
c	Net income or (loss) from fundraising events..			-443,508			-443,508
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Other General Services		900099	34,419,308			34,419,308
b	Parking Revenue		812930	7,061,026			7,061,026
c	Cafeteria Sales		722210	5,665,724			5,665,724
d	All other revenue ....			258,816		56,940	201,876
e	Total. Add lines 11a–11d ......			47,404,874
12	Total revenue. See instructions.....			2,042,518,732	1,379,095,356	-2,691,040	92,909,372

Form 990 (2019)

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 ....	11,620,834	11,620,834
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	938,335	938,335
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	15,669,451		15,669,451
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........	785,474,919	644,307,614	124,193,840	16,973,465
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	57,140,593	55,094,978	674,929	1,370,686
9	Other employee benefits .......	88,189,575	85,380,704	926,757	1,882,114
10	Payroll taxes ...........	71,374,056	68,818,887	843,051	1,712,118
11	Fees for services (non-employees):
a	Management ......	8,390,322	3,029,259	5,361,063
b	Legal .........	3,317,119	915,329	2,396,940	4,850
c	Accounting ...........	2,058,598	980,890	1,074,608	3,100
d	Lobbying ...........	107,219	107,219
e	Professional fundraising services. See Part IV, line 17	1,292,158			1,292,158
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)	260,383,823	222,564,116	36,651,072	1,168,635
12	Advertising and promotion ....	3,650,678	3,097,796	364,474	188,408
13	Office expenses .......	34,365,214	11,621,218	17,561,760	5,182,236
14	Information technology ......	36,835,273	7,456,524	28,968,085	410,664
15	Royalties ..
16	Occupancy ...........	114,225,200	112,675,200		1,550,000
17	Travel ............	3,399,870	2,780,969	577,415	41,486
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	996,443	859,562	107,929	28,952
20	Interest ...........	29,740,764	29,740,764
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	135,266,975	119,782,847	14,695,309	788,819
23	Insurance ...	13,017,390	10,748,509	2,268,881
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	252,860,312	248,788,797	4,071,515	0
b	Uncollectible Accts	23,877,752	23,877,752	0	0
c	Uncompensated Care	23,783,466	23,783,466	0	0
d	Free Care	8,839,552	8,839,552	0	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,986,815,891	1,697,811,121	256,407,079	32,597,691
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 (2019)

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 .........			30,179,033	2	35,062,852
3	Pledges and grants receivable, net ......			252,769,686	3	198,714,601
4	Accounts receivable, net .............			325,186,584	4	328,616,122
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			31,244,443	8	37,802,731
9	Prepaid expenses and deferred charges ......			19,740,177	9	20,664,451
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,658,409,352
b	Less: accumulated depreciation	10b	2,011,492,530	1,366,902,736	10c	1,646,916,822
11	Investments—publicly traded securities .			237,357,146	11	251,638,066
12	Investments—other securities. See Part IV, line 11 .....			1,124,465,251	12	1,206,761,984
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			2,279,295	14	2,155,570
15	Other assets. See Part IV, line 11 ...........			2,943,357,342	15	3,750,517,183
16	Total assets. Add lines 1 through 15 (must equal line 33)...			6,333,481,693	16	7,478,850,382

17	Accounts payable and accrued expenses .....	310,682,550	17	376,599,986
18	Grants payable ...		18
19	Deferred revenue .........	148,299,094	19	163,167,272
20	Tax-exempt bond liabilities .........	872,102,006	20	871,828,174
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	347,442,169	23	644,980,005
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	444,575,379	25	856,558,204
26	Total liabilities. Add lines 17 through 25..	2,123,101,198	26	2,913,133,641

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,474,416,269	27	2,820,749,913
28	Net assets with donor restrictions ...........	1,735,964,226	28	1,744,966,828
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	4,210,380,495	32	4,565,716,741
33	Total liabilities and net assets/fund balances ........	6,333,481,693	33	7,478,850,382

Form 990 (2019)

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) ............

2,042,518,732

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

1,986,815,891

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

55,702,841

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

4,210,380,495

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

57,201,667

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

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

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

4,164,252

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

238,267,486

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

4,565,716,741

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 (2019)

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 instructions and the latest information.

OMB No. 1545-0047

2019

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) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	342,539,011	444,270,077	417,494,538	415,137,440	573,205,044	2,192,646,110
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	342,539,011	444,270,077	417,494,538	415,137,440	573,205,044	2,192,646,110
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)..						1,420,932
6	Public support. Subtract line 5 from line 4.						2,191,225,178

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..	342,539,011	444,270,077	417,494,538	415,137,440	573,205,044	2,192,646,110
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	24,495,716	25,976,961	31,911,194	31,356,204	39,457,318	153,197,393
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	-270,120	-4,277,019	-2,548,588	-5,469,037	-2,691,040	-15,255,804
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	27,213,103	30,424,665	26,920,013	44,809,991	47,347,934	176,715,706
11	Total support. Add lines 7 through 10						2,507,303,405

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

6,957,127,366

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 2019 (line 6, column (f) divided by line 11, column (f)) .........

87.390 %

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

85.240 %

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

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) 2019

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) 2019

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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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

2019

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Children's Hospital Corporation

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

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

2019

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) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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|No

(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

141,427

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

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

Yes

116,600

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

Yes

531,923

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

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

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

789,950

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 2020, 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. 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 2020 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 $4,188 - Jamie Gaynes Children's Hospital personnel $83,965 - Amara Azabuike Children's Hospital personnel $21,223 - Shannon Moore Children's Hospital personnel $61,507 - 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 $67,219 Total Lobbyist/Consultant Expenses = $531,923 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $141,427 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $116,600 TOTAL LOBBYING EXPENSES = $789,950 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 2020, 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. 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 2020 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 $4,188 - Jamie Gaynes Children's Hospital personnel $83,965 - Amara Azabuike Children's Hospital personnel $21,223 - Shannon Moore Children's Hospital personnel $61,507 - 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 $67,219 Total Lobbyist/Consultant Expenses = $531,923 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $141,427 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $116,600 TOTAL LOBBYING EXPENSES = $789,950 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) 2019

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 instructions and the latest information.

OMB No. 1545-0047

2019

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 FASB 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 FASB 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 FASB 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) 2019

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 ....	1,171,359,000	1,162,157,000	1,134,782,000	1,007,240,000	939,779,000
b	Contributions ...	14,137,000	21,654,000	-461,000	11,924,000	33,474,000
c	Net investment earnings, gains, and losses	44,286,000	7,419,000	32,789,000	152,501,000	77,339,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	7,569,000	19,871,000	4,953,000	36,883,000	43,352,000
f	Administrative expenses ....
g	End of year balance ......	1,222,213,000	1,171,359,000	1,162,157,000	1,134,782,000	1,007,240,000

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

Board designated or quasi-endowment SchDMd Bullet

54.830 %

Permanent endowment SchDMd Bullet

20.640 %

Term endowment SchDMd Bullet

24.530 %

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 ....	1,530,392,518	1,224,878,053	305,514,465
c	Leasehold improvements
d	Equipment ....	885,856,118	780,535,452	105,320,666
e	Other .....	1,229,541,368	6,079,025	1,223,462,343
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,646,916,822

Schedule D (Form 990) 2019

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	41,535,870	F
(B) Abrams Capital	38,619,763	F
(C) AKO European Long-Only Fund	23,593,614	F
(D) Bain Cap Distr & Special Situations	3,370,530	F
(E) Bain Capital Fund IX	481,164	F
(F) Bain Capital Fund X	929,377	F
(G) Bain Capital Venture Fund 2012	2,016,760	F
(H) Bain Capital Venture Fund 2014	5,504,405	F
(I) Baupost	66,590,795	F
(J) Blacksheep Fund	16,174,574	F
(K) Brookside Capital	25,011	F
(L) Commure, Inc.	397,000	F
(M) Costanoa Ventures III, LP	3,424,125	F
(N) Costanoa Ventures Opportunity Fund, L.P.	2,084,647	F
(O) Crosslink Crossover Fund VI	3,322,493	F
(P) Crosslink Crossover Fund VII	9,095,270	F
(Q) Crosslink Ventures VIII-B, L.P.	3,995,805	F
(R) Davidson Kempner	67,622,995	F
(S) Deccan Value	31,218,205	F
(T) Deerfield Healthcare Innov Fund II	1,146,139	F
(U) Deerfield Partners, LP	23,114,531	F
(V) Deerfield Private Design Fund IV	5,712,036	F
(W) Deerfield Special Situations Fund	83,370	F
(X) Dune Real Estate Fund III	3,141,064	F
(Y) ECM Feeder Fund I	17,430,516	F
(Z) Energy Capital Partners II	464,093	F
(AA) Energy Capital Partners III	5,232,857	F
(AB) Fidelity Notes Payable	2,480,853	F
(AC) Fine Points Capital II	39,568,196	F
(AD) Flare Capital Partners I	4,923,197	F
(AE) Flare Capital Partners II	1,383,545	F
(AF) Gaoling Feeder, Ltd.	26,164,220	F
(AG) Golden Gate Capital	13,823,937	F
(AH) Highfields Capital	979,002	F
(AI) Hillhouse Fund III	4,721,124	F
(AJ) Hillhouse Fund IV, L.P.	2,679,353	F
(AK) Himalaya Capital Investors, L.P.	27,253,700	F
(AL) HMI Capital Partners	59,933,036	F
(AM) Holdco.Opp. Fund II	523,246	F
(AN) Holdco.Opp. Fund III	4,870,793	F
(AO) ICHIGO Japan Fund B	20,588,240	F
(AP) Incentive Active Value Long Only Fund	12,543,031	F
(AQ) Insignia Ventures Partners Fund I L.P.	4,270,926	F
(AR) JMC Capital I-B	3,926,727	F
(AS) JMC Platform Fund II-B	6,160,646	F
(AT) JVL Energy	210,535	F
(AU) King Street	34,859,776	F
(AV) Lone Star Fund IX	2,011,996	F
(AW) Lone Star Fund VIII	1,217,202	F
(AX) Madison Avenue Offshore Ltd.	19,794,817	F
(AY) Matrix China II	12,098,178	F
(AZ) Matrix China III	8,177,009	F
(BA) Matrix China IV	7,205,550	F
(BB) Matrix India II	4,675,866	F
(BC) Matrix Partners China V, L.P.	4,641,327	F
(BD) Matrix Partners India III, LLC	1,376,399	F
(BE) Matrix Partners X	3,401,893	F
(BF) Matrix Partners XI, L.P.	1,566,562	F
(BG) Maveron Equity Partners VI	4,300,304	F
(BH) MIT Private Equity Fund	7,377,054	F
(BI) Nalanda	27,699,169	F
(BJ) Park West Investors Ltd	33,601,683	F
(BK) Riverstone	573,268	F
(BL) Rivulet Capital Offshore Fund, Ltd.	35,179,758	F
(BM) Roundshield III, LP	3,760,384	F
(BN) Sankaty Credit Opport Fund IV	427,172	F
(BO) Sequoia Capital China Growth Fund V, L.P.	5,099,862	F
(BP) Sequoia Capital China Seed Fund I, L.P.	458,535	F
(BQ) Sequoia Capital China Venture Fund VII, L.P.	1,310,497	F
(BR) Sequoia Capital Global Equities	29,452,636	F
(BS) Sequoia Capital Global Growth Fund II	16,023,714	F
(BT) Sequoia Capital Global Growth Fund III	4,038,284	F
(BU) Sequoia Capital India IV	5,783,496	F
(BV) Sequoia Capital India Seed Fund I Ltd.	326,334	F
(BW) Sequoia Capital India V	4,435,284	F
(BX) Sequoia Capital U.S. Venture Fund XVI, L.P.	649,492	F
(BY) Sequoia China Growth III	12,785,782	F
(BZ) Sequoia China Growth IV	10,931,792	F
(CA) Sequoia China Venture Fund IV	1,253,726	F
(CB) Sequoia China Venture Fund V	2,005,644	F
(CC) Sequoia China Venture Fund VI	1,572,120	F
(CD) Sequoia US GrowFund VII	6,125,313	F
(CE) Sequoia US Growth Fund VIII	2,801,629	F
(CF) Sequoia US Venture Fund XIV	3,773,882	F
(CG) Sequoia US Venture Fund XV	1,350,197	F
(CH) SequoiaUSGrowFund V	1,198,940	F
(CI) SequoiaUSGrowFund VI	4,407,097	F
(CJ) SPUR Ventures II	4,788,614	F
(CK) Steadfast	24,947,083	F
(CL) Sunridge Agribusiness Opp. I, LP	2,766,693	F
(CM) Tenfore Holdings Fund II, L.P.	4,659,589	F
(CN) Tourmaline Capital Fund II LP	163,961	F
(CO) Underscore VC Fund I, LP	2,590,822	F
(CP) Underscore. VC Fund II, L.P.	2,552,313	F
(CQ) Union Park Capital II L.P.	4,364,221	F
(CR) Wellington EM Opportunities	38,720,552	F
(CS) Westbrook IX	1,034,979	F
(CT) Westbrook X	2,416,936	F
(CU) Whale Rock Flagship Fund, LTD.	24,193,974	F
(CV) Baker Brothers Life Sciences, L.P.	29,553,474	F
(CW) Brightstar Capital Partners Fund II, L.P.	141,332	F
(CX) Costanoa Ventures IV, L.P.	207,234	F
(CY) Costanoa Ventures Opportunity Fund II, L.P.	470,842	F
(CZ) Deerfield Private Design Fund V, L.P	470,445	F
(DA) Insignia Ventures Partners Fund II L.P.	568,901	F
(DB) Matrix Partners China VI, L.P.	993,691	F
(DC) Maveron Equity Partners VII, L.P.	1,115,967	F
(DD) Roundshield Co-Invest Fund	711,424	F
(DE) Sequoia Capital China Growth Fund VI, L.P.	570,886	F
(DF) Sequoia Capital China Seed Fund II, L.P.	26,202	F
(DG) Sequoia Capital China Venture Fund VIII, L.P.	113,939	F
(DH) Sequoia Capital Global Growth Fund III China Annex Fund, L.P.	171,901	F
(DI) Sequoia Capital India Growth Fund III Ltd.	186,590	F
(DJ) Sequoia Capital India Venture VII Ltd.	49,625	F
(DK) Sequoia Capital India VI Ltd.	2,899,688	F
(DL) WELLINGTON LIQUIDITY PORTFOLIO	104,784,613	F
(DM) Misc. Investments	7,464,554	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,206,761,984

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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				3,279,939,600
(2)Expected Insur Recoveries for Prof Liability Claims				32,366,117
(3)Investment in Subsidiaries				37,983,615
(4)CERNER Asset				12,429,385
(5)Other Assets - Miscellaneous				17,576,068
(6)Operating Lease Right of Use Asset				370,222,398
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				3,750,517,183

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
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	856,558,204
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) 2019

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) 2019

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

2019

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" on 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 the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	Central America & the Caribbean	0	0	Program Services	Patient Care, Research & Education	21,158
	East Asia & The Pacific	0	0	Program Services	Patient Care, Research & Education	85,404
	Europe	0	0	Program Services	Patient Care, Research & Education	198,317
	Middle East and North Africa -	0	0	Program Services	Patient Care, Research & Education	22,531
	North America	0	0	Program Services	Patient Care, Research & Education	21,977
	South America	0	0	Program Services	Patient Care, Research & Education	50,692
	South Asia	0	0	Program Services	Patient Care, Research & Education	35,362
	Sub-Saharan Africa	0	0	Program Services	Patient Care, Research & Education	53,794
	Central America & the Caribbean	0	0	Investment		504,282,693
	Sub-Saharan Africa	0	0	Investment		47,432,451
	Europe	0	0	Investment		23,413,075
	Russia and Neighboring States	0	0	Program Services	Patient Care, Research & Education	3,768





3a	Sub-total ....	0	0			489,235
b	Total from continuation sheets to Part I ...	0	0			575,131,987
c	Totals (add lines 3a and 3b)	0	0			575,621,222

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(h) Description of noncash 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) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

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 3:	Expenditures are accounted for and reported on an accrual basis. 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 III Accounting Method:

Schedule F (Form 990) 2019

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

2019

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 10 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	973,176	386,277	586,900
	Charity Dynamics LLC 4031 Guadalupe Street Austin, TX78751	Online Counsel		No	709,260	505,600	203,660
	Sarah Gardner 13 Smokey Hill Rd Wayland, MA01778	Fundraising Counsel		No	270,647	75,000	195,647
	Bentz Whaley Flessner 7251 Ohms Lane Minneapolis, MN55439	Counsel/Reports		No	0	63,745	-63,745
	Connelly Partners LLC 46 Waltham Street Boston, MA02118	Fundraising Counsel		No	0	12,026	-12,026
	The Pursuant Group Inc 15660 Dallas Pkwy STE 1000 Dallas, TX75248	Fundraising Counsel		No	0	6,600	-6,600
	Copper Reef Enterprises 6965 El Camino Real Carlsbad, CA92009	Fundraising Counsel		No	0	81,994	-81,994
	Market Street Research Inc 9 1/2 Market Street Northampton, MA01060	Fundraising Counsel		No	0	24,515	-24,515
	Brodeur and Coville LLC 535 Boylston Street Floor 10 Boston, MA02116	Fundraising Counsel		No	0	97,520	-97,520
	Interactive Strategies LLC 1133 Connecticut Ave NW Suite 600 Washington, DC20036	Fundraising Counsel		No	0	38,880	-38,880
Total . . . . . . . . . . . . . . . . . . . .					1,953,083	1,292,157	660,927

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) 2019

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 Virtual Investment Conference (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	2,534,918	1,268,010	1,515,059	5,317,987
2	Less: Contributions . . . .	1,846,073	1,268,010	1,366,434	4,480,517
3	Gross income (line 1 minus line 2) . . . . . .	688,845		148,625	837,470

4	Cash prizes . . . . .	0	0	0
5	Noncash prizes . . . .	0	0	0
6	Rent/facility costs . . . .	0	0	0
7	Food and beverages . . .	280,335	0	65,128	345,463
8	Entertainment . . . .	0	0	34,645	34,645
9	Other direct expenses . . .	771,263	42,495	87,112	900,870
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				1,280,978
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-443,508

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) 2019

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) 2019

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

2019

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) . . .	29,169,390	19,664,814	9,504,576	0.480 %
b	Medicaid (from Worksheet 3, column a) . . . . .	422,205,842	276,657,126	145,548,716	7.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	451,375,232	296,321,940	155,053,292	7.890 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5,970,054	283,503	5,686,551	0.290 %
f	Health professions education (from Worksheet 5) . . .	40,738,107	6,960,068	33,778,039	1.720 %
g	Subsidized health services (from Worksheet 6) . . . .	33,883,903	26,869,789	7,014,114	0.360 %
h	Research (from Worksheet 7) .	438,494,402	420,994,923	17,499,479	0.890 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	8,085,405		8,085,405	0.410 %
j	Total. Other Benefits . .	527,171,871	455,108,283	72,063,588	3.670 %
k	Total. Add lines 7d and 7j .	978,547,103	751,430,223	227,116,880	11.560 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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	31	1,514,683	1,514,683	0.080 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	12	753,517	753,517	0.040 %
8	Workforce development
9	Other
10	Total	43	2,268,200	2,268,200	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 Healthcare 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. ......

2,761,795

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).....

10,246,785

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

10,570,703

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

-323,918

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) 2019

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) 2019

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 19

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 19

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) 2019

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) 2019

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2019

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) 2019

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, 20a, 20b, 20c, 20d, 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: Boston Children's 2019 assessment used a participatory, collaborative approach and examined health in its broadest context. The assessment draws on data collected for the larger Boston CHNA that includes data from the Massachusetts Department of Public Health, vital records, and surveillance systems. In addition, a community-wide survey was conducted for the Boston CHNA that engaged over 2,400 residents including 548 parents/caregivers of children 18 or younger and 201 youth under 18. Seven of the 13 focus groups conducted for the Boston CHNA emphasized parent and family experiences, and there was one youth specific focus group. Forty-five key informant interviews were conducted for the Boston CHNA, 18 of which focused on issues related to parents, families, or children in Boston. To understand experiences and needs of those served by Boston Children's satellite locations outside Boston, 11 key informant interviews were conducted with clinic staff such as nurses, social workers, and administrators, as well as staff of community-based partner organizations.
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 care - Asthma 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 care Obesity with a focus on healthy eating and access to physical fitnessopportunities- 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 activity Impact 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, Vice President of 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) 2019

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) 2019

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 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 alsohas 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.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 $23,877,752 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part I, Line 6a	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 II, Community Building Activities:	In FY20, Children's reported two types of community building activities: $1,514,683 for 31 community support programs and $753,517 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 thesurrounding 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 does not contain any footnotes describing bad debt.
Part III, Line 8:	Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b:	Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Directors. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website.
Part VI, Line 2:	Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners.For more information, visit www.childrenshospital.org/community-health/community-health-needs
Part VI, Line 3:	Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions.
Part VI, Line 4:	Boston Children's conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston 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 abachelor'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 thetotal 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 andquality 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
501(r) Reporting under IRS Revenue Procedure 2015-21	In June 2020, outside counsel reviewed the processes and procedures implemented by Boston Children's Hospital (BCH) in connection with its Financial Assistance Policy, Credit & Collection Policy, Plain Language Summary and Community Health Needs Assessment, to determine compliance with 501(r) requirements. As a result of these reviews, a number of apparent omissions, errors and other failures to meet requirements, as described below, were discovered. BCH promptly took steps to correct these omissions, errors and failures, as described below. Processes and procedures were also put in place to ensure that these omissions, errors and failures do not recur. Financial Assistance Policy ("FAP"): Publicizing FAP and Related Documents:Plain Language Summary While BCH has historically posted the plain language summary of its FAP on its public website, it has not consistently offered to patients a copy of the plain language summary as part of the intake or discharge process. As of July 18, 2020, the plain language summary has been offered during the discharge process for patients treated in the Emergency Department. As of October 1, 2020, the plain language summary has also been offered as part of the intake process by hospital based clinics, and offering of the plain language summary has been incorporated into the pre-admissions and admissions intake processes. A prompt in Epic to offer the plain language summary appears in Epic during the intake process for outpatient visits, inpatient admissions, and day surgery and during the discharge process for patients who presented in the ED and for inpatients who were not offered the plain language summary during the intake process.BCH is not aware of any individuals affected by this error and believes there were no individuals adversely affected because any individual applying for financial assistance or expressing concern regarding ability to pay for care was provided with financial counseling and made aware of the availability of financial assistance and the process for applying for financial assistance. In addition, the plain language summary is and has been available on BCH's public website. Website Address on Billing StatementWhile BCH has historically included a conspicuous written notice on its billing statements of the telephone number for its financial counseling office, which includes staff who are available to help identify financial assistance available, BCH had not included on its billing statements the direct website address where copies of the Financial Assistance Policy (FAP), FAP Application form and plain language summary could be accessed. BCH added the direct website address to billing statements as of July 20, 2020. BCH does not believe that any individuals have been adversely affected as result of this oversight, since the contact information of the department able to provide information about the FAP and able to assist with the FAP application process was provided on the billing statements. Updating the billing statement addressed the failure to comply with these requirements, so no additional practices or procedures were necessary to minimize the likelihood of such failures recurring. This omission would have impacted all patients who received billing statements prior to July 20, 2020, when the error was corrected. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had this information not been omitted, as this would require sending billing statements to all individuals who received them prior to correction of the error, which would likely cause confusion for individuals who have settled their bills with BCH. Translations of FAP and Related Documents While BCH had provided translations of its FAP, FAP application form and plain language summary for ten (10) limited English proficiency groups, based on an update of its analysis of the limited English proficiency groups in the community served by BCH and the population likely to be affected or encountered by BCH, BCH needed to make available translations of these documents in three additional languages: Russian, Italian and Somali. BCH made available translations of these documents in Somali as of June 20, 2020, and in Russian and Italian as of August 4, 2020. BCH is unaware of any individuals being adversely affected as a result of this omission and believes there were no individuals adversely affected because BCH provides any individual with limited English proficiency access to an interpreter to assist in any financial assistance matters. In addition, BCH has implemented a process to (a) review data related to limited English proficiency groups annually; (b) update the list of languages into which the FAP, FAP Application form and plain language summary need to be translated; (c) obtain translations needed in any additional languages; and (d) make those translations available to our patients and their families. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had the failure not occurred. This would require identifying all patients who accessed these documents and who might have needed translations of these documents in one of these three additional languages, which is likely not possible. Provider ListBCH discovered in May, 2020 that, while BCH has historically posted its FAP provider list, the provider list had not been updated at least every 90 days. BCH updated its provider list on May 20, 2020, and has implemented a process to ensure that it is updated at least quarterly thereafter. BCH is not aware of any individuals being adversely affected as a result of this error.BCH has assigned to a supervisor and a manager the responsibility to update the provider list on a quarterly basis. These staff members will review a report generated by BCH's Credentialing and Enrollment department, which includes all providers who have been granted medical staff privileges by BCH. If BCH has added any new practices or providers that/who were not on the provider list posted, the revised provider list will be sent for translation and the revised provider list, along with all required translations will be posted on BCH's external website. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had the failure not occurred. This would require identifying all patients who accessed the provider list, and providing the updated list to those patients, which would include many who are not in active treatment and may cause confusion. Methodology for Calculating AGB:While BCH had posted and otherwise made available a methodology for calculating amounts generally billed ("AGB"), BCH had in practice used a different methodology to calculate the AGB applied to bills of individuals eligible for financial assistance. The methodology used was more favorable (i.e., the discount applied was greater than the discount that would have been applied using the posted AGB methodology). BCH updated the AGB methodology to reflect the methodology it uses to calculate AGB, and posted and otherwise made available the updated methodology on May 20, 2020. Following the close of each fiscal year (which usually occurs by the end of each calendar year), BCH's Finance and Reimbursement department will gather the information necessary to calculate the AGB, and calculate AGB. Patient Financial Services will make any changes to the AGB document required, based on such annual calculation. The updated AGB will then be posted on BCH's external website. BCH does not believe any individual was adversely affected by this error, as the methodology used was favorable to patients. Therefore, BCH has not attempted to restore individuals to the position they would have been in had the failure not occurred.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

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

2019

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	(h) Purpose of grant or assistance
(1) Association of Haitian Women 178 Tremont Street Boston,MA02111	04-3268599	501(c)(3)	9,000	Community Partnership
(2) BAGLY Inc 28 Court Square Boston,MA02108	04-2785336	501(c)(3)	200,000	Community Partnership
(3) Black Ministerial Alliance of Greater Boston 2010 Columbus Avenue Boston,MA02119	04-3499852	501(c)(3)	11,000	Community Partnership
(4) Boston Center for Youth and Families 75 Newbury Street 3rd Flooe Boston,MA02116	04-2602576	501(c)(3)	188,624	Community Partnership
(5) Boston Educational Development Foundation Inc 7 Palmer Street 2nd Floor Roxbury,MA02119	22-2514422	501(c)(3)	580,992	Community Partnership
(6) Boston Municipal Research Bureau 333 Washington Street Boston,MA02108	22-2673755	501(c)(3)	7,500	Community Partnership
(7) Boston Private Industry Council 2 Oliver Street Boston,MA02109	04-2676661	501(c)(3)	150,000	Community Partnership
(8) Boston Public Health Commission 1010 Massachusetts Ave Boston,MA02118	04-3316655	115	419,508	Community Partnership
(9) Boston's Higher Ground 384 Warren Street Roxbury,MA02119	27-3660369	501(c)(3)	209,970	Community Partnership
(10) Bowdoin Street Health Center Inc 230 Bowdoin Street Boston,MA02122	04-2529788	501(c)(3)	95,000	Support of Community Health Center
(11) Brigham and Women's Hospital Inc 3297 Washington Street Jamaica Plain,MA02130	04-2312909	501(c)(3)	160,000	Support of Community Health Center
(12) Cambridge Family & Children's Service 60 Gore Street Cambridge,MA02141	04-2104057	501(c)(3)	150,000	Community Partnership
(13) Center for Comm Health Education Research & Service Inc 320 Huntington Avenue Boston,MA02115	04-3286409	501(c)(3)	19,958	Community Partnership
(14) Charles River Community Health Inc 287 Western Avenue Allston,MA02134	23-7221597	501(c)(3)	100,000	Support of Community Health Center
(15) Children's Services of Roxbury 520 Dudley Street Boston,MA02119	04-3082352	501(c)(3)	199,998	Community Partnership
(16) Chinatown People Progressive Association Inc 28 Ash Street Boston,MA02111	04-2631569	501(c)(3)	157,500	Community Partnership
(17) City of Boston City Hall Plaza Boston,MA02201	04-6001380	115	1,219,978	Community Partnership
(18) Codman Square Neighborhood Development Corporation 587 Washington Street Dorchester,MA02124	04-2752507	501(c)(3)	10,000	Community Partnership
(19) Community Catalyst Inc 30 Winter Street 10th Floor Boston,MA02108	04-3355127	501(c)(3)	30,000	Advocacy Support
(20) Community Service Care Inc 295 Centre Street 31 Jamaica Plain,MA02130	04-2754281	501(c)(3)	28,000	Community Partnership
(21) Dot House Health 1353 Dorchester Avenue Dorchester,MA02122	23-7125970	501(c)(3)	60,000	Community Partnership
(22) Dudley Street Neighborhood Initiative Inc 550 Dudley Street Roxbury,MA02119	04-2859066	501(c)(3)	60,000	Community Partnership
(23) East Boston Neighborhood Health Center 10 Gove Street East Boston,MA02128	23-7425849	501(c)(3)	335,214	Community Partnership
(24) Federation for Children with Special Needs 529 Main Street Suite 1102 Boston,MA02129	04-2557572	501(c)(3)	15,000	Advocacy Support
(25) Fenway Community Development Corporation 73 Hemenway Street Boston,MA02115	04-2666507	501(c)(3)	20,000	Community Partnership
(26) Freedom House 5 Crawford Street Boston,MA02121	04-2240448	501(c)(3)	20,000	Community Partnership
(27) Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston,MA02110	04-1103090	501(c)(3)	13,500	Community Partnership
(28) Health Care for All Inc One Federal Street 5th Floor Boston,MA02110	04-3071598	501(c)(3)	150,000	Community Partnership & Advocacy Support
(29) Health Law Advocates 30 Winter Street 10th Floor Boston,MA02108	04-3298116	501(c)(3)	25,000	Advocacy Support
(30) Health Resources In Action 622 Washington Street Dorchester,MA02124	04-2229839	501(c)(3)	330,974	Community Partnership
(31) HopeWell Inc 3 Allied Drive Suite 308 Dedham,MA02026	04-2438910	501(c)(3)	50,000	Community Partnerships
(32) Lawyers for Civil Rights 61 Batterymarch Street 5th Fl Boston,MA02110	04-3490614	501(c)(3)	7,500	Advocacy Support
(33) Madison Park Development Corporation 184 Dudley Street 102 Boston,MA02119	23-7164223	501(c)(3)	150,000	Community Partnership
(34) Mass Society for the Prevention of Cruelty to Children 3815 Washington Street Ste 2 Boston,MA02130	04-2103596	501(c)(3)	582,379	Advocacy Support
(35) Massachusetts Associtation for Mental Health 50 Federal Street 6th Floor Boston,MA02110	04-2104711	501(c)(3)	10,000	Advocacy Support
(36) Massachusetts Budget and Policy Center 15 Court Square Suite 700 Boston,MA02108	04-2967537	501(c)(3)	30,000	Advocacy Support
(37) Massachusetts Communities Action Network 50 Mt Vernon Street Boston,MA02125	04-2863903	501(c)(3)	7,500	Community Partnership
(38) Massachusetts Law Reform Institute Inc 99 Chauncy Street Suite 500 Boston,MA02111	04-6004303	501(c)(3)	20,000	Advocacy Support
(39) Mathematica 955 Massachusetts Avenue Suite 801 Cambridge,MA02139	22-2112296	501(c)(3)	502,982	Community Partnership
(40) Mattapan Community Health Center 1425 Blue Hill Ave Mattapan,MA02426	04-2544151	501(c)(3)	80,000	Support of the Community Health Center
(41) Peer Health Exchange 745 Atlantic Ave Boston,MA02111	56-2374305	501(c)(3)	50,000	Community Partnership
(42) Project RIGHT 320 A Blue Hill Avenue Dorchester,MA02121	04-3265420	501(c)(3)	150,000	Advocacy Support
(43) Simmons University School of Social Work 300 The Fenway Boston,MA02115	04-2103629	501(c)(3)	199,850	Community Partnership
(44) Smart from the Start Inc 68 Annunciation Road Boston,MA02120	45-4952663	501(c)(3)	20,000	Community Partnership
(45) Sociedad Latina Inc 1530 Tremont Street Roxbury,MA02120	04-2678255	501(c)(3)	56,000	Community Partnership
(46) South Cove Community Health Center Inc 145 South Street Boston,MA02111	04-2501818	501(c)(3)	85,000	Support of the Community Health Center
(47) South End Community Health Center Inc 1601 Washington Street Boston,MA02118	04-2456134	501(c)(3)	80,000	Support of the Community Health Center
(48) The Community Builders Inc 185 Dartmouth Street Boston,MA02116	04-2324773	501(c)(3)	354,749	Community Partnership
(49) The Dimock Center 55 Dimock Street Roxbury,MA02119	04-3487835	501(c)(3)	295,000	Community Partnership
(50) University of Massachusetts Wheatley 2 160 DCSP Boston,MA02125	04-3167352	501(c)(1)	469,952	Community Partnership
(51) Upham's Corner Community Center Inc 500 Columbia Road Dorchester,MA02125	04-2708670	501(c)(3)	40,000	Support of the Community Health Center
(52) West End House 105 Allston Street Allston,MA02134	04-2105825	501(c)(3)	50,000	Community Partnership
(53) Whittier Street Health Center Committee Inc 1125 Tremont Street Roxbury,MA02120	04-2619517	501(c)(3)	20,000	Support of the Community Health Center
(54) William James College Inc 1 Wells Ave Boston,MA02459	04-2620216	501(c)(3)	462,110	Community Partnership
(55) TSNE MissionWorks 89 South Street Boston,MA02111	04-2261109	501(c)(3)	367,389	Community Partnership
(56) Boston Children's Museum 308 Congress Street Boston,MA02210	04-2103993	501(c)(3)	110,581	Community Partnership
(57) Boston Chinatown Neighborhood Center 885 Washington Street Boston,MA02111	23-7209691	501(c)(3)	132,757	Community Partnership
(58) Boston Housing Authority (Homestart) 52 Chauncy Street 7th Floor Boston,MA02111	04-6001907	115	150,000	Community Partnership
(59) City Life Vida Urbana 284 Amory Street 1st Floor Boston,MA02130	04-2660311	501(c)(3)	150,000	Community Partnership
(60) Excel Academy Inc 1105 Blue Hill Ave Dorchester,MA02124	04-3453316	501(c)(3)	10,000	Community Partnership
(61) Family Independence Initiative 1201 Martin Luther King Jr Way Suite 100 Oakland,CA94612	02-0784790	501(c)(3)	104,500	Community Partnership
(62) Family Nurturing Center of Massachusetts Inc 200 Bowdoin Street Dorchester,MA02122	31-1626186	501(c)(3)	244,864	Community Partnership
(63) Haley House (Hawthorne Youth Community Center) 23 Dartmouth Street Boston,MA02116	04-2437845	501(c)(3)	100,000	Community Partnership
(64) Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain,MA02130	04-2652919	501(c)(3)	225,000	Community Partnership
(65) Jamaica Plain Tree of Life Arbol de Vida 295 Centre Street 31 Jamaica Plain,MA02130	04-2754281	501(c)(3)	28,000	Community Partnership
(66) Massachusetts Affordable Housing Alliance 1803 Dorchester Avenue Dorchester,MA02124	22-3042637	501(c)(3)	159,690	Community Partnership
(67) Massachusetts Public Health Association 50 Federal Street 8th Floor Boston,MA02210	04-2326503	501(c)(3)	200,357	Community Partnership
(68) MassHousing 160 Federal St 2 Boston,MA02110	04-3129500	501(c)(3)	75,000	Community Partnership
(69) Mattapan Food and Fitness Coalition 1613 Blue Hill Avenue Suite 303 Mattapan,MA02126	27-2507783	501(c)(3)	45,858	Community Partnership
(70) Playworks New England 1423 Broadway PMB 161 Oakland,CA94607	94-3251867	501(c)(3)	50,000	Community Partnership
(71) Raising a Reader Massachusetts 3 School Street 3rd Floor Boston,MA02108	80-0297898	501(c)(3)	151,000	Community Partnership
(72) United Way of Massachusetts Bay Inc 51 Sleeper Street Boston,MA02210	04-2382233	501(c)(3)	99,949	Community Partnership
(73) Urban College of Boston 2 Boylston Street 2nd Floor Boston,MA02116	04-3403049	501(c)(3)	150,000	Community Partnership
(74) Waltham Boys & Girls Club 20 Exchange Street Waltham,MA02451	04-2103927	501(c)(3)	50,000	Community Partnership
(75) Youth Enrichment Services 412 Massachusetts Avenue Boston,MA02118	04-2509466	501(c)(3)	50,000	Community Partnership
(76) Little Brown Bear Academy 37 Moreland Street Roxbury,MA02119			7,500	Community Partnership
(77) Little Scholars Learning Academy 438 River St Mattapan,MA02126			7,500	Community Partnership

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) 2019

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	16	31,000		FMV
(2) Nursing Education Scholarship Fund	47	93,000		FMV
(3) Yawkey Family Inn Fund	4112		93,695	FMV	Housing Assistance
(4) Devon Nicole House Operating Fund	2118		1,535	FMV	Housing Assistance
(5) Pet Therapy Program Fund	2552		131,015	FMV	Theurapeutic dog visits made to inpatients
(6) Extraordinary Needs Fund II	100	63,701		FMV
(7) Volunteer Department Fund	1000		9,551	FMV	Supplies, Catering and Entertainment for Patients and Patient's families.
(8) Broadway Sam Fund	56		10,260	FMV	Tickets for Art and Entertainment Events
(9) Family Services Fund	1821		125,614	FMV	Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
(10) Milagros Para las Family Fund	550		29,163	FMV	Translation services and program support for spanish speaking families.
(11) Barber Family Endowment Fund	21		5,931	FMV	Teen Advisory Committee expenses
(12) Hale Center for Families Endowment Operating Fund	356		95,792	FMV	Child Life Specialist and art supplies.
(13) Matthew Puffer Parking Fund	23	420		FMV
(14) Foster Grandparent Program Fund	30		200	FMV	Sponsored dog show, music events, magic shows and face painting activities
(15) Patient Family Housing Fund	697		64,794	FMV	Housing Assistance
(16) Room to Heal Fund	74		5,073	FMV	Did You Know lunch series catering, printed materials for family resources
(17) Telemachus and Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund	252		18,883	FMV	PACT Hope Program support, comfort sheets for end of life, Keeping Connections event
(18) Alexander Mosse Baer Entertainment Fund	100		525	FMV	Sponsored one dog show and four magic shows
(19) Brandano Parent Apartment Fund	932		58,120	FMV	Housing Assistance
(20) Patient Care Support Services Endowment/Income Fund	4000		100,063	FMV	Parking Vouchers & Spanish Speaking Support

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. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: 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) 2019

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

2019

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 on 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 on 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) 2019

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)	1,346,647 ------------- 0	1,100,000 ------------- 0	560,098 ------------- 0	28,000 ------------- 0	46,520 ------------- 0	3,081,265 ------------- 0	0 ------------- 0
2Kevin Churchwell MD President & COO/Noncomp Director	(i) (ii)	892,672 ------------- 0	600,000 ------------- 0	410,440 ------------- 0	22,400 ------------- 0	52,839 ------------- 0	1,978,351 ------------- 0	0 ------------- 0
3Doug Vanderslice EVP, Treasurer & CFO	(i) (ii)	792,869 ------------- 0	396,900 ------------- 0	304,249 ------------- 0	22,400 ------------- 0	46,221 ------------- 0	1,562,639 ------------- 0	0 ------------- 0
4Philip Rotner Chief Investment Officer	(i) (ii)	680,529 ------------- 0	585,152 ------------- 0	162,341 ------------- 0	22,400 ------------- 0	35,380 ------------- 0	1,485,802 ------------- 0	0 ------------- 0
5Michele Garvin Esq General Counsel & Secretary	(i) (ii)	614,302 ------------- 0	318,212 ------------- 0	123,531 ------------- 0	22,400 ------------- 0	39,685 ------------- 0	1,118,130 ------------- 0	0 ------------- 0
6James E Lock MD Former Chief of Cardiology	(i) (ii)	2,862 ------------- 0	0 ------------- 0	839,640 ------------- 0	0 ------------- 0	0 ------------- 0	842,502 ------------- 0	0 ------------- 0
7Demosthenes Argys SVP, & Chief Administrative Officer	(i) (ii)	506,969 ------------- 0	166,372 ------------- 0	90,582 ------------- 0	25,200 ------------- 0	20,318 ------------- 0	809,441 ------------- 0	0 ------------- 0
8Wendy Warring SVP, Network Development	(i) (ii)	497,153 ------------- 0	154,744 ------------- 0	84,113 ------------- 0	25,200 ------------- 0	20,548 ------------- 0	781,758 ------------- 0	0 ------------- 0
9Lynn Susman President, Children's Hospital Trust	(i) (ii)	452,020 ------------- 0	165,242 ------------- 0	80,109 ------------- 0	30,800 ------------- 0	28,487 ------------- 0	756,658 ------------- 0	0 ------------- 0
10Daniel Nigrin MD SVP & Chief Information Officer	(i) (ii)	482,952 ------------- 0	149,700 ------------- 0	83,311 ------------- 0	22,400 ------------- 0	16,495 ------------- 0	754,858 ------------- 0	0 ------------- 0
11Cynthia Haines SVP, International Service	(i) (ii)	461,593 ------------- 0	146,210 ------------- 0	83,828 ------------- 0	19,600 ------------- 0	26,741 ------------- 0	737,972 ------------- 0	0 ------------- 0
12Nader Rifai PhD Director, Chemistry	(i) (ii)	464,848 ------------- 0	211,057 ------------- 0	13,505 ------------- 0	30,800 ------------- 0	12,848 ------------- 0	733,058 ------------- 0	0 ------------- 0
13Laura J Wood DNP MS RN SVP, Chief Nursing Officer	(i) (ii)	455,449 ------------- 0	142,629 ------------- 0	84,207 ------------- 0	25,200 ------------- 0	25,224 ------------- 0	732,709 ------------- 0	0 ------------- 0
14Martin Kelly Director, Investments	(i) (ii)	378,482 ------------- 0	307,653 ------------- 0	1,910 ------------- 0	22,400 ------------- 0	19,547 ------------- 0	729,992 ------------- 0	0 ------------- 0
15Lisa Hogarty SVP, RE Planning and Development	(i) (ii)	434,771 ------------- 0	138,455 ------------- 0	77,808 ------------- 0	19,600 ------------- 0	26,652 ------------- 0	697,286 ------------- 0	0 ------------- 0
16Reginald Stover VP, Human Resources	(i) (ii)	473,200 ------------- 0	123,000 ------------- 0	69,689 ------------- 0	0 ------------- 0	18,054 ------------- 0	683,943 ------------- 0	18,500 ------------- 0
17Michael Gillespie VP, Clinical Services	(i) (ii)	389,020 ------------- 0	97,419 ------------- 0	65,604 ------------- 0	22,400 ------------- 0	14,310 ------------- 0	588,753 ------------- 0	0 ------------- 0
18August Cervini VP, Research Administration	(i) (ii)	286,397 ------------- 0	92,974 ------------- 0	48,648 ------------- 0	16,800 ------------- 0	23,290 ------------- 0	468,109 ------------- 0	0 ------------- 0
19Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Service	(i) (ii)	344,436 ------------- 0	43,326 ------------- 0	24,027 ------------- 0	33,600 ------------- 0	6,889 ------------- 0	452,278 ------------- 0	0 ------------- 0
20Bruce Balter Asst Treasurer/Dir Corp Finance	(i) (ii)	242,681 ------------- 0	15,527 ------------- 0	16,607 ------------- 0	33,600 ------------- 0	19,024 ------------- 0	327,439 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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, 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 2019, a contribution of $59,639 August Cervini, received in 2019, a contribution of $26,004 Kevin Churchwell, received in 2019, a contribution of $284,000 Sandra Fenwick, received in 2019, a contribution of $516,000 Michele Garvin, received in 2019, a contribution of $87,913 Michael Gillespie, received in 2019, a contribution of $37,275 Cynthia Haines, received in 2019, a contribution of $53,353 Lisa Hogarty, received in 2019, a contribution of $47,988 Daniel Nigrin, received in 2019, a contribution of $56,223 Philip Rotner, received in 2019, a contribution of $137,638 Reginald Stover, received in 2019, a contribution of $12,704 Lynn Susman, received in 2019, a contribution of $52,414 Doug Vanderslice, received in 2019, a contribution of $206,411 Wendy Warring, received in 2019, a contribution of $55,888 Laura Wood, received in 2019, a contribution of $53,509 During Calendar Year 2019, the following individuals received supplemental executive retirement plan distributions: Reginald Stover, received in 2019, a distribution of $69,689 During Calendar Year 2019, the following individuals received severance payments: Reginald Stover, received in 2019, a severance payment of $205,000 James Lock, MD, received in 2019, a severance payment of $839,570

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- 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 instructions and the latest information.

OMB No. 1545-0047

2019

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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 ....
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 .........
6 Total of lines 4 and 5 .............
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) 2019

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: 09/30/2019 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) 2019

Additional Data

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Software Version:

- TIN:

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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 instructions and the latest information.

OMB No. 1545-0047

2019

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 of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, 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) 2019

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 ....
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 .........
6 Total of lines 4 and 5 .............
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) 2019

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) 2019

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

2019

Open to Public Inspection

Name of the organization

Children's Hospital Corporation

Employer identification number

04-2774441

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		13,000	Mkt Value per Donor
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	191	27,704,004	Mean Value on Gift Date
10 Securities—Closely held stock .	X	1	1	Unable to Determine
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	21	9,685	Mkt Value per Donor
19 Food inventory ...	X	2	5,429	Mkt Value per Donor
20 Drugs and medical supplies .	X	6	154,180	Replacement Cost
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Misc. Other )	X	30	138,568	Mkt Value per Donor
26 Other ( Travel/Dining )	X	8	25,000	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 isn't 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 didn't 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) (2019)

Page 2

Part IISupplemental 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) (2019)

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

2019

Open to Public
Inspection

Name of the organization

Children's Hospital Corporation

Employer identification number

04-2774441

Return Reference	Explanation
Form 990, Part III, Line 1 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, equitable, 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. Founded in 1869, Boston Children's is one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, with its main campus located in the Longwood Medical Area. Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. In FY2020, Boston Children's tackled the coronavirus pandemic by successfully transitioning more than 10,000 employees to some level of remote work while increasing our virtual patient visits by 553%. Our commitment to high-reliability principles guided innovations such as personal protective equipment renewal and the installation of over 27,000 square feet of Plexiglas in all our locations. 51,827 COVID-19 tests have been administered, and as of February 2021, approximately 80% of all employees have been vaccinated for COVID-19. Additionally, in August, Boston Children's published its Declaration for Equity, Diversity, and Inclusivity to ensure that we remain a leader in equity for all.
Form 990, Part VI, Section A, line 6	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7a	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets or the Hospital; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties.
Form 990, Part VI, Section B, line 11b	The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the President & Chief Executive Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Centerand 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 Executive Vice President of Health Affairs 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 96,331,997. Management and general expenses 8,070,696. Fundraising expenses 0. Total expenses 104,402,693. Purchased Research Services: Program service expenses 71,238,883. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,238,883. Consulting Services: Program service expenses 18,145,250. Management and general expenses 19,399,709. Fundraising expenses 0. Total expenses 37,544,959. Misc. Purchased Services: Program service expenses 24,082,414. Management and general expenses 3,454,986. Fundraising expenses 112,186. Total expenses 27,649,586. Nursing Agency Fees: Program service expenses 2,478,830. Management and general expenses 68,826. Fundraising expenses 2,543. Total expenses 2,550,199. Laundry Services: Program service expenses 32,490. Management and general expenses 211,592. Fundraising expenses 0. Total expenses 244,082. Security Services: Program service expenses 8,318,978. Management and general expenses 110,104. Fundraising expenses 680,179. Total expenses 9,109,261. Catering Fees: Program service expenses 728,330. Management and general expenses 179,774. Fundraising expenses 15,787. Total expenses 923,891. Collection Agency Fees: Program service expenses 97. Management and general expenses 1,226,017. Fundraising expenses 0. Total expenses 1,226,114. Temp Agency Fees: Program service expenses 0. Management and general expenses 1,491,194. Fundraising expenses 199,569. Total expenses 1,690,763. Ambulance Services: Program service expenses 135,607. Management and general expenses 0. Fundraising expenses 0. Total expenses 135,607. Environmental Services: Program service expenses 460,942. Management and general expenses 230,415. Fundraising expenses 0. Total expenses 691,357. Employment Agency Services: Program service expenses 610,298. Management and general expenses 2,207,759. Fundraising expenses 158,371. Total expenses 2,976,428.
Form 990, Part XI, line 9:	Net Transfers/Support from Children's Medical Center 316,218,919. Pension Adjustment 8,000,881. Other Adjustments -306,780. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 3,419,555. Net Assets Released from Restriction -89,065,089.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

2019

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	-2,720,959	109,461,519	Children's Hospital Corporation
(5) BCH Pearl Street LLC 300 Longwood Avenue Boston,MA02115 81-7393086	Real Estate Holdings	MA	0	10,942,905	Children's Hospital Corporation
(6) BCH Brookline Ave LLC 300 Longwood Avenue Boston,MA02115 81-4457294	Real Estate Holdings	MA	125,560	4,898,386	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	212,285	4,957,568	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	16,937,588	17,832,370	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	123,371,333	78,570,566	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) 2019

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) 2019

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) 2019

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) 2019

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) 2019

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