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
2023
Open to Public Inspection
A For the 2023 calendar year, or tax year beginning 10-01-2023 , and ending 09-30-2024
BCheck if applicable:
CName of organization
Children's Hospital Corporation
 
 
Doing business as
Boston Children's Hospital
 
Number and street (or P.O. box if mail is not delivered to street address)
300 Longwood Avenue
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Boston, MA02115
D Employer identification number

04-2774441
E Telephone number

G Gross receipts $ 3,608,322,535
F Name and address of principal officer:
Kevin B Churchwell MD
300 Longwood Avenue
Boston,MA02115
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
www.childrenshospital.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1982
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Provider of pediatric healthcare, education, research & community service
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 18
5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) ...... 5 17,819
6 Total number of volunteers (estimate if necessary) ............. 6 396
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 1,881,049
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 542,541,296 646,395,665
9 Program service revenue (Part VIII, line 2g) ......... 2,028,312,606 2,291,646,600
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 28,189,134 104,288,131
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 113,772,190 122,884,435
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,712,815,226 3,165,214,831
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,499,651 15,211,936
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) 1,311,079,018 1,399,102,430
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 1,813,902 1,744,238
b Total fundraising expenses (Part IX, column (D), line 25) 44,009,236    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,547,564,575 1,734,478,431
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,874,957,146 3,150,537,035
19 Revenue less expenses. Subtract line 18 from line 12....... -162,141,920 14,677,796
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,080,111,478 8,899,360,805
21 Total liabilities (Part X, line 26)............. 2,991,147,261 3,535,034,881
22 Net assets or fund balances. Subtract line 21 from line 20..... 5,088,964,217 5,364,325,924
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
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2023)
Form 990 (2023)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: See Schedule O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,078,043,669 including grants of $ 15,211,936 ) (Revenue $ 2,293,313,593 )
CLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. We also offer the only pediatrics Department of Addiction Medicine in the U.S., as well as the only Orthopedic Sports Medicine program located at a children's hospital. We also offer the largest programs in Pediatric Anesthesiology, Pediatric Cardiology, and Pediatric Critical Care, in the nation. Boston Children's is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. In FY24, Boston Children's saw approximately 775,000 outpatient visits, 68,000 emergency department visits, 26,000 inpatient or observation stays, and 32,000 inpatient or day surgeries. Our inpatient case mix index was 2.11 (MA only) and the average length of stay was 6.4 days. Of these patients, approximately 35% (patients on Medicaid/Medicare) are considered low income.Our Medicaid ACO provides primary care to 20% of the children covered by Medicaid in the state. The ability to support the health-related social needs of patients and families via the ACO complements the work that we are doing in communities to address the more systemic social determinants of health. We can address "downstream" immediate needs of children and families, but also to work with communities and partners to affect the "upstream" factors that drive poorer health outcomes for so many. This includes a focus on policy that can impact health.We remain committed to advancing health equity through Boston Children's Sandra L. Fenwick Institute. Through the Institute's works, we seek to transform pediatrics by addressing persistent disparities in the delivery of care to our nation's children. In 2024, the Massachusetts Department of Public Health's Public Health Council unanimously approved our Determination of Need (DoN) application for the modernization of the Franciscan Children's campus and programs. This latest approval is affirmation by the state of the growing demand of meeting the needs of children for both behavioral health and rehabilitative care, and to further support the critical dental surgical program located on the Franciscan campus. The project will allow us to build out the full continuum of behavioral health services to meet the needs of our patients, as well as update Kennedy Day School, which provides integrated special education, therapeutic and health services to more than 60 students with complex needs from more than 30 communities across Massachusetts.Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.Boston Children's is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.Boston Children's MA/Regional network consists of our satellite/physician office locations, formal primary care relationships with groups such as the PPOC and Atrius, community health center relationships and a broad array of relationships with other hospitals in MA and NE including community hospitals, academic medical centers and specialty hospitals. We maintain relationships of varying structures, shapes and sizes with nearly all of the major academic medical centers and specialty hospitals in MA and New England, from a single service agreement such as providing remote EEG interpretations to Elliot Hospital to staffing community hospitals 24/7 365 per year to our multi-faceted Brigham relationship and joint cancer program with Dana Farber. Our satellite/physician office locations and our community hospital relationships in eastern MA have been central to our commitment to increasing access to high quality pediatric services. Over the past 20+ years we have gradually grown our network of satellites/physician office locations and community hospital relationships providing a mix of neonatal, ED and inpatient services. Today, more than 30% of our outpatient specialty visits and surgical cases take place in a Boson Children's satellite or physician office location. Our affiliated community hospitals account for nearly half of our MA community hospital transfers and 30% (~ 1,000) of all intra-hospital transfers. These community hospital relationships also generate important downstream referrals to our specialists including important neonatal referrals from the obstetrical programs at these community hospitals. As fewer community hospitals provide inpatient pediatric care, these hospitals are increasingly serving as regional pediatric hubs to help stem the tide of patients who have to be referred to Boston for community level care.
4b (Code:   ) (Expenses $ 514,288,562 including grants of $ 0 ) (Revenue $ 0 )
RESEARCH: Our Research Mission is to be the leading source of research and discovery. We are the leader in discovery and innovation that is dramatically advancing not only pediatric care but adult care as well. We have the world's largest pediatric research program for many reasons. The most important reason is our focus on our patients. We are constantly evolving care and caring for increasingly complex patients. Every child who walks through our doors teaches us something. More than 3,000 basic, clinical, and translational research employees work in our dedicated facilities, which total some 1 million square feet of space.Our more than 1,100 investigators include 13 members of the National Academy of Sciences, 30 members of the National Academy of Medicine, 25 Fellows of the American Academy of Arts and Sciences, 13 Fellows of the American Academy for the Advancement of Sciences, 12 current members and 13 alumni of the Howard Hughes Medical Institute. Twenty-seven faculty are members of the American Association of Physicians and 47 are members of the American Society of Clinical Investigation. Over the years, four Boston Children's investigators have won the Nobel Prize and six have won the nearly equally prestigious Lasker Award.Our investigators are Harvard Medical School faculty basic scientists, clinical researchers and epidemiologists - who are accelerating the pace of medical discovery from brainstorm to bench to bedside. Our researchers were the first to develop 10 new disease-based stem cell lines by reprogramming adult stem cells that can be used to study treatments for diseases ranging from Parkinson's to Diabetes.
4c (Code:   ) (Expenses $ 58,106,532 including grants of $ 0 ) (Revenue $ 21,785,709 )
TEACHING: Boston Children's is committed to providing high quality continuing education for pediatric providers and specialists throughout the world. As the primary pediatric teaching affiliate of Harvard Medical School, more than 2,000 of our attending physicians and researchers are on the clinical frontier of effectively understanding and treating many pediatric diseases and disorders.We are proud to be the primary teaching hospital of Harvard Medical School, and our Nursing Department partners with 27 schools of nursing throughout Massachusetts and New England. We are home to the largest and most competitive training program in pediatrics, seeding the word with the next generations of scientists, innovators and caregivers.In 2024, our Continuing Education Office earned Reaccreditation with Commendation from Joint Accreditation for Interprofessional Continuing Education, the organization consisting of the three global leaders in the field of accreditation. Commendation status represents the pinnacle of accreditation for interprofessional education, reflecting our steadfast dedication to upholding the highest standards in healthcare education and collaborative practice. It reflects our demonstrated commitment to using our education platform to listen to the patient's voice, consider the social determinants of health and population outcomes, pursue research and scholarship in education, and ultimately to improve healthcare.We offer more than 70 Training Programs (44 are accredited - more than any other freestanding children's hospital). We host over 500 Boston Children's-based residents and clinical fellows annually, selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. A 24-year analysis of residents who have graduated from our Department of Medicine found that roughly 40% go on to become leaders in academic medicine, filling positions such as deans, chairs and program heads across the country. More than one third of the chiefs of pediatric departments across the country trained at Boston Children's.Our simulation program, Immersive Design Systems, is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Boston Children's offers the only training programs in New England for Adolescent Medicine, Congenital Cardiac Surgery, and Neurodevelopmental Disabilities; and the only training programs in Massachusetts for Adolescent Medicine, Congenital Cardiac Surgery, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, and Pediatric Surgery.
(Code:   ) (Expenses $ 22,779,888 including grants of $ 0 ) (Revenue $ 0 )
COMMUNITY: Boston Children's Hospital was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission - community. Through the years, Boston Children's has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes, and promote health equity.Boston Children's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others in the community to address the social determinants of health. These are issues that can have a significant impact on an individual's health such as exposure to violence, experiencing food insecurity, living in poverty or having unstable housing. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Understanding Community Needs:Boston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The full report from the 2022 assessment can be found here. The findings inform the direction of Boston Children's Community Health Improvement Plan, which outlines how the hospital will use its resources and partner with others to address those themes and improve community health. This process also ensures that the hospital utilizes its resources and leverages community partnerships in the most effective way. The assessment was approved by the Boston Children's Board of Trustees in the fall of 2022. The 2022 assessment identified the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston - specifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.Boston Children's 2022 assessment also included data from the Boston Community Health Collaborative. This assessment included a wide range of Boston stakeholders - community organizations, community development corporations, health centers, hospitals, and the Boston Public Health Commission. While community health assessment and planning work are often conducted by individual organizations, the Boston Collaborative aligns and coordinates resources between multi-sector stakeholders across the city. Boston Children's is a founding member, and staff participate in the steering committee and work groups.Key themes from the assessment include how poverty impacts child and community health, access to stable and affordable housing, concerns about food access and insecurity, and the importance of prevention and focus on early childhood and youth development. Health issues of concern for families continue to be around mental/behavioral health, asthma, and obesity. A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the health needs and vital resources within the community. Boston Children's is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with Boston Children's key partners - community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the Boston Children's formal assessment process. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. The 2025 community health needs assessment is underway, and the results will be available at the end of this year.Being A Community Health Leader:Boston Children's has identified priority health areas - asthma, obesity, mental and behavioral health, and early childhood development - and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.-Since 2005, the Community Asthma Initiative (CAI) has helped to improve the health and lives of 2,731 Boston children with asthma. Through a comprehensive asthma home visiting program, CAI provides case management, home visits, offers education to caregivers and patients, distributes asthma control supplies, connects families to resources and increases access through advocacy. CAI surpassed its quality goal, reducing the percentage of patients with any hospitalizations by 82% and any emergency department visits by 54% after one year in the program. The program provided education and training for 153 community meetings with 1,679 participants, 5 community events with 103 participants, and 16 trainings/talks with 191 participants. CAI cared for 120 new patients with 73 completing at least one home visit (60%). Boston Children's staff completed an additional 41 visits.-Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP places clinicians in Boston schools to provide a comprehensive array of services to better meet the needs of children and adolescents. In 2024, 647 students participated in 8 BCHNP classroom interventions focused on a range of topics, including but not limited to community building, emotion regulation, identity/self-awareness, and social skills. BCHNP implemented clinical intervention, early intervention, and prevention/promotion services with 726 students across five elementary, K8, middle, and high schools. Clinicians intervened in 34 crisis situations with a median wait time of 3.5 minutes, provided individual therapy to 40 students. BCHNP provided professional development webinars through its Training and Access Project (TAP), reaching 1650 school-based social workers, psychologists, school nurses, and counselors in 2024. Average satisfaction ratings across all stakeholders (students, caregivers, educators, and school staff) and services were over 94%. -The Healthy in the City (HIC) program is a community-based approach to addressing childhood obesity by offering prevention and intervention strategies to support children and youth who are overweight or at-risk for obesity, in making healthier choices and behavior changes. HIC supports 10 Boston community health centers to provide 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs and food insecurity resources. In 2024, 63% of children decreased and 8% maintained their BMI over the year. Children also reported consuming less fast food and sugar-sweetened beverages, consuming more fruits and vegetables, watching less TV, and increasing their amount of exercise after 12 weeks in the program. -Family Food Connections is a food pantry owned and operated by Boston Children's in the Mildred C. Hailey Apartments of the Boston Housing Authority. It opened for visitors in January 2022. This food pantry provides fresh fruits, vegetables, milk, eggs, bread, and staple items to families. The pantry is open to residents of Mildred C. Hailey Apartments, as well as the surrounding neighborhoods of Jamaica Plain and Roxbury. In FY24, there were 56,000 visits to the pantry. The food pantry became an official site of the Greater Boston Food Bank, and it has received great support from community partners and families. Families were also provided additional social and health care supports through our primary care locations at the Martha Eliot Health Center and the Primary Care Center at Longwood.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Serving as an Anchor for the Community:Since 2018, Boston Children's has been a committed and proud member of the Healthcare Anchor Network, a national network of more than 70 hospitals and health care systems working to build more inclusive and sustainable local economies.Four Focus AreasThe Boston Children's anchor strategy puts corporate goals and business practices in place to address social inequities and aims to help improve community conditions that contribute to poor health. There are four pillars:1. Hiring and Workforce Development. Boston Children's partners with community organizations to recruit, hire, and train individuals from neighboring communities to ensure that employees are reflective of the communities we serve.2. Purchasing. Boston Children's supports community businesses by buying locally whenever possible, with a focus on increasing the participation of minority-owned, women-owned, and veteran-owned businesses.3. Investment. Boston Children's is investing in local projects that can produce significant health and social returns for our community. This includes projects that address affordable housing, early childhood education, youth engagement, and mental health efforts.4. Sustainability. Boston Children's is implementing approaches to advance reductions in hospital-generated greenhouse gas emissions and contribute to local climate resilience.The Boston Children's anchor strategy builds upon and amplifies the work of the hospital's community mission to improve the health and well-being of children and families.In FY24, Boston Children's made 3 new community investments totaling $2.45M in partnership with the Massachusetts Housing Investment Corporation. These investments are part of the hospital's larger $10M endowment commitment in community investment. The Hospital continued its community engagement efforts: launched an externally facing website landing page; convened quarterly meetings of the Community Investment Advisory Committee; and convened monthly internal Anchor Institution Team meetings to coordinate efforts on community investment, purchasing, and workforce development. As part of its partnership work, the Boston Children's Hospital's Community Investment, Workforce Development, and Purchasing teams met with other healthcare organizations at the annual Healthcare Anchor Network Convening. Members of the Boston Children's Anchor Institution team alongside Boston Medical Center met with representatives from the Massachusetts Executive Office of Health and Human Services to discuss collaborative priorities. Anchor Team staff presented on the Community Investment and Sustainability efforts during a webinar hosted by the Office of Community Health. The Anchor Team reported on FY23 progress to the Health Care Anchor Network.Expanded Commitment through the Collaboration for Community Health:Boston Children's had an opportunity to build on its history of building partnerships with the community. In August 2018, Boston Children's started to distribute additional funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds - Boston Children's Collaboration for Community Health - are distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Birth to Five Child Health and Development, Family Housing Stability and Economic Opportunity, Community Physical Activity, Recreation and Food Access and through the Children's Health Equity Collaborative.Through the Boston Children's Collaboration for Community Health, more than 80 organizations have now received funds and support from the hospital. The leadership and staff also have been convened by Boston Children's to network, share lessons learned, provide feedback, and receive assistance around advocacy and evaluation.More details on the Collaboration and the funded projects can be found at BostonChildrens.org/funding.Addressing Social Determinants of Health:Boston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: -Education and schools. Boston Children's partners with the Boston Public Schools (BPS) to support and strengthen the system as well as to work directly in school settings to reach students and help families.In FY24, BCHNP's Training and Access Project (TAP) continued to provide professional development and consultation services focused on building the capacity of school communities to address social, emotional, and behavioral health. Through TAP's online free training series for school communities, we have increased our national reach to over 12,000 participants to date. In 2023-2024, TAP provided a webinar training series that reached 1650 BPS clinicians (school social workers, school psychologists, school nurses, and school counselors). Trainings were developed based on needs identified by the social workers. The series included 10 interactive training courses. TAP training can be accessed at www.childrenshospital.org/TAPOnline.-Workforce Development. Boston Children's strives to bridge community and incumbent talent to build teams that provide the best service and care for patient families. The hospital partners with numerous community-based organizations to recruit community talent to job, internship, and career exploration opportunities. Once a community member joins Boston Children's as an employee, there are extensive offerings available as individuals build their career within the enterprise.Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. Last year, the program had 61 high school and 35 college students participating. Examples of other programs include:-Aspire Internship Program (MGH): internship program for adults with high cognitive autism spectrum disorder or a related social profile to gain real-world work experience. -ARCH JVS Training Program: Training program developed by Boston Children's and Jewish Vocational Services to train local community members in the field of animal care in research operations. The program offers on-the-job training for the role. The program pays wages while trainees learn. Upon successful completion, graduates are eligible to be offered full-time jobs. -JVS Pharmacy Technician Program: Boston Children's sponsors community members to attend the JVS Pharmacy Tech program and then hosts trainees for externship hours. Upon successful completion, graduates are eligible to be offered a position.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
-Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners such as Boston community health centers. The hospital has relationships and strong partnerships with 10 Boston community health centers. Through these partnerships, Boston Children's improves access to care for underserved populations, helps efforts to better manage chronic diseases, and supports prevention and treatment services that improve the health of Boston children, youth, and families. Health center partners receive funding, training, and technical assistance. Due to the on-going mental and behavioral health crisis for children and youth, Boston Children's has made a substantial investment to develop internal resources to assist patients and their families (in coordination with state and community-based agencies) with crisis stabilization and care delivery transformation. Leveraging community partnerships and community-based providers, the focus is providing enhanced services to enable a safe transition to an appropriate level of care. Investments include but are not limited to enhanced behavioral response, state agency coordination, Emergency Department diversion programming, room-modifications, and more. Boston Children's also has relationships with a wide array of community organizations, which provide services as well as a voice for the families and neighborhoods they represent. Serving as a Safety Net:Boston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for Children and Families:As the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for the health and well-being of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters, both at state and federal levels, that affect children's wellbeing such as increasing access to quality pediatric mental health programs, promoting better treatment and access to services for children with medical complexity and chronic conditions, improving the landscape for pediatric medical research and advancing innovative public health policies. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law, and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with only 1.5 percent of children uninsured, the lowest rate in the country. Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's engaged in efforts to preserve and improve Medicaid and the Children's Health Insurance Program, which serve as a safety net for children in all fifty states, ensuring their access to high-quality, effective coverage, and facilitates important quality measurement and improvement initiatives. We have also worked to ease the burdens on families in the Medicaid program who find it necessary to cross state lines for care. In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program - for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification of behavioral health needs, treating children in the most appropriate settings, enhancing coordination among state health care agencies, and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. In 2022, the CMHC was also a strong advocate for An Act Addressing Barriers to Mental Health Care (Chapter 177 of the Acts of 2022), which increased access to emergency behavioral health services, the pediatric behavioral health workforce, and addressed the behavioral health boarding crisis. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. Current efforts at the state level address: access to behavioral health services, addressing the emergency room boarding crisis, improving mental health in schools, and creating a behavioral health urgent care system. At the federal level, Boston Children's is working with our peers to bolster the pediatric mental health workforce and ensure the availability of a full continuum of care for kids. Additionally, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. Boston Children's public health work includes social determinants of health and social justice as an essential component. With this in mind, our priorities include addressing issues in the housing market, promoting environmental health, improving access to healthy, locally grown fruits and vegetables, eliminating the wealth gap and building pathways for economic mobility. The hospital also lends expertise in efforts to improve the pediatric and behavioral health workforce, reducing administrative burden, and improving health equity for all members of the Commonwealth. Boston Children's has established the over 4,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an in-depth training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. The CAN hosts educational sessions, which offer hospital staff and community partners an opportunity to learn about a current topic related to children's health policy and explore ways to advocate for children at the federal and state levels. Staff members from departments throughout the hospital regularly engage with the CAN to receive information about policy changes that may impact their patient population or schedule in-service presentations about current events in Washington and at the state level. During the COVID pandemic, the CAN found creative solutions to keep advocates engaged including virtual advocacy briefings, webinars and trainings, as well as online event partnerships with the Offices of Health Equity and Community Health.
4d Other program services (Describe in Schedule O.)
(Expenses $ 22,779,888 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expenses2,673,218,651
Form 990 (2023)
Form 990 (2023)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
List of Attached Documents:
// Content
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2023)
Form 990 (2023)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
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 IIClick to see attachment
List of Attached Documents:
// Content
...........
26
Yes
 
27
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 IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
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
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,938
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2023)
Form 990 (2023)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
17,819
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
Yes
 
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
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 the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2023)
Form 990 (2023)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
18
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
MA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
Doug Vanderslice - Treasurer & CFO300 Longwood Avenue   Boston,MA02115 (617) 355-6000
Form 990 (2023)
Form 990 (2023)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

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

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

See the 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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Kevin Churchwell MD......................................................................
President & CEO
55.00
.................
6.00
X   X       3,062,633 0 135,259
(2) Douglas Berthiaume......................................................................
Director - Chairperson
5.00
.................
5.00
X   X       0 0 0
(3) Allan Bufferd......................................................................
Director
1.00
.................
1.00
X           0 0 0
(4) Winston Henderson......................................................................
Director
1.00
.................
1.00
X           0 0 0
(5) Ivor Horn MD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(6) Stephen Karp......................................................................
Director
1.00
.................
1.00
X           0 0 0
(7) Steven Krichmar......................................................................
Director
1.00
.................
1.00
X           0 0 0
(8) Robert Langer ScD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(9) Vivian Lee MD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(10) Harvey Lodish PhD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(11) Gary Loveman MD......................................................................
Director
1.00
.................
1.00
X           0 0 0
(12) Ralph C Martin......................................................................
Director
1.00
.................
1.00
X           0 0 0
(13) Thomas Melendez......................................................................
Director
1.00
.................
1.00
X           0 0 0
(14) Ted Pappendick......................................................................
Director
1.00
.................
1.00
X           0 0 0
(15) Kathleen Regan......................................................................
Director
1.00
.................
1.00
X           0 0 0
(16) Robert A Smith......................................................................
Director - Vice Chair
2.00
.................
2.00
X   X       0 0 0
(17) Alison Taunton-Rigby PhD......................................................................
Director
1.00
.................
1.00
X           0 0 0
Form 990 (2023)
Form 990 (2023)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Lisa Wieland........................................................................
Director
1.00
.......................1.00
X           0 0 0
(19) James Mandell MD........................................................................
Director
1.00
.......................1.00
X           0 0 0
(20) Doug Vanderslice........................................................................
EVP, CFO & Treasurer
55.00
.......................7.00
    X       1,604,073 0 80,122
(21) Bruce Balter........................................................................
Asst Treasurer/Dir Corp Fin
55.00
.......................5.00
    X       315,669 0 54,758
(22) Rob Graham........................................................................
Asst Secretary/Sr Dr Ent Comm (BEGIN TERM 7/1/24)
55.00
.......................5.00
    X       0 0 0
(23) Christine Grenache........................................................................
Asst Sec/Exec Manager (END TERM 6/30/24)
55.00
.......................5.00
    X       148,571 0 18,155
(24) Christopher Viney JD........................................................................
EVP, General Counsel & Sec
55.00
.......................5.00
    X       174,862 0 20,376
(25) Philip Rotner........................................................................
Chief Investment Officer
55.00
.......................5.00
      X     1,976,654 0 67,747
(26) Peter Laussen MD........................................................................
EVP, Health Affairs
55.00
.......................5.00
      X     1,255,547 0 93,916
(27) Michele Garvin Esq........................................................................
EVP, Chief of Staff
55.00
.......................6.00
      X     1,201,614 0 53,172
(28) Laura J Wood DNP MS RN........................................................................
EVP, Chief Nursing Officer
55.00
.......................5.00
      X     1,005,064 0 74,650
(29) Demosthenes Argys........................................................................
EVP, Hospital Chief Operating Officer, CCO
55.00
.......................5.00
      X     1,085,881 0 51,848
(30) Lynn Susman........................................................................
EVP, Chief Development Off
55.00
.......................5.00
      X     973,008 0 65,718
(31) Lisa Hogarty........................................................................
SVP, RE Planning and Devel
55.00
.......................5.00
      X     779,598 0 56,590
(32) Michael Gillespie........................................................................
SVP, Clinical Services
55.00
.......................5.00
      X     639,424 0 52,482
(33) Patricia Hickey PhD MBA RN NEA-BC........................................................................
SVP, Nursing/Patient Care
55.00
.......................5.00
      X     783,148 0 48,968
(34) August Cervini........................................................................
SVP, Research Administration
55.00
.......................5.00
      X     545,881 0 50,152
(35) Heather Nelson........................................................................
SVP, Chief Information Off
55.00
.......................5.00
      X     846,498 0 52,926
(36) Joseph A Mitchell MD........................................................................
EVP & President, Franciscan's
5.00
.......................55.00
      X     0 1,068,859 128,100
(37) Nancy Andrews........................................................................
EVP, Chief Scientific Officer
55.00
.......................5.00
      X     1,169,328 0 73,187
(38) Steven Luber........................................................................
SVP, Finance
55.00
.......................5.00
      X     663,304 0 29,388
(39) Lisa Abbott........................................................................
EVP, Chief Human Resources Officer
55.00
.......................5.00
      X     979,532 0 26,630
(40) Martin Kelly........................................................................
Director, Investments
55.00
.......................5.00
        X   863,256 0 48,759
(41) Nirav Desai........................................................................
Director, Investments
55.00
.......................5.00
        X   803,146 0 45,903
(42) Cynthia Haines........................................................................
SVP, National & International Services
55.00
.......................5.00
        X   783,533 0 56,028
(43) Nader Rifai PhD........................................................................
Director, Lab Medicine
55.00
.......................5.00
        X   667,474 0 52,594
(44) Stacy Drury........................................................................
Department Chief, Psychiatry
55.00
.......................5.00
        X   950,877 0 43,367
(45) Sandra Fenwick........................................................................
Former President & CEO
0.00
.......................0.00
          X 939,289 0 0
(46) Daniel Nigrin MD........................................................................
Former SVP & CIO
0.00
.......................0.00
          X 315,203 0 0
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 24,533,067 1,068,859 1,480,795
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 4,522
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Suffolk Construction

65 Allerton Street
Boston,MA02119
Construction services 104,248,024
Turner Construction Company

2 Seaport Lane Suite 200
Boston,MA02210
Construction services 67,068,643
Vaya Workforce Solution LLC

5930 Cornerstone Ct W
San Diego,CA92121
Staffing services 65,926,684
Wise Construction

21 East Street
Winchester,MA01890
Construction services 58,638,973
VPNE Parking Solutions

343 Congress Street
Boston,MA02210
Parking/security services 27,164,189
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 427
Form 990 (2023)
Form 990 (2023)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 18,150
b Membership dues..1b  
c Fundraising events..1c 7,845,597
d Related organizations1d  
e Government grants (contributions)1e 364,555,824
f All other contributions, gifts, grants, and similar amounts not included above1f 273,976,094
g Noncash contributions included in lines 1a - 1f:$ 1g 22,589,628
h Total. Add lines 1a-1f....... 646,395,665
 Program Service RevenueAmt Business Code
2a Patient Service Revenu 621110 2,190,589,887 2,190,589,887    
b Program Service Grants 621110 66,721,245 66,721,245    
c Graduate Medical Educa 611710 21,785,709 21,785,709    
d Professional Service R 621110 12,549,759 12,549,759    
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 2,291,646,600
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 23,434,114     23,434,114
4 Income from investment of tax-exempt bond proceeds        
5 Royalties........... 8,975,159     8,975,159
(i) Real (ii) Personal
6a Gross rents 6a 35,691,622  
b Less: rental expenses 6b 11,776,483  
c Rental income or (loss) 6c 23,915,139  
d Net rental income or (loss)....... 23,915,139     22,594,327
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 510,252,079  
b Less: cost or other basis and sales expenses 7b 429,398,062  
c Gain or (loss) 7c 80,854,017  
d Net gain or (loss)......... 80,854,017     80,854,017
8a Gross income from fundraising events (not including $ 7,845,597of contributions reported on line 1c). See Part IV, line 18 ....
8a 929,653
b Less: direct expenses ... 8b 1,933,159
c Net income or (loss) from fundraising events.. -1,003,506   -1,003,506
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..        
 OtherRevenueMiscAmt
Business Code
11a Other General Services 900099 50,054,881     50,054,881
b ACO Revenue 621110 23,452,702 23,452,702    
c Parking Revenue 812930 8,971,288     8,971,288
d All other revenue .... 8,518,772   560,237 7,958,535
e Total. Add lines 11a–11d ...... 90,997,643
12 Total revenue. See instructions..... 3,165,214,831 2,315,099,302 1,881,049 201,838,815
Form 990 (2023)
Form 990 (2023)
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 .... 13,476,337 13,476,337
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 1,735,599 1,735,599
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 ........... 20,149,611   19,110,885 1,038,726
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........ 1,089,183,381 905,385,376 160,646,956 23,151,049
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 63,562,349 57,854,348 4,098,970 1,609,031
9 Other employee benefits ....... 124,433,595 121,386,191   3,047,404
10 Payroll taxes ........... 101,773,494 99,197,178   2,576,316
11 Fees for services (non-employees):        
a Management ...... 10,448,318   10,448,318  
b Legal ......... 7,391,634   7,382,059 9,575
c Accounting ........... 3,310,701   3,309,919 782
d Lobbying ........... 107,280 107,280    
e Professional fundraising services. See Part IV, line 17 1,744,238 1,744,238
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) 529,191,847 413,408,179 114,544,021 1,239,647
12 Advertising and promotion .... 8,250,142 6,519,919 1,290,233 439,990
13 Office expenses ....... 186,730,551 112,501,194 67,724,850 6,504,507
14 Information technology ...... 49,587,457 15,461,007 33,379,850 746,600
15 Royalties ..        
16 Occupancy ........... 142,862,824 137,734,633 3,686,183 1,442,008
17 Travel ............ 9,764,614 7,729,875 1,906,112 128,627
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 935,622 840,782   94,840
20 Interest ........... 51,219,093 51,219,093    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 187,109,843 186,873,947   235,896
23 Insurance ... 15,108,916 10,589,336 4,519,580  
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 421,010,609 419,749,397 1,261,212 0
b Uncollectible Accounts 53,797,705 53,797,705 0 0
c Uncompensated Care 42,866,940 42,866,940 0 0
d Free Care 14,784,335 14,784,335 0 0
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 3,150,537,035 2,673,218,651 433,309,148 44,009,236
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 (2023)
Form 990 (2023)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 26,259,736 2 5,045,407
3 Pledges and grants receivable, net ...... 193,986,825 3 187,827,049
4 Accounts receivable, net ............. 492,291,322 4 574,615,073
5 Loans and other receivables from 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 35,000
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 ............ 43,755,767 8 47,834,417
9 Prepaid expenses and deferred charges ...... 23,223,012 9 40,144,914
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,425,484,560
b Less: accumulated depreciation 10b 2,674,952,778 2,400,815,495 10c 2,750,531,782
11 Investments—publicly traded securities . 697,273,878 11 982,261,447
12 Investments—other securities. See Part IV, line 11 ..... 958,258,523 12 1,023,208,771
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 1,785,810 14 1,662,644
15 Other assets. See Part IV, line 11 ........... 3,242,461,110 15 3,286,194,301
16 Total assets. Add lines 1 through 15 (must equal line 33)... 8,080,111,478 16 8,899,360,805
Liabilities 17 Accounts payable and accrued expenses ..... 437,029,812 17 423,991,336
18 Grants payable ...   18  
19 Deferred revenue ......... 187,188,034 19 199,607,367
20 Tax-exempt bond liabilities ......... 717,200,000 20 1,242,608,943
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 .. 865,101,692 23 822,784,286
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 784,627,723 25 846,042,949
26 Total liabilities. Add lines 17 through 25.. 2,991,147,261 26 3,535,034,881
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 3,075,653,961 27 3,107,995,016
28 Net assets with donor restrictions ........... 2,013,310,256 28 2,256,330,908
Organizations that do not follow FASB ASC 958, check here right arrow 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 ........... 5,088,964,217 32 5,364,325,924
33 Total liabilities and net assets/fund balances ........ 8,080,111,478 33 8,899,360,805
Form 990 (2023)
Form 990 (2023)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,165,214,831
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,150,537,035
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
14,677,796
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
5,088,964,217
5
Net unrealized gains (losses) on investments ...............
5
139,573,700
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
121,110,211
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
5,364,325,924
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2023)
Form 990 (2023)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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
2023
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.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
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:

5
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.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
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.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
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:
10
An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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.)
11
12
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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
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.
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.
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.
d
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.
e
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.
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 573,205,044 544,299,928 620,211,449 542,541,293 646,395,665 2,926,653,379
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 3 573,205,044 544,299,928 620,211,449 542,541,293 646,395,665 2,926,653,379
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) .. 83,843,620
6 Public support. Subtract line 5 from line 4. 2,842,809,759
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
7 Amounts from line 4.. 573,205,044 544,299,928 620,211,449 542,541,293 646,395,665 2,926,653,379
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 39,457,318 28,655,925 32,927,683 41,217,378 46,333,207 188,591,511
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 0 0 0 813,623 1,589,479 2,403,102
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 47,347,934 47,431,442 37,344,165 58,554,300 75,959,863 266,637,704
11 Total support. Add lines 7 through 10 3,384,285,696
12
12
9,141,197,004
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
84.000 %
15
15
87.100 %
16a
33 1/3% support test—2023. 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
b
33 1/3% support test—2022. 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—2023. 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
b
10%-facts-and-circumstances test—2022. 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
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
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) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (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 on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2023. 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
b
33 1/3 % support tests—2022. 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
20
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) 2023

Schedule A (Form 990) 2023
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
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) 2023

Schedule A (Form 990) 2023
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2023 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2023
(iii)
Distributable
Amount for 2023
1 Distributable amount for 2023 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2023:
a From 2018.......  
b From 2019.......  
c From 2020.......  
d From 2021.......  
e From 2022.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2023 distributable amount  
i Carryover from 2018 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2023 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2023 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2023, 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 2023. 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 2024. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2019.....  
b Excess from 2020.....  
c Excess from 2021.....  
d Excess from 2022.....  
e Excess from 2023.....  
Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023
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) 2023


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
Children's Hospital Corporation
 
Employer identification number

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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that 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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
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


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

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

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Children's Hospital Corporation
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2022

Schedule C (Form 990) 2022
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 right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2019 (b) 2020 (c) 2021 (d) 2022 (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) 2022


Schedule C (Form 990) 2022
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
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
205,353
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
532,461
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
737,814
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1 Children's Hospital Corporation (Hospital) is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with Federal, State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2024, five Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. Three Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2024 in either the Massachusetts General Court or the U.S. Congress. These consultants, on behalf of the Hospital, prepared written materials which are distributed to officials and met with elected and appointed officials. The following is a detailed list of lobbying expenses incurred: Josh Greenberg Registered Lobbyist Children's Hospital personnel $195,000 - Amy DeLong Registered Lobbyist Children's Hospital personnel $77,702 - Alyce Norcross Registered Lobbyist Children's Hospital personnel $21,091 - Sarah Mills Registered Lobbyist Children's Hospital personnel $15,818 - Kailey Sultaire Registered Lobbyist Children's Hospital personnel $45,500 - Ben Thomas Registered Lobbyist Children's Hospital personnel $43,680 - Shantel Gooden Registered Lobbyist Children's Hospital personnel $26,390 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,280 - Total Lobbyist/Consultant expenses = $532,461 Expenses incurred by the Office of Government Relations for lobbying activities = $205,353 TOTAL LOBBYING EXPENSES = $737,814 In addition to Children's Hospital Corporation's direct and listed lobbying expenses, Children's Hospital Corporation pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total direct and indirect lobbying expenditures were minimal and not substantial based on revenues.
Schedule C (Form 990) 2022


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow 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.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under 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.
b
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 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 1,269,126,000 1,209,728,000 1,281,297,000 1,222,213,000 1,171,359,000
b Contributions ... 13,454,000 34,355,000 42,734,000 13,623,000 14,137,000
c Net investment earnings, gains, and losses 65,945,000 87,576,000 -77,210,000 158,528,000 44,286,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
64,164,000 62,533,000 37,093,000 113,067,000 7,569,000
f Administrative expenses ....          
g End of year balance ...... 1,284,361,000 1,269,126,000 1,209,728,000 1,281,297,000 1,222,213,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow51.840 %
b
Permanent endowment right arrow27.760 %
c
Term endowment right arrow20.400 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   38,481,368 38,481,368
b Buildings ....   3,667,451,419 1,743,388,063 1,924,063,356
c Leasehold improvements        
d Equipment ....   1,185,348,963 924,564,938 260,784,025
e Other .....   534,202,810 6,999,777 527,203,033
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 2,750,531,782
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) 3rd Pty External Administered Trusts
45,443,046 F

(B) Limited Partnerships
977,765,725 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 1,023,208,771
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Interest in the Net Assets of Children's Medical Center 2,565,127,961
(2)Expected Insur Recoveries for Prof Liability Claims 60,812,256
(3)Investment in Subsidiaries 28,379,506
(4)CERNER Asset 3,389,833
(5)Other Assets - Miscellaneous -6,497,743
(6)Right of Use Assets 514,389,369
(7)Deferred Implementation Costs 110,573,322
(8)Unamortized Bond Fees 10,019,797
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 3,286,194,301
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 67,772,894
Funds Held for Others 25,141,708
Reserve for Medical Malpractice 13,025,876
Interest Rate Swap Liability 54,819,572
Cerner Contra Asset 7,235,619
Operating Lease Liability 568,934,181
Malpractice Unpaid Loss 60,812,256
Other Liabilities - Miscellaneous 17,792,786
Accrued Pension Cost 10,443,404
Deferred Compensation Plans 20,064,653
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 846,042,949
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) 2022

Schedule D (Form 990) 2022
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) 2022


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
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.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in 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 Investments   330,833,410
Sub-Saharan Africa 0 0 Investments   35,251,755
Europe 0 0 Investments   50,810,760
Central America and the Caribbean 0 0 Program services Patient care, research & education 8,307
East Asia and the Pacific 0 0 Program services Patient care, research & education 104,077
Europe (Including Iceland & Greenland) 0 0 Program services Patient care, research & education 297,305
Middle East and North Africa 0 0 Program services Patient care, research & education 79,522
North America 0 0 Program services Patient care, research & education 133,133
Russia and Neighboring States 0 0 Program services Patient care, research & education 2,405
South America 0 0 Program services Patient care, research & education 32,964
South Asia 0 0 Program services Patient care, research & education 33,018
Sub-Saharan Africa 0 0 Program services Patient care, research & education 85,805
           
           
           
           
           
3a Sub-total .... 0 0 417,518,269
b Total from continuation sheets to Part I ... 0 0 154,192
c Totals (add lines 3a and 3b) 0 0 417,672,461
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023Page 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) 2023
Schedule F (Form 990) 2023
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2023
Schedule F (Form 990) 2023
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
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2023
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 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
 
Interactive Strategies LLC
1133 Connecticut Ave NW Suite 600
 
Washington, DC20036
Fundraising Counsel   No 2,379,411 105,472 2,273,939
 
NNE Marketing LLC
1666 Massachusetts Ave
 
Lexington, MA02420
Direct Mail Counsel   No 1,298,117 293,500 1,004,617
 
Green Planet Sales Company Inc
407 College Ave Ste 349
 
Ithaca, NY14850
Fundraising Solicitation   No 975,271 753,380 221,891
Sarah Gardner
13 Smokey Hill Rd
 
Wayland, MA01778
Fundraising Counsel   No 524,008 64,400 459,608
 
Good United
804 Meeting St
 
Charleston, SC29403
Fundraising Counsel   No 0 26,140 -26,140
 
The Stelter Company
10425 New York Ave
 
Des Moines, IA50322
Fundraising Counsel   No 0 262,415 -262,415
 
Brodeur and Coville LLC
535 Boylston Street Floor 10
 
Boston, MA02116
Fundraising Counsel   No 0 20,000 -20,000
 
Marts & Lundy
15 Olde Lyme Rd
 
Winchester, MA01890
Fundraising Counsel   No 0 63,775 -63,775
 
Doing Goods Digital LLC
668 N Coast Highway
 
Laguna Beach, CA92651
Fundraising Counsel   No 0 115,500 -115,500
 
Bentz Whaley Flessner Inc
7900 Xerxes Ave South Ste 980
 
Minneapolis, MN55431
Counsel/Reporting   No 0 39,656 -39,656
Total . . . . . . . . . . . . . . . . . . . . right arrow 5,176,807 1,744,238 3,432,569
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
CT, RI, NH, VT, ME, FL, NY, NJ, NV, MA
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2023
Schedule G (Form 990) 2023
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

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

BIC Dinner/Auction
(event type)
(c) Other events

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

1

Gross receipts . . . . .

5,722,505

1,189,060

1,863,685

8,775,250

2

Less: Contributions . . . .

5,136,202

1,040,210

1,669,185

7,845,597
3 Gross income (line 1 minus
line 2) . . . . . .

586,303

148,850

194,500

929,653



VerticalDirectExpenses
4 Cash prizes . . . . . 0 0 0  
5 Noncash prizes . . . . 0 0 0  
6 Rent/facility costs . . . . 85,308 218,772 59,450 363,530
7 Food and beverages . . . 334,051 5,041 138,440 477,532
8 Entertainment . . . . 0 0 18,600 18,600
9 Other direct expenses . . . 729,103 43,005 301,389 1,073,497
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,933,159
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -1,003,506
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

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

 

8

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

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
YesNo
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
YesNo
b
If "Yes," explain:
 
Schedule G (Form 990) 2023
Schedule G (Form 990) 2023
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
YesNo
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
YesNo
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Doug Vanderslice CFO Treasurer
Address right arrow
300 Longwood Avenue   Boston, MA02115
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2023
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

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

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    16,525,350 3,849,996 12,675,354 0.410 %
b Medicaid (from Worksheet 3, column a) . . . . .     814,418,206 528,461,331 285,956,875 9.230 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0    
d Total Financial Assistance and Means-Tested Government Programs . . . . .     830,943,556 532,311,327 298,632,229 9.640 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     8,783,410 2,388,833 6,394,577 0.210 %
f Health professions education (from Worksheet 5) . . .     58,106,532 6,996,420 51,110,112 1.650 %
g Subsidized health services (from Worksheet 6) . . . .     72,708,800 49,640,255 23,068,545 0.740 %
h Research (from Worksheet 7) .     629,766,731 589,148,737 40,617,994 1.310 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     11,620,429 120,000 11,500,429 0.370 %
j Total. Other Benefits . .     780,985,902 648,294,245 132,691,657 4.280 %
k Total. Add lines 7d and 7j .     1,611,929,458 1,180,605,572 431,323,886 13.920 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 23   1,803,304   1,803,304 0.060 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy 12   565,995   565,995 0.020 %
8 Workforce development            
9 Other 3   6,750   6,750 0 %
10 Total 38   2,376,049   2,376,049 0.080 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,355,944
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
10,424,071
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
10,975,110
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-551,039
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Boston Children's Hospital
300 Longwood Avenue
Boston,MA02115
www.childrenshospital.org
MA LICENSE #2139
X X X X   X X      
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Boston Children's Hospital
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.childrenshospital.org/community-health/needs
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Boston Children's Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.childrenshospital.org/patient-resources/about-boston-childrens/
b
https://www.childrenshospital.org/patient-resources/about-boston-childrens/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
Boston Children's Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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 No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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 2022 assessment used a participatory, collaborative approach and examined health in its broadest context. The assessment draws on data collected for the larger Boston Community Health Needs Assessment (CHNA) that includes data from the Massachusetts Department of Public Health, vital records, and surveillance systems. In Greater Boston, key informant interviews were conducted with 62 leaders across sectors including 8 interviews conducted by Boston Children's. In addition, there were 29 focus groups facilitated with residents including 6 focus groups with families and parents, and 8 focus groups with youth. To understand experiences and needs of those served by Boston Children's satellite clinics outside Boston, 9 interviews were conducted with community representatives from public health, health care, housing and homelessness, government, and social services sectors in Brookline, Lexington, North Dartmouth/New Bedford, and Peabody. Boston Children's also conducted a Community Health Survey, completed by 157 respondents, to inform the prioritization of community health needs.
Boston Children's Hospital Part V, Section B, Line 7d: The complete Boston Children's Community Health Needs Assessment report is available on the hospital's website at www.childrenshospital.org/community-health/needs. In addition to the report, there is also an executive summary, data and slides on the findings, and the hospital's Community Health Improvement Plan. A recorded session is also available with a Boston Children's staff member providing an overview of the process and sharing the key findings.Boston Children's distributed the report to internal staff and to a list of key external community contacts by email.
Boston Children's Hospital Part V, Section B, Line 11: Boston Children's addresses the health and social needs identified in the community health assessment process through our clinical care, services and programs and in collaboration with community partners.The Boston Children's Community Health Improvement Plan can be viewed at: www.childrenshospital.org/sites/default/files/2022-12/community-health-needs-2022-improvement-plan.pdf.Below is a summary of the goals of the Boston Children's Community Health Improvement Plan.Goal 1. Promote mental health and emotional wellness by nurturing resilient communities and building equitable, accessible, and supportive systems of care. Goal 2. Support safe, stable, healthy, equitable, affordable housing for children and families.Goal 3. Promote healthy youth development through youth-centered programming and career pathways.Goal 4. Increase access to affordable and nutritious food.Goal 5. Improve early childhood education, health, and developmental supports.Goal 6. Improve the health of children and families managing asthma and obesity.
Boston Children's Hospital Part V, Section B, Line 15e: The Financial Assistance Policy provides as follows:1. A Patient/Guarantor who is uninsured or who seeks financial assistance will be referred to a Hospital Financial Counselor for determination of availability of/eligibility for Private Health Plan coverage; for Public Health Care Assistance Programs; or for Hospital financial assistance programs. 2. Patients who do not qualify for Public Health Care Assistance Programs or Private Health Plan coverage, may apply for financial assistance by completing the Hospital's Financial Assistance Application and providing all information, documentation, and verification described in the Financial Assistance Application. The Financial Assistance Application is available for download on the Hospital's website and is also available by mail or in person. Details on how to access a copy of the Financial Assistance Application are found in the section of this Financial Assistance Policy entitled "Publication/Availability of the Financial Assistance Policy, the Uninsured Patient Discount Policy, the Credit and Collection Policy, and Amounts Generally Billed Calculation." The Financial Assistance Application includes accompanying instructions for completion.3. Under certain circumstances, the Hospital may deem a patient's enrollment in a means tested Public Health Care Assistance Program to presumptively confirm the patient's eligibility for financial assistance for any services for which financial assistance may be available under this Financial Assistance Policy.4. Information collected will be provided to a designated Director in Patient Financial Services for determination of availability of/eligibility for financial assistance under the terms of this Financial Assistance Policy.5. Patients/Guarantors who are approved to receive financial assistance will be notified in writing by Patient Financial Services staff.6. Eligibility determinations will remain in effect for a period of 12 months following the date of the determination, and will apply to all additional services for which financial assistance may be available under this Financial Assistance Policy, unless the Hospital determines that the patient has become enrolled in/qualified for Private Health Plan or coverage, or for a Public Health Care Assistance Program.7. Accounts will be adjusted with the financial assistance discount for both the applicable Foundation and Hospital. The discount will be applied against gross charges. 8. Patients/Guarantors can receive help with understanding the Financial Assistance Policy and completing the Financial Assistance Application by calling the Financial Counselors at (617) 355-7201 and/or by asking for help in person or by mail through the Financial Counseling Division of the Patient Financial Services Department at Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, Farley Building rooms 160.
Boston Children's Hospital Part V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial assistance:-Posting of signage in all patient care admission areas of the availability of financial assistance,-All billing correspondence includes language regarding the availability of financial assistance,-The Hospital website provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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?8
Name and address Type of Facility (describe)
1 1 - Boston Children's at 333 Longwood Ave
333 Longwood Avenue
Boston,MA02115
Outpatient Pediatric Clinic
2 2 - Boston Children's at Waltham
9 Hope Ave
Waltham,MA02453
Outpatient Satellite Facility
3 3 - Boston Children's at Lexington
482 Bedford Street
Lexington,MA02173
Outpatient Satellite Facility
4 4 - Boston Children's at Brookline Place
2 Brookline Place
Brookline,MA02445
Outpatient Satellite Facility
5 5 - Boston Children's at Peabody
1 Essex Center Drive
Peabody,MA01960
Outpatient Satellite Facility
6 6 - Martha Eliot Health Center
75 Bickford Street
Boston,MA02130
Outpatient Community Health Center
7 7 - Boston Children's at Weymouth
200 Libbey Parkway
Weymouth,MA02189
Outpatient Satellite Facility
8 8 - Boston Children's at North Dartmouth
500 Faunce Corner Road
North Dartmouth,MA02747
Outpatient Satellite Facility
9
10
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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. Boston Children's has community based programs in each of these issue areas.Children's is a leader in education and training for healthcare professionals.Children's subsidizes services that are either limited or unavailable in the broader community. Examples include psychiatry, primary care, and dental care.Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community.
Part I, Line 7g: Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services.
Part I, Ln 7 Col(f): The total bad debt expense of $53,797,705 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part I, Line 6a Boston Children's files an annual community benefits report with the Attorney General's Office (AG) in Massachusetts. There are significant differences between the AG and IRS requirements for reporting community benefit expenditures. The IRS counts the following as community benefits while the AG does not: Medicaid shortfalls, indirect costs, health professions education, and research funded by tax-exempt and government sources. Boston Children's AG report is publicly available and can be accessed directly on the AG's website, www.mass.gov/AG and Boston Children's website, www.childrenshospital.org.
Part II, Community Building Activities: In FY24, Children's reported two types of community building activities: $1,803,304 for 23 community support programs and $565,995 for 12 community health improvement advocacy programs. Children's community building activities are designed specifically to address health disparities and improve the health of children, families and communities. According to public health literature (see Ambulatory Pediatrics and Health Affairs), initiatives that address disparities for children across four different levels: the individual, systemic, community and society can lead to meaningful improvements in health.As described in Form 990, Part III Program Service Accomplishments, Children's takes a multi-pronged approach to tackle the most pressing health issues facing Boston children. At the same time, Boston Children's addresses non-health or social determinants of health issues such as exposure to violence, workforce development and education, which also impact a child's health. Therefore, Boston Children's directs its community building activities in the following areas:-Public policy advocacy efforts help to improve access to health care for all individuals and ensure high-quality pediatric services.-As a major employer in Massachusetts and civic leader in Boston, Boston Children's supports efforts to ensure a welcoming and culturally competent health care workforce as well as promotes economic health in the surrounding communities. -To improve life in local neighborhoods, Boston Children's has targeted support towards community based organizations that do not focus specifically on health, but rather on the vibrancy of the community. Contributions to groups such as the Fenway Community Development Corporation and Sociedad Latina are as important as partnerships with community health centers. For more information, visit https://www.childrenshospital.org/community-health.
Part III, Line 2: Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2.
Part III, Line 3: There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care.
Part III, Line 4: Children's Medical Center and Subsidiaries' Audited Financial Statements does not contain any footnotes describing bad debt.
Part III, Line 8: Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b: Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Directors. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website.
Part VI, Line 2: Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners.For more information, visit www.childrenshospital.org/community-health/needs
Part VI, Line 3: Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions.
Part VI, Line 4: Boston Children's conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston - specifically the neighborhoods of Dorchester, Fenway, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.FINDINGS:The residents of Boston Children's priority neighborhoods are ethnically and linguistically diverse, with wide variations in socioeconomic levels. Low-income residents are disproportionately affected by the social and economic context in which they live. Population Overview: Boston's population is incredibly diverse in terms of race and ethnicity, country of birth, and language use. According to Census estimates, approximately 3 in 5 (60.0%) Boston residents identify as people of color. Key informants and focus group participants noted many languages spoken among residents, including Cantonese, Mandarin, Russian, Spanish, Haitian Creole, Cape Verdean Creole, and indigenous languages. About 1 in 5 Boston residents are 19 years old or younger. Charlestown (8.8%), Jamaica Plain (7.3%), and Mattapan (6.9%) have the highest proportion of children under 5 years old. The proportion of school-aged children (between the ages of 5 and 17) in Boston has declined over time. Education: Education is an important issue to Boston families and a critical factor affecting health. Assessment participants discussed how many children struggle in school, especially during the pandemic. In a survey during the pandemic, nearly 15% of Boston adults with children reported that they had unmet educational needs for children or teens during the COVID-19 pandemic. Early Childhood Services: In focus groups and interviews, early childhood and childcare services emerged as a growing need exacerbated by the pandemic. Between December 2017 and March 2021, there was an 11.3% decrease in the number of available childcare seats for children 0-5 years old across Boston. Between February 2020 and February 2021, the percent of eligible children referred to Early Intervention Services who actually received services decreased from 81% to 55%. Employment and Workforce: Jobs that pay well make it easier for families to afford childcare, high quality education, health care, and healthy food. However, interview and focus group participants described significant job loss linked with the pandemic and noted that finding and securing stable jobs is more difficult for residents from certain marginalized backgrounds. According to the Bureau of Labor Statistics, the Boston metro area's unemployment rate was 16.0% during the early stages of the pandemic in April 2020 and dropped to 3.7% nearly two years later in February 2022. Income and Financial Security: Community leaders and residents described financial stability as critical for health and shared that low-wage work and minimum wage is insufficient for many families to survive in Boston. Participants noted that the pandemic has worsened poverty for low-income residents across Boston. While 12.8% of families in Boston live below the poverty level, there are stark differences by race and ethnicity; for example, 3.2% of white families compared to 24.6% of Hispanic or Latino families are living below the poverty level. Housing and Homelessness: Interview and focus group participants cited housing affordability as a dominant concern that has been exacerbated by the pandemic and that directly impacts children. In the COVID-19 Health Equity Survey, 41.5% of adults overall and 54.7% of adults with at least one child in the home reported having trouble paying their rent or mortgage during the pandemic. Boston Children's Hospital Emergency Department Social Work records show a substantial increase in the annual number of families needing social work assistance with housing or homelessness from 51 families in 2014 to 411 families in 2021. Community leaders and residents described housing assistance as insufficient to meet the needs of low-income residents and families. Additionally, housing quality and in particular exposure to lead and asthma triggers were highlighted by a few interviewees as specific concerns for children and families. Transportation: Boston-based participants discussed transportation in the context of accessing services. Reports of transportation difficulties in the past year were highest among residents of Dorchester (02121 and 02125 zip codes; 20.4%), Mattapan (17.2%), and South Boston (16.2%). Many participants from satellite communities noted that public transportation options are often unreliable and cumbersome, and that transportation poses a challenge for coordinating school, childcare, and medical care for children.
Part VI, Line 5: As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model.Children's is also a leader in education and training for healthcare professionals. Boston Children's Hospital has 41 accredited programs and 35 non-accredited programs. We have 475 residents and fellows based at BCH, along with more than 900 residents and fellows rotating here each year from other institutions.Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty-five person voluntary Board of Directors. Eighteen of the Board members are not direct employees of the hospital. The Board oversees the Hospital's endowment and follows a 4.5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit.
Part VI, Line 6: As sister organizations, Boston Children's Hospital (BCH) and Franciscan Children's (FC) are able to offer a fully integrated care system providing children with care where and when they need it, all with one point of contact for families.The organizations are affiliated as sister hospitals to more effectively confront an acute children's mental health crisis in Massachusetts and across the country, and advance equitable access to care and eliminate disparities. By joining together, the two organizations work to improve the lives of children and families by:-Improving care by modernizing programs and facilities. This affiliation will modernize the FC campus, which dates back to the 1940s. This will include a new, state-of-the-art, net carbon-neutral building that houses the full continuum of care programs for medical rehabilitation and mental health services.-Offering the full range of integrated care that children need. BCH and FC offer a fully integrated continuum of care across inpatient, outpatient, primary care, and school-based settings.-Building a new generation of caregivers. By 2030, the organizations intend to hire 150-200 new full-time employees related to care for children, and invest in programs to build an employee pipeline from high school through medical school. They will also increase training programs for students and staff.-Increasing the number of beds available. BCH and FC will increase the number of available beds for inpatient services from 98 to 127, and nearly double the behavioral health bed capacity. This will reduce the number of kids forced to board in emergency rooms for medical and mental health needs.-Expanding services. They are creating and expanding intensive outpatient therapy and partial hospitalization programs that reduce the likelihood that mental health patients reach crisis levels.-Increasing sustained investments in research. Research is the future of children's mental health because the underlying causes are still poorly understood. The organizations continue to make sustained investments in research, better integrate research and clinical faculty, and hire 3-4 new clinician scientists.-Expanding community and school-based prevention programs. BCH and FC plan to expand their community, early education and school-based programs.Please see the Schedule H included as part of the Franciscan Hospital for Children, Inc. Form 990 filed for the fiscal year ended September 30, 2024 for additional information regarding community benefits provided by FCH.In addition, as the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates seven outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth, Jamaica Plain, Brookline and Weymouth that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.Additionally, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's.
Part VI, Line 7, Reports Filed With States MA
Part V, Section B, Line 11 A review of Boston Children's Hospital's 501(r) compliance was undertaken by outside counsel in December 2023 and January 2024. As a result of said review, the following omission, error or other failure to meet requirements was discovered in January of 2024. Boston Children's promptly took steps to correct the omission, error or other failure, as described below.Boston Children's discovered that in its implementation strategy to meet the community health needs identified in Boston Children's most recent Community Health Needs Assessment, Boston Children's had failed to identify resources the Hospital plans to commit to address each significant health need that the Hospital plans to address. In April and May 2024, Boston Children's revised its implementation strategy to identify resources the Hospital plans to commit to address each significant health need that the Hospital plans to address.
Schedule H (Form 990) 2023
Additional Data


Software ID:  
Software Version:  

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
2023
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) Africano Waltham (African Cultural Services Inc)
PO Box 540325
Waltham,MA02451
27-3145250 501(c)(3) 50,000 0     Community Partnership
(2) Autism Insurance Resource Center
55 Lake Avenue North S3-301
Worcester,MA01655
04-3108190 GOVT 15,000 0     Support of Community Health Center
(3) Boston Alliance of Gay Lesbian Bisexual and Transgender Youth
28 Court Square
Boston,MA02108
04-2785336 501(c)(3) 50,000 0     Community Partnership
(4) Boston Centers for Youth and Families
75 Newbury Street 3rd Floor
Boston,MA02116
04-2602576 501(c)(3) 50,000 0     Community Partnership
(5) Boston Chinatown Neighborhood Center
38 Ash Street
Boston,MA02111
23-7209691 501(c)(3) 324,448 0     Community Partnership
(6) Boston Community Pediatrics
527 Albany Street Suite 200
Boston,MA02118
84-3091463 501(c)(3) 57,500 0     Community Partnership
(7) Boston Housing Authority
52 Chauncy Street 10th Floor
Boston,MA02111
04-6001907 GOVT 170,000 0     Community Partnership
(8) Boston Municipal Research Bureau
333 Washington Street Suite 854
Boston,MA02108
22-2673755 501(c)(3) 8,750 0     Community Partnership
(9) Boston Opportunity Agenda
75 Arlington Street 3rd Floor
Boston,MA02116
04-2104021 501(c)(3) 200,000 0     Community Partnership
(10) Boston Private Industry Council
2 Oliver Street
Boston,MA02109
04-2676661 501(c)(3) 49,995 0     Community Partnership
(11) Boston Public Health Commission
1010 Massachusetts Avenue 2nd Floor
Boston,MA02118
04-3316655 GOVT 410,000 0     Community Partnership
(12) Boston Public Schools
95 G Street
Boston,MA02127
04-6001380 GOVT 822,000 0     Community Partnership
(13) Bowdoin Street Community Health Center
230 Bowdoin Street
Dorchester,MA02122
04-2529788 501(c)(3) 92,500 0     Support of Community Health Center
(14) Brazilian Women's Group
697 Cambridge Street Suite 106
Brighton,MA02135
04-3549382 501(c)(3) 10,000 0     Community Partnership
(15) Brazilian Worker's Center
14 Harvard Avenue 2nd Floor
Allston,MA02134
04-3273525 501(c)(3) 10,000 0     Community Partnership
(16) Bridge Over Troubled Waters
47 West Street
Boston,MA02111
04-2472126 501(c)(3) 10,000 0     Community Partnership
(17) Bridges Homeward
60 Gore Street
Cambridge,MA02141
04-2104057 501(c)(3) 105,000 0     Community Partnership
(18) Brockton Interfaith Community
1350 Pleasant Street
Brockton,MA02301
22-3135464 501(c)(3) 171,738 0     Community Partnership
(19) Brockton Neighborhood Health Center
63 Main Street
Brockton,MA02301
04-3165044 501(c)(3) 200,000 0     Support of Community Health Center
(20) Brookside Community Health Center
3297 Washington Street
Jamaica Plain,MA02130
04-2312909 501(c)(3) 73,580 0     Support of Community Health Center
(21) Brookview House
2 Brookview Street
Dorchester,MA02124
22-3032466 501(c)(3) 50,000 0     Community Partnership
(22) Cape Verdean Women United Inc
PO Box 264
Brockton,MA02303
81-3674949 501(c)(3) 100,000 0     Community Partnership
(23) Charles River Community Health
495 Western Avenue
Brighton,MA02135
23-7221597 501(c)(3) 112,500 0     Support of Community Health Center
(24) Children's Services of Roxbury
520 Dudley Street
Roxbury,MA02119
04-3082352 501(c)(3) 150,000 0     Community Partnership
(25) City of Boston
95 G Street
Boston,MA02127
04-6001380 GOVT 2,007,287 0     Community Partnership
(26) City of Boston - Fund for Parks & Recreation
95 G Street
Boston,MA02127
04-6001380 GOVT 280,000 0     Community Partnership
(27) City of Boston - Office of Early Childhood
95 G Street
Boston,MA02127
04-6001380 GOVT 200,000 0     Community Partnership
(28) City of Boston - Office of Youth Engagement & Advancement (OYEA)
95 G Street
Boston,MA02127
04-6001380 GOVT 125,000 0     Community Partnership
(29) Codman Square Health Center
637 Washington Street
Dorchester,MA02124
04-2678774 501(c)(3) 250,000 0     Support of Community Health Center
(30) Crossroads for Kids
119 Myrtle Street
Duxbury,MA02332
04-2103837 501(c)(3) 50,000 0     Community Partnership
(31) Doc Wayne Youth Services
418 Commonwealth Avenue
Boston,MA02215
27-4216064 501(c)(3) 50,000 0     Community Partnership
(32) Dot House Health
1353 Dorchester Avenue
Dorchester,MA02122
23-7125970 501(c)(3) 357,276 0     Community Partnership
(33) Dudley Street Neighborhood Initiative Inc
550 Dudley Street
Roxbury,MA02119
04-2859066 501(c)(3) 331,455 0     Community Partnership
(34) East Boston Social Centers
68 Central Square
Boston,MA02128
04-2104257 501(c)(3) 200,000 0     Community Partnership
(35) Families First
50 Hunt Street Suite 320
Watertown,MA02472
04-3413397 501(c)(3) 100,000 0     Community Partnership
(36) Family Aid Boston
3815 Washington Street
Boston,MA02130
04-2105756 501(c)(3) 10,000 0     Community Partnership
(37) Family Voices
The Schrafft Center 529 Main Street
Suite 1M3
Boston,MA02129
85-0430800 501(c)(3) 15,000 0     Advocacy Support
(38) First Teacher
89 South Street Suite 700
Boston,MA02111
04-2261109 501(c)(3) 50,000 0     Community Partnership
(39) Freedom House
5 Crawford Street
Boston,MA02121
04-2240448 501(c)(3) 50,000 0     Community Partnership
(40) Friends and Mentors
39 Orchard Avenue
Brockton,MA02301
82-2395095 501(c)(3) 150,000 0     Community Partnership
(41) Friends of the Children Boston
184 Dudley Street Suite 100
Roxbury,MA02119
20-1581289 501(c)(3) 55,000 0     Community Partnership
(42) Greater Boston Chamber of Commerce
265 Franklin Street 12th Floor
Boston,MA02110
04-1103090 501(c)(6) 13,000 0     Community Partnership
(43) Greatest MINDS
89 South Street Suite 601
Boston,MA02111
20-1308560 501(c)(3) 25,000 0     Community Partnership
(44) Heading Home
186 Massachusetts Avenue
Boston,MA02115
23-7364546 501(c)(3) 10,000 0     Community Partnership
(45) Health Care for All
One Federal Street 5th Floor
Boston,MA02110
04-3071598 501(c)(3) 30,000 0     Advocacy Support
(46) Health Law Advocates
One Federal Street
Boston,MA02110
04-3298116 501(c)(3) 25,000 0     Advocacy Support
(47) Health Resources in Action
95 Berkeley Street
Boston,MA02116
04-2229839 501(c)(3) 34,657 0     Community Partnership
(48) Healthcare Anchor Network
2202 18th Street NW Suite 317
Washington,DC20009
86-2147253 501(c)(3) 50,000 0     Community Partnership
(49) Higher Ground
384 Warren Street
Roxbury,MA02119
27-3660369 501(c)(3) 334,000 0     Community Partnership
(50) Hyde Square Task Force
PO Box 301871
Jamaica Plain,MA02130
04-3118543 501(c)(3) 27,500 0     Community Partnership
(51) Immigrant Family Services Institute
1626 Blue Hill Avenue
Mattapan,MA02126
47-4400495 501(c)(3) 150,000 0     Community Partnership
(52) Inquilinos Boricuas en Accin
405 Shawmut Avenue
Boston,MA02118
23-7090081 501(c)(3) 25,000 0     Community Partnership
(53) Jamaica Plain Neighborhood Development Corporation
31 Germania Street
Jamaica Plain,MA02130
04-2652919 501(c)(3) 305,463 0     Community Partnership
(54) Jamaica Plain Tree of LifeArbol de Vida
36 Perkins Street
Jamaica Plain,MA02130
04-2754281 501(c)(3) 20,000 0     Support of Community Health Center
(55) Leap Self Defense
PO Box 220663
Boston,MA02122
04-3454124 501(c)(3) 25,000 0     Community Partnership
(56) Madison Park Development Corporation
184 Dudley Street Suite 200
Roxbury,MA02119
23-7164223 501(c)(3) 97,390 0     Community Partnership
(57) Massachusetts Affordable Housing Alliance
1803 Dorchester Avenue
Dorchester,MA02124
22-3042637 501(c)(3) 150,000 0     Community Partnership
(58) Massachusetts Association for Mental Health
50 Federal Street 6th Floor
Boston,MA02110
04-2104711 501(c)(3) 12,500 0     Community Partnership
(59) Massachusetts Budget and Policy Center
1 State Street Suite 1250
Boston,MA02109
04-2967537 501(c)(3) 25,000 0     Advocacy Support
(60) Massachusetts Law Reform Institute
40 Court Street Suite 700
Boston,MA02108
04-6004303 501(c)(3) 10,000 0     Advocacy Support
(61) Massachusetts Public Health Association
14 Beacon Street Suite 706
Boston,MA02108
04-2326503 501(c)(3) 10,000 0     Community Partnership
(62) Massachusetts Society for the Prevention of Cruelty to Children
125 Hartwell Avenue Suite 1
Lexington,MA02421
04-2103596 501(c)(3) 296,727 0     Advocacy Support
(63) Massachusetts Taxpayers Foundation
333 Washington Street Suite 853
Boston,MA02108
04-1590310 501(c)(3) 10,000 0     Advocacy Support
(64) Mathematica
955 Massachusetts Avenue Suite 801
Cambridge,MA02139
22-2112296 501(c)(3) 186,690 0     Community Partnership
(65) Mattapan Community Health Center
1575 Blue Hill Avenue
Mattapan,MA02126
04-2544151 501(c)(3) 92,500 0     Support of Community Health Center
(66) Mission Safe A New Beginning
PO Box 201060
Boston,MA02120
04-3457195 501(c)(3) 100,000 0     Community Partnership
(67) More Than Words
56 Felton Street
Waltham,MA02453
04-2784985 501(c)(3) 10,000 0     Community Partnership
(68) Mothers for Justice and Equality
2201 Washington Street Suite 307
Roxbury,MA02119
45-3741482 501(c)(3) 50,000 0     Community Partnership
(69) NeighborHealth
10 Gove Street
Boston,MA02128
23-7425849 501(c)(3) 57,500 0     Community Partnership
(70) Neighborhood Birth Center
42 Seaverns Ave PO Box 301240
Boston,MA02130
04-2433182 501(c)(3) 52,663 0     Community Partnership
(71) Neighborhood Villages
64 Sigourney Street
Jamaica Plain,MA02130
82-1859365 501(c)(3) 100,000 0     Community Partnership
(72) Nurtury Inc
2202 Washington Street Suite 306
Roxbury,MA02119
04-2105893 501(c)(3) 49,938 0     Community Partnership
(73) Peer Health Exchange
1423 Broadway Suite 1059
Oakland,CA94612
56-2374305 501(c)(3) 52,500 0     Community Partnership
(74) Project RIGHT
320 A Blue Hill Avenue
Boston,MA02121
04-3265420 501(c)(3) 50,000 0     Community Partnership
(75) Raising a Reader Massachusetts
3 School Street 3rd Floor
Boston,MA02108
80-0297898 501(c)(3) 131,028 0     Community Partnership
(76) Rose Conservatory
1350 Pleasant Street
Brockton,MA02301
86-2501641 501(c)(3) 109,016 0     Community Partnership
(77) Silver Lining Mentoring
727 Atlantic Avenue 3rd Floor
Boston,MA02111
04-3575764 501(c)(3) 50,000 0     Community Partnership
(78) Simmons University School of Social Work
300 The Fenway
Boston,MA02115
04-2103629 501(c)(3) 198,871 0     Community Partnership
(79) Smart from the Start
68 Annunciation Road
Boston,MA02120
45-4952663 501(c)(3) 15,000 0     Advocacy Support
(80) Sociedad Latina
1530 Tremont Street
Mission Hill,MA02120
04-2678255 501(c)(3) 101,500 0     Community Partnership
(81) Somali Parents Advocacy Center for Education
15 Myrtle Street Apt 3
Everett,MA02149
84-2743083 501(c)(3) 30,000 0     Community Partnership
(82) South Cove Community Health Center
145 South Street
Boston,MA02111
04-2501818 501(c)(3) 50,000 0     Support of Community Health Center
(83) Southern Jamaica Plain Health Center
3297 Washington Street
Jamaica Plain,MA02130
04-2312909 501(c)(3) 102,500 0     Support of Community Health Center
(84) Springfield College Department of Social Work
263 Alden Street
Springfield,MA01109
04-2104329 501(c)(3) 85,255 0     Community Partnership
(85) Strategies for Children - Massachusetts
400 Atlantic Avenue
Boston,MA02110
04-3551406 501(c)(3) 50,000 0     Community Partnership
(86) The Basics
89 South Street Suite 700
Boston,MA02111
04-2261109 501(c)(3) 100,000 0     Community Partnership
(87) The Center for Teen Empowerment
130 Warren Street
Roxbury,MA02119
04-3091002 501(c)(3) 26,853 0     Community Partnership
(88) The Children's Trust
55 Court Street 4th Floor
Boston,MA02108
04-3123184 501(c)(3) 10,000 0     Community Partnership
(89) The City School
614 Columbia Road
Dorchester,MA02125
02-0532474 501(c)(3) 50,000 0     Community Partnership
(90) The Community Builders
185 Dartmouth Street 9th Floor
Boston,MA02116
04-2324773 501(c)(3) 55,000 0     Community Partnership
(91) The Dimock Center
55 Dimock Street
Roxbury,MA02119
04-3487835 501(c)(3) 107,500 0     Support of Community Health Center
(92) The NAN Project
125 Hartwell Avenue
Lexington,MA02421
04-2316924 501(c)(3) 100,000 0     Community Partnership
(93) UMass BIRCh Center
55 Lake Avenue North S3-301
Worcester,MA01655
04-3167352 GOVT 249,776 0     Support of Community Health Center
(94) UMass Donahue Institute
55 Lake Avenue North S3-301
Worcester,MA01655
04-3167352 GOVT 76,350 0     Support of Community Health Center
(95) Upham's Corner Health Center
415 Columbia Road
Dorchester,MA02125
04-2708670 501(c)(3) 92,500 0     Support of Community Health Center
(96) Urban College of Boston
2 Boylston Street 2nd Floor
Boston,MA02116
04-3403049 501(c)(3) 100,000 0     Community Partnership
(97) Urban Revival Inc dba City LifeVida Urbana
284 Amory Street
Jamaica Plain,MA02130
04-2660311 501(c)(3) 149,819 0     Community Partnership
(98) Vietnamese American Initiative for Development
42 Charles Street Suite E
Dorchester,MA02122
04-3289039 501(c)(3) 50,000 0     Community Partnership
(99) Vital Village Networks
801 Albany Street 2-N
Boston,MA02119
99-0482390 501(c)(3) 49,913 0     Community Partnership
(100) Voices of the Community
160 Hollis Street
Framingham,MA01702
20-1332310 501(c)(3) 99,909 0     Community Partnership
(101) Walker Inc
1968 Central Avenue
Needham,MA02492
04-2171186 501(c)(3) 199,674 0     Community Partnership
(102) Waltham Partnership for Youth Inc
617 Lexington Street
Waltham,MA02451
04-3399437 501(c)(3) 200,000 0     Community Partnership
(103) WATCH CDC
24 Crescent Street Suite 201
Waltham,MA02453
22-2918528 501(c)(3) 150,000 0     Community Partnership
(104) Wayside Youth & Family Support Network
1 Frederick Abbott Way
Framingham,MA01701
04-2630450 501(c)(3) 49,217 0     Community Partnership
(105) West End House
105 Allston Street
Allston,MA02134
04-2105825 501(c)(3) 55,000 0     Community Partnership
(106) Whittier Street Health Center
1290 Tremont Street
Boston,MA02120
04-2619517 501(c)(3) 43,000 0     Support of Community Health Center
(107) William James College
1 Wells Avenue
Newton,MA02459
04-2620216 501(c)(3) 253,000 0     Community Partnership
(108) Young Man with a Plan
1178 River Street
Boston,MA02136
88-1544048 501(c)(3) 75,000 0     Community Partnership
(109) Youth Advocacy Foundation
44 Bromfield Street 2nd Floor
Boston,MA02108
04-3583353 501(c)(3) 10,000 0     Advocacy Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
108
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2023

Schedule I (Form 990) 2023
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) A. Shuman Clothing Fund 995   509 FMV Emergency clothing
(2) Barber Family Endowment/Income Fund 1000   6,821 FMV Prep/distribution of promotional materials related to philanthropic programs managed by Center for Families.
(3) Brandano Parent Apartment Fund 4355   14,535 FMV Housing supplies for new apartment leases as part of the Patient Family Housing Fund.
(4) Broadway Sam Fund 1600   18,014 FMV Event tickets and weekly breakfast for families staying in patient housing
(5) Devon Nicole House Operating Fund 2   845 FMV Housing assistance
(6) Extraordinary Needs Fund 2 2803   413,788 FMV Emergency clothing/meals/personal supplies, parking vouchers, housing, caregiver webinars, bereavement programs.
(7) Family Wellness Fund 2957   209,968 FMV Wellness supplies and services for patients and their families
(8) Hale Center for Families Endowment Operating Fund 18783   248,552 FMV Staffing and supplies for children's events; gift cards for families
(9) Jennings Family Fund 950   11,528 FMV Catered meals for Patient Family Housing families
(10) Judith Nelson Endowment/Operating Fund for Families 18816   46,982 FMV Staffing in the Center for Families and Career for Caregivers training program
(11) Mannheim Family Endowment/Operating Fund 1670   10,194 FMV Support and supplies for Patient Family Housing program
(12) Milagros Para las Familias Fund 150   16,294 FMV Support groups and supplies for extraordinary needs of families
(13) Nursing Education Scholarship Fund 72 90,969      
(14) Patient Family Housing Fund 1670   123,209 FMV Maintenance expenses and supply costs for housing program.
(15) Pet Therapy Program Fund 5581   82,902 FMV Theurapeutic dog visits made to inpatients
(16) Philip Nelson Endowment Operating Fund 5581   16,381 FMV Dog lab expenses and travel
(17) Room to Heal Fund 18933   5,221 FMV Back-to-school supply bags & coffee hour supplies
(18) TAC Operating Fund 17   5,625 FMV Supplies and scholarships
(19) Telemachus & Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund 329   20,086 FMV PACT Hope program support and event supplies for Keeping Connections and Memorial services
(20) Yawkey Family Inn Fund 3757   386,443 FMV Housing assistance
(21) Amos's Endowment/Operating Fund 1200   6,465 FMV Website video production for Pawprints program
(22) Patient Care Support Services Endowment/Income Fund 780   268 FMV Books for visiting families
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2: Boston Children's Hospital provides three types of grants and assistance: (1) sponsorships, (2) scholarships, and (3) assistance programs. SPONSORSHIPS: Boston Children's supports external strategic partners that enhance Boston Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Boston Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Boston Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Boston Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Boston Children's has collaborated, or is collaborating, with 3. one of Boston Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Boston Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Boston Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Boston Children's secondary community health focus areas (early intervention, early childhood/elementary education) that Boston Children's has collaborated, or is collaborating, with 6. a business, civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes" investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Boston Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Boston Children's Hospital offers scholarship programs to support the educational goals of its employees and/or their immediate families. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Boston Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of need * Family status * Income factors * Clinical factors * Alternate resources available * Funding limits * Other relevant factors
Schedule I (Form 990) 2023



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes 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 .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
No
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
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, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Kevin Churchwell MD
President & CEO
(i)

(ii)
1,575,560
-------------
0
927,675
-------------
0
559,398
-------------
0
29,700
-------------
0
105,559
-------------
0
3,197,892
-------------
0
0
-------------
0
2Philip Rotner
Chief Investment Officer
(i)

(ii)
867,348
-------------
0
876,800
-------------
0
232,506
-------------
0
29,700
-------------
0
38,047
-------------
0
2,044,401
-------------
0
0
-------------
0
3Doug Vanderslice
EVP, CFO & Treasurer
(i)

(ii)
902,247
-------------
0
353,818
-------------
0
348,008
-------------
0
29,700
-------------
0
50,422
-------------
0
1,684,195
-------------
0
0
-------------
0
4Peter Laussen MD
EVP, Health Affairs
(i)

(ii)
839,522
-------------
0
253,052
-------------
0
162,973
-------------
0
33,000
-------------
0
60,916
-------------
0
1,349,463
-------------
0
0
-------------
0
5Michele Garvin Esq
EVP, Chief of Staff
(i)

(ii)
768,780
-------------
0
270,589
-------------
0
162,245
-------------
0
29,700
-------------
0
23,472
-------------
0
1,254,786
-------------
0
0
-------------
0
6Nancy Andrews
EVP, Chief Scientific Officer
(i)

(ii)
792,793
-------------
0
239,400
-------------
0
137,135
-------------
0
26,400
-------------
0
46,787
-------------
0
1,242,515
-------------
0
0
-------------
0
7Joseph A Mitchell MD
EVP & President, Franciscan's
(i)

(ii)
0
-------------
634,904
0
-------------
399,762
0
-------------
34,193
0
-------------
128,100
0
-------------
0
0
-------------
1,196,959
0
-------------
0
8Demosthenes Argys
EVP, Hospital Chief Operating Office
(i)

(ii)
732,464
-------------
0
216,971
-------------
0
136,446
-------------
0
29,700
-------------
0
22,148
-------------
0
1,137,729
-------------
0
0
-------------
0
9Laura J Wood DNP MS RN
EVP, Chief Nursing Officer
(i)

(ii)
673,992
-------------
0
199,386
-------------
0
131,686
-------------
0
29,700
-------------
0
44,950
-------------
0
1,079,714
-------------
0
0
-------------
0
10Lynn Susman
EVP, Chief Development Off
(i)

(ii)
572,766
-------------
0
292,843
-------------
0
107,399
-------------
0
36,300
-------------
0
29,418
-------------
0
1,038,726
-------------
0
0
-------------
0
11Lisa Abbott
EVP, Chief Human Resources Officer
(i)

(ii)
623,579
-------------
0
168,938
-------------
0
187,015
-------------
0
0
-------------
0
26,630
-------------
0
1,006,162
-------------
0
0
-------------
0
12Stacy Drury
Department Chief, Psychiatry
(i)

(ii)
521,792
-------------
0
427,708
-------------
0
1,377
-------------
0
36,300
-------------
0
7,067
-------------
0
994,244
-------------
0
0
-------------
0
13Sandra Fenwick
Former President & CEO
(i)

(ii)
0
-------------
0
0
-------------
0
939,289
-------------
0
0
-------------
0
0
-------------
0
939,289
-------------
0
939,289
-------------
0
14Martin Kelly
Director, Investments
(i)

(ii)
495,767
-------------
0
363,939
-------------
0
3,550
-------------
0
26,400
-------------
0
22,359
-------------
0
912,015
-------------
0
0
-------------
0
15Heather Nelson
SVP, Chief Information Off
(i)

(ii)
591,336
-------------
0
151,200
-------------
0
103,962
-------------
0
19,800
-------------
0
33,126
-------------
0
899,424
-------------
0
0
-------------
0
16Nirav Desai
Director, Investments
(i)

(ii)
461,157
-------------
0
340,707
-------------
0
1,282
-------------
0
23,100
-------------
0
22,803
-------------
0
849,049
-------------
0
0
-------------
0
17Cynthia Haines
SVP, National & International Servic
(i)

(ii)
540,132
-------------
0
138,048
-------------
0
105,353
-------------
0
26,400
-------------
0
29,628
-------------
0
839,561
-------------
0
0
-------------
0
18Lisa Hogarty
SVP, RE Planning and Devel
(i)

(ii)
501,089
-------------
0
186,244
-------------
0
92,265
-------------
0
26,400
-------------
0
30,190
-------------
0
836,188
-------------
0
0
-------------
0
19Patricia Hickey PhD MBA RN NEA-BC
SVP, Nursing/Patient Care
(i)

(ii)
566,841
-------------
0
124,805
-------------
0
91,502
-------------
0
39,600
-------------
0
9,368
-------------
0
832,116
-------------
0
0
-------------
0
20Nader Rifai PhD
Director, Lab Medicine
(i)

(ii)
502,002
-------------
0
158,007
-------------
0
7,465
-------------
0
36,300
-------------
0
16,294
-------------
0
720,068
-------------
0
0
-------------
0
21Steven Luber
SVP, Finance
(i)

(ii)
481,762
-------------
0
113,400
-------------
0
68,142
-------------
0
19,800
-------------
0
9,588
-------------
0
692,692
-------------
0
0
-------------
0
22Michael Gillespie
SVP, Clinical Services
(i)

(ii)
446,609
-------------
0
113,400
-------------
0
79,415
-------------
0
29,700
-------------
0
22,782
-------------
0
691,906
-------------
0
0
-------------
0
23August Cervini
SVP, Research Administration
(i)

(ii)
383,125
-------------
0
97,222
-------------
0
65,534
-------------
0
23,100
-------------
0
27,052
-------------
0
596,033
-------------
0
0
-------------
0
24Bruce Balter
Asst Treasurer/Dir Corp Fin
(i)

(ii)
292,776
-------------
0
19,173
-------------
0
3,720
-------------
0
38,293
-------------
0
16,465
-------------
0
370,427
-------------
0
0
-------------
0
25Daniel Nigrin MD
Former SVP & CIO
(i)

(ii)
0
-------------
0
0
-------------
0
315,203
-------------
0
0
-------------
0
0
-------------
0
315,203
-------------
0
315,203
-------------
0
26Christopher Viney JD
EVP, General Counsel & Sec
(i)

(ii)
114,425
-------------
0
60,000
-------------
0
437
-------------
0
18,616
-------------
0
1,760
-------------
0
195,238
-------------
0
0
-------------
0
27Christine Grenache
Asst Sec/Exec Manager (END TERM 6/30
(i)

(ii)
148,300
-------------
0
0
-------------
0
271
-------------
0
9,316
-------------
0
8,839
-------------
0
166,726
-------------
0
0
-------------
0
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a One key employee received a gross-up payment for temporary housing, which is included in taxable compensation reported in Part II, Column (B)(iii).
Part I, Line 4b Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Director or Officer of the Board services and/or responsibilities. During calendar year 2023, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals below: Kevin Churchwell, MD received a contribution of $482,116 Philip Rotner received a contribution of $204,300 Douglas Vanderslice received a contribution of $246,666 Peter Laussen, MD received a contribution of $127,220 Michele Garvin received a contribution of $123,124 Nancy Andrews received a contribution of $110,628 Demosthenes Argys received a contribution of $102,000 Laura Wood received a contribution of $97,485 Lynn Susman received a contribution of $76,200 Lisa Abbott received a contribution of $57,803 Heather Nelson received a contribution of $73,746 Cynthia Haines received a contribution of $71,374 Lisa Hogarty received a contribution of $58,941 Patricia Hickey received a contribution of $57,087 Steven Luber received a contribution of $44,690 Michael Gillespie received a contribution of $49,685 August Cervini received a contribution of $39,386 During calendar year 2023, the following individuals received supplemental executive retirement plan distributions: Sandra Fenwick received a distribution of $939,289 Daniel Nigrin received a distribution of $315,203 During calendar year 2023, Franciscan Hospital for Children, a related organization of Children's Hospital Corporation, made contributions to the supplemental non-qualified retirement plan for the individual below: Joseph A. Mitchell, MD received a contribution of $127,100
Schedule J (Form 990) 2023

Additional Data


Software ID:  
Software Version:  

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
Attach to Form 990.

Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A MHEFA Revenue Bonds Series 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 Q
 
04-3431814 57584YQ69 07-11-2014 50,255,000 New building construction & renovations   X   X   X
C MDFA Revenue Bonds Series S
 
04-3431814 NoneAvail 12-19-2017 135,215,000 Refunded Series M   X   X   X
D MDFA Revenue Bonds Series T U1 U2 V
 
04-3431814 57585BAA6 02-08-2024 905,065,000 New building construction & renovations, refunded Series N, O, R   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 341,590,000 50,255,000 134,703,799 968,498,069
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ............... 339,564,138   134,192,598 466,730,000
7 Issuance costs from proceeds ............... 2,025,862 255,000 511,201 4,918,246
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   50,000,000   447,333,554
11 Other spent proceeds .............        
12 Other unspent proceeds .............       49,516,269
13 Year of substantial completion ............. 2010 2016 2017 2025
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 2020, 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 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2023

Schedule K (Form 990) 2023
Page 2
Part
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
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
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 the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) 2023

Schedule K (Form 990) 2023
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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
 
 
 
 
Bank of America
NA
c Term of hedge ......... 3000.0000000000 %     700.0000000000 %
d Was the hedge superintegrated? ......   X           X
e Was the hedge terminated? ........   X           X
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
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
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: 09/30/2021 Issuer Name: MDFA, Revenue Bonds Series Q Date the Rebate Computation was Performed: 09/30/2023 Issuer Name: MDFA, Revenue Bonds Series S Date the Rebate Computation was Performed: 12/01/2024
Part I, Line (D), Column (c) MDFA, Revenue Bond Series T, U1, U2, V: Series T CUSIP #: 57585BAA6, 57585BAB4, 57585BAC2 Series U-1 CUSIP #: 57584Y8H5 Series U-2 CUSIP #: 57584Y8K8 Series V CUSIP #: 57584Y8G7
Schedule K (Form 990) 2023

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) Demosthenes Argys Key Employee Advance for expenses   X 35,000 35,000   No Yes   Yes  
Total ............... $ 35,000
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2023
Schedule L (Form 990) 2023
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Bernard Mathey-Prevot Family member of key employee 87,279 Employment   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2023


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image 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
2023
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 72,650 Market value per donor
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 308 20,853,851 Mean value on gift date
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles ..... X 24 12,210 Market value per donor
19 Food inventory ... X 2 25,986 Market value per donor
20 Drugs and medical supplies . X 40 1,402,192 Market value per donor
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Travel/Dining ) X 26 151,850 Market value per don
26 Other Right pointing arrow large image ( Miscellaneous ) X 19 70,890 Market value per don
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization 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) (2023)
Schedule M (Form 990) (2023)
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, Column (b): The number reported in Column (b) is the number of contributions received for the type of property listed.
Part I, Line 32b: The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction.
Part I, Line 33: The Hospital may receive items such as books, stuffed animals and video games that are donated to the units - these items are de minimus and values are not available so they are not reported in revenues.
Schedule M (Form 990) (2023)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Return Reference Explanation
Part III, Line 1 Mission Founded in 1869, Boston Children's is one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, with its main campus located in the Longwood Medical Area. Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. Boston Children's has been and will continue to be the world leader in compassionate, equitable, family-centered care and science. Our vision and goal are to lead change in the care and well-being of children through cutting edge research, state of the art innovative clinical care and diagnostics and the development of new drugs, therapeutics and devices to treat and cure what is not currently treatable, and to solve the problems of tomorrow. Boston Children's serves a unique role in the pediatric landscape and adds value across our four mission pillars. -CARING for children we are uniquely able to serve, delivering superior outcomes in pediatrics relative to national peers, and caring for an increasingly complex pediatric population. -RESEARCH to develop new treatments and improve child health, running the world's largest pediatric research enterprise and leveraging our research to directly impact patient care. -TEACHING the next generation of leading pediatric care providers, serving as Harvard Medical School's primary pediatric teaching hospital, and filling a critical role in training sub-specialists. -Serving the COMMUNITY as a care provider, collaborator, investor, and economic contributor; offering the only large PICU and 24/7 pediatric intensivist care in New England, serving as a safety net hospital for Massachusetts Medicaid; keeping care local and lower cost by decreasing our inpatient admissions from local/regional areas and providing back-up support to other hospitals; investing in community education and support (collaborate with schools); attracting jobs and funding to the Boston and Massachusetts economies. In 2024, U.S. News & World Report ranked Boston Children's among the best in the nation, based on a wide range of factors, including reputation among pediatric specialists, medical outcomes, and care-related indicators of quality, such as nurse staffing and the availability of specialized services. This marks more than 20 years that we have earned our Top 10 spot on that esteemed list. This is also the first year that U.S. News has included Pediatric & Adolescent Behavioral Heath as a specialty, and Boston Children's is among the nation's best. In 2024, Boston Children's was also named the #1 pediatric hospital in the world by Newsweek on their list of the "World's Best Specialized Hospitals." In 2008, 2012, 2017, and 2022, Boston Children's achieved Magnet Recognition from the American Nurses Credentialing Center. For the eighth year in a row, Boston Children's was selected as a Leader in LGBTQ Healthcare Equality by Healthcare Equality Index (HEI).
Form 990, Part VI, Section A, line 4 The organization's bylaws were updated to expand the size of the board and add term limits.
Form 990, Part VI, Section A, line 6 Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7a Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets or the Hospital; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties.
Form 990, Part VI, Section B, line 11b The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the President & Chief Executive Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing.
Form 990, Part VI, Section B, line 12c The Hospital's Conflict of Interest and Commitment policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, volunteers and employees of the Hospital. Directors, chiefs of service and division chiefs, senior directors and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the policies of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he/she has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he/she has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he/she has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his/her time and effort as to make it impractical for them to fulfill their assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15 The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: President & Chief Executive Officer Chief Investment Officer Executive Vice President, Enterprise Services, System Chief Financial Officer Executive Vice President, Health Affairs Executive Vice President, Chief of Staff Executive Vice President, Chief Scientific Officer Executive Vice President, Hospital COO, Satellite & Ambulatory Operations Executive Vice President, Patient Care Operations, System Chief Nursing Officer Executive Vice President & President, Boston Children's Hospital Trust, Chief Development Officer Executive Vice President, Chief Human Resources Officer Senior Vice President, Chief Information Officer Senior Vice President, Real Estate Planning & Development Senior Vice President, Finance Senior Vice President, Research Administration Executive Vice President, System General Counsel The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting.
Form 990, Part VI, Section C, line 19 The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board.
Form 990, Part IX, line 11g Ambulance Services: Program service expenses 59,914. Management and general expenses 319. Fundraising expenses 0. Total expenses 60,233. Catering Services: Program service expenses 1,088,447. Management and general expenses 1,323,681. Fundraising expenses 32,643. Total expenses 2,444,771. Collection Agency Fees: Program service expenses 192,282. Management and general expenses 1,866,885. Fundraising expenses 0. Total expenses 2,059,167. Consulting Services: Program service expenses 6,880,228. Management and general expenses 7,885,610. Fundraising expenses 202,164. Total expenses 14,968,002. Employment Agency Services: Program service expenses 2,147,131. Management and general expenses 1,634,089. Fundraising expenses 144,297. Total expenses 3,925,517. Environmental Services: Program service expenses 492,373. Management and general expenses 1,498,209. Fundraising expenses 0. Total expenses 1,990,582. Laundry Services: Program service expenses 214,719. Management and general expenses 101,419. Fundraising expenses 0. Total expenses 316,138. Misc. Purchased Services: Program service expenses 104,202,990. Management and general expenses 65,636,778. Fundraising expenses 785,505. Total expenses 170,625,273. Nursing Agency Fees: Program service expenses 29,115,727. Management and general expenses -10,549. Fundraising expenses 0. Total expenses 29,105,178. Purchased Medical Services: Program service expenses 143,545,807. Management and general expenses 30,091,316. Fundraising expenses 0. Total expenses 173,637,123. Purchased Research Services: Program service expenses 82,521,139. Management and general expenses -291,871. Fundraising expenses 0. Total expenses 82,229,268. Security Services: Program service expenses 23,037,597. Management and general expenses 3,442,215. Fundraising expenses 0. Total expenses 26,479,812. Temp Agency Fees: Program service expenses 19,909,825. Management and general expenses 1,365,920. Fundraising expenses 75,038. Total expenses 21,350,783.
Form 990, Part XI, line 9: Net transfers/support from Children's Medical Center 85,515,057. Pension adjustment 32,982,410. Net assets released from restrictions -4,645,914. Extinguishment of debt -2,115,291. Net transfers 9,373,949.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


Additional Data


Software ID:  
Software Version:  
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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2023
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 53,922,053 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 2,522,835 Children's Hospital Corporation
 
(4) BCH Washington Street LLC
300 Longwood Avenue
Boston,MA02115
81-4382781
Real Estate Holdings MA 0 0 Children's Hospital Corporation
 
(5) BCH Pearl Street LLC
300 Longwood Avenue
Boston,MA02115
81-4393086
Real Estate Holdings MA 0 0 Children's Hospital Corporation
 
(6) BCH Brookline Ave LLC
300 Longwood Avenue
Boston,MA02115
81-4457294
Real Estate Holdings MA 0 0 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 0 6,965,992 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 20,392,495 8,182,044 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 172,964,323 94,804,224 Children's Medical Center Corp
 
(14) Boston Children's Health Solutions RX LLC
300 Longwood Avenue
Boston,MA02115
86-1408128
Specialty Pharmacy MA 89,915,210 13,954,377 Children's Hospital Corporation
 
(15) Boston Children's Health National LLC
300 Longwood Avenue
Boston,MA02115
93-3063006
Healthcare MA 13,020,557 0 Children's Medical Center Corp
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

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

Boston,MA02115
04-1174680
Holds & manages security, real estate investments for Children's Hospital MA 501(c)(3) Line 12b, II N/A
 
No
(2)Longwood Research Institute Inc
300 Longwood Avenue

Boston,MA02115
04-2781368
Medical & scientific research; holds real estate investments MA 501(c)(3) Line 12b, II Children's Medical Center Corporation
 
 
No
(3)CHB Properties Inc
300 Longwood Avenue

Boston,MA02115
04-3323330
Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) 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 12c, III-FI 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 12a, I Children's Medical Center Corporation
 
 
No
(8)BIDMCChildren's Hospital Medical Care Corp
300 Longwood Avenue

Boston,MA02115
04-3200113
Pediatric Health Care, Education & Research MA 501(c)(3) Line 12a, I 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 12a, I 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 12a, I 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
(12)Boston Children's Network Specialty Physicians Inc
300 Longwood Avenue

Boston,MA02115
88-1343469
Healthcare MA 501(c)(3) Line 10 Children's Hospital Corporation
 
 
No
(13)Franciscan Hospital for Children Inc
30 Warren Street

Brighton,MA02135
04-2156082
Pediatric Rehabilitation and Behavioral Health MA 501(c)(3) Line 3 Children's Medical Center Corporation
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) Florida Children's Health LLC

300 Longwood Avenue
Boston,MA02115
Pediatric healthcare DE N/A
N/A       No     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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Franciscan Pediatrics Inc

30 Warren Street
Brighton,MA02135
04-3160358
Healthcare MA Franciscan Hospital for Children Inc
 
C         No












Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Boston Children's Network Specialty Physicians Inc

S 11,905,699 FMV





Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
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) 2023

Additional Data


Software ID:  
Software Version: