Franciscan Children's
Overview
Mission
To provide compassionate, personalized, family-focused care and education for children with special health care needs.
What it reported doing in 2023
Inpatient: Franciscan Children's Hospital provides comprehensive medical, mental health, educational, and specialized services tailored to meet the unique needs of a pediatric population with special needs in eastern Massachusetts. In FY24, the hospital experienced 824 admissions, with patients receiving care across a wide spectrum of services. These services are crucial for children requiring long-term rehabilitation, behavioral health interventions, or complex medical care. Over the course of the year, the hospital provided a total of 27,386 patient days, reflecting the extensive and intensive care required by these vulnerable children. The inpatient services are designed to offer a holistic approach, ensuring that each child's medical and psychological needs are met within asupportive and nurturing environment.
Operating model
- Revenue model
- Earned-program. 89% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The nonprofit carried out 100% of its reported program work directly.
Nonprofit profile at a glance
- EIN
- 042156082
- IRS 990 coverage
- 2009–2023
- Website reviewed
- Jul 2026
- Forms available
- Form 990 2023
- Headquarters
- Brighton, MA, USA
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Standard
- Sector
- Hospitals
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 67
- Transparency & Controls: 74
- Accountability: 88
- Sustainability: 49
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 69%; rating input score 69
- Program expense ratio: 71.9%; rating input score 72
- Fundraising efficiency: $10.84 raised per $1 spent on fundraising; rating input score 44; 44th percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
- Public monitoring controls: 0 of 8 controls in place; rating input score 0
- Public policy transparency: 0 of 7 controls in place; rating input score 0
- Public financial transparency: 0 of 5 controls in place; rating input score 0
- Impact reporting controls: 0 of 7 controls in place; rating input score 0
- Public relationship transparency: Yes; rating input score 100
Accountability
- Independent voting board: 90%; rating input score 90; 38th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Public governance controls: 2 of 5 controls in place; rating input score 40
- Zakat policy transparency: Limited
Sustainability
- Operating margin: 2.8%; rating input score 51; 51st percentile among comparable filings
- Operating reserve ratio: 1.46; rating input score 53; 53rd percentile among comparable filings
- Liabilities to assets ratio: 0.19; rating input score 72; 72nd percentile among comparable filings
- Officer compensation ratio: 6.5%; rating input score 8; 8th percentile among comparable filings
Growth
- Program expense growth: 3.5% per year; rating input score 100; 28th percentile among comparable filings
- Revenue growth: 5% per year; rating input score 100; 44th percentile among comparable filings
- Asset growth: 10.3% per year; rating input score 100; 71st percentile among comparable filings
Details
- What they do: Mission, programs, and operating context captured from the official website.
- Where the money goes: 69% of revenue deployed · 71.9% of spending went to programs
- Governance: 18 of 20 board members independent · 9 of 9 filing controls reported
- Programs: 4 filed program accomplishments · $66.3M in reported program spending
- Leadership: top reported pay $1.2M · 32 people listed · 4 of 6 pay-setting controls reported
- Consistency: 33 of 33 current checks pass
- Schedules: 10 filed schedules · includes major donors and executive pay
- Filing history: 15 annual filings from 2009 to 2023
- Money network: 14 filed money-flow records
- Related organizations: 7 filed related-organization links