Franciscan Children's

Legal name: Franciscan Hospital for Children

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 filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

Nonprofit profile at a glance

EIN
042156082
IRS 990 coverage
2009–2023
Official website data refreshed
Sep 2026
Forms available
Form 990 2023
Headquarters
Brighton, MA, USA
Phone
6172543800
Rating
80
Verdict
STRONG
Rating confidence
Standard
Sector
Hospital, Specialty

Official website

The verdict

STRONG - The filed numbers largely add up and a large share of available resources goes toward mission work. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 67
  • Transparency & Controls: 90
  • Accountability: 94
  • 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; 68th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party 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
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.8%; rating input score 51; 51st percentile among comparable filings
  • Total-asset coverage 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
  • Highest-paid contractors: 5 contractors listed · $8.4M 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
  • Contacts: How to reach this organization
  • Money network: 14 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Leadership & pay

32 people listed

Highest reported compensation

  • Joseph A Mitchell MD (President & CEO): $1,196,959 total reported compensation
  • Jane O'Brien MD (Chief Medical Officer): $494,811 total reported compensation
  • Robert Crosby (Former CFO): $482,739 total reported compensation

Source: IRS Form 990. Selected filing: FY2023.