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CHILDRENS HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202501349349313390
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-14T21:49:49-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN991856619PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON ADVISORS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12850 QUARRY LAKE DRIVE SUITE 306AddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21209ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530196580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone3015723502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALDWIN LINDSAYPersonNm
Person TitleCFOPersonTitleTxt
Phone3015723502PhoneNum
Signature2025-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S NATIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHELLE RILEY-BROWN MHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,774,870,540GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSNATIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1870FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee9664TotalEmployeeCnt
Total Volunteers1232TotalVolunteersCnt
Total Gross UBI$1,685,807TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$54,165,516PYContributionsGrantsAmt
CY Contributions Grants$68,530,658CYContributionsGrantsAmt
PY Program Service Revenue$1,502,472,344PYProgramServiceRevenueAmt
CY Program Service Revenue$1,629,536,880CYProgramServiceRevenueAmt
PY Investment Income$7,449,655PYInvestmentIncomeAmt
CY Investment Income$11,184,261CYInvestmentIncomeAmt
PY Other Revenue-$1,855,584PYOtherRevenueAmt
CY Other Revenue$9,560,079CYOtherRevenueAmt
PY Total Revenue$1,562,231,931PYTotalRevenueAmt
CY Total Revenue$1,718,811,878CYTotalRevenueAmt
PY Grants And Similar Paid$175,065PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$874,349,566PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$946,377,644CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$643,413,803PYOtherExpensesAmt
CY Other Expenses$697,299,673CYOtherExpensesAmt
PY Total Expenses$1,517,938,434PYTotalExpensesAmt
CY Total Expenses$1,643,677,317CYTotalExpensesAmt
PY Revenues Less Expenses$44,293,497PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$75,134,561CYRevenuesLessExpensesAmt
Total Assets BOY$2,228,485,013TotalAssetsBOYAmt
Total Assets EOY$2,333,479,544TotalAssetsEOYAmt
Total Liabilities BOY$1,366,024,806TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,368,174,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$862,460,207NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$965,304,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,244,076,520ExpenseAmt
Revenue$1,627,733,713RevenueAmt
DescCHILDREN'S HOSPITAL DBA CHILDREN'S NATIONAL HOSPITAL OPERATES AN ACUTE CARE PEDIATRIC AND TEACHING FACILITY IN WASHINGTON, DC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL IS THE PARENT COMPANY OF THE HOSPITAL. CHILDREN'S NATIONAL AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND YOUTH IN WASHINGTON, DC AND THE SURROUNDING METROPOLITAN AREA. SEE SCHEDULE H, PART VI FOR COMPLETE FY24 COMMUNITY BENEFIT REPORT.Desc
Total Program Service Expenses$1,244,076,520TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document868IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9664EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATE OFFICERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3015723502PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHELLE RILEY-BROWN
PRESIDENT/CEO FROM 07/2343.0012.00Yes (X)Yes (X)$843,121$0$15,887
AMY FREEMAN
BOARD CHAIRMAN2.001.00Yes (X)Yes (X)$0$0$0
PAUL KALB MD
BOARD VICE CHAIRMAN1.000.00Yes (X)Yes (X)$0$0$0
ELLIE HAMBURGER MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
ARTENCIA HAWKINS-BELL
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARY GEN LEDECKY
BOARD MEMBER1.000.00Yes (X)$0$0$0
AMANDA LELAND
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARSHA REGENSTEIN
BOARD MEMBER1.004.00Yes (X)$0$0$0
HORACIO ROZANSKI
BOARD MEMBER1.004.00Yes (X)$0$0$0
JERRY STOUCK
BOARD MEMBER1.000.00Yes (X)$0$0$0
IVY WAFFORD DUKE
BOARD MEMBER1.000.00Yes (X)$0$0$0
ALDWIN LINDSAY
EVP/CFO37.0018.00Yes (X)$1,138,312$0$135,445
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER38.0017.00Yes (X)$932,977$0$126,033
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE45.0010.00$1,577,071$0$212,681Yes (X)
DAVID WESSEL MD
CHIEF MEDICAL OFFICER53.002.00$1,250,087$0$54,492Yes (X)
DEANN MARSHALL
PRESIDENT OF FOUNDATION1.0054.00$1,019,162$0$104,508Yes (X)
ELIZABETH WELLS
SVP CENTER OF EXCELLENCE54.001.00$656,503$0$48,270Yes (X)
NATHANIEL BEERS MD
PRESIDENT OF HSC1.0054.00$843,320$0$134,498Yes (X)
MICHELLE M MCGUIRE
CHIEF STRATEGY OFFICER TO 12/2354.001.00$864,599$0$139,462Yes (X)
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER TO 12/2354.001.00$955,553$0$49,442Yes (X)
MATTHEW MACVEY
CHIEF INFO OFFICER54.001.00$763,612$0$136,889Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER54.001.00$762,525$0$106,486Yes (X)
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER TO 09/2315.0040.00$818,162$0$26,801Yes (X)
CATHERINE CODISPOTI MD
CHIEF PEOPLE OFFICER TO 10/2354.001.00$652,532$0$42,580Yes (X)
YVES D'UDEKEM D'ACOZ MD
CHIEF OF CARDIO SURGERY55.001.00$2,329,784$0$47,484Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY54.001.00$1,191,135$0$43,839Yes (X)
JOHN S MYSEROS
ASSOC. CHIEF OF NEUROSURGERY55.000.00$989,680$0$37,863Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY55.000.00$1,139,684$0$49,184Yes (X)
MARK L BATSHAW MD
SENIOR INVESTIGATOR53.002.00$1,035,577$0$38,308Yes (X)
KURT D NEWMAN MD
FORMER PRESIDENT / CEO (CNMC)54.001.00$3,000,204$0$46,404Yes (X)
DENICE CORA-BRAMBLE MD
FMR CHIEF MEDICAL OFFICER54.001.00$319,655$0$37,324Yes (X)
KATHLEEN CHAVANU GORMAN
FORMER CHIEF OPERATING OFFICER52.003.00$1,259,773$0$143,036Yes (X)
ROGER PACKER MD
FORMER SVP CENTER OF EXCELLENCE53.000.00$921,243$0$47,984Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$25,264,271TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,824,900TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2595IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117INFORMATION TECHNOLOGY$20,028,219
ORACLE AMERICA INC
PO BOX 203448DALLASTX753203448INFORMATION TECHNOLOGY$6,313,007
ARAMARK SERVICES INC
2400 KARKET STREETPHILADELPHIAPA19103PURCHASED FOOD SERVICES$4,111,157
TAG B VALET PARKING LLC
610 10TH STREET NW SUITE 100WASHINGTONDC20001PARKING$3,282,883
QUEST DIAGNOSTIC CLINICAL LAB INC
PO BOX 829864PHILADELPHIAPA191828298PURCHASED LAB SERVICES$2,501,354
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K184CntrctRcvdGreaterThan100KCnt
Related Organizations$31,683,137RelatedOrganizationsAmt
Government Grants$8,934,509GovernmentGrantsAmt
All Other Contributions$27,913,012AllOtherContributionsAmt
Noncash Contributions$14,982NoncashContributionsAmt
Total Contributions$68,530,658TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$1,469,468,747$1,469,468,747
ALL OTHER PROGRAM SERV900099$160,068,133$160,068,133
FieldValueIRS element (for citing)
Total Program Service Revenue$1,629,536,880TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,564,810TotalRevenueColumnAmt
Exclusion$10,564,810ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,528,982RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,528,982RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,528,982TotalRevenueColumnAmt
Exclusion$3,528,982ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$54,842,813SecuritiesAmt
Other$1,835,300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$54,589,876SecuritiesAmt
Other$1,468,786OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$252,937SecuritiesAmt
Other$366,514OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$619,451TotalRevenueColumnAmt
Exclusion$619,451ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING812390$6,148,457$6,148,457
LAB FEES621500$1,685,807$1,685,807
EQUITY AND PARTNERSHIP621110-$1,803,167-$1,803,167
FieldValueIRS element (for citing)
Other Revenue Total$6,031,097OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,718,811,878TotalRevenueColumnAmt
Related Or Exempt Func Income$1,627,733,713RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,685,807UnrelatedBusinessRevenueAmt
Exclusion$20,861,700ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,522,413TotalAmt
Program Services$349,081ProgramServicesAmt
Management And General$11,173,332ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$4,014,433TotalAmt
Management And General$4,014,433ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$787,961,070TotalAmt
Program Services$574,746,029ProgramServicesAmt
Management And General$213,215,041ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,220,914TotalAmt
Program Services$19,482,008ProgramServicesAmt
Management And General$7,738,906ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$64,973,387TotalAmt
Program Services$46,501,453ProgramServicesAmt
Management And General$18,471,934ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$50,685,427TotalAmt
Program Services$36,275,560ProgramServicesAmt
Management And General$14,409,867ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,779,360TotalAmt
Program Services$2,704,888ProgramServicesAmt
Management And General$1,074,472ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,206,013TotalAmt
Management And General$2,206,013ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$442,240TotalAmt
Management And General$442,240ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$407,953TotalAmt
Program Services$291,972ProgramServicesAmt
Management And General$115,981ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$120,693,283TotalAmt
Program Services$86,665,042ProgramServicesAmt
Management And General$34,028,241ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,564,864TotalAmt
Program Services$3,267,073ProgramServicesAmt
Management And General$1,297,791ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,622,405TotalAmt
Program Services$10,465,255ProgramServicesAmt
Management And General$4,157,150ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$70,978,478TotalAmt
Program Services$50,799,297ProgramServicesAmt
Management And General$20,179,181ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,890,003TotalAmt
Program Services$24,255,075ProgramServicesAmt
Management And General$9,634,928ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,307,749TotalAmt
Program Services$3,083,056ProgramServicesAmt
Management And General$1,224,693ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$832,645TotalAmt
Program Services$595,924ProgramServicesAmt
Management And General$236,721ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$27,832,889TotalAmt
Program Services$19,919,999ProgramServicesAmt
Management And General$7,912,890ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$100,635,762TotalAmt
Program Services$72,025,015ProgramServicesAmt
Management And General$28,610,747ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,846,810TotalAmt
Program Services$20,645,662ProgramServicesAmt
Management And General$8,201,148ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$209,880,419$209,880,419
BAD DEBT EXPENSE$33,790,028$33,790,028
REPAIRS & MAINTENANCE$30,790,123$22,036,491$8,753,632
DUES & MEMBERSHIPS$3,946,032$2,824,175$1,121,857

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,852,617TotalAmt
Program Services$3,473,018ProgramServicesAmt
Management And General$1,379,599ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,643,677,317TotalAmt
Program Services$1,244,076,520ProgramServicesAmt
Management And General$399,600,797ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$69,359,836BOYAmt
EOY$20,725,121EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,728,298BOYAmt
EOY$24,055,734EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$337,220,959BOYAmt
EOY$374,893,852EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$600,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,045,348BOYAmt
EOY$20,716,334EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$74,611,724BOYAmt
EOY$81,228,092EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,860,870,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,109,330,993LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$776,377,053BOYAmt
EOY$751,539,138EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$270,094,021BOYAmt
EOY$285,569,960EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,637,332BOYAmt
EOY$15,173,913EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$670,360,442BOYAmt
EOY$758,977,400EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,228,485,013BOYAmt
EOY$2,333,479,544EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$231,904,646BOYAmt
EOY$240,094,295EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,394,536BOYAmt
EOY$6,055,964EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$350,214,726BOYAmt
EOY$339,658,642EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$352,030,242BOYAmt
EOY$351,513,520EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$425,480,656BOYAmt
EOY$430,852,303EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,366,024,806BOYAmt
EOY$1,368,174,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$862,460,207BOYAmt
EOY$965,304,820EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$862,460,207BOYAmt
EOY$965,304,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,228,485,013BOYAmt
EOY$2,333,479,544EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$75,134,561ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,710,052NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,105,614CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,540,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,496,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,753,566CurrentTaxYearMinus1YearAmt
Current Tax Year$68,530,658CurrentTaxYearAmt
Total$332,426,745TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,105,614CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,540,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,496,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,753,566CurrentTaxYearMinus1YearAmt
Current Tax Year$68,530,658CurrentTaxYearAmt
Total$332,426,745TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$332,426,745PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,995,875CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,995,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,818,827CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,071,637CurrentTaxYearMinus1YearAmt
Current Tax Year$14,093,792CurrentTaxYearAmt
Total$59,975,491TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,528,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,800,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,254,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,952,676CurrentTaxYearMinus1YearAmt
Current Tax Year$6,148,457CurrentTaxYearAmt
Total$23,684,895TotalAmt
FieldValueIRS element (for citing)
Total Support$416,087,131TotalSupportAmt
Gross Receipts Rltd Activities$6,902,658,987GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79890PublicSupportCY170Pct
Public Support PY1700.79740PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationPARKING - 2019 AMOUNT: $ 4,528,932. 2020 AMOUNT: $ 3,800,400. 2021 AMOUNT: $ 4,254,430. 2022 AMOUNT: $ 4,952,676. 2023 AMOUNT: $ 6,148,457.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$382,825DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$59,415OtherActivitiesAmt
Total Lobbying Expenditures$442,240TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1A:VOLUNTEERS COORDINATED THE PARTICIPATION OF THE PATIENT FAMILIES IN THE CHILDREN'S HOSPITAL ASSOCIATION FAMILY ADVOCACY DAY FOCUSED PRIMARILY ON PROTECTING HEALTH CARE SERVICES FOR CHILDREN.
SCHEDULE C, PART II-B, LINE 1B:PAID STAFF OR MANAGEMENT FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS AND ADVANCE PUBLIC POLICY THAT SUPPORT THE HEALTH AND WELL-BEING OF CHILDREN.
SCHEDULE C, PART II-B, LINE 1G:DIRECT CONTACT THE LOBBYING ACTIVITIES ENGAGED IN BY CHILDREN'S HOSPITAL FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR CHILDREN IN PUBLIC HEALTH PROGRAMS AND ADVANCE PUBLIC POLICY THAT SUPPORTS THE HEALTH AND WELL-BEING OF CHILDREN. THOSE LOBBYING ACTIVITIES INCLUDE CONTINUAL MONITORING OF LEGISLATION VIA DISCUSSIONS WITH LEGISLATIVE STAFF, HOSTING EDUCATIONAL BRIEFING SESSIONS FOR MEMBERS OF CONGRESS, EXECUTIVE BRANCH, STATE AND LOCAL OFFICIALS/STAFF REGARDING CHILD HEALTH ISSUES, AND COORDINATING THE SUBMISSION OF CORRESPONDENCE AND WRITTEN COMMENTS ON PROPOSED LEGISLATION AND REGULATIONS, AS WELL AS THE PRESENTATION OF TESTIMONY BEFORE LEGISLATIVE COMMITTEES. CHILDREN'S HOSPITAL ALSO DEVELOPS POLICY POSITIONS IN RESPONSE TO PROBLEMS AND OPPORTUNITIES IN THE PUBLIC SECTOR.
SCHEDULE C, PART II-B, LINE 1I:OTHER ACTIVITIES THE HOSPITAL IS A MEMBER OF THE CHILDREN'S HOSPITAL ASSOCIATION (CHA), AMERICAN HOSPITAL ASSOCIATION (AHA), DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION (DCHA), MARYLAND HOSPITAL ASSOCIATION (MHA), AND VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION (VHHA). ALL OF THE INDUSTRY ASSOCIATIONS THAT THE HOSPITAL IS A MEMBER OF HAVE CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,186,326OtherCostOrOtherBasisAmt
Book Value$22,186,326BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$370,952,992OtherCostOrOtherBasisAmt
Depreciation$104,162,961DepreciationAmt
Book Value$266,790,031BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$948,017,060OtherCostOrOtherBasisAmt
Depreciation$726,462,148DepreciationAmt
Book Value$221,554,912BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$409,153,999OtherCostOrOtherBasisAmt
Depreciation$273,751,752DepreciationAmt
Book Value$135,402,247BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,559,754OtherCostOrOtherBasisAmt
Depreciation$4,954,132DepreciationAmt
Book Value$105,605,622BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$751,539,138TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$644,896,695
OPERATING ROU ASSETS$60,167,379
DEFERRED COMPENSATION PLAN$53,913,326
FieldValueIRS element (for citing)
Total Book Value Other Assets$758,977,400TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
FINANCE LEASE OBLIGATIONS$147,853,348
RESERVE FOR CLAIMS$131,476,799
OTHER LIABILITIES$72,154,412
OPERATING LEASE OBLIGATIONS$65,011,276
SETTLEMENTS TO THIRD PARTY PAY$12,163,718
DUE TO AFFILIATES$2,192,750
FieldValueIRS element (for citing)
Total Liability$430,852,303TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), OF WHICH CHILDREN'S NATIONAL HOSPITAL IS A SUBSIDIARY, IS AS FOLLOWS: CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2024 AND 2023 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
MIDDLE EAST AND NORTH AFRICA01PROGRAM SERVICESPATIENT REFERRALS$581,019
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESINSURANCE PREMIUMS$16,411,045
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$16,992,064SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$16,992,064TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3, COLUMN F:FormAndLineReferenceDesc
ExplanationACCOUNTING METHOD USED THE EXPENDITURES, PER REGION, ARE PRESENTED ON THE ACCRUAL BASIS OF ACCOUNTING.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,837,321TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,837,321NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$798,671,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$644,894,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$153,777,577NetCommunityBenefitExpnsAmt
Total Expense0.09560TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$804,508,950TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$644,894,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$159,614,898NetCommunityBenefitExpnsAmt
Total Expense0.09920TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served140491PersonsServedCnt
Total Community Benefit Expns$6,518,098TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,902,879DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,615,219NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1593PersonsServedCnt
Total Community Benefit Expns$59,620,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,699,581DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,920,443NetCommunityBenefitExpnsAmt
Total Expense0.03160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,777,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,403,767DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,373,304NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served433PersonsServedCnt
Total Community Benefit Expns$760,112TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$760,112NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served142517PersonsServedCnt
Total Community Benefit Expns$90,675,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,006,227DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,669,078NetCommunityBenefitExpnsAmt
Total Expense0.03640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served142517PersonsServedCnt
Total Community Benefit Expns$895,184,255TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$676,900,279DirectOffsettingRevenueAmt
Net Community Benefit Expns$218,283,976NetCommunityBenefitExpnsAmt
Total Expense0.13560TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,661NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served5PersonsServedCnt
Total Community Benefit Expns$57,332TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,332NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,027TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,027NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served162PersonsServedCnt
Total Community Benefit Expns$1,480,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,480,661NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served167PersonsServedCnt
Total Community Benefit Expns$1,593,681TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,593,681NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$33,790,028BadDebtExpenseAmt
Bad Debt Expense Attributable$1,315,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,011,919ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,139,069CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$127,150MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHILDRENSNATIONAL.ORGWebsiteAddressTxt
State LicenseHFD01-0208StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CHILDRENSNATIONAL.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.CHILDRENSNATIONAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3J:CHILDREN'S NATIONAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE (RSC) IN 2022. THIS 2022 CHNA, DIFFERENT FROM OUR PRIOR ASSESSMENTS AS IT FOCUSES SPECIFICALLY ON CHILDREN, IS AN ASSESSMENT OF CHILDREN'S NATIONAL AND RSC'S PRIMARY SERVICE AREA (PSA) WHICH INCLUDES WASHINGTON, D.C., AND PARTS OF MARYLAND, AND APPLIES A STRONGER PEDIATRIC HEALTH EQUITY LENS BY UTILIZING THE CHILD OPPORTUNITY INDEX (COI). THE COI DEFINES OPPORTUNITY AS THE NEIGHBORHOOD RESOURCES THAT MATTER FOR A CHILD'S HEALTHY DEVELOPMENT. THE 29 INDICATORS FOCUS ON NEIGHBORHOOD FEATURES SUCH AS ACCESS TO HEALTHY FOOD, HIGH-QUALITY EDUCATION, PARKS, AND PLAYGROUNDS. EACH NEIGHBORHOOD IS ASSIGNED A SCORE RANGING FROM 1 TO 100 TO INDICATE THE OPPORTUNITY IN THAT SPECIFIC NEIGHBORHOOD FOR CHILDREN TO REACH THEIR POTENTIAL. THE HIGHER THE SCORE, THE BETTER THE OPPORTUNITY FOR CHILD DEVELOPMENT AND WELL-BEING. THE COI HIGHLIGHTS THE INTERPLAY BETWEEN LOW OPPORTUNITY NEIGHBORHOODS AND THE AVAILABILITY OF SOCIAL RESOURCES THAT ARE CRITICAL TO CHILD WELL-BEING. OUR CHNA FINDINGS REVEAL THAT CHILD OPPORTUNITY VARIES CONSIDERABLY WITHIN OUR SERVICE AREA. CHILD OPPORTUNITY IS LOWEST AND CRITICALLY LACKING IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS CERTAIN PRINCE GEORGE'S COUNTY NEIGHBORHOODS IN MARYLAND. IN ADDITION TO THE QUANTITATIVE DATA, WE IMPLEMENTED MANY COMMUNITY ENGAGEMENT EFFORTS TO GATHER QUALITATIVE DATA. WE INVITED RESIDENTS FROM OUR COMMUNITY, SPECIFICALLY THE NEIGHBORHOODS WE IDENTIFIED WITH THE LOWEST OPPORTUNITY SCORES, TO SHARE THEIR EXPERIENCES ON OPPORTUNITY IN THEIR COMMUNITIES. WE ENGAGED WITH YOUTH, PARENTS AND OLDER ADULTS THROUGH VIRTUAL CONVERSATIONS, INPUT FORMS AND INTERVIEWS TO FURTHER INFORM OUR FINDINGS AND RECOMMENDATIONS SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS. TO ELEVATE THE VOICE OF OUR YOUTH IN THIS ASSESSMENT, WE CREATED AN EIGHT-WEEK PHOTOVOICE PROGRAM TAILORED TO ADOLESCENTS. THE STUDENTS WERE ASKED TO USE THEIR CELL PHONES TO CAPTURE IMAGES THAT SHOWED THE ASSETS AND CHALLENGES THAT IMPACT HEALTH IN THEIR COMMUNITIES. THEY WORKED WITH THE FACILITATORS TO LEARN HOW TO USE THEIR VOICES TO PROMOTE POSITIVE CHANGE IN THEIR NEIGHBORHOODS. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE (1) EARLY CHILDHOOD EDUCATION, (2) HEALTH INSURANCE COVERAGE, (3) HEALTHY FOOD AND (4) EMPLOYMENT RATE.
PART V, SECTION B, LINE 5:IN CONDUCTING THE MOST RECENT CHNA, CHILDREN'S NATIONAL CONSIDERED INPUT FROM COMMUNITY RESIDENTS, STAKEHOLDERS INCLUDING LEADERS IN HEALTHCARE AND COMMUNITY-BASED ORGANIZATIONS, AS WELL AS BUSINESS AND GOVERNMENT OFFICIALS INCLUDING THE DC HOSPITAL ASSOCIATION, PRINCE GEORGE'S COUNTY CHAMBER OF COMMERCE, DC PRIMARY CARE ASSOCIATION, CHILDREN'S LAW CENTER AND THE DC HEALTH MATTERS COLLABORATIVE. THROUGH OUR QUALITATIVE WORK, WE HEARD FROM OVER 300 STAKEHOLDERS. WE CONDUCTED ELEVEN 60-MINUTE, VIRTUAL COMMUNITY CONVERSATIONS WITH 67 PARENTS AND CAREGIVERS LIVING IN THE NEIGHBORHOODS WITH THE LOWEST OPPORTUNITY FOR CHILDREN IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS PRINCE GEORGE'S COUNTY, MD. THREE OF THE 11 COMMUNITY CONVERSATIONS WERE HELD IN SPANISH. THESE CONVERSATIONS PROVIDED PERSPECTIVES FROM NEIGHBORHOOD RESIDENTS ON HOW THEY VIEW THE IMPACT OF NEIGHBORHOOD CONDITIONS - SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS - ON A CHILD'S OPPORTUNITY TO LIVE A HEALTHY AND PRODUCTIVE LIFE. WE CONDUCTED 33 KEY INFORMANT INTERVIEWS WITH A WIDE RANGE OF PEOPLE - INCLUDING RESIDENTS, PUBLIC HEALTH, COMMUNITY, AND GOVERNMENT LEADERS - WHO HAD FIRSTHAND KNOWLEDGE ABOUT THE COMMUNITY. WE ALSO ISSUED A COMMUNITY INPUT FORM AS A WAY FOR RESIDENTS WHO MAY NOT HAVE BEEN ABLE TO PARTICIPATE IN PREVIOUS CONVERSATIONS AND INTERVIEWS TO PROVIDE THEIR INPUT. WE RECEIVED FEEDBACK FROM 88 NEIGHBORHOOD RESIDENTS ON WHICH INDICATORS SHOULD BE A PRIORITY, WHAT FACTORS IMPACT OPPORTUNITIES IN THEIR NEIGHBORHOOD, AND HOW HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS CAN WORK TOGETHER TO MAKE IMPROVEMENTS IN THESE AREAS. IN ADDITION TO THE COMMUNITY INPUT FORM, WE RECEIVED FEEDBACK FROM 156 HOSPITAL STAFF VIA A HOSPITAL INPUT FORM TO GAIN THEIR PERSPECTIVE ON WHICH OF THE 29 COI INDICATORS WE SHOULD SELECT AS "PRIORITY INDICATORS" FOR THE 2022 CHNA. ONCE THE PRIORITIES WERE SELECTED, WE HOSTED FOUR ADDITIONAL COMMUNITY CONVERSATIONS WITH 26 PARENTS AND CAREGIVERS LIVING IN PRIORITY NEIGHBORHOODS TO IDENTIFY SPECIFIC STRATEGIES TO IMPROVE ACCESS TO EARLY CHILDHOOD EDUCATION, HEALTHY FOOD, HEALTH INSURANCE AND HEALTH SERVICES AND EMPLOYMENT.
PART V, SECTION B, LINE 6A:THE CHNA WAS CONDUCTED WITH CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE (RSC). BASED IN WASHINGTON, D.C., CHILDREN'S NATIONAL AND RSC ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH COMPLEX MEDICAL CONDITIONS. OUR GOAL IS TO PROVIDE COMPREHENSIVE, FAMILY-CENTERED CARE THAT MEETS OUR PATIENTS' PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL NEEDS. WE STRIVE TO CREATE AN ENVIRONMENT WHERE EVERY FAMILY FEELS INCLUDED, RESPECTED, AND SUPPORTED. OUR TEAM OF PHYSICIANS, NURSES, AND OTHER HEALTHCARE PROVIDERS WORK TOGETHER TO ENSURE THE BEST OUTCOMES FOR OUR PATIENTS.
PART V, SECTION B, LINE 7D:THE CHNA IS LOCATED ON THE HOSPITAL WEBSITE. CHILDREN'S NATIONAL ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS. WE ALSO SHARED OUR CHNA AND IMPLEMENTATION STRATEGY (COMMUNITY HEALTH IMPROVEMENT PLAN) DURING COMMUNITY EVENTS SUCH AS OUR CELEBRATING OUR PARTNERS EVENT HELD IN JUNE 2023. DURING THIS EVENT, WE GATHERED WITH OUR COMMUNITY PARTNERS AND PROVIDED AN OVERVIEW OF OUR CHNA AND CHIP AND HELD A DISCUSSION ON THE IMPORTANCE OF PARTNERSHIPS TO ADVANCE COMMUNITY HEALTH IMPROVEMENT EFFORTS.PART V, SECTION B, LINE 8:CHILDREN'S HOSPITAL ADOPTED AN IMPLEMENTATION STRATEGY IN NOVEMBER 2022, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE CHIP IS AVAILABLE AT: HTTPS://CHILDRENSNATIONAL. ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH.
PART V, SECTION B, LINE 11:FROM THE INSIGHT GAINED FROM THE COI AND OUR UNDERSTANDING OF OUR COMMUNITY PERSPECTIVES, WE PARED DOWN THE 29 COI INDICATORS TO FOUR INDICATORS THAT WILL BE OUR HOSPITAL'S FOCUS FROM 2022-2025. TO GET TO THESE FOUR INDICATORS, WE USED A PROCESS MODELED OFF A WIDELY USED PRIORITIZATION METHOD, CALLED THE HANLON METHOD. THE PRIORITIZATION EXERCISE SCORED EACH INDICATOR BASED ON THE IMPORTANCE TO OUR COMMUNITY, IMPORTANCE TO OUR HOSPITALS, HOSPITAL'S CAPACITY TO ADDRESS THE INDICATOR, ALIGNMENT WITH THE HOSPITAL'S MISSION, AND HOSPITAL'S EXISTING WORK IN THE AREA. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE EARLY CHILDHOOD EDUCATION, HEALTH INSURANCE COVERAGE, HEALTHY FOOD AND EMPLOYMENT RATE. THE CHNA UNCOVERED NUMEROUS NEEDS WITHIN OUR COMMUNITY. HOWEVER, DUE TO PRACTICAL AND RESOURCE CONSTRAINTS, THE ORGANIZATION PRIORITIZED ITS EFFORTS ON THE MOST IMPACTFUL NEEDS.WITH A FOCUS ON THE HIGHEST PRIORITY INDICATORS, WE DEVELOPED AN IMPLEMENTATION STRATEGY THAT WE CALL A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN WHICH WE OUTLINE ACTIONS AND IDENTIFY RESOURCES TO RESPOND TO THE ASSESSMENT FINDINGS OVER THE NEXT THREE YEARS. TO CREATE THE CHIP, WE ENGAGED WITH OUR HOSPITAL EMPLOYEES, LOCAL COMMUNITIES, AND AREA ORGANIZATIONS TO SHARE THESE FINDINGS AND IDENTIFY POLICY AND SYSTEMS CHANGES THAT WILL IMPROVE OPPORTUNITY LEVELS FOR CHILDREN LIVING IN LOW OPPORTUNITY NEIGHBORHOODS. IN THE 2022 CHIP, ADOPTED BY OUR HOSPITAL BOARD IN NOVEMBER 2022, WE OUTLINE NINE STRATEGIES THAT USE ADVOCACY EFFORTS AND PROGRAMS AND PRACTICE TO IMPROVE OPPORTUNITY FOR CHILDREN LIVING IN WARDS 7 AND 8 IN WASHINGTON, DC AND PRINCE GEORGE'S COUNTY, MARYLAND. AN INTERNAL CHIP STRUCTURE HAS BEEN PUT IN PLACE TO ENSURE THE SUCCESS OF OUR INVESTMENTS IN CHANGING POLICY, IMPROVING PROGRAMS AND ALLOCATING RESOURCES MORE EQUITABLY: WORKGROUPS AND A STEERING COMMITTEE. IN MARCH 2023, WE LAUNCHED WORKGROUPS FOR EACH PRIORITY AREA, COMPRISED OF REPRESENTATIVES FROM ACROSS CHILDREN'S NATIONAL AND RSC THAT PROVIDE SUBJECT MATTER EXPERTISE FOR THE CHIP AND LEAD THE ACTIVITIES ACROSS THE FOUR PRIORITY AREAS. WORKGROUPS ARE LED BY TWO CO-LEADS THAT DRIVE THE AGENDA, MONITOR PROGRESS, AND REPORT TO THE STEERING COMMITTEE. AS PART OF THIS STRUCTURE, THE WORKGROUPS PROVIDE FREQUENT UPDATES TO THE CHIP STEERING COMMITTEE WHICH IS COMPRISED OF REPRESENTATIVES FROM ACROSS CHILDREN'S NATIONAL AND RSC THAT PROVIDE STRATEGIC DIRECTION FOR THE CHIP AND CHAMPIONS ITS WORK. BELOW ARE THE CHIP STRATEGIES ALONG WITH PROGRESS FOR FY 2024. 1. EARLY CHILDHOOD EDUCATION GOAL: BUILD A STRONGER EARLY CHILDHOOD EDUCATION COMMUNITYADVOCACY: ADVOCATE FOR HIGH QUALITY, AFFORDABLE ECE CENTERS WITH WELL COMPENSATED STAFFPROGRAMS AND PRACTICE: STRENGTHEN CONNECTIONS BETWEEN ECE AND HOSPITALS ABOUT THE REFERRAL PROCESS (E.G., WHAT'S AVAILABLE, HOW TO ENROLL, REQUIREMENTS FOR VOUCHERS, HELPING FAMILIES WHO HAVE CHILDREN WITH DISABILITIES, MATERIALS IN MULTIPLE LANGUAGES, ETC.)2. HEALTHY FOOD GOAL: INCREASE ACCESS TO HEALTHY FOOD OPTIONSADVOCACY: ADVOCATE FOR FUNDING AND IMPROVED ACCESS TO HEALTHY FOOD OPTIONS IN THE COMMUNITYPROGRAMS AND PRACTICE: INCREASE ACCESS TO HEALTHY FOOD OPTIONS WITHIN THE HOSPITAL AND COMMUNITY THROUGH THE HOSPITAL CAFETERIA, FOOD PHARMACIES, FARMERS MARKETS AND OTHER INITIATIVES EXPAND FOOD INSECURITY SCREENINGS TO DETERMINE ELIGIBILITY FOR ENROLLMENT IN FOOD ACCESS PROGRAMS 3. HEALTH INSURANCE COVERAGE GOAL: IMPROVE ACCESS TO HEALTH CARE AND HEALTH INSURANCE COVERAGEADVOCACY: ADVOCATE FOR HIGH QUALITY AND EASILY ACCESSIBLE MENTAL HEALTH SERVICE CONTINUUM INCLUSIVE OF SUSTAINABLE PROMOTION, PREVENTION, EARLY INTERVENTION, TREATMENT, CRISIS AND RECOVERY SERVICES COVERED BY INSURANCEPROGRAMS AND PRACTICE: IMPROVE CARE COORDINATION WITHIN THE HOSPITAL AND WITH INSURANCE PROVIDERS AND COMMUNITY ORGANIZATIONS.4. EMPLOYMENT RATEGOAL: STRENGTHEN EMPLOYMENT OPPORTUNITIESPROGRAMS AND PRACTICE: SUSTAIN AND EXPAND HOSPITAL RESEARCH YOUTH ENGAGEMENT PROGRAMS AND JOB OPPORTUNITIES (INTERNSHIPS, TRAININGS, AND RESEARCH OPPORTUNITIES)CREATE JOB OPPORTUNITIES FOR PEOPLE WITH DISABILITIES, INCLUDING PARTNERING WITH ORGANIZATIONS TO PROVIDE SKILL-BASED TRAINING. FY 2024 PROGRESS: - CONDUCTED LANDSCAPE ANALYSES AND STAKEHOLDER MAPPING TO LEARN ABOUT PROGRAMS AND ACTIVITIES RELATED TO THEIR SPECIFIC PRIORITY AREAS, WHERE WE HAVE PARTNERSHIPS, AND POTENTIAL PARTNERS. - TESTIFIED OR SUBMITTED WRITTEN COMMENTS ON BILLS IN MARYLAND AND D.C., INCLUDING BUT NOT LIMITED TO, REQUIRING ECE PROGRAMS IN CERTAIN HIGH SCHOOLS AND THE UNIVERSAL FREE SCHOOL MEALS AMENDMENT.- HOSTED A VIRTUAL COMMUNITY CONVERSATION EVENT FOCUSED ON OPEN DIALOGUE AND DISCUSSION AROUND BARRIERS TO, AND RESOURCES FOR, THE INCLUSION OF CHILDREN WITH DEVELOPMENTAL DISABILITIES IN ECE PROGRAMS. THE PROGRAM WAS OPEN TO THE COMMUNITY WITH 50 PARENTS & ECE PROVIDERS ATTENDING THE EVENT. - PARTICIPATED IN CAREER DAYS AND COMMUNITY EVENTS AT ECE CENTERS AND SCHOOLS TO PROVIDE RESOURCES RELATED TO THE CHIP PRIORITIES.- DISTRIBUTED 1,500 HEALTH INSURANCE POSTCARDS TO WIC OFFICES, WITHIN FOOD PHARMACY BAGS AND COMMUNITY EVENTS TO SHARE INFORMATION ON MEDICAID RE-ENROLLMENT. - SHARED HEALTHY FOOD RESOURCES AT COMMUNITY EVENTS. COLLABORATED WITH D.C. HUNGER SOLUTIONS TO HOST A SUMMER FOOD PROGRAM KICKOFF EVENT AT ELEMENTARY SCHOOL LOCATED IN WARD 7 IN THE DISTRICT OF COLUMBIA WITH OVER 100 ATTENDEES.
CHILDREN'S HOSPITALPART V, LINE 16A, FAP WEBSITE:WWW.CHILDRENSNATIONAL.ORG/PLAN-YOUR-VISIT/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCECHILDREN'S HOSPITALPART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.CHILDRENSNATIONAL.ORG/PLAN-YOUR-VISIT/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCECHILDREN'S HOSPITALPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.CHILDRENSNATIONAL.ORG/PLAN-YOUR-VISIT/INSURANCE-AND-BILLING/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility22FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - CHILDREN'S NAT'L AMBU SURGERY CTR
9850 KEY WEST AVENUEROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
2 - CHILDREN'S OUTPATIENT CTR FREDERICK
5285 WESTVIEW DRIVE SUITE 103FREDERICKMD21703REGIONAL OUTPATIENT CENTER
3 - MOBILE VAN - DENTAL
N/ANADC20010MOBILE HEALTH CARE
4 - CHILDREN'S HEALTH CENTER AT THEARC
1801 MISSISSIPPI AVE SEWASHINGTONDC20020HEALTH CENTERS
5 - CHILDREN'S OUTPATIENT CTR MONTGOMERY
15245 SHADY GROVE ROAD SUITE 350ROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
6 - CHILDREN'S OUTPATIENT FREDRICKSBURG
1300 HOSPITAL DRIVE SUITE 201FREDRICKSBURGVA22401REGIONAL OUTPATIENT CENTER
7 - CHILDREN'S NATIONAL IMAGING CENTER
9850 KEY WEST AVENUE SUITE 110ROCKVILLEMD20850REGOINAL OUTPATIENT CENTER
8 - CHILDREN'S NATIONAL PULMONARY MED - R
9711 MEDICAL CENTER DRIVE SUITE 212ROCKVILLEMD20850HEALTH CENTERS
9 - CHILDREN'S OUTPATIENT CTR HOWARD CITY
7625 MAPLE LAWN BLVD SUITE 230FULTONMD20759REGIONAL OUTPATIENT CENTER
10 - FIGHT FOR CHILDREN SPORTS MED CTR
1 INVENTA PLACE SUITE 150SILVER SPRINGMD20910HEALTH CENTERS
11 - CHILDREN'S HEALTH CTR AT SHAW METRO
641 S STREET NWWASHINGTONDC20001HEALTH CENTERS
12 - CHILDREN'S HEALTH CTR AT WALTER REED
7125 13TH PLACE NWWASHINGTONDC20012HEALTH CENTERS
13 - CHILDREN'S OUTPATIENT CTR OF MONTGOMERY
SHADY GROVE MEDICAL PARKROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
14 - CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
3023 HAMACKER COURT SUITE 300FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
15 - CHILDREN'S HEALTH CTR AT TAKOMA THEATRE
6833 4TH STREET NWWASHINGTONDC20012HEALTH CENTERS
16 - CHILDREN'S HEALTH CTR AT COLUMBIA HEI
3336 14TH STREET NWWASHINGTONDC20010HEALTH CENTERS
17 - CHILDREN'S HEALTH CENTER AT ANACOSTIA
2101 MARTIN LUTHER KING JR AVENUEWASHINGTONDC20020HEALTH CENTERSSE
18 - CHILDREN'S OUTPATIENT CTR PRINCE GEOR
2900 CAMPUS WAY NORTHLANHAMMD20706REGIONAL OUTPATIENT CENTER
19 - MOBILE VAN - HEALTH CARE
N/ANADC20010MOBILE HEALTH CARE
20 - CHILDREN'S OUTPATIENT CTR OF ANNAPOLIS
1730 WEST STREET SUITE 100ANNAPOLISMD21401REGIONAL OUTPATIENT CENTER
21 - CHILDREN'S NATIONAL EMERG DEPT UNIT
1310 SOUTHERN AVENUE SEWASHINGTONDC20032ED FACILITY
22 - CHILDREN'S OUTPATIENT CTR OF FRIENDSHIP
5028 WISCONSIN AVE SUITES 250 310WASHINGTONDC20016REGIONAL OUTPATIENT CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY FOR CHARITY CARE PROGRAMCHILDREN'S NATIONAL USED THE FEDERAL POVERTY GUIDELINES, MEDICAL INDIGENCE, INSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. ELIGIBILITY WAS INCOME BASED AND NOT ASSET BASED.
PART I, LINE 6A:CHILDREN'S NATIONAL MEDICAL CENTER ANNUAL REPORTCHILDREN'S NATIONAL HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS POSTED ON THE HOSPITAL WEBSITE, AND HARD COPIES ARE MADE AVAILABLE AND DISTRIBUTED TO THE HOSPITAL'S KEY INTERNAL AND EXTERNAL STAKEHOLDERS. AS PART OF OUR COMMITMENT TO THE COMMUNITY, BELOW ARE SOME OF THE PROGRAMS AND ACTIVITIES THAT WERE CONDUCTED IN FY 2024. SAFE CONCUSSION OUTCOME RECOVERY & EDUCATION (SCORE) PROGRAMTHE SAFE CONCUSSION OUTCOME RECOVERY & EDUCATION (SCORE) PROGRAM IS A COMPREHENSIVE CLINICAL, RESEARCH AND EDUCATIONAL PROGRAM TO EVALUATE AND MANAGE THE CARE OF CHILDREN AND ADOLESCENTS WITH CONCUSSIONS (ALSO KNOWN AS MILD TRAUMATIC BRAIN INJURY OR MTBI). THE PROGRAM CONSULTS WITH HEALTHCARE PROVIDERS REGIONALLY AND NATIONALLY, AS WELL AS SCHOLASTIC AND YOUTH RECREATIONAL SPORTS PROGRAMS IN WHICH CHILDREN ARE VULNERABLE TO INJURY. CLINICIANS IN THE SCORE PROGRAM HAVE SPECIFIC EXPERTISE IN MANAGING ACADEMIC NEEDS AND WORK WITH SCHOOLS TO ASSURE A SAFE AND EFFECTIVE RETURN TO SCHOOL.THE SCORE PROGRAM HAS FOUR GOALS: - PROVIDE THE HIGHEST LEVEL OF SERVICE TO CHILDREN, ADOLESCENTS AND YOUNG ADULTS WITH CONCUSSIONS/MILD TBI - INCREASE RESEARCH-BASED KNOWLEDGE, SKILLS AND INSTRUMENTATION USED IN EVALUATION AND TREATMENT OF CONCUSSIONS/MILD TBI - DEVELOP THE NEXT GENERATION OF HIGHLY QUALIFIED PROFESSIONALS TO TREAT CHILDREN AND ADOLESCENTS WITH CONCUSSIONS/MILD TBI - IMPROVE THE GENERAL KNOWLEDGE AND SKILL OF PEOPLE IN THE MEDICAL, EDUCATIONAL AND ATHLETIC COMMUNITY REGARDING THE SPECIFIC TREATMENT/NEEDS OF INDIVIDUALS WITH CONCUSSIONS/MILD TBIIN FY 2024, SCORE PROGRAM STAFF EDUCATED LOCAL PEDIATRICIANS AND SCHOOL PERSONNEL INCLUDING SCHOOL NURSES AND TEACHERS ON CURRENT CONCUSSION MANAGEMENT STRATEGIES AND RECREATIONAL BASKETBALL COACHES IN MONTGOMERY COUNTY, MD ON CONCUSSION RECOGNITION AND RESPONSE. OVER 1300 PEOPLE PARTICIPATED IN THE EDUCATIONAL OFFERINGS. THE SCORE PROGRAM STAFF PROVIDES EDUCATIONAL EVENTS NOT ONLY FOR THE LOCAL COMMUNITY, BUT ALSO NATIONALLY AND INTERNATIONALLY. ADDITIONALLY, THE SCORE PROGRAM CREATED THE SCORE4 BRAIN HEALTH APP, TO PROVIDE IMMEDIATE AND FREE ACCESS TO A CONCUSSION RECOGNITION AND RESPONSE TOOL, WITH SYMPTOM ASSESSMENT AND TRACKING FEATURES, INITIAL RESPONSE AND SCREENING FOR URGENT MEDICAL NEEDS, AND EDUCATIONALLY BASED VIDEOS AND TIP SHEETS FOR MANAGING SYMPTOMS AND FACILITATING RECOVERY. NURSING STUDENTS CHILDREN'S NATIONAL IS COMMITTED TO EDUCATING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS INCLUDING NURSES. NURSING IS THE LARGEST HEALTHCARE PROFESSION IN THE COUNTRY, WITH MORE THAN 4 MILLION REGISTERED NURSES, LICENSED PRACTICAL/VOCATIONAL NURSES AND ADVANCED PRACTICE REGISTERED NURSES IN 2023 (PER AN ANALYSIS RELEASED IN NOVEMBER 2024 BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION). EVEN WITH THESE NUMBERS, CONCERNS ABOUT SHORTAGES CONTINUE. THROUGH SEVERAL PROGRAMS, OUR DIVISION OF NURSING PROVIDES OPPORTUNITIES FOR STUDENTS FROM ACROSS THE UNITED STATES. STUDENTS EXPERIENCE THE DISTINCTIVE ASPECTS OF PEDIATRIC NURSING AND IMMERSE THEMSELVES IN A CULTURE OF EXCELLENCE AND SAFETY, ALL WHILE BENEFITING FROM MENTORSHIP. IN FY 2024, MORE THAN 700 NURSING STUDENTS ROTATED WITHIN OUR SYSTEM. ADDITIONALLY, WE OFFER THE LAUNCH AND CONWAY NURSING PATHWAY PROGRAM. LAUNCH PROVIDES SUMMER AND WINTER INTERNSHIPS FOR NURSING STUDENTS FROM ACROSS THE COUNTRY INTERESTED IN PEDIATRIC NURSING. NOT ONLY ARE THEY EXPOSED TO THE CLINICAL SETTING BUT ALSO EDUCATED THROUGH A LECTURE SERIES ON SOCIAL DRIVERS OF HEALTH AND HEALTH EQUITY. LAUNCH STUDENTS PRESENT AT THE END OF THEIR SESSIONS TO HIGHLIGHT WHAT THEY'VE LEARNED. THE CONWAY NURSING PATHWAY PROGRAM IDENTIFIES STUDENTS FACING FINANCIAL HARDSHIPS AND OTHER CHALLENGES THAT WOULD PREVENT THEM FROM STARTING A CAREER IN PEDIATRIC NURSING AND PROVIDES THEM WITH SUPPORTS. IN ADDITION TO SCHOLARSHIPS AND FINANCIAL SUPPORT, THE NURSES CULTIVATE MENTORSHIP RELATIONSHIPS WITH PRACTICING PEDIATRIC NURSES. THE MENTORSHIP BEGINS AS THEY ENTER THE PROGRAM AND THROUGHOUT THEIR FIRST YEAR AS A PRACTICING NURSE. A LITTLE OVER 100 STUDENTS PARTICIPATED IN THESE PROGRAMS IN FY 2024. FOOD INSECURITYCHILDREN'S NATIONAL HOSPITAL IS COMMITTED TO HELPING ADDRESS THE SOCIAL DRIVERS OF HEALTH THAT AFFECT CHILDREN AND FAMILIES IN OUR COMMUNITY. SOCIAL DRIVERS OF HEALTH (SDOH) ARE NONMEDICAL FACTORS THAT INFLUENCE HEALTH OUTCOMES. ACCESS TO NUTRITIOUS FOOD IS A CRITICAL SOCIAL DRIVER OF HEALTH. ONE IN TEN CHILDREN ACROSS OUR REGION EXPERIENCE FOOD INSECURITY. THROUGH A PARTNERSHIP WITH OUR LOCAL FOOD BANK, WE LEAD A FOOD PHARMACY PROGRAM WITHIN OUR DIABETES AND ENDOCRINOLOGY CLINIC. PATIENTS WITH PREDIABETES AND DIABETES THAT SCREEN POSITIVE FOR FOOD INSECURITY ARE PROVIDED WITH PRODUCE AND SHELF-STABLE FOOD FOR THEIR FAMILY. FAMILIES ARE ALSO PROVIDED WITH INFORMATION ON WHERE TO FIND ADDITIONAL SUPPORT AS WELL AS RECIPE CARDS AND NUTRITION EDUCATION MATERIALS. THE PROGRAM SERVICES OVER 200 UNIQUE FAMILIES EACH MONTH AND HAS RECEIVED OVERWHELMINGLY POSITIVE FEEDBACK FROM PARTICIPANTS. PATIENTS AND FAMILIES HAVE GIVEN INCREASINGLY POSITIVE FEEDBACK WHILE RECEIVING MEDICALLY TAILORED GROCERIES, ESPECIALLY WITH THE GROWING VARIETY OF FOODS PROVIDED INCLUDING FRESH EGGS. THE FOOD PHARMACY PROGRAM HAS INSPIRED A SECOND LOCATION IN A PRIMARY CARE CLINIC IN COLUMBIA HEIGHTS, DC, ALSO IN COLLABORATION WITH OUR LOCAL FOOD BANK, PROVIDING SHELF STABLE FOODS TO ANY WHO SCREEN POSITIVE FOR FOOD INSECURITY. PEDIATRIC MENTAL HEALTH RECENT NATIONAL SURVEYS OF CHILDREN HAVE SHOWN INCREASES IN THE PREVALENCE OF MENTAL HEALTH CHALLENGES. IN 2021, U.S. SURGEON GENERAL DR. VIVEK MURTHY ISSUED AN ADVISORY DETAILING AN URGENT YOUTH MENTAL HEALTH CRISIS. THE LEADING CHILD HEALTH ASSOCIATIONS ALSO DECLARED A YOUTH MENTAL HEALTH CRISIS IN OCTOBER 2021. MENTAL HEALTH IS SHAPED BY MANY FACTORS INCLUDING BIOLOGICAL AND ENVIRONMENTAL FACTORS SUCH AS LIFE EXPERIENCES. AS YOUNG PEOPLE DEAL WITH MENTAL HEALTH CHALLENGES, ACCESS TO PEDIATRIC MENTAL HEALTH CARE IS A CHALLENGE OF NATIONAL SCALE. MENTAL HEALTH REMAINS A PRIORITY FOR CHILDREN'S NATIONAL WITH STAFF WORKING TO EMPOWER PRIMARY CARE PROVIDERS WITH TRAINING, ADVOCATE FOR EQUITABLE MENTAL HEALTH SERVICES THROUGH POLICY AND ADVOCACY EFFORTS AT LOCAL, NATIONAL AND FEDERAL LEVELS, AND EDUCATION OF COMMUNITY RESIDENTS THROUGH PARENT CAFS WHICH ARE DESIGNED TO ADDRESS STIGMAS AROUND MENTAL HEALTH AND BEHAVIORAL HEALTH CHALLENGES WITHIN FAMILIES. IN COLLABORATION WITH CAREFIRST BLUECROSS BLUESHIELD (CAREFIRST), WE CONVENED A 1-DAY PEDIATRIC MENTAL HEALTH SUMMIT OF COMMUNITY LEADERS, PROVIDERS, ELECTED OFFICIALS, AND OTHER STAKEHOLDERS TO DISCUSS CHILDREN'S MENTAL HEALTH IN THE CAPITOL REGION. THE GOAL OF THE SUMMIT WAS TO INCREASE AWARENESS AND UNDERSTANDING OF THE YOUTH MENTAL HEALTH CRISIS, OPPORTUNITIES AND CHALLENGES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND IDENTIFY POTENTIAL CHANGES IN POLICY AND PROGRAMMATIC EFFORTS RELATED TO YOUTH MENTAL HEALTH. THE SUMMIT INCLUDED PANEL DISCUSSIONS WITH FEDERAL OFFICIALS REGARDING POLICIES AND OPPORTUNITIES, LEADERS OF NATIONAL ORGANIZATIONS WHO ORIGINALLY DECLARED THE CHILDREN'S MENTAL HEALTH CRISIS, AND LOCAL AND REGIONAL PROGRAMS WORKING TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. OVER TWO HUNDRED ATTENDEES PARTICIPATED IN THE SUMMIT. BUILDING ON THE SUCCESS OF THE SUMMIT, STAFF ARE NOW CURRENTLY PRODUCING WEBINARS IN COLLABORATION WITH CAREFIRST, FOR COMMUNITY RESIDENTS TO EDUCATE AND BRING AWARENESS OF MENTAL HEALTH CHALLENGES FACED BY YOUTH.
PART I, LINE 7A:CHARITY AT COSTHOSPITAL AND PHYSICIAN CHARITY AMOUNTS REPORTED IN THE AUDITED FINANCIAL STATEMENTS WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO CALCULATION PER THE IRS INSTRUCTIONS.PART I, LINE 7B:MEDICAIDHOSPITAL AND PHYSICIAN GROSS PATIENT REVENUE AND PAYMENT FROM FINANCIAL DECISION SUPPORT SYSTEMS WERE ADJUSTED TO COST USING THE COST TO CHARGES RATIO PER THE IRS INSTRUCTIONS. MEDICAID GRADUATE MEDICAL EDUCATION (GME) ADD-ON PAYMENTS WERE EXCLUDED AS THEY ARE REPORTED ON THE HEALTH EDUCATION LINE. CHILDREN'S NATIONAL GME INDIRECT MEDICAL EDUCATION (IME) PAYMENTS WERE INCLUDED AS PER 990 INSTRUCTIONS.PART I, LINE 7F:HEALTH EDUCATIONTHE HEALTH EDUCATION COST INCLUDES THE TOTAL COST OF INTERNS AND RESIDENTS FROM THE FY24 SUBMITTED MEDICARE COST REPORT. EDUCATION PAYMENTS AND RESIDENT FUNDING AMOUNTS OFFSET THE REPORTED EXPENSE. DC MEDICAID GME PAYMENTS WERE CALCULATED AND DEDUCTED FROM TOTAL MEDICAID PAYMENTS TO BE REPORTED ON THE LINE FOR HEALTH EDUCATION (PART I, LINE 7B).PART I, LINE 7G:SUBSIDIZED HEALTH SERVICESTHE HOSPITAL AND PHYSICIAN COMBINED SERVICE LINES FOR PROGRAMS IN UNDERSERVED AREAS WITH LOSSES WERE REPORTED AS SUBSIDIZED HEALTH SERVICES. TOTAL CHARGES WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO BASED ON THE IRS INSTRUCTIONS. THE CLAIMS PAYMENTS WERE NETTED AGAINST THE COST.COSTS ATTRIBUTABLE TO A PHYSICAL CLINIC:SUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT AND MEDICAID SHORTFALLS. THE SERVICES ARE PROVIDED DESPITE THE FINANCIAL LOSS TO MEET THE IDENTIFIED AND UNMET NEEDS OF THE COMMUNITY. IF THE SERVICES WERE NOT PROVIDED, THEY WOULD NOT BE AVAILABLE TO THE AREA OR WOULD RESULT IN THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION PROVIDING THE SERVICES. THE SUBSIDIZED HEALTH SERVICES AMOUNT IN PART I, LINE 7G INCLUDES $3,373,304 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL HOSPITAL. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAMS AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH-QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH.PART I, LINES 7 E - F:OTHER BENEFITSIN CALCULATING THE AMOUNTS REPORTED IN THE TABLE IN PART I RELATING TO OTHER BENEFITS (E - I), WE USE AN ACCOUNTABILITY AND ELIGIBILITY SYSTEM BASED ON THE COMMUNITY BENEFIT DEFINITION AND GUIDELINES FOR DETERMINING WHERE PROGRAMS FIT INTO EACH COMMUNITY BENEFIT CATEGORY. TIME SPENT ON PROGRAMS/ACTIVITIES AND PROGRAM FUNDING IS PROVIDED BY PROGRAM STAFF. AVERAGE SALARY RATES ARE USED TO CALCULATE SALARY EXPENSES AND A FRINGE RATE IS ATTACHED AS NECESSARY. THE COMMUNITY BENEFIT STAFF ANALYZES THE FINANCIALS SUBMITTED TO ENSURE CONSISTENCY IN REPORTING AND CONFIRM WITH PROGRAM STAFF THE ACCURACY OF THE FINANCIALS. THE COMMUNITY BENEFIT STAFF ALSO WORKS WITH THE ACCOUNTING & FINANCE DEPARTMENT TO VERIFY THE ACCURACY OF SUBMITTED FINANCIALS. PART I, LINE 7, COL (F):BAD DEBT EXPENSESCHILDREN'S NATIONAL MEDICAL CENTER DOES NOT INCLUDE ITS BAD DEBT EXPENSE ($33,790,028) REPORTED ON FORM 990, PART IX, LINE 25 FOR PURPOSES OF ITS COMMUNITY BENEFIT CALCULATION HERE.
SCHEDULE H, PART II:COMMUNITY BUILDING ACTIVITIESPART II INCLUDES THE COST INCURRED FOR ACTIVITIES AND PROGRAMS TO PROTECT OR IMPROVE THE COMMUNITY'S HEALTH OR SAFETY. PROGRAMS ACCOUNTED FOR AS COMMUNITY BUILDING ACTIVITIES FALL INTO THE SUBCATEGORIES OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY, COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: IN FY 2024, HOSPITAL STAFF SERVED AS A VOICE FOR CHILDREN AT THE LOCAL, STATE AND FEDERAL LEVELS BY BRINGING ATTENTION TO AND RALLYING SUPPORT FOR PUBLIC POLICIES AND SYSTEM CHANGES THAT PROTECT THE INTEREST OF CHILDREN'S HEALTH, AIM TO ELIMINATE HEALTH DISPARITIES, AND SUPPORT MEDICAL AND RESEARCH INNOVATION. ECONOMIC DEVELOPMENT: CHILDREN'S NATIONAL LEADERSHIP PARTICIPATES IN BOARDS AND ORGANIZATIONS THAT FOCUS ON THE ECONOMIC DEVELOPMENT OF OUR LOCAL COMMUNITY. STAFF PARTICIPATE IN DISCUSSIONS AROUND WAYS TO STRENGTHEN TIES AMONG THE DIVERSE AND GROWING BUSINESS COMMUNITY, IMPROVE THE BUSINESS CLIMATE AND ENHANCE THE REGION'S ECONOMIC COMPETITIVENESS.COMMUNITY SUPPORT: CHILDREN'S NATIONAL STAFF WORK WITH LOCAL GOVERNMENT AND HEALTHCARE PARTNERS FOCUSED ON EMERGENCY PREPAREDNESS AND RESPONSE AND BRINGS THE PEDIATRIC HOSPITAL PERSPECTIVE. STAFF PARTICIPATE IN MEETINGS WITH CITY-WIDE PUBLIC HEALTH LEADERS, WHERE UPDATES ON CURRENT ISSUES IMPACTING THE HEALTH AND SAFETY OF DC RESIDENTS ARE DISCUSSED AND PARTICIPATE IN CITYWIDE AND REGIONAL DRILLS. WORKFORCE DEVELOPMENT: CHILDREN'S NATIONAL IS DEDICATED TO ENGAGING IN AND PROVIDING OPPORTUNITIES FOR LEARNING AND DEVELOPMENT FOR SCHOOL-AGED CHILDREN AND ADULTS. WE WORK WITH LOCAL ORGANIZATIONS, COLLEGES AND UNIVERSITIES TO PROVIDE LEARNING OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH PROFESSIONS. CHILDREN'S NATIONAL OFFERED WORK READINESS WORKSHOPS INCLUDING TIPS ON RESUME WRITING FOR UNIVERSITY STUDENTS. WE ALSO EXPOSE LOCAL STUDENTS FROM A LOCAL NON-PROFIT HORTONS KIDS TO HEALTH PROFESSIONS THROUGH CAREER FAIRS AND OTHER EXPERIENCES. OUR LEADERSHIP ALSO PARTICIPATES IN ASSOCIATIONS AND PROJECTS THAT FOCUS ON MENTORSHIP OPPORTUNITIES FOR RESEARCH AND HEALTHCARE PROFESSIONALS. CHILDREN'S NATIONAL ALSO SUPPORTS THE LEADING THE ADVANCEMENT OF UNDERGRADUATE NURSES AT CHILDREN'S NATIONAL (LAUNCH) AND CONWAY NURSING PATHWAY PROGRAMS WHICH ALLOW UNIVERSITY STUDENTS INTERESTED IN NURSING TO SHADOW PEDIATRIC NURSES DURING A SUMMER INTERNSHIP. THESE STUDENTS WORK CLOSELY WITH A PRECEPTOR AND SUPERVISOR LEARNING THE SKILLS AND TECHNIQUES OF A PEDIATRIC NURSE.
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
PART III, LINE 8:COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT ON LINE 6MEDICARE SHORTFALLS ARE NOT INCLUDED AS A COMMUNITY BENEFIT AS ANY SHORTFALL DETERMINATION FROM THE MEDICARE COST REPORT IS EVENTUALLY PAID AS A SETTLEMENT.SCHEDULE H, PART III, LINES 9A AND 9B:COLLECTION PRACTICESCHILDREN'S HOSPITAL HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS. CHILDREN'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S HOSPITAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY.COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, CHILDREN'S OFFERS PAYMENT PLANS. BILLING STATEMENTS WILL BE SENT TO GUARANTORS FOR OUTSTANDING BALANCES. ATTEMPTS TO CONTACT THE GUARANTORS VIA PHONE WILL ALSO OCCUR. ACCOUNTS WITH BALANCES AND NO RESPONSE FROM GUARANTORS AFTER REPEATED STATEMENTS AND PHONE CALLS WILL BE WRITTEN OFF TO BAD DEBT. AN EXTERNAL AGENCY WILL THEN ATTEMPT TO REACH THE PATIENT FOR PAYMENT. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED, AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. IF THE EXTERNAL AGENCY'S EFFORTS, PROVE TO BE INEFFECTIVE THE ACCOUNT WILL BE CLOSED WITH THE AGENCY AND THEIR EFFORTS WILL CEASE. CHILDREN'S HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES, E.G. CREDIT REPORTING, WAGE GARNISHMENTS, LIENS, ETC.
PART VI, LINE 2:COMMUNITY HEALTH CARE NEEDS ASSESSMENTIN ADDITION TO THE JOINT PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE, CHILDREN'S NATIONAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OTHER EFFORTS. THE CHILDREN'S NATIONAL ASTHMA PROGRAM, IMPACT DC, ANALYZES ON AN ANNUAL BASIS EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS FOR ASTHMA TO ALL NON-MILITARY HOSPITAL EMERGENCY DEPARTMENTS IN DC. THIS ALLOWS THE HOSPITAL TO TRACK TRENDS OVER TIME AND ACROSS ZIP CODES IN DC. THE HOSPITAL ALSO CONDUCTS STUDIES TO IDENTIFY BARRIERS TO CARE, INTERVENTION PREFERENCES, AND PARENT CONCERNS ABOUT ASTHMA. IN 2018-2019, THE HOSPITAL USED FUNDING FROM NIH TO SPECIFICALLY CONDUCT A COMMUNITY NEEDS ASSESSMENT FOCUSED ON ASTHMA. IMPACT DC PRODUCED REPORTS USING BOTH QUANTITATIVE AND QUALITATIVE METHODS. THE HOSPITAL SUBSEQUENTLY SUBMITTED ANOTHER NIH GRANT TO REFINE AND STUDY AN ASTHMA INTERVENTION THAT IS HIGHLY RESPONSIVE TO THE FINDINGS. MOST RECENTLY, THE ASTHMA PROGRAM LED FOCUS GROUPS WITH FAMILIES TO LEARN HOW HOUSING CONDITIONS IMPACT ASTHMA CARE AND IS WORKING TOGETHER WITH COMMUNITY-BASED ORGANIZATIONS TO ADDRESS SOME OF THE BARRIERS IDENTIFIED THROUGH THE ASSESSMENT. AS PART OF THIS WORK, THE TEAM GATHERED DATA AND MAPPED PROPERTIES MOST FREQUENTLY REPORTED WITH UNHEALTHY HOUSING CONDITIONS AND ASTHMA EXACERBATIONS. USING THE DATA, INTERACTIVE MAPS WERE DEVELOPED. THE MAPS HELP IDENTIFY LARGE-SCALE PROBLEMATIC REGIONS WHERE THERE IS AN INTERSECTION BETWEEN HEALTH AND HOUSING CONDITIONS THAT REQUIRES LARGER-SCALE INTERVENTIONS. SIMILARLY, IN SUMMER 2023, THE EARLY CHILDHOOD INNOVATION NETWORK (ECIN) COLLECTED DATA TO UNDERSTAND THE NEEDS AND WANTS OF DC PARENTS AND CAREGIVERS OF YOUNG CHILDREN, ESPECIALLY IN ECONOMICALLY DISADVANTAGED AREAS. USING THE THOUGHTEXCHANGE PLATFORM, THEY GATHERED INPUT FROM 113 PARTICIPANTS, INCLUDING FAMILY CAREGIVERS AND SERVICE PROVIDERS, FOCUSING ON WARDS 4, 5, 7, AND 8. THE KEY THEMES IDENTIFIED WERE THE NEED FOR SAFE HOUSING, QUALITY EARLY EDUCATION AND CHILDCARE, ACCESSIBLE HEALTHCARE, EMPLOYMENT OPPORTUNITIES, FINANCIAL RESOURCES, SOCIAL SUPPORT, HEALTHY FOOD, RESOURCE NAVIGATION, AND FAIRNESS AND RESPECT. THESE FINDINGS AIM TO GUIDE COMMUNITY ORGANIZATIONS, ADVOCATES, POLICYMAKERS, RESEARCHERS, AND SERVICE PROVIDERS IN IMPROVING EARLY CHILDHOOD SYSTEMS AND FAMILY WELL-BEING.FINALLY, TO SUPPORT CONTINUOUS ASSESSMENT OF THE NEEDS OF OUR COMMUNITY, THE HOSPITAL ESTABLISHED THE CHILD HEALTH DATA LAB OVER TEN YEARS AGO WHERE DATA SCIENTISTS USE EVIDENCE-BASED APPROACHES TO IDENTIFY AND TRACK TRENDS IN POPULATION HEALTH USING BIG DATA ANALYSIS, DEVELOPING INTERACTIVE MAPS, AND COLLECTING COMMUNITY INPUT. THE CHILD HEALTH DATA LAB OVERSEES THE DC HEALTH MATTERS WEB PORTAL THAT PROVIDES A ONE-STOP RESOURCE FOR ONLINE ACCESS TO COMMUNITY HEALTH INDICATORS THAT IMPACT THE HEALTH OF DC COMMUNITIES.
PART VI, LINE 3:ELIGIBILITY EDUCATIONCHILDREN'S HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY (FAP) THAT PROVIDES ELIGIBLE PATIENTS WITH DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES PROVIDED BY CHILDREN'S HOSPITAL. CHILDREN'S WILL PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL PROHIBITS ANY ACTIONS THAT WOULD DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE POLICY AND PLAIN LANGUAGE GUIDES, AND APPLICATION FORM, IS AVAILABLE ON CHILDREN'S PUBLIC WEBSITE. FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND VIA PHONE. THE COUNSELORS CONTACT INFORMATION IS PUBLICIZED ON THE WEBSITE. CUSTOMER SERVICE CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AS WELL AS BILLING STATEMENTS. SIGNAGE ALERTING PATIENTS TO THE AVAILABILITY OF FINANCIAL AID IS POSTED AT REGISTRATION AREAS AND APPLICATIONS ARE READILY AVAILABLE. CHILDREN'S ALSO WORKS WITH EXTERNAL VENDORS WHO ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION AS WELL AS APPLYING FOR STATE MEDICAID AND OTHER FEDERAL AND LOCAL PROGRAMS.THE FOLLOWING PROCESSES TAKE PLACE FOR FAMILIES WHO DO NOT HAVE INSURANCE OR WHO CANNOT PAY:1. THROUGH OUR CONTRACTED COMPANIES (MEDLAW AND ELEVATE) WHO RESIDE IN OUR FINANCIAL INFORMATION CENTER (FIC), AN APPLICATION IS MADE FOR MEDICAL ASSISTANCE AND OUR FINANCIAL ASSISTANCE PROGRAM (FAP). ELIGIBILITY IS CONSIDERED FOR ALL APPROPRIATE PUBLIC PROGRAMS. IN AN EFFORT TO HAVE THIS PROCESS TAKE PLACE PRIOR TO THE MEDICAL VISIT, FAP APPLICATIONS ARE MAILED TO SELF-PAY PATIENTS WHEN THEY MAKE AN APPOINTMENT.2. WHILE THE APPLICATION IS IN PROCESS, THE PATIENT IS REGISTERED AS MEDICAID PENDING AND THE MEDICAL VISIT TAKES PLACE (CITIZENS ONLY). NON-CITIZENS ARE REGISTERED AS SELF-PAY.3. IF THE PATIENT IS DETERMINED TO BE MEDICAID ELIGIBLE, THE PATIENT REGISTRATION IS CONVERTED TO THE MEDICAID PLAN.4. IF NOT ELIGIBLE, THE PATIENT'S CHARITY CARE APPLICATION IS FURTHER EVALUATED FOR CHARITY CARE BY CHILDREN'S CUSTOMER SERVICE STAFF IN THE FIC.5. IF FAP IS APPROVED, THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. THE ACCOUNTS ARE MANAGED BY CUSTOMER SERVICE STAFF. ONLY EXPECTED BALANCES REMAIN ON THE ACCOUNT AND FAMILIES RECEIVE STATEMENTS SHOWING THEIR RESPONSIBILITY.6. IF FAP IS NOT APPROVED, THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. FAMILIES CAN SET UP PAYMENT PLANS TO RESOLVE THEIR ACCOUNT BALANCES.7. MEDICALLY INDIGENT STATUS CAN APPLY FOR INSURED FAMILIES. THIS STATUS CAN BE EVALUATED AT ANY TIME IF A FAMILY'S REMAINING BALANCE (EXCLUDING ANY DEDUCTIBLES) AFTER THIRD PARTY PAYER PAYMENT IS GREATER THAN 30% OF ANNUAL INCOME LESS HOUSING EXPENSES.- WHENEVER APPLICABLE, IT IS ENCOURAGED THAT FAMILIES REVIEW THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE THE APPOINTMENT DATE. APPOINTMENTS ARE TYPICALLY MADE WITH THE FIC OFFICE WHEN FAMILIES MAKE THEIR MEDICAL APPOINTMENTS. THEY CAN GO DIRECTLY TO THE FIC OFFICE AT CHILDREN'S HOSPITAL AT ANY OTHER TIME. FAMILIES ARE ENCOURAGED TO COOPERATE WITH OUR STAFF BY SUPPLYING ALL NECESSARY INFORMATION FOR THE MEDICAID AND FAP APPLICATIONS.
PART VI, LINE 4:DESCRIPTION OF COMMUNITY SERVEDAS THE ONLY EXCLUSIVE PROVIDER OF PEDIATRIC CARE IN THE NATION'S CAPITAL, CHILDREN'S NATIONAL SERVES A DIVERSE AND BROAD COMMUNITY, SPANNING FROM THE DISTRICT OF COLUMBIA TO MARYLAND AND VIRGINIA AND BEYOND. THE U.S. CENSUS ESTIMATES THE 2024 POPULATION OF THE DISTRICT OF COLUMBIA TO BE 702,250 RESIDENTS. THE POPULATION GREW BY 23,278 PEOPLE FROM JULY 1, 2023, TO JULY 1, 2024, WHICH IS ATTRIBUTED TO THE DISTRICT HAVING 2,761 MORE BIRTHS THAN DEATHS AND POSITIVE NET MIGRATION OF 12,165 MORE PEOPLE MOVING INTO THE DISTRICT THAN MOVING OUT DURING THIS PERIOD. MARYLAND AND VIRGINIA ARE HOME TO 6.3 MILLION AND 8.8 MILLION RESIDENTS, RESPECTIVELY. THE SOCIAL DEMOGRAPHICS FOR THE DISTRICT OF COLUMBIA, MARYLAND, AND VIRGINIA, ACCORDING TO THE U.S. CENSUS, ARE AS FOLLOWS: DISTRICT OF COLUMBIA: ABOUT 44.4% BLACK OR AFRICAN AMERICAN; 46.6% WHITE; 4.9% ASIAN; 12.0% HISPANIC OR LATINO; 0.7% AMERICAN INDIAN OR ALASKA NATIVE; 3.3% TWO OR MORE RACES; MARYLAND: APPROXIMATELY 31.6% BLACK OR AFRICAN AMERICAN; 57.2% WHITE; 7.1% ASIAN; 12.6% HISPANIC OR LATINO; VIRGINIA: 20.0% BLACK OR AFRICAN AMERICAN; 68.3% WHITE; 7.4% ASIAN; 11.2% HISPANIC OR LATINO; 0.6% AMERICAN INDIAN OR ALASKA NATIVE. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND YOUNGER MAKE UP 18.6% OF THE POPULATION WITH THE HIGHEST PERCENTAGE RESIDING IN WARDS 7 AND 8. IN BOTH MARYLAND AND VIRGINIA, ABOUT 22% OF THE POPULATION IS CHILDREN 18 YEARS OLD AND YOUNGER. CHILDREN AGED FIVE AND YOUNGER MAKE UP APPROXIMATELY 6% OF THE POPULATION IN THE DISTRICT OF COLUMBIA, MARYLAND AND VIRGINIA.SOCIOECONOMIC STATUS IS THE SOCIAL STANDING OF AN INDIVIDUAL OR GROUP. IT IS OFTEN MEASURED AS A COMBINATION OF EDUCATION, INCOME, AND OCCUPATION. LOW SOCIOECONOMIC STATUS IS STRONGLY CORRELATED WITH INEQUITIES IN ACCESS TO RESOURCES, AS WELL AS ISSUES RELATED TO PRIVILEGE, POWER, AND CONTROL. PEOPLE WITH LOWER SOCIOECONOMIC STATUS TYPICALLY EXPERIENCE POORER HEALTH AND DIE YOUNGER THAN THOSE WITH MORE ECONOMIC ADVANTAGE. CITYWIDE AVERAGES OFTEN PAINT DC AS A SOCIALLY AND ECONOMICALLY RICH CITY; HOWEVER, A MORE DETAILED LOOK REVEALS A STORY OF PROFOUND INEQUITIES. SOCIOECONOMIC CHARACTERISTICS OF DC RESIDENTS VARY IMMENSELY ACROSS THE CITY. HEALTH INEQUITIES FOLLOW THE SAME PATTERN. FOR EXAMPLE, THERE ARE DIRECT CORRELATIONS BETWEEN THE CONCENTRATION OF POVERTY IN SEGMENTS OF THE CITY, PARTICULARLY IN WARDS 7 AND 8, AND PATTERNS OF POOR HEALTH OUTCOMES CONCENTRATED IN THE SAME AREAS. 35% OF CHILDREN IN WARD 8, THE WARD WITH THE LOWEST HOUSEHOLD INCOME IN THE DISTRICT OF COLUMBIA, LIVE IN POVERTY, AS COMPARED TO 2% OF CHILDREN IN WARD 3, THE WEALTHIEST WARD. ADDITIONALLY, DC HAS A 15+ YEAR DIFFERENCE IN LIFE EXPECTANCY BY WARD: 86 YEARS IN WARD 3 COMPARED TO 71 YEARS IN WARD 8. RACIAL DIFFERENCES IN LIFE EXPECTANCY ARE ALSO STRIKING. WHEN COMPARED TO OTHER RACIAL GROUPS, THE LIFE EXPECTANCY FOR BLACK RESIDENTS IS THE LOWEST. WHITE MALES IN THE DISTRICT ARE EXPECTED TO LIVE ALMOST 15 YEARS LONGER THAN BLACK MALES (83.2 AND 68.8 YEARS, RESPECTIVELY). WHITE FEMALES IN THE DISTRICT ARE EXPECTED TO LIVE APPROXIMATELY 9 YEARS LONGER THAN BLACK FEMALES (85.2 AND 76.2 YEARS, RESPECTIVELY).CHILDREN'S NATIONAL IS IN AN URBAN COMMUNITY WHERE THERE ARE SEVERAL LARGE ACADEMIC AND COMMUNITY HOSPITALS. HOWEVER, WE SERVE MOST OF THE CHILDREN IN DC. WE CARED FOR MORE THAN 258,530 UNIQUE PATIENTS THROUGH OUR HEALTH CENTERS IN 2024, AS THE LARGEST NON-GOVERNMENT PROVIDER OF PRIMARY CARE IN THE DISTRICT OF COLUMBIA. MARYLAND RESIDENTS ACCOUNTED FOR 56% CHILDREN'S NATIONAL PATIENTS, AND CHILDREN'S NATIONAL IS THE LARGEST PROVIDER OF PEDIATRIC CARE FOR RESIDENTS OF NORTHERN VIRGINIA AS WELL. THE NEEDS OF THE POPULATION SERVED IN MARYLAND AND NORTHERN VIRGINIA ARE SIMILAR TO THE DISTRICT OF COLUMBIA. AS PREVIOUSLY MENTIONED, THE CHILDHOOD OPPORTUNITY INDEX (COI) DEFINES OPPORTUNITY AS THE NEIGHBORHOOD RESOURCES THAT MATTER FOR A CHILD'S HEALTHY DEVELOPMENT. THE 29 INDICATORS FOCUS ON NEIGHBORHOOD FEATURES SUCH AS ACCESS TO HEALTHY FOOD, HIGH-QUALITY EDUCATION, PARKS AND PLAYGROUNDS. IN THE 2022 CHNA, OUR FINDINGS REVEAL THAT CHILD OPPORTUNITY VARIES CONSIDERABLY WITHIN OUR SERVICE AREA. CHILD OPPORTUNITY IS LOWEST AND CRITICALLY LACKING IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS CERTAIN PRINCE GEORGE'S COUNTY NEIGHBORHOODS IN MARYLAND.WE ALSO OFFER FAMILIES A LINK TO QUALITY PEDIATRIC CARE THROUGH OUR MOBILE MEDICAL PROGRAM AND AT COMMUNITY HEALTH CENTERS. OUR TEAM AVERAGES MORE THAN 551,000 OUTPATIENT VISITS EACH YEAR AT HEALTH CLINICS IN THE DISTRICT OF COLUMBIA, AFFILIATED CENTERS IN MARYLAND AND VIRGINIA, AND AT THE SHEIKH ZAYED CAMPUS IN WASHINGTON, DC. ON AVERAGE, THAT EQUALS OVER 1,506 PATIENT VISITS IN ONE DAY TO ONE OF CHILDREN'S NATIONAL'S 30 LOCATIONS IN THE DISTRICT OF COLUMBIA AND THROUGHOUT THE METROPOLITAN AREA. IN FISCAL YEAR 2024, WE PERFORMED 19,564 SURGICAL PROCEDURES, 135,368 DIAGNOSTIC IMAGING PROCEDURES, AND MORE THAN 1.3 MILLION LABORATORY TESTS.
PART VI, LINE 5:PROMOTING THE HEALTH OF THE COMMUNITYCHILDREN'S NATIONAL HAS EVOLVED FROM A MODEST 12-BED FACILITY FOUNDED OVER 150 YEARS AGO INTO A LEADER IN PEDIATRIC HEALTHCARE, YET ITS CORE MISSION REMAINS TO EXCEL IN CARE, ADVOCACY, RESEARCH, AND EDUCATION. OUR COMMITMENT IS TO DELIVER HIGH-QUALITY HEALTHCARE, IMPROVE HEALTH OUTCOMES FOR CHILDREN, AND LEAD INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTH CHALLENGES. THIS MISSION EXTENDS BEYOND CLINICAL CARE, ADVOCATING FOR POLICIES THAT IMPROVE CHILD HEALTH.IN 2007, WITH FUNDING FROM THE CHILDREN'S HEALTH BOARD, THE CHILD HEALTH ADVOCACY INSTITUTE (CHAI) WAS ESTABLISHED, MAKING CHILDREN'S NATIONAL THE FIRST PEDIATRIC HOSPITAL TO CREATE AN IN-HOUSE ADVOCACY INSTITUTE. CHAI'S FOUNDERS ENVISIONED A FUTURE WHERE CHILDREN'S NEEDS ARE PARAMOUNT IN POLICY AND SYSTEMS. TODAY, THAT VISION IS EVEN MORE VITAL.CHAI'S TEAM, INCLUDING CLINICIANS, PUBLIC HEALTH EXPERTS, DATA ANALYSTS, AND GOVERNMENT AFFAIRS PROFESSIONALS, IS DEDICATED TO ADVANCING COMMUNITY HEALTH, FOCUSING ON UNDER-RESOURCED FAMILIES. CHAI'S EFFORTS RANGE FROM LEADING THE COMMUNITY BENEFIT PROGRAM TO MOBILIZING STAFF FOR COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY, ALL AIMED AT ACHIEVING HEALTH EQUITY FOR CHILDREN. THE INSTITUTE LEVERAGES THE EXPERTISE OF OVER 8,000 CHILDREN'S NATIONAL EMPLOYEES AND NUMEROUS COMMUNITY STAKEHOLDERS.IN FY 2023, WE FORMED THE COMMUNITY HEALTH ADVISORY COUNCIL, COMPOSED OF PARENTS AND CAREGIVERS FROM WASHINGTON, D.C.'S WARDS 7 AND 8 AND PRINCE GEORGE'S COUNTY, MARYLAND. THE COUNCIL OFFERS INSIGHTS INTO HEALTHCARE QUALITY AND SAFETY, ADDRESSING HOW COMMUNITY CHALLENGES AND CULTURAL TRADITIONS IMPACT CARE. THEIR GUIDANCE HAS SHAPED CHIP PRIORITIES AND COMMUNITY HEALTH STRATEGIES.CHILDREN'S NATIONAL IS COMMITTED TO ITS MISSION TO ADVANCE CHILD HEALTH, ENSURING THAT EVERY CHILD HAS THE OPPORTUNITY TO THRIVE. THROUGH ADVOCACY, COMMUNITY ENGAGEMENT, AND INNOVATIVE HEALTH SOLUTIONS, WE CONTINUE TO DRIVE IMPACTFUL CHANGE TO IMPROVE COMMUNITY HEALTH.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM ROLESCHILDREN'S HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING TAX-EXEMPT ENTITIES:- CHILDREN'S NATIONAL MEDICAL CENTER - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLE FOR HEALTH CARE SYSTEM- CHILDREN'S HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING- CHILDREN'S RESEARCH INSTITUTE - 501(C)(3), CONDUCTING CLINICAL MEDICAL RESEARCH AND EDUCATION PROGRAMS- SAFE KIDS WORLDWIDE - 501(C)(3), INJURY PREVENTION FOR CHILDREN- BRAINY CAMPS ASSOCIATION - 501(C)(3), PROVISION OF CAMPS FOR CHILDREN- CHILDREN'S SCHOOL SERVICES - 501(C)(3), OPERATION OF A SCHOOL NURSE PROGRAM- HSC FOUNDATION - 501 (C)(3), SUPPORT FOR THE HSC ENTITIES- HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS - 501(C)(3), HEALTHCARE, SOCIAL, AND EDUCATIONAL SERVICES FOR YOUNG INDIVIDUALS WITH SPECIAL NEEDS- THE HOSPITAL FOR SICK CHILDREN DBA CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE - 501(C)(3), ACUTE CARE HOSPITAL FACILITY THAT PROVIDES REHABILITATION AND TRANSITIONAL CARE FOR CHILDREN AND ADOLESCENTS WITH DISABILITIES AND CHRONIC ILLNESSES- HSC HOME CARE - 501(C)(3), HOME AND COMMUNITY - PROVIDES ACCESS TO QUALITY REHABILITATIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDSTHE FOR-PROFIT ENTITIES (PHN, CNHN AND CP&A) AFFILIATED WITH THE CHILDREN'S NATIONAL HOSPITAL HEALTH SYSTEM PROVIDE SIGNIFICANT CONTRIBUTIONS TO THE OVERALL OPERATIONS, FINANCIAL PERFORMANCE, AND GROWTH OF THE SYSTEM. THESE CONTRIBUTIONS INCLUDE, BUT ARE NOT LIMITED TO, FINANCIAL SUPPORT, SHARED RESOURCES, COLLABORATIVE HEALTHCARE INITIATIVES, AND INVESTMENT IN INNOVATIVE CARE MODELS. THE AFFILIATED FOR-PROFIT ENTITIES ENGAGE IN VARIOUS STRATEGIC PARTNERSHIPS, SERVICE EXPANSIONS, AND SPECIALIZED HEALTHCARE PROGRAMS, WHICH ENHANCE THE DELIVERY OF CARE AND FURTHER THE MISSION OF THE CHILDREN'S NATIONAL HOSPITAL HEALTH SYSTEM. THESE ENTITIES OPERATE IN ACCORDANCE WITH THEIR RESPECTIVE BUSINESS OBJECTIVES, WHILE ALSO SUPPORTING THE BROADER GOALS OF THE AFFILIATED HEALTH SYSTEM THROUGH MEANINGFUL COLLABORATIONS.EACH ENTITY PARTICIPATES IN THE CHILDREN'S NATIONAL'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS.
PART VI, LINE 7, REPORTS FILED WITH STATESDC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KURT D NEWMAN MD
FORMER PRESIDENT / CEO (CNMC)$1,006,360$0$1,635,633$0$358,211$0$16,500$0$29,904$0$3,046,608$0$0$0
YVES D'UDEKEM D'ACOZ MD
CHIEF OF CARDIO SURGERY$1,875,059$0$325,450$0$129,275$0$16,500$0$30,984$0$2,377,268$0$0$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE$972,616$0$454,064$0$150,391$0$167,855$0$44,826$0$1,789,752$0$116,113$0
KATHLEEN CHAVANU GORMAN
FORMER CHIEF OPERATING OFFICER$767,391$0$349,944$0$142,438$0$133,148$0$9,888$0$1,402,809$0$99,060$0
DAVID WESSEL MD
CHIEF MEDICAL OFFICER$742,703$0$349,664$0$157,720$0$16,500$0$37,992$0$1,304,579$0$0$0
ALDWIN LINDSAY
EVP/CFO$680,428$0$318,096$0$139,788$0$122,532$0$12,913$0$1,273,757$0$82,363$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY$916,576$0$176,288$0$98,271$0$16,500$0$27,339$0$1,234,974$0$0$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY$812,581$0$322,747$0$4,356$0$16,500$0$32,684$0$1,188,868$0$0$0
DEANN MARSHALL
PRESIDENT OF FOUNDATION$592,908$0$398,459$0$27,795$0$63,168$0$41,340$0$1,123,670$0$0$0
MARK L BATSHAW MD
SENIOR INVESTIGATOR$523,403$0$131,659$0$380,515$0$16,500$0$21,808$0$1,073,885$0$254,540$0
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER$583,992$0$260,644$0$88,341$0$89,381$0$36,652$0$1,059,010$0$61,769$0
JOHN S MYSEROS
ASSOC. CHIEF OF NEUROSURGERY$839,166$0$147,676$0$2,838$0$16,500$0$21,363$0$1,027,543$0$0$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER TO 12/23$504,438$0$243,477$0$207,638$0$16,500$0$32,942$0$1,004,995$0$0$0
MICHELLE M MCGUIRE
CHIEF STRATEGY OFFICER TO 12/23$508,935$0$246,583$0$109,081$0$98,694$0$40,768$0$1,004,061$0$24,454$0
NATHANIEL BEERS MD
PRESIDENT OF HSC$511,166$0$241,822$0$90,332$0$97,107$0$37,391$0$977,818$0$65,118$0
ROGER PACKER MD
FORMER SVP CENTER OF EXCELLENCE$551,414$0$228,274$0$141,555$0$16,500$0$31,484$0$969,227$0$0$0
MATTHEW MACVEY
CHIEF INFO OFFICER$499,604$0$231,750$0$32,258$0$93,750$0$43,139$0$900,501$0$30,726$0
LINDA TALLEY
CHIEF NURSING OFFICER$475,409$0$229,500$0$57,616$0$83,700$0$22,786$0$869,011$0$29,589$0
MICHELLE RILEY-BROWN
PRESIDENT/CEO FROM 07/23$643,121$0$200,000$0$0$0$0$0$15,887$0$859,008$0$0$0
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER TO 09/23$425,491$0$247,497$0$145,174$0$15,050$0$11,751$0$844,963$0$0$0
ELIZABETH WELLS
SVP CENTER OF EXCELLENCE$512,545$0$131,667$0$12,291$0$16,500$0$31,770$0$704,773$0$0$0
CATHERINE CODISPOTI MD
CHIEF PEOPLE OFFICER TO 10/23$402,331$0$231,346$0$18,855$0$16,500$0$26,080$0$695,112$0$0$0
DENICE CORA-BRAMBLE MD
FMR CHIEF MEDICAL OFFICER$207,447$0$49,985$0$62,223$0$11,847$0$25,477$0$356,979$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A:FIRST CLASS OR CHARTER TRAVEL THE CEO PER HER EMPLOYMENT CONTRACT IS ENTITLED TO USE FIRST CLASS TRAVEL (WHERE BUSINESS CLASS IS NOT AVAILABLE) FOR TRIPS OF MORE THAN 4 HOURS. HOSPITAL POLICY PERMITS BUSINESS CLASS FOR INTERNATIONAL TRAVEL. THERE IS NO CHARTER TRAVEL. SCHEDULE J, PART I, LINE 1A: PERSONAL SERVICES CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR TAX, FINANCIAL AND ESTATE PLANNING, AND HEALTH COSTS. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
SCHEDULE J, PART I, LINE 4A:SEVERANCE THE FOLLOWING KEY EMPLOYEES RECEIVED A SEVERANCE PAYMENT. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION: CHARLES WEINSTEIN $6,243 MICHELLE M. MCGUIRE $6,323
SCHEDULE J, PART I, LINE 4B:SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II COLUMN (C ) AS PART OF DEFERRED COMPENSATION OR SCHEDULE J, PART II, COLUMN (B)(III) WHEN AMOUNTS ARE DEFERRED AND DISTRIBUTED IN THE SAME CALENDAR YEAR: KATHLEEN CHAVANU GORMAN $116,648 ALDWIN LINDSAY $106,032 MARY ANNE HILLIARD $72,881 ANTHONY SANDLER, MD $151,355 ROBERT KEATING, MD $93,090 DAVID WESSEL, MD $116,555 DEANN MARSHALL $46,668 CHARLES WEINSTEIN $81,159 MICHELLE M. MCGUIRE $82,194 NATHANIEL BEERS, MD $80,607 VITTORIO GALLO, PHD $82,499 MATTHEW MACVEY $77,250 LINDA TALLEY $69,355 DENICE CORA-BRAMBLE, MD $35,542 MARK L. BATSHAW, MD $81,439 ROGER PACKER, MD $78,993 KURT D. NEWMAN, MD $251,063 ADDITIONALLY, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN THAT WERE DEFERRED ON A PREVIOUSLY FILED FORM 990 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AS TAXABLE WAGES IN THE CURRENT YEAR. KATHLEEN CHAVANU GORMAN $99,060 ALDWIN LINDSAY $82,363 MARY ANNE HILLIARD $61,769 ANTHONY SANDLER, MD $116,113 MICHELLE M. MCGUIRE $24,454 NATHANIEL BEERS, MD $65,118 MATTHEW MACVEY $30,726 LINDA TALLEY $29,589 MARK L. BATSHAW, MD $254,540
SCHEDULE J, PART I, LINE 7:NON-FIXED PAYMENTS THE ORGANIZATION ESTABLISHES QUANTITATIVE TARGETS FOR ITS OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES TO MEET. IF THE METRICS ARE MET, THEN A BONUS IS PAID TO THE INDIVIDUAL. BOTH THE DETERMINATION TO PAY A BONUS AND THE AMOUNT OF THE BONUS IS DETERMINED BY ESTABLISHED FORMULAS AND THE PAYMENT IS NOT CONTINGENT ON THE EXERCISE OF ANY PERSON'S DISCRETION. DUE TO EXTENUATING CIRCUMSTANCES, BONUSES WILL SOMETIMES BE AWARDED EVEN IF METRICS ARE NOT MET. HOWEVER, FOR THIS TO OCCUR, THERE IS A MULTI-LEVEL REVIEW PROCESS AND CONCURRENCE REGARDING THE APPROPRIATENESS OF THE PAYMENT.
SCHEDULE J, PART I, LINE 8:INITIAL CONTRACT EXCEPTION CERTAIN INDIVIDUALS HIRED DURING THE YEAR HAVE EMPLOYMENT CONTRACTS WHICH MEET THE INITIAL CONTRACT EXCEPTIONS DESCRIBED IN THE TREASURY REGULATIONS.
SCHEDULE J, PART II, COLUMN (F):COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990 THE AMOUNTS REPORTED IN COLUMN F REPRESENT THE ACCUMULATION OVER MANY YEARS OF DEFERRED COMPENSATION BENEFITS WHICH ARE NOW TAXABLE TO THE RECIPIENT. THE ORGANIZATION HAS ALSO REPORTED THESE SAME AMOUNTS AS ACCRUED DEFERRED COMPENSATION IN PRIOR YEARS' COLUMN C.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DISTRICT OF COLUMBIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN536001131BondIssuerEIN
CUSIP254764KB8CUSIPNum
Bond Issued2015-09-17BondIssuedDt
Issue Price$413,728,662IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$48,640,000RetiredAmt
Total Proceeds$413,728,662TotalProceedsAmt
Refunding Escrow$410,562,146RefundingEscrowAmt
Issuance Costs From Proceeds$3,166,515IssuanceCostsFromProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00100PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00100TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: DISTRICT OF COLUMBIA DATE THE REBATE COMPUTATION WAS PERFORMED: 09/17/2020
SCHEDULE K, PART I, LINE A, COLUMN (F):ADV REFUND BOND ISSUES 10/26/2005 AND 4/10/2008

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonM RILEY-BROWNPersonNm
Relationship With OrgOFFICERRelationshipWithOrgTxt
Loan PurposeHOUSINGLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$750,000OriginalPrincipalAmt
Balance Due$600,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$600,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1:ORGANIZATION'S MISSION TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH. AS THE NATION'S CHILDREN'S HOSPITAL, THE MISSION OF CHILDREN'S NATIONAL IS TO EXCEL IN CARE, ADVOCACY, RESEARCH AND EDUCATION. WE ACCOMPLISH THIS THROUGH: - PROVIDING A QUALITY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND FAMILIES. - IMPROVING HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY. - LEADING THE CREATION OF INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTH CHALLENGES.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS CHILDREN'S NATIONAL IS THE SOLE MEMBER OF CHILDREN'S NATIONAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF CHILDREN'S NATIONAL HOSPITAL HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S NATIONAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS OR STOCKHOLDERS THE ARTICLES AND BY-LAWS OF CHILDREN'S NATIONAL HOSPITAL DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS ONCE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S PROFESSIONAL TAX SERVICES PROVIDER, THE RELEVANT COMMITTEES OF THE ORGANIZATION, ENTITY OPERATIONAL LEADERSHIP, AND FINANCE MANAGEMENT REVIEW APPLICABLE PORTIONS OF THE FORM 990. THE HOSPITAL POSTS A COPY OF THE FORM 990 TO THE HOSPITAL BOARD'S PORTAL PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT CHILDREN'S NATIONAL HOSPITAL ASKS THAT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTERESTS ARE NOTED. THE CHILDREN'S NATIONAL HOSPITAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. IF ANYONE IS FOUND TO BE CONFLICTED OR A SIGNIFICANT PERCEIVED CONFLICT EXISTS, THAT BOARD MEMBER WOULD RECUSE HIMSELF OR HERSELF FROM ALL DISCUSSIONS RELATED TO THE TRANSACTION. FORM 990, PART VI, LINES 13 & 14: GOVERNING POLICIES CHILDREN'S NATIONAL HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS EXPERT ON COMPENSATION MATTERS. THE COMMITTEE DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION FOR EACH PERSON DEEMED BY THE COMPENSATION COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATE SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT AND RELIES UPON "REASONABLENESS" OPINIONS FOR SUCH CONSULTANTS, PRIOR TO OR CONTEMPORANEOUS WITH MAKING COMPENSATION DECISIONS. THE COMMITTEE MEETS 4-6 TIMES PER YEAR TO CONSIDER SUCH MATTERS AND DOCUMENTS THESE MEETINGS IN MINUTES.
FORM 990, PART VI, SECTION C, LINE 19HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CHILDREN'S NATIONAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S NATIONAL AT WALTER REED LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
EIN383987350EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateDCLegalDomicileStateCd
Total Income$1,157,135TotalIncomeAmt
End Of Year Assets$93,140,848EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640402FUNDRAISINGDC501(C)(3)LINE 7CNMC0
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640403HEALTH CAREDC501(C)(3)LINE 12C, III-FI0N/A
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NWWASHINGTONDC20010521654453RESEARCHDC501(C)(3)LINE 7CNMC0
SAFE KIDS WORLDWIDE
1 INVENTA PL 6TH FL WSILVER SPRINGMD20910521627574INJURY PREVENTIONDC501(C)(3)LINE 7CNMC0
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010271547370CHILD CAMPSDC501(C)(3)LINE 12A, ICHYes (1)
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NWWASHINGTONDC20010814291601NURSING SERVICESDC501(C)(3)LINE 12A, ICNMC0
THE HSC FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521346603HEALTH CAREDC501(C)(3)LINE 12C, III-FICNMC0
THE HOSPITAL FOR SICK CHILDREN
111 MICHIGAN AVE NWWASHINGTONDC20010530204670HOSPITALDC501(C)(3)LINE 3HSC FNDN0
HEALTH SVCS FOR CHILDREN W SPEC NEEDS
111 MICHIGAN AVE NWWASHINGTONDC20010521862406HEALTH CAREDC501(C)(3)LINE 10HSC FNDN0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC
111 MICHIGAN AVE NWWASHINGTONDC20010522072589HEALTH CAREDCN/ARELATED$1,892,260$13,012,251000.50000
5253 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832873855PROPERTY MANAGEMENTDCN/A00
5253 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833044006PROPERTY MANAGEMENTDCN/A00
54 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833358685PROPERTY MANAGEMENTDCN/A00
54 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833385522PROPERTY MANAGEMENTDCN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NWWASHINGTONDC20010521996521HEALTH CAREDCN/AC0
BEARACUDA RE
REINSURANCEN/AC0PO BOX 69GRANDCAYMANCJKY1-1102CJ
PEDIATRIC HEALTH NETWORK INC
12211 PLUM ORCHARD DR STE 102SILVER SPRINGMD20904833415276HEALTH CAREDCN/AC0
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832801690PROPERTY MGMTDCN/AC0
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVEWASHINGTONDC20010833272918PROPERTY MGMTDCN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINY CAMPS ASSOCIATION
Q$281,470COST
BRAINY CAMPS ASSOCIATION
S$4,301COST