2025-05-14T21:49:49-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 2850 QUARRY LAKE DRIVE SUITE 306 BALTIMORE MD 21209 990 2023-07-01 530196580 CHILDREN'S HOSPITAL CHIL 3015723502 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 ALDWIN LINDSAY CFO 3015723502 2025-05-14 1 1 MARY TORRETTA P00847851 7038477500 2023 2025-03-06 01:10:19Z CHILDREN'S NATIONAL HOSPITAL MICHELLE RILEY-BROWN MHA 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 1774870540 0 X WWW.CHILDRENSNATIONAL.ORG X 1870 DC SEE SCHEDULE O. 11 10 9664 1232 1685807 0 54165516 68530658 1502472344 1629536880 7449655 11184261 -1855584 9560079 1562231931 1718811878 175065 0 0 0 874349566 946377644 0 0 0 643413803 697299673 1517938434 1643677317 44293497 75134561 2228485013 2333479544 1366024806 1368174724 862460207 965304820 X SEE SCHEDULE O. 0 0 1244076520 1627733713 CHILDREN'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. 1244076520 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 868 0 1 9664 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CORPORATE OFFICERS 3015723502 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 MICHELLE RILEY-BROWN PRESIDENT/CEO FROM 07/23 43.00 12.00 X X 843121 0 15887 AMY FREEMAN BOARD CHAIRMAN 2.00 1.00 X X 0 0 0 PAUL KALB MD BOARD VICE CHAIRMAN 1.00 0.00 X X 0 0 0 ELLIE HAMBURGER MD BOARD MEMBER 1.00 0.00 X 0 0 0 ARTENCIA HAWKINS-BELL BOARD MEMBER 1.00 0.00 X 0 0 0 MARY GEN LEDECKY BOARD MEMBER 1.00 0.00 X 0 0 0 AMANDA LELAND BOARD MEMBER 1.00 0.00 X 0 0 0 MARSHA REGENSTEIN BOARD MEMBER 1.00 4.00 X 0 0 0 HORACIO ROZANSKI BOARD MEMBER 1.00 4.00 X 0 0 0 JERRY STOUCK BOARD MEMBER 1.00 0.00 X 0 0 0 IVY WAFFORD DUKE BOARD MEMBER 1.00 0.00 X 0 0 0 ALDWIN LINDSAY EVP/CFO 37.00 18.00 X 1138312 0 135445 MARY ANNE HILLIARD EVP/CHIEF LEGAL OFFICER 38.00 17.00 X 932977 0 126033 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 45.00 10.00 X 1577071 0 212681 DAVID WESSEL MD CHIEF MEDICAL OFFICER 53.00 2.00 X 1250087 0 54492 DEANN MARSHALL PRESIDENT OF FOUNDATION 1.00 54.00 X 1019162 0 104508 ELIZABETH WELLS SVP CENTER OF EXCELLENCE 54.00 1.00 X 656503 0 48270 NATHANIEL BEERS MD PRESIDENT OF HSC 1.00 54.00 X 843320 0 134498 MICHELLE M MCGUIRE CHIEF STRATEGY OFFICER TO 12/23 54.00 1.00 X 864599 0 139462 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER TO 12/23 54.00 1.00 X 955553 0 49442 MATTHEW MACVEY CHIEF INFO OFFICER 54.00 1.00 X 763612 0 136889 LINDA TALLEY CHIEF NURSING OFFICER 54.00 1.00 X 762525 0 106486 VITTORIO GALLO PHD CHIEF RESEARCH OFFICER TO 09/23 15.00 40.00 X 818162 0 26801 CATHERINE CODISPOTI MD CHIEF PEOPLE OFFICER TO 10/23 54.00 1.00 X 652532 0 42580 YVES D'UDEKEM D'ACOZ MD CHIEF OF CARDIO SURGERY 55.00 1.00 X 2329784 0 47484 ROBERT KEATING MD CHIEF OF NEUROSURGERY 54.00 1.00 X 1191135 0 43839 JOHN S MYSEROS ASSOC. CHIEF OF NEUROSURGERY 55.00 0.00 X 989680 0 37863 TIMOTHY KANE MD CHIEF OF PEDIATRIC SURGERY 55.00 0.00 X 1139684 0 49184 MARK L BATSHAW MD SENIOR INVESTIGATOR 53.00 2.00 X 1035577 0 38308 KURT D NEWMAN MD FORMER PRESIDENT / CEO (CNMC) 54.00 1.00 X 3000204 0 46404 DENICE CORA-BRAMBLE MD FMR CHIEF MEDICAL OFFICER 54.00 1.00 X 319655 0 37324 KATHLEEN CHAVANU GORMAN FORMER CHIEF OPERATING OFFICER 52.00 3.00 X 1259773 0 143036 ROGER PACKER MD FORMER SVP CENTER OF EXCELLENCE 53.00 0.00 X 921243 0 47984 25264271 0 1824900 2595 1 1 0 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 INFORMATION TECHNOLOGY 20028219 ORACLE AMERICA INC PO BOX 203448 DALLAS TX 753203448 INFORMATION TECHNOLOGY 6313007 ARAMARK SERVICES INC 2400 KARKET STREET PHILADELPHIA PA 19103 PURCHASED FOOD SERVICES 4111157 TAG B VALET PARKING LLC 610 10TH STREET NW SUITE 100 WASHINGTON DC 20001 PARKING 3282883 QUEST DIAGNOSTIC CLINICAL LAB INC PO BOX 829864 PHILADELPHIA PA 191828298 PURCHASED LAB SERVICES 2501354 184 31683137 8934509 27913012 14982 68530658 PATIENT REVENUE 621400 1469468747 1469468747 ALL OTHER PROGRAM SERV 900099 160068133 160068133 1629536880 10564810 10564810 3528982 0 3528982 3528982 3528982 54842813 1835300 54589876 1468786 252937 366514 619451 619451 PARKING 812390 6148457 6148457 LAB FEES 621500 1685807 1685807 EQUITY AND PARTNERSHIP 621110 -1803167 -1803167 6031097 1718811878 1627733713 1685807 20861700 11522413 349081 11173332 4014433 4014433 787961070 574746029 213215041 27220914 19482008 7738906 64973387 46501453 18471934 50685427 36275560 14409867 3779360 2704888 1074472 2206013 2206013 442240 442240 407953 291972 115981 120693283 86665042 34028241 4564864 3267073 1297791 14622405 10465255 4157150 70978478 50799297 20179181 33890003 24255075 9634928 4307749 3083056 1224693 832645 595924 236721 27832889 19919999 7912890 100635762 72025015 28610747 28846810 20645662 8201148 MEDICAL SUPPLIES 209880419 209880419 BAD DEBT EXPENSE 33790028 33790028 REPAIRS & MAINTENANCE 30790123 22036491 8753632 DUES & MEMBERSHIPS 3946032 2824175 1121857 4852617 3473018 1379599 1643677317 1244076520 399600797 0 69359836 20725121 3728298 24055734 337220959 374893852 50000 600000 15045348 20716334 74611724 81228092 1860870131 1109330993 776377053 751539138 270094021 285569960 11637332 15173913 670360442 758977400 2228485013 2333479544 231904646 240094295 6394536 6055964 350214726 339658642 352030242 351513520 425480656 430852303 1366024806 1368174724 X 862460207 965304820 862460207 965304820 2228485013 2333479544 75134561 27710052 0 X 0 1 X 1 1 1 X 85105614 58540048 66496859 53753566 68530658 332426745 85105614 58540048 66496859 53753566 68530658 332426745 332426745 7995875 11995360 13818827 12071637 14093792 59975491 4528932 3800400 4254430 4952676 6148457 23684895 416087131 6902658987 0.79890 0.79740 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: PARKING - 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 382825 0 1 59415 442240 0 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. 22186326 22186326 370952992 104162961 266790031 948017060 726462148 221554912 409153999 273751752 135402247 110559754 4954132 105605622 751539138 DUE FROM AFFILIATES 644896695 OPERATING ROU ASSETS 60167379 DEFERRED COMPENSATION PLAN 53913326 758977400 FINANCE LEASE OBLIGATIONS 147853348 RESERVE FOR CLAIMS 131476799 OTHER LIABILITIES 72154412 OPERATING LEASE OBLIGATIONS 65011276 SETTLEMENTS TO THIRD PARTY PAY 12163718 DUE TO AFFILIATES 2192750 430852303 X PART X, LINE 2: LIABILITY 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. MIDDLE EAST AND NORTH AFRICA 0 1 PROGRAM SERVICES PATIENT REFERRALS 581019 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES INSURANCE PREMIUMS 16411045 0 1 0 0 0 1 16992064 0 16992064 0 0 0 0 0 0 PART I, LINE 3, COLUMN F: ACCOUNTING METHOD USED THE EXPENDITURES, PER REGION, ARE PRESENTED ON THE ACCRUAL BASIS OF ACCOUNTING. 1 1 1 X 400.000000000000 1 X 1 1 0 1 1 5837321 5837321 0.00360 798671629 644894052 153777577 0.09560 804508950 644894052 159614898 0.09920 140491 6518098 2902879 3615219 0.00220 1593 59620024 8699581 50920443 0.03160 23777071 20403767 3373304 0.00210 433 760112 760112 0.00050 142517 90675305 32006227 58669078 0.03640 142517 895184255 676900279 218283976 0.13560 49661 49661 0.00000 5 57332 57332 0.00000 6027 6027 0.00000 162 1480661 1480661 0.00090 167 1593681 1593681 0.00090 1 33790028 1315000 2011919 2139069 -127150 X 1 1 1 1 CHILDREN'S HOSPITAL 111 MICHIGAN AVE NW WASHINGTON DC 20010 WWW.CHILDRENSNATIONAL.ORG HFD01-0208 X X X X X X X X CHILDREN'S HOSPITAL 1 0 0 1 X X X X X X X X X X 22 1 1 0 1 X WWW.CHILDRENSNATIONAL.ORG X X 1 22 1 WWW.CHILDRENSNATIONAL.ORG 0 1 X 400.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 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 HOSPITAL PART 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 22 1 - CHILDREN'S NAT'L AMBU SURGERY CTR 9850 KEY WEST AVENUE ROCKVILLE MD 20850 REGIONAL OUTPATIENT CENTER 2 - CHILDREN'S OUTPATIENT CTR FREDERICK 5285 WESTVIEW DRIVE SUITE 103 FREDERICK MD 21703 REGIONAL OUTPATIENT CENTER 3 - MOBILE VAN - DENTAL N/A NA DC 20010 MOBILE HEALTH CARE 4 - CHILDREN'S HEALTH CENTER AT THEARC 1801 MISSISSIPPI AVE SE WASHINGTON DC 20020 HEALTH CENTERS 5 - CHILDREN'S OUTPATIENT CTR MONTGOMERY 15245 SHADY GROVE ROAD SUITE 350 ROCKVILLE MD 20850 REGIONAL OUTPATIENT CENTER 6 - CHILDREN'S OUTPATIENT FREDRICKSBURG 1300 HOSPITAL DRIVE SUITE 201 FREDRICKSBURG VA 22401 REGIONAL OUTPATIENT CENTER 7 - CHILDREN'S NATIONAL IMAGING CENTER 9850 KEY WEST AVENUE SUITE 110 ROCKVILLE MD 20850 REGOINAL OUTPATIENT CENTER 8 - CHILDREN'S NATIONAL PULMONARY MED - R 9711 MEDICAL CENTER DRIVE SUITE 212 ROCKVILLE MD 20850 HEALTH CENTERS 9 - CHILDREN'S OUTPATIENT CTR HOWARD CITY 7625 MAPLE LAWN BLVD SUITE 230 FULTON MD 20759 REGIONAL OUTPATIENT CENTER 10 - FIGHT FOR CHILDREN SPORTS MED CTR 1 INVENTA PLACE SUITE 150 SILVER SPRING MD 20910 HEALTH CENTERS 11 - CHILDREN'S HEALTH CTR AT SHAW METRO 641 S STREET NW WASHINGTON DC 20001 HEALTH CENTERS 12 - CHILDREN'S HEALTH CTR AT WALTER REED 7125 13TH PLACE NW WASHINGTON DC 20012 HEALTH CENTERS 13 - CHILDREN'S OUTPATIENT CTR OF MONTGOMERY SHADY GROVE MEDICAL PARK ROCKVILLE MD 20850 REGIONAL OUTPATIENT CENTER 14 - CHILDREN'S OUTPATIENT CTR OF NORTHERN VA 3023 HAMACKER COURT SUITE 300 FAIRFAX VA 22031 REGIONAL OUTPATIENT CENTER 15 - CHILDREN'S HEALTH CTR AT TAKOMA THEATRE 6833 4TH STREET NW WASHINGTON DC 20012 HEALTH CENTERS 16 - CHILDREN'S HEALTH CTR AT COLUMBIA HEI 3336 14TH STREET NW WASHINGTON DC 20010 HEALTH CENTERS 17 - CHILDREN'S HEALTH CENTER AT ANACOSTIA 2101 MARTIN LUTHER KING JR AVENUE SE WASHINGTON DC 20020 HEALTH CENTERS 18 - CHILDREN'S OUTPATIENT CTR PRINCE GEOR 2900 CAMPUS WAY NORTH LANHAM MD 20706 REGIONAL OUTPATIENT CENTER 19 - MOBILE VAN - HEALTH CARE N/A NA DC 20010 MOBILE HEALTH CARE 20 - CHILDREN'S OUTPATIENT CTR OF ANNAPOLIS 1730 WEST STREET SUITE 100 ANNAPOLIS MD 21401 REGIONAL OUTPATIENT CENTER 21 - CHILDREN'S NATIONAL EMERG DEPT UNIT 1310 SOUTHERN AVENUE SE WASHINGTON DC 20032 ED FACILITY 22 - CHILDREN'S OUTPATIENT CTR OF FRIENDSHIP 5028 WISCONSIN AVE SUITES 250 310 WASHINGTON DC 20016 REGIONAL OUTPATIENT CENTER 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. PART III, LINES 2, 3 AND 4: BAD DEBT EXPENSETHE HOSPITAL AND PHYSICIAN BAD DEBT WRITE-OFF REPORTED IN THE AUDITED FINANCIAL STATEMENTS WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO CALCULATION PER THE IRS INSTRUCTIONS. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO CHILDREN'S HOSPITAL. FINANCIAL ASSISTANCE ELIGIBLE PATIENTS RECEIVE A 100% DISCOUNT ON THE BALANCE DUE. PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENT BALANCES DUE. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER COLLECTION EFFORTS (BILLING STATEMENTS AND PHONE CALLS) ARE UNSUCCESSFUL.BAD DEBT IS NOT INCLUDED IN CHILDREN'S NATIONAL'S COMMUNITY BENEFIT. A DEMOGRAPHIC ANALYSIS BASED ON ZIP CODES WAS COMPLETED TO ESTIMATE THE AMOUNT OF BAD DEBT THAT COULD HAVE BEEN ATTRIBUTED TO PATIENTS WITH A LIKELIHOOD OF QUALIFYING FOR FINANCIAL ASSISTANCE HAD SUFFICIENT INFORMATION BEEN OBTAINED TO DETERMINE THEIR ELIGIBILITY. BASED ON THE ANALYSIS, APPROXIMATELY $1.3M OF BAD DEBT COULD HAVE BEEN ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. CHILDREN'S HOSPITAL REPORTS ITS APPLICABLE BAD DEBT ($33.8M) AMOUNT WITHIN THE AUDITED FINANCIAL STATEMENTS. THERE IS NO SPECIFIC FOOTNOTE FOR BAD DEBT IN THE STATEMENTS. 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 STATES DC X X 1 1 X X X X 1 1 0 0 0 0 0 1 1 1 KURT D NEWMAN MD FORMER PRESIDENT / CEO (CNMC) 1006360 0 1635633 0 358211 0 16500 0 29904 0 3046608 0 0 0 YVES D'UDEKEM D'ACOZ MD CHIEF OF CARDIO SURGERY 1875059 0 325450 0 129275 0 16500 0 30984 0 2377268 0 0 0 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 972616 0 454064 0 150391 0 167855 0 44826 0 1789752 0 116113 0 KATHLEEN CHAVANU GORMAN FORMER CHIEF OPERATING OFFICER 767391 0 349944 0 142438 0 133148 0 9888 0 1402809 0 99060 0 DAVID WESSEL MD CHIEF MEDICAL OFFICER 742703 0 349664 0 157720 0 16500 0 37992 0 1304579 0 0 0 ALDWIN LINDSAY EVP/CFO 680428 0 318096 0 139788 0 122532 0 12913 0 1273757 0 82363 0 ROBERT KEATING MD CHIEF OF NEUROSURGERY 916576 0 176288 0 98271 0 16500 0 27339 0 1234974 0 0 0 TIMOTHY KANE MD CHIEF OF PEDIATRIC SURGERY 812581 0 322747 0 4356 0 16500 0 32684 0 1188868 0 0 0 DEANN MARSHALL PRESIDENT OF FOUNDATION 592908 0 398459 0 27795 0 63168 0 41340 0 1123670 0 0 0 MARK L BATSHAW MD SENIOR INVESTIGATOR 523403 0 131659 0 380515 0 16500 0 21808 0 1073885 0 254540 0 MARY ANNE HILLIARD EVP/CHIEF LEGAL OFFICER 583992 0 260644 0 88341 0 89381 0 36652 0 1059010 0 61769 0 JOHN S MYSEROS ASSOC. CHIEF OF NEUROSURGERY 839166 0 147676 0 2838 0 16500 0 21363 0 1027543 0 0 0 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER TO 12/23 504438 0 243477 0 207638 0 16500 0 32942 0 1004995 0 0 0 MICHELLE M MCGUIRE CHIEF STRATEGY OFFICER TO 12/23 508935 0 246583 0 109081 0 98694 0 40768 0 1004061 0 24454 0 NATHANIEL BEERS MD PRESIDENT OF HSC 511166 0 241822 0 90332 0 97107 0 37391 0 977818 0 65118 0 ROGER PACKER MD FORMER SVP CENTER OF EXCELLENCE 551414 0 228274 0 141555 0 16500 0 31484 0 969227 0 0 0 MATTHEW MACVEY CHIEF INFO OFFICER 499604 0 231750 0 32258 0 93750 0 43139 0 900501 0 30726 0 LINDA TALLEY CHIEF NURSING OFFICER 475409 0 229500 0 57616 0 83700 0 22786 0 869011 0 29589 0 MICHELLE RILEY-BROWN PRESIDENT/CEO FROM 07/23 643121 0 200000 0 0 0 0 0 15887 0 859008 0 0 0 VITTORIO GALLO PHD CHIEF RESEARCH OFFICER TO 09/23 425491 0 247497 0 145174 0 15050 0 11751 0 844963 0 0 0 ELIZABETH WELLS SVP CENTER OF EXCELLENCE 512545 0 131667 0 12291 0 16500 0 31770 0 704773 0 0 0 CATHERINE CODISPOTI MD CHIEF PEOPLE OFFICER TO 10/23 402331 0 231346 0 18855 0 16500 0 26080 0 695112 0 0 0 DENICE CORA-BRAMBLE MD FMR CHIEF MEDICAL OFFICER 207447 0 49985 0 62223 0 11847 0 25477 0 356979 0 0 0 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. A DISTRICT OF COLUMBIA 536001131 254764KB8 2015-09-17 413728662 SEE PART VI 0 0 0 A 48640000 413728662 410562146 3166515 2012 0 1 1 1 A 0 1 1 1 1 1 0.00100 0.00000 0.00100 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER 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 M RILEY-BROWN OFFICER HOUSING X 750000 600000 0 1 1 600000 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 6 MEMBERS OR STOCKHOLDERS CHILDREN'S NATIONAL IS THE SOLE MEMBER OF CHILDREN'S NATIONAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS 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 7B MEMBERS 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 11B FORM 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 12C CONFLICT 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 15 PROCESS 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 19 HOW 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. 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