CHILDRENS HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-10
IRS object ID: 202311309349301876
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-10T11:11:17-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	366055558	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 WILSON BLVD SUITE 1500	AddressLine1Txt
City	ARLINGTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22209	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	530196580	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	3015723502	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALDWIN LINDSAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3015723502	PhoneNum
Signature	2023-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALDWIN	PersonFirstNm
Person Last	LINDSAY	PersonLastNm

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY TORRETTA	PreparerPersonNm
PTIN	P00847851	PTIN
Phone	7038477500	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S NATIONAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KURT DOUGLAS NEWMAN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,459,725,073	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSNATIONAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1870	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	9254	TotalEmployeeCnt
Total Volunteers	719	TotalVolunteersCnt
Total Gross UBI	$1,263,287	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$58,540,048	PYContributionsGrantsAmt
CY Contributions Grants	$66,496,859	CYContributionsGrantsAmt
PY Program Service Revenue	$1,253,800,132	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,373,049,864	CYProgramServiceRevenueAmt
PY Investment Income	$12,340,686	PYInvestmentIncomeAmt
CY Investment Income	$7,791,262	CYInvestmentIncomeAmt
PY Other Revenue	-$1,752,338	PYOtherRevenueAmt
CY Other Revenue	-$1,631,298	CYOtherRevenueAmt
PY Total Revenue	$1,322,928,528	PYTotalRevenueAmt
CY Total Revenue	$1,445,706,687	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$762,971,951	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$834,429,360	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$518,132,970	PYOtherExpensesAmt
CY Other Expenses	$581,978,911	CYOtherExpensesAmt
PY Total Expenses	$1,281,104,921	PYTotalExpensesAmt
CY Total Expenses	$1,416,408,271	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,823,607	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,298,416	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,170,063,672	TotalAssetsBOYAmt
Total Assets EOY	$2,196,591,270	TotalAssetsEOYAmt
Total Liabilities BOY	$1,343,954,392	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,380,604,530	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$826,109,280	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$815,986,740	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,069,783,322	ExpenseAmt
Revenue	$1,361,761,652	RevenueAmt
Desc	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 FY22 COMMUNITY BENEFIT REPORT.	Desc
Total Program Service Expenses	$1,069,783,322	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	635	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9254	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE OFFICERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3015723502	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)	43.00	12.00	Yes (X)	Yes (X)	$5,370,150	$0	$49,914
AMY FREEMAN
BOARD CHAIRMAN	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL KALB MD
BOARD VICE CHAIRMAN	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARY GEN LEDECKY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ARTENCIA HAWKINS-BELL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
HORACIO ROZANSKI
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
AMANDA LELAND
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JERRY STOUCK
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
CAROLINE VAN VLECK MD
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
IVY WAFFORD DUKE
BOARD MEMBER FROM 7/21	1.00	0.00	Yes (X)		$0	$0	$0
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER	37.00	18.00		Yes (X)	$851,023	$0	$114,077
ALDWIN LINDSAY
EVP/CFO	37.00	18.00		Yes (X)	$901,152	$0	$117,820
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	45.00	10.00			$1,591,449	$0	$190,458	Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	52.00	3.00			$1,264,501	$0	$157,668	Yes (X)
MATTHEW MACVEY
CHIEF INFO OFFICER	54.00	1.00			$581,015	$0	$84,865	Yes (X)
DAVID WESSEL MD
CHIEF MEDICAL OFFICER	54.00	1.00			$1,153,347	$0	$83,315	Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	54.00	1.00			$940,251	$0	$44,343	Yes (X)
DEANN MARSHALL
PRESIDENT OF FOUNDATION	1.00	54.00			$987,760	$0	$48,213	Yes (X)
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER	54.00	1.00			$841,536	$0	$26,881	Yes (X)
MICHELLE M MCGUIRE
CHIEF STRATEGY OFFICER	54.00	1.00			$727,088	$0	$74,400	Yes (X)
NATHANIEL BEERS MD
PRESIDENT OF HSC	1.00	54.00			$657,986	$0	$116,094	Yes (X)
CATHERINE CODISPOTI MD
CHIEF PEOPLE OFFICER FROM 7/21	54.00	1.00			$707,370	$0	$44,176	Yes (X)
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER	15.00	40.00			$695,956	$0	$23,813	Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER	54.00	1.00			$526,693	$0	$65,439	Yes (X)
YVES D'UDEKEM D'ACOZ MD
CHIEF OF CARDIO SURGERY	55.00	0.00			$2,069,206	$0	$34,466		Yes (X)
RICHARD JONAS MD
NEUROSCIENCE RESEARCH INVESTIGATOR	55.00	0.00			$1,255,979	$0	$66,450		Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	55.00	0.00			$1,132,671	$0	$126,877		Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	55.00	0.00			$1,040,917	$0	$41,935		Yes (X)
MATTHEW OETGEN MD
ASSOCIATE CHIEF OF NEUROSURGERY	55.00	0.00			$887,452	$0	$40,656		Yes (X)
MARK L BATSHAW MD
FMR EVP & CHIEF ACADEMIC OFF TO 6/21	53.00	2.00			$1,984,774	$0	$162,358			Yes (X)
DARRYL VARNADO PHD
FMR CHIEF PEOPLE OFFICER TO 6/21	54.00	1.00			$761,560	$0	$33,126			Yes (X)
DENICE CORA-BRAMBLE MD
FMR CHIEF MEDICAL OFFICER TO 3/21	54.00	1.00			$612,829	$0	$51,884			Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER	0.00	0.00			$340,373	$0	$16,136			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$27,883,038	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,815,364	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2109	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	IT	$35,025,740
MORRISON MANAGEMENT SPECIALISTS INC
5801 PEACHTREE DUNWOODY RD	ATLANTA	GA	30342	PURCHASED FOOD SERVICES	$5,330,196
LAZ KARP ASSOCIATES LLC
1 FINANCIAL PLZ	HARTFORD	CT	06103	PARKING	$3,096,649
S&P CONSULTANTS INC
15 BRAINTREE HILL OFFICE PARK	BRAINTREE	MA	02184	IT	$2,964,523
QUEST DIAGNOSTIC CLINICAL LAB INC
1201 S COLLEGEVILLE RD	COLLEGEVILLE	PA	19426	LAB TESTING	$2,236,694

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	152	CntrctRcvdGreaterThan100KCnt
Related Organizations	$32,521,671	RelatedOrganizationsAmt
Government Grants	$17,782,645	GovernmentGrantsAmt
All Other Contributions	$16,192,543	AllOtherContributionsAmt
Noncash Contributions	$4,400	NoncashContributionsAmt
Total Contributions	$66,496,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	621400	$1,267,929,823	$1,267,929,823
ALL OTHER PROGRAM SERV	900099	$105,120,041	$105,120,041

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,373,049,864	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,679,630	TotalRevenueColumnAmt
Exclusion	$9,679,630	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,139,197	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,139,197	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,139,197	TotalRevenueColumnAmt
Exclusion	$4,139,197	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,130,018	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,818,819	SecuritiesAmt
Other	$1,199,567	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$688,801	SecuritiesAmt
Other	-$1,199,567	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,888,368	TotalRevenueColumnAmt
Exclusion	-$1,888,368	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING	812390	$4,254,430	$4,254,430
LAB FEES	621500	$1,263,287		$1,263,287
EQUITY AND PARTNERSHIP	621110	-$11,288,212			-$11,288,212

Field	Value	IRS element (for citing)
Other Revenue Total	-$5,770,495	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,445,706,687	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,361,761,652	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,263,287	UnrelatedBusinessRevenueAmt
Exclusion	$16,184,889	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$17,794,099	TotalAmt
Program Services	$755,847	ProgramServicesAmt
Management And General	$17,038,252	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$3,699,537	TotalAmt
Program Services	$793,910	ProgramServicesAmt
Management And General	$2,905,627	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$680,265,371	TotalAmt
Program Services	$503,844,728	ProgramServicesAmt
Management And General	$176,420,643	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,443,329	TotalAmt
Program Services	$19,041,841	ProgramServicesAmt
Management And General	$7,401,488	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,358,279	TotalAmt
Program Services	$43,463,997	ProgramServicesAmt
Management And General	$16,894,282	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$45,868,745	TotalAmt
Program Services	$33,030,083	ProgramServicesAmt
Management And General	$12,838,662	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,921,018	TotalAmt
Program Services	$4,263,725	ProgramServicesAmt
Management And General	$1,657,293	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,659,000	TotalAmt
Management And General	$1,659,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$802,991	TotalAmt
Management And General	$802,991	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$457,216	TotalAmt
Program Services	$329,241	ProgramServicesAmt
Management And General	$127,975	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$81,757,200	TotalAmt
Program Services	$59,393,770	ProgramServicesAmt
Management And General	$22,363,430	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,276,884	TotalAmt
Program Services	$3,079,784	ProgramServicesAmt
Management And General	$1,197,100	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,337,316	TotalAmt
Program Services	$9,604,201	ProgramServicesAmt
Management And General	$3,733,115	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$77,170,214	TotalAmt
Program Services	$55,570,271	ProgramServicesAmt
Management And General	$21,599,943	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,538,397	TotalAmt
Program Services	$22,710,800	ProgramServicesAmt
Management And General	$8,827,597	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,280,893	TotalAmt
Program Services	$922,371	ProgramServicesAmt
Management And General	$358,522	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$384,068	TotalAmt
Program Services	$276,567	ProgramServicesAmt
Management And General	$107,501	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$29,132,173	TotalAmt
Program Services	$20,978,078	ProgramServicesAmt
Management And General	$8,154,095	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$94,618,411	TotalAmt
Program Services	$68,134,718	ProgramServicesAmt
Management And General	$26,483,693	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$23,896,270	TotalAmt
Program Services	$17,207,704	ProgramServicesAmt
Management And General	$6,688,566	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$152,155,629	$152,155,629
BAD DEBT EXPENSE	$30,132,230	$30,132,230
REPAIRS AND MAINTENANCE	$23,420,741	$16,865,276	$6,555,465
DUES AND MEMBERSHIPS	$3,173,237	$2,285,048	$888,189

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,865,023	TotalAmt
Program Services	$4,943,503	ProgramServicesAmt
Management And General	$1,921,520	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,416,408,271	TotalAmt
Program Services	$1,069,783,322	ProgramServicesAmt
Management And General	$346,624,949	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$60,361,549	BOYAmt
EOY	$101,393,747	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,240,981	BOYAmt
EOY	$1,727,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$328,824,144	BOYAmt
EOY	$339,101,037	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,636,328	BOYAmt
EOY	$13,488,520	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$54,911,176	BOYAmt
EOY	$79,811,336	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,737,648,878	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$938,593,633	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$801,728,104	BOYAmt
EOY	$799,055,245	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$239,232,220	BOYAmt
EOY	$217,649,301	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$14,050,171	BOYAmt
EOY	$12,050,193	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$653,978,999	BOYAmt
EOY	$632,314,891	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,170,063,672	BOYAmt
EOY	$2,196,591,270	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$234,185,952	BOYAmt
EOY	$242,323,782	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,464,912	BOYAmt
EOY	$5,036,712	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$370,399,269	BOYAmt
EOY	$360,432,528	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$352,790,642	BOYAmt
EOY	$352,480,046	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$382,113,617	BOYAmt
EOY	$420,331,462	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,343,954,392	BOYAmt
EOY	$1,380,604,530	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$826,109,280	BOYAmt
EOY	$815,986,740	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$826,109,280	BOYAmt
EOY	$815,986,740	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,170,063,672	BOYAmt
EOY	$2,196,591,270	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,298,416	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$35,920,956	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,500,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$33,258,313	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,932,071	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$85,105,614	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$58,540,048	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,496,859	CurrentTaxYearAmt
Total	$268,332,905	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$33,258,313	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,932,071	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$85,105,614	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$58,540,048	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,496,859	CurrentTaxYearAmt
Total	$268,332,905	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$268,332,905	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,802,733	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,535,245	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,995,875	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,995,360	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,818,827	CurrentTaxYearAmt
Total	$43,148,040	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,375,469	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,441,568	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,528,932	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,800,400	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,254,430	CurrentTaxYearAmt
Total	$21,400,799	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$332,881,744	TotalSupportAmt
Gross Receipts Rltd Activities	$6,067,919,164	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.80610	PublicSupportCY170Pct
Public Support PY170	0.84050	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	PARKING - 2017 AMOUNT: $ 4,375,469. 2018 AMOUNT: $ 4,441,568. 2019 AMOUNT: $ 4,528,932. 2020 AMOUNT: $ 3,800,400. 2021 AMOUNT: $ 4,254,430.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$713,300	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$89,691	OtherActivitiesAmt
Total Lobbying Expenditures	$802,991	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,350,843	OtherCostOrOtherBasisAmt
Book Value	$24,350,843	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$356,208,583	OtherCostOrOtherBasisAmt
Depreciation	$90,906,934	DepreciationAmt
Book Value	$265,301,649	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$899,003,717	OtherCostOrOtherBasisAmt
Depreciation	$636,191,459	DepreciationAmt
Book Value	$262,812,258	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$332,130,308	OtherCostOrOtherBasisAmt
Depreciation	$207,530,925	DepreciationAmt
Book Value	$124,599,383	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$125,955,427	OtherCostOrOtherBasisAmt
Depreciation	$3,964,315	DepreciationAmt
Book Value	$121,991,112	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$799,055,245	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$533,931,709
OPERATING ROU ASSETS	$62,986,443
DEFERRED COMPENSATION PLAN	$35,396,739

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$632,314,891	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FINANCE LEASE OBLIGATIONS	$162,023,602
RESERVE FOR CLAIMS	$129,963,339
OPERATING LEASE OBLIGATIONS	$68,459,672
OTHER LIABILITIES	$55,013,150
DUE TO AFFILIATES	$3,122,508
SETTLEMENTS TO THIRD PARTY PAY	$1,749,191

Field	Value	IRS element (for citing)
Total Liability	$420,331,462	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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, 2022 AND 2021 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,	0	1	PROGRAM SERVICES	PATIENT REFFERALS	$344,333
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	PROGRAM SERVICES	INSURANCE PREMIUMS	$17,100,893

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$17,445,226	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$17,445,226	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART I, LINE 3, COLUMN F:	ACCOUNTING METHOD USED THE EXPENDITURES, PER REGION, ARE PRESENTED ON THE ACCRUAL BASIS OF ACCOUNTING.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,547,007	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,547,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$694,451,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$569,424,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,026,939	NetCommunityBenefitExpnsAmt
Total Expense	0.09020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$702,998,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$569,424,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$133,573,946	NetCommunityBenefitExpnsAmt
Total Expense	0.09640	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	159641	PersonsServedCnt
Total Community Benefit Expns	$5,680,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,960,243	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,719,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1541	PersonsServedCnt
Total Community Benefit Expns	$56,603,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,028,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,574,598	NetCommunityBenefitExpnsAmt
Total Expense	0.03580	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,383,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,143,048	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,240,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	3835	PersonsServedCnt
Total Community Benefit Expns	$763,746	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$763,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	165017	PersonsServedCnt
Total Community Benefit Expns	$87,430,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,131,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,298,455	NetCommunityBenefitExpnsAmt
Total Expense	0.04220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	165017	PersonsServedCnt
Total Community Benefit Expns	$790,429,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$598,556,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$191,872,401	NetCommunityBenefitExpnsAmt
Total Expense	0.13860	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,302	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,148	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$74,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,425	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	721	PersonsServedCnt
Total Community Benefit Expns	$971,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$356	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$971,212	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	721	PersonsServedCnt
Total Community Benefit Expns	$1,130,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,128,581	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$30,132,230	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,961,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,056,295	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,127,225	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$70,930	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHILDRENSNATIONAL.ORG	WebsiteAddressTxt
State License	HFD01-0208	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHILDRENSNATIONAL.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHILDRENSNATIONAL.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHILDRENSNATIONAL.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHILDRENSNATIONAL.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHILDRENSNATIONAL.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3J:	CHILDREN'S NATIONAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH THE HSC HEALTH CARE SYSTEM IN 2022. PRIOR ASSESSMENTS (2013, 2016 AND 2019) WERE CONDUCTED IN COLLABORATION WITH THE DC HEALTH MATTERS COLLABORATIVE, A COALITION OF WASHINGTON, D.C., HOSPITALS AND COMMUNITY HEALTH CENTERS THAT ENVISION AN EQUITABLE AND SUSTAINABLE STATE OF HEALTH FOR ALL DISTRICT OF COLUMBIA RESIDENTS. THIS 2022 CHNA IS DIFFERENT FROM OUR PRIOR ASSESSMENTS AS IT FOCUSES SPECIFICALLY ON CHILDREN, IS AN ASSESSMENT OF CHILDREN'S NATIONAL AND HSC'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. BASED ON HOW NEIGHBORHOODS SCORE ACROSS THESE 29 INDICATORS, 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 A CHILD HAS TO DEVELOP IN A HEALTHY MANNER. THE COI HIGHLIGHTS THE INTERPLAY BETWEEN PLACE-AND RACE-BASED INEQUITIES AS LOW OPPORTUNITY NEIGHBORHOODS ARE OFTEN DISPROPORTIONATELY HOME TO CHILDREN OF COLOR.OUR CHNA FINDINGS REVEALED 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 IN OUR COMMUNITIES 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 AND 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 PREVIOUSLY IDENTIFIED 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 COMMUNITY LEADERS, GOVERNMENT LEADERS, AND RESIDENTS - 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 THE HSC HEALTH CARE SYSTEM (HSC). BASED IN WASHINGTON, D.C., CHILDREN'S NATIONAL AND HSC 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 AT WWW.CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. CHILDREN'S NATIONAL ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS.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 FOR THE NEXT THREE YEARS. 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.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 A VARIETY OF TACTICS TO IMPROVE OPPORTUNITY FOR CHILDREN LIVING IN WARDS 7 AND 8 IN WASHINGTON, D.C. AND PRINCE GEORGE'S COUNTY, MARYLAND INCLUDING ADVOCATING FOR AFFORDABLE EARLY CHILDHOOD EDUCATION CENTERS, IMPLEMENTING NEW PROGRAMS THAT ADDRESS FOOD SECURITY, AND REVISING EXISITING PRACTICES AROUND EMPLOYMENT.THE CHNA IDENTIFIED MANY NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO PRACTICAL AND RESOURCE CONSTRAINTS, THE ORGANIZATION FOCUSED ITS RESOURCES ON THE TOP NEEDS IN WHICH THE ORGANIZATION CAN BE IMPACTFUL.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
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	REGIONAL 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 CTY
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 WALTER REED
7125 13TH PLACE NW	WASHINGTON	DC	20012	HEALTH CENTERS
12 - CHILDREN'S HEALTH CTR AT SHAW METRO
641 S STREET NW	WASHINGTON	DC	20001	HEALTH CENTERS
13 - CHILDREN'S OUTPATIENT CTR MONTGOMERY
SHADY GROVE MEDICAL PARK	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
14 - CHILDREN'S OUTPATIENT CTR NORTHERN VA
3023 HAMACKER COURT SUITE 300	FAIRFAX	VA	22031	REGIONAL OUTPATIENT CENTER
15 - CHILDREN'S HEALTH CTR 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 CTR AT ANACOSTIA
2101 MARTIN LUTHER KING JR AVENUE	WASHINGTON	DC	20020	HEALTH CENTERS	SE
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 ANNAPOLIS
1730 WEST STREET SUITE 100	ANNAPOLIS	MD	21401	REGIONAL OUTPATIENT CENTER
21 - CHILDREN'S NATIONAL EMERG DEPT UNIT
1301 SOUTHERN AVENUE SE1ST FLOOR	WASHINGTON	DC	20032	ED FACILITY
22 - CHILDREN'S OUTPATIENT CTR FRIENDSHIP
5028 WISCONSIN AVE SUITES 250 310	WASHINGTON	DC	20016	REGIONAL OUTPATIENT CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ELIGIBILITY FOR CHARITY CARE PROGRAMCHILDREN'S NATIONAL USED THE FEDERAL POVERTY GUIDELINES 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 HOSPITAL'S KEY INTERNAL AND EXTERNAL STAKEHOLDERS. AS PART OF OUR COMMITMENT TO OUR COMMUNITY, BELOW ARE SOME OF THE PROGRAMS AND ACTIVITIES THAT WERE CONDUCTED IN FY 2022.INJURY PREVENTION EFFORTSCHILDREN'S NATIONAL CONDUCTS SEVERAL INJURY PREVENTION EFFORTS AND PARTNERS DIRECTLY WITH SCHOOLS, EMERGENCY SERVICES AND OTHER COMMUNITY RESOURCES TO TRAIN CAREGIVERS ON HOW TO APPROPRIATELY RESPOND TO AND PREVENT PEDIATRIC INJURIES. CHILDREN'S NATIONAL IS EDUCATING ALL EMPLOYEES IN CHILD DEVELOPMENT CENTERS AND CHILD DEVELOPMENT HOMES IN THE DISTRICT OF COLUMBIA ON THE PERIOD OF PURPLE CRYING, AN INITIATIVE PUT FORTH BY THE NATIONAL AGENCY ON SHAKEN BABY SYNDROME. THE PROGRAM TEACHES PARENTS ABOUT THE NORMAL PHASES OF CRYING A BABY GOES THROUGH, WHICH BEGINS AT ABOUT 2 WEEKS OF AGE, PEAKS AT 2 MONTHS, AND STARTS TO DECREASE AROUND MONTHS 4-5. IT ALSO FOCUSES ON TEACHING PARENTS AND CAREGIVERS THAT THIS A NORMAL STAGE OF DEVELOPMENT AND HOW TO COPE WITH IT. THE PROGRAM DESCRIBES SHAKEN BABY SYNDROME, A TYPE OF INFLICTED TRAUMATIC BRAIN INJURY THAT HAPPENS WHEN A BABY IS VIOLENTLY SHAKEN, AND HOW TO PREVENT IT.ANOTHER INITIATIVE, A BURN PREVENTION CAMPAIGN LED BY THE TRAUMA AND BURN DEPARTMENT, WAS IMPLEMENTED ON FACEBOOK AND INSTAGRAM TARGETING PARENTS WITH CHILDREN ACROSS DC. CHILDREN'S NATIONAL SEES OVER 2,000 BURN PATIENTS A YEAR, AND THIS CAMPAIGN EDUCATED PARENTS AND CAREGIVERS ON HOW TO PREVENT BURN INJURIES. IN FY 2022, THE SAFETY VIDEOS REACHED OVER 37,000 VIEWERS ON SOCIAL MEDIA. FINALLY, SAFE KIDS DC IS AN INJURY PREVENTION PROGRAM ORIGINALLY STARTED IN THE DISTRICT OF COLUMBIA THAT NOW HAS CHAPTERS NATIONWIDE. THE SAFE KIDS DISTRICT OF COLUMBIA INJURY PREVENTION PROGRAM PROVIDES EDUCATION AND TRAINING TO CHILDREN, FAMILIES AND CHILDCARE PROVIDERS ON HOW TO AVOID PREVENTABLE INJURIES IN CHILDREN AGES 0-14. EDUCATION IS PROVIDED IN 3 MAJOR RISK AREAS: BIKE & PEDESTRIAN SAFETY, CHILD PASSENGER SAFETY AND HOME SAFETY. IN FY 2022, THE PROGRAM PROVIDED BIKE AND PASSENGER SAFETY INFORMATION TO OVER 4,000 INDIVIDUALS, PROVIDED IN-PERSON CAR SEAT INSPECTION TO OVER 700 FAMILIES, AND IN PARTNERSHIP WITH COMMUNITY PARTNERS AND DC FIRE AND EMERGENCY MEDICAL SERVICES CONDUCTED ONLINE WORKSHOPS/WEBINARS FOR OVER 30,000 COMBINED IMPRESSIONS ON TOPICS SUCH AS FIRE PREVENTION, SAFE SLEEP AND SUMMER AND COLD WEATHER SAFETY. HEALTH PROFESSIONS EDUCATION CHILDREN'S NATIONAL PROVIDES INTERNSHIP AND PROFESSIONAL OPPORTUNITIES TO OVER 1,000 STUDENTS IN DOZENS OF HEALTH PROFESSIONS EVERY YEAR. THE PHYSICAL AND OCCUPATIONAL THERAPY INTERNSHIP PROGRAMS PROVIDE EDUCATION IN NECESSARY CLINICAL SKILLS TO PROVIDE SPECIALIZED THERAPY TO PEDIATRIC PATIENTS. IN FY 2022 THEY PROVIDED EDUCATION TO TWO STUDENTS, BOTH OF WHOM PASSED THEIR CLINICAL ASSESSMENTS SUCCESSFULLY. CHILDREN'S NATIONAL SERVES AS A CLINICAL ROTATION SITE FOR EMERGENCY MEDICAL SERVICES AFFILIATED EDUCATION PROGRAMS. STUDENTS TRAINING TO BECOME EMTS AND PARAMEDICS RECEIVE EDUCATION AND OPPORTUNITIES FOR OBSERVATION WITH OUR EMERGENCY DEPARTMENT STAFF. STUDENTS RECEIVE EXPERIENCE IN TRIAGE, ASSESSMENT, AND EMERGENCY TREATMENT OF CHILDREN. IN FY 2022, OVER 100 STUDENTS PARTICIPATED IN ROTATIONS.THE PHARMACY INTERNSHIP PROGRAM PROVIDES CLINICAL EDUCATION TO 2ND AND 4TH YEAR PHARMACY GRADUATE STUDENTS. CHILDREN'S NATIONAL MENTORS PROVIDE PHARMACY STUDENTS THE OPPORTUNITY TO TAKE CLASSROOM KNOWLEDGE TO THE CLINICAL FIELD AND HONE PROFESSIONAL AND CLINICAL SKILLS IN A HOSPITAL ENVIRONMENT. IN FY 2022, THEY TRAINED 37 STUDENTS, EMPHASIZING THE FOUR MAJOR PRECEPTING ROLES OF DIRECT INSTRUCTION, MODELING, COACHING AND FACILITATING. STUDENTS WERE GIVEN OPPORTUNITIES TO LEARN OUTSIDE OF A CLASSROOM AND PUT THEIR KNOWLEDGE INTO A PRACTICAL CLINICAL SCENARIO. CHILDREN'S NATIONAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR RADIOLOGICAL AND ULTRASOUND TECHNOLOGIST STUDENTS, PROVIDING THEM EDUCATION IN THE UNIQUE NEEDS OF PEDIATRIC IMAGING. OVER 50 IMAGING STUDENTS FROM LOCAL UNIVERSITIES AND COMMUNITY COLLEGES WERE TRAINED IN FY 2022. CARE COORDINATION IN OUR 2016 AND 2019 CHNA, OUR COMMUNITY IDENTIFIED CARE COORDINATION, THE DELIBERATE ORGANIZATION OF PATIENT CARE AND INFORMATION SHARING AMONG PROVIDERS, AS A PRIORITY AREA. THE APPROACH TO IMPROVING CARE COORDINATION IN THE DISTRICT OF COLUMBIA AND BEYOND IS A MULTI-YEAR, COLLABORATIVE PLAN. IN FY 2022, WE COLLABORATED WITH PARTNERS TO PLAN, COORDINATE, DESIGN AND EXECUTE PROGRAMS, PROJECTS AND INTERVENTIONS THAT IMPROVE CARE COORDINATION, ADDRESS SOCIAL DETERMINANTS OF HEALTH, THE ECONOMIC AND SOCIAL CONDITIONS THAT IMPACT AN INDIVIDUAL'S HEALTH AND IMPROVE POPULATION HEALTH IN OUR COMMUNITY. WE ALSO CONTINUED OUR WORK WITH FINDHELP, A TOOL THAT PROVIDES INFORMATION ON COMMUNITY RESOURCES. WE PROVIDED EDUCATION TO HEALTHCARE PROVIDERS AND COMMUNITY MEMBERS ON HOW TO USE THE TOOL TO PROVIDE ACCURATE AND COMPREHENSIVE REFERRALS. IN FY 2022, OVER 100 PEOPLE WERE TRAINED ON HOW TO USE THE TOOL. THIS PROGRAM WORKS TO STANDARDIZE AND IMPROVE CARE COORDINATION EFFORTS AND SUPPORT COMMUNITY ORGANIZATIONS WITH HELPING RESIDENTS IN NEED OF PROGRAMS AND SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. IN ADDITION, THE IMMIGRANT HEALTH PROGRAM AT CHILDREN'S NATIONAL SEEKS TO PROVIDE CARE AND RESOURCES FOR IMMIGRANT CHILDREN IN THE D.C.-AREA. MANY OF THESE CHILDREN ARE RECENT ARRIVALS TO THE UNITED STATES AND ARE UNINSURED AND HAVE A DIFFICULT TIME NAVIGATING THE HEALTHCARE SYSTEM. THE IMMIGRANT HEALTH PROGRAM HELPS IMMIGRANT FAMILIES ENROLL IN HEALTH INSURANCE COVERAGE AND PROVIDES MEDICAL EQUIPMENT AND OTHER CARE WHILE THEY WAIT FOR LONG-TERM FUNDING AND SUPPORT. THE PROGRAM ALSO COORDINATES CARE AND APPOINTMENTS FOR CHILDREN WITH COMPLEX MEDICAL NEEDS. STAFF OF THE IMMIGRANT HEALTH PROGRAM HAVE FEATURED THIS IMPORTANT WORK AT NATION-WIDE CONFERENCES AND MEETINGS TO HELP EDUCATE OTHER HEALTH SYSTEMS ON HOW TO SUPPORT IMMIGRANT CHILDREN AND FAMILIES. EARLY CHILDHOOD INNOVATION NETWORKEARLY CHILDHOOD INNOVATION NETWORK (ECIN), AN INITIATIVE SPEARHEADED BY CHILDREN'S NATIONAL AND MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL WITH PARTNERSHIPS THROUGHOUT THE CITY, IS AIMED AT IMPROVING EARLY CHILDHOOD AND PERINATAL MENTAL HEALTH, FOCUSING ON SUPPORT AND RESOURCES GIVEN DURING THE FIRST FIVE YEARS OF LIFE. UTILIZING FOUR GUIDING PRINCIPLES, ECIN IS DEDICATED TO WORK THAT IS (1) MULTI-GENERATIONAL AND GROUNDED IN SCIENCE, (2) GUIDED BY COMMUNITY AND FAMILIES' KNOWLEDGE AND EXPERIENCE, (3) COLLABORATIVE ACROSS SECTORS, AND (4) INTEGRATED WITH EXISTING RESOURCES. IN FY 2022, ECIN PROVIDED RESOURCES, SERVICES AND SUPPORT TO OVER 5,000 CHILDREN, FAMILIES AND HEALTHCARE PROFESSIONALS, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING EFFORTS: - INITIATED DELIVERY OF INNOVATIVE, INTENSIVE INTERVENTIONS TO SUPPORT PARENTS' MENTAL HEALTH IN MEDICAL SETTINGS, INCLUDING A PERINATAL MENTAL HEALTH INTERVENTION INTEGRATED WITHIN PRIMARY CARE PEDIATRICS, IN COLLABORATION WITH HEALTHYSTEPS- OFFERED VIRTUAL PARENT CAFES AND PROVIDED SUPPORT TO COMMUNITY PARTNERS IN DELIVERING PARENT CAFES- PROVIDED PEDIATRIC PRIMARY CARE PROVIDERS/PRACTICES WITH NEEDED SUPPORTS IN SCREENING AND REFERRAL FOR PERINATAL MOOD AND ANXIETY DISORDERS- CONTINUED PRODUCTION AND IMPLEMENTATION, RESPECTIVELY, OF WELLNESS AND TRAUMA INFORMED CARE MODULES FOR PROVIDERS; 50 PEDIATRIC HEALTH PROVIDERS PARTICIPATED IN WELLNESS GROUPS.
PART I, LINE 7:	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. SCHEDULE H, 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.SCHEDULE H, PART I, LINE 7F:HEALTH EDUCATIONTHE HEALTH EDUCATION COST INCLUDES THE TOTAL COST OF INTERNS AND RESIDENTS FROM THE FY22 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 $4,240,113 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.SCHEDULE H, PART I, LINES 7E - 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, LN 7 COL(F):	BAD DEBT EXPENSESCHILDREN'S NATIONAL MEDICAL CENTER DOES NOT INCLUDE ITS BAD DEBT EXPENSE ($30,132,230) REPORTED ON FORM 990, PART IX, LINE 25 FOR PURPOSES OF ITS COMMUNITY BENEFIT CALCULATION HERE.
SCHEDULE H, PART II:	COMMUNITY BUILDING ACTIVITIES PART 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 ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. ECONOMIC DEVELOPMENT: CHILDREN'S NATIONAL LEADERSHIP PARTICIPATES IN BOARDS AND COUNCILS THAT FOCUS ON THE ECONOMIC DEVELOPMENT OF OUR LOCAL COMMUNITY. STAFF PARTICIPATED IN DISCUSSIONS TO EDUCATE EMERGING LEADERS AND TOPICS RELATED TO THE HEALTH OF OUR LOCAL COMMUNITY. COMMUNITY SUPPORT: CHILDREN'S NATIONAL STAFF WORKS WITH LOCAL GOVERNMENT AND HEALTHCARE PARTNERS FOCUSED ON EMERGENCY PREPAREDNESS AND RESPONSE AND BRINGS THE PEDIATRIC HOSPITAL PERSPECTIVE. MEETINGS INCLUDE PLANNING FOR LARGE-SCALE EVENTS, EVACUATION PLANS, EMERGENCY PREPAREDNESS AND DECONTAMINATION EXERCISES, AND FAMILY REUNIFICATION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: IN FY 2022, 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 THAT PROTECT THE INTEREST OF CHILDREN'S HEALTH, AIM TO ELIMINATE HEALTH DISPARITIES, AND SUPPORT MEDICAL AND RESEARCH INNOVATION. STAFF ADVOCATED FOR INCREASED ACCESS TO PEDIATRIC MENTAL HEALTH CARE AND SERVICES FOR VICTIMS OF SEXUAL ASSAULT AND RAPE. THEY ALSO TAUGHT MEDICAL RESIDENTS ABOUT PEDIATRIC HEALTH CARE ADVOCACY. WORKFORCE DEVELOPMENT: CHILDREN'S NATIONAL IS DEDICATED TO ENGAGING IN AND PROVIDING OPPORTUNITIES OF LEARNING AND DEVELOPMENT FOR SCHOOL-AGED CHILDREN AND ADULTS. WE WORK WITH MANY LOCAL SCHOOLS, COLLEGES AND UNIVERSITIES TO PROVIDE LEARNING OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH PROFESSIONS. CHILDREN'S NATIONAL OFFERED IN-PERSON AND VIRTUAL RESUME BUILDING AND EDITING WORKSHOPS FOR LOCAL HIGH SCHOOL AND UNIVERSITY STUDENTS. IN ADDITION, CHILDREN'S NATIONAL OFFERED AN INTERNSHIP FOR LOCAL HIGH SCHOOL STUDENTS INTERESTED IN HEALTH-RELATED CAREERS. DURING THIS INTERNSHIP, STUDENTS LEARNED FROM A VARIETY OF HEALTHCARE PROFESSIONALS, INCLUDING PHYSICIANS AND PUBLIC HEALTH SPECIALISTS, WHO EDUCATED THEM ON CAREERS IN HEALTH AND OTHER PROFESSIONAL SKILLS. STUDENTS REPORTED IMPROVEMENTS IN THEIR COMMUNICATION, TIME MANAGEMENT, AND PROBLEM-SOLVING ABILITIES. IN ADDITION, WE OFFERED THE SEACREST STUDIOS INTERNSHIP, AN ONSITE RADIO STATION WHERE COLLEGE STUDENTS LEARN BROADCAST MEDIA SKILLS. 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, LINE 2:	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 $3.9M OF BAD DEBT COULD HAVE BEEN ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. CHILDREN'S HOSPITAL REPORTS ITS APPLICABLE BAD DEBT ($30.1M) AMOUNT WITHIN THE AUDITED FINANCIAL STATEMENTS. THERE IS NO SPECIFIC FOOTNOTE FOR BAD DEBT IN THE STATEMENTS.
PART III, LINE 3:	SEE NARRATIVE FOR PART III, LINE 2.
PART III, LINE 4:	SEE NARRATIVE FOR PART III, LINE 2.
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.
PART III, LINE 9B:	COLLECTION PRACTICESCHILDREN'S HOSPITAL HAS A WRITTEN COLLECTION POLICY. 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 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 THE HSC HEALTH CARE SYSTEM, CHILDREN'S NATIONAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OTHER EFFORTS. FOR EXAMPLE, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, CHILDREN'S NATIONAL PARTNERED ON A DC-WIDE CHNA TO LEVERAGE RESOURCES AND INVEST IN COMMUNITY HEALTH INITIATIVES THAT ADDRESS COMMUNITY NEEDS WITH THE ULTIMATE GOAL OF CREATING A CULTURE OF HEALTH AND IMPROVING HEALTH AND WELLNESS. THE DC HEALTH MATTERS COLLABORATIVE INCLUDES THREE DC HOSPITALS (CHILDREN'S NATIONAL HEALTH SYSTEM, HOWARD UNIVERSITY HOSPITAL, AND SIBLEY MEMORIAL HOSPITAL) AND FOUR COMMUNITY HEALTH CENTERS (BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER AND UNITY HEALTH CARE). THE 2022 CHNA IDENTIFIED THE FOLLOWING NEEDS THAT CHILDREN'S NATIONAL IS ALIGNING WITH ITS PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT:- MENTAL WELL-BEING - EQUITABLE ACCESS TO CARE (AND EVERYTHING PATIENTS NEED - INCLUDING COORDINATION OF THAT CARE, HOUSING, AND SOCIAL SUPPORT SERVICES.) - COMMUNITY-BASED WORKFORCE DEVELOPMENT (INCLUDING RETENTION AND DEVELOPMENT OF HEALTHCARE WORKFORCE.) ANOTHER EXAMPLE, 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 SEVERAL 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. SIMILARLY, THE HOSPITAL PUBLISHED THREE REPORTS IN FY 2021 ON BEHAVIORAL HEALTH SERVICES IN WASHINGTON, D.C. ONE REPORT DESCRIBED THE CURRENT LANDSCAPE OF BEHAVIORAL HEALTH SERVICES FOR CHILDREN WITH AUTISM SPECTRUM DISORDER INSURED BY MEDICAID IN WASHINGTON, D.C. AND ANOTHER REPORT ON HOW TO TRANSFORM BEHAVIORAL HEALTH IN THE DISTRICT OF COLUMBIA WITH PERSPECTIVES AND RECOMMENDATIONS FROM CHILDREN'S NATIONAL HOSPITAL AND THE EARLY CHILDHOOD INNOVATION NETWORK. THE THIRD REPORT ILLUSTRATED HOW COVID-19 HAD AN IMPACT ON CHILD BEHAVIORAL HEALTH OUTCOMES AND THE BEHAVIORAL HEALTH CARE SYSTEM. ALL THREE REPORTS ARE AVAILABLE ON THE HOSPITAL WEBSITE: HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-MENTAL-HEALTH/PUBLICATIONS. RESPONDING DIRECTLY TO COMMUNITY FEEDBACK IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN INTERNAL HEALTH LITERACY ENVIRONMENTAL SCAN WAS CONDUCTED IN FY 2020, TAKING STOCK OF HEALTH LITERACY PRACTICES AND BELIEFS AT CHILDREN'S NATIONAL. THE SCAN REACHED OVER 170 EMPLOYEES DIRECTLY, GATHERING FEEDBACK VIA SURVEY, FOCUS GROUP, AND KEY-INFORMANT INTERVIEWS. THIS DATA WILL BE USED TO DRIVE FORWARD CHANGE INSTITUTIONALIZING HEALTH LITERACY BEST PRACTICES. 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 SCIENTIST 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 EDUCATION CHILDREN'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 DECO) 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 2022 POPULATION OF THE DISTRICT OF COLUMBIA TO BE 671,803 RESIDENTS, A POPULATION COMPARABLE TO THE CITIES OF BOSTON AND DENVER. DC'S POPULATION HAS INCREASED BY 18.1% SINCE 2010. MARYLAND AND VIRGINIA ARE HOME TO 6 MILLION AND 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 45.8% BLACK; 45.9% WHITE; 11.5% LATINO; 4.5% ASIAN AND 0.6% AMERICAN INDIAN/ALASKA NATIVE; MARYLAND: APPROXIMATELY 59% WHITE; 31% BLACK; 10% HISPANIC; 6.7% ASIAN AND VIRGINIA 69.7% WHITE, 19.8% BLACK, 9.4% HISPANIC, 6.8% ASIAN, AND 0.5% AMERICAN INDIAN/ALASKA NATIVE. SINCE 2010, THE LARGEST POPULATION GROWTH OF 33% HAS BEEN IN THE HISPANIC GROUP WHILE THE PORTION OF BLACK POPULATION HAS BEEN DECREASING. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND YOUNGER MAKE UP 19 PERCENT OF THE POPULATION WITH THE HIGHEST PERCENTAGE RESIDING IN WARDS 7 AND 8, 3.14% AND 3.30% RESPECTIVELY. IN BOTH MARYLAND AND VIRGINIA ABOUT 23 PERCENT OF THE POPULATION IS CHILDREN 18 YEARS OLD AND YOUNGER. CHILDREN AGED FIVE AND YOUNGER MAKE UP APPROXIMATELY 6.5% PERCENT 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. 48.5% OF CHILDREN IN WARD 8, THE WARD WITH THE LOWEST HOUSEHOLD INCOME IN THE DISTRICT OF COLUMBIA, LIVE IN POVERTY, AS COMPARED TO 3.5% OF CHILDREN IN WARD 3, THE WEALTHIEST WARD. ADDITIONALLY, DC HAS A 15+ YEAR DIFFERENCE IN LIFE EXPECTANCY BY WARD: 87.6 YEARS IN WARD 3 COMPARED TO 72 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 LOCATED IN AN URBAN COMMUNITY WHERE THERE ARE SEVERAL LARGE ACADEMIC AND COMMUNITY HOSPITALS. HOWEVER, WE SERVE A MAJORITY OF THE CHILDREN IN DC. WE CARED FOR MORE THAN 246,124 UNIQUE PATIENTS THROUGH OUR HEALTH CENTERS IN 2021, AS THE LARGEST NON-GOVERNMENT PROVIDER OF PRIMARY CARE IN THE DISTRICT OF COLUMBIA. MARYLAND RESIDENTS ACCOUNTED FOR 58% 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 537,000 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 1,000 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 2022, WE PERFORMED 18,055 SURGICAL PROCEDURES, 132,085 DIAGNOSTIC IMAGING PROCEDURES, AND MORE THAN 1 MILLION LABORATORY TESTS.
PART VI, LINE 5:	PROMOTING THE HEALTH OF THE COMMUNITYCHILDREN'S NATIONAL WAS FOUNDED 150 YEARS AGO AS A MODEST 12-BED FACILITY DEDICATED TO SERVING THE CHILDREN OF THE NATION'S CAPITAL. WHILE THE HEALTH CARE LANDSCAPE LOOKS VERY DIFFERENT TODAY THAN IT DID IN THE 19TH CENTURY, OUR CORE MISSION REMAINS THE SAME. 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, AND LEADING THE CREATION OF INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTH CHALLENGES. RECOGNIZING THAT A CHILD'S HEALTH IS THE RESULT OF COUNTLESS FACTORS, CHILDREN'S NATIONAL ALSO ADVOCATES FOR POLICIES THAT PROMOTE HEALTH AND WELL-BEING FOR CHILDREN, MANY OF WHICH EXIST OUTSIDE THE CLINICAL SETTING. WHILE THE HOSPITAL HAS SUPPORTED ADVOCACY AND COMMUNITY HEALTH EFFORTS FOR DECADES, IN 2007, THE CHILDREN'S HEALTH BOARD PROVIDED FUNDING TO FORMALLY ESTABLISH THE CHILD HEALTH ADVOCACY INSTITUTE (CHAI). CHILDREN'S NATIONAL BECAME THE FIRST PEDIATRIC HOSPITAL IN THE NATION TO FORM AN IN-HOUSE ADVOCACY INSTITUTE. CHAI FOUNDERS BELIEVED THAT TO CREATE AN ENVIRONMENT WHERE CHILDREN COULD GROW UP TO FULFILL THEIR POTENTIAL, THERE SHOULD BE A COHORT OF ADVOCATES AND COMMUNITY HEALTH EXPERTS TO ENSURE SYSTEMS AND POLICY DID NOT IGNORE THE NEEDS OF THE REGION'S SMALLEST RESIDENTS. THAT MISSION IS EVEN MORE IMPORTANT TODAY.COMPRISED OF CLINICIANS, PUBLIC HEALTH EXPERTS, DATA ANALYSTS, AND GOVERNMENT AFFAIRS PROFESSIONALS, THE CHAI IS DEDICATED TO ADVANCING COMMUNITY HEALTH AND WELL-BEING, WITH A FOCUS ON CHILDREN AND FAMILIES IN UNDER-RESOURCED COMMUNITIES.CHAI'S PORTFOLIO INCLUDES A WIDE RANGE OF INITIATIVES THAT PROMOTE COMMUNITY HEALTH. FROM LEADING THE CHILDREN'S NATIONAL COMMUNITY BENEFIT PROGRAM TO EDUCATING AND MOBILIZING STAFF TO ENGAGE IN COMMUNITY HEALTH IMPROVEMENT AND ADVOCACY - THE CHAI IS DEVOTED TO ADVANCING POLICY AND SYSTEMS CHANGES WITH THE GOAL OF ACHIEVING HEALTH EQUITY FOR ALL CHILDREN. IT IS THROUGH THIS LENS THAT CHILDREN'S NATIONAL ADDS A UNIQUE APPROACH TO ADDRESSING COMMUNITY HEALTH PRIORITIES AND PROMOTING HEALTH EQUITY. THIS WORK CANNOT BE DONE ALONE; THUS, THE CHAI SERVES AS A CONDUIT THROUGH WHICH THE COMBINED EXPERTISE OF MORE THAN 7,500 CHILDREN'S NATIONAL EMPLOYEES AND COUNTLESS COMMUNITY STAKEHOLDERS INTERACT WITH, REACT TO, AND SPEAK ON BEHALF OF CHILDREN AND FAMILIES. IN ADDITION, CHILDREN'S NATIONAL IS ENSURING THAT WE ARE ON THE PATH TOWARD BECOMING A MORE DIVERSE, EQUITABLE AND INCLUSIVE ORGANIZATION TO IMPROVE HEALTH AND RACIAL EQUITY. OUR HOSPITAL HAS BEEN ON A JOURNEY TOWARD GREATER DIVERSITY, EQUITY AND INCLUSION SINCE THE EARLY 2000S. UP TO THE YEAR 2020, WE FOCUSED ON RECRUITMENT, ACADEMIC ADVANCEMENT AND LEADERSHIP DEVELOPMENT OF FACULTY MEMBERS AND TRAINEES UNDERREPRESENTED IN MEDICINE. THIS WORK HAS CONTRIBUTED TO IMPORTANT MILESTONES, INCLUDING WELCOMING A 2021 RESIDENCY CLASS THAT IS OUR MOST DIVERSE CLASS EVER AND MORE THAN THREE TIMES THE NATIONAL AVERAGE FOR DIVERSITY, BETTER REFLECTING OUR PATIENTS AND FAMILIES IN OUR COMMUNITY. OUR HISTORY OF LEADING THESE EFFORTS MEANT WE WERE POISED TO EXPAND OUR SCOPE OF WORK ON DIVERSITY, EQUITY AND INCLUSION. IN FISCAL YEAR 2021, WE BEGAN DESIGNING EFFECTIVE, DATA-DRIVEN AND RESPONSIVE HOSPITAL AND COMMUNITY PROGRAMS THAT LED TO A MORE DIVERSE, EQUITABLE AND INCLUSIVE WORKPLACE AND MORE IMPORTANTLY, WILL ENSURE THE CONTINUED DELIVERY OF HIGH-QUALITY HEALTH CARE SERVICES AND EDUCATION TO ALL PATIENTS AND FAMILIES. THIS IS NOT AN EASY PATH - DEVELOPING INITIATIVES AND PROGRAMS TO REACH THE GOAL OF EQUITY AND INCLUSION FOR ALL REQUIRES US TO OVERCOME CENTURIES OF PERVASIVE RACISM, SEXISM AND CULTURAL AND RELIGIOUS BIAS THAT HAVE CREATED FUNCTIONAL, ECONOMIC AND STRUCTURAL BARRIERS IN SOCIETY. BUT THE DEDICATION AND PASSION THAT OUR TEAMS CONTINUE TO SHOW IN THE FACE OF THESE CHALLENGES GIVE US CONFIDENCE THAT WE HAVE THE VISION, RESOLVE, KNOWLEDGE AND SKILLS TO ADVANCE THIS IMPORTANT BODY OF WORK ON BEHALF OF OUR PATIENTS, FAMILIES AND COMMUNITY.
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 THE HSC PEDIATRIC CENTER - 501(C)(3), ACUTE CARE HOSPITAL FACILITY THAT PROVIDES REHABILITATION AND TRANSITIONAL CARE FOR CHILDREN AND ADOLESCENTS WITH DISABILITIESAND CHRONIC ILLNESSES- HSC HOME CARE, LLC - 501(C)(3), HOME AND COMMUNITY PROVIDES ACCESS TO QUALITY REHABILITATIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDSEACH 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)	$1,452,097	$0	$2,420,464	$0	$1,497,589	$0	$14,500	$0	$35,414	$0	$5,420,064	$0	$1,138,085	$0
MARK L BATSHAW MD
FMR EVP & CHIEF ACADEMIC OFF TO 6/21	$580,509	$0	$360,266	$0	$1,043,999	$0	$139,500	$0	$22,858	$0	$2,147,132	$0	$891,144	$0
YVES D'UDEKEM D'ACOZ MD
CHIEF OF CARDIO SURGERY	$1,674,891	$0	$275,145	$0	$119,170	$0	$6,750	$0	$27,716	$0	$2,103,672	$0	$0	$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	$904,910	$0	$418,932	$0	$267,607	$0	$151,705	$0	$38,753	$0	$1,781,907	$0	$238,897	$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	$718,217	$0	$350,114	$0	$196,170	$0	$125,530	$0	$32,138	$0	$1,422,169	$0	$160,032	$0
RICHARD JONAS MD
NEUROSCIENCE RESEARCH INVESTIGATOR	$1,014,517	$0	$225,000	$0	$16,462	$0	$14,500	$0	$51,950	$0	$1,322,429	$0	$0	$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	$873,082	$0	$167,798	$0	$91,791	$0	$103,106	$0	$23,771	$0	$1,259,548	$0	$87,435	$0
DAVID WESSEL MD
CHIEF MEDICAL OFFICER	$680,723	$0	$338,740	$0	$133,884	$0	$14,500	$0	$68,815	$0	$1,236,662	$0	$0	$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	$746,845	$0	$289,716	$0	$4,356	$0	$14,500	$0	$27,435	$0	$1,082,852	$0	$0	$0
DEANN MARSHALL
PRESIDENT OF FOUNDATION	$574,671	$0	$289,026	$0	$124,063	$0	$14,500	$0	$33,713	$0	$1,035,973	$0	$0	$0
ALDWIN LINDSAY
EVP/CFO	$592,009	$0	$254,177	$0	$54,966	$0	$104,500	$0	$13,320	$0	$1,018,972	$0	$30,679	$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	$540,092	$0	$277,561	$0	$122,598	$0	$14,500	$0	$29,843	$0	$984,594	$0	$0	$0
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER	$488,677	$0	$242,628	$0	$119,718	$0	$77,934	$0	$36,143	$0	$965,100	$0	$80,669	$0
MATTHEW OETGEN MD
ASSOCIATE CHIEF OF NEUROSURGERY	$635,364	$0	$231,598	$0	$20,490	$0	$14,500	$0	$26,156	$0	$928,108	$0	$0	$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER	$502,736	$0	$242,050	$0	$96,750	$0	$14,500	$0	$12,381	$0	$868,417	$0	$0	$0
MICHELLE M MCGUIRE
CHIEF STRATEGY OFFICER	$434,646	$0	$240,675	$0	$51,767	$0	$37,206	$0	$37,194	$0	$801,488	$0	$30,234	$0
DARRYL VARNADO PHD
FMR CHIEF PEOPLE OFFICER TO 6/21	$400,979	$0	$215,434	$0	$145,147	$0	$9,339	$0	$23,787	$0	$794,686	$0	$0	$0
NATHANIEL BEERS MD
PRESIDENT OF HSC	$437,038	$0	$199,170	$0	$21,778	$0	$84,250	$0	$31,844	$0	$774,080	$0	$0	$0
CATHERINE CODISPOTI MD
CHIEF PEOPLE OFFICER FROM 7/21	$395,831	$0	$241,142	$0	$70,397	$0	$14,500	$0	$29,676	$0	$751,546	$0	$0	$0
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER	$420,788	$0	$198,660	$0	$76,508	$0	$13,123	$0	$10,690	$0	$719,769	$0	$0	$0
MATTHEW MACVEY
CHIEF INFO OFFICER	$463,829	$0	$115,902	$0	$1,284	$0	$50,126	$0	$34,739	$0	$665,880	$0	$0	$0
DENICE CORA-BRAMBLE MD
FMR CHIEF MEDICAL OFFICER TO 3/21	$273,816	$0	$220,923	$0	$118,090	$0	$14,108	$0	$37,776	$0	$664,713	$0	$0	$0
LINDA TALLEY
CHIEF NURSING OFFICER	$378,896	$0	$94,743	$0	$53,054	$0	$41,267	$0	$24,172	$0	$592,132	$0	$29,262	$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER	$0	$0	$0	$0	$340,373	$0	$0	$0	$16,136	$0	$356,509	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A:	FIRST CLASS OR CHARTER TRAVEL THE CEO PER HIS 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 1, LINE 4A:	SEVERANCE THE FOLLOWING FORMER OFFICERS AND 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: ELIZABETH FLURY $340,373 DARRYL VARNADO, PHD $16,979 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: KURT NEWMAN, MD $206,876 ANTHONY SANDLER, MD $137,205 MARK BATSHAW, MD $235,737 DAVID WESSEL, MD $98,590 KATHY CHAVANU GORMAN $111,030 ROGER PACKER, MD $74,567 VITTORIO GALLO, PHD $55,157 DENISE CORA-BRAMBLE, MD $98,590 ALDWIN LINDSAY $90,000 MICHELLE MCGUIRE $22,706 LINDA TALLEY $29,122 MARY ANNE HILLIARD $63,434 ROBERT KEATING $88,606 DARRYL VARNADO, PHD $66,220 NATHANIEL BEERS, MD $69,750 MATTHEW MACVEY $35,626 CHARLES WEINSTEIN $77,250
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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DISTRICT OF COLUMBIA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	536001131	BondIssuerEIN
CUSIP	254764KB8	CUSIPNum
Bond Issued	2015-09-17	BondIssuedDt
Issue Price	$413,728,662	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$31,610,000	RetiredAmt
Total Proceeds	$413,728,662	TotalProceedsAmt
Refunding Escrow	$410,562,146	RefundingEscrowAmt
Issuance Costs From Proceeds	$3,166,515	IssuanceCostsFromProceedsAmt
Substantial Completion	2012	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Private Bus Use By Others	0.00100	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00100	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND RECOMMENDED FOR FILING BY THE CHAIRPERSON OF THE AUDIT RISK AND COMPLIANCE COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH IRS. CHILDREN'S NATIONAL HOSPITAL PROVIDES A COPY OF THE FORM 990 TO THE FULL CHILDREN'S NATIONAL HOSPITAL BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL BEFORE FILING.
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.
FORM 990, PART XI, LINE 9:	UNRESTRICTED EQUITY TRANSFER -3,500,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S NATIONAL AT WALTER REED LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
EIN	383987350	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	DC	LegalDomicileStateCd
Total Income	$1,042,541	TotalIncomeAmt
End Of Year Assets	$99,968,011	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640402	FUNDRAISING	DC	501(C)(3)	LINE 7	CNMC	0
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640403	HEALTH CARE	DC	501(C)(3)	LINE 12C, III-FI		0	N/A
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521654453	RESEARCH	DC	501(C)(3)	LINE 7	CNMC	0
SAFE KIDS WORLDWIDE
1255 23RD STREET NW	WASHINGTON	DC	20037	521627574	INJURY PREVENTION	DC	501(C)(3)	LINE 7	CNMC	0
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271547370	CHILD CAMPS	DC	501(C)(3)	LINE 12A, I	CH	Yes (1)
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	814291601	NURSING SERVICES	DC	501(C)(3)	LINE 12A, I	CNMC	0
THE HSC FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521346603	HEALTH CARE	DC	501(C)(3)	LINE 12C, III-FI	CNMC	0
THE HOSPITAL FOR SICK CHILDREN
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	530204670	HOSPITAL	DC	501(C)(3)	LINE 3	HSC FNDN	0
HEALTH SVCS FOR CHILDREN W SPEC NEEDS
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	521862406	HEALTH CARE	DC	501(C)(3)	LINE 10	HSC FNDN	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	522072589	HEALTH CARE	DC	N/A	RELATED	$715,941	$7,845,861	0	0	0.50000
5253 NMTC LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	832873855	PROPERTY MANAGEMENT	DC	N/A				0	0
5253 HTC LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	833044006	PROPERTY MANAGEMENT	DC	N/A				0	0
54 NMTC LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	833358685	PROPERTY MANAGEMENT	DC	N/A				0	0
54 HTC LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	833385522	PROPERTY MANAGEMENT	DC	N/A				0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521996521	HEALTH CARE	DC	N/A	C	0
BEARACUDA RE
					REINSURANCE		N/A	C	0	PO BOX 69	GRANDCAYMAN	CJ	KY1-1102	CJ
PEDIATRIC HEALTH NETWORK INC
12211 PLUM ORCHARD DR STE 102	SILVER SPRING	MD	20904	833415276	HEALTH CARE	DC	N/A	C	0
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVE NW	WASHINGTON	DC	20010	832801690	PROPERTY MGMT	DC	N/A	C	0
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVE	WASHINGTON	DC	20010	833272918	PROPERTY MGMT	DC	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINY CAMPS ASSOCIATION
Q	$341,437	COST
BRAINY CAMPS ASSOCIATION
S	$196,666	COST