CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE (EIN 53-0204670)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-10
IRS object ID: 202331309349302438
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 D
Schedule H
Schedule I
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	530204670	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOSPITAL FOR SICK CHILDREN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOSP	BusinessNameControlTxt
Phone	2024765000	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALDWIN LINDSAY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2024765000	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	HSC PEDIATRIC CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	NATHANIEL BEERS MD	PrincipalOfficerNm

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)
Gross Receipts	$29,721,441	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHILDRENSNATIONAL.ORG/HSC	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1888	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	72	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$737,222	PYContributionsGrantsAmt
CY Contributions Grants	$1,733,063	CYContributionsGrantsAmt
PY Program Service Revenue	$27,619,465	PYProgramServiceRevenueAmt
CY Program Service Revenue	$27,833,383	CYProgramServiceRevenueAmt
PY Investment Income	$60,397	PYInvestmentIncomeAmt
CY Investment Income	-$4,313	CYInvestmentIncomeAmt
PY Other Revenue	$153,759	PYOtherRevenueAmt
CY Other Revenue	$154,958	CYOtherRevenueAmt
PY Total Revenue	$28,570,843	PYTotalRevenueAmt
CY Total Revenue	$29,717,091	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$110,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$22,191,127	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$21,075,283	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$18,938,608	PYOtherExpensesAmt
CY Other Expenses	$18,405,876	CYOtherExpensesAmt
PY Total Expenses	$41,129,735	PYTotalExpensesAmt
CY Total Expenses	$39,591,159	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,558,892	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,874,068	CYRevenuesLessExpensesAmt
Total Assets BOY	$36,862,073	TotalAssetsBOYAmt
Total Assets EOY	$40,178,827	TotalAssetsEOYAmt
Total Liabilities BOY	$53,849,131	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$67,048,737	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$16,987,058	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$26,869,910	NetAssetsOrFundBalancesEOYAmt
Mission	HSCPC PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, D.C. AND BALTIMORE AREAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$24,370,452	ExpenseAmt
Grant	$110,000	GrantAmt
Revenue	$27,833,383	RevenueAmt
Desc	TO PROVIDE QUALITY REHABILITATIVE AND TRANSITIONAL CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN A SUPPORTIVE, CULTURALLY COMPETENT, RESPECTFUL ENVIRONMENT, AND TO PARTICIPATE IN RELATED LOCAL, REGIONAL, AND NATIONAL PROJECTS WITH GOVERNMENT, PRIVATE, AND PHILANTHROPIC ORGANIZATIONS. DURING THE YEAR ENDED JUNE 30, 2022, HSCPC PROVIDED 6,007 DAYS OF CARE. HSCPC ALSO PROVIDED ON AN OUTPATIENT BASIS MEDICAL CARE, APPROXIMATELY 14,488 ENCOUNTERS IN THE YEAR ENDED JUNE 30, 2022.	Desc
Total Program Service Expenses	$24,370,452	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	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	Yes (1)	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	0	ForeignOfficeInd
Foreign Activities	0	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	Yes (1)	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	0	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	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	5	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	0	CompensationProcessCEOInd
Compensation Process Other	0	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	2024765000	PhoneNum

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)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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
NATHANIEL BEERS MD
PRESIDENT OF HSC	20.00	35.00	Yes (X)	Yes (X)	$0	$657,986	$116,094
ROGER E MEYER MD
BOARD CHAIR	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MARSHA REGENSTEIN
BOARD VICE CHAIRMAN	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL D WARD
BOARD MEMBER	1.00	3.00	Yes (X)		$0	$0	$0
JOAN CHRISTOPHER
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
STEPHEN F RILEY
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
MARY ANNE HILLIARD
SECRETARY	2.00	53.00		Yes (X)	$0	$851,023	$114,077
ALDWIN LINDSAY
TREASURER & EVP/CFO	2.00	53.00		Yes (X)	$0	$901,152	$117,820
DEBBIE HOLSON
COO, PEDIATRIC CENTER	55.00	0.00			$0	$278,653	$37,396	Yes (X)
ANDREW METINKO
PEDIATRICIAN	55.00	0.00			$0	$198,187	$33,929		Yes (X)
SAMAR HUSSEIN
PEDIATRICIAN	55.00	0.00			$0	$205,638	$18,356		Yes (X)
ANNE RUECKTENWALD
DIRECTOR OUTPATIENT PROGRAMS	55.00	0.00			$0	$195,923	$8,045		Yes (X)
JULIA P BALASUNDARAM
INPATIENT & SNF RN	55.00	0.00			$0	$164,355	$38,210		Yes (X)
ESTHER KAGULU
INPATIENT & SNF RN	55.00	0.00			$0	$183,013	$8,206		Yes (X)
KIMBERLY BROWN
FORMER OFFICER	0.00	55.00			$0	$227,155	$21,747			Yes (X)
DONNA ANTHONY
FORMER KEY EMPLOYEE	0.00	55.00			$0	$369,705	$39,941			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,232,790	TotReportableCompRltdOrgAmt
Total Other Compensation	$553,821	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	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
BARTON HEALTHCARE STAFFING LLC
PO BOX 412801	BOSTON	MA	02241	STAFFING SERVICES	$628,911
ARAMARK SERVICES INC
PO BOX 978839	DALLAS	TX	75397	FOOD AND NUTRITION SERVICES	$611,678
MEDIX STAFFING SOLUTIONS INC
7839 SOLUTION CENTER	CHICAGO	IL	60677	STAFFING SERVICES	$210,751
AYA HEALTHCARE INC
5930 CORNERSTONE COURT WEST STE	SAN DIEGO	CA	92121	STAFFING SERVICES	$178,275
NAC MECHANICAL SERVICES LLC
15800 GAITHER DR SUITE 100	GAITHERSBURG	MD	20877	HVAC SERVICES	$159,116

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$936,388	GovernmentGrantsAmt
All Other Contributions	$796,675	AllOtherContributionsAmt
Total Contributions	$1,733,063	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV	621300	$26,006,863	$26,006,863
DSH REVENUE	621300	$1,826,520	$1,826,520

Field	Value	IRS element (for citing)
Total Program Service Revenue	$27,833,383	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37	TotalRevenueColumnAmt
Exclusion	$37	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,896	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	$13,896	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,896	TotalRevenueColumnAmt
Exclusion	$13,896	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,350	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$4,350	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,350	TotalRevenueColumnAmt
Exclusion	-$4,350	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS	900099	$83,617	$83,617
CAFETERA VENDING	722210	$57,445	$57,445

Field	Value	IRS element (for citing)
Other Revenue Total	$141,062	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,717,091	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,833,383	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$150,645	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$110,000	TotalAmt
Program Services	$110,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,850,363	TotalAmt
Program Services	$14,881,675	ProgramServicesAmt
Management And General	$2,968,688	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$465,162	TotalAmt
Program Services	$392,597	ProgramServicesAmt
Management And General	$72,565	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,480,034	TotalAmt
Program Services	$1,249,149	ProgramServicesAmt
Management And General	$230,885	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,279,724	TotalAmt
Program Services	$1,080,087	ProgramServicesAmt
Management And General	$199,637	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,500	TotalAmt
Program Services	$2,500	ProgramServicesAmt
Management And General	$2,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,284	TotalAmt
Management And General	$1,284	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,166,540	TotalAmt
Program Services	$3,583,472	ProgramServicesAmt
Management And General	$583,068	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$265,117	TotalAmt
Program Services	$221,605	ProgramServicesAmt
Management And General	$43,512	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$102,692	TotalAmt
Program Services	$75,016	ProgramServicesAmt
Management And General	$27,676	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$666,225	TotalAmt
Program Services	$602,300	ProgramServicesAmt
Management And General	$63,925	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,222	TotalAmt
Program Services	$3,217	ProgramServicesAmt
Management And General	$6,005	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$124,440	TotalAmt
Management And General	$124,440	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,526,964	TotalAmt
Management And General	$1,526,964	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,879	TotalAmt
Program Services	$2,253	ProgramServicesAmt
Management And General	$16,626	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SHARED SERVICES ALLOC	$7,950,247	$21,424	$7,928,823
MEDICAL SUPPLIES	$1,449,913	$1,449,901	$12
MAINTENANCE	$766,541	$99,061	$667,480
UTILITIES	$730,956	$17,028	$713,928

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$622,356	TotalAmt
Program Services	$579,167	ProgramServicesAmt
Management And General	$43,189	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,591,159	TotalAmt
Program Services	$24,370,452	ProgramServicesAmt
Management And General	$15,220,707	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,947,078	BOYAmt
EOY	$4,525,557	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$74,575	BOYAmt
EOY	$61,863	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$529,512	BOYAmt
EOY	$478,885	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$34,379,979	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,262,620	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$28,308,269	BOYAmt
EOY	$30,117,359	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$46,530	BOYAmt
EOY	$36,069	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,956,109	BOYAmt
EOY	$4,959,094	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,862,073	BOYAmt
EOY	$40,178,827	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,187,420	BOYAmt
EOY	$1,588,674	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,679,817	BOYAmt
EOY	$7,104,647	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,981,894	BOYAmt
EOY	$58,355,416	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,849,131	BOYAmt
EOY	$67,048,737	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	-$17,210,342	BOYAmt
EOY	-$27,137,714	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$223,284	BOYAmt
EOY	$267,804	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$16,987,058	BOYAmt
EOY	-$26,869,910	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$36,862,073	BOYAmt
EOY	$40,178,827	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$9,874,068	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,784	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,530	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$9,177	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,284	AdministrativeExpensesAmt
End Year Balance	$36,069	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,296	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,158	InvestmentEarningsOrLossesAmt
Administrative Expenses	$3,924	AdministrativeExpensesAmt
End Year Balance	$46,530	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,392	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$9,952	InvestmentEarningsOrLossesAmt
Administrative Expenses	-$856	AdministrativeExpensesAmt
End Year Balance	$40,296	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,461	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,644	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,713	AdministrativeExpensesAmt
End Year Balance	$49,392	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,543	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$9,367	InvestmentEarningsOrLossesAmt
Administrative Expenses	$1,715	AdministrativeExpensesAmt
End Year Balance	$46,461	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,300,000	OtherCostOrOtherBasisAmt
Book Value	$13,300,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,841,585	OtherCostOrOtherBasisAmt
Depreciation	$3,196,825	DepreciationAmt
Book Value	$11,644,760	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,530,688	OtherCostOrOtherBasisAmt
Depreciation	$649,288	DepreciationAmt
Book Value	$1,881,400	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,707,706	OtherCostOrOtherBasisAmt
Depreciation	$416,507	DepreciationAmt
Book Value	$3,291,199	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$30,117,359	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
RIGHT OF USE ASSETS	$3,611,232
DUE FROM THIRD PARTIES	$1,347,862

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,959,094	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATIES	$49,453,783
OPERATING LEASE LIABILITY	$4,054,301
DUE TO THIRD PARTIES	$3,815,099
MALPRACTICE INSURANCE	$1,032,233

Field	Value	IRS element (for citing)
Total Liability	$58,355,416	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT FUND CORPUS IS PERMANENTLY RESTRICTED AND WILL REMAIN INVESTED. THE INCOME DERIVED FROM THE ENDOWMENT FUND IS TO BE USED BY THE PEDIATRIC CENTER TO SUPPORT CURRENT OPERATIONS.

PART X, LINE 2:

LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), THE ULTIMATE PARENT OF HSCPC'S SOLE MEMBER, 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.

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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,202	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$123,202	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,269,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,269,557	NetCommunityBenefitExpnsAmt
Total Expense	0.15840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,392,759	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,392,759	NetCommunityBenefitExpnsAmt
Total Expense	0.16150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$253,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,696,144	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,646,556	NetCommunityBenefitExpnsAmt
Total Expense	0.16790	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
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	THE HOSPITAL FOR SICK CHILDREN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1731 BUNKER HILL RD NE	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20017	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CHILDRENSNATIONAL.ORG/HSC	WebsiteAddressTxt
State License	HFD01-0216	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOSPITAL FOR SICK CHILDREN	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
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING	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
Other Publicity	Yes (X)	OtherPublicityInd
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	0	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Reason	Yes (X)	OtherReasonInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	HOSPITAL FACILITIESTHE HOSPITAL FOR SICK CHILDREN COMMONLY KNOW AS "THE HSC PEDIATRIC CENTER" IS A SELF-CONTAINED LONG-TERM PEDIATRIC SPECIALTY HOSPITAL. THE HOSPITAL FACILITY DOES NOT CHARGE ANY INDIVIDUALS THAT IT KNOWS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE HOSPITAL USES THE CHARGE MASTER RATES FOR A SERVICE AS A STARTING POINT AGAINST WHICH THE DISCOUNTS MANDATED IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY ARE APPLIED TO DETERMINE THE AMOUNT ACTUALLY BILLED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FACILITY WILL NOT COLLECT PAYMENT FROM ANY PATIENT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IN EXCESS OF THE REDUCED AMOUNT THAT IS ACTUALLY BILLED TO SUCH FINANCIAL ASSISTANCE PATIENT.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 3J: HSC PEDIATRIC CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH CHILDREN'S NATIONAL HOSPITAL IN 2022. THE PRIOR ASSESSMENT IN 2019 WAS 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 HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL'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.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, HSC PEDIATRIC CENTER 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.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH CHILDREN'S NATIONAL HOSPITAL. BASED IN WASHINGTON, D.C., HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL 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.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 7D: THE CHNA IS LOCATED ON THE CHILDREN'S NATIONAL'S WEBSITE AT WWW.CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. HSC PEDIATRIC CENTER ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS.THE HOSPITAL FOR SICK CHILDREN:PART V, SECTION B, LINE 8:HSC PEDIATRIC CENTER 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.
THE HOSPITAL FOR SICK CHILDREN	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.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 16J: AVAILABILITY OF FINANCIAL ASSISTANCE POLICYHSCPC PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY IN MANY DIFFERENT WAYS. FIRST, IT POSTS NOTICES REGARDING THE AVAILABILITY OF CHARITY CARE IN ADMISSIONS, PATIENT REGISTRATION, AND THE BUSINESS OFFICE. THE INFORMATION ON THE SIGNS IS IN BOTH ENGLISH AND SPANISH. IN ADDITION, THE POLICY IS DISTRIBUTED TO PATIENTS ON ADMISSION AND UPON REQUEST, AND IS AVAILABLE AT ALL PATIENT REGISTRATION DESKS AND IN ALL WAITING AREAS. FURTHERMORE, HSCPC, AS MANDATED BY ITS FINANCIAL ASSISTANCE POLICY, PUBLISHES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, ON AN ANNUAL BASIS, IN A NEWSPAPER OF GENERAL CIRCULATION IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS.
THE HOSPITAL FOR SICK CHILDREN	PART V, SECTION B, LINE 21D: POLICY RELATING TO EMERGENCY MEDICAL CARETHE HSC PEDIATRIC CENTER IS A LONG-TERM PEDIATRIC HOSPITAL FACILITY, WHICH DOES NOT PROVIDE EMERGENCY MEDICAL CARE. HOWEVER, THE HSC PEDIATRIC CENTER HAS ADOPTED A TRANSFER POLICY PURSUANT TO WHICH THE HOSPITAL WILL HELP TO TRANSFER, AS APPROPRIATE, ANY PATIENTS SHOWING SYMPTOMS OF AN EMERGENCY TO AN ACUTE CARE HOSPITAL.THE HOSPITAL FOR SICK CHILDREN:SCHEDULE H, PART V, SECTION B, LINE 22D:MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE INDIVIDUALSTHE HSC PEDIATRIC CENTER DETERMINED MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS NOT MORE THAN AMOUNTS GENERALLY BILLED TO INSURED PATIENTS. THE PROSPECTIVE MEDICAID METHOD WAS USED.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - THE HSC OUTPATIENT CENTER
4500 FORBES BLVD SUITE 100	LANHAM	MD	20706	PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY
2 - THE HSC OUTPATIENT CENTER
14995 SHADY GROVE RD SUITE 200	ROCKVILLE	MD	20850	PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY
3 - THE HSC SKILLED NURSING FACILITY
1731 BUNKER HILL ROAD NE	WASHINGTON	DC	20017	PROVIDES SKILLED NURSING SERVICES TO CHILDREN & YOUNG ADULTS THROUGH AGE 21

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C:	OTHER CRITERIA USED FOR DETERMINING ELIGIBILITYTHE HOSPITAL FOR SICK CHILDREN DBA THE HSC PEDIATRIC CENTER (HSCPC) HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO INDIVIDUALS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. HSC PEDIATRIC CENTER USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. ELIGIBILITY WAS INCOME BASED AND NOT ASSET BASED.SCHEDULE H, PART I, LINE 4:FINANCIAL ASSISTANCE POLICY FOR THE MEDICALLY INDIGENTHSCPC HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO THE MEDICALLY INDIGENT, WHICH IS A SEPARATE, SUPPLEMENTAL DETERMINATION OF FINANCIAL ASSISTANCE FOR PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PRIMARY SECTION OF THE FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM THE RESULTING FINANCIAL LIABILITY FOR MEDICAL TREATMENT REPRESENTS A CATASTROPHIC LOSS. "CATASTROPHIC" IS DEFINED AS A SITUATION IN WHICH THE SELF-PAY PORTION OF THE HSCPC MEDICAL BILL IS GREATER THAN THE PATIENT'S ABILITY TO REPAY WITH CURRENT INCOME AND LIQUID ASSETS IN 18 MONTHS OR LESS. THE FACTORS TAKEN INTO CONSIDERATION WHEN EVALUATING A CATASTROPHIC ASSISTANCE APPLICATION ARE THE FOLLOWING: CURRENT MEDICAL DEBT, LIQUID ASSETS, LIVING EXPENSES, PROJECTED MEDICAL EXPENSES, ANNUAL INCOME, FAMILY SIZE, AND SPELL OF ILLNESS.SCHEDULE H, PART I, LINE 7:EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLEHOSPITAL 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 7, COL (F):BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE: NO BAD DEBT CALCULATED THIS YEAR.
PART III, LINE 2:	METHODOLOGY USED TO ESTIMATE BAD DEBTHSC PEDIATRIC CENTER DID NOT HAVE ANY BAD DEBT WRITE-OFFS FOR FISCAL YEAR 2022. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO HSC PEDIATRIC CENTER. 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.
PART III, LINE 8:	THE HSC PEDIATRIC CENTER DOES NOT PARTICIPATE IN THE MEDICARE PROGRAM.
PART III, LINE 9B:	PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE HSC PEDIATRIC CENTER HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS.HSC PEDIATRIC CENTER IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. HSC PEDIATRIC CENTER SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. HSC PEDIATRIC CENTER THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY.COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, HSC PEDIATRIC CENTER 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. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED, AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. HSC PEDIATRIC CENTER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES, E.G. CREDIT REPORTING, WAGE GARNISHMENTS, LIENS, ETC.
PART VI, LINE 2:	COMMUNITY HEALTH CARE NEEDS ASSESSMENTIN ADDITION TO THE JOINT PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHILDREN'S NATIONAL, HSC PEDIATRIC CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OTHER EFFORTS. FOR EXAMPLE, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, HSC PEDIATRIC CENTER PARTNERED ON A DC-WIDE CHNA TO LEVERAGE NEEDS 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 HSC PEDIATRIC CENTER 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.) HSC PEDIATRIC CENTER ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF CHRONIC CARE FOR PEDIATRIC PATIENTS AND IS TRUSTED THROUGHOUT ITS COMMUNITY AS A RESOURCE READY AND WILLING TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. HSC PEDIATRIC CENTER'S CURRENT COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH.
PART VI, LINE 3:	ELIGIBILITY EDUCATIONTHE HSC PEDIATRIC CENTER HAS A STRONG COMMITMENT TO PROVIDING SERVICES TO FAMILIES AT NO COST TO THEM IF AT ALL POSSIBLE. MANY OF THE FAMILIES WHO RECEIVE SERVICES FROM HSC PEDIATRIC CENTER HAVE ALREADY QUALIFIED FOR MEDICAID BY THE TIME OF THEIR ARRIVAL AT HSC PEDIATRIC CENTER DUE TO PRIOR SERVICES AT OTHER FACILITIES. IF A FAMILY ARRIVES AT HSC PEDIATRIC CENTER WITH PRIVATE INSURANCE, OFTEN TIMES THEY QUALIFY FOR MEDICAID BY THE TIME THEY ARE DISCHARGED TO CARE AT HOME. FAMILIES ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE TIME OF THEIR ADMISSION TO HSC PEDIATRIC CENTER. THEY ARE GIVEN WRITTEN COPIES OF THE STATEMENT: NOTICE OF AVAILABILITY OF UNCOMPENSATED SERVICES" IN THE APPROPRIATE LANGUAGE. IF THEY BELIEVE THEY MAY BE IN NEED OF THE SERVICES, AN APPLICATION IS FILLED OUT AT THE TIME OF ADMISSION. IF A FAMILY DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE TO PURSUE THE AVAILABLE UNCOMPENSATED SERVICES. IF PATIENTS ARE NOT ELIGIBLE FOR MEDICAID AND OTHER GOVERNMENTAL PROGRAMS SUBSEQUENT TO DISCHARGE, HSC PEDIATRIC CENTER BOTH INFORMS AND ATTEMPTS TO QUALIFY THEM PROSPECTIVELY FOR THE CHARITY CARE SERVICES PROVIDED BY HSC PEDIATRIC CENTER. STAFF OF THE ORGANIZATION HELP IDENTIFY GOVERNMENT OR NON-PROFIT ASSISTANCE WHICH MAY BE AVAILABLE, AND THE ORGANIZATION WILL ASSIST PATIENTS' FAMILIES WITH APPLYING FOR SUCH PROGRAMS, SUCH AS MEDICAID.
PART VI, LINE 4:	DESCRIPTION OF COMMUNITY SERVEDTHE HSC PEDIATRIC CENTER SERVES CHILDREN AND YOUNG ADULTS UP TO THE AGE OF 21 IN THE WASHINGTON DC METRO AREA WHO HAVE SPECIAL HEALTH CARE NEEDS. HSC PEDIATRIC CENTER SERVES THE WASHINGTON DC METRO AREA WHICH IS A DIVERSE COMMUNITY THAT COVERS TWO STATES AND THE DISTRICT OF COLUMBIA.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). OF THE DC SPECIAL NEEDS CHILDREN, APPROXIMATELY 5,500 WERE ENROLLED IN HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC., HSC PEDIATRIC CENTER'S SISTER ORGANIZATION THAT PROVIDES CARE MANAGEMENT SERVICES TO CHILDREN WHO HAVE SSI OR SSI RELATED DIAGNOSES. THE PRIMARY CONDITIONS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS TREATED AT THE HSC PEDIATRIC CENTER ARE CONDITIONS REQUIRING LONGER TERM TRANSITIONAL CARE AND/OR SPECIALTY REHABILITATION CARE PRIOR TO THEIR DISCHARGE TO HOME OR NURSING/GROUP HOME. THESE CONDITIONS INCLUDE CEREBRAL PALSY, ANOXIC BRAIN DAMAGE, SPINA BIFIDA, FAILURE TO THRIVE RELATED TO PREMATURITY, CHRONIC LUNG DISEASE AND INTESTINAL OR OTHER FEEDING DISORDERS.
PART VI, LINE 5:	PROMOTING THE HEALTH OF THE COMMUNITYTHE HSC PEDIATRIC CENTER'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE ORGANIZATIONS SURPLUS FUNDS ARE USED TO FURTHER ITS EXEMPT PURPOSE AND COMMUNITY PROGRAMS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM ROLESHSC PEDIATRIC CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING ADDITIONAL TAX-EXEMPT ENTITIES:-CHILDREN'S HOSPITAL DBA CHILDREN'S NATIONAL HOSPITAL - 501(C)(3), HOSPITAL -CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLE FOR HEALTH CARE SYSTEM-CHILDREN'S HOSPITAL FOUNDATION DBA CHILDREN'S NATIONAL HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING-CHILDREN'S RESEARCH INSTITUTE DBA CHILDREN'S NATIONAL 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-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 NEEDS.EACH ENTITY PARTICIPATES IN THE CHILDREN'S NATIONAL'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ADVOCATES FOR JUSTICE AND EDUCATION INC
1200 G STREET NWSUITE 725	WASHINGTON	DC	20005	521989809	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
ARC OF LOUDOUN
601 CATOCTIN CIRCLE NE	LESSBURG	VA	20176	540835314	501(C)(3)	$9,000	$0	LEAP AWARD PROGRAM
FOUNDATION SCHOOLS INC
1330 MCCORMICK DRIVE	LARGO	MD	20774	237425256	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
BROADFUTURES INC
2000 PENNSYLVANIA AVENUE NW SUITE	WASHINGTON	DC	20006	463344842	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM	7000
LATIN AMERICAN YOUTH CENTER
1419 COLUMBIA ROAD NW	WASHINGTON	DC	20009	521023074	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
ARC OF SOUTHERN MARYLAND INC
355 W DARES BEACH ROAD PO BOX 1860	PRINCE FREDERICK	MD	20678	521062351	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
ARC OF NORTHERN VIRGINIA
2755 HARTLAND ROAD SUITE 200	FALLS CHURCH	VA	22043	540675506	501(C)(3)	$9,000	$0	LEAP AWARD PROGRAM
IVYMOUNT SCHOOL INC
11614 SEVEN LOCKS ROAD	ROCKVILLE	MD	20854	521195527	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
POTOMAC COMMUNITY RESOURCES INC
9200 KENTSDALE DRIVE	POTOMAC	MD	20854	522286949	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM
MONTGOMERY COLLEGE FOUNDATION INC
9221 CORPORATE BLVD3RD FLOOR	ROCKVILLE	MD	20850	521267008	501(C)(3)	$10,000	$0	LEAP AWARD PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE LIFE ENRICHMENT AWARDS PROGRAM (LEAP) PROVIDES GRANTS TO SUPPORT YOUTH AND YOUNG ADULTS WITH DISABILITIES AND CHRONIC ILLNESSES IN THE WASHINGTON, D.C. AREA AS THEY TRANSITION TO ADULTHOOD. GRANTS ARE MADE THROUGH THE HSC PEDIATRIC CENTER'S NETWORK OF COMMUNITY PARTNERS WHO ARE WORKING TO ENSURE YOUNG ADULTS HAVE THE RESOURCES AND SERVICES THEY NEED TO MAKE A SUCCESSFUL TRANSITION TO THE NEXT STEP IN THEIR LIVES. FUNDS MAY BE USED FOR A VARIETY OF PURPOSES, INCLUDING BUSINESS CLOTHING, CAREER EXPLORATION OR RELATED COURSES, COMPUTERS AND EQUIPMENT, OR OTHER TRANSITION NEEDS. GRANT RECIPIENTS ARE REQUIRED TO SUBMIT A PROGRESS AND FINAL REPORT DETAILING AWARDEE NAMES, AGE, AND SPECIFIC EXPENDITURES INCLUDING BENEFIT OBTAINED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
ALDWIN LINDSAY
TREASURER & EVP/CFO	$0	$592,009	$0	$254,177	$0	$54,966	$0	$104,500	$0	$13,320	$0	$1,018,972	$0	$30,679
MARY ANNE HILLIARD
SECRETARY	$0	$488,677	$0	$242,628	$0	$119,718	$0	$77,934	$0	$36,143	$0	$965,100	$0	$80,669
NATHANIEL BEERS MD
PRESIDENT OF HSC	$0	$437,038	$0	$199,170	$0	$21,778	$0	$84,250	$0	$31,844	$0	$774,080	$0	$0
DONNA ANTHONY
FORMER KEY EMPLOYEE	$0	$287,110	$0	$73,348	$0	$9,247	$0	$8,403	$0	$31,538	$0	$409,646	$0	$0
DEBBIE HOLSON
COO, PEDIATRIC CENTER	$0	$252,351	$0	$21,946	$0	$4,356	$0	$13,005	$0	$24,391	$0	$316,049	$0	$0
KIMBERLY BROWN
FORMER OFFICER	$0	$208,871	$0	$17,510	$0	$774	$0	$10,612	$0	$11,135	$0	$248,902	$0	$0
ANDREW METINKO
PEDIATRICIAN	$0	$193,868	$0	$375	$0	$3,944	$0	$9,707	$0	$24,222	$0	$232,116	$0	$0
SAMAR HUSSEIN
PEDIATRICIAN	$0	$203,919	$0	$375	$0	$1,344	$0	$10,276	$0	$8,080	$0	$223,994	$0	$0
ANNE RUECKTENWALD
DIRECTOR OUTPATIENT PROGRAMS	$0	$159,940	$0	$33,700	$0	$2,283	$0	$0	$0	$8,045	$0	$203,968	$0	$0
JULIA P BALASUNDARAM
INPATIENT & SNF RN	$0	$162,150	$0	$1,480	$0	$725	$0	$8,842	$0	$29,368	$0	$202,565	$0	$0
ESTHER KAGULU
INPATIENT & SNF RN	$0	$180,778	$0	$1,275	$0	$960	$0	$0	$0	$8,206	$0	$191,219	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3:

PROCESS FOR DETERMINING COMPENSATION HOSPITAL FOR SICK CHILDREN RELIES ON ITS SOLE MEMBER'S PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR HSCPC'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION.

SCHEDULE J, PART I, LINE 4B:

SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL 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: ALDWIN LINDSAY $90,000 MARY ANN HILLIARD $63,434 NATHANIEL BEERS, MD $69,750

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
Bond Issued	2020-04-23	BondIssuedDt
Issue Price	$8,475,000	IssuePriceAmt
Purpose	REFUND SERIES 2005 BOND	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	$1,600,000	RetiredAmt
Total Proceeds	$8,475,000	TotalProceedsAmt
Other Spent Proceeds	$8,475,000	OtherSpentProceedsAmt
Substantial Completion	1992	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	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	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
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	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	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

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, LINE 7:	FormAndLineReferenceDesc
Explanation	ALL COSTS OF ISSUANCE WITH RESPECT TO THE BONDS WERE PAID FROM FUNDS OTHER THAN PROCEEDS OF THE BONDS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	THE HOSPITAL FOR SICK CHILDREN, COMMONLY KNOWN AS THE HSC PEDIATRIC CENTER (AND SOMETIMES REFERRED TO IN THIS 990 AS "HSCPC"), PROVIDES QUALITY CARE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, D.C. AND BALTIMORE AREAS.
FORM 990, PART V:	THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A AND LINE 2A BECAUSE THE ORGANIZATION'S 1099 AND W-2 RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF CHILDREN'S HOSPITAL, INC., A RELATED ENTITY, UNDER A SHARED SERVICES AGREEMENT.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS THE HSC FOUNDATION IS THE SOLE MEMBER OF THE HOSPITAL FOR SICK CHILDREN.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTION OF MEMBERS THE HSC FOUNDATION IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL FOR SICK CHILDREN. CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) IS THE SOLE CORPORATE MEMBER OF THE HSC FOUNDATION. ON SEPTEMBER 1, 2019, THE HSC FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL AND FOR A PERIOD OF FIVE YEARS THEREAFTER, THE MEMBERS OF THE HSC FOUNDATION'S GOVERNING BODY TOGETHER WITH THE BOARD OF CHILDREN'S NATIONAL APPOINT THE MEMBERS OF THE HOSPITAL FOR SICK CHILDREN'S GOVERNING BODY. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL APPOINT MEMBERS OF THE HOSPITAL FOR SICK CHILDREN'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	RIGHTS OF MEMBERS THE SOLE MEMBER (THE HSC FOUNDATION) TOGETHER WITH ITS SOLE MEMBER (CHILDREN'S NATIONAL MEDICAL CENTER) HAVE ALL OF THE POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION AND BYLAWS, INCLUDING THE POWER TO: (A) ESTABLISH THE HOSPITAL FOR SICK CHILDREN'S (HSC'S) POLICIES AND GOALS, AND APPROVE THE BYLAWS INCLUDING ANY AMENDMENTS THERETO; (B) APPOINT AND REMOVE HSC'S BOARD OF DIRECTORS; (C) MONITOR THE DECISIONS OF THE HSC'S BOARDS OF DIRECTORS; AND (D) APPROVE HSC'S BUDGET. ON SEPTEMBER 1, 2019, AND BY MEANS OF AN AFFILIATION AGREEMENT, THE HSC FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL MEDICAL CENTER. EFFECTIVE AS OF THAT DATE, THE HSC FOUNDATION AND THE HOSPITAL FOR SICK CHILDREN AMENDED AND RESTATED THE HOSPITAL FOR SICK CHILDREN'S BYLAWS TO COMPLY WITH CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE. UNDER CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE, CHILDREN'S NATIONAL RETAINS CERTAIN AUTHORITY OVER SUBSIDIARY (AND A SUBSIDIARY OF A SUBSIDIARY) ENTITIES. THE RETENTION OF AUTHORITY INCLUDES ITEMS SUCH AS: THE AUTHORITY TO AMEND A SUBSIDIARY'S GOVERNING DOCUMENTS, AUTHORIZATION OF THE SALE OF SUBSTANTIALLY ALL ASSETS, APPOINT/REMOVE OFFICERS AND DIRECTORS, APPROVE BUDGETS, SET SIGNATURE AUTHORITY, AND ADOPT AN ENTERPRISE-WIDE COMPLIANCE PLAN. THE AFFILIATION AGREEMENT ANTICIPATES A FIVE-YEAR INTEGRATION PERIOD, DURING SUCH PERIOD THE HSC FOUNDATION AND CHILDREN'S NATIONAL WILL SHARE RESPONSIBILITY FOR CERTAIN AUTHORITIES THAT ARE OTHERWISE SET UNDER THE SYSTEM OF GOVERNANCE. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL HAVE SOLE RESPONSIBILITY FOR AUTHORITY THAT IS RESERVED UNDER THE SYSTEM OF GOVERNANCE.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BY GOVERNING BODY THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT RISK AND COMPLIANCE COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH THE IRS. THE HOSPITAL FOR SICK CHILDREN PROVIDES A COPY OF THE FORM 990 TO THE 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 EACH OF THE HOSPITAL FOR SICK CHILDREN AND ITS CORPORATE MEMBER, THE HSC FOUNDATION, HAVE ADOPTED THE CONFLICT OF INTEREST POLICY OF THE PARENT ORGANIZATION, CHILDREN'S NATIONAL MEDICAL CENTER. CHILDREN'S NATIONAL AND ITS SUBSIDIARIES ASK EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE TO 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 INTEREST ARE NOTED. THE CHILDREN'S NATIONAL 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. FORM 990, PART VI, SECTION B, LINES 13 & 14: GOVERNING POLICIES THE HOSPITAL FOR SICK CHILDREN ("HSCPC") IS GOVERNED BY THE COMPLIANCE POLICIES OF CHILDREN'S NATIONAL, THE SOLE MEMBER OF HSCPC'S PARENT ORGANIZATION. 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 HOSPITAL FOR SICK CHILDREN RELIES ON CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER, TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. CHILDREN'S NATIONAL USED AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:	FORMER OFFICER, KIMBERLY BROWN, AND FORMER KEY EMPLOYEE, DONNA ANTHONY, ARE LISTED AS "FORMER" ON PART VII, BUT CONTINUE TO BE EMPLOYED BY CHILDREN'S NATIONAL IN A LESSER CAPACITY. THEY NO LONGER SERVE THE HOSPITAL FOR SICK CHILDREN IN THEIR PRIOR ROLE AS OFFICER OR KEY EMPLOYEE.
FORM 990, PART IX, LINE 11G	CONSULTANTS: PROGRAM SERVICE EXPENSES 3,646. MANAGEMENT AND GENERAL EXPENSES 57,953. TOTAL EXPENSES 61,599. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,242,705. MANAGEMENT AND GENERAL EXPENSES 504,194. TOTAL EXPENSES 2,746,899. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 1,210,154. TOTAL EXPENSES 1,210,154. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 126,967. MANAGEMENT AND GENERAL EXPENSES 20,921. TOTAL EXPENSES 147,888.

Schedule R IRS990ScheduleR

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
THE HSC FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521346603	HEALTH CARE	DC	501(C)(3)	LINE 12C, III-FI	CNMC	0
HLTH SVCS FOR CHILDREN W SPEC NEEDS
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521862406	HEALTH CARE	DC	501(C)(3)	LINE 10	HSC FNDN	0
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	HEALTHCARE	DC	501(C)(3)	LINE 12C, III-FI		0	N/A
SAFE KIDS WORLDWIDE
1255 23RD STREET NW	WASHINGTON	DC	20037	521627574	INJURY PREVENTION	DC	501(C)(3)	LINE 7	CNMC	0
CHILDREN'S HOSPITAL
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	530196580	HEALTH CARE	DC	501(C)(3)	LINE 3	CNMC	0
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271547370	CHILD CAMPS	DC	501(C)(3)	LINE 12A, I	CH	0
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	814291601	NURSING SERVICES	DC	501(C)(3)	LINE 12A, I	CNMC	0
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521654453	RESEARCH	DC	501(C)(3)	LINE 7	CNMC	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	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC
111 MICHIGAN AVE NW	WASHIGNTON	DC	20010	522072589	HEALTH CARE	DC	N/A	0	0
5253 NMTC LLC
111 MICHIGAN AVE NW	WASHIGNTON	DC	20010	832873855	PROPERTY MANAGEMENT	DC	N/A	0	0
5253 HTC LLC
111 MICHIGAN AVE NW	WASHIGNTON	DC	20010	833044006	PROPERTY MANAGEMENT	DC	N/A	0	0
54 NMTC LLC
111 MICHIGAN AVE NW	WASHIGNTON	DC	20010	833358685	PROPERTY MANAGEMENT	DE	N/A	0	0
54 HTC LLC
111 MICHIGAN AVE NW	WASHIGNTON	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 SILVER SPRING	MD	20904	833415276	HEALTH CARE	DC	N/A	C	0
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	832081690	PROPERTY MANAGEMENT	DC	N/A	C	0
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVENUE	GRAND CAYMAN	DC	20010	833272918	PROPERTY MANAGEMENT	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	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	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	0	TransferFromOtherOrgInd