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CHILDRENS HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202221339349308132
Schema version
2020v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T15:25:54-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 WILSON BLVD SUITE 1400AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22209ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530196580EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALDWIN LINDSAYPersonNm
Person TitleCFOPersonTitleTxt
Phone3015723502PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALDWINPersonFirstNm
Person LastLINDSAYPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S NATIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKURT DOUGLAS NEWMAN MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,767,630,790GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSNATIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1870FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee8513TotalEmployeeCnt
Total Volunteers794TotalVolunteersCnt
Total Gross UBI$1,099,499TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$308,874NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$85,105,614PYContributionsGrantsAmt
CY Contributions Grants$58,540,048CYContributionsGrantsAmt
PY Program Service Revenue$1,191,972,532PYProgramServiceRevenueAmt
CY Program Service Revenue$1,253,800,132CYProgramServiceRevenueAmt
PY Investment Income$5,887,558PYInvestmentIncomeAmt
CY Investment Income$12,340,686CYInvestmentIncomeAmt
PY Other Revenue-$6,076,045PYOtherRevenueAmt
CY Other Revenue-$1,752,338CYOtherRevenueAmt
PY Total Revenue$1,276,889,659PYTotalRevenueAmt
CY Total Revenue$1,322,928,528CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$740,162,751PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$762,971,951CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$498,566,229PYOtherExpensesAmt
CY Other Expenses$518,132,970CYOtherExpensesAmt
PY Total Expenses$1,238,728,980PYTotalExpensesAmt
CY Total Expenses$1,281,104,921CYTotalExpensesAmt
PY Revenues Less Expenses$38,160,679PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$41,823,607CYRevenuesLessExpensesAmt
Total Assets BOY$1,849,683,254TotalAssetsBOYAmt
Total Assets EOY$2,170,063,672TotalAssetsEOYAmt
Total Liabilities BOY$1,084,047,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,343,954,392TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$765,636,253NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$826,109,280NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$959,412,750ExpenseAmt
Revenue$1,243,775,498RevenueAmt
DescCHILDREN'S HOSPITAL DBA CHILDREN'S NATIONAL HOSPITAL OPERATES AN ACUTE CARE PEDIATRIC AND TEACHING FACILITY IN WASHINGTON, DC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL IS THE PARENT COMPANY OF THE HOSPITAL. CHILDREN'S NATIONAL AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND YOUTH IN WASHINGTON, DC AND THE SURROUNDING METROPOLITAN AREA. SEE SCHEDULE H, PART VI FOR COMPLETE FY21 COMMUNITY BENEFIT REPORT.Desc
Total Program Service Expenses$959,412,750TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document601IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8513EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)39.0016.00Yes (X)Yes (X)$2,128,231$0$300,163
SCHONAY BARNETT-JONES
BOARD CHAIR2.002.00Yes (X)Yes (X)$0$0$0
AMANDA LELAND
BOARD MEMBER1.000.00Yes (X)$0$0$0
MARY GEN LEDECKY
BOARD MEMBER1.000.00Yes (X)$0$0$0
CAROLINE VAN VLECK MD
BOARD MEMBER1.001.00Yes (X)$0$0$0
AMY FREEMAN
BOARD VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
ARTENCIA HAWKINS-BELL
BOARD MEMBER1.000.00Yes (X)$0$0$0
JERRY STOUCK
BOARD MEMBER1.000.00Yes (X)$0$0$0
JEFF ZIENTS
BOARD CHAIRMAN TO 01/212.005.00Yes (X)$0$0$0
PAUL KALB MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
HORACIO ROZANSKI
BOARD MEMBER AS OF 01/211.003.00Yes (X)$0$0$0
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER35.0020.00Yes (X)$822,880$0$126,992
ALEC KING
EVP/CFO TO 10/2035.0020.00Yes (X)$702,850$0$35,922
ALDWIN LINSDAY
EVP/CFO AS OF 12/2035.0020.00Yes (X)$440,893$0$38,519
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE37.0018.00$1,479,905$0$187,960Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER TO 08/2053.002.00$1,499,585$0$36,580Yes (X)
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER TO 03/2148.007.00$1,241,502$0$62,467Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER52.003.00$1,206,561$0$156,799Yes (X)
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER29.0026.00$1,191,198$0$54,576Yes (X)
DAVID WESSEL MD
CHIEF MEDICAL OFFICER48.007.00$1,043,806$0$87,823Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE50.005.00$952,191$0$79,551Yes (X)
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER54.001.00$824,526$0$14,777Yes (X)
DARRYL VARNADO
CHIEF PEOPLE OFFICER54.001.00$703,563$0$64,837Yes (X)
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER1.0054.00$697,763$0$98,459Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER54.001.00$509,637$0$54,112Yes (X)
MICHELLE M MCGUIRE
EVP/CHIEF STRATEGY OFFICER54.001.00$485,931$0$62,148Yes (X)
RICHARD JONAS MD
CHIEF OF CARDIOLOGY55.000.00$2,523,554$0$90,189Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY55.000.00$1,147,620$0$118,842Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY55.000.00$1,014,841$0$38,602Yes (X)
RICARDO MUNOZ MD
CHIEF OF CARDIAC CRIT MED55.000.00$936,232$0$82,319Yes (X)
DEANN MARSHALL
PRESIDENT OF FOUNDATION1.0054.00$858,437$0$60,183Yes (X)
BRIAN JACOBS MD
FMR CHIEF INFO OFFICER TO 06/190.000.00$386,763$0$457Yes (X)
MENDEL TUCHMAN MD
FORMER CRO TO 06/170.000.00$127,211$0$11,530Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$22,925,680TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,863,807TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1879IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYN KANSAS CITYMO64117IT$30,740,936
LAZ KARP ASSOCIATES LLC
1 FINANCIAL PLZHARTFORDCT06103PARKING$3,073,346
MORRISON MANAGEMENT SPECIALIST LLC
5801 PEACHTREE DUNWOODY RDATLANTAGA30342PURCHASED FOOD SERVICES$1,917,110
GEORGETOWN UNIVERSITY HOSPITAL
3800 RESERVOIR RD NWWASHINGTONDC20007PURCHASED MEDICAL SERVICES$1,612,986
QUEST DIAGNOSTIC CLINICAL LAB INC
1201 S COLLEGEVILLE RDCOLLEGEVILLEPA19426LAB TESTING$1,608,035
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K149CntrctRcvdGreaterThan100KCnt
Related Organizations$19,145,204RelatedOrganizationsAmt
Government Grants$33,962,885GovernmentGrantsAmt
All Other Contributions$5,431,959AllOtherContributionsAmt
Noncash Contributions$794,839NoncashContributionsAmt
Total Contributions$58,540,048TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$1,143,490,769$1,143,490,769
ALL OTHER PROGRAM SERV900099$110,309,363$110,309,363
FieldValueIRS element (for citing)
Total Program Service Revenue$1,253,800,132TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,622,963TotalRevenueColumnAmt
Exclusion$8,622,963ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,372,397RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,372,397RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,372,397TotalRevenueColumnAmt
Exclusion$3,372,397ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$448,110,985SecuritiesAmt
Other$309,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$444,634,056SecuritiesAmt
Other$68,206OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,476,929SecuritiesAmt
Other$240,794OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,717,723TotalRevenueColumnAmt
Exclusion$3,717,723ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING812390$3,800,400$3,800,400
LAB FEES621500$1,099,499$1,099,499
EQUITY AND PARTNERSHIP621110-$10,024,634-$10,024,634
FieldValueIRS element (for citing)
Other Revenue Total-$5,124,735OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,322,928,528TotalRevenueColumnAmt
Related Or Exempt Func Income$1,243,775,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,099,499UnrelatedBusinessRevenueAmt
Exclusion$19,513,483ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$14,555,219TotalAmt
Program Services$733,112ProgramServicesAmt
Management And General$13,822,107ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$158,655TotalAmt
Management And General$158,655ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$623,443,239TotalAmt
Program Services$453,538,750ProgramServicesAmt
Management And General$169,904,489ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,951,876TotalAmt
Program Services$17,760,612ProgramServicesAmt
Management And General$7,191,264ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$57,793,418TotalAmt
Program Services$41,137,046ProgramServicesAmt
Management And General$16,656,372ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$42,069,544TotalAmt
Program Services$29,944,877ProgramServicesAmt
Management And General$12,124,667ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,497,805TotalAmt
Program Services$1,777,924ProgramServicesAmt
Management And General$719,881ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,573,209TotalAmt
Management And General$1,573,209ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$492,225TotalAmt
Management And General$492,225ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$349,626TotalAmt
Program Services$248,862ProgramServicesAmt
Management And General$100,764ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$65,989,554TotalAmt
Program Services$47,286,339ProgramServicesAmt
Management And General$18,703,215ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,530,915TotalAmt
Program Services$3,936,876ProgramServicesAmt
Management And General$1,594,039ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,134,204TotalAmt
Program Services$9,348,856ProgramServicesAmt
Management And General$3,785,348ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$68,959,284TotalAmt
Program Services$49,084,850ProgramServicesAmt
Management And General$19,874,434ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,864,243TotalAmt
Program Services$19,833,619ProgramServicesAmt
Management And General$8,030,624ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$350,454TotalAmt
Program Services$249,451ProgramServicesAmt
Management And General$101,003ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$210,391TotalAmt
Program Services$149,755ProgramServicesAmt
Management And General$60,636ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,938,294TotalAmt
Program Services$19,174,534ProgramServicesAmt
Management And General$7,763,760ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$84,916,332TotalAmt
Program Services$60,442,992ProgramServicesAmt
Management And General$24,473,340ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,416,379TotalAmt
Program Services$13,820,475ProgramServicesAmt
Management And General$5,595,904ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$137,363,336$137,363,336
BAD DEBT EXPENSE$31,436,139$31,436,139
REPAIRS AND MAINTENANCE$22,606,166$16,090,948$6,515,218
ALL OTHER EXPENSES$8,504,414$6,053,397$2,451,017

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,281,104,921TotalAmt
Program Services$959,412,750ProgramServicesAmt
Management And General$321,692,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$58,287,616BOYAmt
EOY$60,361,549EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,414,125BOYAmt
EOY$2,240,981EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$229,575,519BOYAmt
EOY$328,824,144EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$240,000BOYAmt
EOY$100,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,142,450BOYAmt
EOY$14,636,328EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,286,123BOYAmt
EOY$54,911,176EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,715,225,857LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$913,497,753LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$731,634,641BOYAmt
EOY$801,728,104EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$270,998,571BOYAmt
EOY$239,232,220EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,133,761BOYAmt
EOY$14,050,171EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$490,970,448BOYAmt
EOY$653,978,999EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,849,683,254BOYAmt
EOY$2,170,063,672EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$198,727,652BOYAmt
EOY$234,185,952EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,680,119BOYAmt
EOY$4,464,912EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$380,144,346BOYAmt
EOY$370,399,269EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$96,944,444BOYAmt
EOY$352,790,642EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$404,550,440BOYAmt
EOY$382,113,617EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,084,047,001BOYAmt
EOY$1,343,954,392EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$765,636,253BOYAmt
EOY$826,109,280EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$765,636,253BOYAmt
EOY$826,109,280EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,849,683,254BOYAmt
EOY$2,170,063,672EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$41,823,607ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,042,686NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$606,734OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,200,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,258,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,932,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,105,614CurrentTaxYearMinus1YearAmt
Current Tax Year$58,540,048CurrentTaxYearAmt
Total$289,036,957TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,200,911CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,258,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,932,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,105,614CurrentTaxYearMinus1YearAmt
Current Tax Year$58,540,048CurrentTaxYearAmt
Total$289,036,957TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,027,453SubstantialContributorsTotAmt
Public Support Total170$288,009,504PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,946,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,802,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,535,245CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,995,875CurrentTaxYearMinus1YearAmt
Current Tax Year$11,995,360CurrentTaxYearAmt
Total$32,275,353TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,210,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,375,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,441,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,528,932CurrentTaxYearMinus1YearAmt
Current Tax Year$3,800,400CurrentTaxYearAmt
Total$21,356,991TotalAmt
FieldValueIRS element (for citing)
Total Support$342,669,301TotalSupportAmt
Gross Receipts Rltd Activities$5,783,712,672GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84050PublicSupportCY170Pct
Public Support PY1700.84290PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationPARKING - 2016 AMOUNT: $ 4,210,622. 2017 AMOUNT: $ 4,375,469. 2018 AMOUNT: $ 4,441,568. 2019 AMOUNT: $ 4,528,932. 2020 AMOUNT: $ 3,800,400.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$401,430DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$90,795OtherActivitiesAmt
Total Lobbying Expenditures$492,225TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

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

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$353,718,244OtherCostOrOtherBasisAmt
Depreciation$84,265,847DepreciationAmt
Book Value$269,452,397BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$875,400,031OtherCostOrOtherBasisAmt
Depreciation$593,466,320DepreciationAmt
Book Value$281,933,711BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$343,822,753OtherCostOrOtherBasisAmt
Depreciation$232,562,027DepreciationAmt
Book Value$111,260,726BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,933,986OtherCostOrOtherBasisAmt
Depreciation$3,203,559DepreciationAmt
Book Value$114,730,427BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$801,728,104TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$441,349,383
DUE FROM AFFILIATES$94,224,383
OPERATING ROU ASSETS$75,039,669
DEFERRED COMPENSATION PLAN$43,365,564
FieldValueIRS element (for citing)
Total Book Value Other Assets$653,978,999TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
FINANCE LEASE OBLIGATIONS$146,296,599
RESERVE FOR CLAIMS$104,336,159
OPERATING LEASE OBLIGATIONS$84,037,817
OTHER LIABILITIES$41,916,004
DUE TO AFFILIATES$3,838,449
SETTLEMENTS TO THIRD PARTY PAY$1,688,589
FieldValueIRS element (for citing)
Total Liability$382,113,617TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITION (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, 2021 AND 2020 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
MIDDLE EAST AND NORTH AFRICA01PROGRAM SERVICESPATIENT REFFERALS$273,422
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESINSURANCE PREMIUMS$13,660,958
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$13,934,380SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$13,934,380TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,586,920TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,586,920NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$133,953,891TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$133,953,891NetCommunityBenefitExpnsAmt
Total Expense0.10720TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$139,540,811TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$139,540,811NetCommunityBenefitExpnsAmt
Total Expense0.11170TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served77177PersonsServedCnt
Total Community Benefit Expns$7,937,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,954,436DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,982,992NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1050PersonsServedCnt
Total Community Benefit Expns$52,857,204TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,833,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,023,507NetCommunityBenefitExpnsAmt
Total Expense0.03680TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,864,910TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,864,910NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served16304PersonsServedCnt
Total Community Benefit Expns$803,439TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,300DirectOffsettingRevenueAmt
Net Community Benefit Expns$792,139NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served94531PersonsServedCnt
Total Community Benefit Expns$63,462,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,799,433DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,663,548NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served94531PersonsServedCnt
Total Community Benefit Expns$203,003,792TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,799,433DirectOffsettingRevenueAmt
Net Community Benefit Expns$192,204,359NetCommunityBenefitExpnsAmt
Total Expense0.15380TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,318TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$79,318NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served8589PersonsServedCnt
Total Community Benefit Expns$94,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,833NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,990TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,990NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$244,178TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$244,178NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served320PersonsServedCnt
Total Community Benefit Expns$909,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,876DirectOffsettingRevenueAmt
Net Community Benefit Expns$891,949NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served8909PersonsServedCnt
Total Community Benefit Expns$1,335,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,836DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,315,268NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$31,436,139BadDebtExpenseAmt
Bad Debt Expense Attributable$2,144,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,371,809ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,201,675CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$829,866MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CHILDRENSNATIONAL.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.DCHEALTHMATTERS.ORGOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.CHILDRENSNATIONAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CHILDRENSNATIONAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CHILDRENSNATIONAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CHILDRENSNATIONAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3J:CHILDREN'S NATIONAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH THE DC HEALTH MATTERS COLLABORATIVE. THE COLLABORATIVE IS 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. WE CAME TOGETHER IN 2012 IN RESPONSE TO NEW REQUIREMENTS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 MANDATING NON-PROFIT HOSPITALS TO ISSUE A CHNA AND CORRESPONDING IMPLEMENTATION STRATEGY - REFERRED TO AS OUR "COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)" - EVERY THREE YEARS.TO DATE, WE HAVE PARTNERED TO COMPLETE THREE JOINT NEEDS ASSESSMENTS IN 2013, 2016 AND 2019, WITH A COMPANION CHIP. THROUGH OUR 2019 CHNA WORK, WE CONNECTED WITH OVER 300 INDIVIDUAL STAKEHOLDERS THROUGH INTERVIEWS, FOCUS GROUPS AND TOWN HALLS. WE ALSO ANALYZED HEALTH CARE AND DEMOGRAPHIC DATA TO CREATE THE CLEAREST POSSIBLE PICTURE OF THE NEEDS OF OUR COMMUNITY. THE 2019 CHNA AND CHIP PLACE ONGOING FOCUS ON THE 2016 CHNA PRIORITIES: MENTAL HEALTH, CARE COORDINATION, HEALTH LITERACY AND PLACE-BASED CARE. WE LEVERAGE THE CAPACITY, EXPERTISE AND RELATIONSHIPS THAT HAVE BEEN BUILT TO ADDRESS THESE NEEDS.DURING OUR MOST RECENT CHNA AND FEATURED IN THE REPORT, CHILDREN'S NATIONAL COORDINATED A UNIQUE OUTREACH AND COMMUNITY ENGAGEMENT EFFORT TO INFORM THE QUALITATIVE DATA. WE PARTNERED WITH THE LATIN AMERICAN YOUTH CENTER (LAYC) AND SEVEN STUDENTS, REPRESENTING A DIVERSE GROUP OF DC HIGH SCHOOLS, ON A PHOTOVOICE PROJECT. PHOTOVOICE IS A QUALITATIVE METHOD USED IN COMMUNITY BASED PARTICIPATORY RESEARCH THAT GIVES VOICE TO UNDERREPRESENTED POPULATIONS THROUGH THE USE OF PHOTOGRAPHY. PHOTOVOICE PROGRAMS ARE A STRUCTURED CREATIVE PROCESS THROUGH WHICH PEOPLE EXPRESS THEIR VOICES, OPINIONS, AND RAISE AWARENESS ABOUT A TOPIC IN THE COMMUNITY. THE STUDENTS WERE SELECTED THROUGH A COMPETITIVE PROCESS AND COMPENSATED TO PARTICIPATE IN THE 12-WEEK PHOTOVOICE AFTER SCHOOL PROGRAM. LAYC STAFF LED THE STUDENTS THROUGH A SERIES OF EDUCATIONAL ACTIVITIES RELATED TO MENTAL HEALTH ISSUES AS WELL AS PHOTOVOICE CONCEPTS. AFTER DISCUSSING THESE TOPICS TOGETHER, PARTICIPANTS WENT OUT INTO THE COMMUNITY WITH CAMERAS TO CAPTURE IMAGES THAT REPRESENTED THEIR PERSPECTIVES RELATED TO THE RISKS AND PROTECTIVE FACTORS RELATED TO MENTAL HEALTH IN THEIR COMMUNITY AND SCHOOLS. THE PHOTOGRAPHS WERE TAKEN IN THE COMMUNITY AND AT THE STUDENTS' HIGH SCHOOLS. SELECTED PHOTOGRAPHS WERE INTERPRETED THROUGH DISCUSSIONS IN A GROUP SETTING AND NARRATIVES WERE DEVELOPED THAT EXPLAIN HOW THE PHOTOS RESPOND TO THE RESEARCH QUESTION. THESE SELECTIONS WERE PRINTED ON CANVAS AND PARTICIPANTS PRESENTED TWO EXHIBITS - ONE AT LATIN AMERICAN YOUTH CENTER AND ANOTHER FOR COMMUNITY HEALTH IMPROVEMENT WEEK AT CHILDREN'S NATIONAL.
PART V, SECTION B, LINE 5:IN CONDUCTING THE MOST RECENT CHNA, CHILDREN'S NATIONAL TOOK INTO ACCOUNT INPUT FROM THE DC HEALTH MATTERS COLLABORATIVE MEMBERS WHICH INCLUDES FOUR DC HOSPITALS (CHILDREN'S NATIONAL HEALTH SYSTEM, HOWARD UNIVERSITY HOSPITAL, HSC HEALTH CARE SYSTEM, AND SIBLEY MEMORIAL HOSPITAL) AND FOUR COMMUNITY HEALTH CENTERS (BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER, AND UNITY HEALTH CARE). THE COLLABORATIVE ALSO INCLUDES PARTICIPATION AND INPUT FROM THE DC PRIMARY CARE ASSOCIATION, THE DC HOSPITAL ASSOCIATION, THE DC BEHAVIORAL HEALTH ASSOCIATION, AND DC HEALTH.THE 2019 CHNA USES A CONCURRENT NESTED STUDY DESIGN. THIS DESIGN USES MULTIPLE APPROACHES TO COLLECT DATA, BUT PRIORITIZES ONE APPROACH THAT ULTIMATELY GUIDES THE PROJECT. IN OUR CASE, WE PRIORITIZED QUALITATIVE METHODS THAT FOCUSED ON COLLECTING COMMUNITY PERSPECTIVES. THE OTHER APPROACH - COLLECTING QUANTITATIVE DATA - IS EMBEDDED OR NESTED INTO OUR APPROACH AND PLAYS A SUPPORTING ROLE.IN OUR QUALITATIVE WORK, WE ENGAGED WITH OVER 300 COMMUNITY STAKEHOLDERS ACROSS A DIVERSE CROSS-SECTION OF DC SPANNING HEALTH AND NON-HEALTH DISCIPLINES. USING SEMI-STRUCTURED DATA COLLECTION TOOLS, WE CONDUCTED 32 STAKEHOLDER INTERVIEWS, 7 FOCUS GROUPS, AND A TOWN HALL TO PROBE COMMUNITY PARTNERS ON HOW POLICY AND SYSTEMS CHANGES CAN ADDRESS COMMUNITY NEEDS WITH A PARTICULAR FOCUS ON ELEVATING HEALTH EQUITY IN OUR CITY. AS A SUPPLEMENT TO THE FORMAL QUALITATIVE DATA COLLECTION PROCESS, WE PILOTED A PHOTOVOICE PROJECT WITH A GROUP OF ADOLESCENTS TO SOLICIT THEIR PERSPECTIVES RELATED TO THE INFLUENCE OF SCHOOLS AND COMMUNITIES ON THEIR MENTAL HEALTH. WITH OUR QUALITATIVE METHODS FOCUSED ON COLLECTING COMMUNITY PERSPECTIVES, WE WERE ABLE TO CONSIDER INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY OUR COLLABORATIVE ORGANIZATIONS.
PART V, SECTION B, LINE 6A:THE CHNA WAS CONDUCTED WITH MEMBERS OF THE DC HEALTH MATTERS COLLABORATIVE INCLUDING FOUR NON-PROFIT HOSPITALS: CHILDREN'S NATIONAL HOSPITAL, HSC HEALTH CARE SYSTEM, HOWARD UNIVERSITY HOSPITAL, AND SIBLEY MEMORIAL HOSPITAL.
PART V, SECTION B, LINE 6B:CHILDREN'S NATIONAL CONDUCTED THE CHNA WITH MEMBERS OF THE DC HEALTH MATTERS COLLABORATIVE THAT INCLUDES FOUR HOSPITALS AND FOUR FEDERALLY QUALIFIED HEALTH CENTERS (BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER, AND UNITY HEALTH CARE); AND TWO EX-OFFICIO MEMBERS (DC HOSPITAL ASSOCIATION AND DC PRIMARY CARE ASSOCIATION). DC HEALTH AND THE DC BEHAVIORAL HEALTH ASSOCIATION IS ALSO A PARTNER OF THE COLLABORATIVE. THE COLLABORATIVE WORKS TO ELIMINATE HEALTH DISPARITIES AND CREATE HEALTH EQUITY FOR ALL COMMUNITIES IN DC TO REALIZE ONE HEALTHY CAPITAL CITY. WITH THE UNIQUE PERSPECTIVES OF EACH HOSPITAL AND COMMUNITY HEALTH CENTER, COLLABORATIVE MEMBERS PROVIDED GUIDANCE AND FEEDBACK RESPECTIVE TO POPULATIONS AND NEIGHBORHOODS SERVED.
PART V, SECTION B, LINE 7D:CHILDREN'S NATIONAL USES SEVERAL METHODS TO MAKE THE CHNA REPORT WIDELY AVAILABLE. FIRST, THE CHNA IS LOCATED ON THE HOSPITAL WEBSITE AND THE DC HEALTH MATTERS COLLABORATIVE WEB PORTAL (DCHEALTHMATTERS.ORG). AS PART OF THE DC HEALTH MATTERS COLLABORATIVE OUTREACH AND EDUCATION, CHILDREN'S NATIONAL PARTICIPATED IN A PRESS RELEASE, HOSTED A TOWN HALL AND CONDUCTED FOUR WEBINARS TO SHARE THE CHNA FINDINGS AND RECEIVE INPUT ON THE IMPLEMENTATION STRATEGY. IN ADDITION, CHILDREN'S NATIONAL ORGANIZED SEVERAL MEETINGS WITH CHILDREN'S NATIONAL RESEARCH COMMUNITY, MEMBERS OF THE COLLABORATIVE'S COMMUNITY ADVISORY BOARD, GOVERNMENT AND COMMUNITY LEADERS. CHILDREN'S NATIONAL ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS AND ON SEVERAL SOCIAL MEDIA PLATFORMS AND WROTE SEVERAL BLOGS TO HIGHLIGHT THE DATA.
PART V, SECTION B, LINE 8:CHILDREN'S HOSPITAL ADOPTED AN IMPLEMENTATION STRATEGY, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) THAT ADDRESSES FOUR OF THE SIX PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CITYWIDE CHNA. 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:FOR THE 2019 ASSESSMENT, CHILDREN'S NATIONAL AND THE DC HEALTH MATTERS COLLABORATIVE PRIORITIZED THE NEEDS IDENTIFIED IN THE 2016 ASSESSMENT: MENTAL HEALTH, CARE COORDINATION, HEALTH LITERACY, AND PLACE-BASED CARE.GIVEN THE TIME AND EFFORT THAT IT TAKES TO MAKE SUBSTANTIVE PROGRESS IN THESE FOUR CRITICAL AREAS, WE - IN CONSULTATION WITH OVER 300 COMMUNITY PARTNERS - DECIDED TO CARRY FORWARD THE FOUR NEEDS RATHER THAN RE-CANVAS OUR COMMUNITY TO IDENTIFY NEW NEEDS. OUR DATA COLLECTION PROCESS RESULTED IN A RICH COLLECTION OF 28 THEMES THAT FOCUS ON HOW BEST TO ADDRESS OUR FOUR PRIORITY AREAS.WHILE ALL THE FINDINGS IN THE CHNA WERE SALIENT AND IMPORTANT, COLLABORATIVE MEMBERS CAREFULLY REVIEWED AND SELECTED FINDINGS TO FOCUS ON OVER THE NEXT THREE YEARS. MEMBER ORGANIZATIONS COMPLETED A MATRIX TO IDENTIFY THE STRATEGIES THAT MOST ALIGNED WITH THEIR ORGANIZATIONAL GOALS AND RESOURCES. CRITERIA FOR SCORING INCLUDED:- WILLINGNESS TO PUBLICLY SUPPORT ADVOCACY AND POLICY ACTION ON THE ISSUE, - ALIGNMENT WITH THE ORGANIZATION'S MISSION OR VISION,- WILLINGNESS TO CONTRIBUTE RESOURCES TO ACTIVITIES, AND- WILLINGNESS TO DEDICATE SIGNIFICANT STAFF TIME TO ACTIVITIES, INCLUDING TAKING A LEADERSHIP ROLE.THROUGH A STRUCTURED PRIORITIZATION PROCESS WITH ALL COLLABORATIVE MEMBER ORGANIZATIONS AND COMMUNITY ADVISORY BOARD MEMBERS, THE COLLABORATIVE ULTIMATELY SELECTED NINE STRATEGIES FOR THE 2019 CHIP THAT OFFER THE OPPORTUNITY TO INFLUENCE POLICIES, SYSTEMS, OR SOCIAL CONDITIONS THAT CAN MAKE A DIFFERENCE IN THE LIVES OF DC RESIDENTS.THE COLLABORATIVE IDENTIFIED WHICH STRATEGIES WERE ALREADY BEING ADDRESSED BY OTHER GROUPS OR PROGRAMS. SOME RECOMMENDED STRATEGIES WERE CONSOLIDATED TO ELIMINATE REDUNDANCY AND INCREASE IMPACT. A SUBSET OF THE STRATEGIES WAS ASSIGNED TO THE POLICY AGENDA, MEANING THE COLLABORATIVE WILL MONITOR AND ADVOCATE FOR LEGISLATIVE ACTION. FOR THE FINDINGS NOT ADDRESSED THROUGH THE 2019 CHIP, INDIVIDUAL COLLABORATIVE ORGANIZATIONS MAY ADDRESS THEM SEPARATELY IN OTHER EFFORTS. IN ADDITION, THE COLLABORATIVE PLANS TO ALIGN WITH OTHER ONGOING WORK SUCH AS THE DC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE MAYOR'S COMMISSION ON HEALTHCARE SYSTEMS TRANSFORMATION'S RECOMMENDATIONS, AND THE COMMUNITY HEALTH IMPROVEMENT EFFORTS OF THE DC HOSPITAL ASSOCIATION AND DC PRIMARY CARE ASSOCIATION.FOR EACH STRATEGY, ORGANIZATIONS SELECTED ROLES WITH THE FOLLOWING EXPECTATIONS: - LEAD - MEMBER ORGANIZATION LEADS OR DELEGATES SPRINT TASKS SUCH AS MAPPING STAKEHOLDERS, DEVELOPING LOGIC MODELS, AND PLANNING AND EXECUTING ASSOCIATED ACTIVITIES. THE LEAD ORGANIZATION IS RESPONSIBLE FOR FACILITATING SPRINT MEETINGS AND REPORTING ON PROGRESS.- COLLABORATE - MEMBER ORGANIZATION PARTICIPATES ON SPRINT TEAM AND SUPPORTS SPRINT LEAD TO ACHIEVE OBJECTIVES WITH RESOURCES, ENGAGEMENT, AND EXECUTION OF ACTIVITIES AND DOCUMENTATION OF OUTCOMES.- SUPPORT - THROUGH STEERING COMMITTEE PARTICIPATION, MEMBER AND EX-OFFICIO ORGANIZATIONS SUPPORT SPRINT AND POLICY IMPLEMENTATION EFFORTS BY PROVIDING CONTINUOUS FEEDBACK AND SUBJECT MATTER EXPERTISE. THOUGH NOT ON SPRINT TEAM, ORGANIZATIONS MAY IDENTIFY COLLEAGUES TO CONTRIBUTE TO ACTIVITIES.AS PART OF THE COLLABORATIVE, CHILDREN'S NATIONAL IS LEADING TWO OF THE NINE IDENTIFIED STRATEGIES FOCUSED ON MENTAL HEALTH AND CARE COORDINATION AND COLLABORATE AND SUPPORT ALL OTHER STRATEGIES. THESE TWO STRATEGIES MOST ALIGNED WITH OUR MISSION, ORGANIZATIONAL STRATEGIC PLAN AND ABILITY TO CONTRIBUTE RESOURCES.- MENTAL HEALTH: EDUCATE STAKEHOLDERS OF ALL KINDS ABOUT MENTAL HEALTH, SUCH AS DC RESIDENTS, COMMUNITY GROUPS, POLICYMAKERS, HEALTH PROVIDERS, HEALTH SYSTEM LEADERSHIP AND STUDENTS. TOPICS COULD INCLUDE IDENTIFYING MENTAL HEALTH CONDITIONS, FINDING SERVICES, THE CHALLENGES OF SYSTEM NAVIGATION, TREATING MENTAL HEALTH AS PART OF WHOLE-PERSON HEALTH, AND FIGHTING STIGMA.IN FISCAL YEAR 2021, CHILDREN'S NATIONAL LED AN EFFORT TO DEVELOP AND IMPLEMENT A STORY MAP AND A THREE-PART VIRTUAL EDUCATIONAL WEBINAR SERIES TO INCREASE KNOWLEDGE AND AWARENESS OF BEHAVIORAL HEALTH SERVICES AND EXPERIENCES IN THE DISTRICT OF COLUMBIA. ACROSS THE THREE WEBINARS, INDIVIDUALS WERE REPRESENTED FROM THE DC COUNCIL, ADVISORY NEIGHBORHOOD COMMISSIONS, GOVERNMENT AGENCIES, POLICY AND ADVOCACY ORGANIZATIONS, COMMUNITY BASED AND FAMILY RUN ORGANIZATIONS, AND HOSPITALS/HEALTH SYSTEMS. THIS EFFORT ALSO INCLUDED MEETING WITH A DC COUNCILMEMBER STAFF TO FURTHER DISCUSS CHILDREN AND SCHOOL-BASED BEHAVIORAL HEALTH ISSUES. THE STORY MAP AND RECORDED WEBINAR SERIES ARE POSTED ONLINE AT DCHEALTHMATTERS.ORG. - CARE COORDINATION: IN FISCAL YEAR 2021, CHILDREN'S NATIONAL LED THE COLLABORATIVE EFFORT TO PROMOTE THE DC HEALTH MATTERS CONNECT TOOL (HTTPS://DCHEALTHMATTERSCONNECT.AUNTBERTHA.COM), AN ONLINE RESOURCE DIRECTORY AIMED AT IMPROVING ACCESS TO PRIMARY CARE, SOCIAL RESOURCES AND IMPROVE HEALTH EDUCATION BY CONNECTING RESIDENTS WITH FREE AND REDUCED COST RESOURCES AT THE LOCAL, STATE AND NATIONAL LEVEL. WE HAVE PROVIDED TRAINING AND SUPPORT FOR STAFF AND COMMUNITY PARTNERS TO EFFECTIVELY UTILIZE THE TOOL TO IMPROVE CARE COORDINATION AND REFERRING FAMILIES TO THE SERVICES AND PROGRAMS NECESSARY TO MEET SOCIAL NEED FOR IMPROVED OUTCOMES.IN FY21, THERE WERE APPROXIMATELY 5,332 UNIQUE USERS THAT CONDUCTED 6,869 SEARCHES ON THE SITE. THE MOST COMMON SEARCH TERMS ON THE SITE WERE HELP FINDING HOUSING, EMERGENCY FOOD AND FOOD PANTRIES. THE TOP SEARCHES ON THE SITE WERE IN THE FOOD, HOUSING AND HEALTH DOMAINS. IN ADDITION, CHILDREN'S NATIONAL IS LEADING SEVERAL ORGANIZATIONAL EFFORTS TO ADDRESS HEALTH LITERACY EDUCATION AMONG ITS EMPLOYEES, INCREASE ACCESS TO CARE BY EXTENDING CARE INTO THE COMMUNITY THROUGH SCHOOL HEALTH AND NEW CLINIC LOCATIONS, AND ADDRESS EARLY CHILDHOOD EDUCATION AND MENTAL HEALTH NEEDS OF CHILDREN AND FAMILIES.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - CHILDREN'S OUTPATIENT CTR MONTGOMERY
SHADY GROVE MEDICAL PARKROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
2 - CHILDREN'S OUTPATIENT CTR NORTHERN VA
3023 HAMACKER COURT SUITE 300FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
3 - CHILDREN'S HEALTH CTR TAKOMA THEATRE
6833 4TH STREET NWWASHINGTONDC20012HEALTH CENTERS
4 - CHILDREN'S HEALTH CTR AT COLUMBIA HEIGHT
3336 14TH STREET NWWASHINGTONDC20010HEALTH CENTERS
5 - CHILDREN'S HEALTH CENTER ANACOSTIA
2101 MARTIN LUTHER KING JR AVENUEWASHINGTONDC20020HEALTH CENTERSSE
6 - CHILDREN'S OUTPATIENT CTR PRINCE GEORGE
2900 CAMPUS WAY NORTHLANHAMMD20706REGIONAL OUTPATIENT CENTER
7 - MOBILE VAN - HEALTH CARE
N/ANADC20010MOBILE HEALTH CARE
8 - CHILDREN'S OUTPATIENT CTR ANNAPOLIS
1730 WEST STREET SUITE 100ANNAPOLISMD21401REGIONAL OUTPATIENT CENTER
9 - CHILDREN'S NATIONAL EMERG DEPT UNIT
1301 SOUTHERN AVENUE SE 1ST FLOORWASHINGTONDC20032ED FACILITY
10 - CHILDREN'S OUTPATIENT CTR FRIENDSHIP
5028 WISCONSIN AVE SUITES 250 310WASHINGTONDC20016REGIONAL OUTPATIENT CENTER
11 - CHILDREN'S NAT'L AMBU SURGERY CTR
9850 KEY WEST AVENUEROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
12 - CHILDREN'S OUTPATIENT CTR FREDERICK
5285 WESTVIEW DRIVE SUITE 103FREDERICKMD21703REGIONAL OUTPATIENT CENTER
13 - MOBILE VAN - DENTAL
N/ANADC20010MOBILE HEALTH CARE
14 - CHILDREN'S HEALTH CENTER AT THEARC
1801 MISSISSIPPI AVE SEWASHINGTONDC20020HEALTH CENTERS
15 - CHILDREN'S OUTPATIENT CTR MONTGOMERY
15245 SHADY GROVE ROAD SUITE 350ROCKVILLEMD20858REGIONAL OUTPATIENT CENTER
16 - CHILDREN'S OUTPATIENT FREDRICKSBURG
1300 HOSPITAL DRIVE SUITE 201FREDRICKSBURGVA22401REGIONAL OUTPATIENT CENTER
17 - CHILDREN'S NATIONAL IMAGING CENTER
9850 KEY WEST AVENUE SUITE 110ROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
18 - CHILDREN'S NATIONAL PULMONARY MED-R
9711 MEDICAL CENTER DRIVE SUITE 212ROCKVILLEMD20850HEALTH CENTERS
19 - CHILDREN'S OUTPATIENT CTR HOWARD CTY
7625 MAPLE LAWN BLVD SUITE 230FULTONMD20759REGIONAL OUTPATIENT CENTER
20 - FIGHT FOR CHILDREN SPORTS MED CTR
1 INVENTA PLACE SUITE 150SILVER SPRINGMD20910HEALTH CENTERS
21 - CHILDREN'S NAT'L RARE DISEASE INST
7125 13TH PLACE NWWASHINGTONDC20012HEALTH CENTERS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 2021. COVID-19 VACCINATION EFFORTSAS VACCINATIONS BECAME AVAILABLE IN LATE 2020, HEALTH CARE PROVIDERS WERE PRESENTED WITH A LOGISTICAL CHALLENGE: HOW DO WE GET VACCINES INTO THE ARMS OF THOSE WHO NEED THEM MOST, AS QUICKLY AS POSSIBLE. CHILDREN'S NATIONAL HOSPITAL MOBILIZED TO VACCINATE AS MANY CHILDREN'S NATIONAL STAFF MEMBERS AS POSSIBLE BEGINNING IN DECEMBER 2020. DC HEALTH REACHED OUT TO CHILDREN'S NATIONAL LEADERSHIP TO SEE IF WE COULD OVERSEE VACCINATION OF THE DC PUBLIC SCHOOL'S FACULTY AND STAFF. THEIR GOAL WAS TO GET TEACHERS AND CHILDREN BACK INTO SCHOOLS AS THEY FELT IT CRITICAL TO CHILDHOOD WELLNESS, HEALTH, AND FUTURE SUCCESS. CHILDREN'S NATIONAL WAS DETERMINED TO ASSIST IN THE REOPENING OF SCHOOLS AS SAFELY AND QUICKLY AS POSSIBLE AND THUS UTILIZED THE LESSONS LEARNED FROM OUR INTERNAL VACCINATION PROCESS TO SET UP THE CLINICS IN MERE WEEKS. PARTNERING WITH DC PUBLIC SCHOOLS, SEVEN MASS VACCINATION EVENTS WERE HELD IN JANUARY AND FEBRUARY 2021. COMPRISED OF OVER 100 CHILDREN'S NATIONAL FACULTY AND STAFF MEMBERS, AS WELL AS COMMUNITY VOLUNTEERS, WE WERE ABLE TO VACCINATE AROUND 4,000 DCPS TEACHERS, STAFF, AND FACULTY. THE MASS VACCINATION CLINICS WERE HELD IN COOPERATION WITH SCHOOL OFFICIALS, AND HELD IN THE ATRIUM OF DUNBAR HIGH SCHOOL IN NORTHWEST WASHINGTON D.C. THE SCHOOL'S SCIENCE LAB WAS TURNED INTO A PHARMACY, WHERE CHILDREN'S NATIONAL PHARMACISTS PREPARED VACCINES. OTHER MEMBERS OF CHILDREN'S NATIONAL STAFF ADMINISTERED VACCINES, OBSERVED POST-VACCINATION, ASSISTED WITH REGISTRATION, SUPPORTED IT ISSUES, AND OVERSAW LINE-MANAGEMENT. CHILDREN'S NATIONAL'S DCPS VACCINE CLINICS WERE THE MAIN CLINICS HELD FOR DCPS FACULTY AND STAFF AND ALLOWED THOSE PREFORMING CRITICAL ROLES FOR THE CHILDREN IN OUR COMMUNITY TO GET BACK INTO SCHOOLS AND CLASSROOMS AS QUICKLY AS POSSIBLE. EVERFI MENTAL WELLNESS BASICS DIGITAL COURSE THE COVID-19 PANDEMIC CAME NOT ONLY WITH CHALLENGES TO PHYSICAL HEALTH, BUT MENTAL HEALTH AS WELL. SINCE MARCH 2020, ADOLESCENTS HAVE REPORTED RISING LEVELS OF ANXIETY AND DEPRESSION, OFTEN ATTRIBUTED TO THE ISOLATION OF SOCIAL DISTANCING AND ONLINE LEARNING. TO HELP CONNECT YOUTH WITH THE TOOLS THEY NEED FOR GOOD MENTAL HEALTH, CHILDREN'S NATIONAL IS SPONSORING MENTAL WELLNESS BASICS DIGITAL COURSE FOR DC PUBLIC SCHOOLS. THIS COURSE IS INTENDED AS AN EDUCATIONAL RESOURCE FOR HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS, GRADES 8-10.EVERFI LAUNCHED THE MENTAL WELLNESS BASICS COURSE IN 2018, WHICH HAS REACHED OVER 65,000 STUDENTS ACROSS THE COUNTRY WITH CRITICAL MENTAL WELLNESS EDUCATION. IN SUMMER 2020, EVERFI LAUNCHED A PARENT PORTAL WEBSITE TO INCREASE ACCESS OF ITS COURSES.STUDENTS MUST BE EQUIPPED WITH THE COPING, COMMUNICATION, AND SELF ASSESSMENT SKILLS THEY NEED TO PROACTIVELY ADVOCATE FOR THEIR OWN MENTAL HEALTH AND THE MENTAL HEALTH OF THEIR PEERS. CHILDREN'S NATIONAL HAS PARTNERED WITH DC PUBLIC SCHOOLS (DCPS), THE DC PUBLIC CHARTER SCHOOL BOARD, THE OFFICE FOR THE STATE SUPERINTENDENT OF EDUCATION, AND DC COORDINATING COUNCIL ON SCHOOL MENTAL HEALTH TO PROMOTE THIS COURSE. IN ADDITION, EVERFI WAS INVITED TO PRESENT ON THE COURSE AT OUR DECEMBER 2020 SCHOOL HEALTH COLLABORATIVE MEETING ATTENDED BY CHILDREN'S NATIONAL SCHOOL HEALTH PROGRAM STAFF AND LEADERSHIP.THE ONLINE RESOURCE, FREE TO DCPS STUDENTS, ALLOWS THEM TO PERFORM SELF-ASSESSMENT AND PRACTICE SKILLS AND USE TOOLS TO PROMOTE GOOD MENTAL HEALTH. AS OF JUNE 2021, MENTAL WELLNESS BASICS IS BEING USED BY 506 STUDENTS FROM 9 DC PUBLIC SCHOOLS WITH A TOTAL OF 133 STUDENTS COMPLETED THE FULL COURSE. THE FAMILY LIFESTYLE PROGRAM (FLIP)THE FAMILY LIFESTYLE PROGRAM (FLIP) IS A FAMILY-CENTERED CLINICAL COMMUNITY COLLABORATIVE STARTED IN 2017 BY CHILDREN'S NATIONAL HOSPITAL, THE YMCA OF METROPOLITAN WASHINGTON, AND THE AMERICAN HEART ASSOCIATION TO DEVELOP INNOVATIVE WAYS TO BETTER ADDRESS DIET-RELATED CHRONIC DISEASE. TOGETHER, WE HAVE CREATED AND IMPLEMENTED MECHANISMS THAT STREAMLINE REFERRAL OF FAMILIES TO COMMUNITY RESOURCES RELATED TO IMPROVED HEALTH, MORE EFFECTIVELY MANAGE DIET-RELATED CHRONIC DISEASE IN CLINICAL SETTINGS, AND OFFER PROGRAMS TAILORED FOR OUR DEMOGRAPHIC POPULATION. OUR WORK IS OVERSEEN BY A STRONG COMMUNITY ADVISORY BOARD OF ACTIVE COMMUNITY KEY STAKEHOLDERS, PARENTS, RESEARCHERS, DIETITIANS, AND PHYSICIANS. FLIPRX IS A PRODUCE PRESCRIPTION INITIATIVE BUILT UPON A MULTI-TIERED APPROACH THAT ALLOWS FOR MULTIPLE LEVELS OF ENGAGEMENT TO MEET EACH FAMILY'S UNIQUE FOOD ACCESS AND EDUCATIONAL NEEDS. CREATED TO ADDRESS THE COMPLICATED ISSUE OF WEIGHT MANAGEMENT AND DIET RELATED CHRONIC DISEASES IN FAMILIES, FLIP IS A DC-BUILT, CLINICAL-COMMUNITY INITIATIVE THAT AIMS TO SUPPORT FAMILIES AND EQUIP CLINICIANS WITH THE NECESSARY SKILLS AND TOOLS. IN FY2021, OVER 500 YOUTH AND THEIR FAMILIES WERE ENGAGED AS A RESULT OF THE PROGRAM AND GIVEN TOOLS FOR PHYSICAL ACTIVITY AND SUSTAINABLE, HEALTHY EATING. EARLY CHILDHOOD INNOVATION NETWORK (ECIN)EARLY 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 MULTI-GENERATIONAL AND GROUNDED IN SCIENCE, GUIDED BY COMMUNITY AND FAMILIES' KNOWLEDGE AND EXPERIENCE, COLLABORATIVE ACROSS SECTORS, AND INTEGRATED WITH EXISTING RESOURCES. IN FY2021, ECIN: -CONTINUED TO BUILD INFRASTRUCTURE AND INTERNAL CAPACITY TO MEET THE NEEDS OF A GROWING NETWORK. -IMPLEMENTATION AND EVALUATION OF A PEDIATRIC PRIMARY CARE INTERVENTION, CALLED HEALTHYSTEPS, AT CHILDREN'S NATIONAL PRIMARY CARE CLINICS.-INTEGRATION OF BEHAVIORAL HEALTH IN EARLY LEARNING THROUGH THE FAMILY WELL BEING PROGRAM.-OFFERED VIRTUAL PARENT CAFES AND PROVIDED SUPPORT TO COMMUNITY PARTNERS IN DELIVERING PARENT CAFES.-LAUNCHED THE INFANT/TODDLER SOCIAL AND EMOTIONAL LEARNING (SEL) COMMUNITY OF PRACTICE (COP), WHICH PREPARES COACHES TO BETTER SUPPORT THE ONGOING LEARNING OF TEACHERS ON INFANT AND TODDLER SOCIAL-EMOTIONAL DEVELOPMENT AND BEST PRACTICES AND PROVIDE PROFESSIONAL DEVELOPMENT TRAINING MATERIALS FOR EARLY CHILDHOOD EDUCATORS.-PROVIDED PEDIATRIC PRIMARY CARE PROVIDERS/PRACTICES WITH NEEDED SUPPORTS IN SCREENING AND REFERRAL FOR PERINATAL MOOD AND ANXIETY DISORDERS.-PERINATAL MENTAL HEALTH TASKFORCE LEAD ADVANCEMENT OF SCREENING AND SUPPORT MODELS.-LAUNCHED THE DC PRITZKER CHILDREN'S INITIATIVE, A CITY-WIDE INITIATIVE FOCUSED ON BUILDING CAPACITY AND ADVANCING POLICY AND SYSTEMS CHANGE IN KEY PRENATAL TO THREE AREAS OF HEALTH AND BEHAVIORAL HEALTH.-ENGAGED IN PARTNERSHIP WITH SPACES IN ACTION AND CHILDREN'S LAW CENTER TO IMPROVE COVERAGE OF WORKFORCE SPECIALTIES, SUCH AS DOULAS AND COMMUNITY HEALTH WORKERS, TO IMPROVE MATERNAL HEALTH OUTCOMES.-CONTINUED PRODUCTION AND IMPLEMENTATION, RESPECTIVELY, OF WELLNESS AND TRAUMA INFORMED CARE MODULES FOR PROVIDERS; 50 PEDIATRIC HEALTH PROVIDERS PARTICIPATED IN WELLNESS GROUPS. IN FY2021, ECIN PROVIDED RESOURCES, SERVICES AND SUPPORT TO OVER 5,000 CHILDREN AND FAMILIES.
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. COVID-19 RELATED EXPENSES, COVERED BY CARES PROVIDER RELIEF FUNDING, WERE EXCLUDED FROM THE COST TO CHARGE RATIO CALCULATION.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. COVID-19 RELATED EXPENSES, COVERED BY CARES PROVIDER RELIEF FUNDING, WERE EXCLUDED FROM THE COST TO CHARGE RATIO CALCULATION. MEDICAID GRADUATE MEDICAL EDUCATION (GME) ADD-ON PAYMENTS WERE EXCLUDED AS THEY ARE REPORTED ON THE HEALTH EDUCATION LINE. CHILDREN'S NATIONAL GME INDIRECT MEDICAL EDUCATION (IME) PAYMENTS WERE INCLUDED AS PER 990 INSTRUCTIONS.PART I, LINE 7F:HEALTH EDUCATIONTHE HEALTH EDUCATION COST INCLUDES THE TOTAL COST OF INTERNS AND RESIDENTS FROM THE FY21 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. COVID-19 RELATED EXPENSES, COVERED BY CARES PROVIDER RELIEF FUNDING, WERE EXCLUDED FROM THE COST TO CHARGE RATIO CALCULATION. ADDITIONALLY, THE SUBSIDIZED HEALTH SERVICE LOSS WAS OFFSET BY CARES PROVIDER RELIEF FUNDING APPLICABLE TO PATIENT CARE REVENUE LOSS.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 $1,864,910 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL HOSPITAL. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAMS AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH-QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH.PART I, LINES 7E & I:OTHER BENEFITSIN CALCULATING THE AMOUNTS REPORTED IN THE TABLE IN PART I RELATING TO OTHER BENEFITS (E - I), WE USE AN ACCOUNTABILITY AND ELIGIBILITY SYSTEM BASED ON THE COMMUNITY BENEFIT DEFINITION AND GUIDELINES FOR DETERMINING WHERE PROGRAMS FIT INTO EACH COMMUNITY BENEFIT CATEGORY. TIME SPENT ON PROGRAMS/ACTIVITIES AND PROGRAM FUNDING IS PROVIDED BY PROGRAM STAFF. AVERAGE SALARY RATES ARE USED TO CALCULATE SALARY EXPENSES AND A FRINGE RATE IS ATTACHED AS NECESSARY. THE COMMUNITY BENEFIT STAFF ANALYZES THE FINANCIALS SUBMITTED TO ENSURE CONSISTENCY IN REPORTING AND CONFIRM WITH PROGRAM STAFF THE ACCURACY OF THE FINANCIALS. THE COMMUNITY BENEFIT STAFF ALSO WORKS WITH THE ACCOUNTING & FINANCE DEPARTMENT TO VERIFY THE ACCURACY OF SUBMITTED FINANCIALS. PART I, LINE 7, COLUMN (F):CHILDREN'S NATIONAL DOES NOT INCLUDE ITS BAD DEBT EXPENSE ($31,436,139) REPORTED ON FORM 990, PART IX, LINE 25 FOR PURPOSES OF ITS COMMUNITY BENEFIT CALCULATION HERE.
SCHEDULE H, PART II:COMMUNITY BUILDING ACTIVITIESPART II INCLUDES THE COST INCURRED FOR ACTIVITIES AND PROGRAMS TO PROTECT OR IMPROVE THE COMMUNITY'S HEALTH OR SAFETY. PROGRAMS ACCOUNTED FOR AS COMMUNITY BUILDING ACTIVITIES FALL INTO THE SUBCATEGORIES OF ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COALITION BUILDING, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, 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 LED LEADERSHIP ROUNDTABLE EVENTS AS WELL AS CONVERSATIONS WITH FRONTLINE STAFF REGARDING THE ECONOMY AND THE IMPACTS OF COVID-19 IN OUR REGION. COMMUNITY SUPPORT: IN FY 2021, OUR STAFF PARTNERED WITH A VARIETY OF ORGANIZATIONS INCLUDING OTHER CHILDREN'S HOSPITALS, LOCAL FOOD BANKS AND COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE FOOD AND SERVICES TO THE HOMELESS POPULATION AND THOSE LIVING WITH SERIOUS ILLNESSES, THE HOMELESS CHILDREN'S PLAYTIME PROJECT, AND THE DC HEALTH AND MEDICAL COALITION. FOR MANY YEARS, OUR NURSING STAFF ALONG WITH OTHER CHILDREN'S HOSPITALS HAVE WORKED TO COLLECT AND DONATE CEREAL TO LOCAL FOOD BANKS SO THAT CHILDREN CAN HAVE BREAKFAST DURING SUMMER BREAK. DURING THE FALL SEASON, THE COMMUNITY AFFAIRS TEAM PARTNERED WITH THE PLAYTIME PROJECT TO SPONSOR EXTRACURRICULAR ACTIVITIES FOR CHILDREN CURRENTLY LIVING AT FAMILY SHELTERS ACROSS THE DISTRICT. THE COMMUNITY AFFAIRS DEPARTMENT ALSO COORDINATES AND PARTICIPATES IN DAYS OF SERVICES WHERE THEY HELP TO PACKAGE MEALS. SIMILARLY, THE NURSING STAFF PARTICIPATES IN ACTIVITIES WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. AS A MEMBER OF THE DC HEALTH AND MEDICAL COALITION, OUR EMERGENCY MEDICINE AND TRAUMA CENTER STAFF, PLANS AND PARTICIPATES IN EMERGENCY PREPAREDNESS ACTIVITIES IN THE DISTRICT OF COLUMBIA. COALITION BUILDING: CHILDREN'S NATIONAL STAFF WORKS WITH LOCAL GOVERNMENT AND HEALTHCARE PARTNERS TO ENSURE EMERGENCY PREPAREDNESS AND RESPONSE AND BRINGS THE PEDIATRIC HOSPITAL PERSPECTIVE. MEETINGS INCLUDE PLANNING FOR LARGE-SCALE EVENTS SUCH AS THE PRESIDENTIAL INAUGURATION, EVACUATION PLANS, EMERGENCY PREPAREDNESS AND DECONTAMINATION EXERCISES, AND FAMILY REUNIFICATION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: THE HOSPITAL'S GOVERNMENT AFFAIRS TEAM SERVES 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. IN 2021, THE TEAM EDUCATED POLICY MAKERS ON CHILDREN'S HEALTH ISSUES AND WORKED WITH EXPERT PHYSICIANS AND RESEARCHERS TO TESTIFY ON BILLS AND/OR PROVIDE WRITTEN STATEMENTS ON ISSUES SUCH AS EXPANSION OF ACCESS TO CARE, FRAMEWORKS TO ALLOW FOR THE STOCKING OF UNDESIGNATED ALBUTEROL IN PUBLIC SCHOOLS, ENSURING APPROPRIATE MEDICAL AND EDUCATIONAL SERVICES PROVIDED TO MEDICALLY CHALLENGED CHILDREN, AND INCREASING PEDIATRIC MENTAL HEALTH RESOURCES INCLUDING TELEMEDICINE. THE TEAM ALSO COORDINATED ADVOCACY EFFORTS WITH OTHER COMMUNITY ORGANIZATIONS AND ADVOCATES AT THE LOCAL AND NATIONAL LEVEL.WORKFORCE DEVELOPMENT: CHILDREN'S NATIONAL IS DEDICATED TO ENGAGING IN AND PROVIDING OPPORTUNITIES OF LEARNING AND DEVELOPMENT FOR SCHOOL-AGED CHILDREN. WE WORK WITH MANY LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES TO PROVIDE LEARNING OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH PROFESSIONS. THOUGH THE COVID-19 PANDEMIC CREATED CHALLENGES TO ENGAGING WITH YOUTH DIRECTLY, THROUGH PREVIOUS PROGRAMS LIKE HOSPITAL CAREER DAYS, TOURS AND PANELS, TEAMS ADAPTED TO OFFER DIGITAL SOLUTIONS. CHILDREN'S NATIONAL OFFERED VIRTUAL RESUME BUILDING AND EDITING WORKSHOPS IN THE DIGITAL SPACE FOR LOCAL UNIVERSITY STUDENTS. IN ADDITION, CHILDREN'S NATIONAL OFFERED A VIRTUAL 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. THE STUDENTS CONDUCTED A RESEARCH PROJECT, WHICH THEY THEN PRESENTED TO THEIR ADULT MENTORS AND OTHER FACULTY AND STAFF, WHO PROVIDED FEEDBACK, ALL IN THE VIRTUAL SPACE. STUDENTS RATED THEMSELVES AS IMPROVED IN TOPICS INCLUDING KNOWLEDGE OF HEALTHCARE INEQUALITY AND PUBLIC SPEAKING. THERE ARE PLANS TO CONTINUE AND EXPAND THE INTERNSHIP IN THE SUMMER OF 2022. IN ADDITION, WE PARTNERED WITH THE TOWSON UNIVERSITY HEALTH ADMINISTRATIVE INTERNSHIP PROGRAM TO PROVIDE STUDENTS THE OPPORTUNITY TO LEARN ABOUT THE ADMINISTRATIVE OPERATIONS OF A CHILDREN'S HOSPITAL AND THE SEACREST STUDIOS INTERNSHIP TEACHES BROADCAST MEDIA SKILLS TO UNIVERSITY STUDENTS. CHILDREN'S NATIONAL ALSO SUPPORTS THE LAUNCH PROGRAM - NURSE TRAINEE AND FLYNN FELLOWSHIP PROGRAM WHICH ALLOWS 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. COVID-19 RELATED EXPENSES, COVERED BY CARES PROVIDER RELIEF FUNDING, WERE EXCLUDED FROM THE COST TO CHARGE RATIO CALCULATION. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO CHILDREN'S NATIONAL 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 $2.1M OF BAD DEBT COULD HAVE BEEN ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. CHILDREN'S NATIONAL HOSPITAL REPORTS ITS APPLICABLE BAD DEBT ($31.4M) 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 NATIONAL HOSPITAL HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS. CHILDREN'S NATIONAL 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 NATIONAL HOSPITAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S NATIONAL HOSPITAL THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY.COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, CHILDREN'S OFFERS PAYMENT PLANS. BILLING STATEMENTS WILL BE SENT TO GUARANTORS FOR OUTSTANDING BALANCES. ATTEMPTS TO CONTACT THE GUARANTORS VIA PHONE WILL ALSO OCCUR. ACCOUNTS WITH BALANCES AND NO RESPONSE FROM GUARANTORS AFTER REPEATED STATEMENTS AND PHONE CALLS WILL BE WRITTEN OFF TO BAD DEBT. AN EXTERNAL AGENCY WILL THEN ATTEMPT TO REACH THE PATIENT FOR PAYMENT. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED, AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. IF THE EXTERNAL AGENCY'S EFFORTS PROVE TO BE INEFFECTIVE, THE ACCOUNT WILL BE CLOSED WITH THE AGENCY AND THEIR EFFORTS WILL CEASE. CHILDREN'S NATIONAL 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 ASSESSMENTCHILDREN'S NATIONAL, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, CONDUCTS A COMMUNITY-WIDE CHNA EVERY THREE YEARS TO INVEST IN COMMUNITY HEALTH INITIATIVES THAT ADDRESS COMMUNITY NEEDS - WITH THE ULTIMATE GOAL OF CREATING A CULTURE OF HEALTH AND IMPROVING HEALTH AND WELLNESS. IN ADDITION TO THE COMMUNITY-WIDE ASSESSMENT, THE HOSPITAL ALSO ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE THROUGH ADDITIONAL AND SPECIFIC EFFORTS LED ACROSS THE HOSPITAL ORGANIZATION. FOR 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 A NUMBER OF 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 EDUCATIONCHILDREN'S NATIONAL HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY (FAP) THAT PROVIDES ELIGIBLE PATIENTS WITH DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES PROVIDED BY CHILDREN'S NATIONAL 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 NATIONAL 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 NATIONAL 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. IN 2019, THE DISTRICT OF COLUMBIA WAS HOME TO 710,893 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 44.5% BLACK; 41.7% WHITE; 11.9% LATINO; 4.4% ASIAN AND 0.4% 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 CARE FOR MORE THAN 35,000 CHILDREN THROUGH OUR HEALTH CENTERS EACH YEAR, 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. WE ALSO OFFER FAMILIES A LINK TO QUALITY PEDIATRIC CARE THROUGH OUR MOBILE MEDICAL PROGRAM AND AT COMMUNITY CENTERS. OUR TEAM AVERAGES MORE THAN 460,000 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 NEARLY 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 2021, WE PERFORMED 16,960 SURGICAL PROCEDURES, 114,939 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 7,600 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 DBA CHILDREN'S NATIONAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING ADDITIONAL TAX-EXEMPT ENTITIES:- 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- CHILDREN'S HOSPITAL SELF-INSURANCE TRUST - 501(C)(3), PROVISION OF INSURANCE TO SYSTEM- 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 DISABILITIES AND 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 STATESDC

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD JONAS MD
CHIEF OF CARDIOLOGY$2,063,406$0$255,000$0$205,148$0$14,250$0$75,939$0$2,613,743$0$0$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)$1,399,628$0$693,183$0$35,420$0$221,126$0$79,037$0$2,428,394$0$0$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE$916,307$0$367,708$0$195,890$0$151,455$0$36,505$0$1,667,865$0$170,930$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER TO 08/20$408,505$0$641,823$0$449,257$0$14,250$0$22,330$0$1,536,165$0$203,810$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER$759,520$0$297,560$0$149,481$0$125,280$0$31,519$0$1,363,360$0$127,081$0
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER TO 03/21$651,829$0$264,221$0$325,452$0$14,250$0$48,217$0$1,303,969$0$197,917$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY$914,606$0$142,877$0$90,137$0$102,856$0$15,986$0$1,266,462$0$85,781$0
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER$741,444$0$296,776$0$152,978$0$14,250$0$40,326$0$1,245,774$0$0$0
DAVID WESSEL MD
CHIEF MEDICAL OFFICER$646,983$0$264,221$0$132,602$0$14,250$0$73,573$0$1,131,629$0$0$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY$785,135$0$226,868$0$2,838$0$14,250$0$24,352$0$1,053,443$0$0$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE$596,721$0$234,411$0$121,059$0$14,250$0$65,301$0$1,031,742$0$0$0
RICARDO MUNOZ MD
CHIEF OF CARDIAC CRIT MED$760,043$0$112,333$0$63,856$0$66,498$0$15,821$0$1,018,551$0$0$0
MARY ANNE HILLIARD
EVP/CHIEF LEGAL OFFICER$526,285$0$207,524$0$89,071$0$91,684$0$35,308$0$949,872$0$65,414$0
DEANN MARSHALL
PRESIDENT OF FOUNDATION$586,684$0$238,091$0$33,662$0$14,250$0$45,933$0$918,620$0$0$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER$515,308$0$207,030$0$102,188$0$14,250$0$527$0$839,303$0$0$0
VITTORIO GALLO PHD
CHIEF RESEARCH OFFICER$386,536$0$147,820$0$163,407$0$68,428$0$30,031$0$796,222$0$142,544$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER$432,124$0$177,468$0$93,971$0$14,250$0$50,587$0$768,400$0$0$0
ALEC KING
EVP/CFO TO 10/20$540,791$0-$20,853$0$182,912$0$14,250$0$21,672$0$738,772$0$100,312$0
LINDA TALLEY
CHIEF NURSING OFFICER$376,746$0$78,046$0$54,845$0$41,382$0$12,730$0$563,749$0$30,989$0
MICHELLE M MCGUIRE
EVP/CHIEF STRATEGY OFFICER$350,011$0$89,727$0$46,193$0$36,956$0$25,192$0$548,079$0$25,175$0
ALDWIN LINSDAY
EVP/CFO AS OF 12/20$323,772$0$72,276$0$44,845$0$36,741$0$1,778$0$479,412$0$24,355$0
BRIAN JACOBS MD
FMR CHIEF INFO OFFICER TO 06/19$0$0$0$0$386,763$0$3$0$454$0$387,220$0$0$0
MENDEL TUCHMAN MD
FORMER CRO TO 06/17$115,566$0$5,077$0$6,568$0$4,591$0$6,939$0$138,741$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $133,050 BRIAN JACOBS, MD $387,217 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 $110,737 DAVID WESSEL, MD $98,590 KATHY CHAVANU GORMAN $111,030 ROGER PACKER, MD $87,467 VITTORIO GALLO, PHD $55,157 ELIZABETH FLURY $88,323 DENISE CORA-BRAMBLE, MD $98,590 ALDWIN LINDSAY $22,491 CHARLES WEINSTEIN $77,250 MICHELLE MCGUIRE $22,706 LINDA TALLEY $29,122 DARRYL VARNADO $66,220 RICHARD JONAS $163,200 MARY ANNE HILLIARD $77,434 ROBERT KEATING $88,606 RICARDO MUNOZ $52,248
SCHEDULE J, PART I, LINE 7:NON-FIXED PAYMENTS THE ORGANIZATION ESTABLISHES QUANTITATIVE TARGETS FOR ITS OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES TO MEET. IF THE METRICS ARE MET, THEN A BONUS IS PAID TO THE INDIVIDUAL. BOTH THE DETERMINATION TO PAY A BONUS AND THE AMOUNT OF THE BONUS IS DETERMINED BY ESTABLISHED FORMULAS AND THE PAYMENT IS NOT CONTINGENT ON THE EXERCISE OF ANY PERSON'S DISCRETION. DUE TO EXTENUATING CIRCUMSTANCES, BONUSES WILL SOMETIMES BE AWARDED EVEN IF METRICS ARE NOT MET. HOWEVER, FOR THIS TO OCCUR, THERE IS A MULTI-LEVEL REVIEW PROCESS AND CONCURRENCE REGARDING THE APPROPRIATENESS OF THE PAYMENT.
SCHEDULE J, PART I, LINE 8:INITIAL CONTRACT EXCEPTION CERTAIN INDIVIDUALS HIRED DURING THE YEAR HAVE EMPLOYMENT CONTRACTS WHICH MEET THE INITIAL CONTRACT EXCEPTIONS DESCRIBED IN THE TREASURY REGULATIONS. SCHEDULE J, PART II, COLUMN (F): COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990 THE AMOUNTS REPORTED IN COLUMN F REPRESENT THE ACCUMULATION OVER MANY YEARS OF DEFERRED COMPENSATION BENEFITS WHICH ARE NOW TAXABLE TO THE RECIPIENT. THE ORGANIZATION HAS ALSO REPORTED THESE SAME AMOUNTS AS ACCRUED DEFERRED COMPENSATION IN PRIOR YEARS' COLUMN C.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$23,730,000RetiredAmt
Total Proceeds$413,728,662TotalProceedsAmt
Refunding Escrow$410,562,146RefundingEscrowAmt
Issuance Costs From Proceeds$3,166,515IssuanceCostsFromProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonDEANN MARSHALLPersonNm
Relationship With OrgHCERelationshipWithOrgTxt
Loan PurposeHOUSINGLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$500,000OriginalPrincipalAmt
Balance Due$100,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$100,000TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART II:FormAndLineReferenceDesc
ExplanationLOANS TO AND/OR FROM INTERESTED PERSONSTHE HOUSING LOAN TO DEANN MARSHALL WAS APPROVED IN ADVANCE BY INDEPENDENT PERSONS SERVING ON THE BOARD OF DIRECTORS. THE LOAN IS DOCUMENTED BY A SIGNED WRITTEN AGREEMENT BETWEEN THE PARTIES, AND THE ORGANIZATION BELIEVES THIS AGREEMENT MEETS THE INCOME TAX DEFINITION OF A LOAN. DR. MARSHALL IS CURRENTLY IN COMPLIANCE WITH ALL TERMS OF THE AGREEMENT.ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$2,451NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution181ContributionCnt
Noncash Contributions Rpt F990$656,365NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)PC PERIPHERALS1$130,023COST
Yes (X)EVENT TICKETS1$6,000COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNTS IN COLUMN (B) REPRESENT THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1:ORGANIZATION'S MISSION TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH. AS THE NATION'S CHILDREN'S HOSPITAL, THE MISSION OF CHILDREN'S NATIONAL IS TO EXCEL IN CARE, ADVOCACY, RESEARCH AND EDUCATION. WE ACCOMPLISH THIS THROUGH: - PROVIDING A QUALITY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND FAMILIES. - IMPROVING HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY. - LEADING THE CREATION OF INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTH CHALLENGES.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS CHILDREN'S NATIONAL IS THE SOLE MEMBER OF CHILDREN'S NATIONAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF CHILDREN'S NATIONAL HOSPITAL HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S NATIONAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS OR STOCKHOLDERS THE ARTICLES AND BY-LAWS OF CHILDREN'S NATIONAL HOSPITAL DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS 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 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 12CCONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT CHILDREN'S NATIONAL HOSPITAL ASKS THAT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTERESTS ARE NOTED. THE CHILDREN'S NATIONAL HOSPITAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. IF ANYONE IS FOUND TO BE CONFLICTED OR A SIGNIFICANT PERCEIVED CONFLICT EXISTS, THAT BOARD MEMBER WOULD RECUSE HIMSELF OR HERSELF FROM ALL DISCUSSIONS RELATED TO THE TRANSACTION. FORM 990, PART VI, LINES 13 & 14: GOVERNING POLICIES CHILDREN'S NATIONAL HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS EXPERT ON COMPENSATION MATTERS. THE COMMITTEE DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION FOR EACH PERSON DEEMED BY THE COMPENSATION COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATE SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT AND RELIES UPON "REASONABLENESS" OPINIONS FOR SUCH CONSULTANTS, PRIOR TO OR CONTEMPORANEOUS WITH MAKING COMPENSATION DECISIONS. THE COMMITTEE MEETS 4-6 TIMES PER YEAR TO CONSIDER SUCH MATTERS AND DOCUMENTS THESE MEETINGS IN MINUTES.
FORM 990, PART VI, SECTION C, LINE 19HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CHILDREN'S NATIONAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST.
FORM 990, PART XI, LINE 9:UNRESTRICTED EQUITY TRANSFER 606,734.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
EIN383987350EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateDCLegalDomicileStateCd
Total Income$85,452TotalIncomeAmt
End Of Year Assets$100,823,795EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640402FUNDRAISINGDC501(C)(3)LINE 7CNMC0
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640403HEALTH CAREDC501(C)(3)LINE 12C, III-FI0N/A
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NWWASHINGTONDC20010521654453RESEARCHDC501(C)(3)LINE 7CNMC0
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640399INSURANCEDC501(C)(3)LINE 12C, III-FICHYes (1)
SAFE KIDS WORLDWIDE
111 MICHIGAN AVENUE NWWASHINGTONDC20010521627574INJURY PREVENTIONDC501(C)(3)LINE 7CNMC0
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010271547370CHILD CAMPSDC501(C)(3)LINE 12A, ICHYes (1)
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NWWASHINGTONDC20010814291601NURSING SERVICESDC501(C)(3)LINE 12A, ICNMC0
THE HSC FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521346603HEALTH CAREDC501(C)(3)LINE 12C, III-FICNMC0
THE HOSPITAL FOR SICK CHILDREN
111 MICHIGAN AVE NWWASHINGTONDC20010530204670HOSPITALDC501(C)(3)LINE 3HSC FNDN0
HEALTH SVCS FOR CHILDREN W SPEC NEEDS
1101 VERMONT AVE NW STE 1200WASHINGTONDC20010521862406HEALTH CAREDC501(C)(3)LINE 10HSC FNDN0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC
111 MICHIGAN AVE NWWASHINGTONDC20010522072589HEALTH CAREDCN/ARELATED-$344,835$5,399,434000.50000
5253 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832873855PROPERTY MANAGEMENTDCN/A00
5253 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833044006PROPERTY MANAGEMENTDCN/A00
54 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833358685PROPERTY MANAGEMENTDCN/A00
54 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833385522PROPERTY MANAGEMENTDCN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINY CAMPS ASSOCIATION
Q$257,692COST
BRAINY CAMPS ASSOCIATION
S$68,060COST
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
R$12,663,982COST
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
S$453,735COST