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CHILDRENS HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-13
IRS object ID
202141339349306189
Schema version
2019v5.2
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)
Return2021-05-13T20:08:21-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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
Signature2021-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
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$1,469,562,870GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENSNATIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1870FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee8487TotalEmployeeCnt
Total Volunteers1483TotalVolunteersCnt
Total Gross UBI$511,973TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$314,236NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,932,071PYContributionsGrantsAmt
CY Contributions Grants$85,105,614CYContributionsGrantsAmt
PY Program Service Revenue$1,182,039,539PYProgramServiceRevenueAmt
CY Program Service Revenue$1,191,972,532CYProgramServiceRevenueAmt
PY Investment Income$4,118,927PYInvestmentIncomeAmt
CY Investment Income$5,887,558CYInvestmentIncomeAmt
PY Other Revenue-$4,589,438PYOtherRevenueAmt
CY Other Revenue-$6,076,045CYOtherRevenueAmt
PY Total Revenue$1,206,501,099PYTotalRevenueAmt
CY Total Revenue$1,276,889,659CYTotalRevenueAmt
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$708,740,796PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$740,162,751CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$450,989,104PYOtherExpensesAmt
CY Other Expenses$498,566,229CYOtherExpensesAmt
PY Total Expenses$1,159,729,900PYTotalExpensesAmt
CY Total Expenses$1,238,728,980CYTotalExpensesAmt
PY Revenues Less Expenses$46,771,199PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,160,679CYRevenuesLessExpensesAmt
Total Assets BOY$1,544,265,180TotalAssetsBOYAmt
Total Assets EOY$1,849,683,254TotalAssetsEOYAmt
Total Liabilities BOY$814,804,448TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,084,047,001TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$729,460,732NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$765,636,253NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$947,414,947ExpenseAmt
Revenue$1,179,071,806RevenueAmt
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 FY20 COMMUNITY BENEFIT REPORT.Desc
Total Program Service Expenses$947,414,947TotalProgramServiceExpensesAmt
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 Document806IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8487EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD JONAS MD
CHIEF OF CARDIOLOGY55.000.00Yes (X)$2,479,228$0$248,343
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)39.0016.00$2,129,428$0$268,173Yes (X)Yes (X)
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE36.0019.00$1,413,551$0$199,907Yes (X)
ALEC KING
EVP/CFO35.0020.00$1,407,862$0$154,503Yes (X)
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER29.0026.00$1,187,751$0$196,493Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER52.003.00$1,195,294$0$143,358Yes (X)
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER48.007.00$1,042,874$0$180,088Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY55.000.00Yes (X)$1,086,426$0$128,265
DAVID WESSEL MD
CHIEF MEDICAL OFFICER54.001.00$1,055,291$0$146,560Yes (X)
ROBIN STEINHORN MD
SVP CTR OF EXCELLENCE TO 5/2054.001.00$977,503$0$182,785Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY55.000.00Yes (X)$1,094,325$0$37,563
ROGER PACKER MD
SVP CENTER OF EXCELLENCE47.008.00$961,466$0$166,012Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER53.002.00$943,327$0$145,762Yes (X)
DEANN MARSHALL
PRESIDENT OF FOUNDATION1.0054.00Yes (X)$1,000,993$0$59,168
MARY ANNE HILLIARD
BOARD SECRETARY35.0020.00$823,324$0$156,490Yes (X)
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER54.001.00$830,234$0$91,777Yes (X)
JOHN MYSEROS MD
NEUROSURGEON55.000.00Yes (X)$865,438$0$28,931
DARRYL VARNADO
CHIEF PEOPLE OFFICER54.001.00$719,315$0$124,383Yes (X)
BRIAN JACOBS MD
FMR CHIEF INFO OFFICER TO 6/190.000.00$777,432$0$56,268Yes (X)
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE 6/1655.000.00$510,291$0$97,076Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER54.001.00$499,420$0$53,418Yes (X)
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF54.001.00$402,971$0$61,083Yes (X)
MENDEL TUCHMAN MD
FORMER CRO TO 6/170.000.00$188,926$0$41,483Yes (X)
MARY OTTOLINI MD PHD
FMR VICE CHAIR MEDICAL EDU TO 5/190.000.00$159,126$0$6,976Yes (X)
DAVID WHISTON DDS
BOARD TREASURER2.000.00$0$0$0Yes (X)Yes (X)
MARY GEN LEDECKY
BOARD MEMBER1.000.00$0$0$0Yes (X)
CAROLINE VAN VLECK MD
BOARD MEMBER1.001.00$0$0$0Yes (X)
MICHAEL J WILLIAMS
BOARD CHAIRMAN TO 9/192.008.00$0$0$0Yes (X)
PAUL KALB MD
BOARD MEMBER1.000.00$0$0$0Yes (X)
AMY FREEMAN
BOARD MEMBER1.000.00$0$0$0Yes (X)
ARTENCIA HAWKINS-BELL
BOARD MEMBER1.000.00$0$0$0Yes (X)
JERRY STOUCK
BOARD MEMBER1.000.00$0$0$0Yes (X)
JEFF ZIENTS
BOARD CHAIRMAN2.006.00$0$0$0Yes (X)
SCHONAY BARNETT-JONES
BOARD MEMBER2.002.00$0$0$0Yes (X)Yes (X)
DIEDRE ADKINS
BOARD MEMBER1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$23,751,796TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,974,865TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2324IndivRcvdGreaterThan100KCnt
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$40,731,728
LAZ KARP ASSOCIATES LLC
1 FINANCIAL PLZHARTFORDCT06103PARKING$2,894,112
QUEST DIAGNOSTIC CLINICAL LAB INC
1201 S COLLEGEVILLE RDCOLLEGEVILLEPA19426LAB TESTING$1,858,944
COLONIAL PARKING
150 THOMAS JEFFERSON ST NW STE 10WASHINGTONDC20007PARKING$1,685,016
RP3 LLC
7250 WOODMONT AVE STE 200BETHESDAMD20814ADVERTISTING$1,672,543
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K148CntrctRcvdGreaterThan100KCnt
Related Organizations$17,991,409RelatedOrganizationsAmt
Government Grants$62,486,997GovernmentGrantsAmt
All Other Contributions$4,627,208AllOtherContributionsAmt
Noncash Contributions$595,821NoncashContributionsAmt
Total Contributions$85,105,614TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$1,097,330,466$1,097,330,466
ALL OTHER PROGRAM SERV900099$94,642,066$94,642,066
FieldValueIRS element (for citing)
Total Program Service Revenue$1,191,972,532TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,212,099TotalRevenueColumnAmt
Exclusion$6,212,099ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,783,776RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,783,776RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,783,776TotalRevenueColumnAmt
Exclusion$1,783,776ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$192,348,670SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$192,406,003SecuritiesAmt
Other$267,208OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$57,333SecuritiesAmt
Other-$267,208OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$324,541TotalRevenueColumnAmt
Exclusion-$324,541ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING812390$4,528,932$4,528,932
LAB FEES621500$511,973$511,973
EQUITY AND PARTNERSHIP621110-$12,900,726-$12,900,726
FieldValueIRS element (for citing)
Other Revenue Total-$7,859,821OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,276,889,659TotalRevenueColumnAmt
Related Or Exempt Func Income$1,179,071,806RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$511,973UnrelatedBusinessRevenueAmt
Exclusion$12,200,266ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,148,379TotalAmt
Program Services$1,692,147ProgramServicesAmt
Management And General$14,456,232ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,311,568TotalAmt
Program Services$272,768ProgramServicesAmt
Management And General$1,038,800ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$611,207,481TotalAmt
Program Services$456,962,307ProgramServicesAmt
Management And General$154,245,174ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,682,251TotalAmt
Program Services$17,288,043ProgramServicesAmt
Management And General$6,394,208ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$46,590,952TotalAmt
Program Services$34,011,395ProgramServicesAmt
Management And General$12,579,557ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$41,222,120TotalAmt
Program Services$30,092,148ProgramServicesAmt
Management And General$11,129,972ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,999,787TotalAmt
Program Services$2,189,845ProgramServicesAmt
Management And General$809,942ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$957,907TotalAmt
Management And General$957,907ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$408,081TotalAmt
Management And General$408,081ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$230,188TotalAmt
Program Services$168,037ProgramServicesAmt
Management And General$62,151ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$64,682,596TotalAmt
Program Services$47,516,195ProgramServicesAmt
Management And General$17,166,401ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,761,346TotalAmt
Program Services$5,665,783ProgramServicesAmt
Management And General$2,095,563ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,587,269TotalAmt
Program Services$9,188,706ProgramServicesAmt
Management And General$3,398,563ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$62,786,636TotalAmt
Program Services$45,834,244ProgramServicesAmt
Management And General$16,952,392ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,708,435TotalAmt
Program Services$21,687,158ProgramServicesAmt
Management And General$8,021,277ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,489,036TotalAmt
Program Services$1,816,996ProgramServicesAmt
Management And General$672,040ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$542,009TotalAmt
Program Services$395,667ProgramServicesAmt
Management And General$146,342ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,840,952TotalAmt
Program Services$13,753,895ProgramServicesAmt
Management And General$5,087,057ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,024,464TotalAmt
Program Services$53,307,859ProgramServicesAmt
Management And General$19,716,605ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,944,279TotalAmt
Program Services$17,479,324ProgramServicesAmt
Management And General$6,464,955ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$119,066,508$119,066,508
BAD DEBT EXPENSE$43,311,501$43,311,501
REPAIRS AND MAINTENANCE$25,498,125$18,613,631$6,884,494
ALL OTHER EXPENSES$9,727,110$7,100,790$2,626,320

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,238,728,980TotalAmt
Program Services$947,414,947ProgramServicesAmt
Management And General$291,314,033ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$59,768,490BOYAmt
EOY$58,287,616EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,831,492BOYAmt
EOY$2,414,125EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$216,999,155BOYAmt
EOY$229,575,519EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$380,000BOYAmt
EOY$240,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,196,045BOYAmt
EOY$12,142,450EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$49,550,579BOYAmt
EOY$47,286,123EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,570,585,411LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$838,950,770LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$567,477,161BOYAmt
EOY$731,634,641EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$198,104,032BOYAmt
EOY$270,998,571EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,062,659BOYAmt
EOY$6,133,761EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$433,895,567BOYAmt
EOY$490,970,448EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,544,265,180BOYAmt
EOY$1,849,683,254EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$165,630,953BOYAmt
EOY$198,727,652EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,596,392BOYAmt
EOY$3,680,119EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$385,838,131BOYAmt
EOY$380,144,346EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$100,000,000BOYAmt
EOY$96,944,444EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,738,972BOYAmt
EOY$404,550,440EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$814,804,448BOYAmt
EOY$1,084,047,001EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$729,460,732BOYAmt
EOY$765,636,253EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$729,460,732BOYAmt
EOY$765,636,253EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,544,265,180BOYAmt
EOY$1,849,683,254EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,160,679ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,196,294NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,181,452OtherChangesInNetAssetsAmt
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$27,288,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,200,911CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,258,313CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,932,071CurrentTaxYearMinus1YearAmt
Current Tax Year$85,105,614CurrentTaxYearAmt
Total$257,785,612TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,288,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,200,911CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,258,313CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,932,071CurrentTaxYearMinus1YearAmt
Current Tax Year$85,105,614CurrentTaxYearAmt
Total$257,785,612TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,561,216SubstantialContributorsTotAmt
Public Support Total170$255,224,396PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,024,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,946,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,802,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,535,245CurrentTaxYearMinus1YearAmt
Current Tax Year$7,995,875CurrentTaxYearAmt
Total$23,304,585TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,132,408CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,210,622CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,375,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,441,568CurrentTaxYearMinus1YearAmt
Current Tax Year$4,528,932CurrentTaxYearAmt
Total$21,688,999TotalAmt
FieldValueIRS element (for citing)
Total Support$302,779,196TotalSupportAmt
Gross Receipts Rltd Activities$5,567,641,715GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84290PublicSupportCY170Pct
Public Support PY1700.81300PublicSupportPY170Pct
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 - 2015 AMOUNT: $ 4,132,408. 2016 AMOUNT: $ 4,210,622. 2017 AMOUNT: $ 4,375,469. 2018 AMOUNT: $ 4,441,568. 2019 AMOUNT: $ 4,528,932.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$453,423DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$89,123OtherActivitiesAmt
Total Lobbying Expenditures$542,546TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
VOLUNTEERSSCHEDULE C, PART II-B, LINE 1A COORDINATED THE PARTICIPATION OF THE PATIENT FAMILIES IN THE CHILDREN'S NATIONAL HOSPITAL ASSOCIATION FAMILY ADVOCACY DAY FOCUSED PRIMARILY ON PROTECTING HEALTH CARE SERVICES FOR CHILDREN.
PAID STAFF OR MANAGEMENTSCHEDULE C, PART II-B, LINE 1B FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS.
DIRECT CONTACTSCHEDULE C, PART II-B, LINE 1G THE LOBBYING ACTIVITIES ENGAGED IN BY CHILDREN'S NATIONAL HOSPITAL FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS. 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 NATIONAL HOSPITAL ALSO DEVELOPS POLICY POSITIONS IN RESPONSE TO PROBLEMS AND OPPORTUNITIES IN THE PUBLIC SECTOR.
OTHER ACTIVITIESSCHEDULE C, PART II-B, LINE 1I THE HOSPITAL IS A MEMBER OF THE CHA AND DISTRICT OF COLUMBIA HOSPITAL ASSOCIATION (DCHA). CHA AND DCHA HAVE CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,206,137OtherCostOrOtherBasisAmt
Book Value$14,206,137BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$284,990,835OtherCostOrOtherBasisAmt
Depreciation$80,421,915DepreciationAmt
Book Value$204,568,920BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$857,795,567OtherCostOrOtherBasisAmt
Depreciation$555,269,148DepreciationAmt
Book Value$302,526,419BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$286,525,609OtherCostOrOtherBasisAmt
Depreciation$200,502,447DepreciationAmt
Book Value$86,023,162BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$127,067,263OtherCostOrOtherBasisAmt
Depreciation$2,757,260DepreciationAmt
Book Value$124,310,003BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$731,634,641TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$283,642,505
OPERATING ROU ASSETS$109,336,321
OTHER RECEIVABLES$64,103,143
DEFERRED COMPENSATION$33,888,479
FieldValueIRS element (for citing)
Total Book Value Other Assets$490,970,448TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
FINANCE LEASE OBLIGATIONS$147,305,125
OPERATING LEASE OBLIGATIONS$117,209,600
RESERVE FOR CLAIMS$100,943,820
OTHER LIABILITIES$32,762,633
DUE TO AFFILIATES$3,493,614
SETTLEMENTS TO THIRD PARTY PAY$2,835,648
FieldValueIRS element (for citing)
Total Liability$404,550,440TotalLiabilityAmt
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 TAKIN 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, 2020 AND 2019 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$287,402
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESINSURANCE PREMIUMS$13,480,102
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$13,767,504SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$13,767,504TotalSpentAmt
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$7,586,438TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,586,438NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,854,239TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,854,239NetCommunityBenefitExpnsAmt
Total Expense0.11330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,440,677TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,440,677NetCommunityBenefitExpnsAmt
Total Expense0.11960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served99527PersonsServedCnt
Total Community Benefit Expns$7,434,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,242,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,191,852NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1276PersonsServedCnt
Total Community Benefit Expns$50,285,259TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,129,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,155,477NetCommunityBenefitExpnsAmt
Total Expense0.03600TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,518,460TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,518,460NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served1519PersonsServedCnt
Total Community Benefit Expns$957,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,281DirectOffsettingRevenueAmt
Net Community Benefit Expns$947,215NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served102322PersonsServedCnt
Total Community Benefit Expns$61,196,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,383,004DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,813,004NetCommunityBenefitExpnsAmt
Total Expense0.04240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served102322PersonsServedCnt
Total Community Benefit Expns$204,636,685TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,383,004DirectOffsettingRevenueAmt
Net Community Benefit Expns$194,253,681NetCommunityBenefitExpnsAmt
Total Expense0.16200TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,157TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,157NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served249PersonsServedCnt
Total Community Benefit Expns$8,680TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,680NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$85,823NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served3281PersonsServedCnt
Total Community Benefit Expns$1,424,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$398,224DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,026,684NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served3530PersonsServedCnt
Total Community Benefit Expns$1,534,568TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$398,224DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,136,344NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$39,690,100BadDebtExpenseAmt
Bad Debt Expense Attributable$2,822,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,636,398ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,982,227CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$345,829MedicareSurplusOrShortfallAmt

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 (5 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, 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 THE DC DEPARTMENT OF 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 A FOCUS ON QUALITATIVE METHODS THAT FOCUSED ON COLLECTING COMMUNITY PERSPECTIVES, WE WERE ABLE TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY OUR COLLABORATIVE ORGANIZATIONS.
SCHEDULE V, SECTION B, LINE 6A:THE CHNA WAS CONDUCTED WITH MEMBERS OF THE DC HEALTH MATTERS COLLABORATIVE INCLUDING FIVE NON-PROFIT HOSPITALS: CHILDREN'S NATIONAL HOSPITAL, HSC HEALTH CARE SYSTEM, HOWARD UNIVERSITY HOSPITAL, PROVIDENCE HEALTH SYSTEM AND SIBLEY MEMORIAL HOSPITAL.SCHEDULE V, SECTION B, LINE 6B:CHILDREN'S NATIONAL CONDUCTED THE CHNA WITH MEMBERS OF THE DC HEALTH MATTERS COLLABORATIVE THAT INCLUDES FIVE 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). THE DC DEPARTMENT OF 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.
SCHEDULE 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 ONLINE AT: HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/THE-DATA-LAB
SCHEDULE 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 DEPARTMENT OF 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 2020, CHILDREN'S NATIONAL LED SEVERAL MENTAL HEALTH AND BEHAVIORAL HEALTH FORUMS WITH GOVERNMENT LEADERS, COMMUNITY ORGANIZATION LEADERS, AND RESIDENTS TO IMPROVE THE POLICIES AND SYSTEMS IMPACTING MENTAL HEALTH. -CARE COORDINATION: PROMOTE, FACILITATE, AND ADVOCATE FOR POLICY AND SYSTEM CHANGES THAT INCENTIVIZE COLLABORATION AMONG HEALTH CARE AND SOCIAL SERVICE AND EDUCATION SYSTEMS. STRATEGIES COULD INCLUDE FOCUSING ON COLLABORATION IN FUNDING OPPORTUNITIES, IMPROVEMENTS TO DATA-SHARING, OR ENGAGING PARTNERS FROM OTHER SECTORS ACROSS THE CITY AND WITHIN ORGANIZATIONS. -IN FISCAL YEAR 2020, CHILDREN'S NATIONAL LED THE COMMUNITY CARE COORDINATION PROGRAM TO IMPROVE ACCESS TO PRIMARY CARE, SOCIAL RESOURCES AND IMPROVE HEALTH EDUCATION. IN ADDITION, CHILDREN'S NATIONAL AND OTHER COMMUNITY ORGANIZATIONS WERE TRAINED ON A SOCIAL RESOURCE CONNECTION TOOL TO CONNECT COMMUNITY RESIDENTS TO SOCIAL RESOURCES. HTTPS://CHILDRENSNATIONAL.ORG/PRIMARY-CARE/DC-HEALTH-MATTERS-COLLABORATIVE 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)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 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 500FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
3 - CHILDREN'S OUTPATIENT CTR IN LAUREL
13922 BALTIMORE AVENUELAURELMD20707REGIONAL OUTPATIENT CENTER
4 - CHILDREN'S HEALTH CENTER - ANACOSTIA
2101 MARTIN LUTHER KING JR AVENUEWASHINGTONDC20020HEALTH CENTERSSE
5 - CHILDREN'S OUTPATIENT CTR - UPR MARLBORO
9440 PENNSYLVANIA AVENUEUPPER MARLBOROMD20772REGIONAL OUTPATIENT CENTER
6 - MOBILE VAN - HEALTH CARE
N/ANADC20010MOBILE HEALTH CARE
7 - CHILDREN'S OUTPATIENT CTR ANNAPOLIS
1730 WEST STREET SUITE 100ANNAPOLISMD21401REGIONAL OUTPATIENT CENTER
8 - CHILDREN'S OUTPATIENT CTR FRIENDSHIP
5028 WISCONSIN AVE SUITE 250 310WASHINGTONDC20016REGIONAL OUTPATIENT CENTER
9 - CHILDREN'S NAT'L AMBU SURGERY CTR
9850 KEY WEST AVENUEROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
10 - CHILDREN'S OUTPATIENT CTR FREDERICK
5285 WESTVIEW DRIVE SUITE 103FREDERICKMD21703REGIONAL OUTPATIENT CENTER
11 - MOBILE VAN - DENTAL
N/ANADC20010MOBILE HEALTH CARE
12 - CHILDREN'S HEALTH CENTER AT THEARC
1901 MISSISSIPPI AVE SEWASHINGTONDC20020HEALTH CENTERS
13 - CHILDREN'S OUTPATIENT CTR MONTGOMERY CTY
15245 SHADY GROVE ROAD SUITE 350ROCKVILLEMD20858REGIONAL OUTPATIENT CENTER
14 - CHILDREN'S OUTPATIENT FREDRICKSBURG
1300 HOSPITAL DRIVE SUITE 201FREDRICKSBURGVA22401REGIONAL OUTPATIENT CENTER
15 - CHILDREN'S NATIONAL IMAGING CENTER
9850 KEY WEST AVENUE SUITE 110ROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
16 - CHILDREN'S OUTPATIENT CTR HOWARD CTY
7625 MAPLE LAWN BLVD SUITE 230FULTONMD20759REGIONAL OUTPATIENT CENTER
17 - CHILDREN'S HEALTH CTR TAKOMA THEATRE
6833 4TH STREET NWWASHINGTONDC20012HEALTH CENTERS
18 - CHILDREN'S HEALTH CTR COLUMBIA HGHTS
3336 14TH STREET NWWASHINGTONDC20010HEALTH CENTERS
19 - CHILDREN'S NAT'L EMERG DEPT UNTD MED
1301 SOUTHERN AVENUE S 1ST FLOORWASHINGTONDC20032ED FACILITY
20 - CHILDREN'S NATIONAL SPECIALISTS OF VA
3023 HAMAKER COURT SUITE 500FAIRFAXVA22031HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (16 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 PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS POSTED TO 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 FY2020. BURN PREVENTIONBURNS ARE A LEADING CAUSE OF INJURY AMONG CHILDREN FIVE YEARS OF AGE AND YOUNGER IN THE UNITED STATES, WITH ALMOST 50,000 CHILDREN TREATED IN THE EMERGENCY DEPARTMENT FOR UNINTENTIONAL BURNS IN 2018. THE NATIONWIDE EMERGENCY DEPARTMENT SAMPLE (NEDS) FOR THE YEARS 2008 TO 2013 SHOWED THAT THERE WERE 746,593 ED VISITS DUE TO PEDIATRIC BURNS INJURIES. TOTAL ED CHARGES ACROSS THE UNITED STATES DURING THIS PERIOD WAS $708.7 MILLION. AMONG THOSE WHO WERE ADMITTED AS INPATIENTS INTO THE SAME HOSPITAL FOLLOWING AN ED VISIT, THE MEAN HOSPITAL CHARGE WAS $53,523, AND THE TOTAL HOSPITALIZATION CHARGES ACROSS UNITED STATES WERE $1.7 BILLION. IN ADDITION TO THE ASSOCIATED COST, BURN INJURIES CAN CAUSE SIGNIFICANT PSYCHOLOGICAL BURDENS ON PATIENTS AND THEIR FAMILIES. CHILDREN'S NATIONAL HOSPITAL HAD OVER 2,000 BURN VISIT ENCOUNTERS IN 2020. BECAUSE PEDIATRIC BURN INJURIES ARE MOSTLY PREVENTABLE, OUTREACH PROGRAMS HAVE BEEN SUCCESSFUL IN INCREASING PARENTAL KNOWLEDGE OF POSSIBLE DANGERS AND REDUCING HOSPITALIZATION RATES OF BURN INJURIES IN CHILDREN. TO ADDRESS THE BURDEN OF PEDIATRIC BURN INJURIES IN OUR REGION, CHILDREN'S NATIONAL'S INJURY PREVENTION TEAM IN THE DEPARTMENT OF TRAUMA AND BURN SURGERY CREATED A WIDE-REACHING SOCIAL-MEDIA CAMPAIGN. COLLABORATING WITH A CREATIVE MARKETING COMPANY, AND DC FIRE AND EMS, CHILDREN'S NATIONAL'S INJURY PREVENTION EXPERTS CREATED A SOCIAL MEDIA ADVERTISING CAMPAIGN ABOUT BURN PREVENTION THAT WAS TARGETED TO CAREGIVERS OF YOUNG CHILDREN IN OUR AREA. FIFTY-FIVE AD SPOTS CONTAINING A HEADLINE, SHORT INTRODUCTION, AND VIDEO WERE CREATED AND POSTED ON FACEBOOK AND INSTAGRAM OVER FOUR MONTHS. AD SPOTS WERE TARGETED TO PARENTS AND CAREGIVERS OF YOUNG CHILDREN IN THE DISTRICT OF COLUMBIA. THE OVERALL GOAL WAS TO DECREASE BURN INJURIES IN CHILDREN IN THE DISTRICT OF COLUMBIA. THE CAMPAIGN, FOCUSING ON HOME SAFETY AND BURN PREVENTION, REACHED OVER 14,650 LOCAL PARENTS AND CAREGIVERS OVER A 14-WEEK PERIOD. TOPICS OF THE VIDEOS INCLUDED HOW TO PREVENT CANDLES FROM BURNING YOUR CHILD, HOW TO PREVENT CHEMICAL BURNS FROM HAPPENING TO YOUR CHILD, HOW TABLECLOTHS CAN POSE RISK TO CHILDREN, BATHROOM SAFETY, KITCHEN SAFETY, AND COOKING SAFETY. THIS WAS THE FIRST PEDIATRIC BURN-PREVENTION SOCIAL MEDIA CAMPAIGN OF ITS KIND IN THE DISTRICT OF COLUMBIA, AND REACHED A LARGE SWATHE OF LOCAL CAREGIVERS, PROVIDING THEM WITH SUCCINCT, EASILY ACTIONABLE INFORMATION. DRIVE-UP COVID-19 TESTINGRESPONDING TO THE COVID-19 PANDEMIC, CHILDREN'S NATIONAL BUILT AND OPERATED ONE OF THE NATION'S ONLY PEDIATRIC-SPECIFIC COVID-19 TESTING SITES, NOT ONLY CARING FOR OUR NATION'S YOUNGEST PATIENTS, BUT GATHERING ESSENTIAL DATA REGARDING COVID-19 IN PEDIATRIC POPULATIONS. THE DRIVE-THROUGH TESTING SITE, OPERATED BY CHILDREN'S NATIONAL'S FACULTY AND STAFF WAS BUILT IN A PARKING LOT, THE USE OF WHICH WAS DONATED BY NEIGHBORING TRINITY UNIVERSITY. PATIENTS WERE REFERRED BY THEIR PRIMARY CARE PEDIATRICIANS, AND IN SOME CASES, BY NEIGHBORING EMBASSIES. IN ADDITION TO LAB AND TESTING STAFF, AN EMERGENCY ROOM PHYSICIAN SCREENED PATIENTS ON-SITE FOR ANY SIGNS OF RESPIRATORY DISTRESS. CHILDREN'S NATIONAL DOCTORS AND NURSES CONDUCTED THE COVID-19 SWAB TESTING, AND LAB PERSONNEL AND OTHER STAFF CONDUCTED THE LABELLING AND PROCESSING OF SAMPLES, AS WELL AS COORDINATION OF SITE LOGISTICS. FROM MARCH 21ST TO JUNE 27TH THE TRINITY DRIVE UP COLLECTION SITE COLLECTED OVER 2,439 COVID-19 TESTS. FROM MARCH 21ST TO MAY 30TH, SPECIMENS WERE SENT TO QUEST DIAGNOSTICS, AT NO CHARGE TO THE PATIENT. FROM MAY 31ST TO JUNE 27TH, WE COLLECTED AND TESTED AT CHILDREN'S NATIONAL'S INTERNAL LAB. OVERALL, THE SITE RECORDED AN AVERAGE 29% POSITIVITY RATE, WITH A LOW OF 5% IN MARCH AND A HIGH OF 44% IN MAY. DATA COLLECTED AT THE SITE WAS PUBLISHED IN ACADEMIC JOURNALS INCLUDING THE JOURNAL OF PEDIATRICS, WITH A PARTICULAR FOCUS ON COVID-19 AND RACIAL INEQUITY. COMPARED WITH NON-HISPANIC WHITE CHILDREN AND AFTER ADJUSTMENTS FOR AGE, SEX AND DISTANCE OF RESIDENCE FROM SPECIMEN COLLECTION SITE, OUR DATA SHOWED BLACK AND LATINO CHILDREN HAD A HIGHER LIKELIHOOD OF INFECTION. THE DRIVE-THROUGH COVID-19 TESTING SITE WAS KEY IN MINIMIZING EXPOSURE RISK TO OTHER PATIENTS AND HEALTH CARE WORKERS, PRESERVING PPE, CENTRALIZING SPECIMEN COLLECTION SERVICES, MITIGATING ACUTE CARE SITE OVERCROWDING AND INFORMING OUR COMMUNITY, AND THE SCIENTIFIC COMMUNITY OF THE BURDEN CAUSED BY THIS DISEASE. INTERN ADVOCACY DAY AT CAPITOL AREA FOOD BANK INTERN ADVOCACY DAY PROVIDES AN OPPORTUNITY TO BOLSTER EDUCATION FOR PEDIATRIC RESIDENTS AROUND FOOD INSECURITY AND COMMUNITY RESOURCES. WE PARTNER WITH CAPITAL AREA FOOD BANK (CAFB), GIVEN THE HIGH RATES OF FOOD INSECURITY IN OUR COMMUNITY. EVERY PEDIATRIC INTERN PARTICIPATES AT SOME POINT IN THE ACADEMIC YEAR AND HAS A FULL DAY OF PROTECTED TIME TO PARTICIPATE. THERE ARE 4-6 INTERNS PER COHORT, AND THEY ARE JOINED BY SENIOR RESIDENTS, FACULTY AND STAFF. PRIOR TO THE EXPERIENCE, INTERNS ARE SENT THE LEARNING OBJECTIVES, THE AMERICAN ACADEMY OF PEDIATRICS FOOD SECURITY POLICY, AND AN ARTICLE ABOUT PHYSICIAN ADVOCACY. THE MORNING OF THE SESSION CONSISTS OF HANDS-ON VOLUNTEERING WITH THE FOOD BANK, EITHER IN THEIR URBAN DEMONSTRATION GARDEN OR THE DISTRIBUTION WAREHOUSE. THE AFTERNOON SESSION INCLUDES A FACE HUNGER SIMULATION, WHERE THE PARTICIPANTS ARE GIVEN A FICTIONAL IDENTITY BASED ON A REAL DC RESIDENT AND NAVIGATE VARIOUS AGENCIES AND FOOD SOURCES TO TRY TO OBTAIN ENOUGH NUTRITIOUS FOOD FOR THEIR FICTIONAL FAMILY FOR ONE DAY. THEY FACE THE BARRIERS THAT MANY OF OUR PATIENTS AND FAMILIES FACE: LOW LITERACY, LIMITATIONS BASED ON IMMIGRANT STATUS, FOOD DESERTS, AND CONSTRAINTS OF PUBLIC TRANSPORTATION. FOLLOWING THE SIMULATION, THE RESIDENTS DEBRIEF WITH THE GROUP LEADER (SENIOR RESIDENT AND/OR FACULTY MEMBER) ON THE DAY'S EXPERIENCE. THE DISCUSSION IS THEN BROADENED TO DISCUSS PHYSICIAN ADVOCACY, INCLUDING HOW TO INCORPORATE ADVOCACY INTO PEDIATRIC CAREERS. NOTABLY, FACULTY MEMBERS AND STAFF OF VARIOUS BACKGROUNDS (INPATIENT AND OUTPATIENT) HAVE BEEN ABLE TO PARTICIPATE, ALONG WITH HOSPITAL LEADERSHIP, NURSES, WOMEN, INFANTS AND CHILDREN PROGRAM STAFF, DENTAL STAFF, RESEARCH STAFF, AND PUBLIC HEALTH SPECIALISTS AS PART OF PROFESSIONAL EDUCATION AND COMMUNITY SERVICE.AT THE START OF THE COVID-19 PANDEMIC, WE CONVERTED ALL ACTIVITIES TO VIRTUAL. INTERNS SPENT THE MORNING DOING SELF-STUDY, FOLLOWING A DETAILED LIST OF CURATED ACTIVITIES THAT INCLUDED READING ABOUT HOW THE PANDEMIC HAS AFFECTED OUR LOCAL COMMUNITY. BEGINNING IN SEPTEMBER 2020, CAFB AND CHILDREN'S NATIONAL AGREED TO HAVE A SMALL GROUP OF INTERNS VOLUNTEER IN-PERSON AGAIN IN THE MORNINGS. THEN, IN THE AFTERNOON, THEY JOIN THEIR FELLOW RESIDENTS, A FEW FACULTY AND STAFF, AND CAFB STAFF ON ZOOM FOR A VIRTUAL POVERTY SIMULATION AND DISCUSSION OF ADVOCACY DURING TRAINING AND IN THEIR FUTURE CAREERS.AFTER COMPLETING INTERN ADVOCACY DAY, PARTICIPANTS REPORTED HAVING A HIGHER-LEVEL OF SELF-EFFICACY WITH UNDERSTANDING FOOD INSECURITY AND GREATER CONFIDENCE IN CONNECTING PATIENTS AND FAMILIES WITH COMMUNITY SERVICES. DC MENTAL HEALTH ACCESS IN PRIMARY CARE (DC MAP) STAFFED BY A DEDICATED TEAM OF PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS AND CARE COORDINATORS, DC MENTAL HEALTH ACCESS IN PRIMARY CARE (DC MAP) OFFERS FREE MENTAL HEALTH CONSULTATIONS SERVICES TO LOCAL PRIMARY CARE PROVIDERS. DC MAP HELPS PHYSICIANS LINK FAMILIES WITH NEEDED MENTAL HEALTH RESOURCES THROUGH A RANGE OF SERVICES:-REAL-TIME PHONE CONSULTATIONS WITH MENTAL HEALTH PROFESSIONALS-ONLINE REQUESTS THROUGH DCMAP.ORG-REFERRALS AND IN-PERSON CONSULTATIONS -EDUCATION AND TRAINING THROUGH NEWSLETTERS, WEBINARS, AND LECTURES -MEDICATION REVIEWS QUARTERLYTHE PROVIDER-TO-PROVIDER PROGRAM WAS DESIGNED TO ANSWER UNMET MENTAL HEALTH NEEDS IN THE DISTRICT BY:-INCREASING COLLABORATION BETWEEN PEDIATRIC PRIMARY CARE PROVIDERS AND CHILD MENTAL HEALTH SPECIALISTS -PROMOTING MENTAL HEALTH WITHIN PRIMARY CARE -IMPROVING DIAGNOSIS AND TREATMENT OF CHILD MENTAL HEALTH PROBLEMS-PROMOTING THE USE OF SCARCE SPECIALTY MENTAL HEALTH RESOURCE FOR THE MOST HIGH-RISK CHILDREN THE PROGRAM ALLOWS FOR PEDIATRICIANS TO CONSULTS WITH MENTAL HEALTH EXPERTS VIA PHONE DURING PRIMARY CARE VISITS, REDUCING THE BARRIERS TO RECEIVING PEDIATRIC MENTAL HEALTH CARE. IN FY 2020, DC MAP PROVIDED 914 NEW CONSULTS WITH OUR TEAM OF MENTAL HEALTH CLINICIANS AND A CARE COORDINATOR. 12 OUTREACH AND EDUCATIONAL VISITS WERE CONDUCTED, 198 PRACTICE OUTREACHES, AND 7 PROFESSIONAL PRESENTATIONS. PROVIDERS AND PATIENTS REPORTED HIGH SATISFACTION.
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 FY20 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 $2,518,460 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL HOSPITAL. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAMS AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH-QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH.
PART I, LINES 7 E & 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, COL K:BAD DEBT EXPENSESCHILDREN'S NATIONAL MEDICAL CENTER DOES NOT INCLUDE ITS BAD DEBT EXPENSE ($39,690,100) REPORTED ON FORM 990, PART IX, LINE 25 FOR PURPOSES OF ITS COMMUNITY BENEFIT CALCULATION HERE.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART II:PART II INCLUDES THE COST INCURRED FOR ACTIVITIES AND PROGRAMS TO PROTECT OR IMPROVE THE COMMUNITY'S HEALTH OR SAFETY. PROGRAMS ACCOUNTED FOR AS COMMUNITY BUILDING ACTIVITIES FALL INTO THE SUBCATEGORIES OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY, COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. 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 2020, 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, INFANT HEALTH ADVOCACY, FRAMEWORKS TO ALLOW FOR THE STOCKING OF UNDESIGNATED ALBUTEROL IN PUBLIC SCHOOLS, 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.COMMUNITY SUPPORT: IN FY 2020, OUR STAFF PARTNERED WITH A VARIETY OF ORGANIZATIONS INCLUDING OTHER CHILDREN'S HOSPITALS, 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. OUR NURSES BEGAN THIS EFFORT IN FY 2020, BUT IT WAS HALTED DUE TO THE PANDEMIC. DURING THE FALL AND HOLIDAY SEASONS, THE COMMUNITY AFFAIRS TEAM PARTNERED WITH THE PLAYTIME PROJECT TO SPONSOR EXTRACURRICULAR ACTIVITIES FOR CHILDREN CURRENTLY LIVING AT FAMILY SHELTERS ACROSS THE DISTRICT. 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. 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. THROUGH OUR YOUTH ENGAGEMENT PROGRAM, 300 STUDENTS PARTICIPATED IN HOSPITAL SITE VISITS AND EDUCATIONAL SESSIONS LEARNING ABOUT CAREERS IN HEALTHCARE AND PUBLIC HEALTH AND INTERACTING WITH HOSPITAL STAFF. CHILDREN'S NATIONAL PROVIDES INTERNSHIPS TO LOCAL HIGH SCHOOL STUDENTS THROUGH THE URBAN ALLIANCE INTERNSHIP PROGRAM AND DC CAREER ACADEMY NETWORK. INTERNS SPEND PART OF THEIR SCHOOL YEAR AND THE SUMMER WORKING IN ONE OF THE DEPARTMENTS AT CHILDREN'S NATIONAL DEVELOPING PROFESSIONAL SKILLS, SUPPORTING DEPARTMENTAL EFFORTS, AND LEARNING ABOUT HEALTHCARE. STUDENTS ARE PAIRED WITH A MENTOR ENSURING THEIR SUCCESS. MOST OF THE YOUTH INTERNING AT CHILDREN'S NATIONAL THROUGH THESE PROGRAMS ARE FROM DC'S MOST UNDER-RESOURCED NEIGHBORHOODS. THOUGH THE COVID-19 PANDEMIC LED TO THE CANCELLATION OF OUR IN-PERSON URBAN ALLIANCE SPRING/SUMMER INTERNSHIP PROGRAM, CHILDREN'S NATIONAL CONDUCTED A SERIES OF VIRTUAL CAREER SESSIONS, OFFERING SKILL-BUILDING ACTIVITIES AND HEALTHCARE JOB EXPLORATION OPPORTUNITIES TO LOCAL STUDENTS. PRE-PANDEMIC, STUDENTS FROM GEORGE MASON UNIVERSITY, GEORGE WASHINGTON UNIVERSITY, THE NATIONAL CHAPTER FOR HEALTH OCCUPATIONS STUDENTS OF AMERICA (HOSA), AND SEVERAL LOCAL HIGH SCHOOLS VISITED THE HOSPITAL FOR CAREER DAY. CHILDREN'S NATIONAL'S HUMAN RESOURCES DEPARTMENT ATTENDED CAREER FESTIVALS THROUGH THE YEAR, PROVIDING SKILL-BUILDING SESSIONS SUCH AS RESUME WRITING AND REVIEW, AS WELL AS HEALTHCARE OCCUPATION INFORMATION. CHILDREN'S NATIONAL ALSO SUPPORTS THE LAUNCH PROGRAM - NURSE TRAINEE 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 $2.8M OF BAD DEBT COULD HAVE BEEN ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. CHILDREN'S NATIONAL HOSPITAL REPORTS ITS APPLICABLE BAD DEBT ($39.7M) 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 CONDUCTED A RESOURCE AND GAP ANALYSIS TO EXAMINE DC'S EARLY CHILDHOOD MENTAL HEALTH WORKFORCE CAPACITY. IT EVALUATED HOW THE HOSPITAL-LED DC COLLABORATIVE FOR MENTAL HEALTH IN PEDIATRIC PRIMARY CARE AND CHILDREN'S NATIONAL CAN IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN UNDER THE AGE OF 6. THE RESOURCE AND GAP ANALYSIS DIVIDED INTO FOUR SECTIONS: BACKGROUND, LANDSCAPE, OTHER STATE STRATEGIES AND POLICIES, AND RECOMMENDATIONS INCLUDED DATA GATHERED AND COLLECTED FROM INTERVIEWS, ANNUAL REPORTS, NATIONAL RESEARCH, AND LOCAL REPORTED STATISTICS.THE ANALYSIS INCLUDED A REVIEW OF LOCAL STATISTICS ABOUT THE POPULATION AT RISK, THE NUMBER OF LOCAL EDUCATION AND TRAINING PROGRAMS OFFERED FOR INFANT AND TODDLER MENTAL HEALTH PROFESSIONALS, AND THE CAPACITY OF EARLY CHILDHOOD MENTAL PROGRAMS AND SERVICES. MORE SPECIFICALLY, OUR RESEARCH INCLUDED THE FOLLOWING:-CLINICAL PSYCHOLOGY, SOCIAL WORK AND CERTIFICATE PROGRAMS OFFERED AT LOCAL UNIVERSITIES AND IF THEY OFFER INFANT MENTAL HEALTH SPECIALIZATION;-EARLY INTERVENTION PROFESSIONAL DEVELOPMENT OPPORTUNITIES WITHIN THE SCHOOL SYSTEM;-CAPACITY AND REACH OF EARLY CHILDHOOD MENTAL HEALTH CONSULTATION;-OVERVIEW AND CAPACITY OF HOME VISITING PROGRAMS, SERVICES AVAILABLE FOR YOUNG CHILDREN THROUGH THE DEPARTMENT OF BEHAVIORAL HEALTH, SOCIAL-EMOTIONAL HEALTH EMPHASIS IN EARLY LEARNING THROUGH QUALITY IMPROVEMENT NETWORKS, AND SERVICES AVAILABLE AT NEIGHBORHOOD COLLABORATIVES.IN FY2020, THE CHILDREN'S NATIONAL SCHOOL HEALTH PROGRAMS REPORT PROVIDED A COMPREHENSIVE SCAN OF LOCAL SCHOOL HEALTH INITIATIVES, HIGHLIGHTING THE WORK BEING DONE BY EDUCATORS AND HEALTHCARE PROVIDERS. THE REPORT HIGHLIGHTED THE 29 SCHOOL HEALTH PROGRAMS AND INITIATIVES THAT SPAN EFFORTS FROM DIRECT CLINICAL CARE TO EDUCATIONAL INTERVENTIONS. SINCE 2017, OUR INSTITUTION HAS LAUNCHED 10 NEW PROGRAMS THAT INNOVATIVELY ADDRESS SCHOOL HEALTH INCLUDING CELIAC DISEASE MANAGEMENT, CHRONIC ABSENTEEISM REDUCTION AND TYPE II DIABETES PREVENTION. OUR SCHOOL HEALTH PROGRAMS AND INITIATIVES SPAN ALL EDUCATIONAL LEVELS (EARLY CHILDHOOD TO 12TH GRADE) AND REACH OVER 100,000 STUDENTS IN 217 SCHOOLS IN WASHINGTON, D.C., AND THE SURROUNDING REGION.RESPONDING DIRECTLY TO COMMUNITY FEEDBACK IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN INTERNAL HEALTH LITERACY ENVIRONMENTAL SCAN WAS CONDUCTED IN FY2020, 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 MATTER 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 AGE 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 2020, WE PERFORMED 16,234 SURGICAL PROCEDURES, 112,762 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 7,000 CHILDREN'S NATIONAL EMPLOYEES AND COUNTLESS COMMUNITY STAKEHOLDERS INTERACT WITH, REACT TO, AND SPEAK ON BEHALF OF CHILDREN AND FAMILIES. TO CREATE A FOUNDATION FOR STRONG HOSPITAL ENGAGEMENT, THE CHAI BEGAN TO BUILD CAPACITY AND AWARENESS INTERNALLY THROUGH SEVERAL EFFORTS. IN FISCAL YEAR 2018, THE CHAI EDUCATED OVER 93% OF DIVISION CHIEFS AND MANAGERS ACROSS CHILDREN'S NATIONAL ON THE CHNA AND IMPLEMENTATION STRATEGY. IN DOING SO, WE ELEVATED THE COMMUNITY VOICE WITHIN THE ORGANIZATION AND INCREASED THE CAPACITY OF CHILDREN'S NATIONAL STAFF TO INCLUDE THE COMMUNITY HEALTH NEEDS IN THEIR WORK. EACH EDUCATIONAL INITIATIVE IS ANCHORED ON THE CHAI'S MISSION OF PROMOTING HEALTH EQUITY, DEFINED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AS "WHEN EVERY PERSON HAS THE OPPORTUNITY TO ATTAIN HIS OR HER FULL HEALTH POTENTIAL AND NO ONE IS DISADVANTAGED FROM ACHIEVING THIS POTENTIAL BECAUSE OF SOCIAL POSITION OR OTHER SOCIALLY DETERMINED CIRCUMSTANCES." IN FISCAL YEAR 2020, WE IMPLEMENTED AN ONLINE TRAINING MODULE REQUIRED FOR ALL NEW HIRED MANAGERS TO ENSURE THAT ADVOCACY AND COMMUNITY HEALTH IS A PART OF THEIR ORIENTATION TO CHILDREN'S NATIONAL. CHILDREN'S NATIONAL RECOGNIZED THE NEED TO GO BEYOND TRAINING MANAGERS AND DIVISION CHIEFS, AND TRAIN FRONTLINE STAFF. CONCURRENT WITH THE TRAININGS OF MANAGERS AND DIVISION CHIEFS, THE CHAI LAUNCHED THE TRAINEE EDUCATION IN ADVOCACY AND CHILD HEALTH (TEACH) CURRICULUM, WITH FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). THE OBJECTIVE OF THE TEACH CURRICULUM IS TO TRAIN PEDIATRIC RESIDENTS AND MEDICAL STUDENTS TO UNDERSTAND, IDENTIFY, AND ADDRESS THE EFFECTS OF CHILD POVERTY IN A PRIMARY CARE SETTING. TEACH USES A MULTIMODAL APPROACH TO EDUCATING TRAINEES ABOUT HEALTH EQUITY, SOCIAL DETERMINANTS OF HEALTH, AND ADVOCACY ON INDIVIDUAL, COMMUNITY, AND LEGISLATIVE LEVELS. THUS FAR, 35 RESIDENTS AND 30 MEDICAL STUDENTS HAVE BEEN TRAINED AND EVALUATIONS SHOW A SIGNIFICANT INCREASE IN KNOWLEDGE AND CONFIDENCE WITH ADDRESSING SOCIAL AND FINANCIAL NEEDS AND REFLECTION ON PERSONAL BIASES RELATED TO POVERTY. IN FY 2020, CHAI IMPLEMENTED A FIVE-YEAR CHAI STRATEGIC PLAN THAT GUIDES ITS ADVOCACY ACTIONS IN SUPPORT OF THE INSTITUTION'S COMMUNITY HEALTH GOALS AND CHNA PRIORITIES. AS PART OF ITS STRATEGIC PLAN, CHAI ENSURED THAT:1. HEALTH EQUITY MUST BE THE UNDERPINNING OF ANY ADVOCACY;2. INPUT OF BOTH INTERNAL AND EXTERNAL STAKEHOLDERS IS CRITICAL; AND,3. IT IS IMPERATIVE TO CREATE A DATA DRIVEN PROCESS TO REFLECT THE PRIORITIES OF THE COMMUNITIES AFFECTED BY SYSTEMS AND POLICIES.THIS COMPREHENSIVE PROCESS IS BUT THE FIRST STEP IN WHAT WILL BE AN AMBITIOUS FIVE YEARS, BUT IT IS PRECISELY THAT AUDACITY THAT CONTINUES A LONG TRADITION OF EXCELLENCE IN THE STORIED HISTORY OF CHILDREN'S NATIONAL. THE COVID-19 PANDEMIC CREATED A CHALLENGE, IN WHICH CHILDREN'S NATIONAL BUILT NEW SYSTEMS OVERNIGHT TO HOUSE ACUTE PATIENTS, CONDUCT DRIVE UP TESTING, AND OPERATE AN INFORMATIONAL PHONELINE. IN ADDITION, OUR TEAMS CONTINUED TO SERVE THE FAMILIES LIVING IN THE DC-AREA VIA INNOVATIVE TELEHEALTH SERVICES, HEALTH EDUCATION AND HELPING CHILDREN RETURN TO SCHOOL. YEARS LIKE THIS REMIND US WHY HEALTH IS IMPORTANT, WHY COMMUNITIES MATTER, AND THE HOSPITAL'S ROLE TO IMPROVE HEALTH EQUITY.
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 HOSPITAL SELF-INSURANCE TRUST - 501(C)(3), PROVISION OF INSURANCE TO SYSTEM EACH ENTITY PARTICIPATES IN THE CHILDREN'S NATIONAL'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS - 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 NEEDS.- 2013 HOLDINGS, INC - 501(C)(2), HOLDS TITLE TO REAL PROPERTY, COLLECT RENTAL INCOME THEREFROM, AND REMITS INCOME TO ITS PARENT ORGANIZATION, THE HSC FOUNDATION.
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 (24 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$1,979,540$0$300,000$0$199,688$0$174,000$0$74,343$0$2,727,571$0$160,000$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)$1,325,831$0$769,925$0$33,672$0$220,876$0$47,297$0$2,397,601$0$0$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE$870,157$0$429,819$0$113,575$0$151,205$0$48,702$0$1,613,458$0$89,615$0
ALEC KING
EVP/CFO$655,110$0$629,498$0$123,254$0$118,159$0$36,344$0$1,562,365$0$79,685$0
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER$702,108$0$338,305$0$147,338$0$124,737$0$71,756$0$1,384,244$0$107,512$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER$707,154$0$360,757$0$127,383$0$125,030$0$18,328$0$1,338,652$0$102,919$0
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER$615,393$0$305,023$0$122,458$0$112,590$0$67,498$0$1,222,962$0$95,322$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY$846,947$0$153,357$0$86,122$0$102,606$0$25,659$0$1,214,691$0$82,376$0
DAVID WESSEL MD
CHIEF MEDICAL OFFICER$616,866$0$310,766$0$127,659$0$39,135$0$107,425$0$1,201,851$0$95,178$0
ROBIN STEINHORN MD
SVP CTR OF EXCELLENCE TO 5/20$567,166$0$294,068$0$116,269$0$103,626$0$79,159$0$1,160,288$0$39,379$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY$845,244$0$246,243$0$2,838$0$14,000$0$23,563$0$1,131,888$0$0$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE$547,698$0$286,982$0$126,786$0$114,367$0$51,645$0$1,127,478$0$72,852$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER$551,079$0$286,977$0$105,271$0$102,323$0$43,439$0$1,089,089$0$82,589$0
DEANN MARSHALL
PRESIDENT OF FOUNDATION$566,710$0$312,782$0$121,501$0$14,000$0$45,168$0$1,060,161$0$0$0
MARY ANNE HILLIARD
BOARD SECRETARY$482,118$0$263,608$0$77,598$0$105,434$0$51,056$0$979,814$0$50,567$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER$505,423$0$243,500$0$81,311$0$91,250$0$527$0$922,011$0$75,000$0
JOHN MYSEROS MD
NEUROSURGEON$720,206$0$142,394$0$2,838$0$14,000$0$14,931$0$894,369$0$0$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER$410,685$0$217,269$0$91,361$0$73,710$0$50,673$0$843,698$0$64,921$0
BRIAN JACOBS MD
FMR CHIEF INFO OFFICER TO 6/19$0$0$0$0$777,432$0$50,833$0$5,435$0$833,700$0$114,746$0
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE 6/16$460,774$0$14,184$0$35,333$0$58,000$0$39,076$0$607,367$0$29,562$0
LINDA TALLEY
CHIEF NURSING OFFICER$358,224$0$93,152$0$48,044$0$40,864$0$12,554$0$552,838$0$26,206$0
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF$269,556$0$93,268$0$40,147$0$36,706$0$24,377$0$464,054$0$19,937$0
MENDEL TUCHMAN MD
FORMER CRO TO 6/17$153,295$0$5,674$0$29,957$0$8,495$0$32,988$0$230,409$0$10,429$0
MARY OTTOLINI MD PHD
FMR VICE CHAIR MEDICAL EDU TO 5/19$134,483$0$0$0$24,643$0$6,091$0$885$0$166,102$0$23,135$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FIRST CLASS OR CHARTER TRAVELSCHEDULE J, PART I, LINE 1A 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.
PERSONAL SERVICESSCHEDULE J, PART I, LINE 1A 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.
SEVERANCESCHEDULE J, PART I, LINE 4A 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: BRIAN JACOBS, MD $626,596
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4B 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: KURT D. NEWMAN, MD $206,876 ALEC KING $104,159 MARY ANNE HILLIARD $91,434 DENICE CORA-BRAMBLE, MD $98,590 DAVID WESSEL, MD $25,135 KATHLEEN CHAVANU GORMAN $111,030 ELIZABETH FLURY $88,323 DARRYL VARNADO $66,220 CHARLES WEINSTEIN $77,250 ANTHONY SANDLER, MD $137,205 MARK L. BATSHAW, MD $110,737 ROBIN STEINHORN, MD $89,626 LINDA TALLEY $29,122 ROGER PACKER, MD $100,367 MICHELLE M. MCGUIRE $22,706 RICHARD JONAS, MD $160,000 ROBERT KEATING, MD $88,606 GERARD MARTIN, MD $44,000 BRIAN JACOBS, MD $36,833
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7 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.
INITIAL CONTRACT EXCEPTIONSCHEDULE J, PART I, LINE 8 CERTAIN INDIVIDUALS HIRED DURING THE YEAR HAVE EMPLOYMENT CONTRACTS WHICH MEET THE INITIAL CONTRACT EXCEPTIONS DESCRIBED IN THE TREASURY REGULATIONS.
COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990SCHEDULE J, PART II, COLUMN (F) 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$16,225,000RetiredAmt
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
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 YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
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

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF PURPOSEFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, LINE A, COLUMN (F) ADV REFUND BOND ISSUED 10.26.2005 AND 4.10.2008ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
ROBIN STEINHORN MD
KEY EMPLOYEEHOUSING LOAN - COMPYes (X)$200,000$40,0000Yes (1)Yes (1)
DEANN MARSHALL
HIGHEST COMPENSATED EMPLOYEEHOUSING LOAN - COMPYes (X)$500,000$200,0000Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$240,000TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART II:FormAndLineReferenceDesc
ExplanationLOANS TO AND/OR FROM INTERESTED PERSONSTHE HOUSING LOANS TO DR. ROBIN STEINHORN AND DEANN MARSHALL WERE APPROVED IN ADVANCE BY INDEPENDENT PERSONS SERVING ON THE BOARD OF DIRECTORS. THE LOANS ARE DOCUMENTED BY A SIGNED WRITTEN AGREEMENT BETWEEN THE PARTIES, AND THE ORGANIZATION BELIEVES THESE AGREEMENTS MEET THE INCOME TAX DEFINITION OF A LOAN. DR. STEINHORN AND MARSHALL ARE 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
Contribution2ContributionCnt
Noncash Contributions Rpt F990$5,081NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution128ContributionCnt
Noncash Contributions Rpt F990$475,680NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)EVENT TICKETS1$59,265COST
Yes (X)PC PERIPHERALS2$55,795COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1ORGANIZATION'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 AND 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 EXECUTIVE 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 VII, SECTION AFORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEES THE FORMER OFFICERS, DIRECTORS, OR KEY EMPLOYEES ARE LISTED AS "FORMER" ON PART VII, BUT CONTINUE TO BE EMPLOYED BY CHILDREN'S NATIONAL HOSPITAL IN A LESSER CAPACITY. THEY NO LONGER SERVE CHILDREN'S NATIONAL HOSPITAL IN THEIR PRIOR ROLES AS OFFICERS, DIRECTORS, OR KEY EMPLOYEES.
FORM 990, PART XI, LINE 9:UNRESTRICTED EQUITY TRANSFERS -6,181,452.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S NATIONAL SPECIALISTS OF VA
111 MICHIGAN AVENUE NWWASHINGTONDC20010264571100HEALTH CAREDC$0$0CH
CHILDREN'S NATIONAL AT WALTER REED LLC
111 MICHIGAN AVENUE NWWASHINGTONDC20010383987350HEALTH CAREDC$0$77,263,895CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 10CNMC0
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640399INSURANCEDC501(C)(3)LINE 12C, III-FICHYes (1)
SAFE KIDS WORLDWIDE
1255 23RD STREET NWWASHINGTONDC20037521627574INJURY PRVNTNDC501(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 SVCSDC501(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
2013 HOLDINGS INC
111 MICHIGAN AVENUE NWWASHINGTONDC20010272882469HOLDING CO.DC501(C)(2)N/AHSC 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
CNPA
111 MICHIGAN AVE NWWASHINGTONDC20010522072589HEALTH CAREDCN/ARELATED-$1,658,129$6,458,380000.50000
5253 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832873855PROPERTY MGMTDCN/AN/A00
5253 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833044006PROPERTY MGMTDCN/AN/A00
54 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833358685PROPERTY MGMTDCN/AN/A00
54 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833385522PROPERTY MGMTDCN/AN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NWWASHINGTONDC20010521996521HEALTH CAREDCC0
BEARACUDA RE
REINSURANCEC0PO BOX 69GRANDCAYMANCJKY1-1102CJ
PEDIATRIC HEALTH NETWORK INC
12211 PLUM ORCHARD DR STE 102SILVER SPRINGMD20904833415276HEALTH CAREDCC0
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832801690PROPERTY MGMTDCC0
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVEWASHINGTONDC20010833272918PROPERTY MGMTDCC0
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 (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
R$9,824,948COST
BRAINY CAMPS ASSOCIATION
Q$508,879COST
BRAINY CAMPS ASSOCIATION
S$322,381COST