STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHILDRENS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-06
IRS object ID
202021889349301887
Schema version
2018v3.3
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)
Return2020-07-06T16:38:48-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530196580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CORPORATE OFFICERSInCareOfNm
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)
PersonALEC KINGPersonNm
Person TitleCFOPersonTitleTxt
Phone2024765000PhoneNum
Signature2020-07-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMary TorrettaPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.73.247.211IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54681420201885000004FederalOriginalSubmissionId
Federal Original Submission Id2020-07-06FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8368FFE12CE24C0281507B4769D0368EE4BA05B9AtSubmissionCreationDeviceId
At Submission Filing Device Id407510A33C0DDF69F328AC7A53E575C28C33C48AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

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$1,242,817,176GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.childrensnational.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1870FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH. SEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee8284TotalEmployeeCnt
Total Volunteers1743TotalVolunteersCnt
Total Gross UBI$918,540TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,165,205NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$33,258,313PYContributionsGrantsAmt
CY Contributions Grants$24,932,071CYContributionsGrantsAmt
PY Program Service Revenue$1,122,402,152PYProgramServiceRevenueAmt
CY Program Service Revenue$1,182,039,539CYProgramServiceRevenueAmt
PY Investment Income$5,631,438PYInvestmentIncomeAmt
CY Investment Income$4,118,927CYInvestmentIncomeAmt
PY Other Revenue-$5,611,444PYOtherRevenueAmt
CY Other Revenue-$4,589,438CYOtherRevenueAmt
PY Total Revenue$1,155,680,459PYTotalRevenueAmt
CY Total Revenue$1,206,501,099CYTotalRevenueAmt
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$663,725,506PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$708,740,796CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$421,518,541PYOtherExpensesAmt
CY Other Expenses$450,989,104CYOtherExpensesAmt
PY Total Expenses$1,085,244,047PYTotalExpensesAmt
CY Total Expenses$1,159,729,900CYTotalExpensesAmt
PY Revenues Less Expenses$70,436,412PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,771,199CYRevenuesLessExpensesAmt
Total Assets BOY$1,484,417,571TotalAssetsBOYAmt
Total Assets EOY$1,544,265,180TotalAssetsEOYAmt
Total Liabilities BOY$781,788,335TotalLiabilitiesBOYAmt
Total Liabilities EOY$814,804,448TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$702,629,236NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$729,460,732NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$836,050,820ExpenseAmt
Revenue$1,172,089,993RevenueAmt
DescCHILDREN'S 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 (CNMC) IS THE PARENT COMPANY OF THE HOSPITAL. CNMC 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 FY19 COMMUNITY BENEFIT REPORT.Desc
Total Program Service Expenses$836,050,820TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document829IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8284EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCORPORATE OFFICERSPersonNm
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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCHONAY BARNETT-JONES
BOARD CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
DAVID WHISTON DDS
BOARD TREASURER1.00.0Yes (X)Yes (X)$0$0$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)35.020.0Yes (X)Yes (X)$2,293,903$0$261,842
ALEC KING
EVP/CFO45.010.0Yes (X)Yes (X)$1,077,575$0$149,276
MARY ANNE HILLIARD
BOARD SECRETARY45.010.0Yes (X)Yes (X)$819,775$0$131,168
DIEDRE ADKINS
BOARD MEMBER1.00.0Yes (X)$0$0$0
IVY WAFFORD DUKE
BOARD MEMBER1.00.0Yes (X)$0$0$0
MARY GEN LEDECKY
BOARD MEMBER1.00.0Yes (X)$0$0$0
CAROLINE VAN VLECK MD
BOARD MEMBER1.01.0Yes (X)$0$0$0
MICHAEL J WILLIAMS
BOARD MEMBER1.08.0Yes (X)$0$0$0
PAUL KALB MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
DAVID WESSEL MD
CMO53.02.0$1,145,158$0$188,821Yes (X)
DENICE CORA-BRAMBLE MD
CMO50.05.0$1,092,431$0$170,672Yes (X)
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER54.01.0$861,895$0$27,854Yes (X)
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE35.020.0$1,477,296$0$197,540Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER51.04.0$976,553$0$141,049Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER53.02.0$1,248,601$0$139,604Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE47.08.0$989,396$0$69,856Yes (X)
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER53.02.0$658,536$0$83,372Yes (X)
DARRYL VARNADO
CHIEF PEOPLE OFFICER54.01.0$825,869$0$126,876Yes (X)
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION54.01.0$466,486$0$16,367Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER54.01.0$484,228$0$24,043Yes (X)
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF54.01.0$394,880$0$38,158Yes (X)
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER28.027.0$1,246,450$0$199,015Yes (X)
RICHARD JONAS MD
CHIEF OF CARDIOLOGY54.01.0$2,419,112$0$213,597Yes (X)
ROBIN STEINHORN MD
SVP CENTER OF EXCELLENCE53.02.0$997,868$0$175,715Yes (X)
PETER KIM MD
VP SHEIKH ZAYED INST TO 4/201848.07.0$1,113,695$0$12,333Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY54.01.0$1,082,723$0$123,974Yes (X)
DEANN MARSHALL
PRESIDENT OF FOUNDATION1.054.0$1,074,964$0$50,070Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY55.00.0$1,026,163$0$37,293Yes (X)
JOHN MYSEROS MD
NEUROSURGEON55.00.0$850,788$0$29,351Yes (X)
RAHUL K SHAH MD
FORMER BOARD MEMBER to 6/201455.00.0$610,277$0$15,586Yes (X)
DAVID STOCKWELL
FORMER BOARD MEMBER to 6/201655.00.0$218,636$0$11,012Yes (X)
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE54.01.0$483,715$0$93,315Yes (X)
KAREN SMITH MD
FORMER BD MBR/CHIEF OF HOSP.55.00.0$319,805$0$26,511Yes (X)
MENDEL TUCHMAN MD
FORMER CRO TO 6/30/171.054.0$300,085$0$37,509Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$26,556,863TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,791,779TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2062IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CERNER CORPORATION
2800 ROCKCREEK PARKWAYN KANSAS CITYMO64117IT$34,119,083
COLONIAL PARKING
150 THOMAS JEFFERSON ST NW STE 1WASHINGTONDC20007PARKING$2,075,197
UNITED MEDICAL CENTER
1310 SOUTHERN AVENUE SEWASHINGTONDC20032PURCHASED MED. SERV.$1,765,165
LEGACY NEW VENTURES LLC
957 NASA PARKWAY SUITE 575HOUSTONTX77058CONSULTING$1,747,444
QUEST DIAGNOSTIC CLINICAL LAB INC
1201 S COLLEGEVILLE ROADCOLLEGEVILLEPA19426LAB TESTING$1,646,152
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K144CntrctRcvdGreaterThan100KCnt
Related Organizations$15,742,333RelatedOrganizationsAmt
Government Grants$6,038,747GovernmentGrantsAmt
All Other Contributions$3,150,991AllOtherContributionsAmt
Total Contributions$24,932,071TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT REVENUE621400$1,098,348,705$1,098,348,705$0$0
ALL OTHER PROGRAM SERVICES900099$83,690,834$83,690,834$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$1,182,039,539TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,535,245TotalRevenueColumnAmt
Exclusion$5,535,245ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,899,759SecuritiesAmt
Other$1,000,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$34,441,653SecuritiesAmt
Other$1,874,424OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$541,894SecuritiesAmt
Other-$874,424OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,416,318TotalRevenueColumnAmt
Exclusion-$1,416,318ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PARKING812390$4,441,568$0$0$4,441,568
LAB FEES621500$918,540$0$918,540$0
EQUITY AND PARTNERSHIP LOSS621110-$9,949,546-$9,949,546$0$0
FieldValueIRS element (for citing)
Other Revenue Total-$4,589,438OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,206,501,099TotalRevenueColumnAmt
Related Or Exempt Func Income$1,172,089,993RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$918,540UnrelatedBusinessRevenueAmt
Exclusion$8,560,495ExclusionAmt

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$19,310,172TotalAmt
Program Services$3,728,755ProgramServicesAmt
Management And General$15,581,417ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$586,079,777TotalAmt
Program Services$411,299,595ProgramServicesAmt
Management And General$174,780,182ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,960,784TotalAmt
Program Services$15,410,202ProgramServicesAmt
Management And General$6,550,582ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$42,066,758TotalAmt
Program Services$29,518,857ProgramServicesAmt
Management And General$12,547,901ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,323,305TotalAmt
Program Services$27,593,736ProgramServicesAmt
Management And General$11,729,569ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,607TotalAmt
Program Services$7,443ProgramServicesAmt
Management And General$3,164ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,554,049TotalAmt
Program Services$1,792,214ProgramServicesAmt
Management And General$761,835ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$872,312TotalAmt
Management And General$872,312ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$498,613TotalAmt
Management And General$498,613ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$67,276,102TotalAmt
Program Services$47,519,629ProgramServicesAmt
Management And General$19,756,473ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,966,686TotalAmt
Program Services$4,888,625ProgramServicesAmt
Management And General$2,078,061ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,692,365TotalAmt
Program Services$8,204,703ProgramServicesAmt
Management And General$3,487,662ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$55,910,296TotalAmt
Program Services$39,233,069ProgramServicesAmt
Management And General$16,677,227ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,412,546TotalAmt
Program Services$20,639,212ProgramServicesAmt
Management And General$8,773,334ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,871,854TotalAmt
Program Services$2,716,936ProgramServicesAmt
Management And General$1,154,918ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$457,700TotalAmt
Program Services$321,175ProgramServicesAmt
Management And General$136,525ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,250,627TotalAmt
Program Services$14,911,875ProgramServicesAmt
Management And General$6,338,752ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$62,117,420TotalAmt
Program Services$33,543,407ProgramServicesAmt
Management And General$28,574,013ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,328,310TotalAmt
Program Services$10,756,099ProgramServicesAmt
Management And General$4,572,211ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$105,959,415$105,959,415$0$0
BAD DEBT EXPENSE$37,293,746$37,293,746$0$0
REPAIRS AND MAINTENANCE$20,193,573$14,170,124$6,023,449$0
ALL OTHER EXPENSES$9,322,883$6,542,003$2,780,880$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,159,729,900TotalAmt
Program Services$836,050,820ProgramServicesAmt
Management And General$323,679,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$110,143,943BOYAmt
EOY$59,768,490EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,667,075BOYAmt
EOY$2,831,492EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$194,690,061BOYAmt
EOY$216,999,155EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$120,000BOYAmt
EOY$380,000EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,723,098BOYAmt
EOY$11,196,045EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,631,706BOYAmt
EOY$49,550,579EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,353,135,032LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$785,657,871LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$541,055,007BOYAmt
EOY$567,477,161EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$163,653,061BOYAmt
EOY$198,104,032EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,125,163BOYAmt
EOY$4,062,659EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$409,608,457BOYAmt
EOY$433,895,567EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,484,417,571BOYAmt
EOY$1,544,265,180EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$152,851,404BOYAmt
EOY$165,630,953EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,340,758BOYAmt
EOY$6,596,392EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$391,564,103BOYAmt
EOY$385,838,131EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$75,000,000BOYAmt
EOY$100,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,032,070BOYAmt
EOY$156,738,972EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$781,788,335BOYAmt
EOY$814,804,448EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$702,629,236BOYAmt
EOY$729,460,732EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$702,629,236BOYAmt
EOY$729,460,732EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,484,417,571BOYAmt
EOY$1,544,265,180EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$46,771,199ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,234,012NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$17,705,691OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)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$25,722,100CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,288,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,200,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,258,313CurrentTaxYearMinus1YearAmt
Current Tax Year$24,932,071CurrentTaxYearAmt
Total$198,402,098TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,722,100CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,288,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,200,911CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,258,313CurrentTaxYearMinus1YearAmt
Current Tax Year$24,932,071CurrentTaxYearAmt
Total$198,402,098TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,330,624SubstantialContributorsTotAmt
Public Support Total170$194,071,474PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,069,394CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,024,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,946,140CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,802,733CurrentTaxYearMinus1YearAmt
Current Tax Year$5,535,245CurrentTaxYearAmt
Total$18,378,104TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,784,204CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,132,408CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,210,622CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,375,469CurrentTaxYearMinus1YearAmt
Current Tax Year$4,441,568CurrentTaxYearAmt
Total$21,944,271TotalAmt
FieldValueIRS element (for citing)
Total Support$238,724,473TotalSupportAmt
Gross Receipts Rltd Activities$5,428,972,842GrossReceiptsRltdActivitiesAmt
Public Support CY1700.81295PublicSupportCY170Pct
Public Support PY1700.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$447,619DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$106,395OtherActivitiesAmt
Total Lobbying Expenditures$554,014TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
VOLUNTEERSSCHEDULE C, PART II-B, LINE 1A COORDINATED THE PARTICIPATION OF THE PATIENT FAMILIES IN THE CHILDREN'S HOSPITAL ASSOCIATION FAMILY ADVOCACY DAY FOCUSED PRIMARILY ON PROTECTING HEALTH CARE SERVICES FOR CHILDREN.
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.
MAILING TO MEMBERS, LEGISLATORS, OR THE PUBLICSCHEDULE C, PART II-B, LINE 1D PARTICIPATED IN THE CHILDREN'S HOSPITAL ASSOCIATION (CHA) FAMILY ADVOCACY DAY FOCUSED ON PROTECTING CHILDREN'S HEALTH CARE PROGRAMS.
DIRECT CONTACTSCHEDULE C, PART II-B, LINE 1G THE LOBBYING ACTIVITIES ENGAGED IN BY CHILDREN'S 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 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

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$234,844,152OtherCostOrOtherBasisAmt
Depreciation$81,137,552DepreciationAmt
Book Value$153,706,600BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$840,736,923OtherCostOrOtherBasisAmt
Depreciation$520,091,791DepreciationAmt
Book Value$320,645,132BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,909,107OtherCostOrOtherBasisAmt
Depreciation$181,740,120DepreciationAmt
Book Value$76,168,987BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,438,713OtherCostOrOtherBasisAmt
Depreciation$2,688,408DepreciationAmt
Book Value$2,750,305BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$567,477,161TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$387,491,818
DEFERRED COMPENSATION PLAN$30,434,185
OTHER RECEIVABLES$15,969,564
FieldValueIRS element (for citing)
Total Book Value Other Assets$433,895,567TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
RESERVE FOR CLAIMS$92,959,531
OTHER LIABILITIES$36,042,098
CAPITAL LEASE OBLIGATIONS$24,675,383
DUE TO AFFILIATES$1,835,485
SETTLEMENTS TO THIRD PARTY PAY$1,226,475
FieldValueIRS element (for citing)
Total Liability$156,738,972TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLIABILITY FOR UNCERTAIN TAX POSITIONSFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), OF WHICH CHILDREN'S HOSPITAL IS A SUBSIDIARY, IS AS FOLLOWS: CHILDREN'S NATIONAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH BASIS, THE EXEMPT ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THE GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE COMBINED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON TECHNICAL MERITS. CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Middle East and North Africa1Program ServicesPATIENTS REFFERALS$358,526
Central America and the CaribbeanProgram ServicesINSURANCE PREMIUMS$12,651,336
FieldValueIRS element (for citing)
Subtotal Employees1SubtotalEmployeesCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$13,009,862SubtotalSpentAmt
Total Spent$13,009,862TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceACCOUNTING METHOD USEDFormAndLineReferenceDesc
ExplanationSCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES, PER REGION, ARE PRESENTED ON THE ACCRUAL BASIS OF ACCOUNTING.ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,763,439TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,763,439NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,524,227TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,524,227NetCommunityBenefitExpnsAmt
Total Expense0.08670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$108,287,666TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,287,666NetCommunityBenefitExpnsAmt
Total Expense0.09340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served155107PersonsServedCnt
Total Community Benefit Expns$7,587,318TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,349,784DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,237,534NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1557PersonsServedCnt
Total Community Benefit Expns$48,907,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,887,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,019,803NetCommunityBenefitExpnsAmt
Total Expense0.03620TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,934,262TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,934,262NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served2913PersonsServedCnt
Total Community Benefit Expns$1,052,074TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,052,074NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served159577PersonsServedCnt
Total Community Benefit Expns$63,480,777TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,237,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,243,673NetCommunityBenefitExpnsAmt
Total Expense0.04590TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served159577PersonsServedCnt
Total Community Benefit Expns$171,768,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,237,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,531,339NetCommunityBenefitExpnsAmt
Total Expense0.13930TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,659TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,659NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served44067PersonsServedCnt
Total Community Benefit Expns$65,555TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,555NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,965TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,965NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,484TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,484NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served212PersonsServedCnt
Total Community Benefit Expns$1,028,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$949,948NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served44279PersonsServedCnt
Total Community Benefit Expns$1,146,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,738DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,067,611NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$33,474,800BadDebtExpenseAmt
Bad Debt Expense Attributable$2,261,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,332,409ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,620,137CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$287,728MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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 PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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 (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)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 (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.CHILDRENSNATIONAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)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 (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
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 (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3DURING OUR MOST RECENT Community Health Needs Assessment (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 THE LATIN AMERICAN YOUTH CENTER AND ANOTHER FOR COMMUNITY HEALTH IMPROVEMENT WEEK AT CHILDREN'S NATIONAL.
SCHEDULE H, PART V, SECTION B, LINE 5CHILDREN'S NATIONAL SPEARHEADED THE 2019 CHNA ON BEHALF OF THE DC HEALTH MATTERS COLLABORATIVE (FORMERLY KNOWN AS THE DC HEALTHY COMMUNITIES COLLABORATIVE). THE DC HEALTH MATTERS COLLABORATIVE (THE COLLABORATIVE) IS A UNIQUE COLLABORATION AMONG 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 FROM THE DC PRIMARY CARE ASSOCIATION, THE DC HOSPITAL ASSOCIATION, AND THE DC DEPARTMENT OF HEALTH. THE FOUR PRIORITY COMMUNITY NEEDS ARE: MENTAL HEALTH, CARE COORDINATION, HEALTH LITERACY, AND PLACE-BASED CARE. 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. COMMUNITY PERSPECTIVE - QUALITATIVE DATA 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 H, PART V, SECTION B, LINES 6A & 6BTHE 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. CHILDREN'S NATIONAL CONDUCTED THE CHNA WITH MEMBERS OF THE DC HEALTH MATTERS COLLABORATIVE THAT INCLUDES FIVE HOSPITALS AND FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) (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 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 H, PART V, SECTION B, LINE 7DCHILDREN'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. 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 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.
SCHEDULE H, PART V, SECTION B, LINE 8CHILDREN'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 H, PART V, SECTION B, LINE 11FOR 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 WILL LEAD 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. - 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 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)
Facility19FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHILDREN'S OUTPATIENT CTR OF MONTGOMERY
SHADY GROVE MEDICAL PARKROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
3023 HAMACKER COURT SUITE 500FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN LAUREL
13922 BALTIMORE AVENUELAURELMD20707REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - ADAMS MORGAN
1630 EUCLID STREET NWWASHINGTONDC20009HEALTH CENTERS
CHILDREN'S HEALTH CENTER - ANACOSTIA
2101 MARTIN LUTHER KING JR AVENUEWASHINGTONDC20020HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR - UPR MARLBORO
9440 PENNSYLVANIA AVENUEUPPER MARLBOROMD20772REGIONAL OUTPATIENT CENTER
MOBILE VAN - HEALTH CARE
N/ANADC20010MOBILE HEALTH CARE
CHILDREN'S OUTPATIENT CTR IN ANNAPOLIS
1730 WEST STREET SUITE 100ANNAPOLISMD21401REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - SHAW
2220 11TH STREET NWWASHINGTONDC20001HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR SPRING VALLEY
5028 WISCONSIN AVE SUITE 250 310WASHINGTONDC20016REGIONAL OUTPATIENT CENTER
CHILDREN'S NAT'L AMBULATORY SURGERY CTR
9850 KEY WEST AVENUEROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN FREDERICK
5285 WESTVIEW DRIVE SUITE 103FREDERICKMD21703REGIONAL OUTPATIENT CENTER
MOBILE VAN - DENTAL
N/ANADC20010MOBILE HEALTH CARE
CHILDREN'S HEALTH CENTER AT THEARC
1901 MISSISSIPPI AVE SEWASHINGTONDC20020HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR MONTGOMERY CTY
15245 SHADY GROVE ROAD SUITE 350ROCKVILLEMD20858REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT FREDRICKSBURG VA
1300 HOSPITAL DRIVE SUITE 201FREDRICKSBURGVA22401REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL IMAGING CENTER
9850 KEY WEST AVENUE SUITE 110ROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL SPECIALISTS OF VA
3023 HAMAKER COURT SUITE 500FAIRFAXVA22031HEALTH CENTER
CHILDREN'S OUTPATIENT CTR OF HOWARD CTY
7625 MAPLE LAWN BLVD SUITE 230FULTONMD20759REGIONAL OUTPATIENT CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ELIGIBILITY FOR CHARITY CARE PROGRAMSCHEDULE H, PART I, LINE 3C CHILDRENS NATIONAL USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. ELIGIBILITY WAS INCOME BASED AND NOT ASSET BASED.
CHILDREN'S NATIONAL MEDICAL CENTER ANNUAL REPORTSCHEDULE H, PART I, LINE 6 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 FY 2019. TEEN STEPS OF SUCCESS IN OUR COMMUNITY, TEENS HAVE REQUESTED AN OPPORTUNITY TO EXPRESS THEMSELVES, HAVE THEIR QUESTIONS ANSWERED, HAVE SOCIAL CONTACT, GOAL SETTING FOR THE FUTURE AND INFORMATION ON PERSONAL HEALTH AND FITNESS, AS WELL AS HAVE A SAFE HAVEN FOR THEM TO RECEIVE SUPPORT AND ENCOURAGEMENT WHILE MAINTAINING OR BUILDING A SENSE OF SELF-WORTH AND POSITIVE SELF-ESTEEM. SINCE 2013, "SOS: STEPS OF SUCCESS FOR TEENS: REAL ISSUES, REAL FACTS, REAL TALK" HAS SERVED AS A SAFE PLACE FOR TEENS IN ONE OF DC'S MOST VULNERABLE NEIGHBORHOODS TO LEARN, GROW AND ASK QUESTIONS. STEPS OF SUCCESS IS AN ENLIGHTENING AND SUPPORTIVE PROGRAM CONSISTING OF 30 WEEKLY 120 MINUTE SESSIONS. THE PROGRAM SEEKS TO BE A PLACE WHERE TEENS CAN LOOK GOOD AND FEEL GOOD ABOUT THEMSELVES AND EDUCATE THE WHOLE PERSON. PRESENTATIONS ARE INFORMAL, WITH A FOCUS ON DISCUSSING EXPERIENCES. THE PROGRAM'S GOAL IS TO INCREASE AWARENESS ON CURRENT PERSONAL AND HEALTH ISSUES AND TO PROVIDE PREVENTIVE TECHNIQUES FOR TEENS TO BE IN A BETTER POSITION TO MAKE THE INFORMED DECISIONS OF A HEALTHIER LIFESTYLE. THE OTHER GOALS ARE TO HAVE FUN AND FEEL GOOD. IN FY2019, A COHORT OF 16 TEENS WAS EDUCATED IN VARIOUS ASPECTS OF ADOLESCENT DEVELOPMENT BY TRAINED SOCIAL WORKERS AND OTHER MEDICAL PROFESSIONALS. THE PROGRAM IS DESIGNED TO FOCUS ON THE MIND, BODY AND GOALS. THE FOLLOWING TOPICS WERE ADDRESSED: NUTRITION/DIET, HEALTH /FITNESS, PERSONAL HYGIENE, SELF ESTEEM, SELF-IMAGE, SELF-WORTH, SELF-EXPRESSION, ANGER MANAGEMENT, LONELINESS, DIETING, OUR BODIES, TATTOOS AND BODY PIERCING, CULTURAL AWARENESS, DRUGS AND ALCOHOL, SKIN COMPLEXION, DATING BOYS/GIRLS, GENDER ORIENTATION, BABIES, SEX/ABORTION/STDS, RELATIONSHIPS, FAMILY, PARENTS, ADULT TRANSITION, SOCIAL SKILLS, MENTAL HEALTH, STRESS, DEPRESSION, DEATH/DYING/LOSS, GRIEF, YOUNG ADULTHOOD, ETIQUETTE, COMMUNICATION, VIDEO GAMES, ARTISTIC EXPRESSION, COLLEGE/TRADES, CAREER CHOICES, NETWORKING, PROFESSIONALISM, AND ADVOCACY. THE 30 SESSIONS HAD AN 89% ATTENDANCE RATE, INCLUDING TWO CULTURAL EXPOSURE OUTINGS FREE OF CHARGE. TEEN PARTICIPANTS WERE ALSO REQUIRED TO CONTRIBUTE MEANINGFULLY AT EACH SESSION, ALLOWING THEM TO DEVELOP SPEAKING AND INTERPERSONAL SKILLS. 100% OF TEEN PARTICIPANTS RANKED IMPROVEMENT IN SELF-ESTEEM HEALTHY RELATIONSHIPS, PEER PRESSURE, COPING WITH ANGER, AND CULTURAL EXPOSURE PERIOD OF PURPLE CRYING THE PERIOD OF PURPLE CRYING PROGRAM IS AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA (SBS/AHT) PREVENTION PROGRAM AVAILABLE SINCE 2007. THE PROGRAM HAS TWO AIMS: - TO SUPPORT PARENTS AND CAREGIVERS IN THEIR UNDERSTANDING OF EARLY INCREASED INFANT CRYING - TO REDUCE THE INCIDENCE OF SBS/AHT THE PROGRAM APPROACHES SBS/AHT AND INFANT ABUSE PREVENTION BY HELPING PARENTS AND CAREGIVERS UNDERSTAND THE FRUSTRATING FEATURES OF CRYING IN NORMAL, HEALTHY INFANTS THAT CAN LEAD TO SHAKING OR ABUSE. THE PROGRAM PROVIDES THE OPPORTUNITY FOR PARENTS TO LEARN ABOUT THE CRYING CHARACTERISTICS FROM OVER 50 YEARS OF RESEARCH ON NORMAL INFANT CRYING CONDUCTED BY DR. RONALD G. BARR, AND OTHER SCIENTISTS WORLDWIDE. CHILDREN'S NATIONAL IS EDUCATING ALL EMPLOYEES IN CHILD DEVELOPMENT CENTERS AND CHILD DEVELOPMENT HOMES IN THE DISTRICT OF COLUMBIA ON THE PERIOD OF PURPLE CRYING. THE PROGRAM TEACHES PARENTS ABOUT THE NORMAL PHASES OF CRYING A BABY GOES THROUGH, WHICH BEGINS AT ABOUT 2 WEEKS OF AGE, PEAKS AT 2 MONTHS, AND STARTS TO DECREASE AROUND MONTHS 4-5. IT ALSO FOCUSES ON TEACHING PARENTS AND CAREGIVERS THAT THIS A NORMAL STAGE OF DEVELOPMENT AND HOW TO COPE WITH IT. SHAKEN BABY SYNDROME IS A TYPE OF INFLICTED TRAUMATIC BRAIN INJURY THAT HAPPENS WHEN A BABY IS VIOLENTLY SHAKEN. THE PROGRAM HELD MONTHLY ONE-HOUR SESSIONS AT THE HOSPITAL DURING FY 2019 WITH THE GOAL TO INCREASE AWARENESS OF SHAKEN BABY SYNDROME AND PROVIDE EDUCATION ON PREVENTION TECHNIQUES. THE OFFICE OF THE SUPERINTENDENT OF EDUCATION (OSSE) FOR THE DISTRICT OF COLUMBIA MANDATES THIS TRAINING FOR ALL EMPLOYEES. CHILDREN'S NATIONAL IS THE SOLE PROVIDER OF THIS EDUCATION FOR THEIR STAFF. SINCE ITS INCEPTION, CHILDREN'S NATIONAL HAS TRAINED OVER 750 CHILD CARE PROVIDERS THROUGH THIS PROGRAM. IN FY2019, WE PROVIDED EDUCATION TO OVER 60 CHILDCARE PROVIDERS. TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM TOMODACHI INITIATIVE IS A PUBLIC-PRIVATE PARTNERSHIP BETWEEN THE U.S.-JAPAN COUNCIL AND THE U.S. EMBASSY IN TOKYO AND IS LED BY THE CURRENT PRESIDENT OF THE U.S.-JAPAN COUNCIL, IRENE INOUYE. THIS PARTNERSHIP WAS BORN OUT OF SUPPORT FOR JAPAN'S RECOVERY FROM THE GREAT EAST JAPAN EARTHQUAKE, AND INVESTS IN THE NEXT GENERATION OF JAPANESE AND AMERICAN LEADERS THROUGH EDUCATIONAL AND CULTURAL EXCHANGES AS WELL AS LEADERSHIP PROGRAMS. TOMODACHI SEEKS TO FOSTER A "TOMODACHI GENERATION" OF YOUNG AMERICAN AND JAPANESE LEADERS WHO ARE COMMITTED TO AND ENGAGED IN STRENGTHENING U.S.-JAPAN RELATIONS, APPRECIATE EACH OTHER'S COUNTRIES AND CULTURES, AND POSSESS THE GLOBAL SKILLS AND MINDSETS NEEDED TO CONTRIBUTE TO AND THRIVE IN A MORE COOPERATIVE, PROSPEROUS, AND SECURE WORLD. IN COLLABORATION WITH THE TOMODACHI INITIATIVE AND THE JOHNSON & JOHNSON FAMILY OF COMPANIES IN JAPAN, CHILDREN'S NATIONAL CREATED THE TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM TO FACILITATE A PROGRAM AROUND DISASTER MEDICINE AND NURSING FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS STUDYING IN TOHOKU REGION IN JAPAN. THE TOMODACHI INITIATIVE HELPS NURSING STUDENTS LEARN AND PREPARE FOR DISASTERS. THIS PROGRAM ALSO HELPS PARTICIPANTS LEARN DIFFERENT SKILLS THAT THEY CAN APPLY IN CERTAIN DISASTER SITUATIONS. ALL FY2019 PARTICIPANTS COMPLETED THE PROGRAM, AND MET THE FOLLOWING OBJECTIVES: - STUDENTS GAINED ACCESS TO AND KNOWLEDGE OF THE FIELD OF DISASTER MEDICINE AND DISASTER NURSING, WITH A VIEW TOWARD NEW EDUCATIONAL OPPORTUNITIES TO AID AND LEAD THE MEDICAL AND NURSING INDUSTRY IN JAPAN - STUDENTS EXPERIENCED US ORGANIZATIONS, GOVERNMENT ENTITIES, AND PROGRAMS THAT HAVE RESPONDED TO DISASTERS AND HAVE BUILT PROGRAMS IN RESPONSE TO AND IN PREPARATION FOR THE NEXT DISASTER - STUDENTS DEVELOPED LEADERSHIP, NETWORKING, AND INTERPERSONAL SKILLS THROUGH VARIOUS INTERACTIVE ACTIVITIES - INCREASED INSTITUTIONAL KNOWLEDGE AND CAPACITY AROUND DISASTER MEDICINE AND NURSING IN THE TOHOKU REGION AND BEYOND - DESIGNED OPPORTUNITIES TO BUILD INSTITUTIONAL PARTNERSHIPS THAT CAN SUSTAIN THE CURRICULUM BEYOND THE THREE-YEAR TOMODACHI PROGRAM - STUDENTS AND MENTORS PRESENTED THEIR EXPERIENCES, CHALLENGES, AND OPPORTUNITIES, AS WELL AS THEIR FINDINGS AND LESSONS LEARNED FROM THE U.S. STUDY TOUR TO COLLEAGUES IN TOHOKU AND ELSEWHERE IN JAPAN IN FY2019, THE CHILDREN'S NATIONAL NURSING, EMERGENCY, AND SIMULATION DEPARTMENTS WELCOMED 7 NURSES, WHO WERE TRAINED IN CRITICAL DISASTER NURSING SKILLS. THESE NURSES CAN NOW TAKE THESE SKILLS BACK TO THEIR HOME COMMUNITIES AND CONTINUE TO TRAIN MEDICAL PROFESSIONALS TO PREPARE FOR THE UNEXPECTED EMERGENCY SITUATION. EARLY CHILDHOOD INNOVATION NETWORK THE EARLY CHILDHOOD INNOVATION NETWORK (ECIN) IS AN INITIATIVE SPEARHEADED BY A COLLABORATION BETWEEN CHILDREN'S NATIONAL HOSPITAL AND MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, ALONG WITH MANY OTHER PARTNERSHIPS THROUGHOUT THE CITY. ITS AIM IS TO PREVENT AND AMELIORATE THE EFFECTS OF TOXIC STRESS IN YOUNG CHILDREN, AGES 0-5, AND THEIR FAMILIES, AND IMPROVE THEIR RESILIENCE. ECIN IMPLEMENTS AND EVALUATES INNOVATIVE INTERVENTIONS IN PEDIATRIC PRIMARY CARE, EARLY LEARNING, AND OTHER HOME AND COMMUNITY-SERVING AGENCIES. ECIN ALSO ADVOCATES FOR POLICY CHANGES TO ENSURE FURTHER CITY-WIDE DISSEMINATION OF EFFECTIVE MODELS AND FURTHER COLLABORATION ACROSS CHILD-SERVING SECTORS. IN FY2019, ECIN SOUGHT TO EXPAND COMMUNITY PARTNERS AND INTERVENTIONS, IMPLEMENT AND SCALE THE INTERVENTIONS AND SERVICES. THE PROGRAM LEAD THE IMPLEMENTATION OF PEDIATRIC PRIMARY CARE INTERVENTION, HEALTHYSTEPS, AT CHILDREN'S HEALTH CENTER (CHC)-ANACOSTIA, AND CHC-THEARC, AND CONTINUED PREPARATION FOR EXPANSION AT CHC-ANACOSTIA. AT EDUCARE DC, AN EARLY LEARNING CENTER IN WARD 7, ECIN CONTINUED TO PROVIDE SUPPORT AND TRAINING ON BEST PRACTICES FOR INTEGRATION OF EARLY CHILDHOOD MENTAL HEALTH CONSULTATION. THIS INTEGRATION INCLUDES A STRATEGY TO IMPROVE TEACHERS' ABILITY TO HANDLE BEHAVIORAL CONCERNS IN THE CLASSROOM, AND "MINDFUL PARENTING" WORKSHOPS. DATA FROM THE ECIN MINDFUL PARENTING PROGRAM SHOWED SIGNIFICANT DECREASES IN SLEEP DISTURBANCE, PARENTAL DISTRESS, DEPRESSIVE SYMPTOMS, AND SIGNIFICANT INCREASES IN PARENTAL SUPPORT. DURING THE 2018-19 SCHOOL YEAR AT THE APPLE TREE PUBLIC CHARTER PRE-SCHOOL, ECIN CONTINUED TO IMPLEMENT THE EARLY CHILDHOOD MENTAL HEALTH CONSULTATION INITIATIVE. PROGRAM MANAG
COSTING METHODOLOGY- CHARITY AT COST SCHEDULE H, PART I, LINE 7A HOSPITAL 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.
- MEDICAIDSCHEDULE H, PART I, LINE 7B HOSPITAL AND PHYSICIAN GROSS PATIENT REVENUE AND PAYMENT FROM FINANCIAL DECISION SUPPORT SYSTEMS WERE ADJUSTED TO COST USING THE COST TO CHARGES RATIO PER THE IRS INSTRUCTIONS. MEDICAID GRADUATE MEDICAL EDUCATION (GME) ADD-ON PAYMENTS WERE EXCLUDED AS THEY ARE REPORTED ON THE HEALTH EDUCATION LINE. CHILDREN'S NATIONAL GME INDIRECT MEDICAL EDUCATION (IME) PAYMENTS WERE INCLUDED AS PER 990 INSTRUCTIONS.
- HEALTH EDUCATIONSCHEDULE H, PART I, LINE 7F THE HEALTH EDUCATION COST INCLUDES THE TOTAL COST OF INTERNS AND RESIDENTS FROM THE FY19 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).
- SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, LINE 7G THE HOSPITAL AND PHYSICIAN COMBINED SERVICE LINES FOR PROGRAMS IN UNDERSERVED AREAS WITH LOSSES WERE REPORTED AS SUBSIDIZED HEALTH SERVICES. TOTAL CHARGES WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO BASED ON THE IRS INSTRUCTIONS. THE CLAIMS PAYMENTS WERE NETTED AGAINST THE COST. COSTS ATTRIBUTABLE TO A PHYSICAL CLINIC AS DESCRIBED BY DEFINITION, 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 $ 5,933,167 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S 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.
- OTHER BENEFITSSCHEDULE H, PART I, LINES 7 E & I IN 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.
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 SUPPORT, COMMUNITY HEALTH IMPROVEMENT ADVOCACY, ECONOMIC DEVELOPMENT, ENVIRONMENTAL IMPROVEMENTS AND WORKFORCE DEVELOPMENT. COMMUNITY SUPPORT: CHILDREN'S NATIONAL EMPLOYEES DEDICATE TIME TO LOCAL CHARITIES, COALITIONS, AND PROVIDE DONATIONS TO CAUSES IMPORTANT TO THE COMMUNITY WE SERVE. FOR EXAMPLE, OUR EMERGENCY MEDICINE AND SAFETY STAFF PROVIDES SUPPORT TO THE CITY'S EMERGENCY PREPAREDNESS ACTIVITIES TO PREPARE FOR AN UNSEEN EVENT. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: OUR 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 2019, 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, CONCUSSION PREVENTION IN YOUTH SPORTS, INCREASING PEDIATRIC MENTAL HEALTH RESOURCES, AND IMPROVING TRAUMA-INFORMED CARE TRAININGS FOR PEDIATRIC MEDICAL PROVIDERS. THE TEAM ALSO COORDINATED ADVOCACY EFFORTS WITH OTHER COMMUNITY ORGANIZATIONS AND ADVOCATES AT THE LOCAL AND NATIONAL LEVEL. ECONOMIC DEVELOPMENT: CHILDREN'S NATIONAL EMPLOYEES PROVIDE TIME, EXPERTISE, AND DONATIONS, WHEN APPROPRIATE, WITH A VARIETY OF COMMUNITY PARTNERS. THESE PARTNERS INCLUDE THE GREATER WASHINGTON HISPANIC CHAMBER OF COMMERCE AND OTHER ECONOMIC DEVELOPMENT GROUPS WITH THE AIM TO BRING MEASURABLE, PERMANENT IMPROVEMENT IN THE LIVES OF DC RESIDENTS, PARTICULARLY THOSE IN LOW-INCOME NEIGHBORHOODS AND COMMUNITIES OF COLOR. ENVIRONMENTAL IMPROVEMENTS: CHILDREN'S NATIONAL EMPLOYEES PARTICIPATED IN A COUNCIL WHERE THEY SHARED THEIR EXPERTISE ALONGSIDE A VARIETY OF STAFF FROM OTHER HOSPITALS TO DISCUSS BEST PRACTICES REGARDING SAFE AND ENVIRONMENTALLY SUSTAINABLE HOSPITAL SUPPLIES. THIS COUNCIL MADE RECOMMENDATIONS TO A COMPANY THAT HANDLES THE PURCHASING OF EQUIPMENT AND MATERIALS FOR MAJOR US HOSPITALS. 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 THE URBAN ALLIANCE INTERNSHIP PROGRAM, CHILDREN'S NATIONAL PROVIDES INTERNSHIPS TO LOCAL HIGH SCHOOL STUDENTS. 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. THE VAST MAJORITY OF YOUTH INTERNING AT CHILDREN'S NATIONAL THROUGH URBAN ALLIANCE ARE FROM DC'S MOST UNDER-RESOURCED NEIGHBORHOODS. CHILDREN'S NATIONAL ALSO SUPPORTS THE CHILD CARE TECHNICIAN PROGRAM WHICH ALLOWS UNIVERSITY STUDENTS INTERESTED IN NURSING TO SHADOW TWO PEDIATRIC NURSES DURING A SUMMER INTERNSHIP. THESE STUDENTS WORK CLOSELY WITH A PRECEPTOR AND SUPERVISOR LEARNING THE SKILLS AND TECHNIQUES OF A PEDIATRIC NURSE.
BAD DEBT EXPENSESCHEDULE H, PART III, LINES 2-4 THE HOSPITAL AND PHYSICIAN BAD DEBT WRITE-OFF REPORTED IN THE AUDITED FINANCIAL STATEMENTS WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO CALCULATION PER THE IRS INSTRUCTIONS. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO CHILDREN'S HOSPITAL. FINANCIAL ASSISTANCE ELIGIBLE PATIENTS RECEIVE A 100% DISCOUNT ON THE BALANCE DUE. PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENT BALANCES DUE. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER COLLECTION EFFORTS (BILLING STATEMENTS AND PHONE CALLS) ARE UNSUCCESSFUL. BAD DEBT IS NOT INCLUDED IN CHILDREN'S NATIONAL'S COMMUNITY BENEFIT. A DEMOGRAPHIC ANALYSIS BASED ON ZIP CODES WAS COMPLETED TO ESTIMATE THE AMOUNT OF BAD DEBT THAT COULD HAVE BEEN ATTRIBUTED TO PATIENTS WITH A LIKELIHOOD OF QUALIFYING FOR FINANCIAL ASSISTANCE HAD SUFFICIENT INFORMATION BEEN OBTAINED TO DETERMINE THEIR ELIGIBILITY. BASED ON THE ANALYSIS, APPROXIMATELY $2.3M, OF BAD DEBT COULD HAVE BEEN ATTRIBUTED TO FINANCIAL ASSISTANT ELIGIBLE PATIENTS. CHILDREN'S HOSPITAL REPORTS ITS APPLICABLE BAD DEBT ($33.5 MILLION) AMOUNT WITHIN THE AUDITED FINANCIAL STATEMENTS. THERE IS NO SPECIFIC FOOTNOTE FOR BAD DEBT IN THE STATEMENTS.
COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT ON LINE 6SCHEDULE H, PART III, LINE 8 MEDICARE SHORTFALLS ARE NOT INCLUDED AS A COMMUNITY BENEFIT AS ANY SHORTFALL DETERMINATION FROM THE MEDICARE COST REPORT IS EVENTUALLY PAID AS A SETTLEMENT.
COLLECTION PRACTICESSCHEDULE H, PART III, LINES 9A AND 9B CHILDREN'S HOSPITAL HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS. CHILDREN'S HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S HOSPITAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY. COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, CHILDREN'S OFFERS PAYMENT PLANS. BILLING STATEMENTS WILL BE SENT TO GUARANTORS FOR OUTSTANDING BALANCES. ATTEMPTS TO CONTACT THE GUARANTORS VIA PHONE WILL ALSO OCCUR. ACCOUNTS WITH BALANCES AND NO RESPONSE FROM GUARANTORS AFTER REPEATED STATEMENTS AND PHONE CALLS WILL BE WRITTEN OFF TO BAD DEBT. AN EXTERNAL AGENCY WILL THEN ATTEMPT TO REACH THE PATIENT FOR PAYMENT. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. IF THE EXTERNAL AGENCY'S EFFORTS, PROVE TO BE INEFFECTIVE THE ACCOUNT WILL BE CLOSED WITH THE AGENCY AND THEIR EFFORTS WILL CEASE. CHILDREN'S HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES, E.G. CREDIT REPORTING, WAGE GARNISHMENTS, LIENS, ETC.
COMMUNITY HEALTH CARE NEEDS ASSESSMENTSCHEDULE H, PART VI, LINE 2 CHILDREN'S NATIONAL, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, CONDUCTS A COMMUNITY-WIDE CHNA EVERY THREE YEARS IN ORDER TO TRULY 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 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 AND FINDINGS INCLUDED: - 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. 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.
ELIGIBILITY EDUCATIONSCHEDULE H, PART VI, LINE 3 CHILDREN'S HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY (FAP) THAT PROVIDES ELIGIBLE PATIENTS WITH DISCOUNTED EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES PROVIDED BY CHILDREN'S HOSPITAL. CHILDREN'S WILL PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL PROHIBITS ANY ACTIONS THAT WOULD DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. FINANCIAL ASSISTANCE INFORMATION, INCLUDING THE POLICY AND PLAIN LANGUAGE GUIDES, AND APPLICATION FORM, IS AVAILABLE ON CHILDREN'S PUBLIC WEBSITE. FINANCIAL ASSISTANCE COUNSELORS ARE AVAILABLE IN PERSON AND VIA PHONE. THE COUNSELORS CONTACT INFORMATION IS PUBLICIZED ON THE WEBSITE. CUSTOMER SERVICE CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AS WELL AS BILLING STATEMENTS. SIGNAGE ALERTING PATIENTS TO THE AVAILABILITY OF FINANCIAL AID IS POSTED AT REGISTRATION AREAS AND APPLICATIONS ARE READILY AVAILABLE. CHILDREN'S ALSO WORKS WITH EXTERNAL VENDORS WHO ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE APPLICATION AS WELL AS APPLYING FOR STATE MEDICAID AND OTHER FEDERAL AND LOCAL PROGRAMS. THE FOLLOWING PROCESSES TAKE PLACE FOR FAMILIES WHO DO NOT HAVE INSURANCE OR WHO CANNOT PAY. 1. THROUGH OUR CONTRACTED COMPANIES (MEDLAW AND DECO) WHO RESIDE IN OUR FINANCIAL INFORMATION CENTER (FIC), AN APPLICATION IS MADE FOR MEDICAL ASSISTANCE AND OUR FINANCIAL ASSISTANCE PROGRAM (FAP). ELIGIBILITY IS CONSIDERED FOR ALL APPROPRIATE PUBLIC PROGRAMS. IN AN EFFORT TO HAVE THIS PROCESS TO TAKE PLACE PRIOR TO THE MEDICAL VISIT. FAP APPLICATIONS ARE MAILED TO SELF-PAY PATIENTS WHEN THEY MAKE AN APPOINTMENT. 2. WHILE THE APPLICATION IS IN PROCESS, THE PATIENT IS REGISTERED AS MEDICAID PENDING AND THE MEDICAL VISIT TAKES PLACE (CITIZENS ONLY). NON-CITIZENS ARE REGISTERED AS SELF-PAY. 3. IF THE PATIENT IS DETERMINED TO BE MEDICAID ELIGIBLE, THE PATIENT REGISTRATION IS CONVERTED TO THE MEDICAID PLAN. 4. IF NOT ELIGIBLE, THE PATIENT'S CHARITY CARE APPLICATION IS FURTHER EVALUATED FOR CHARITY CARE BY CHILDREN'S CUSTOMER SERVICE STAFF IN THE FIC. 5. IF FAP IS APPROVED, THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. THE ACCOUNTS ARE MANAGED BY CUSTOMER SERVICE STAFF. ONLY EXPECTED BALANCES REMAIN ON THE ACCOUNT AND FAMILIES RECEIVE STATEMENTS SHOWING THEIR RESPONSIBILITY. 6. IF FAP IS NOT APPROVED, THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. FAMILIES CAN SET UP PAYMENT PLANS TO RESOLVE THEIR ACCOUNT BALANCES. 7. MEDICALLY INDIGENT STATUS CAN APPLY FOR INSURED FAMILIES. THIS STATUS CAN BE EVALUATED AT ANY TIME IF A FAMILY'S REMAINING BALANCE (EXCLUDING ANY DEDUCTIBLES) AFTER THIRD PARTY PAYER PAYMENT IS GREATER THAN 30% OF ANNUAL INCOME LESS HOUSING EXPENSES. - WHENEVER APPLICABLE, IT IS ENCOURAGED THAT FAMILIES REVIEW THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE THE APPOINTMENT DATE. APPOINTMENTS ARE TYPICALLY MADE WITH THE FIC OFFICE WHEN FAMILIES MAKE THEIR MEDICAL APPOINTMENTS. THEY CAN GO DIRECTLY TO THE FIC OFFICE AT CHILDREN'S HOSPITAL AT ANY OTHER TIME. - FAMILIES ARE ENCOURAGED TO COOPERATE WITH OUR STAFF BY SUPPLYING ALL NECESSARY INFORMATION FOR THE MEDICAID AND FAP APPLICATIONS.
DESCRIPTION OF COMMUNITY SERVEDSCHEDULE H, PART VI, LINE 4 AS THE ONLY EXCLUSIVE PROVIDER OF PEDIATRIC CARE IN THE NATION'S CAPITAL, CHILDREN'S NATIONAL HAS THE PRIVILEGE OF SERVING 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 42.5% BLACK; 45.1% WHITE; 11.7% LATINO; 4.2% ASIAN AND 0.1% 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 ABOUT 18 PERCENT OF THE POPULATION WITH THE HIGHEST 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 56% CHILDREN'S NATIONAL PATIENTS, AND CHILDREN'S NATIONAL IS THE LARGEST PROVIDER OF PEDIATRIC CARE FOR RESIDENTS OF NORTHERN VIRGINIA AS WELL. THE NEEDS OF THE POPULATION SERVED IN MARYLAND AND NORTHERN VIRGINIA ARE SIMILAR TO THE DISTRICT OF COLUMBIA. WE ALSO OFFER FAMILIES A LINK TO QUALITY PEDIATRIC CARE THROUGH OUR MOBILE MEDICAL PROGRAM AND AT COMMUNITY CENTERS. OUR TEAM AVERAGES MORE THAN 478,000 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 50 LOCATIONS IN THE DISTRICT OF COLUMBIA AND THROUGHOUT THE METROPOLITAN AREA. IN FISCAL YEAR 2019, WE PERFORMED 17,535 SURGICAL PROCEDURES, 123,911 DIAGNOSTIC IMAGING PROCEDURES, AND MORE THAN 1 MILLION LABORATORY TESTS.
PROMOTING THE HEALTH OF THE COMMUNITYSCHEDULE H, PART VI, LINE 5 CHILDREN'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 PARTICULAR FOCUS ON THE MOST VULNERABLE CHILDREN AND FAMILIES. WE DEFINE ADVOCACY IN THE HEALTH CARE SETTING AS: ACTION BY A PHYSICIAN [OR OTHER HEALTH CARE PROFESSIONAL] TO PROMOTE THOSE SOCIAL, ECONOMIC, EDUCATIONAL, [INSTITUTIONAL,] AND POLITICAL CHANGES THAT AMELIORATE THE SUFFERING AND THREATS TO HUMAN HEALTH AND WELL-BEING THAT HE OR SHE IDENTIFIES THROUGH HIS OR HER PROFESSIONAL WORK AND EXPERTISE (EARNEST ET AL, 2010). THE CHAI OPERATIONALIZES THIS DEFINITION AND OUR MISSION TO ADVANCE HEALTH EQUITY THROUGH OUR FOUR CORE FOCUS AREAS: COMMUNITY ENGAGEMENT, DATA, EDUCATION, AND POLICY. 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 WE ADD OUR UNIQUE APPROACH TO ADDRESSING COMMUNITY HEALTH PRIORITIES AND PROMOTING HEALTH EQUITY. WE KNOW WE CANNOT DO THIS WORK 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. OUR LOCATION IN THE NATION'S CAPITAL GIVES CHILDREN'S NATIONAL THE OPPORTUNITY TO BE AN IMPORTANT VOICE ON LOCAL, STATE AND FEDERAL POLICY WITH AN EMPHASIS ON CHILDREN FACING HEALTH INEQUITIES. CHILDREN'S NATIONAL IS AWARE THAT COMMUNITY HEALTH IMPROVEMENT REQUIRES INTERNAL AND EXTERNAL STAKEHOLDERS. TO CREATE A FOUNDATION FOR STRONG INTERNAL STAKEHOLDER 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 THE CURRENT FISCAL YEAR, WE ARE DEVELOPING 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 ALSO 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 ADDITION, CHAI LEADS INTERN ADVOCACY DAY AT A LOCAL FOODBANK AND A MOVING CONVERSATION, WHICH IS A BUS TRIP TO LEARN ABOUT THE ASSETS AND BARRIERS FOR FAMILIES IN OUR COMMUNITY, ALONG WITH MANY OTHER INTERDISCIPLINARY EDUCATIONAL PROGRAMS TO BUILD EMPLOYEE CAPACITY IN HEALTH EQUITY AND COMMUNITY HEALTH IMPROVEMENT. THE SUCCESS OF THESE EFFORTS TO EDUCATE OUR CHILDREN'S NATIONAL STAFF ABOUT THE SOCIAL AND ECONOMIC NEEDS OF OUR FAMILIES PROVIDES THE RIGHT TIME TO IMPLEMENT AN ORGANIZATIONAL-WIDE ADVOCACY STRATEGIC PLAN. DURING FISCAL YEAR 2018 AND FISCAL YEAR 2019, CHILDREN'S NATIONAL ENGAGED IN A FORMAL PLANNING PROCESS TO DEVELOP A FIVE-YEAR STRATEGIC PLAN (FY21-FY25). THE PLAN WAS FORMED AROUND THREE FOCAL AREAS ESTABLISHED BY THE HOSPITAL CEO AND LEADERSHIP: CLINICAL PROGRAMS AND GROWTH, RESEARCH AND INNOVATION, AND COMMUNITY HEALTH. THESE AREAS ARE DEPICTED AS A TRIANGLE WITH "COMMUNITY HEALTH" BEING THE FOUNDATIONAL BASE. AS PART OF THE FORMAL INSTITUTION-WIDE STRATEGIC PLANNING PROCESS, THE CHAI PARTICIPATED IN SEVERAL WORKGROUPS ACROSS THE HOSPITAL'S FOCAL AREAS AND CHNA PRIORITIES. THE CHAI PLAYED A LEADING ROLE IN THE HOSPITAL'S COMMUNITY HEALTH WORKGROUP. THIS WORKGROUP WAS COMPRISED OF A CROSS-DISCIPLINARY GROUP OF LEADERS FROM CHILDREN'S NATIONAL WHO PLAY AN ACTIVE ROLE IN COMMUNITY HEALTH AND/OR HAVE EXPERTISE IN THE COMMUNITY HEALTH PRIORITIES. THE WORKGROUP WAS CHARGED WITH DEVELOPING A PLAN TO ADDRESS THE THREE COMMUNITY HEALTH PRIORITIES. THE CHAI CREATED A FISCAL YEAR 2019 CHAI DIVISIONAL GOAL TO DEVELOP A FIVE-YEAR CHAI STRATEGIC PLAN THAT WILL GUIDE ADVOCACY ACTIONS IN SUPPORT OF THE INSTITUTION'S COMMUNITY HEALTH GOALS AND CHNA PRIORITIES. AS THE CHAI SET ABOUT ITS OWN STRATEGIC PLANNING PROCESS FOR THE COMING YEARS, SEVERAL THINGS WERE CLEAR: 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. THE CHAI ENGAGED A WIDE RANGE OF HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS TO IDENTIFY ACTIONS THAT CHILDREN'S NATIONAL COULD TAKE TO ADDRESS THE COMMUNITY HEALTH GOALS FROM A POLICY-SYSTEMS PERSPECTIVE. WE CATALOGUED AND SYNTHESIZED NEARLY ONE 90 UNIQUE RECOMMENDED ACTIONS FROM OVER 100 PARTICIPANTS. THESE ACTIONS ARE BROKEN INTO THREE LEVELS OF CHANGE: SYSTEM/INSTITUTIONAL, COMMUNITY, AND LEGISLATIVE. 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.
AFFILIATED HEALTH CARE SYSTEM ROLESSCHEDULE H, PART VI, LINE 6 CHILDREN'S HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING TAX-EXEMPT ENTITIES: - CHILDREN'S NATIONAL MEDICAL CENTER - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBILITY FOR HEALTH CARE SYSTEM - CHILDREN'S HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING - CHILDREN'S RESEARCH INSTITUTE - 501(C)(3), CONDUCTING CLINICAL MEDICAL RESEARCH AND EDUCATION PROGRAMS - SAFE KIDS WORLDWIDE - 501(C)(3), INJURY PREVENTION FOR CHILDREN - BRAINY CAMPS ASSOCIATION - 501(C)(3), PROVISION OF CAMPS FOR CHILDREN - CHILDREN'S NATIONAL ADVOCACY & PUBLIC POLICY INC. - 501(C)(3), ADVOCATING FOR CHILDREN'S HEALTH ISSUES - CHILDREN'S HOSPITAL SELF-INSURANCE TRUST - 501(C)(3), PROVISION OF INSURANCE TO SYSTEM EACH ENTITY PARTICIPATES IN THE CHILDREN'S NATIONAL MEDICAL CENTER'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS. - CHILDREN'S SCHOOL SERVICES - 501(C)(3), SCHOOL NURSING SERVICES
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, LINE 7 DC

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 (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 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
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)$1,286,909$0$975,000$0$31,994$0$214,600$0$47,242$0$2,555,745$0$0$0
ALEC KING
EVP/CFO$606,181$0$345,610$0$125,784$0$115,867$0$33,409$0$1,226,851$0$59,372$0
MARY ANNE HILLIARD
BOARD SECRETARY$464,550$0$278,557$0$76,668$0$88,783$0$42,385$0$950,943$0$54,645$0
DAVID WESSEL MD
CMO$608,775$0$370,239$0$166,144$0$109,468$0$79,353$0$1,333,979$0$95,718$0
DENICE CORA-BRAMBLE MD
CMO$606,076$0$375,216$0$111,139$0$109,468$0$61,204$0$1,263,103$0$85,422$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER$494,395$0$292,500$0$75,000$0$13,750$0$14,104$0$889,749$0$75,000$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE$856,058$0$506,192$0$115,046$0$146,958$0$50,582$0$1,674,836$0$92,006$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER$542,832$0$318,990$0$114,731$0$99,500$0$41,549$0$1,117,602$0$91,978$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER$697,740$0$416,093$0$134,768$0$121,546$0$18,058$0$1,388,205$0$105,801$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE$534,640$0$333,016$0$121,740$0$26,650$0$43,206$0$1,059,252$0$70,354$0
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER$459,668$0$138,632$0$60,236$0$50,583$0$32,789$0$741,908$0$37,875$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER$499,575$0$240,115$0$86,179$0$71,847$0$55,029$0$952,745$0$60,029$0
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION$339,054$0$96,264$0$31,168$0$13,750$0$2,617$0$482,853$0$21,723$0
LINDA TALLEY
CHIEF NURSING OFFICER$336,652$0$98,630$0$48,946$0$11,513$0$12,530$0$508,271$0$27,608$0
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF$267,218$0$89,045$0$38,617$0$13,750$0$24,408$0$433,038$0$18,599$0
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER$692,772$0$408,546$0$145,132$0$121,262$0$77,753$0$1,445,465$0$107,512$0
RICHARD JONAS MD
CHIEF OF CARDIOLOGY$1,971,085$0$250,500$0$197,527$0$173,750$0$39,847$0$2,632,709$0$160,000$0
ROBIN STEINHORN MD
SVP CENTER OF EXCELLENCE$547,324$0$334,739$0$115,805$0$101,619$0$74,096$0$1,173,583$0$40,970$0
PETER KIM MD
VP SHEIKH ZAYED INST TO 4/2018$172,129$0$75,000$0$866,566$0$6,049$0$6,284$0$1,126,028$0$0$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY$825,890$0$176,807$0$80,026$0$98,948$0$25,026$0$1,206,697$0$78,838$0
DEANN MARSHALL
PRESIDENT OF FOUNDATION$548,068$0$395,010$0$131,886$0$9,952$0$40,118$0$1,125,034$0$0$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY$667,772$0$355,553$0$2,838$0$13,750$0$23,543$0$1,063,456$0$0$0
JOHN MYSEROS MD
NEUROSURGEON$692,765$0$156,505$0$1,518$0$13,750$0$15,601$0$880,139$0$0$0
RAHUL K SHAH MD
FORMER BOARD MEMBER to 6/2014$435,549$0$123,162$0$51,566$0$13,750$0$1,836$0$625,863$0$32,406$0
DAVID STOCKWELL
FORMER BOARD MEMBER to 6/2016$176,101$0$41,207$0$1,328$0$10,289$0$723$0$229,648$0$0$0
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE$398,011$0$44,756$0$40,948$0$57,750$0$35,565$0$577,030$0$35,942$0
KAREN SMITH MD
FORMER BD MBR/CHIEF OF HOSP.$249,818$0$50,285$0$19,702$0$11,173$0$15,338$0$346,316$0$0$0
MENDEL TUCHMAN MD
FORMER CRO TO 6/30/17$189,442$0$68,851$0$41,792$0$10,432$0$27,077$0$337,594$0$20,250$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 1, 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: PETER KIM $865,802
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 $200,850 ANTHONY SANDLER, MD $133,208 RICHARD JONAS, MD $160,000 KATHLEEN CHAVANU GORMAN $107,796 MARK L. BATSHAW, MD $107,512 DAVID WESSEL, MD $ 95,718 DENICE CORA-BRAMBLE, MD $ 95,718 ALEC KING $102,117 ELIZABETH FLURY $ 85,750 ROBIN STEINHORN, MD $ 87,869 ROGER PACKER, MD $ 12,900 ROBERT KEATING, MD $ 85,198 MARY ANNE HILLIARD $ 75,033 DARRYL VARNADO $ 64,291 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
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$12,930,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$413,728,662TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$410,562,146RefundingEscrowAmt
Issuance Costs From Proceeds$3,166,515IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)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 BONDS ISSUED 10.26.05 & 4.10.08ExplanationTxt

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$80,000falseYes (true)Yes (true)
DEANN MARSHALL
HIGHEST COMPENSATED EMPLOYEEHOUSING LOAN - COMPYes (X)$500,000$300,000falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$380,000TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1 AND PART III, LINE 1 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.
CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PART VI, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE 9/4/18 TO HELP DELINEATE/CLARIFY ROLES AND RESERVED POWERS OF THE MEMBER, BOARD, AND MANAGEMENT.
MEMBERS OR STOCKHOLDERSFROM 990, PART VI, LINES 6, 7A AND 7B CHILDREN'S NATIONAL MEDICAL CENTER IS THE SOLE MEMBER OF CHILDRENS HOSPITAL AND HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S HOSPITAL. THE ARTICLES AND BY-LAWS OF CHILDREN'S HOSPITAL DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER.
FORM 990 REVIEW PROCESSFORM 990, PART VI, LINE 11B 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 CNMC, AS WELL AS THE CHAIRMAN EMERITUS OF CNMC, PRIOR TO FILING WITH IRS. CHILDREN'S HOSPITAL PROVIDES A COPY OF THE FORM 990 TO THE FULL CHILDREN'S HOSPITAL BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER BEFORE FILING.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, LINE 12C CHILDREN'S 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 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.
GOVERNING POLICIESFORM 990, PART VI, LINES 13 & 14 CHILDREN'S HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, LINES 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF THE CNMC 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.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, LINE 19 CHILDREN'S HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST.
FORMER OFFICERS, DIRECTORS, AND KEY EMPLOYEESFORM 990, PART VII, SECTION A FIVE FORMER OFFICERS, DIRECTORS, OR KEY EMPLOYEES ARE LISTED AS "FORMER" ON PART VII, BUT CONTINUE TO BE EMPLOYED BY CHILDREN'S HOSPITAL IN A LESSER CAPACITY. THEY NO LONGER SERVE CHILDREN'S HOSPITAL IN THEIR PRIOR ROLES AS OFFICERS, DIRECTORS, OR KEY EMPLOYEES.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 EQUITY TRANSFER RELATED TO NEW MARKETS TAX CREDIT ($17,705,691)

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$158,575$0CH
CHILDREN'S NATIONAL at Walter Reed LLC
111 MICHIGAN AVENUE NWWASHINGTONDC20010383987350HEALTH CAREDC$0$54,460,118CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NWWASHINGTONDC20010521654453RESEARCHDC501(C)(3)10CNMCfalse
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640403HEALTH CAREDC501(C)(3)12 - III FINAfalse
SAFE KIDS WORLDWIDE
1255 23RD STREET NWWASHINGTONDC20037521627574INJURY PRVNTNDC501(C)(3)07CNMCfalse
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640399INSURANCEDC501(C)(3)12-111 FICHYes (true)
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640402FUNDRAISINGDC501(C)(3)07CNMCfalse
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010271547370CHILD CAMPSDC501(C)(3)12 TYPE ICHYes (true)
CHILDREN'S NAT'L ADVOC & PUBLIC POLICY
111 MICHIGAN AVENUE NWWASHINGTONDC20010271564354ADVOCACYDC501(C)(3)12 TYPE IICNMCfalse
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NWWASHINGTONDC20010814291601NURSING SVCSDC501(C)(3)12 TYPE ICNMCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
CPA
111 MICHIGAN AVE NWWASHDC20010522072589HEALTH CAREDCNARELATED-$7,653$3,505,196falsefalse0.50000
5253 NMTC LLC
111 MICHIGAN AVE NWWASHDC20010832873855PROPERTY MGMTDCNAN/A
5253 HTC LLC
111 MICHIGAN AVE NWWASHDC20010833044006PROPERTY MGMTDCNAN/A
54 NMTC LLC
111 MICHIGAN AVE NWWASHDC20010833358685PROPERTY MGMTDCNAN/A
54 HTC LLC
111 MICHIGAN AVE NWWASHDC20010833385522PROPERTY MGMTDCNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NWWASHINGTONDC20010521996521HEALTH CAREDCNAC Corpfalse
BEARACUDA RE
REINSURANCENAC CorpfalsePO BOX 69 KY1-1102GRANDCAYMANCJCJ
PEDIATRIC HEALTH NETWORK INC
12211 PLUM ORCHARD DR STE 102SILVER SPRINGMD20904833415276HEALTH CAREDCNAC Corpfalse
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832801690PROPERTY MGMTDCC CORPfalseN/A
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833272918PROPERTY MGMTDCC CORPfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
R$8,402,067COST
BRAINY CAMPS ASSOCIATION
Q$472,946COST
BRAINY CAMPS ASSOCIATION
S$313,774COST