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CHILDRENS HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201931349349303763
Schema version
2017v2.3
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)
Return2019-05-14T11:26:43-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMary TorrettaPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum
Preparation2019-04-26PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.220.136.124IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54681420191345000007FederalOriginalSubmissionId
Federal Original Submission Id2019-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAA918D8483008E32154F6CC583B06457B9AF9E42AtSubmissionCreationDeviceId
At Submission Filing Device IdF3025B962F5CDC81089D134DBE2E83273904A17CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$1,232,846,406GrossReceiptsAmt
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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee8137TotalEmployeeCnt
Total Volunteers1608TotalVolunteersCnt
Total Gross UBI$1,195,024TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,271,798NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$87,200,911PYContributionsGrantsAmt
CY Contributions Grants$33,258,313CYContributionsGrantsAmt
PY Program Service Revenue$1,089,195,010PYProgramServiceRevenueAmt
CY Program Service Revenue$1,122,402,152CYProgramServiceRevenueAmt
PY Investment Income$2,764,801PYInvestmentIncomeAmt
CY Investment Income$5,631,438CYInvestmentIncomeAmt
PY Other Revenue-$6,150,154PYOtherRevenueAmt
CY Other Revenue-$5,611,444CYOtherRevenueAmt
PY Total Revenue$1,173,010,568PYTotalRevenueAmt
CY Total Revenue$1,155,680,459CYTotalRevenueAmt
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$624,798,020PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$663,725,506CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$432,580,911PYOtherExpensesAmt
CY Other Expenses$421,518,541CYOtherExpensesAmt
PY Total Expenses$1,057,378,931PYTotalExpensesAmt
CY Total Expenses$1,085,244,047CYTotalExpensesAmt
PY Revenues Less Expenses$115,631,637PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$70,436,412CYRevenuesLessExpensesAmt
Total Assets BOY$1,421,366,300TotalAssetsBOYAmt
Total Assets EOY$1,484,417,571TotalAssetsEOYAmt
Total Liabilities BOY$794,934,106TotalLiabilitiesBOYAmt
Total Liabilities EOY$781,788,335TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$626,432,194NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$702,629,236NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSee Schedule O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$716,332,592ExpenseAmt
Revenue$1,111,220,215RevenueAmt
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 FY18 COMMUNITY BENEFIT REPORT.Desc
Total Program Service Expenses$716,332,592TotalProgramServiceExpensesAmt
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 Document939IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8137EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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
States Where Copy Of Return Is FldDCStatesWhereCopyOfReturnIsFldCd
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 (44 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 SECRETARY/TREASURER1.00.0Yes (X)Yes (X)$0$0$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)39.016.0Yes (X)Yes (X)$2,471,800$0$294,314
DIEDRE ADKINS
BOARD MEMBER1.00.0Yes (X)$0$0$0
DARYL DAVIS
BOARD MEMBER1.00.0Yes (X)$0$0$0
IVY WAFFORD DUKE
BOARD MEMBER1.00.0Yes (X)$0$0$0
M FRANCES FITZGERALD
BOARD MEMBER TO 12/20171.01.0Yes (X)$0$0$0
MAE H GRENNAN
BOARD MEMBER1.01.0Yes (X)$0$0$0
MARY GEN LEDECKY
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROSALIA MILLER
BOARD MEMBER1.01.0Yes (X)$0$0$0
KAREN SMITH MD
BOARD MEMBER/CHIEF OF HOSP.55.00.0Yes (X)$324,447$0$26,367
MARY HELEN THOMPSON
BOARD MEMBER1.00.0Yes (X)$0$0$0
CAROLINE VAN VLECK MD
BOARD MEMBER1.00.0Yes (X)$0$0$0
MICHAEL J WILLIAMS
BOARD MEMBER1.06.0Yes (X)$0$0$0
DAVID WESSEL MD
BOARD MEMBER/CMO52.03.0Yes (X)$1,244,543$0$232,175
DENICE CORA-BRAMBLE MD
BOARD MEMBER/CMO50.05.0Yes (X)$1,183,728$0$184,657
BLAIR GIANNANI
BOARD MEMBER1.00.0Yes (X)$0$0$0
ALEC KING
EVP/CFO48.07.0Yes (X)$742,591$0$134,808
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER54.01.0$795,191$0$22,969Yes (X)
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE42.013.0$1,470,933$0$212,667Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER50.05.0$1,016,608$0$178,561Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER54.01.0$1,230,484$0$171,831Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE36.019.0$1,021,637$0$164,521Yes (X)
MARY ANNE HILLIARD
CHIEF LEGAL OFFICER54.01.0$792,254$0$142,031Yes (X)
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER54.01.0$595,563$0$101,349Yes (X)
DARRYL VARNADO
CHIEF PEOPLE OFFICER54.01.0$833,596$0$145,681Yes (X)
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION54.01.0$430,972$0$16,583Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER54.01.0$417,569$0$23,722Yes (X)
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF54.01.0$350,789$0$40,253Yes (X)
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER28.027.0$3,614,029$0$194,338Yes (X)
RICHARD JONAS MD
CHIEF OF CARDIOLOGY52.03.0$2,736,161$0$269,632Yes (X)
ROBIN STEINHORN MD
SVP CENTER OF EXCELLENCE53.02.0$908,924$0$161,570Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY54.01.0$1,042,013$0$121,145Yes (X)
PETER KIM MD
VP SHEIKH ZAYED INST TO 4/201851.04.0$971,715$0$36,873Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY55.00.0$900,548$0$36,873Yes (X)
JOHN MYSEROS MD
NEUROSURGEON55.00.0$815,248$0$29,681Yes (X)
H GIL RUSHTON
CHIEF OF UROLOGY55.00.0$862,477$0$115,822Yes (X)
RAHUL K SHAH MD
FORMER BOARD MEMBER to 6/20140.00.0$538,050$0$15,162Yes (X)
DAVID STOCKWELL
FORMER BOARD MEMBER to 6/20160.00.0$216,002$0$10,620Yes (X)
MENDEL TUCHMAN MD
CRO to 6/30/20171.054.0$679,176$0$78,080Yes (X)
DAVID SPARKS
FORMER VP FIN/CONTR. To 6/20140.00.0$258,039$0$13,106Yes (X)
DOUGLAS MYERS
FORMER CFO to 12/20150.00.0$389,751$0$1,589Yes (X)
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE54.01.0$519,057$0$108,800Yes (X)
PAM KING SAMS
FORMER CDO TO 06/20160.00.0$389,059$0$6,067Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,762,954TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,291,847TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2025IndivRcvdGreaterThan100KCnt
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$30,166,131
ATLANTIC SERVICES GROUP
2131 K STREET NW STE 200WASHINGTONDC20037SHUTTLE$3,082,273
COLONIAL PARKING
150 THOMAS JEFFERSON ST NW STE 1WASHINGTONDC20007PARKING$2,914,454
RP3 LLC
7316 WISCONSIN AVENUE 450BETHESDAMD20814ADVERTISING$2,907,964
Hitt Contracting Inc
2900 Fairview Park DriveFALLS CHURCHVA22042Maintenance Services$1,702,208
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K164CntrctRcvdGreaterThan100KCnt
Related Organizations$16,216,597RelatedOrganizationsAmt
Government Grants$13,907,831GovernmentGrantsAmt
All Other Contributions$3,133,885AllOtherContributionsAmt
Total Contributions$33,258,313TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$1,055,358,837$1,055,358,837
ALL OTHER PROGRAM SERVICES900099$67,043,315$67,043,315
FieldValueIRS element (for citing)
Total Program Service Revenue$1,122,402,152TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,802,733TotalRevenueColumnAmt
Exclusion$3,802,733ExclusionAmt

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$74,485,689SecuritiesAmt
Other$4,508,963OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$74,921,976SecuritiesAmt
Other$2,243,971OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$436,287SecuritiesAmt
Other$2,264,992OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,828,705TotalRevenueColumnAmt
Exclusion$1,828,705ExclusionAmt
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 ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING812390$4,375,469$4,375,469
LAB FEES621500$1,195,024$1,195,024
EQUITY AND PARTNERSHIP LOSS621110-$11,181,937-$11,181,937
FieldValueIRS element (for citing)
Other Revenue Total-$5,611,444OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,155,680,459TotalRevenueColumnAmt
Related Or Exempt Func Income$1,111,220,215RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,195,024UnrelatedBusinessRevenueAmt
Exclusion$10,006,907ExclusionAmt

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$22,011,982TotalAmt
Program Services$14,307,788ProgramServicesAmt
Management And General$7,704,194ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$545,320,922TotalAmt
Program Services$354,497,288ProgramServicesAmt
Management And General$190,823,634ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,233,380TotalAmt
Program Services$13,151,697ProgramServicesAmt
Management And General$7,081,683ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,393,091TotalAmt
Program Services$24,955,509ProgramServicesAmt
Management And General$13,437,582ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,766,131TotalAmt
Program Services$24,547,985ProgramServicesAmt
Management And General$13,218,146ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,945,735TotalAmt
Program Services$1,264,728ProgramServicesAmt
Management And General$681,007ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$836,924TotalAmt
Management And General$836,924ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$535,680TotalAmt
Management And General$535,680ManagementAndGeneralAmt

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$71,818,715TotalAmt
Program Services$46,991,669ProgramServicesAmt
Management And General$24,827,046ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,025,587TotalAmt
Program Services$4,566,632ProgramServicesAmt
Management And General$2,458,955ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,298,488TotalAmt
Program Services$7,344,017ProgramServicesAmt
Management And General$3,954,471ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$51,779,585TotalAmt
Program Services$33,656,730ProgramServicesAmt
Management And General$18,122,855ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,860,421TotalAmt
Program Services$17,459,274ProgramServicesAmt
Management And General$9,401,147ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,900,178TotalAmt
Program Services$2,535,116ProgramServicesAmt
Management And General$1,365,062ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$515,391TotalAmt
Program Services$335,004ProgramServicesAmt
Management And General$180,387ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,716,254TotalAmt
Program Services$13,465,565ProgramServicesAmt
Management And General$7,250,689ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$56,131,499TotalAmt
Program Services$36,485,474ProgramServicesAmt
Management And General$19,646,025ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,246,829TotalAmt
Program Services$11,210,439ProgramServicesAmt
Management And General$6,036,390ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$91,203,571$59,282,321$31,921,250
BAD DEBT EXPENSE$32,765,596$32,765,596
REPAIRS AND MAINTENANCE$20,284,101$13,184,666$7,099,435
OTHER EXPENSES$6,653,987$4,325,094$2,328,893

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,085,244,047TotalAmt
Program Services$716,332,592ProgramServicesAmt
Management And General$368,911,455ManagementAndGeneralAmt
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$133,413,285BOYAmt
EOY$110,143,943EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,687,896BOYAmt
EOY$3,667,075EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$192,455,209BOYAmt
EOY$194,690,061EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$40,000BOYAmt
EOY$120,000EOYAmt

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$8,814,638BOYAmt
EOY$12,723,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,120,937BOYAmt
EOY$42,631,706EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,270,205,852LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$729,150,845LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$530,351,956BOYAmt
EOY$541,055,007EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$164,458,807BOYAmt
EOY$163,653,061EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,195,670BOYAmt
EOY$6,125,163EOYAmt

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$336,827,902BOYAmt
EOY$409,608,457EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,421,366,300BOYAmt
EOY$1,484,417,571EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$145,157,604BOYAmt
EOY$152,851,404EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,740,569BOYAmt
EOY$8,340,758EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$397,204,503BOYAmt
EOY$391,564,103EOYAmt

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$75,105,304BOYAmt
EOY$75,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$168,726,126BOYAmt
EOY$154,032,070EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$794,934,106BOYAmt
EOY$781,788,335EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$626,432,194BOYAmt
EOY$702,629,236EOYAmt

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$626,432,194BOYAmt
EOY$702,629,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,421,366,300BOYAmt
EOY$1,484,417,571EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$70,436,412ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,760,630NetUnrlzdGainsLossesInvstAmt
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

Schedule B IRS990ScheduleB

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$493,954DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$101,246OtherActivitiesAmt
Total Lobbying Expenditures$595,200TotalLobbyingExpendituresAmt
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$12,041,620OtherCostOrOtherBasisAmt
Book Value$12,041,620BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,282,876OtherCostOrOtherBasisAmt
Depreciation$78,031,731DepreciationAmt
Book Value$120,251,145BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$816,206,304OtherCostOrOtherBasisAmt
Depreciation$484,835,095DepreciationAmt
Book Value$331,371,209BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$239,045,661OtherCostOrOtherBasisAmt
Depreciation$164,264,961DepreciationAmt
Book Value$74,780,700BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,629,391OtherCostOrOtherBasisAmt
Depreciation$2,019,058DepreciationAmt
Book Value$2,610,333BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$541,055,007TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$383,704,155
DEFERRED COMPENSATION PLAN$25,904,302
FieldValueIRS element (for citing)
Total Book Value Other Assets$409,608,457TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
RESERVE FOR CLAIMS$88,207,583
OTHER LIABILITIES$58,063,562
CAPITAL LEASE OBLIGATIONS$4,677,706
DUE TO AFFILIATES$1,827,832
SETTLEMENTS TO THIRD PARTY PAY$1,255,387
FieldValueIRS element (for citing)
Total Liability$154,032,070TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLiability for Uncertain Tax Position (ASC 740)FormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (MEDICAL CENTER), OF WHICH CHILDREN'S HOSPITAL IS A SUBSIDIARY, IS AS FOLLOWS: THE MEDICAL CENTER 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 Boards ("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 consolidated financial statements as "more likely than not" that the position is sustainable, based on technical merits. THE MEDICAL CENTER 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 the Medical Centers consolidated financial statements during the years ended June 30, 2018 and 2017 as the Medical Center 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$645,562
Central America and the CaribbeanProgram ServicesINSURANCE PREMIUMS$9,706,021
FieldValueIRS element (for citing)
Subtotal Employees1SubtotalEmployeesCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$10,351,583SubtotalSpentAmt
Total Spent$10,351,583TotalSpentAmt
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$5,587,198TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,587,198NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,092,071TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$62,092,071NetCommunityBenefitExpnsAmt
Total Expense0.05720TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,679,269TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$67,679,269NetCommunityBenefitExpnsAmt
Total Expense0.06230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served74964PersonsServedCnt
Total Community Benefit Expns$8,427,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,025,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,402,546NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1836PersonsServedCnt
Total Community Benefit Expns$48,120,293TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,797,329DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,322,964NetCommunityBenefitExpnsAmt
Total Expense0.03810TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,800,645TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,800,645NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,886,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,886,540NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served3843PersonsServedCnt
Total Community Benefit Expns$807,452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$807,452NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served80643PersonsServedCnt
Total Community Benefit Expns$67,042,737TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,822,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,220,147NetCommunityBenefitExpnsAmt
Total Expense0.05190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served80643PersonsServedCnt
Total Community Benefit Expns$134,722,006TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,822,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$123,899,416NetCommunityBenefitExpnsAmt
Total Expense0.11420TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served32955PersonsServedCnt
Total Community Benefit Expns$53,598TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,598NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$138,614TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$138,614NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served52PersonsServedCnt
Total Community Benefit Expns$958,804TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$958,804NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served33007PersonsServedCnt
Total Community Benefit Expns$1,151,016TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,151,016NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$29,730,889BadDebtExpenseAmt
Bad Debt Expense Attributable$2,300,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,065,605ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,171,795CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$106,190MedicareSurplusOrShortfallAmt

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 Conducted16CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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 3The community health needs assessment also includes illustrative maps/figures of assets and vulnerabilities related to specific health metrics, including but not limited to major outlet fast food locations per ward of the District, hospitals and primary care centers in the District, medically underserved areas in the District, and locations of primary care and mental health professionals shortage areas in the District. Providing this information will assist in overall data analysis, program planning and inform decision making on important health related issues affecting the residents of Washington, DC.
SCHEDULE H, PART V, SECTION B, LINE 5Childrens National Health System (Childrens National) spearheaded the 2016 Community Health Needs Assessment (CHNA) on behalf of the District of Columbia Healthy Communities Collaborative (DCHCC), a group of Washington, DC hospitals and federally qualified health centers. The DCHCC also includes participation from the DC Primary Care Association, the DC Hospital Association, and the DC Department of Health. Childrens National also led the recruitment of the focus groups to ensure full representation from the community. Input was received via several key informant interviews, focus groups, town halls, and online surveys. These groups consisted of community residents, members from the local health care community, and community and government agencies representing the social determinants of health such as the departments of housing, economics, health care finance, transportation, and behavioral health. The stakeholder interviews represented 60 organizations and included an additional 31 key informant interviews, 113 online surveys, 40 focus group participants, 80 community forums attendees, 6 council members, 11 government agencies, and 15 hospitals and clinics. Stakeholders provided input on several questions related to overall health and the components of a healthy community. Participants also commented on ways to improve the status of health in the city, discussed what programs/systems were working, and provided insight into additional resources needed to advance health in the District of Columbia. During fiscal year 2018, Childrens National began its strategic efforts to conduct the 2019 Community Health Needs Assessment. It began conducting dozens of stakeholder interviews with community leaders and medical experts, laying the ground work for qualitative and quantitative data analysis.
SCHEDULE H, PART V, SECTION B, LINES 6A & 6BChildrens National, through its membership in the DC Healthy Communities Collaborative (DCHCC), conducted the CHNA in collaboration with three additional non-profit hospitals: Howard University Hospital, Providence Hospital, and Sibley Memorial Hospital. The DCHCC also consists of four community health centers: Bread for the City, Community of Hope, Marys Center, and Unity Health Care, Inc. The DCHCC 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, DCHCC members provided guidance and feedback respective to populations and neighborhoods served.
SCHEDULE H, PART V, SECTION B, LINE 7DThe CHNA report is located on the hospitals website and the DCHCCs DC Health Matters web portal. Childrens National also participated in a press briefing and issued a press release to disseminate the CHNA report findings to the public. In addition, several social media platforms were used to distribute the findings from the CHNA. Each DCHCC member organization has an electronic copy of the CHNA report on their website. Childrens National participated in several community forums to discuss the results of the CHNA and the implementation strategy. Copies of the CHNA were distributed to forum attendees. Participants were also referred to the DC Health Matters web portal to access the CHNA electronically. Childrens National, as a member of the DC Healthy Communities Collaborative, has met with community stakeholders, like community health alliances, government agencies, and faith-based organizations, to provide an overview of the CHNA and the four priority needs. In addition to providing an overview the CHNA, it has engaged new members in its community health improvement strategies. Childrens National has also provided numerous trainings on the DC Health Matters website that includes the community health needs assessment and community health improvement plan.
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 11The DCHCC is addressing the following significant needs identified in the most recently conducted CHNA Mental Health, Health Literacy, Place-Based Care, and Care Coordination. While the community identified nine health needs, the Collaborative selected four of the nine priority needs using a structured prioritization process. The prioritization process scored each of the needs according to 1) importance to our community, 2) capacity to address (availability of financial and other resources), 3) alignment with organizational and citywide mission and 4) strength of existing intervention/collaborations. A description of how Childrens National and DCHCC are addressing the four selected needs is detailed in our Community Health Improvement Plan (CHIP). It is important to note that these four prioritized community needs cut across nearly all clinical conditions and often contribute to poor health outcomes. The quantitative data presented in the report helped guide the Collaborative in deciding which of the priority areas to invest our resources for the greatest impact. Furthermore, because the Collaborative is comprised of health care organizations, it was important to align the priority areas on health related matters versus some of the non-health areas in order to bring about the greatest opportunity to effect change. In preparation for developing the CHIP, Childrens National along with DCHCC members participated in an extensive training to assess capacity and organizational ability to address the priority areas. Members developed logic models for each of the priority areas and identified those organizations that would lead, collaborate, or serve in a supportive role based on organizational capacity. At Childrens National, we are leading several CHIP strategies that address the community health priority areas. We lead the workgroups focused on mental health and care coordination. The mental health workgroup focuses on advocacy around improving access to mental health services in the District of Columbia including policy level solutions to improve the ability and capacity to provide mental health prevention activities and screenings. A DCHCC Mental Health Workforce Survey has been conducted and the results have been summarized for our community stakeholders and the workgroup also developed a mental health policy agenda. The care coordination workgroup is working to improve identification of resources by collaborating with community based, health, and government organizations. The workgroup has identified a resource connection tool for families and implemented trainings on the tool for social workers and case managers across our DCHCC organizations. Childrens National also collaborates with the health literacy and place-based care workgroups to further the identified community health strategies. Each DCHCC member organization received approval of the CHIP by their Board of Directors/Trustees. Childrens National received approval by its Board on Nov. 15, 2016.
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
8501 ARLINGTON BOULEVARD STE 200FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN LAUREL
13922 BALTIMORE AVELAURELMD20707REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - ADAMS MORGAN
1630 EUCLID STREET NWWASHINGTONDC20009HEALTH CENTERS
CHILDREN'S HEALTH CENTER - ANACOSTIA
2101 MARTIN LUTHER KING JR AVE SEWASHINGTONDC20020HEALTH 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
888 BESTGATE ROAD STE 320ANNAPOLISMD21401REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - SHAW
2220 11TH STREET NWWASHINGTONDC20001HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR SPRING VALLEY
4900 MASSACHUSETTS AVENUE NWWASHINGTONDC20016REGIONAL OUTPATIENT CENTER
CHILDREN'S NAT'L AMBULATORY SURGERY CTR
9850 KEY WEST AVENUEROCKVILLEMD20850REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN FREDERICK
5910 FREDERICK CROSSING LANE STE 1FREDERICKMD21704REGIONAL 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 STE 350ROCKVILLEMD20858REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
8501 ARLINGTON BLVD STE 450FAIRFAXVA22031REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL IMGAGING 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 Childrens National prepares an annual community benefit report. For mass public distribution, the report is posted to our website and hard copies are made available and distributed to the hospitals key internal and external stakeholders. Childrens National is dedicated to fulfilling its vision of setting the standard in excellence in pediatric care, advocacy, research, and education, here in the nations capital, around the country, and throughout the world. As part of our commitment to our community, below are some of the programs and activities that were conducted in FY2018. Team Kid Power: KiPOW! Team Kid POWER(tm)(known as KiPOW!) started in Washington, D.C., in 2012 through the leadership of Childrens National cardiologist Michele Mietus-Snyder, M.D., and then-George Washington University Medical School student Nisha Narayanan, M.D. KiPOW! is designed to help kids take full advantage of the physical activity programs, health education and nutritious meals available in D.C. public and public charter schools through the D.C. Healthy Schools Act of 2010 (The Act). The Act is a locally and federally mandated school wellness policy intended to help elementary and middle-school children who have lagged behind target nutrition, activity, and health literacy goals reach full physical, emotional, and academic potential. KiPOW! is an academic-community partnership initiated between Childrens National Health System, George Washington University Medical School, and District of Columbia public and private charter schools. KiPOW! is a mentored behavioral change program that has been active in DC for 7 years and was successfully expanded by George Washington University medical school graduates of Team KiPOW! to Orange County, CA in 2014 with the University of California Irvine Medical School, and to Dallas Texas in 2017 with UT Southwestern medical school. KiPOW is currently active in four title 1 elementary schools (1 in Washington D.C., 2 in California, and 1 in Texas). Through the volunteer program, George Washington University medical students serve as health mentors in the schools. They encourage healthy choices as they: - Eat lunch with kids, building bonds over fresh, local veggies - Play fun, physical games to engage kids in exercise - Educate students on health topics from nutrition to sleep Evidence-based health promotion principles therefore are not just taught to school children, but lived. The kids develop healthy habits that will benefit them throughout their lives. Meanwhile, the med students get hands-on experience in health education and behavioral change that will someday benefit their patients. In FY2018 KiPOW! reported: - Improvement in standardized health literacy test scores - Decreased diastolic blood pressure - Increased validated PACER fitness test scores - Stabilization of BMI in growing children, progress towards controlling the rise of obesity - Enthusiastic testimonial by school faculty and staff of increased participation in school lunch program, increased willingness to eat unfamiliar or previously undesirable foods, and improved self-efficacy with healthy lifestyle choices. DC Collaborative for Mental Health in Pediatric Primary Care and DC Mental Health Access in Pediatrics Founded in 2012, the DC Collaborative for Mental Health in Pediatric Primary Care (DC Collaborative) aims to improve the integration of mental health in pediatric primary care for youth in the District of Columbia. This public-private partnership includes an interdisciplinary Working Group, a Community Advisory Board and a Children's National Project Team. During the course of the reporting period, the Collaborative has been particularly focused on: 1) educating and supporting pediatric primary care providers (PPCPs) in the implementation of universal, annual mental health screening at well-child visits; 2) engaging in comprehensive planning process to bring a child behavioral health access program to the District of Columbia which would provide PPCPs with real-time phone consultation with child mental health experts; brief, time-limited follow-up services; mental health education and training; resource guide maintenance; and psychotropic medication reviews for children in the citys system of care. With this mission in mind, the DC Collaborative created the DC Mental Health Access in Pediatric (DC MAP) Program. DC MAP was launched in the District in 2015 (piloted in May 2015, launched city-wide in September 2015) following several years of planning by stakeholders. Key to planning efforts has been the DC Collaborative, a public-private partnership that includes Children's National Health System, MedStar Georgetown University Hospital, the Children's Law Center, the DC Chapter of the American Academy of Pediatrics and the DC Departments of Health, Behavioral Health and Health Care Finance, as well as a community advisory board with representation from more than 25 child-serving organizations, parents and community groups. DC MAP is modeled after a highly successful program started in Massachusetts (Massachusetts Child Psychiatry Access Program) and it joins a long list of other access programs across the country that are part of the National Network of Child Psychiatry Access Programs. These programs offer pediatric primary care providers with increased access to child mental health experts and have led to significant improvements in providers feeling better able to address their patients. DC MAP provides the following services: Primary care clinician telephone consultation with child mental health specialists, Community resource referrals and face-to-face consultations as clinically indicated, mental health education and training in primary care, Child mental health resource guide maintenance, and quarterly medication reviews flagged by the Psychotropic Monitoring Group. DC MAP aims to improve the integration of mental health in pediatric primary care for children in the District of Columbia. We are committed to addressing the mental health needs of diverse children and their families through culturally competent, family-focused initiatives. We acknowledge that the unmet mental health needs of young children, especially those who have not yet entered school, are great. Thus, although we aim to address the mental health needs of all children and youths, we are particularly focused on infants, toddlers, and preschoolers. In FY2018, DC MAP fielded approximately 500 calls from primary care providers in the DC metro area, an increase of 200% in call volume from last year. All primary care providers who utilized the DC MAP hotline service were connected with a psychiatrist within one hour of calling, typically allowing them expert consultation while patients were still in the office. One pediatrician at the Children's National primary care centers said of the program, "DC MAP empowers me to provide the best care for my patients. It is an integral part of my medical practice." Child and Adolescent Protection Center In Partnership with Children's National, the Freddie Mac Foundation Child and Adolescent Protection Center is the only medical center in the District of Columbia with a team of health professionals dedicated to victims of child abuse and their families, and one of the few hospitals in the country using a team approach to assessing and treating these victims. The District of Columbia continues to have twice the national rate of child abuse, making the Center's work more important than ever. The Center's team of medical professionals provides comprehensive examinations (conducted by pediatricians and nurses who specialize in forensic issues), treatment of sexually transmitted diseases or injuries, and trauma counseling for child victims of all forms of maltreatment (provided by psychologists and clinical social workers who specialize in childhood trauma and abuse). The Center's other services include: - Advocacy for victims and families - Psychological testing - Juvenile offender counseling services - Educational, psychological, developmental, and parent-child relationship assessments - Individual and family therapy for victimized children (age 4-22 years for non-offending mental health services) - Parenting education/therapy classes - Case management - Referral services for victims and their families Mental health services are provided by clinical social workers and psychologists who are child victimization specialists. Our psychologists also can provide educational, psychological, developmental, psychosexual, and parent-child relationship assessments. The Center staff also provides consultation to colleagues inside and outside the hospital. Medical services are available by appointment or on an emergency basis, and forensic medical examinations for recent sexual abuse/assault are available after normal business hours. Additionally, the Center's team members provide training to a variety of professionals, bo
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 CHARGE RATIO PER THE IRS INSTRUCTIONS. MEDICAID GRADUATE MEDICAL EDUCATION (GME) ADD-ON PAYMENTS WERE EXCLUDED AS THEY ARE REPORTED ON THE HEALTH EDUCATION LINE. CHILDRENS' 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 FY18 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 $6,801,596 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. - Research Schedule H, Part I, Line 7h The direct expense for the Childrens Hospital Association CMMI program for the development of a payment delivery system for special needs population is reported within the hospital financial statements.
- 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. The financials for grant funded programs is received from the office of grants and contracts.
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 counted as community building activities fall into the subcategories of community support, community health improvement advocacy, and workforce development. Community Support: Children's National is a member of the DC Health and Medical Coalition that is working to effectively prepare for, respond to and recover from emergencies through collaboration, strategic planning, and training and exercises. The Coalition is led by DC Health and includes various public health, healthcare and emergency management stakeholders. 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 2018, the team educated policy makers on childrens health issues and worked with expert physicians and researchers to testify on bills and/or provide written statements on issues such as expansion of CHIP/Medicaid, 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 on a local and national level. Workforce Development: Children's National is dedicated to engaging in and providing opportunities of learning and development for students. 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 interning 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 patients 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 ($29.7 Million) amount on pages 4 and 9 of 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 FINANCIAL ASSISTANCE 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 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 Healthy Communities 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. Children's National is aware that certain specialized, pediatric needs exist in the community served. To ascertain the needs of those specific populations, additional community needs assessments are conducted. For example, the Childrens National asthma program called IMPACT DC has analyzed on an annual basis emergency department visits and hospital admissions for asthma to all non-military hospital emergency departments in DC. This has allowed the hospital to track trends over time and across zip codes in DC. The hospital also has conducted a number of studies to identify barriers to care, intervention preferences, and parent concerns about asthma. In 2017-2018, the hospital had funding from the NIH to specifically conduct a community needs assessment focused on asthma and the hospital was able to produce 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 and to determine how the hospital-led DC Collaborative for Mental Health in Pediatric Primary Care and Children's National can play a role in improving the access to mental health services for children under the age of 6. The resource and gap analysis is divided into four sections: background, landscape, other state strategies and policies, and recommendations. For the purpose of this analysis, data was gathered and collected from a number of sources: 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 has established the Child Health Data Lab 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 Childrens 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 nations capital, Childrens National has the privilege of serving a diverse and broad community, spanning from the District of Columbia to Maryland and Virginia and beyond. According to the U.S. Census Bureau, population figures for the region are estimated at 702,455 for the District of Columbia, nearly 6 million in Maryland, and a little over 8 million in Virginia. The social demographics for the District of Columbia, Maryland and Virginia, according to the U.S. Census, are as follows: District of Columbia: about 47.1% black; 45.1% white; 11.0% Latino; 4.3% Asian and 0.6% American Indian/Alaska native; Maryland: approximately 59% white; 31% black; 10% Hispanic; 6.7% Asian and Virginia 69.7% white, 19.8% black, 9.4% Hispanic, 6.8% Asian, and 0.5% American Indian/Alaska native. Since 2010, the largest population growth of 33% has been in the Hispanic group while the portion of Black population has been decreasing. In the District of Columbia, children 18 years old and younger make up 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. According to our 2016 community health needs assessment, the DC population has grown 11% from 2010 to 2015. The largest population growth is from children (20% increase) and older adults (18% increase). IN THE DISTRICT OF COLUMBIA, VIRGINIA, AND MARYLAND, 17%, 15%, AND 17% RESPECTIVELY, OF THE POPULATION AGE FIVE AND OLDER REPORT SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME. The U.S. Census reports median household income at approximately $77,649 in the District with the highest income in Ward 3 and lowest in Wards 7 and 8. In Maryland the median household income is $78,916 and the median household income in Virginia is $68,766. The percentage of persons living below the poverty line is reported at 16.6% for the District of Columbia, 10.6% in Virginia, and 9.3% in Maryland. The Centers of Medicare and Medicaid Services (CMS) reports total Medicaid and CHIP enrollment figures based on enrollment data as of September 2018 at 72,966,179. The breakdown for total Medicaid and CHIP enrollment based on August figures from the CMS for the District of Columbia Medicaid and CHIP enrollment was 257,992; 1,299,510 in Maryland; 1,031,756 in Virginia. In 2018, the percentage of hospital inpatients receiving Medicaid was 74 percent from the District of Columbia, 58 percent from Virginia, and 29 percent from the state of Maryland. The District of Columbia has nine designated Health Professional Shortage Areas (HPSAs) and eight Medically Underserved Areas\Populations (MUA\P). Six areas of the District are designated as primary care HPSAs, two areas are designated as dental HPSAs and one area is designated as a mental health HPSA. Serving children for almost 150 years, Childrens National is a proven leader in developing and providing innovative new treatments for childhood illness and injury. Childrens National is located in an urban community that 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% Childrens National patients, and Childrens National is the largest provider of pediatric care for residents of Northern Virginia as well. The needs of the population served in MD 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 480,000 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, D.C. On average, that equals nearly 1,300 patient visits in one day to one of Childrens Nationals 30 locations in the District of Columbia and throughout the metropolitan area. In Fiscal Year 2018, we performed 17,418 surgical procedures, 123,771 diagnostic imaging procedures, and more than 1.1 million laboratory tests.
Promoting the Health of the CommunitySCHEDULE H, PART VI, LINE 5 For almost 150 years, Children's National has been committed to serving the community by promoting and improving the health of children and supporting the health improvements in their homes, schools, neighborhoods, and broader community. As a leader in pediatric health in the region, children come to Children's National with numerous health challenges, many of which are preventable. In order to advance our four-part "CARE" missionto improve health and wellness and increase health equity through Clinical Care, Advocacy, Research, and Educationand be advocates for all children, our efforts need to move beyond the walls of the hospital, target the social determinants of health, and bridge effective partnerships. Children's National recognizes that to create a healthier society will require health professionals and healthcare institutions to collaborate with others outside of the traditional medical community. To further the advocacy part of the CARE mission, Children's National founded the Child Health Advocacy Institute (CHAI) over ten years ago. CHAI champions policies that save childrens lives and improve access to quality care. Staff works in partnership with the community to advance policies that impact and improve pediatric health outcomes. Through advocacy, CHAI looks for new ideas and new ways of serving all of the regions children, especially those experiencing health inequities. CHAI leads initiatives that improve the health of the community, with a focus on programs, policies, and systems that impact the determinants of health and populations that experience health inequities. Additionally, CHAI uses data and evidence to develop a coordinated approach to improving population and health outcomes. Children's National is committed to building a brighter, healthier future for all children, not just the ones who come through our hospital doors. Children's National is committed to investing in the health and wellness of the communities we serve through providing Community Benefit programming. Through the Community Benefit program facilitated by CHAI, we collaborate with community-based organizations, government agencies, and other public health professionals to implement programs that address the prioritized health needs identified in the CHNA. Partnerships are vital to the success of our programming. We partner with the community through coalitions and alliances, such as our DC Pediatric Oral Health Coalition. Since 2001, Children's National has operated the District of Columbia school nurses program with financial support from the DC Department of Health and has engaged in dozens of school-based programs throughout the DC metropolitan area, and has advocated for policy changes to foster healthy school environments. Children's National faculty and nursing staff is committed to improving the health of the community by representing Children's National on a number of boards and in local organizations. Staff supports boards and organizations on a city, state, and national level that focus on breastfeeding, adolescent health, behavioral health and eye disease. This commitment to the community is also evidenced through its governing boards dedicated to community health initiatives, and the development of the DCHCC. Children's National, the 501(c)(3) not-for-profit organization, is governed by board of directors representing the diversity of the local, regional, national, and international communities that we serve. The majority of our board of directors resides within the primary service area of the Washington, DC metropolitan area, including the District of Columbia, Maryland, and Virginia. Over the past 20 years, Children's Health Board has awarded grants to more than 200 Children's programs. The grants have turned early ideas into proven models that have attracted support from leading investors in improved health outcomes for children nationwide. The Community Affairs Department established a partnership with the Children's Health Board, a philanthropic affiliate of Children's National, that works to advance the health and well-being of children in the Washington, DC metropolitan community, especially those most in need, through advocacy, education, prevention and early intervention. Beginning in FY 2014, the Children's Health Board implemented an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Children's Health Board focuses its grant making on supporting the Children's National Community Health Improvement Plan (implementation strategy), in an effort to improve community health demonstrated by measurable outcomes. In 2013, the community benefit team worked with the Children's Health Board to establish this new grant process and has engaged in the grant application review process to review grant applications for community benefit program alignment. Grant awardees are now required to report their programs/initiatives as Community Benefit and will be included in the Community Benefit Report. For the 2019 grants, preference will be given to proposals directed towards the CHNA priority areas - Mental Health, Place-Based Care, Care Coordination, and Health Literacy, as well as identified institutional health priorities: infant health, mental health, and asthma. The Child Health Advocacy Institute (CHAI) at Children's National conducted institution-wide trainings on the Community Health Needs Assessment and The Community Health Improvement Plan (CHNA/CHIP) during FY2018. These hour-long presentations educated physicians, staff, and hospital leadership about the needs of the community, and how they could, in their roles, address these needs. Over 90% of CNMS department heads received the CHNA/CHIP training over the course of a year. In addition to trainings on the CHNA/CHIP, the CHAI held a School Health Symposium. The symposium focused on the intersection between health and education. The symposium convened over 160 participants representing 37 organizations including a broad range of partners from the District of Columbia, Maryland and Virginia. The objectives of the symposium were to identify critical academic and health challenges for children, to help build a prepared and skilled workforce across sectors and to identify strategies to increase collaboration between health and education sectors. As a result of attending the symposium, participants identified new partners for collaboration and gained new knowledge about school health. The CHAI also hosted community bus tours for Children's National faculty, staff, and other community leaders. These bus tours, held quarterly, and during orientation for medical residents, take participants on tours through the Washington DC neighborhoods were many of our patients reside. While on these tours, participants are guided through a lecture regarding the social determinants of health, and witness, first hand, barriers to health food, healthcare, public transportation, and housing.
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 (31 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)$1,196,477$0$1,221,991$0$53,332$0$208,500$0$85,814$0$2,766,114$0$0$0
KAREN SMITH MD
BOARD MEMBER/CHIEF OF HOSP.$259,311$0$38,674$0$26,462$0$11,070$0$15,297$0$350,814$0$0$0
DAVID WESSEL MD
BOARD MEMBER/CMO$599,267$0$483,697$0$161,579$0$109,218$0$122,957$0$1,476,718$0$92,929$0
DENICE CORA-BRAMBLE MD
BOARD MEMBER/CMO$597,148$0$479,571$0$107,009$0$109,218$0$75,439$0$1,368,385$0$82,783$0
ALEC KING
EVP/CFO$515,562$0$208,129$0$18,900$0$103,503$0$31,305$0$877,399$0$0$0
MENDEL TUCHMAN MD
CRO to 6/30/2017$307,296$0$288,005$0$83,875$0$33,750$0$44,330$0$757,256$0$57,486$0
CHARLES WEINSTEIN
CHIEF REAL ESTATE OFFICER$495,153$0$225,000$0$75,038$0$9,615$0$13,354$0$818,160$0$75,000$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE$787,217$0$597,706$0$86,010$0$146,708$0$65,959$0$1,683,600$0$63,890$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER$512,879$0$405,569$0$98,160$0$99,250$0$79,311$0$1,195,169$0$76,653$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER$645,045$0$488,124$0$97,315$0$121,296$0$50,535$0$1,402,315$0$77,121$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE$506,573$0$406,535$0$108,529$0$96,754$0$67,767$0$1,186,158$0$64,535$0
MARY ANNE HILLIARD
CHIEF LEGAL OFFICER$414,371$0$324,848$0$53,035$0$85,516$0$56,515$0$934,285$0$32,085$0
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER$439,069$0$134,485$0$22,009$0$48,865$0$52,484$0$696,912$0$0$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER$354,712$0$285,864$0$193,020$0$73,529$0$72,152$0$979,277$0$169,805$0
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION$311,573$0$88,864$0$30,535$0$13,500$0$3,083$0$447,555$0$0$0
LINDA TALLEY
CHIEF NURSING OFFICER$304,239$0$92,492$0$20,838$0$11,198$0$12,524$0$441,291$0$0$0
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF$250,847$0$80,952$0$18,990$0$13,500$0$26,753$0$391,042$0$0$0
MARK L BATSHAW MD
EVP & CHIEF ACADEMIC OFFICER$678,437$0$542,735$0$2,392,857$0$121,012$0$73,326$0$3,808,367$0$2,344,124$0
RICHARD JONAS MD
CHIEF OF CARDIOLOGY$1,917,741$0$443,300$0$375,120$0$173,500$0$96,132$0$3,005,793$0$338,890$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY$796,074$0$168,796$0$77,143$0$96,217$0$24,928$0$1,163,158$0$75,955$0
PETER KIM MD
VP SHEIKH ZAYED INST TO 4/2018$689,071$0$279,806$0$2,838$0$13,500$0$23,373$0$1,008,588$0$0$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY$643,699$0$254,011$0$2,838$0$13,500$0$23,373$0$937,421$0$0$0
JOHN MYSEROS MD
NEUROSURGEON$671,786$0$141,944$0$1,518$0$13,500$0$16,181$0$844,929$0$0$0
RAHUL K SHAH MD
FORMER BOARD MEMBER to 6/2014$393,371$0$126,019$0$18,660$0$13,500$0$1,662$0$553,212$0$0$0
DAVID SPARKS
FORMER VP FIN/CONTR. To 6/2014$0$0$0$0$258,039$0$0$0$13,106$0$271,145$0$0$0
DAVID STOCKWELL
FORMER BOARD MEMBER to 6/2016$178,141$0$36,567$0$1,294$0$9,901$0$719$0$226,622$0$0$0
DOUGLAS MYERS
FORMER CFO to 12/2015$0$0$0$0$389,751$0$1,019$0$570$0$391,340$0$160,000$0
GERARD MARTIN MD
FMR SVP CENTER OF EXCELLENCE$361,422$0$109,896$0$47,739$0$51,374$0$57,426$0$627,857$0$41,575$0
PAM KING SAMS
FORMER CDO TO 06/2016$0$0$0$0$389,059$0$0$0$6,067$0$395,126$0$0$0
ROBIN STEINHORN MD
SVP CENTER OF EXCELLENCE$501,087$0$321,501$0$86,336$0$97,185$0$64,385$0$1,070,494$0$10,539$0
H GIL RUSHTON
CHIEF OF UROLOGY$512,840$0$183,628$0$166,009$0$66,441$0$49,381$0$978,299$0$158,271$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: DOUGLAS MYERS - $389,751 PAM KING SAMS - $389,059 DAVID SPARKS - $258,039
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 $195,000 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 $ 90,003 ELIZABETH FLURY $ 85,750 ROBIN STEINHORN, MD $ 83,685 ROGER PACKER, MD $ 83,254 ROBERT KEATING, MD $ 82,717 MARY ANNE HILLIARD $ 72,016 DARRYL VARNADO $ 60,029 H. Gil Rushton $ 52,941 GERARD MARTIN, MD $ 37,874 BRAIN JACOBS, MD $ 35,365 MENDAL TUCHMAN, MD $ 20,250
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$9,680,000RetiredAmt
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
Current RefundingfalseCurrentRefundingInd
Advance RefundingYes (true)AdvanceRefundingInd
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 ArrangementsfalseAnyLeaseArrangementsInd
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 Others0PrivateBusUseByOthersPct
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

FieldValueIRS element (for citing)
PersonROBIN STEINHORN MDPersonNm
Relationship With OrgKey EmployeeRelationshipWithOrgTxt
Loan PurposeHOUSING LOAN - COMPLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$200,000OriginalPrincipalAmt
Balance Due$120,000BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$120,000TotalBalanceDueAmt

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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Organization MissionFORM 990, PART I, LINE 1 AND PART III, LINE 1 AS THE NATION'S CHILDREN'S HOSPITAL, THE MISSION OF CHILDREN'S NATIONAL MEDICAL CENTER 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 7/1/18 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 CHILDREN'S 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 OF THE BOARD 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, LINE 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, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST.
Former Officers, Directors, and Key EmployeesForm 990, Part VII, Section A Four 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.

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$1,360,721$0CH
CHILDREN'S NATIONAL at Walter Reed LLC
111 MICHIGAN AVENUE NWWASHINGTONDC20010383987350HEALTH CAREDC$0$53,272,783CH

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 TYPE IINAfalse
SAFE KIDS WORLDWIDE
1255 23RD STREET NWWASHINGTONDC20037521627574INJURY PRVNTNDC501(C)(3)12 TYPE ICNMCfalse
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 IICNMCfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CPABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVENUE NWAddressLine1Txt
CityWASHCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
EIN522072589EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateDCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$633,166ShareOfTotalIncomeAmt
Share Of EOY Assets$3,717,541ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NWWASHINGTONDC20010521996521HEALTH CAREDCNAC Corpfalse
BEARACUDA RE
REINSURANCENAC CorpfalsePO BOX 69 KY1-1102GRANDCAYMANCJCJ
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINY CAMPS ASSOCIATION
Q$347,698COST
BRAINY CAMPS ASSOCIATION
S$190,034COST