CHILDRENS HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201731319349304418
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T14:56:47-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 WILSON BLVD SUITE 1400	AddressLine1Txt
City	ARLINGTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22209	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	530196580	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CORPORATE OFFICERS	InCareOfNm
Business Name Control	CHIL	BusinessNameControlTxt
Phone	3015723502	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 Michigan Avenue NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEC KING	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3015723502	PhoneNum
Signature	2017-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY TORRETTA	PreparerPersonNm
PTIN	P00847851	PTIN
Phone	7038477500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KURT DOUGLAS NEWMAN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 Michigan Avenue NW	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,169,666,135	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrensnational.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1870	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; EXCEL IN CARE, ADVOCACY, RESEARCH. SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7850	TotalEmployeeCnt
Total Volunteers	1331	TotalVolunteersCnt
Total Gross UBI	$1,045,624	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$116,389	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,722,100	PYContributionsGrantsAmt
CY Contributions Grants	$27,288,703	CYContributionsGrantsAmt
PY Program Service Revenue	$998,090,371	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,045,077,116	CYProgramServiceRevenueAmt
PY Investment Income	$3,896,652	PYInvestmentIncomeAmt
CY Investment Income	$2,064,148	CYInvestmentIncomeAmt
PY Other Revenue	$48,408,925	PYOtherRevenueAmt
CY Other Revenue	-$12,194,542	CYOtherRevenueAmt
PY Total Revenue	$1,076,118,048	PYTotalRevenueAmt
CY Total Revenue	$1,062,235,425	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$569,837,910	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$603,898,678	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$387,422,290	PYOtherExpensesAmt
CY Other Expenses	$485,714,127	CYOtherExpensesAmt
PY Total Expenses	$957,260,200	PYTotalExpensesAmt
CY Total Expenses	$1,089,612,805	CYTotalExpensesAmt
PY Revenues Less Expenses	$118,857,848	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$27,377,380	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,302,048,706	TotalAssetsBOYAmt
Total Assets EOY	$1,305,368,482	TotalAssetsEOYAmt
Total Liabilities BOY	$732,644,789	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$771,318,094	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$569,403,917	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$534,050,388	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$823,791,062	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,027,704,542	RevenueAmt
Desc	CHILDREN'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 FY16 COMMUNITY BENEFIT REPORT.	Desc
Total Program Service Expenses	$823,791,062	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	884	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7850	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CORPORATE OFFICERS	PersonNm
Phone	3015723502	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CAROLYN A THORNELL
BOARD CHAIRMAN	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
SCHONAY BARNETT-JONES
BOARD VICE CHAIRMAN	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID WHISTON DDS
BOARD SECRETARY/TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)	39.0	16.0	Yes (X)	Yes (X)	$2,022,221	$0	$465,061
DEIDRE ADKINS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
KATHRYN D BARKER
BOARD MEMBER TO 06/2016	1.0	1.0	Yes (X)		$0	$0	$0
DARYL DAVIS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ELIZABETH DUGGAL
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
IVY WAFFORD DUKE
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
M FRANCES FITZGERALD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
ANN GOETTMAN
BOARD MEMBER TO 06/2016	1.0	0.0	Yes (X)		$0	$0	$0
ALBERTO GOMEZ
BOARD MEMBER TO 12/2015	1.0	0.0	Yes (X)		$0	$0	$0
MAE H GRENNAN
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
ROSALIA MILLER
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
KAREN SMITH MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DAVID STOCKWELL MD
BOARD MEMBER TO 06/2016	55.0	0.0	Yes (X)		$176,600	$0	$6,050
MARY HELEN THOMPSON
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
CAROLINE VAN VLECK MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
CHERYL WEINER
BOARD MEMBER TO 12/2015	1.0	1.0	Yes (X)		$0	$0	$0
DAVID WESSEL MD
BOARD MEMBER/CMO	52.0	3.0	Yes (X)		$1,067,368	$0	$149,594
DENICE CORA-BRAMBLE MD
BOARD MEMBER/CMO	51.0	4.0	Yes (X)		$1,009,425	$0	$158,664
DOUGLAS MYERS
EVP/CFO TO 12/2015	44.0	11.0		Yes (X)	$1,017,798	$0	$141,431
LARRY RAGEL
INTERIM CFO TO 05/2016	44.0	11.0		Yes (X)	$0	$0	$0
ALEC KING
EVP/CFO FROM 05/2016	44.0	11.0		Yes (X)	$0	$0	$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	36.0	19.0			$1,132,012	$0	$151,024	Yes (X)
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	53.0	2.0			$881,139	$0	$116,722	Yes (X)
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER	51.0	4.0			$923,387	$0	$151,218	Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	54.0	1.0			$939,859	$0	$137,538	Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	43.0	12.0			$849,422	$0	$161,632	Yes (X)
MENDEL TUCHMAN MD
CHIEF RESEARCH OFFICER	25.0	30.0			$659,625	$0	$156,082	Yes (X)
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	5.0	50.0			$619,909	$0	$77,350	Yes (X)
MARY ANNE HILLIARD
CHIEF LEGAL OFFICER	54.0	1.0			$621,752	$0	$95,957	Yes (X)
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	54.0	1.0			$513,232	$0	$83,787	Yes (X)
DARRYL VARNADO
CHIEF PEOPLE OFFICER	54.0	1.0			$566,914	$0	$131,372	Yes (X)
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION	54.0	1.0			$362,737	$0	$17,097	Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER	54.0	1.0			$339,399	$0	$23,159	Yes (X)
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF	43.0	12.0			$281,886	$0	$36,310	Yes (X)
Mark L Batshaw MD
Phy in Chief/CAO	9.0	46.0			$1,199,735	$0	$412,771	Yes (X)
Richard Jonas MD
Chief of Cardiology	54.0	1.0			$1,942,856	$0	$204,975	Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	55.0	0.0			$937,678	$0	$111,164		Yes (X)
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	52.0	3.0			$889,392	$0	$34,563		Yes (X)
H GIL RUSHTON MD
CHIEF OF UROLOGY	55.0	0.0			$694,848	$0	$99,869		Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	51.0	4.0			$998,027	$0	$34,563		Yes (X)
JOHN MYSEROS MD
NEUROSURGEN	55.0	0.0			$746,197	$0	$36,206		Yes (X)
RAHUL K SHAH MD
FORMER BOARD MEMBER TO 6/2014	0.0	0.0			$465,210	$0	$14,857			Yes (X)
RAYMOND S SZUDLO
FORMER CLO TO 6/2014	0.0	0.0			$885,841	$0	$48,082			Yes (X)
DAVID SPARKS
FORMER VP FIN/CONTR. TO 6/2014	0.0	0.0			$363,465	$0	$30,395			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$23,107,934	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,287,493	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1657	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Cerner Corporation
2800 Rockcreek Parkway	N KANSAS CITY	MO	64117	IT Services	$29,206,387
Atlantic Services Group
2131 K Strett NW Ste 200	WASHINGTON	DC	20037	Shuttle Service	$3,683,444
FTI Consulting Inc
909 Commerce Road	ANNAPOLIS	MD	21401	Consulting	$3,400,392
RP3 LLC
7316 Wisconsin Ave 450	BETHESDA	MD	20814	Advertising	$3,381,453
Colonial Parking
1050 Thomas Jefferson St NW Ste	WASHINGTON	DC	20007	Parking Services	$3,181,718

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	194	CntrctRcvdGreaterThan100KCnt
Related Organizations	$14,066,678	RelatedOrganizationsAmt
Government Grants	$7,456,573	GovernmentGrantsAmt
All Other Contributions	$5,765,452	AllOtherContributionsAmt
Total Contributions	$27,288,703	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	621400	$960,446,427	$960,446,427
ALL OTHER PROGRAM SERVICES	900099	$84,630,689	$84,630,689

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,045,077,116	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,024,592	TotalRevenueColumnAmt
Exclusion	$3,024,592	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$106,470,266	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$107,430,710	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$960,444	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$960,444	TotalRevenueColumnAmt
Exclusion	-$960,444	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING	812930	$4,132,408	$4,132,408
LAB FEES	621500	$1,045,624		$1,045,624
EQUITY AND PARTNERSHIP LOSS	621110	-$17,372,574			-$17,372,574

Field	Value	IRS element (for citing)
Other Revenue Total	-$12,194,542	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,062,235,425	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,027,704,542	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,045,624	UnrelatedBusinessRevenueAmt
Exclusion	$6,196,556	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$16,469,203	TotalAmt
Program Services	$12,022,518	ProgramServicesAmt
Management And General	$4,446,685	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$503,088,948	TotalAmt
Program Services	$367,254,932	ProgramServicesAmt
Management And General	$135,834,016	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,782,433	TotalAmt
Program Services	$12,981,176	ProgramServicesAmt
Management And General	$4,801,257	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,961,286	TotalAmt
Program Services	$24,061,739	ProgramServicesAmt
Management And General	$8,899,547	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,596,808	TotalAmt
Program Services	$24,525,670	ProgramServicesAmt
Management And General	$9,071,138	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,046	TotalAmt
Program Services	$764	ProgramServicesAmt
Management And General	$282	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,117,605	TotalAmt
Program Services	$2,275,852	ProgramServicesAmt
Management And General	$841,753	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,117,211	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,117,211	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$404,647	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$404,647	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$70,110,684	TotalAmt
Program Services	$51,180,799	ProgramServicesAmt
Management And General	$18,929,885	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,577,575	TotalAmt
Program Services	$4,071,630	ProgramServicesAmt
Management And General	$1,505,945	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,916,456	TotalAmt
Program Services	$7,969,013	ProgramServicesAmt
Management And General	$2,947,443	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$44,918,013	TotalAmt
Program Services	$32,790,149	ProgramServicesAmt
Management And General	$12,127,864	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,476,095	TotalAmt
Program Services	$15,677,549	ProgramServicesAmt
Management And General	$5,798,546	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,102,443	TotalAmt
Program Services	$2,264,783	ProgramServicesAmt
Management And General	$837,660	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,021,459	TotalAmt
Program Services	$745,665	ProgramServicesAmt
Management And General	$275,794	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,698,927	TotalAmt
Program Services	$16,570,217	ProgramServicesAmt
Management And General	$6,128,710	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$52,564,589	TotalAmt
Program Services	$38,372,150	ProgramServicesAmt
Management And General	$14,192,439	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$20,650,341	TotalAmt
Program Services	$15,074,749	ProgramServicesAmt
Management And General	$5,575,592	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$94,309,606	$68,846,012	$25,463,594
LOSS ON DEBT EXTINGUISHMENT	$74,723,266	$74,723,266	$0
BAD DEBT EXPENSE	$34,479,220	$34,479,220	$0
REPAIRS AND MAINTENANCE	$15,212,938	$11,105,445	$4,107,493

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,312,006	TotalAmt
Program Services	$6,797,764	ProgramServicesAmt
Management And General	$2,514,242	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,089,612,805	TotalAmt
Program Services	$823,791,062	ProgramServicesAmt
Management And General	$265,821,743	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$114,829,265	BOYAmt
EOY	$125,627,814	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,959,219	BOYAmt
EOY	$6,703,912	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$171,500,657	BOYAmt
EOY	$163,175,659	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$120,000	BOYAmt
EOY	$80,000	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,587,583	BOYAmt
EOY	$8,867,399	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,901,610	BOYAmt
EOY	$13,029,110	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,105,187,611	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$620,301,569	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$481,697,338	BOYAmt
EOY	$484,886,042	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$149,965,068	BOYAmt
EOY	$168,789,111	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$74,782,199	BOYAmt
EOY	$39,386,824	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$279,705,767	BOYAmt
EOY	$294,822,611	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,302,048,706	BOYAmt
EOY	$1,305,368,482	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$141,897,536	BOYAmt
EOY	$147,858,391	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$22,630,573	BOYAmt
EOY	$7,137,079	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$383,871,996	BOYAmt
EOY	$406,330,452	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$75,452,247	BOYAmt
EOY	$75,255,531	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,792,437	BOYAmt
EOY	$134,736,641	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$732,644,789	BOYAmt
EOY	$771,318,094	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$569,403,917	BOYAmt
EOY	$534,050,388	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$569,403,917	BOYAmt
EOY	$534,050,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,302,048,706	BOYAmt
EOY	$1,305,368,482	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$27,377,380	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,976,149	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$363,877	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,770	OtherActivitiesAmt
Total Lobbying Expenditures	$404,647	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PAID STAFF OR MANAGEMENT	Schedule C, Part II-B, Line 1b FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS.
DIRECT CONTACT	SCHEDULE 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/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. EXPENSES TOTALED $363,877.
OTHER ACTIVITIES	SCHEDULE C, PART II-B, LINE 1I THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) and DISTRIC OF COLUMBIA HOSPITAL ASSOCIATION (DCHA). NACH AND DCHA HAVE CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,440,758	OtherCostOrOtherBasisAmt
Book Value	$1,440,758	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$123,663,975	OtherCostOrOtherBasisAmt
Depreciation	$74,708,686	DepreciationAmt
Book Value	$48,955,289	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$779,673,065	OtherCostOrOtherBasisAmt
Depreciation	$411,745,030	DepreciationAmt
Book Value	$367,928,035	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,023,567	OtherCostOrOtherBasisAmt
Depreciation	$132,294,398	DepreciationAmt
Book Value	$65,729,169	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,386,246	OtherCostOrOtherBasisAmt
Depreciation	$1,553,455	DepreciationAmt
Book Value	$832,791	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$484,886,042	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION PLAN	$19,149,337
DUE FROM AFFILIATES	$275,673,274

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$294,822,611	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$74,481,874
RESERVE FOR CLAIMS	$53,463,107
CAPITAL LEASE OBLIGATIONS	$5,949,110
SETTLEMENTS TO THIRD PARTY PAY	$842,550

Field	Value	IRS element (for citing)
Total Liability	$134,736,641	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740)	FormAndLineReferenceDesc
Explanation	Schedule 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 Board's ("FASB") guidance on accounting for uncertainty in income taxes clarifies the accounting for uncertainty of income tax positions. The guidance defines the threshold for recognizing tax return positions in the combined financial statements as "more likely than not" that the position is sustainable, based on technical merits. 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 Center's financial statements during the years ended June 30, 2016 and 2015 as the Medical Center has no uncertain tax positions.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Middle East and North Africa	1	Program Services	PATIENTS REFFERALS	$338,741
Central America and the Caribbean		Program Services	INSURANCE PREMIUMS	$12,702,570

Field	Value	IRS element (for citing)
Subtotal Employees	1	SubtotalEmployeesCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$13,041,311	SubtotalSpentAmt
Total Spent	$13,041,311	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ACCOUNTING METHOD USED	FormAndLineReferenceDesc
Explanation	SCHEDULE F, PART I, LINE 3, COLUMN F THE EXPENDITURES, PER REGION, ARE PRESENTED ON THE ACCRUAL BASIS OF ACCOUNTING.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	350.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,324,465	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,324,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,498,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,498,537	NetCommunityBenefitExpnsAmt
Total Expense	0.05640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,823,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$66,823,002	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	145508	PersonsServedCnt
Total Community Benefit Expns	$22,827,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,250,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,577,765	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	1308	PersonsServedCnt
Total Community Benefit Expns	$28,824,597	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,724,581	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,100,016	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,306,449	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,306,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,154,196	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,154,196	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	21632	PersonsServedCnt
Total Community Benefit Expns	$893,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$535,818	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	168448	PersonsServedCnt
Total Community Benefit Expns	$61,006,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,332,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,674,244	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	168448	PersonsServedCnt
Total Community Benefit Expns	$127,829,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,332,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,497,246	NetCommunityBenefitExpnsAmt
Total Expense	0.09510	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$26,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,930	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,930	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	78	PersonsServedCnt
Total Community Benefit Expns	$1,501,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,435,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	78	PersonsServedCnt
Total Community Benefit Expns	$1,541,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,118	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,475,265	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,557,174	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,100,563	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,515,777	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,675,483	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$159,706	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.childresnnational.org	WebsiteAddressTxt
State License	HFD01-0208	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.childrensnational.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.dchealthmatters.org	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.childrensnational.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	350.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.childrensnational.org	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.childrensnational.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3	The 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 5	Childrens 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 of 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 department of housing, economics, department of health care finance, department of transportation, and the department of behavioral health. The stakeholder interviews took place within 60 organizations and included 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. Members of the DCHCC conducted key informant interviews with local CEOs as well as Directors of government agencies.
Schedule H, Part V, Section B, Lines 6a & 6b	Childrens National, through its membership in the DC Healthy Communities Collaborative (DCHCC), conducted the CHNA in participation 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 7d	The 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.
Schedule H, Part V, Section B, Line 8	Children's Hospital adopted an implementation strategy, referred to as the Community Health Improvement Plan (CHIP) that addresses four of the six priority community health needs identified through the citywide CHNA. The CHIP is available online at: HTTP://CHILDRENSNATIONAL.ORG/~/MEDIA/CNHS-SITE/FILES/ABOUT/ADVOCACY/FINAL_ CHILDRENS_NATIONAL_CHIP_FY_20142016.ASHX
Schedule H, Part V, Section B, line 11	The 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 affect 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. 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.

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHILDREN'S OUTPATIENT CTR OF MONTGOMERY
SHADY GROVE MEDICAL PARK	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
3023 Hanmaker Court Suite 300	FAIRFAX	VA	22031	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN LAUREL
13922 BALTIMORE AVE	LAUREL	MD	20707	REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - ADAMS MORGAN
1630 EUCLID STREET NW	WASHINGTON	DC	20009	HEALTH CENTERS
CHILDREN'S HEALTH CENTER - GOOD HOPE RD
2501 GOOD HOPE ROAD SE	WASHINGTON	DC	20020	HEALTH CENTERS
CHILDREN'S HEALTH CENTER - MLK JR AVE
3029 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20032	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR - UPR MARLBORO
9440 PENNSYLVANIA AVENUE	UPPER MARLBORO	MD	20772	REGIONAL OUTPATIENT CENTER
MOBILE VAN - HEALTH CARE
N/A	NA	DC	20010	MOBILE HEALTH CARE
CHILDREN'S OUTPATIENT CTR IN ANNAPOLIS
888 BESTGATE ROAD STE 320	ANNAPOLIS	MD	21401	REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - SHAW
2220 11TH STREET NW	WASHINGTON	DC	20001	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR SPRING VALLEY
4900 MASSACHUSETTS AVENUE NW	WASHINGTON	DC	20016	REGIONAL OUTPATIENT CENTER
CHILDREN'S NAT'L AMBULATORY SURGERY CTR
9850 KEY WEST AVENUE	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN FREDERICK
5910 FREDERICK CROSSING LANE STE 1	FREDERICK	MD	21704	REGIONAL OUTPATIENT CENTER
MOBILE VAN - DENTAL
N/A	NA	DC	20010	MOBILE HEALTH CARE
CHILDREN'S HEALTH CENTER AT THEARC
1901 MISSISSIPPI AVE SE	WASHINGTON	DC	20020	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR MONTGOMERY CTY
15245 SHADY GROVE ROAD STE 350	ROCKVILLE	MD	20858	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
8501 ARLINGTON BLVD STE 450	FAIRFAX	VA	22031	REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL IMGAGING CENTER
9850 KEY WEST AVENUE Suite 110	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL SPECIALISTS OF VIRGI
3023 HAMAKER COURT SUITE 500	FAIRFAX	VA	22031	HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CHILDREN'S NATIONAL MEDICAL CENTER ANNUAL REPORT	Schedule 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 REPORT	Schedule 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. COMMUNITY BENEFIT REPORT 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 FY 2016: - Mental Health Summit Childrens National is a leading advocate for childrens mental and behavioral health needs, committed to increasing attention and action on this critical health issue. In April 2016, Childrens National organized its second national Mental Health Summit bringing together childrens hospital executives, pediatric mental health and primary care practitioners, community leaders, and journalists to examine new opportunities to improve care and access for kids. The Summit included moderated panels, and roundtable discussions where participants shared their experiences, best practices, and made recommendations to improve treatment, inform policy, and optimize access to mental health care services for children. There were several key takeaways and action items from the Summit including the need to understand the diverse cultural backgrounds of patients and the role culture plays in how families view mental health; education and partnerships with local and federal policymakers to inform them of the effects of pediatric mental health and the need for research funding; and the need to educate communities on how to view mental health as part of general health. Through a post-event survey, participants conveyed interest in receiving follow up materials on topics discussed during the summit. Plans to address the recommendations and action items are forthcoming. This is one example of Childrens National approach to addressing mental health needs of children. Mental health is one of our FY 2016 CHNA priorities, specifically focused on improving access to mental health services. Childrens National will work with the other DC Healthy Communities Collaborative members to advocate for policy level solutions including but not limited to policy issues related to workforce capacity. - East of the River Lactation Support Center Breastfeeding is a benefit to mother and child; helping to reduce infections and ensure growth and development, enables bonding for mothers and babies, and provides comfort and recovery from childbirth. Breastfeeding is also a great cost savings for families by reducing or eliminating the need to purchase formula. The East of the River Lactation Support Center, a collaborative between Childrens National (including our Women, Infants, and Children (WIC) Program) and the DC Breastfeeding Coalition, aims to help mothers who choose to breastfeed reach their breastfeeding goals through prenatal breastfeeding education and post-partum breastfeeding support. The center is located in Ward 8 where the majority of mothers are African American; disparities exist in breastfeeding rates of African Americans (55%) compared to non-Hispanic Whites (97%) in the District of Columbia. In fiscal year 2016, the East of the River Lactation Support Center conducted 11 prenatal breastfeeding education classes. There was an increase from last fiscal year in the number of in-person and telephone lactation consults with 540 in-person and 592 telephone consults, compared to 394 and 280, respectively. The program will continue to expand by providing training to peer counselors using the "Loving Support to Grow and Glow in WIC" training program. - Oral Health Literacy Training Program The DC Pediatric Oral Health Coalition, spearheaded by Childrens National, is an alliance of multidisciplinary public and private stakeholders convened to address access to oral health services. The priorities of the Coalition are prevention and public health infrastructure, collaboration between medical and dental providers, and oral health literacy and education. As of part of their focus on literacy and education the Coalition launched their Oral Health Literacy Training Program. The Oral Health Literacy Training Program trained prevention professionals who work with DC children in Ward 7 and 8 how to teach parents/caregivers about oral health literacy and advocacy the importance of preventive oral care as well as actively pursuing those services for their children. The Coalition conducted focus groups with parents/caregivers and prevention professionals to determine factors that potentially present as barriers to accessing and maintaining oral health services and care. With the help of a communication firm the focus group findings were utilized to create a train-the-trainer session materials for prevention professionals. The training included Oral Health 101 provided by a dental provider which educated participants on the importance of oral health in respect to overall health and disparities among DC residents. The core of the session focused on the potential barriers that may prevent families from receiving the oral health care and how to help them to overcome those barriers. Participants were provided scenarios for role playing and learned how to best use tactics to communicate effectively with families. Five training sessions were conducted with a total of 45 participants. Pre- and post-assessments were completed during each session and illustrated a 23% increase in oral health knowledge among trainees. The oral health literacy efforts of the DC Pediatric Oral Health Coalition have been a catapult for government agencies and community based organizations with discussions around launching a city-wide health literacy campaign. With intentions to continue oral health literacy efforts, the Coalition has collaborated with the Maryland Dental Action Coalition and their Healthy Teeth, Healthy Kids media campaign. The campaign aims to increase oral health awareness, improve preventive behaviors, and increase access to care. A campaign will be implemented in 2017. - Collaboration with St. Anns Center for Children, Youth and Families Nurses at Childrens National understand the importance of partnering in the community and working with community based organizations. Our Magnet nurses have been partnering with the St. Anns Center for Children, Youth, and Families for at least the last 4 years. St. Anns Center for Children, Youth and Families is committed to lifting vulnerable children, mothers and families out of poverty and homelessness. The Center provides tool for life-long independence and self-sufficiency through their housing and support programs, including programs for teen mothers, clinical and social work services, a child care center, and education and employment programming. In FY 2016, our nurses collected donations of life essentials for the families at St. Anns. We are furthering our partnership through the Nursing Advocacy Council, whose members wanted to go beyond providing supplies to using their expertise as nurses and educators to have a greater impact. The Council is planning to provide educational sessions to the families of St. Anns. A survey is currently being conducted to determine the topics, ranging from healthy eating/nutrition to advocacy on a federal and local level. The education sessions will be implemented in fiscal year 2017. - Addressing Child Maltreatment The Freddie Mac Foundation Child and Adolescent Protection Center (CAPC) is the only medical center in the District of Columbia with a team of health professionals dedicated to the victims of child abuse and their families. CAPCs work is important because the District of Columbia has twice the national rate of child abuse. CAPC provides comprehensive examinations conducted by pediatricians and nurses who specialize in forensics, treatment of sexually transmitted diseases or injuries, and trauma counseling provided by psychologists and clinical social workers for child victims of maltreatment. The District of Columbia and some of the surrounding jurisdictions have established formal multidisciplinary approaches to the investigation of child abuse. CAPC serves as the medical arm of the District of Columbias Multidisciplinary Team by providing ad hoc medical expertise to law enforcement and child welfare and legal agencies investigating and litigating cases of child maltreatment. As part of this team, CAPC staff participates in case review meetings for sexual and physical abuse. CAPC staff also serves as consultants to other DC agencies that require additional medical background information on cases. As part of the legal process, physicians may testify and provide their expertise to clarify medical findings. Physicians provided testimonies on behalf of vic
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. - Medicaid Schedule H, Part I, Line 7b Hospital and physician gross patient revenue and payment from financial decision support systems were adjusted to cost using the cost to charges ratio per the IRS instructions. Medicaid graduate medical education (GME) add-on payments were excluded as they are reported on the Health Education line. Childrens National GME indirect medical education (IME) payments were included as per 990 instructions. - Health Education Schedule H, part I, Line 7f The health education cost includes the total cost of Interns and residents from the FY16 submitted Medicare cost report as well as Specific medical student/training programs that were identified by the gme office. The specific medical student/training program costs were calculated based on the hours reported by each department and the wage related costs of the staff who provided the training. 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 Services Schedule H, part I, Line 7g The hospital and physician combined service lines for programs in underserved areas with losses were reported as Subsidized Health Services. Total charges were adjusted to cost using the cost to charge ratio based on the IRS Instructions. The claims payments were netted against the cost. Costs Attributable to a Physical Clinic As described by definition, subsidized health services are clinical programs that are provided despite a loss so significant that negative margins remain after removing the effects of charity care, bad debt and Medicaid shortfalls. The services are provided despite the financial loss to meet the identified and unmet needs of the community. If the services were not provided, they would not be available to the area or would result in the government or another not-for-profit organization providing the services. The subsidized health services amount in Part I, Line 7g includes $5,306,449 which is attributed to the primary clinical services provided via Children's Hospital. Children's health centers provide programs and initiatives including comprehensive and high quality preventive services, improvement of immunization rates, and coordination of care for children with special health care needs. The amount includes salary, fringe, direct, and indirect costs expended to provide the clinical services. Our children's health centers are establishing best practices in community health. - Other benefits Schedule 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 ACTIVITIES	SCHEDULE H, PART II Part II includes the cost incurred for activities and programs to protect or improve the communitys health or safety. Programs accounted for as community building activities fall into the subcategories of workforce development and coalition building, and community health improvement advocacy. Workforce Development: Childrens National is dedicated to engaging in and providing opportunities of learning and development to students with the hope that students will want to serve long-term in the District of Columbia locality. We work with many local colleges and universities to provide learning opportunities for students interested in health professions. Students working within our Emergency Department participate in clinical research projects, attend research, healthcare and clinical operations-related lectures, and have the opportunity to create mentorship relations with our physicians. We also provide internship and externship opportunities for nursing students in partnership with local colleges and universities. Students gain invaluable experiences in clinical areas of nursing in a pediatric setting. Coalition Building: As part of our injury prevention efforts, the DC Injury Prevention Alliance was created. The Alliance, comprised of various community-based organizations, participated in a prioritization process and identified bullying as an area of focus. The Alliance has created an injury prevention action plan that incorporates bullying prevention. 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 childrens health, aim to eliminate health disparities, and support medical and research innovation. In 2016, the team educated policy makers on childrens health issues and worked with expert physicians and researchers to testify on a bill and/or provide written statements on issues such as access to emergency epinephrine in schools in the District of Columbia and an act to require health care practitioners to administer a screening tool for autism during well-child examinations for children at 18 and 24 months of age in Maryland. The team also coordinated advocacy efforts with other community organizations and advocates.
Bad Debt Expense	Schedule 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 Childrens 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 Childrens Nationals community benefit. A demographic analysis based on zip codes was completed to estimate the amount of bad debt that could have been attributed to patients with a likelihood of qualifying for financial assistance had sufficient information been obtained to determine their eligibility. Based on the analysis, approximately $2.1M, of bad debt could have been attributed to financial assistant eligible patients. Childrens Hospital reports its applicable Bad Debt ($31.9 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 reported on Line 6 Schedule 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 Practices	Schedule H, Part III, Lines 9b and 9b Childrens Hospital has a written collection policy. The policy is applied uniformly to all patients. Childrens Hospital is committed to providing quality healthcare to all patients while maintaining responsible and effective financial programs which ensure that this commitment can continue. Childrens Hospital supports families in carrying out their responsibility for obtaining medical care for their children. Childrens Hospital, therefore will assist families in verifying their ability to meet their financial obligation to the hospital or in securing the resources necessary to do so. The purpose of this policy is to establish guidelines for the effective and responsible fiscal programming, which assures the financial viability of the institution and maintains the dignity of the family. Collection efforts are therefore the same for all patients. Once the approved charity adjustment has been determined, the account balance is written off to charity and collection efforts cease. For patient balances that are not financial assistance eligible, Childrens 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 patients account. If the external agencys efforts, prove to be ineffective the account will be closed with the agency and their efforts will cease. Childrens Hospital does not engage in any extraordinary collection activities, e.g. credit reporting, wage garnishments, liens, etc.
Community Health Care Needs Assessment	SCHEDULE H, PART VI, LINE 2 Childrens 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. Childrens 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 2016-2017, 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. Similarly, the hospital conducted a resource and gap analysis to examine DCs early childhood mental health workforce capacity and to determine how the hospital-led DC Collaborative for Mental Health in Pediatric Primary Care and Childrens 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 Education	Schedule 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 Childrens Hospital. Childrens will provide, without discrimination, care for emergency medical conditions to individuals regardless of whether they are eligible for Financial Assistance. Childrens 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 Childrens 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. Childrens 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 Childrens 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 Childrens 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 Served	Schedule 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 672,228 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 48.3% black; 44.1% white; 10.6% Latino; 4.2% Asian and 0.6% American Indian/Alaska native; Maryland: approximately 60% white; 31% black; 10% Hispanic; 6.5% Asian and Virginia 70.5% white, 19.7% black, 9.0% Hispanic, 6.5% 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 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 about 17 percent and in Virginia about 15 percent of the population age five and older report speaking a language other than English at home while in Maryland the percentage is slightly higher at nearly 17 percent. The U.S. Census reports median household income at approximately $70,848 in the District with the highest income in Ward 3 and lowest in Wards 7 and 8. In Maryland the median household income is $74,551 and the median household income in Virginia is $65,015. The percentage of persons living below the poverty line is reported at 17.3% for the District of Columbia, 11.2% in Virginia, and 9.7% in Maryland. The Centers of Medicare and Medicaid Services (CMS) reports total Medicaid and CHIP enrollment figures based on enrollment data as of June 2016 at 73,467,427. 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 225,491; 1,240,791 in Maryland; 970,438 in Virginia. In 2015, the percentage of hospital inpatients receiving Medicaid was 76 percent from the District of Columbia, 29 percent from Virginia, and 55 percent from the state of Maryland. The District of Columbia has 17 health professional shortage areas (HPSA) and Medically Underserved Area/Population (MUA/P) designations. There are a total of 51 census tracts that are designated as Primary Care shortage areas, 7 census tracts that are Mental Health shortage areas, and 48 census tracts that are designated as Dental shortage areas. Serving children for more than 140 years, Childrens Hospital is a proven leader in developing and providing innovative new treatments for childhood illness and injury. Childrens Hospital is located in an urban community where there are several large academic and community hospitals located. However, we serve a majority of the children in DC. We care for more than 42,000 children through our health centers each year, as the largest non-government provider of primary care in the District of Columbia. About 51 percent of our patients live in Maryland. We also offer families a link to quality pediatric care through our mobile medical program and at community centers. Our team averages more than 460,000 outpatient visits each year at health clinics in the District of Columbia, affiliated centers in Maryland and Virginia, and at the Sheikh Zayed Campus in Washington, D.C. On average, that equals nearly 1,000 patient visits in one day to one of Childrens Nationals 30 locations in the District of Columbia and throughout the metropolitan area. In 2015, we performed 16,979 surgical procedures, 119,047 diagnostic imaging procedures, and more than 1 million laboratory tests.
Promoting the Health of the Community	Schedule H, Part VI, Line 5 For more than 140 years, Childrens 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 Childrens National with numerous health challenges, many of which are preventable. In order to advance our four-part CARE mission to improve health and wellness and increase health equity through Clinical Care, Advocacy, Research, and Education - and 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. Childrens 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, Childrens 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. Childrens National is committed to building a brighter, healthier future for all children, not just the ones who come through our hospital doors. Childrens 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 community health needs assessment (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 and Injury Prevention Alliance. One example of our hospital-led community partnerships is the DC Collaborative for Mental Health in Pediatric Primary Care (the Collaborative). The Collaborative aims to improve the integration of mental health in primary pediatric care for children of all ages. Since 2001, Childrens National has operated the District of Columbia school nurses program, has engaged in dozens of school-based programs throughout the DC metropolitan area, and has advocated for policy changes to foster healthy school environments. This commitment to the community is also evidenced through its governing boards dedicated to community health initiatives, and the development of DC Healthy Communities Collaborative (DCHCC). Childrens 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. Childrens National is a pioneer in innovative programs that move beyond awareness to targeted interventions that improve the lives of children and their families, locally, regionally, nationally, and internationally. The Childrens National Advocacy and Public Policy, Inc.(CNAPPI) governs the Advocacy component of our care, advocacy, research, and education (CARE) mission as a charitable organization. The CNAPPI is comprised of leaders from throughout the region with experience in policy, advocacy, leadership and strategic planning. With this capacity, the CNAPPI serves as a platform for the Childrens National to reach beyond the boundaries of the institution; advocate for all children regardless of their circumstance or location; and prioritize and guide official policy statements and action, government relations, community benefit outreach and other relevant issues. Over the past 20 years, Childrens Health Board has awarded approximately $5 million in grants to more than 200 Childrens 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 Childrens Health Board, a service affiliate of Childrens 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 Childrens Health Board implemented an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Childrens Health Board focuses its grant making on supporting the Childrens 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 Childrens 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 2017 grants, preference will be given to proposals directed towards the CHNA priority areas - Mental Health, Place-Based Care, Care Coordination, and Health Literacy.
Affiliated Health Care System Roles	Schedule 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 responsible 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.
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI, LINE 7 DC

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)	$955,612	$0	$1,038,600	$0	$28,009	$0	$298,249	$0	$166,812	$0	$2,487,282	$0	$0	$0
DAVID STOCKWELL MD
BOARD MEMBER TO 06/2016	$131,923	$0	$44,677	$0	$0	$0	$5,331	$0	$719	$0	$182,650	$0	$0	$0
DAVID WESSEL MD
BOARD MEMBER/CMO	$521,213	$0	$523,823	$0	$22,332	$0	$95,752	$0	$53,842	$0	$1,216,962	$0	$0	$0
DENICE CORA-BRAMBLE MD
BOARD MEMBER/CMO	$520,704	$0	$466,216	$0	$22,505	$0	$95,752	$0	$62,912	$0	$1,168,089	$0	$0	$0
DOUGLAS MYERS
EVP/CFO TO 12/2015	$499,976	$0	$471,861	$0	$45,961	$0	$92,751	$0	$48,680	$0	$1,159,229	$0	$0	$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	$610,147	$0	$518,859	$0	$3,006	$0	$92,751	$0	$58,273	$0	$1,283,036	$0	$0	$0
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	$368,560	$0	$452,350	$0	$60,229	$0	$62,383	$0	$54,339	$0	$997,861	$0	$0	$0
ELIZABETH FLURY
CHIEF STRATEGIC OFFICER	$488,513	$0	$432,084	$0	$2,790	$0	$88,252	$0	$62,966	$0	$1,074,605	$0	$0	$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	$492,274	$0	$428,071	$0	$19,514	$0	$103,397	$0	$34,141	$0	$1,077,397	$0	$0	$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	$421,454	$0	$380,014	$0	$47,954	$0	$77,834	$0	$83,798	$0	$1,011,054	$0	$0	$0
MENDEL TUCHMAN MD
CHIEF RESEARCH OFFICER	$305,870	$0	$300,528	$0	$53,227	$0	$100,856	$0	$55,226	$0	$815,707	$0	$0	$0
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	$333,160	$0	$273,357	$0	$13,392	$0	$47,591	$0	$29,759	$0	$697,259	$0	$0	$0
MARY ANNE HILLIARD
CHIEF LEGAL OFFICER	$289,469	$0	$306,519	$0	$25,764	$0	$57,696	$0	$38,261	$0	$717,709	$0	$0	$0
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	$375,168	$0	$114,754	$0	$23,310	$0	$33,250	$0	$50,537	$0	$597,019	$0	$0	$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER	$288,661	$0	$256,860	$0	$21,393	$0	$58,156	$0	$73,216	$0	$698,286	$0	$0	$0
MARY OTTOLINI MD PHD
VICE CHAIR MEDICAL EDUCATION	$277,950	$0	$76,757	$0	$8,030	$0	$13,000	$0	$4,097	$0	$379,834	$0	$0	$0
LINDA TALLEY
CHIEF NURSING OFFICER	$265,477	$0	$71,084	$0	$2,838	$0	$11,400	$0	$11,759	$0	$362,558	$0	$0	$0
MICHELLE M MCGUIRE
VP & CHIEF OF STAFF	$221,948	$0	$58,948	$0	$990	$0	$11,717	$0	$24,593	$0	$318,196	$0	$0	$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	$780,210	$0	$156,694	$0	$774	$0	$88,947	$0	$22,217	$0	$1,048,842	$0	$0	$0
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	$649,789	$0	$238,085	$0	$1,518	$0	$13,250	$0	$21,313	$0	$923,955	$0	$0	$0
H GIL RUSHTON MD
CHIEF OF UROLOGY	$511,589	$0	$167,130	$0	$16,129	$0	$62,174	$0	$37,695	$0	$794,717	$0	$0	$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	$617,213	$0	$379,296	$0	$1,518	$0	$13,250	$0	$21,313	$0	$1,032,590	$0	$0	$0
JOHN MYSEROS MD
NEUROSURGEN	$629,622	$0	$115,057	$0	$1,518	$0	$13,250	$0	$22,956	$0	$782,403	$0	$0	$0
DAVID SPARKS
FORMER VP FIN/CONTR. TO 6/2014	$274,486	$0	$59,939	$0	$29,040	$0	$13,250	$0	$17,145	$0	$393,860	$0	$0	$0
RAHUL K SHAH MD
FORMER BOARD MEMBER TO 6/2014	$336,291	$0	$110,317	$0	$18,602	$0	$13,250	$0	$1,607	$0	$480,067	$0	$0	$0
RAYMOND S SZUDLO
FORMER CLO TO 6/2014	$105,882	$0	$227,358	$0	$552,601	$0	$5,247	$0	$42,835	$0	$933,923	$0	$0	$0
Mark L Batshaw MD
Phy in Chief/CAO	$628,919	$0	$533,141	$0	$37,675	$0	$263,250	$0	$149,521	$0	$1,612,506	$0	$0	$0
Richard Jonas MD
Chief of Cardiology	$1,090,336	$0	$813,219	$0	$39,301	$0	$101,801	$0	$103,174	$0	$2,147,831	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIRST-CLASS OR CHARTER TRAVEL	Schedule 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, AND HOSPITAL POLICY PERMITS BUSINESS CLASS FOR INTERNATIONAL TRAVEL. THERE IS NO CHARTER TRAVEL. TRAVEL FOR COMPANION SCHEDULE J, PART I, LINE 1A THE CEO MAY TAKE HIS SPOUSE ON UP TO 7 TRIPS PER YEAR FOR CONFERENCES WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS. IN ADDITION, UPON PRIOR APPROVAL OF THE CEO, AND IN LIMITED CIRCUMSTANCES, TRAVEL FOR AN EXECUTIVE'S SPOUSE MAY BE AUTHORIZED WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS.
Tax indemnification and gross-up payments	Schedule J, Part I, Line 1a TWO KEY EMPLOYEES AND ONE FORMER KEY EMPLOYEE RECEIVED CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS, UPON APPROVAL OF THE COMPENSATION COMMITTEE, WHICH ARE INCREASED BY A TAX EQUALIZATION AMOUNT, WHICH IS SIGNIFICANTLY LESS THAN THE AMOUNT THAT WOULD BE DETERMINED BY A TAX GROSS UP OR INDEMNIFICATION METHOD. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
Health or social club dues or initiation fees	Schedule J, Part I, Line 1a CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR HEALTH CLUB OR SOCIAL CLUB DUES. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. HEALTH CLUB AND SOCIAL CLUB DUES REIMBURSEMENT IS NO LONGER OFFERED TO INCOMING EXECUTIVES.
Personal services	Schedule 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.
SEVERANCE	SCHEDULE J, PART 1, LINE 4A THE FOLLOWING FORMER OFFICERS AND KEY EMPLOYEE RECEIVED SEVERANCE PAYMENTS REPORTED BELOW. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION: RAYMOND S. SZUDLO $ 416,822
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	SCHEDULE 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 $285,000 DOUGLAS MYERS $79,501 ANTHONY SANDLER, MD $60,000 DAVID WESSEL, MD $82,502 DENICE CORA-BRAMBLE, MD $82,502 GERARD MARTIN, MD $39,333 ELIZABETH FLURY $75,002 KATHLEEN CHAVANU GORMAN $73,501 ROGER PACKER, MD $51,684 MENDAL TUCHMAN, MD $52,139 PAM KING SAMS $32,461 MARY ANNE HILLIARD $30,446 BRIAN JACOBS, MD $20,000 DARRYL VARNADO $45,003 Mark L. Batshaw, MD $250,000 Richard Jonas, MD $88,551 ROBERT KEATING, MD $75,697 H. GIL RUSHTON, MD $48,924
NON-FIXED PAYMENTS	SCHEDULE 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 EXCEPTION	SCHEDULE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DISTRICT OF COLUMBIA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	536001131	BondIssuerEIN
CUSIP	254764KB8	CUSIPNum
Bond Issued	2015-09-17	BondIssuedDt
Issue Price	$413,728,662	IssuePriceAmt
Purpose	see Part VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$413,728,662	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$410,562,146	RefundingEscrowAmt
Issuance Costs From Proceeds	$3,166,515	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF PURPOSE	FormAndLineReferenceDesc
Explanation	SCHEDULE K, PART I, LINE A, COLUMN (F) ADV REFUND BONDS ISSUED 10.26.05 & 4.10.08	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DAVID WESSEL MD	PersonNm
Relationship With Org	HOUSING LOAN - COMP	RelationshipWithOrgTxt
Loan Purpose	HOUSING LOAN - COMP	LoanPurposeTxt
Loan To Organization	Yes (X)	LoanToOrganizationInd
Original Principal	$200,000	OriginalPrincipalAmt
Balance Due	$80,000	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$80,000	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Loans to and/or From Interested Persons	FormAndLineReferenceDesc
Explanation	Schedule L, Part II The housing loan to Dr. Wessel 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 the agreement meets the income tax definition of a loan. Dr. Wessel is currently in compliance with all terms of the agreement.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MISSION	FORM 990, PART I, LINE 1 AND PART III, LINE 1 TO IMPROVE HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, AND EDUCATION TO MEET UNIQUE NEEDS OF CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6, 7A AND 7B CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC") 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 PROCESS	Form 990, Part VI, Line 11b THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE LEGAL AFFAIRS AND AUDIT COMMITTEE AND THE FINANCE AND INVESTMENT COMMITTEE REVIEW THE FINANCIAL DISCLOSURES AND GOVERNANCE SECTIONS AND THE CNAPPI BOARD REVIEWS THE PUBLIC BENEFIT SECTIONS, AND THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS THE COMPENSATION DISCLOSURES. THE COMPLETED FORM 990 IS THEN MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER BEFORE FILING.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT	Form 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 OF 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. GOVERNING POLICIES FORM 990, PART VI, LINES 13 & 14 CHILDREN'S HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC"). THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
PROCESS FOR DETERMINING COMPENSATION	FORM 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 INTERMEDIATES SANCTION 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.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19 CHILDREN'S HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST.
OFFICERS	FORM 990, PART VII DOUGLAS MYERS SERVED AS CFO THROUGH DECEMBER 2015. LARRY RAGEL SERVED AS INTERIM CFO IN A CONTRACTUAL CAPACITY FROM JANUARY TO MAY 2016. ALEC KING JOINED AS NEW CFO IN MAY 2016. DUE TO THE IRS REQUIREMENTS OF REPORTING COMPENSATION ON THE CALENDAR-YEAR BASIS, ONLY DOUG'S COMPENSATION IS REFLECTED ON THIS FORM 990 AS HE IS THE ONLY CFO WHO RECEIVED COMPENSATION IN CALENDAR-YEAR 2015.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S NATIONAL SPECIALISTS OF VA
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	264571100	HEALTH CARE	DC	-$1,339,479	$0	CH
CHILDREN'S NATIONAL at Walter Reed LLC
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	383987350	HEALTH CARE	DC	$0	$0	CH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521654453	RESEARCH	DC	501(C)(3)	09	CNMC	false
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640403	HEALTH CARE	DC	501(C)(3)	11-II	NA	false
SAFE KIDS WORLDWIDE
1301 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20004	521627574	INJURY PRVNTN	DC	501(C)(3)	11-I	CNMC	false
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640399	INSURANCE	DC	501(C)(3)	11-III FI	CH	Yes (true)
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640402	FUNDRAISING	DC	501(C)(3)	07	CNMC	false
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271547370	CHILD CAMPS	DC	501(C)(3)	11-I	CH	Yes (true)
CHILDREN'S NAT'L ADVOC & PUBLIC POLICY
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271564354	ADVOCACY	DC	501(C)(3)	11-II	CNMC	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CPA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20010	ZIPCd

Field	Value	IRS element (for citing)
EIN	522072589	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	DC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$1,480,570	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,048,138	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Province Or StateForeignAddress/ProvinceOrStateNm
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521996521	HEALTH CARE	DC	NA	C Corp	false
BEARACUDA RE
					REINSURANCE		NA	C Corp	false	PO BOX 69 KY1-1102	GRAND CAYMAN	CJ	CJ
Safe Kids Worldwide LTD
					injury preven		NA	C COrp	false	PO Box 916	Road Town	VQ	VQ	Tortola

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Brainy Camps Association
Q	$424,735	cost
Children's Hospital Self-Insurance Trust
R	$20,837,521	cost
Brainy Camps Association
S	$283,233	cost

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	ORGANIZATION'S DISSOLUTION	FormAndLineReferenceDesc
Explanation	IN SEPTEMBER 2015, SAFE KIDS WORLDWIDE, LTD. CEASED OPERATIONS AND THE ORGANIZATION WAS FULLY DISSOLVED.	ExplanationTxt