CHILDRENS HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-14
IRS object ID: 201621359349300952
Schema version: 2014v6.0
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-14T14:15:13-05:00	ReturnTs
Tax Period End	2015-06-30	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	2010 CORPORATE RIDGE SUITE 400	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	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	larry ragel	PersonNm
Person Title	cfo	PersonTitleTxt
Phone	3015726283	PhoneNum
Signature	2016-05-13	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	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	$1,133,554,138	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	see schedule o.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7649	TotalEmployeeCnt
Total Volunteers	1451	TotalVolunteersCnt
Total Gross UBI	$1,312,160	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$848	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,746,236	PYContributionsGrantsAmt
CY Contributions Grants	$25,722,100	CYContributionsGrantsAmt
PY Program Service Revenue	$964,559,428	PYProgramServiceRevenueAmt
CY Program Service Revenue	$998,090,371	CYProgramServiceRevenueAmt
PY Investment Income	$2,726,062	PYInvestmentIncomeAmt
CY Investment Income	$3,896,652	CYInvestmentIncomeAmt
PY Other Revenue	$522,306	PYOtherRevenueAmt
CY Other Revenue	$48,408,925	CYOtherRevenueAmt
PY Total Revenue	$983,554,032	PYTotalRevenueAmt
CY Total Revenue	$1,076,118,048	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,415,133	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	$565,408,241	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$569,837,910	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$372,391,003	PYOtherExpensesAmt
CY Other Expenses	$387,422,290	CYOtherExpensesAmt
PY Total Expenses	$940,214,377	PYTotalExpensesAmt
CY Total Expenses	$957,260,200	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,339,655	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$118,857,848	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,012,567,155	TotalAssetsBOYAmt
Total Assets EOY	$1,063,426,405	TotalAssetsEOYAmt
Total Liabilities BOY	$559,761,603	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$494,022,488	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$452,805,552	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$569,403,917	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	$698,988,025	ExpenseAmt
Revenue	$1,040,402,932	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 O FOR COMPLETE FY15 COMMUNITY BENEFIT REPORT.	Desc
Total Program Service Expenses	$698,988,025	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	858	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7649	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	17	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

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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
DEBRA L FRIEDMAN - 123114
BOARD VICE CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KURT D NEWMAN MD
PRESIDENT / CEO (CNMC)	39.0	16.0	Yes (X)	Yes (X)	$1,851,520	$0	$328,884
DEIDRE ADKINS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
KATHRYN D BARKER
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
SCHONAY BARNETT-JONES
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DENICE CORA-BRAMBLE MD
BRD MEMBER/CMO	51.0	4.0	Yes (X)		$915,460	$0	$151,705
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
ALBERTO GOMEZ
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
MAE H GRENNAN
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
DAVID STOCKWELL MD
Board MEMBER	55.0	0.0	Yes (X)		$175,429	$0	$3,379
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	1.0	1.0	Yes (X)		$0	$0	$0
DAVID WESSEL MD
BRD MEMBER/CMO	52.0	3.0	Yes (X)		$978,828	$0	$153,109
DAVID WHISTON DDS
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DOUGLAS MYERS
CHIEF FINANCIAL OFFICER	44.0	11.0		Yes (X)	$1,008,946	$0	$129,503
MARK BATSHAW MD
PHY IN CHIEF / CAO	9.0	46.0			$1,285,578	$0	$335,849	Yes (X)
ELIZABETH FLURY
CHIEF STRATEGY OFFICER	51.0	4.0			$847,741	$0	$125,977	Yes (X)
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	54.0	1.0			$820,828	$0	$111,649	Yes (X)
MARY ANNE HILLIARD
CHIEF RISK OFFICER	54.0	1.0			$555,094	$0	$91,756	Yes (X)
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	54.0	1.0			$513,869	$0	$71,151	Yes (X)
RICHARD JONAS MD
CHIEF OF CARDIOLOGY	54.0	1.0			$1,864,158	$0	$139,231	Yes (X)
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	5.0	50.0			$604,235	$0	$176,762	Yes (X)
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	53.0	2.0			$900,708	$0	$113,285	Yes (X)
MICHELLE MCGUIRE
VP & CHIEF OF STAFF	43.0	12.0			$294,954	$0	$35,990	Yes (X)
MARY OTTOLINI MD PHD
VICE CHAIR MED. EDUCATION	54.0	1.0			$374,598	$0	$17,641	Yes (X)
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	43.0	12.0			$798,726	$0	$132,967	Yes (X)
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	44.0	11.0			$983,717	$0	$139,864	Yes (X)
RAYMOND S SCZUDLO
CHIEF LEGAL OFFICER	51.0	4.0			$857,774	$0	$108,634	Yes (X)
LINDA TALLEY
CHIEF NURSING OFFICER	54.0	1.0			$329,865	$0	$23,076	Yes (X)
MENDeL TUCHMAN MD
CHIEF RESEARCH OFFICER	25.0	30.0			$632,896	$0	$116,850	Yes (X)
DARRYL VARNADO
CHIEF PEOPLE OFFICER	54.0	1.0			$500,275	$0	$104,300	Yes (X)
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	55.0	0.0			$926,517	$0	$110,353		Yes (X)
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	55.0	0.0			$902,955	$0	$34,403		Yes (X)
H GIL RUSHTON MD
CHIEF OF UROLOGY	55.0	0.0			$660,966	$0	$96,236		Yes (X)
JOHN MYSEROS MD
NEUROSURGEON	55.0	0.0			$734,905	$0	$36,037		Yes (X)
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	55.0	0.0			$806,712	$0	$32,805		Yes (X)
NELLIE ROBINSON - 63014
EVP NURSING PHILANTHROPHY	0.0	0.0			$372,283	$0	$4,964			Yes (X)
JOSEPH WRIGHT MD - 63014
SVP CENTER OF EXCELLENCE	0.0	0.0			$760,466	$0	$141,702			Yes (X)
DAVID SPARKS
INTERIM TRANSITION DIR. FIN.	55.0	0.0			$454,772	$0	$39,823			Yes (X)
RAHUL K SHAH MD
FORMER BOARD MEMBER	55.0	0.0			$465,564	$0	$26,670			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$23,180,339	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,134,555	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1012	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	NORTH KANSAS CITY	MO	64117	IT SERVICES	$23,551,930
CARDINAL HEALTH
7000 CARDINAL PLACE	DUBLIN	OH	43017	SUPPLY DISTRIBUTION	$16,097,783
FTI CONSULTING INC
909 COMMERCE ROAD	ANNAPOLIS	MD	21401	CONSULTING	$6,079,136
ATLANTIC SERVICES GROUP
2131 K STREET NW STE 200	WASINGTON	DC	20037	SHUTTLE SERVICE	$3,808,224
COLONIAL PARKING
1050 THOMAS JEFFERSON ST NW STE 10	WASHINGTON	DC	20007	PARKING SERVICES	$3,494,697

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	276	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,473,029	RelatedOrganizationsAmt
Government Grants	$7,268,871	GovernmentGrantsAmt
All Other Contributions	$2,980,200	AllOtherContributionsAmt
Total Contributions	$25,722,100	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621400	$917,239,376	$917,239,376
ALL OTHER PROGRAM SERVICES REVENUE	900099	$80,850,995	$80,850,995

Field	Value	IRS element (for citing)
Total Program Service Revenue	$998,090,371	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,069,394	TotalRevenueColumnAmt
Exclusion	$3,069,394	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	$53,006,070	SecuritiesAmt
Other	$5,257,278	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$53,034,689	SecuritiesAmt
Other	$4,401,401	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$28,619	SecuritiesAmt
Other	$855,877	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$827,258	TotalRevenueColumnAmt
Exclusion	$827,258	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	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
EQUITY AND PARTNERSHIP GAIN	621110	$42,312,561	$42,312,561
PARKING	812930	$4,784,204		$4,784,204
LAB FEES	621500	$1,312,160			$1,312,160

Field	Value	IRS element (for citing)
Other Revenue Total	$48,408,925	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,076,118,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,040,402,932	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,312,160	UnrelatedBusinessRevenueAmt
Exclusion	$8,680,856	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	$16,608,507	TotalAmt
Management And General	$16,608,507	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	$471,211,481	TotalAmt
Program Services	$357,947,185	ProgramServicesAmt
Management And General	$113,264,296	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,403,077	TotalAmt
Program Services	$11,302,301	ProgramServicesAmt
Management And General	$4,100,776	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,966,586	TotalAmt
Program Services	$24,923,628	ProgramServicesAmt
Management And General	$9,042,958	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,648,259	TotalAmt
Program Services	$23,956,281	ProgramServicesAmt
Management And General	$8,691,978	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,580,570	TotalAmt
Program Services	$2,627,312	ProgramServicesAmt
Management And General	$953,258	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$984,937	TotalAmt
Management And General	$984,937	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$456,337	TotalAmt
Management And General	$456,337	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	$52,704,316	TotalAmt
Program Services	$38,766,282	ProgramServicesAmt
Management And General	$13,938,034	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,186,579	TotalAmt
Program Services	$2,338,213	ProgramServicesAmt
Management And General	$848,366	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,251,395	TotalAmt
Program Services	$6,788,387	ProgramServicesAmt
Management And General	$2,463,008	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,176,300	TotalAmt
Program Services	$30,213,892	ProgramServicesAmt
Management And General	$10,962,408	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,805,225	TotalAmt
Program Services	$15,999,998	ProgramServicesAmt
Management And General	$5,805,227	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,826,612	TotalAmt
Program Services	$2,074,080	ProgramServicesAmt
Management And General	$752,532	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	$825,092	TotalAmt
Program Services	$605,427	ProgramServicesAmt
Management And General	$219,665	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$26,500,085	TotalAmt
Program Services	$19,444,941	ProgramServicesAmt
Management And General	$7,055,144	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$59,269,886	TotalAmt
Program Services	$43,490,405	ProgramServicesAmt
Management And General	$15,779,481	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$24,658,048	TotalAmt
Program Services	$18,093,311	ProgramServicesAmt
Management And General	$6,564,737	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$86,253,607	$63,290,223	$22,963,384
BAD DEBT EXPENSE	$25,409,620	$25,409,620
REPAIRS AND MAINTENANCE	$15,967,613	$11,716,539	$4,251,074
OVERHEAD	$2,908,910		$2,908,910

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,657,158	TotalAmt
Management And General	$9,657,158	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$957,260,200	TotalAmt
Program Services	$698,988,025	ProgramServicesAmt
Management And General	$258,272,175	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	$80,288,535	BOYAmt
EOY	$114,829,265	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,994,785	BOYAmt
EOY	$7,959,219	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$175,456,200	BOYAmt
EOY	$171,500,657	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$360,000	BOYAmt
EOY	$120,000	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	$7,410,283	BOYAmt
EOY	$8,587,583	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,035,619	BOYAmt
EOY	$12,901,610	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,049,434,319	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$567,736,981	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$519,797,175	BOYAmt
EOY	$481,697,338	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$132,304,887	BOYAmt
EOY	$149,965,068	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$35,582,245	BOYAmt
EOY	$74,782,199	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	$20,000	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,317,426	BOYAmt
EOY	$41,083,466	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,012,567,155	BOYAmt
EOY	$1,063,426,405	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$154,860,336	BOYAmt
EOY	$141,897,536	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	$15,025,591	BOYAmt
EOY	$22,630,573	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$406,619,378	BOYAmt
EOY	$383,871,996	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	$75,257,136	BOYAmt
EOY	$75,452,247	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	-$92,000,838	BOYAmt
EOY	-$129,829,864	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$559,761,603	BOYAmt
EOY	$494,022,488	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$452,805,552	BOYAmt
EOY	$569,403,917	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	$452,805,552	BOYAmt
EOY	$569,403,917	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,012,567,155	BOYAmt
EOY	$1,063,426,405	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$118,857,848	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,400,130	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$140,647	OtherChangesInNetAssetsAmt
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	$408,260	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$48,077	OtherActivitiesAmt
Total Lobbying Expenditures	$456,337	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 $408,260.
OTHER ACTIVITIES	SCHEDULE C, PART II-B, LINE 1i THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). NACH HAS 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	$85,041,607	OtherCostOrOtherBasisAmt
Depreciation	$73,484,431	DepreciationAmt
Book Value	$11,557,176	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$775,683,408	OtherCostOrOtherBasisAmt
Depreciation	$375,734,986	DepreciationAmt
Book Value	$399,948,422	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,051,641	OtherCostOrOtherBasisAmt
Depreciation	$117,098,590	DepreciationAmt
Book Value	$67,953,051	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,216,905	OtherCostOrOtherBasisAmt
Depreciation	$1,418,974	DepreciationAmt
Book Value	$797,931	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$481,697,338	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN BEARACUDA	$35,539,061	F
INVESTMENT IN PSV	$9,182,621	F
DEBT RESERVE FUND	$29,948,621	F
CHCA/CHIC PARTNERSHIP	$45,919	F
OTHER INVESTMENTS	$65,977	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$74,782,199	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$4,744,104
RESERVE FOR CLAIMS	$47,687,992
OTHER LIABILITIES	$49,344,848
SETTLEMENTS TO THIRD PARTY PAY	$7,015,493
DUE TO AFFILIATES	-$238,622,301

Field	Value	IRS element (for citing)
Total Liability	-$129,829,864	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 Medical Center evaluates uncertain tax positions using a two-step approach for recognizing and measuring tax benefits taken or expected to be taken in an unrelated business activity tax return and disclosures regarding uncertainties in tax positions. There was no impact on the Medical Centers financial statements during the years ended June 30, 2015 and 2014.	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	$523,080
Central America and the Caribbean		Program Services	INSURANCE PREMIUMS	$13,735,561

Field	Value	IRS element (for citing)
Subtotal Employees	1	SubtotalEmployeesCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$14,258,641	SubtotalSpentAmt
Total Spent	$14,258,641	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

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	$7,856,988	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,856,988	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,827,718	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,827,718	NetCommunityBenefitExpnsAmt
Total Expense	0.06130	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,684,706	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,684,706	NetCommunityBenefitExpnsAmt
Total Expense	0.06980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	143859	PersonsServedCnt
Total Community Benefit Expns	$22,933,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,670,174	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,263,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	3036	PersonsServedCnt
Total Community Benefit Expns	$34,821,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,474,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,346,337	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,221,600	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,930,600	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,291,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,882,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,882,216	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	1208	PersonsServedCnt
Total Community Benefit Expns	$554,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,928	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$543,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	100	ActivitiesOrProgramsCnt
Persons Served	148103	PersonsServedCnt
Total Community Benefit Expns	$88,412,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,086,391	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,326,502	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	100	ActivitiesOrProgramsCnt
Persons Served	148103	PersonsServedCnt
Total Community Benefit Expns	$152,097,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,086,391	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,011,208	NetCommunityBenefitExpnsAmt
Total Expense	0.11480	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$13,845	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,845	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$21,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,338	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4	PersonsServedCnt
Total Community Benefit Expns	$39,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,228	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	29	PersonsServedCnt
Total Community Benefit Expns	$74,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,411	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,568,156	BadDebtExpenseAmt
Reimbursed By Medicare	$1,817,602	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,905,667	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$88,065	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.childrensnational.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
Other	Yes (X)	OtherInd
CHNA Conducted	13	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
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.childrensnational.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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

Field	Value	IRS element (for citing)
Form And Line Reference	Childrens Hospital - Facility Information	FormAndLineReferenceDesc
Explanation	Schedule H, Part V, Section B, Line 3J 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 In conducting the most recent CHNA, input was received via four focus groups conducted with key stakeholders who are advocates or providers of health and social services. Two of the groups focused on health and health service issues. The other two groups focused on social determinants and related social service issues that impact health. There was a total of 30 focus group participants including hospital patient advocates, case managers, Department of Health officials, and community-based health and social service stakeholders. Stakeholders were queried about a number of major issues, including what they viewed as priority health and social services needs for the city in general, the particular needs that were relevant to the populations they serve, and their specific recommendations for concrete steps that could be implemented to improve overall health and social services for residents. Social scientists from RAND developed the script for the focus groups. The focus group guide included additional questions geared towards gaining pertinent information from focus group participants. The questions aligned with the health needs identified through the quantitative analyses, and were analyzed as part of the qualitative component of the community health needs assessment. In addition, RAND spearheaded the recruitment efforts of the focus groups to ensure representation of the community as a whole. RAND has record and access to all focus group participants' name along with the focus group guide on file and is available upon request from RAND. Schedule H, Part V, Section B, Line 6a & 6b Children's National, through its membership in the DC Healthy Communities Collaborative, conducted the CHNA in participation with three non-profit hospitals: Howard University Hospital, Providence Hospital, Sibley Memorial Hospital. The DC Healthy Communities Collaborative (DCHCC) works to eliminate health disparities and create health equity for all communities in the District of Columbia 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. As part of the DC Healthy Communities Collaborative, three community health centers, two of which are federally qualified health centers, Bread for the City, Community of Hope, and Unity Health Care, Inc. also worked to conduct the FY 2013 CHNA. Another community health center, Mary's Center joined the DC Healthy Families Collaborative after the needs assessment was conducted and participated in the community health improvement plan development process. Schedule H, Part V, Section B, Line 7d In addition to the broad distribution via the hospital's website and the DCHCC's DC Health Matters (DCHM) web portal, Children's Hospital also participated in community-based meetings and forums to disseminate the CHNA report findings. Part of the launch of the DCHM, we distributed a news release was distributed with URL information for viewing the CHNA report. Additionally, each DCHCC member organization has an electronic copy of the CHNA report on their website. 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 accepted the six top health issues -- Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, Asthma, Access to Care, and Stress-Related Conditions - that emerged through analyses of quantitative data sources (including the Behavioral Risk Factor Survey, Youth Behavioral Risk Survey, hospital discharge data, American Community Survey, and US Census data) and qualitative data (input from community representatives obtained during stakeholder focus groups). Members of the DCHCC deliberated and decided access to care and stress-related conditions should not be addressed as independent priority issues as they are systemic issues that impact all of the other priority health areas. Thus, the implementation strategy (Community Health Improvement Plan) addresses the remaining four priority issues: Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, and Asthma. In preparation for developing the implementation strategy, Children's Hospital conducted a series of internal meetings with experts to assess its capacity to address and prioritize the identified health areas based on organizational strategy. With the organizational capacity identified and sanctioned, Children's Hospital reconvened as part of the DCHCC process to develop the implementation strategy (Community Health Improvement Plan) as follows: conducted Gap and Strength, Weaknesses, Opportunities, and Threats (SWOT) analyses (for each health priority); prioritization of issues (to rank the health issues); creation of action plan; and monitoring of the action plan. DCHCC members included in their individual organization's implementation strategy (community health improvement plan) additional health issues that support their organization's mission, including but not limited to, access to care and stress-related conditions. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees. Children's Hospital received approval by its Board on May 23, 2013. By the close of FY15, DCHCC addressed community health improvement in the areas of Mental Health/Substance Abuse, Obesity/Overweight, Asthma, and Sexual/Reproductive Health. The Collaborative offered continuing educational programs for clinicians on programmatic best practices in the areas of sexual health, mental health and asthma. The collaborative also created asset maps showcasing citywide resources in the four priority areas. The Collaborative is moving forward with the second community health needs assessment and health improvement plan. EXAMPLES OF WAYS THE DCHCC IS ADDRESSING THE NEEDS OF THE WASHINGTON, DC COMMUNITY. The DCHCC accepted the six top health issues -- Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, Asthma, Access to Care, and Stress-Related Conditions - that emerged through analyses of quantitative data sources (including the Behavioral Risk Factor Survey, Youth Behavioral Risk Survey, hospital discharge data, American Community Survey, and US Census data) and qualitative data (input from community representatives obtained during stakeholder focus groups). Members of the DCHCC deliberated and decided access to care and stress-related conditions should not be addressed as independent priority issues as they are systemic issues that impact all of the other priority health areas. Thus, the implementation strategy (Community Health Improvement Plan) addresses the remaining four priority issues: Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, and Asthma. In preparation for developing the implementation strategy, Children's Hospital conducted a series of internal meetings with experts to assess its capacity to address and prioritize the identified health areas based on organizational strategy. With the organizational capacity identified and sanctioned, Children's Hospital reconvened as part of the DCHCC process to develop the implementation strategy (Community Health Improvement Plan) as follows: conducted Gap and Strength, Weaknesses, Opportunities, and Threats (SWOT) analyses (for each health priority); prioritization of issues (to rank the health issues); creation of action plan; and monitoring of the action plan. DCHCC members included in their individual organization's implementation strategy (community health improvement plan) additional health issues that support their organization's mission, including but not limited to, access to care and stress-related conditions. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees.	ExplanationTxt

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
8501 ARLINGTON BOULEVARD STE 200	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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Criteria for Free or Discounted Care	Schedule H, Part I, Line 3c Children's Hospital and its parent, Childrens National Medical Center, are committed to provide quality pediatric health care for all patients regardless of their ability to meet the associated financial obligations and without discrimination on the grounds of race, color, national origin or creed.
CHILDREN'S NATIONAL MEDICAL CENTER ANNUAL REPORT	Schedule H, Part I, Line 6 Children's National prepares an annual community benefit report. For mass public distribution, the report is posted to our website. In addition, an executive summary including the link to the report is distributed to the hospital's key internal and external stakeholders. Children's National is dedicated to fulfilling its vision of setting the standard in excellence in pediatric care, advocacy, research, and education, here in the nation's capital, around the country, and throughout the world. As part of our commitment to our community, below are some of the programs that were implemented in FY 2015: -DC Collaborative for Mental Health in Pediatric Primary Care The DC Collaborative for Mental Health in Pediatric Primary Care (DC Collaborative), founded in 2012, aims to improve the integration of mental health in pediatric primary care for children and youth in the District of Columbia. This public-private partnership consists of a working group that is responsible for the planning, implementation and evaluation of all activities of the DC Collaborative; a community advisory board that includes parents, community stakeholders, and over 25 diverse organizations; and a project team comprised of Children's National staff that provide the day-to-day support for the work of the DC Collaborative. The DC Collaborative supports and implements initiatives focused on supporting primary care practices and clinicians; supporting families; integrating mental health services into primary care; and engaging in related policy and advocacy efforts. As of June 2015, over 150 providers and 16 practices completed mental health screening training through a 15 month learning collaborative model. 100% of providers reported that they felt somewhat or very prepared to identify mental health issues of their patients. Another component of the DC Collaborative is DC MAP (Mental Health Access in Pediatrics), which offers pediatric primary care providers increased access to child mental health experts. The DC MAP team of child mental health experts offers telephone consultation, community resource referral, and training to pediatric practices in an effort to help with the management of mental health concerns of patients and families. The program launched city-wide in September 2015. -Safe Kids DC Car Seat Inspection Station Safe Kids DC works to prevent childhood accidents in the District, the leading cause of death and disability in children ages one to 19. As part of Safe Kids DC, the Car Seat Inspection Program aims to raise awareness of preventable injuries as a result of motor vehicle crashes. The desired outcome is to reduce preventable injury during a crash due to proper child restraint techniques. Parents and caregivers are provided education on child passenger safety including how to correctly install car seats and position the child in the seat, how to identify the proper seat for the child's age, weight and height as well as how to determine if the car seat is expired or recalled. The car seat inspection station is operated by nationally certified child passenger safety technicians. In addition to the education and installation services provided, the child passenger safety technicians also connect families to resources for obtaining child safety seats at reduced rates. Through partnerships with the District Department of Transportation, Metropolitan Police Department, and DC Department of Motor Vehicles, areas in the city that are most in need of education and outreach efforts are identified. The Car Seat Inspection Station Program provided 705 people services in FY 2015. -IMPACT DC Asthma is the most common chronic childhood disease and has become considerably more prevalent and severe in the United States during the last 40 years. In recent years, the number of children diagnosed with asthma has dramatically increased. In Washington, DC, more than one in ten children currently have asthma, which is well above the national average. IMPACT DC is a pediatric asthma program in Washington, DC, dedicated to improving asthma care and outcomes for children through clinical care, education, research, and advocacy. One of the program's main goals is to educate patients and families about ways to manage asthma and connect with valuable resources in the community in an effort to lessen the need for emergency room visits and hospital stays. In an effort to increase asthma awareness, community education and outreach is an important component of IMPACT DC. Staff of IMPACT DC provide evidence-based educational outreach through health fairs, school-based programs, and other educational and advocacy events. There is a particular focus on early childhood providers since most children spend most of their day in school or daycare, where asthma can have a tremendous impact on their attendance, ability to learn, and participation in normal activities. IMPACT DC staff work closely with school nurses, teachers, parents, and other caregivers to better identify, assess, and manage asthma in these settings. Program staff also assist these individuals with reducing common triggers in these environments. In FY 2015, health education was provided to 199 early childhood educators who serve over 3,000 children. -HEALTHY GENERATIONS PROGRAM Adolescent pregnancy is a significant issue in the District of Columbia. With a primary goal of reducing repeat pregnancies, the Healthy Generations Program provides primary care and case management support to adolescent parents and their children. The program has maintained a repeat pregnancy rate of under 10% which is significantly lower than the average repeat pregnancy rate for adolescents in the District of Columbia. The Healthy Generations Program also strives to provide parenting, mental health and social work support to these young families. The parents are also educated about the prevention of sexually transmitted infections, problem-solving skills, safety and nutrition, and connected to necessary resources. The Healthy Generations Program also helps adolescent parents get the support needed to finish high school. Seventy percent of the program's participants are enrolled in High School/GED programs or have completed such programs. The program also provides mental health screenings and referrals as needed to all participants. Sixty percent of program participants have completed a mental health screening. 849 adolescents and their children were served through the Healthy Generations Program in FY 2015.
Costing Methodology	Schedule H, Part I, Line 7 bad debt write-offs adjusted by the irs cost to charge ratio were UTILIZED TO CALCULATE AMOUNTS REPORTED IN THE TABLE IN PART I, LINE 7A-D. THE AMOUNTS WERE PULLED FROM FINANCIAL DATABASES MANAGED BY THE CHILDREN'S NATIONAL ACCOUNTING AND FINANCE DEPARTMENT. DetermiNATIOn of net commnuity benefit expenses Schedule H, Part I, Line 7 IT IS IMPORTANT TO NOTE THAT THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF CHILDREN'S HOSPITAL'S TOTAL EXPENSES IS BASED ON A TOTAL EXPENSES OF $957,260,200 RESULTING FROM SUBTRACTING CHILDREN'S HOSPITAL'S BAD DEBT EXPENSES, $25,409,620, FROM CHILDREN'S HOSPITAL'S TOTAL FUNCTIONAL EXPENSES, $957,260,200, AS REPORTED ON FORM 990 PART IX LINE 25. Charity at Cost Schedule H, Part I, Line 7A Hospital & Physician Charity amounts from the respective income statements adjusted to cost using the IRS adjusted ratio of cost to charges. Medicaid Schedule H, Part I, Line 7B Hospital & Physician Gross Patient Revenue from Trendstar and the Physician Business Office report adjusted to cost using the IRS adjusted ratio of cost to charges. Claims payments were derived from the same source. Medicaid GME add-on payments were excluded as they are reported in the Health Education section. CHGME IME payments were included as per 990 instructions. Health Education Schedule H, Part I, Line 7f Interns and Residents total cost from the FY15 Submitted Medicare cost report. Specific medical student/training programs were identified by the GME Office and added as Health Education costs. Education payments and resident funding amounts offset the expense. DC Medicaid GME payments were calculated (rate x volume) and deducted from total Medicaid payments to be reported under health education. Subsidized Health Services Schedule H, Part I, Line 7G Physician claims report by department received from physician accounting team. Total charges were adjusted to cost using the IRS cost to charge ratio and claims payments netted against the cost. Departments with a loss were then compared to hospital claims report by department (also netted down to cost and adjusted for profitability). The combined service lines for programs in underserved areas with losses were reported as Subsidized Health Services. Cost 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 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 $4,291,000 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAMS AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH. Research Schedule H, Part I, Line 7H The hospital research (not CRI) was obtained from the FY15 general ledger and adjusted for grants from taxable entities. Other benefits Schedule H, Part I, Line 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. Program financials are provided by program staff through Children's National financial software system. Direct supervisors of the program staff verify the accuracy of the financials and sign off on the submission. Community Benefit staff then analyze 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. See the below community benefit report for narratives related to programs within the community benefit categories.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II Part II includes the costs incurred for activities and programs to protect or improve the community's health or safety. As reported and defined in Part II, community-building activities include programs that address the root causes of health problems, such as homelessness, poverty, and environmental problems. Each program included in Part II meets the definition of community benefit including meeting one or more of the community benefit objectives: improving access to health services, enhancing health, advancing generalizable knowledge, or relief of government burden. Programs accounted for as community building activities fall into the subcategories of community support, coalition building, and workforce development. Children's National is dedicated to engaging and providing opportunities of learning and development to students with an interest in health professions. With our involvement with the Princeton Internship program we provide hands on learning through an immersion into the academic practices of pediatric surgical care, modeling many of the day to day activities of an academic surgeon. Students interning are also able to gain skills in areas such as research. For example, students working in the Trauma and Burn department at Children's National participated in medical research, developing skills such as data collection, use of statistics for data analysis and authorship. Children's National also engages in city-wide emergency preparedness activities, one in which a citywide hazard vulnerability analysis was developed and incorporated into the District's Emergency Management Plan. Also, as part of our injury prevention efforts, the Injury Prevention Alliance was created. The Alliance, comprised of various community-based organizations, is developing their action plan that focuses on advocacy and public policy efforts needed to adequately address identified areas of injury prevention. The number of persons served by the community building activities were not tracked for all programs throughout the course of the year.
Bad Debt Expense	Schedule H, Part III, Lines 2-4 BAD DEBT IS ACCOUNTED FOR IN THE FOOTNOTES FOR ACCOUNTS RECEIVABLE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. Children's Hospital reports $25,409,620 on its Statement of Functional Expenses for its bad debt; however, in this section, the reporting of the $12,568,156 is appropriate because it reflects the value of the bad debt at cost. Financial Services Footnote ACCOUNTS RECEIVABLE FOR PATIENT SERVICES CONSISTS OF AMOUNTS DUE DIRECTLY FROM PATIENTS OR PATIENTS' THIRD PARTY PAYORS SUCH AS INSURANCE COMPANIES, MANAGED CARE PROGRAMS, AND MEDICAID PROGRAMS FOR SERVICES RENDERED. PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE FINANCIAL STATEMENTS OF THE ORGANIZATION IS SHOWN NET OF RECOVERIES ON AMOUNTS PREVIOUSLY WRITTEN OFF. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTIMATED BASED ON PRIOR EXPERIENCE AND MANAGEMENT'S JUDGMENT AND IS, THEREFORE, SUSCEPTIBLE TO CHANGE. THE PROCESS OF DETERMINING BAD DEBT MAY ALSO INCLUDE THE REDUCTION OF AN ACCOUNT BASED ON PROCEDURES ASSOCIATED WITH INSURANCE CONTRACTUAL AGREEMENTS, GUARANTOR CHARITY EVALUATION, AND GUARANTOR BAD DEBT EVALUATION. THE COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3. BAD DEBT IS NOT INCLUDED IN CHILDREN'S HOSPITAL'S COMMUNITY BENEFIT DETERMINATION. Costing methodology used to determine the amount reported on Line 6 Schedule H, Part III, Line 8 SHORTFALLS ARE NOT INCLUDED AS COMMUNITY BENEFIT. ANY SHORTFALL IS EVENTUALLY PAID IN FULL BY MEDICARE AS SETTLEMENT. THERE IS THEREFORE NO SHORTFALL.
Collection Practices	Schedule H, Part III, Line 9b THE COLLECTION POLICY DOES NOT CONTAIN SPECIFIC PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY. ALL PATIENTS ARE TREATED THE SAME. CHILDREN'S NATIONAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S NATIONAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL, THEREFORE, WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATIONS TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR 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 PATIENT RESPONSIBLE BALANCES ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN MADE. Children's Hospital does not engage in any extraordinary collection activities.
Community Health Care Needs Assessment	Schedule H, Part V, Lines 5 and 6 SCHEDULE H, PART VI, LINE 2 CHILDREN'S NATIONAL COMMITS TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS TO UNDERSTAND THE HEALTH AND HEALTH CARE STATUS OF THE PEDIATRIC POPULATION IN OUR COMMUNITY. THE ASSESSMENT WILL GUIDE THE HOSPITAL IN TARGETING ITS RESOURCES TO ACHIEVE THE GREATEST IMPACT ON CHILD HEALTH AND WELLNESS AT A POPULATION-LEVEL. OUR MOST RECENT CITYWIDE CHNA WAS RELEASED IN JUNE 2013 (FY 2013), IN COLLABORATION WITH THE DC HEALTHY COMMUNITIES COLLABORATIVE (DCHCC). THE DCHCC IS AN ALLIANCE OF DC HOSPITALS AND COMMUNITY HEALTH CENTERS THAT HAVE PARTNERED TO DEVELOP A CITYWIDE CHNA AND IMPLEMENTATION STRATEGY THAT IS RESPONSIVE TO NEEDS IDENTIFIED BY THE CHNA. THE DCHCC WORKS TO ELIMINATE HEALTH DISPARITIES AND CREATE HEALTH EQUITY FOR ALL COMMUNITIES IN THE DISTRICT OF COLUMBIA TO REALIZE ONE HEALTHY CAPITAL CITY. THE MISSION OF THE DCHCC IS TO MERGE THE TWO FACES OF THE CAPITAL CITY INTO ONE HEALTHY AND THRIVING COMMUNITY THAT HOLDS THE SAME PROMISE FOR ALL RESIDENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS A UNIQUE BLEND OF BOTH QUANTITATIVE DATA AND QUALITATIVE COMMUNITY PERSPECTIVES THAT PROVIDE A COMPREHENSIVE AND GRASSROOTS VIEW OF THE STATE OF HEALTH IN THE DISTRICT. IN RESPONSE TO THE FINDINGS OF THE NEEDS ASSESSMENT, THE DCHCC, WITH INPUT FROM COMMUNITY STAKEHOLDERS DEVELOPED AN IMPLEMENTATION STRATEGY. THE STRATEGY PROVIDES A TARGETED AND COORDINATED APPROACH TO ADDRESSING THE PRIORITY AREAS - MENTAL HEALTH AND SUBSTANCE ABUSE, ASTHMA, OBESITY/OVERWEIGHT, AND SEXUAL HEALTH WITH THE ULTIMATE GOAL OF IMPROVING LOCAL HEALTH AND QUALITY OF LIFE FOR DC RESIDENTS. AS THE ONLY PEDIATRIC FOCUSED MEMBER OF THE DCHCC, CHILDREN'S NATIONAL IDENTIFIED TWO ADDITIONAL HEALTH PRIORITIES-ORAL HEALTH AND INJURY PREVENTION. USING THE DCHCC CITYWIDE IMPLEMENTATION STRATEGY AS A BASIS, CHILDREN'S NATIONAL DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN APPROVED AND ADOPTED BY THE CHILDREN'S NATIONAL MEDICAL CENTER BOARD OF DIRECTORS. THE CHNA AND THE IMPLEMENTATION STRATEGY ARE HOUSED ON THE DC HEALTH MATTERS WEBSITE. DC HEALTH MATTERS PROVIDES A ONE-STOP RESOURCE FOR ON-LINE ACCESS TO COMMUNITY HEALTH INDICATORS AND RELATED RESOURCES THAT IMPACT THE HEALTH OF DC COMMUNITIES. THE SITE CONTAINS COMMUNITY HEALTH MEASURES, EVIDENCE-BASED PROMISING PRACTICES, LOCAL RESOURCES, AND FUNDING OPPORTUNITIES. DC HEALTH MATTERS WILL BE USED AS A PLATFORM TO TRACK PROGRESS OF THE IMPLEMENTATION STRATEGY. INTERNALLY, ONGOING EVALUATION AND MONITORING OF THE IMPLEMENTATION STRATEGY WILL TAKE PLACE BY THE ADVOCACY AND COMMUNITY AFFAIRS AND CHILD HEALTH DATA LAB DEPARTMENTS OF CHILDREN'S NATIONAL. In addition to the hospital's community health needs assessment, to help inform community health improvement programming, hospital and community programming staff also conducts significant analysis on the health care needs as it relates to their population. For example, the hospital asthma program reviews data and receives input from the community to inform the programming logistics. The hospital's active role in these and similar community needs activities serve as a catalyst for identification and prioritization of community health needs. An updated CHNA has been completed, awaiting Board Review and Approval, and expected to be released June 30, 2016. PUBLICLY AVAILABLE CHNA PART V, LINE 7 THE 2013 CHNA IS AVAILABLE ONLINE AT: http://childrensnational.org/~/media/cnhs-site/files/about/advocacy/distri ct_of_columbia_community_health_needs_assessment_2013_final.ashx PUBLICLY AVAILABLE IMPLEMENTATION PLAN PART V, LINE 10 IMPLEMENTATION PLAN IS AVAILABLE ONLINE AT: http://childrensnational.org/~/media/cnhssite/files/about/advocacy/final_c hildrens_national_chip_fy_20142016.ashx Children's Hospital is in the process of reviewing and addressing internally and with external advisors to update their policies in light of the enactment of IRC Section 501(r). These policies will ensure Children's National Medical System and Children's Hospital are fully in compliance with the new laws on a timely basis.
Eligibility Education	Schedule H, Part VI, Line 3 THE FOLLOWING PROCESSES TAKE PLACE FOR FAMILIES WHO DO NOT HAVE INSURANCE OR WHO CANNOT PAY. 1. AN APPLICATION IS MADE FOR MEDICAL ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAM (FAP) STAFFED BY CONTRACTED COMPANIES, MED LAW & DECO IN THE FINANCIAL INFORMATION CENTER (FIC). ELIGIBILITY IS CONSIDERED FOR ALL APPROPRIATE PUBLIC PROGRAMS. WE WOULD LIKE 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 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 CN CHARITY CARE BY CNMC CUSTOMER SERVICE IN THE FIC. 5. IF FAP IS APPROVED, ACCOUNT NOTES ARE UPDATED AND 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, ACCOUNTS NOTES ARE UPDATED AND THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. FAMILIES CAN SET UP PAYMENT PLANS TO RESOLVE THEIR ACCOUNT BALANCES 7. FOR INSURED FAMILIES: MEDICALLY INDIGENT STATUS CAN APPLY. THIS STATUS CAN BE EVALUATED AT ANY TIME IF A FAMILY'S REMAINING BALANCE (EXCLUDING ANY DEDUCTIBLES) AFTER 3RD PARTY PAYER 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 CN 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 Nation's capital, Children's National has the privilege of serving a diverse and broad community, spanning from the District of Columbia to Maryland and Virginia and beyond. Our community has broad ethnic diversity and vibrant cultures. According to the U.S. Census Bureau, population figures for the region are estimated at 658,893 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 49% Black; 43.6% White; 10.4% Latino; 4% Asian and 0.6% American Indian/Alaska Native; Maryland: approximately 60% White; 30% Black; 9% Hispanic; 6.4% Asian and 0.6% American Indian/Alaska Native and Virginia: 70.5% White, 19.7% Black; 8.9% Hispanic; 6.3% Asian and 0.5% American Indian/Alaska Native. In the District of Columbia, children 18 years old and under 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 are children 18 years and under. Children age five and under make up approximately 6 percent of the population in the District of Columbia, Maryland, and Virginia. In the District of Columbia about 16 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 $65,830 in the District with the highest income in Ward 3 and lowest in WardS 7 and 8. In Maryland the median household income is $73,538 in Maryland; including $73,623 in Prince George's County and $98,221 and $63,907 in Virginia. The percentage of persons living below the poverty line is reported at 18.6% for the District of Columbia, 11.3% in Virginia, and 9.8% in Maryland; with 9.4% in Prince George's County and 6.7% in Montgomery County. The Centers for Medicare and Medicaid Services (CMS) reports total Medicaid and CHIP enrollment figures based on enrollment data as of January 2015 at 69,975,289. The breakdown for total Medicaid and CHIP enrollment based on October figures from CMS for the District of Columbia Medicaid and CHIP enrollment was 256,383; 1,152,248 in Maryland; and 968,216 in Virginia. In 2014, the percentage of hospital inpatients receiving Medicaid was 76 percent from the District of Columbia, 28 percent from Virginia, and 31 percent from the state of Maryland. Serving children for more than 140 years, Children's National is a proven leader in developing and providing innovative new treatments for childhood illness and injury. We care for more than 35,000 children through our health centers each year, as the largest non-government provider of primary care in the District of Columbia. About 56 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 Children's National's 30 locations in the District of Columbia and throughout the metropolitan area. In 2015, we performed 17,449 surgical procedures, 122,485 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, Children's National has been committed to serving the community by promoting and improving the health of children and supporting the health improvements in their homes, schools, neighborhoods, and broader community. This commitment is evidenced through its governing boards to community health initiatives, and the development of DC Healthy Communities Collaborative (DCHCC). Children's National, the 501 (c)(3) not-for-profit organization, is governed by board of directors representing the diversity of the local, regional, national, and international communities that we serve. The majority of our board of directors resides within the primary service area of the Washington, DC metropolitan area, including the District of Columbia, Maryland, and Virginia. Children's 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 Children's 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 Children's 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, Children's Health Board has awarded approximately $5 million in grants to more than 200 Children's National Medical Center programs. The grants have turned early ideas into proven models that have attracted support from leading investors in improved health outcomes for children nationwide. The Community Affairs Department established a partnership with the Children's Health Board, a service affiliate of Children's National, that works to advance the health and well-being of children in the Washington, DC metropolitan community, especially those most in need, through advocacy, education, prevention and early intervention. Beginning in FY 2014, the Children's Health Board implemented an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Children's Health Board focuses its grant making on supporting the Children's National Community Health Improvement Plan (implementation strategy), in an effort to improve community health demonstrated by measurable outcomes. In 2013, the community benefit team worked with the Children's Health Board to establish this new grant process and will engage 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.
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 ENTITIES: - CHILDREN'S NATIONAL MEDICAL CENTER - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLITY 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
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	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 (30 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)	$843,178	$0	$981,964	$0	$26,378	$0	$292,525	$0	$36,359	$0	$2,180,404	$0	$0	$0
DENICE CORA-BRAMBLE MD
BRD MEMBER/CMO	$521,281	$0	$372,587	$0	$21,592	$0	$95,502	$0	$56,203	$0	$1,067,165	$0	$0	$0
DAVID STOCKWELL MD
Board MEMBER	$116,842	$0	$17,350	$0	$41,237	$0	$2,597	$0	$782	$0	$178,808	$0	$0	$0
DAVID WESSEL MD
BRD MEMBER/CMO	$522,922	$0	$391,393	$0	$64,513	$0	$95,502	$0	$57,607	$0	$1,131,937	$0	$0	$0
DOUGLAS MYERS
CHIEF FINANCIAL OFFICER	$504,890	$0	$452,042	$0	$52,014	$0	$92,501	$0	$37,002	$0	$1,138,449	$0	$0	$0
MARK BATSHAW MD
PHY IN CHIEF / CAO	$596,516	$0	$621,303	$0	$67,759	$0	$263,000	$0	$72,849	$0	$1,621,427	$0	$0	$0
ELIZABETH FLURY
CHIEF STRATEGY OFFICER	$490,881	$0	$354,355	$0	$2,505	$0	$88,002	$0	$37,975	$0	$973,718	$0	$0	$0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	$459,979	$0	$341,981	$0	$18,868	$0	$84,251	$0	$27,398	$0	$932,477	$0	$0	$0
MARY ANNE HILLIARD
CHIEF RISK OFFICER	$270,453	$0	$250,719	$0	$33,922	$0	$57,446	$0	$34,310	$0	$646,850	$0	$0	$0
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	$371,298	$0	$120,001	$0	$22,570	$0	$34,246	$0	$36,905	$0	$585,020	$0	$0	$0
RICHARD JONAS MD
CHIEF OF CARDIOLOGY	$1,080,179	$0	$747,960	$0	$36,019	$0	$101,551	$0	$37,680	$0	$2,003,389	$0	$0	$0
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	$316,181	$0	$262,255	$0	$25,799	$0	$145,461	$0	$31,301	$0	$780,997	$0	$0	$0
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	$479,248	$0	$396,139	$0	$25,321	$0	$62,033	$0	$51,252	$0	$1,013,993	$0	$0	$0
MICHELLE MCGUIRE
VP & CHIEF OF STAFF	$226,466	$0	$67,498	$0	$990	$0	$11,899	$0	$24,091	$0	$330,944	$0	$0	$0
MARY OTTOLINI MD PHD
VICE CHAIR MED. EDUCATION	$256,999	$0	$109,645	$0	$7,954	$0	$13,000	$0	$4,641	$0	$392,239	$0	$0	$0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	$404,336	$0	$363,351	$0	$31,039	$0	$77,584	$0	$55,383	$0	$931,693	$0	$0	$0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	$581,344	$0	$399,565	$0	$2,808	$0	$73,000	$0	$66,864	$0	$1,123,581	$0	$0	$0
RAYMOND S SCZUDLO
CHIEF LEGAL OFFICER	$438,307	$0	$387,266	$0	$32,201	$0	$58,003	$0	$50,631	$0	$966,408	$0	$0	$0
LINDA TALLEY
CHIEF NURSING OFFICER	$253,467	$0	$74,880	$0	$1,518	$0	$10,925	$0	$12,151	$0	$352,941	$0	$0	$0
MENDeL TUCHMAN MD
CHIEF RESEARCH OFFICER	$316,964	$0	$287,077	$0	$28,855	$0	$65,139	$0	$51,711	$0	$749,746	$0	$0	$0
DARRYL VARNADO
CHIEF PEOPLE OFFICER	$274,390	$0	$205,370	$0	$20,515	$0	$58,003	$0	$46,297	$0	$604,575	$0	$0	$0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	$746,056	$0	$179,687	$0	$774	$0	$88,697	$0	$21,656	$0	$1,036,870	$0	$0	$0
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	$641,187	$0	$260,250	$0	$1,518	$0	$13,000	$0	$21,403	$0	$937,358	$0	$0	$0
H GIL RUSHTON MD
CHIEF OF UROLOGY	$473,748	$0	$172,122	$0	$15,096	$0	$60,499	$0	$35,737	$0	$757,202	$0	$0	$0
JOHN MYSEROS MD
NEUROSURGEON	$601,824	$0	$131,563	$0	$1,518	$0	$13,000	$0	$23,037	$0	$770,942	$0	$0	$0
TIMOTHY KANE MD
CHIEF OF PEDIATRIC SURGERY	$591,184	$0	$214,010	$0	$1,518	$0	$11,483	$0	$21,322	$0	$839,517	$0	$0	$0
NELLIE ROBINSON - 63014
EVP NURSING PHILANTHROPHY	$46,657	$0	$247,482	$0	$78,144	$0	$2,539	$0	$2,425	$0	$377,247	$0	$0	$0
JOSEPH WRIGHT MD - 63014
SVP CENTER OF EXCELLENCE	$179,144	$0	$515,455	$0	$65,867	$0	$105,460	$0	$36,242	$0	$902,168	$0	$0	$0
DAVID SPARKS
INTERIM TRANSITION DIR. FIN.	$275,033	$0	$154,000	$0	$25,739	$0	$13,000	$0	$26,823	$0	$494,595	$0	$0	$0
RAHUL K SHAH MD
FORMER BOARD MEMBER	$276,629	$0	$186,344	$0	$2,591	$0	$13,000	$0	$13,670	$0	$492,234	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
First-class or charter travel	Schedule J, Part I, Line 1a FIRST CLASS OR CHARTER TRAVEL/TRAVEL FOR COMPANIONS 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.
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. THERE ARE NO EXPENDITURES FOR MAIDS, CHAUFFEURS OR CHEFS.
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 - $279,525 MARK L. BATSHAW, MD - $250,000 DOUGLAS MYERS - $79,501 ANTHONY SANDLER, MD - $60,000 DAVID WESSEL, MD - $82,502 DENICE CORA-BRAMBLE, MD - $82,502 GERARD MARTIN, MD - $49,033 RAYMOND S. SCZUDLO - $45,003 ELIZABETH FLURY - $75,002 KATHLEEN CHAVANU GORMAN - $71,251 ROGER PACKER, MD - $64,584 JOSEPH WRIGHT, MD - $95,499 MENDeL TUCHMAN, MD - $52,139 PAM KING SAMS - $132,461 MARY ANNE HILLIARD - $44,446 BRIAN JACOBS, MD - $21,246 DARRYL VARNADO - $45,003 RICHARD JONAS, MD - $88,551 ROBERT KEATING, MD - $75,697 H. GIL RUSHTON, MD - $47,499
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 (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DISTRICT OF COLUMBIA
A	536001131	254764GN7	2005-10-26	$50,000,000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
B	536001131	254764GP2	2005-10-26	$50,000,000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
C	536001131	254764GQ0	2005-10-26	$50,000,000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
D	536001131	254764GX5	2008-04-10	$3,555,193	CONSTRUCT AND RENOVATE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$50,000,000	$3,738,181	$12,645,266	$0	$889,291	$2,909,809	$0	$29,817,453	$0	$0	2009	false	false	Yes (true)	Yes (true)
B	$0	$0	$50,000,000	$3,738,181	$12,645,267	$0	$889,291	$2,909,809	$0	$29,817,453	$0	$0	2009	false	false	Yes (true)	Yes (true)
C	$0	$0	$50,000,000	$3,738,181	$12,645,267	$0	$889,291	$2,909,809	$0	$29,817,453	$0	$0	2009	false	false	Yes (true)	Yes (true)
D	$0	$0	$3,555,193	$233,255	$511,928	$0	$63,310	$198,654	$0	$2,548,046	$0	$0	2009	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	Yes (true)	false	false	Yes (true)
B	false	false	false	false	0.00000	Yes (true)	false	false	Yes (true)
C	false	false	false	false		Yes (true)	false	false	Yes (true)
D	false	false	false	false	0.00000	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS
A	false	Yes (true)	Yes (true)	29.75	Yes (true)	false	false	0	false	Yes (true)
UBS
B	false	Yes (true)	Yes (true)	29.75	Yes (true)	false	false	0	false	Yes (true)
UBS
C	false	Yes (true)	Yes (true)	29.75	Yes (true)	false	false	0	false	Yes (true)
0
D	false	false	false		false	false		0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DISTRICT OF COLUMBIA
A	536001131	254764GY3	2008-04-10	$3,854,679	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
B	536001131	254764GZ0	2008-04-10	$10,931,252	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
C	536001131	254764HA4	2008-04-10	$73,663,982	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
D	536001131	254764HB2	2008-04-10	$149,516,148	CONSTRUCT AND RENOVATE FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$3,854,679	$252,904	$555,053	$0	$68,643	$215,388	$0	$2,762,691	$0	$0	2012	false	false	Yes (true)	Yes (true)
B	$0	$0	$10,931,252	$717,196	$1,574,040	$0	$194,661	$610,806	$0	$7,834,550	$0	$0	2012	false	false	Yes (true)	Yes (true)
C	$0	$0	$73,663,982	$4,833,070	$10,607,208	$0	$1,311,788	$4,116,123	$0	$52,795,794	$0	$0	2012	false	false	Yes (true)	Yes (true)
D	$0	$0	$149,516,148	$9,809,706	$21,529,502	$0	$2,662,542	$8,354,514	$0	$107,159,883	$0	$0	2012	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	Yes (true)	false	false	Yes (true)
B	false	false	false	false	Yes (true)	false	false	Yes (true)
C	false	false	false	false	Yes (true)	false	false	Yes (true)
D	false	false	false	false	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	false	false	false	0	false	Yes (true)
0
B	false	false	false	false	false	false	0	false	Yes (true)
0
C	false	false	false	false	false	false	0	false	Yes (true)
0
D	false	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DAVID WESSEL MD	PersonNm
Relationship With Org	DIRECTOR	RelationshipWithOrgTxt
Loan Purpose	HOUSING LOAN - COMP	LoanPurposeTxt
Loan To Organization	Yes (X)	LoanToOrganizationInd
Original Principal	$200,000	OriginalPrincipalAmt
Balance Due	$120,000	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	$120,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION'S MISSION	FORM 990, Part I, Line 1 TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES. Form 990, 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. Program Services Part III, Line 4a Children's Mission Statement As the nation's children's hospital, the mission of Children's National Medical Center is to excel in Care, Advocacy, Research and Education. We accomplish this through: - Providing a quality health care experience for our patients and families. - Improving health outcomes for children regionally, nationally, and internationally. - Leading the creation of innovative solutions to pediatric health challenges. Children's Vision Statement As the nation's children's hospital, we will set the standard of excellence for the care of children. - We will serve as the voice for the most vulnerable among us: our children. - We will lead the quest to cure some of childhood's most devastating diseases. - We will prepare the nation's future leaders in child health. - We will be the children's hospital against which all others are measured. Children's Child-Centered Vision By incorporating feedback from our families, we have developed our first child-centered vision, which looks at the hospital experience through a child's eyes. Healing a child's body, mind and spirit takes more than medicine: it takes a team to fulfill a family's dream. - My hospital is a bright and happy place that feels like home. - My providers, my family, and I are a team, and everyone's job is important. - The way my hospital works is built around me. - My providers don't all look alike. - My hospital is my family's connection to everything I need for my health, whether they provide it or blaze trail it. About Children's National Children's National Medical Center is the premier provider of pediatric care in the Washington, DC, metropolitan area and is the only freestanding children's hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta. Serving the nation's children for 140 years, Children's National is a proven leader in the development and application of innovative new treatments for childhood illness and injury. Children's internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Serving as an advocate for all children, Children's is the largest non-governmental provider of pediatric care in the District of Columbia, providing more than $50 million in uncompensated care. In addition, Children's serves as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care as well as neonatology, orthopedic surgery, neurology, and neurosurgery. Children's National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report and the Leapfrog Group, and has received Magnet designation by the ANCC. At Children's National Medical Center, we stand for children! Our vision of advancing the health and wellbeing of children has been the motivation behind a number of forward-focused initiatives aimed at creating a lasting standard for prevention and community education, coupled with top-notch treatment and continuous improvement. As always, the vision is carried out through a cadre of nationally recognized healthcare professionals, staff, and administrators who tirelessly serve the unique and diverse medical needs of the residents of the Washington, DC, metropolitan area and the broader community. Their work provides a unique perspective of the health improvements important for all children, in every family. With this in mind, the hospital is committed to building a universal blueprint for improving healthcare that can be replicated in health systems, hospitals, and clinics in communities across the country. The programs highlighted in this report provide a snapshot of the important work being done at Children's National every day to improve the health and wellbeing of kids and our communities. Every member of our team is committed to giving children and our communities the best chance for a healthy future, it's all we do. Children's National is dedicated to fulfilling its vision of setting the standard in excellence in pediatric care, advocacy, research , and education, here in the nation's capital, around the country, and throughout the world. As part of our commitment to our community, below are some of the programs that were implemented in FY 2015: -DC Collaborative for Mental Health in Pediatric Primary Care The DC Collaborative for Mental Health in Pediatric Primary Care (DC Collaborative), founded in 2012, aims to improve the integration of mental health in pediatric primary care for children and youth in the District of Columbia. This public-private partnership consists of a working group that is responsible for the planning, implementation and evaluation of all activities of the DC Collaborative; a community advisory board that includes parents, community stakeholders, and over 25 diverse organizations; and a project team comprised of Children's National staff that provide the day-to-day support for the work of the DC Collaborative. The DC Collaborative supports and implements initiatives focused on supporting primary care practices and clinicians; supporting families; integrating mental health services into primary care; and engaging in related policy and advocacy efforts. As of June 2015, over 150 providers and 16 practices completed mental health screening training through a 15 month learning collaborative model. 100% of providers reported that they felt somewhat or very prepared to identify mental health issues of their patients. Another component of the DC Collaborative is DC MAP (Mental Health Access in Pediatrics), which offers pediatric primary care providers increased access to child mental health experts. The DC MAP team of child mental health experts offers telephone consultation, community resource referral, and training to pediatric practices in an effort to help with the management of mental health concerns of patients and families. The program launched city-wide in September 2015. -Safe Kids DC Car Seat Inspection Station Safe Kids DC works to prevent childhood accidents in the District, the leading cause of death and disability in children ages one to 19. As part of Safe Kids DC, the Car Seat Inspection Program aims to raise awareness of preventable injuries as a result of motor vehicle crashes. The desired outcome is to reduce preventable injury during a crash due to proper child restraint techniques. Parents and caregivers are provided education on child passenger safety including how to correctly install car seats and position the child in the seat, how to identify the proper seat for the child's age, weight and height as well as how to determine if the car seat is expired or recalled. The car seat inspection station is operated by nationally certified child passenger safety technicians. In addition to the education and installation services provided, the child passenger safety technicians also connect families to resources for obtaining child safety seats at reduced rates. Through partnerships with the District Department of Transportation, Metropolitan Police Department, and DC Department of Motor Vehicles, areas in the city that are most in need of education and outreach efforts are identified. The Car Seat Inspection Station Program provided 705 people services in FY 2015. -IMPACT DC Asthma is the most common chronic childhood disease and has become considerably more prevalent and severe in the United States during the last 40 years. In recent years, the number of children diagnosed with asthma has dramatically increased. In Washington, DC, more than one in ten children currently have asthma, which is well above the national average. IMPACT DC is a pediatric asthma program in Washington, DC, dedicated to improving asthma care and outcomes for children through clinical care, education, research, and advocacy. One of the program's main goals is to educate patients and families about ways to manage asthma and connect with valuable resources in the community in an effort to lessen the need for emergency room visits and hospital stays. In an effort to increase asthma awareness, community education and outreach is an important component of IMPACT DC. Staff of IMPACT DC provide evidence-based educational outreach through health fairs, school-based programs, and other educational and advocacy events. There is a particular focus on early childhood providers since most chil
Form 990 Review Process	Form 990, Part VI, Line 11b THE RELEVANT COMMITTEES OF THE ORGANIZATION AND ITS PARENT ORGANIZATION, CNMC, REVIEW APPLICABLE PORTIONS OF THE FORM 990: The legal affairs and audit committee reviews the financial disclosures, the CNAPPI board reviews the public benefit sections, and the executive compensation committee reviews the compensation disclosures. The full board reviewed the entire Form 990. The completed Form 990 is 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 REQUIRES 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 AND REQUIRED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS AND INTERESTS ARE NOTED. THE CHILDREN'S HOSPITAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. 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 INTERMEDIATE 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 UP "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.
Other Changes in Net Assets	Form 990, Part XI, Line 9 CP&A Partnership Capital Account Adjustment $140,647 (DIFFERENCE BETWEEN INCOME AND CHANGE IN CAPITAL ACCOUNT PER SCHEDULE K-1).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S NATIONAL SPECIALISTS OF VA	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	264571100	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	DC	LegalDomicileStateCd
Total Income	-$1,587,606	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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	CNMC	false
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	CHILDREN'S PEDIATRICIANS ASSOC	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	-$1,040,875	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,130,544	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	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521996521	HEALTH CARE	DC	NA	C Corp	$0	$0	false
SAFE KIDS WORLDWIDE LTD
					INJURY PREVEN		NA	C Corp	$0	$0	false	PO BOX 916	ROAD TOWN TORTOLA	VQ	VQ
BEARACUDA RE
					REINSURANCE		NA	C Corp	$0	$0	false	PO BOX 69 KY1-1102	GRANDCAYMAN	CJ	CJ

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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BRAINY CAMPS ASSOCIATION
P	$371,047	FMV
BRAINY CAMPS ASSOCIATION
S	$304,815	FMV
SAFE KIDS WORLDWIDE
P	$11,496,273	FMV
SAFE KIDS WORLDWIDE
S	$15,420,146	FMV
CHILDREN'S HOSPITAL FOUNDATION
P	$25,015,314	FMV
CHILDREN'S HOSPITAL FOUNDATION
S	$42,439,988	FMV
CHILDREN'S RESEARCH INSTITUTE
P	$84,757,970	FMV
CHILDREN'S RESEARCH INSTITUTE
S	$47,607,227	FMV
BEARACUDA RE
R	$13,735,561	FMV
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
R	$11,596,837	FMV