2022-05-13T15:25:54-05:00 2021-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990 2020-07-01 521640402 CHILDREN'S HOSPITAL FOUNDATION CHIL 2024764888 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 ALDWIN LINDSAY CFO 2024764888 2022-05-13 1 ALDWIN LINDSAY XXX-XX-XXXX MARY TORRETTA P00847851 7038477500 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHILDREN'S NATIONAL HOSPITAL FOUNDATION KURT DOUGLAS NEWMAN MD 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 162062415 0 X WWW.CHILDRENSNATIONAL.ORG X 1989 DC CHILDREN'S HOSPITAL FOUNDATION DBA CHILDREN'S NATIONAL HOSPITAL FOUNDATION SUPPORTS WORLD CLASS CARE AND RESEARCH FOR THE NATION'S CHILDREN. CHILDREN'S NATIONAL HOSPITAL FOUNDATION ("THE FOUNDATION") SERVES AS THE FUNDRAISING ARM FOR CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL IN WASHINGTON, DC. 10 9 0 465 0 0 58828312 50416898 0 0 110371469 32558467 -1170123 -142725 168029658 82832640 27082779 28318027 0 0 14127780 12193141 1551437 1571893 12326172 8938844 8930166 51700840 51013227 116328818 31819413 635483996 768707580 1835868 1201342 633648128 767506238 X SEE SCHEDULE O. 0 0 28318027 28318027 SEE SCHEDULE O.PROGRAM SERVICE ACCOMPLISHMENT 1THE FOUNDATION RAISES PRIVATE, CORPORATE AND INSTITUTIONAL FINANCIAL SUPPORT TO ENSURE THAT PATIENTS AND THEIR FAMILIES RECEIVE WORLD-CLASS, COMPASSIONATE PEDIATRIC CARE. DONOR GIFTS RECEIVED BY THE FOUNDATION ARE REFLECTED AS REVENUE IN THE ORGANIZATION'S BUDGET. AS CHILDREN'S NATIONAL INCURS COSTS FOR RESEARCH, CARE AND EDUCATION, DONATED FUNDS ARE RELEASED INTO THE BUDGET AND THE EXPENSES ARE REFLECTED IN THIS CATEGORY. THIS REPRESENTS A MOVEMENT OF GIFT FUNDS TO THE HOSPITAL IN ACCORDANCE WITH THE DONOR'S DESIGNATION AND THE HOSPITAL'S MISSION TO ADVANCE PEDIATRIC CARE. WITH A HEALTHCARE EXPERIENCE DESIGNED AROUND KIDS' UNIQUE NEEDS, CHILDREN'S NATIONAL IS THE PREMIER PROVIDER OF PEDIATRIC SERVICES IN THE WASHINGTON, D.C., METROPOLITAN AREA AND THE REGION'S ONLY HEALTH SYSTEM SPECIALIZING IN CARE SPECIFICALLY FOR CHILDREN. LAST YEAR, THE HOSPITAL CARED FOR MORE THAN 240,000 UNIQUE PATIENTS FROM THE NATION'S CAPITAL, MARYLAND, AND VIRGINIA, ACROSS THE U.S. AND AROUND THE WORLD. WE OFFER ACCESS TO TOP PEDIATRIC SPECIALISTS, SURGEONS AND MENTAL HEALTH PROFESSIONALS; WE INNOVATE, DISCOVER AND DRIVE NEW TECHNOLOGIES AND THERAPIES TO TREAT AND CURE CHILDREN; AND WE EDUCATE COMMUNITIES, PATIENTS AND THEIR FAMILIES ON PEDIATRIC HEALTH ISSUES. 28318027 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA FL GA HI IL KS KY MD MA MN MS NH NJ NM NY NC OR PA SC TN UT WI NV X CORPORATE OFFICERS 2024764888 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 2.00 53.00 X X 0 2128231 300163 JEFF ZIENTS BOARD CHAIRMAN TO 01/21 2.00 5.00 X X 0 0 0 AMY BAIER BOARD CHAIRMAN 2.00 1.00 X X 0 0 0 MAE H GRENNAN BOARD VICE CHAIR 2.00 0.00 X X 0 0 0 BRIGG BUNKER BOARD MEMBER 1.00 0.00 X 0 0 0 MARCELLA COHEN BOARD MEMBER 1.00 0.00 X 0 0 0 JEAN-MARIE FERNANDEZ BOARD MEMBER 1.00 0.00 X 0 0 0 CINDY JONES BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS LLOYD BOARD MEMBER 1.00 0.00 X 0 0 0 CARRIE MARRIOT BOARD MEMBER 1.00 0.00 X 0 0 0 HORACIO ROZANSKI BOARD MEMBER AS OF 01/21 1.00 3.00 X 0 0 0 ALEC KING EVP & CFO TO 10/20 2.00 53.00 X 0 702850 35922 MARY ANNE HILLIARD BOARD SECRETARY 2.00 53.00 X 0 822880 126992 ALDWIN LINDSAY EVP & CFO AS OF 12/20 2.00 53.00 X 0 440893 38519 DEANN MARSHALL PRESIDENT OF FOUNDATION 53.00 2.00 X 0 858437 60183 JESSICA L MILEY FOUNDATION VICE PRESIDENT 55.00 0.00 X 0 406584 26884 LESLIE SCHRADER AVP MARKETING & COMM 55.00 0.00 X 0 293259 37116 JULIE BUTLER AVP, CORP & COMM GIVING 55.00 0.00 X 0 304901 36392 AMY E HAUSER AVP PLANNED GIVING 55.00 0.00 X 0 269859 26164 TIN PHAM AVP, FINANCE & DONOR SERVICES 55.00 0.00 X 0 244890 19077 0 6472784 707412 0 0 1 0 0 6478 1760450 15000 48634970 50416898 21710930 21710930 89845099 78997562 10847537 10847537 10847537 89488 1760450 232213 -142725 -142725 82832640 0 0 32415742 28318027 28318027 603656 603656 9850372 2610334 7240038 380909 117107 263802 653172 201068 452104 705032 216755 488277 5637 5637 520 520 1571893 1571893 1151403 985042 166361 1279782 53075 1226707 273162 77444 195718 584998 543494 41504 689116 689116 82702 23029 59673 5650 6107 -457 OVERHEAD 3940040 3940040 OTHER 917156 302761 614395 51013227 28318027 10369028 12326172 1715906 1733548 86840339 66159761 0 0 156196 35795 136254 120401 446401828 678286646 100389669 22407224 635483996 768707580 912770 905646 0 0 923098 295696 1835868 1201342 X 292335769 368223173 341312359 399283066 633648128 767506238 635483996 768707580 31819413 102038697 0 X 0 1 X 1 0 X 46146023 96559878 39998878 58828312 50416898 291949989 46146023 96559878 39998878 58828312 50416898 291949989 47583066 244366923 11729463 13896053 18311967 14774067 21710930 80422480 1074285 810285 507561 217888 89488 2699507 375071976 0.65150 0.62000 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENTS - 2016 AMOUNT: $ 1,074,285. 2017 AMOUNT: $ 810,285. 2018 AMOUNT: $ 507,561. 2019 AMOUNT: $ 217,888. 2020 AMOUNT: $ 89,488. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 157605828 4657019 2466125 164728972 149347213 9077567 -818952 157605828 146899769 2506153 -58709 149347213 137791409 8635380 472980 146899769 133152048 4002361 637000 137791409 0.00010 0.99990 1 0 0 156196 35795 120401 0 0 120401 CHARITABLE GIVING ANNUITY 295696 295696 X PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR A VARIETY OF PURPOSES INCLUDING PATIENT CARE, BUILDING EXPANSION AND EQUIPMENT, HEALTH-RELATED EDUCATION, RESEARCH SUPPORT, AND STRATEGIC INITIATIVES. PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), OF WHICH CHILDREN'S NATIONAL HOSPITAL FOUNDATION IS A SUBSIDIARY, IS AS FOLLOWS: CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2021 AND 2020 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS. X X X X X 1 CHILDREN'S MIRACLE NETWORK 205 W 700 S SLC UT 84101 FUNDRAISING STRATEGY 0 1275867 112814 1163053 MAILING SERVICE OF PITTSBURGH POB 641114 PGH PA 15263 DIRECT MAILING 0 0 1182767 -1182767 BARBARA HARRISON MEDIA INC 2812 CHESTERFIELD PLACE NW WASHINGTON DC 20008 FUNDRAISING STRATEGY 0 0 137500 -137500 TSM DONOR ENGAGEMENT TEAM POB 645421 PGH PA 15264 DIRECT MAILING 0 0 138812 -138812 1275867 1571893 -296026 AL CA CO DC FL GA HI IL KS KY ME MD MA MN MS MO NV NH NJ NM NY NC ND OH OK OR PA SC TN UT WA WI VA RACE FOR EVERY CHILD 1021019 1007524 13495 72 125100 CHILDREN'S BALL 742493 668500 73993 7790 3 86426 84426 2000 99251 1849938 1760450 89488 72 232141 232213 -142725 SCHEDULE G, PART I, LINE 2B: PROFESSIONAL FUNDRAISERS THE FOUNDATION ENGAGES WITH THIRD-PARTIES TO PROVIDE PROFESSIONAL FUNDRAISING SERVICES SUCH AS DIRECT MAILING, MAILING LIST USE, ETC. THESE PERSONS DO NOT RAISE MONEY ON BEHALF OF THE ORGANIZATION AND DO NOT HAVE CUSTODY OF FUNDS. SOME OF THE ENTITIES LISTED HERE PROVIDE STRATEGIC AND LONG-TERM SERVICES WHICH QUALIFY AS 'FUNDRAISING ACTIVITIES' BUT DO NOT HAVE A SHORT TERM OR IMMEDIATE IMPACT. THE FUNDS DIRECTLY REALIZED FROM THEIR ACTIVITIES ARE NOT IMMEDIATELY KNOWN. 1 CHILDREN'S HOSPITAL 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 530196580 501(C)(3) 19145204 PROGRAM SUPPORT CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521654453 501(C)(3) 8775457 GENERAL SUPPORT BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271547370 501(C)(3) 397366 GENERAL SUPPORT 3 PART I, LINE 2: PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. THE ORGANIZATION IS THE FUNDRAISING BRANCH OF CHILDREN'S NATIONAL WHICH IS ALSO THE SOLE MEMBER OF THE ORGANIZATION. THE ORGANIZATION MAKES GRANTS FOR OTHER PROGRAMS OPERATED BY CHILDREN'S NATIONAL AND IS INVOLVED IN IMPLEMENTING THOSE PROGRAMS. 0 1 0 0 0 0 0 0 0 KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 0 1399628 0 693183 0 35420 0 221126 0 79037 0 2428394 0 0 MARY ANNE HILLIARD BOARD SECRETARY 0 526285 0 207524 0 89071 0 91684 0 35308 0 949872 0 65414 DEANN MARSHALL PRESIDENT OF FOUNDATION 0 586684 0 238091 0 33662 0 14250 0 45933 0 918620 0 0 ALEC KING EVP & CFO TO 10/20 0 540791 0 -20853 0 182912 0 14250 0 21672 0 738772 0 100312 ALDWIN LINDSAY EVP & CFO AS OF 12/20 0 323772 0 72276 0 44845 0 36741 0 1778 0 479412 0 24355 JESSICA L MILEY FOUNDATION VICE PRESIDENT 0 291227 0 114763 0 594 0 2900 0 23984 0 433468 0 0 JULIE BUTLER AVP, CORP & COMM GIVING 0 260138 0 41925 0 2838 0 12900 0 23492 0 341293 0 0 LESLIE SCHRADER AVP MARKETING & COMM 0 251148 0 41121 0 990 0 9808 0 27308 0 330375 0 0 AMY E HAUSER AVP PLANNED GIVING 0 231860 0 37009 0 990 0 11476 0 14688 0 296023 0 0 TIN PHAM AVP, FINANCE & DONOR SERVICES 0 208710 0 32897 0 3283 0 8631 0 10446 0 263967 0 0 PART I, LINE 3: RELATED ORGANIZATION CHILDREN'S NATIONAL HOSPITAL FOUNDATION RELIES ON ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR THE FOUNDATION'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO DETERMINE REASONABLE COMPENSATION. PART I, LINE 4B: SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THE FOLLOWING OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS PART OF DEFERRED COMPENSATION. KURT D. NEWMAN, MD $206,876 MARY ANNE HILLIARD $77,434 ALDWIN LINSDAY $22,491 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS CHILDREN'S NATIONAL IS THE SOLE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF THE FOUNDATION HAS THE RIGHT TO ELECT DIRECTORS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OR STOCKHOLDERS THE ARTICLES AND BY-LAWS OF THE FOUNDATION DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH THE IRS. THE FOUNDATION PROVIDES A COPY OF THE FORM 990 TO THE FULL FOUNDATION BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT CHILDREN'S NATIONAL AND SUBSIDIARIES ASKS THAT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTEREST ARE NOTED. THE CHILDREN'S NATIONAL 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. THE FOUNDATION FORMALLY ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT, CHILDREN'S NATIONAL, IN 2011. FORM 990, PART VI, LINES 13 AND 14: GOVERNING POLICIES THE FOUNDATION IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE FOUNDATION RELIES ON ITS PARENT, CHILDREN'S NATIONAL, TO DETERMINE COMPENSATION FOR THE FOUNDATION'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO DETERMINE REASONABLE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE UPON REQUEST. BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271547370 CHILD CAMPS DC 501(C)(3) LINE 12A, I CH 0 CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640403 HEALTH CARE DC 501(C)(3) LINE 12C, III-FI N/A 0 CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVE NW WASHINGTON DC 20010 521654453 RESEARCH DC 501(C)(3) LINE 7 CNMC 0 CHILDREN'S HOSPITAL SELF-INSURANCE TRUST 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640399 INSURANCE DC 501(C)(3) LINE 12C, III-FI CH 0 CHILDREN'S HOSPITAL 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 530196580 HEALTH CARE DC 501(C)(3) LINE 3 CNMC 0 SAFE KIDS WORLDWIDE 1255 23RD STREET NW STE 400 WASHINGTON DC 20037 521627574 INJURY PREVENTION DC 501(C)(3) LINE 7 CNMC 0 CHILDREN'S SCHOOL SERVICES 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 814291601 NURSING SERVICES DC 501(C)(3) LINE 12A, I CNMC 0 THE HSC FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521346603 HEALTH CARE DC 501(C)(3) LINE 12C, III-FI CNMC 0 THE HOSPITAL FOR SICK CHILDREN 111 MICHIGAN AVE NW WASHINGTON DC 20010 520204670 HOSPITAL DC 501(C)(3) LINE 3 HSC FNDN 0 HEALTH SVCS FOR CHILDREN W SPEC NEEDS 1101 VERMONT AVE NW STE 1200 WASHINGTON DC 20010 521862406 HEALTH CARE DC 501(C)(3) LINE 10 HSC FNDN 0 CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 522072589 HEALTH CARE DC N/A 0 0 5253 NMTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 832873855 PROPERTY MANAGEMENT DC N/A 0 0 5253 HTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833044006 PROPERTY MANAGEMENT DC N/A 0 0 54 NMTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833358685 PROPERTY MANAGEMENT DC N/A 0 0 54 HTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833385522 PROPERTY MANAGEMENT DC N/A 0 0 CHILDREN'S NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521996521 HEALTH CARE DC N/A C 0 BEARACUDA RE PO BOX 69 GRAND CAYMAN CJ KY1-1102 REINSURANCE CJ N/A C 0 PEDIATRIC HEALTH NETWORK INC 12211 PLUM ORCHARD DR STE 102 SILVER SPRING MD 20904 833415276 HEALTH CARE DC N/A C 0 BUILDING 5253 MANAGING MEMBER LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 832801690 PROPERTY MANAGEMENT DC N/A C 0 BUILDING 54 MANAGING MEMBER LLC 111 MICHIGAN AVE WASHINGTON DC 20010 833272918 PROPERTY MANAGEMENT DC N/A C 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 1