2020-07-06T16:38:48-05:00 2019-06-30 Grant Thornton LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990 2018-07-01 521640403 Children's National Medical Center % CORPORATE OFFICERS CHIL 2024765000 111 Michigan Avenue NW Washington DC 20010 ALEC KING CFO 2024765000 2020-07-06 true MARY TORRETTA P00847851 7038477500 173.73.247.211 54681420201885000006 2020-07-06 P 6B354F99B3C57D21F19D5EF432B862E9736C7EEB 407510A33C0DDF69F328AC7A53E575C28C33C48A 2018 2021-01-29 14:40:06Z KURT DOUGLAS NEWMAN MD 111 Michigan Avenue NW Washington DC 20010 42104044 false X www.childrensnational.org X 1989 DC COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. 17 13 0 13 0 0 0 0 131634041 42111697 0 0 -633166 -7653 131000875 42104044 0 0 0 0 0 0 0 0 0 0 0 0 0 131000875 42104044 1053678249 1095782293 0 0 1053678249 1095782293 X CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. false false 42104044 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 150 YEARS, CHILDREN'S NATIONAL IS A PROVEN LEADER IN THE DEVELOPMENT AND APPLICATION OF INNOVATIVE NEW TREATMENTS FOR CHILDHOOD ILLNESS AND INJURY. SEE SCHEDULE O. 0 true false false false false false false false false false false true false false false true false true false false true false false false false false false false false true false false false false false false false false false false false false false true true false false false true X 0 0 0 false true CJ CH false false false false false false false false false false X 17 13 false false false false false true false true true false false true true true true true true true true false X CORPORATE OFFICERS 3015723502 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 MICHAEL J WILLIAMS BOARD CHAIRMAN 4.0 5.0 X X 0 0 0 EVAN JONES BOARD VICE CHAIRMAN 2.0 0.0 X X 0 0 0 RAMANARAYAN V POTARAZU TREASURER 2.0 0.0 X X 0 0 0 KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 2.0 53.0 X X 0 2293903 261842 SCHONAY BARNETT-JONES BOARD MEMBER 1.0 1.0 X 0 0 0 MARK L BATSHAW MD BOARD MEMBER 1.0 54.0 X 0 1246450 199015 FRED T GOLDBERG JR BOARD MEMBER TO 12/31/2018 1.0 0.0 X 0 0 0 LESLIE KIERNAN BOARD MEMBER 1.0 0.0 X 0 0 0 BARBARA LOPEZ KUNZ BOARD MEMBER 2.0 0.0 X 0 0 0 GREGORY A O'DELL BOARD MEMBER 1.0 0.0 X 0 0 0 LAURA S UNGER BOARD MEMBER 1.0 1.0 X 0 0 0 TONI G VERSTANDIG BOARD MEMBER 1.0 2.0 X 0 0 0 WILLIAM WALKER BOARD MEMBER 2.0 0.0 X 0 0 0 ALEC KING EVP & CFO 1.0 54.0 X X 0 1077575 149276 MARY ANNE HILLIARD BOARD SECRETARY 1.0 54.0 X X 0 819775 131168 AMY BAIER BOARD MEMBER 1.0 2.0 X 0 0 0 MARK ROUCHARD BOARD MEMBER 1.0 0.0 X 0 0 0 CAROLINE VAN VLECK MD BOARD MEMBER 1.0 1.0 X 0 0 0 DAVID STRICKLAND BOARD MEMBER TO 04/30/2019 1.0 2.0 X 0 0 0 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 1.0 54.0 X 0 861895 27854 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 1477296 197540 DAVID WESSEL MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1145158 188821 DENICE CORA-BRAMBLE MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1092431 170672 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 1.0 54.0 X 0 394880 38158 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 1.0 54.0 X 0 976553 141049 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 1.0 54.0 X 0 1248601 139604 ROGER PACKER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 989396 69856 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 1.0 54.0 X 0 658536 83372 DARRYL VARNADO CHIEF PEOPLE OFFICER 1.0 54.0 X 0 825869 126876 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 1.0 54.0 X 0 466486 16367 LINDA TALLEY CHIEF NURSING OFFICER 1.0 54.0 X 0 484228 24043 ROBIN STEINHORN SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 997868 175715 DEANN MARSHALL PRES OF FOUNDATION 1.0 54.0 X 0 1074964 50070 MENDEL TUCHMAN MD FORMER CRO TO 6/30/2017 0.0 55.0 X 0 300085 37509 GERARD MARTIN MD FMR SVP CENTER OF EXCELLENCE 0.0 55.0 X 0 483715 93315 0 18915664 2322122 0 true true false NONE 0 0 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 42111697 42111697 0 0 42111697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTNERSHIP LOSS 900099 -7653 -7653 0 0 -7653 42104044 42104044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1053678249 1095782293 0 0 0 0 0 0 1053678249 1095782293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1053678249 1095782293 0 0 0 0 1053678249 1095782293 1053678249 1095782293 42104044 X false true X true false X X 1 CHILDREN'S HOSPITAL 530196580 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true true true X true true SIGNIFICANT VOICE TEST SCHEDULE A, SECTION D, LINE 3 THERE IS SIGNIFICANT OVERLAP BETWEEN THE BOARDS OF DIRECTORS AND OFFICERS OF THE SUPPORTING AND SUPPORTED ORGANIZATIONS. SIX MEMBERS OUT OF THE ELEVEN MEMBER GOVERNING BODY OF THE SUPPORTED ORGANIZATION, CHILDREN'S HOSPITAL (HOSPITAL), ALSO SERVED ON THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER (CNMC). THESE MEMBERS WERE GIVEN A SIGNIFICANT VOICE IN DETERMINING THE INVESTMENT POLICIES OF CNMC AND USE OF CNMC INCOME OR ASSETS THROUGH THEIR DUAL POSITIONS ON THE BOARDS OF CNMC AND HOSPITAL. THREE OUT OF THE SIX MEMBERS ALSO SERVED IN AN OFFICER CAPACITY ON BOTH BOARDS. THE SHARING OF INDIVIDUALS ALLOWED CNMC TO MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION. SUBSTANTIAL DEGREE OF CONTROL SCHEDULE A, SECTION E, LINES 3A AND 3B CNMC IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION. CNMC HAS THE POWER TO APPOINT THE FULL BOARD OF CHILDREN'S HOSPITAL, THE SUPPORTED ORGANIZATION. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATION GIVE THE SOLE MEMBER THE EXCLUSIVE POWER: (A) TO ESTABLISH FISCAL GOALS FOR HOSPITAL AND APPROVE HOSPITAL'S OPERATING AND CAPITAL BUDGETS AND ANY SIGNIFICANT VARIANCES THEREFROM; (B) TO APPROVE THE MANAGEMENT AND INVESTMENT OF ALL HOSPITAL FUNDS (C) TO SELECT AND ANNUALLY EVALUATE THE CHIEF EXECUTIVE OFFICER OF CNMC WHO SHALL SERVE AS CEO AND PRESIDENT OF ALL AFFILIATES; (D) TO ELECT DIRECTORS OF HOSPITAL AND TO REMOVE SUCH DIRECTORS FROM OFFICE; (E) TO APPOINT THE OFFICERS OF HOSPITAL AND TO REMOVE SUCH OFFICERS; (F) TO APPROVE AMENDMENTS TO THE BYLAWS OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS; (G) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS: ... AND (K) APPROVAL OF CERTAIN OTHER NAMED ACTIVITIES OF HOSPITAL INVESTMENT IN SUBSIDIARIES 1095782293 C 1095782293 0 0 X LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) SCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS OF CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) AND SUBSIDIARIES, IS AS FOLLOWS: CHILDREN'S NATIONAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH BASIS, THE EXEMPT ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THE GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE COMBINED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON TECHNICAL MERITS. CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018 AS THE MEDICAL CENTER HAS NO UNCERTAIN TAX POSITIONS. Central America and the Caribbean Investments 45354069 45354069 45354069 false false true false false false X X X X false true false false false false false false false KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 0 1286909 0 975000 0 31994 0 214600 0 47242 0 2555745 0 0 MARK L BATSHAW MD BOARD MEMBER 0 692772 0 408546 0 145132 0 121262 0 77753 0 1445465 0 107512 ALEC KING EVP & CFO 0 606181 0 345610 0 125784 0 115867 0 33409 0 1226851 0 59372 MENDEL TUCHMAN MD FORMER CRO TO 6/30/2017 0 189442 0 68851 0 41792 0 10432 0 27077 0 337594 0 20250 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 0 494395 0 292500 0 75000 0 13750 0 14104 0 889749 0 75000 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 0 856058 0 506192 0 115046 0 146958 0 50582 0 1674836 0 92006 DAVID WESSEL MD CHIEF MEDICAL OFFICER 0 608775 0 370239 0 166144 0 109468 0 79353 0 1333979 0 95718 DENICE CORA-BRAMBLE MD CHIEF MEDICAL OFFICER 0 606076 0 375216 0 111139 0 109468 0 61204 0 1263103 0 85422 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 0 267218 0 89045 0 38617 0 13750 0 24408 0 433038 0 18599 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 0 542832 0 318990 0 114731 0 99500 0 41549 0 1117602 0 91978 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 0 697740 0 416093 0 134768 0 121546 0 18058 0 1388205 0 105801 ROGER PACKER MD SVP CENTER OF EXCELLENCE 0 534640 0 333016 0 121740 0 26650 0 43206 0 1059252 0 70354 MARY ANNE HILLIARD BOARD SECRETARY 0 464550 0 278557 0 76668 0 88783 0 42385 0 950943 0 54645 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 0 459668 0 138632 0 60236 0 50583 0 32789 0 741908 0 37875 DARRYL VARNADO CHIEF PEOPLE OFFICER 0 499575 0 240115 0 86179 0 71847 0 55029 0 952745 0 60029 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 0 339054 0 96264 0 31168 0 13750 0 2617 0 482853 0 21723 LINDA TALLEY CHIEF NURSING OFFICER 0 336652 0 98630 0 48946 0 11513 0 12530 0 508271 0 27608 GERARD MARTIN MD FMR SVP CENTER OF EXCELLENCE 0 398011 0 44756 0 40948 0 57750 0 35565 0 577030 0 35942 ROBIN STEINHORN SVP CENTER OF EXCELLENCE 0 547324 0 334739 0 115805 0 101619 0 74096 0 1173583 0 40970 DEANN MARSHALL PRES OF FOUNDATION 0 548068 0 395010 0 131886 0 9952 0 40118 0 1125034 0 0 METHODS USED TO DETERMINE COMPENSATION SCHEDULE J, PART I, LINE 3 CHILDREN'S NATIONAL MEDICAL CENTER USED AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD TO DETERMINE REASONABLE COMPENSATION. ALL COMPENSATION IS PAID BY CHILDREN'S HOSPITAL. PLEASE SEE SCHEDULE O NARRATIVE TO FORM 990, PART VI, LINES 15A AND 15B FOR FURTHER EXPLANATION REGARDING OVERSIGHT OF COMPENSATION. 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 $200,850 ANTHONY SANDLER, MD $133,208 KATHLEEN CHAVANU GORMAN $107,796 MARK L. BATSHAW, MD $107,512 DAVID WESSEL, MD $95,718 DENICE CORA-BRAMBLE, MD $95,718 ALEC KING $102,117 ELIZABETH FLURY $85,750 ROBIN STEINHORN $87,869 ROGER PACKER, MD $12,900 MARY ANNE HILLIARD $75,033 DARRYL VARNADO $64,921 GERARD MARTIN, MD $44,000 BRIAN JACOBS $36,833 ORGANIZATION'S MISSION FORM 990, PART 1, LINE 1 AND PART III, LINE 1 CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS TO ASSURE CONTINUED FINANCIAL VIABILITY OF THE SYSTEM AND TO SUPPORT THE DELIVERY OF HEALTHCARE IN WASHINGTON, DC AND SURROUNDING AREAS. SEE FORM 990 FOR CHILDREN'S HOSPITAL FOR A COMPLETE PICTURE OF THE COMMUNITY BENEFITS PROVIDED BY CNMC AND AFFILIATES. PROGRAM SERVICE ACTIVITY FORM 990, 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 CHILDREN'S NATIONAL WILL LEAD THE FUTURE OF PEDIATRIC HEALTH THROUGH ITS CLINICAL EXCELLENCE, TRANSFORMATIVE RESEARCH, INNOVATION AND SERVICE TO THE COMMUNITY. 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 TRAIL-BLAZE IT. ABOUT CHILDREN'S NATIONAL CHILDREN'S NATIONAL, BASED IN WASHINGTON, D.C., HAS BEEN SERVING THE NATION'S CHILDREN SINCE 1870. CHILDREN'S NATIONAL IS #1 FOR BABIES AND RANKED IN EVERY SPECIALTY EVALUATED BY U.S. NEWS & WORLD REPORT AND HAS BEEN DESIGNATED TWO TIMES AS A MAGNET HOSPITAL, A DESIGNATION GIVEN TO HOSPITALS THAT DEMONSTRATE THE HIGHEST STANDARDS OF NURSING AND PATIENT CARE DELIVERY. THIS PEDIATRIC ACADEMIC HEALTH SYSTEM OFFERS EXPERT CARE THROUGH A CONVENIENT, COMMUNITY-BASED PRIMARY CARE NETWORK AND SPECIALTY OUTPATIENT CENTERS IN THE D.C. METROPOLITAN AREA INCLUDING THE MARYLAND SUBURBS AND NORTHERN VIRGINIA. HOME TO THE CHILDREN'S RESEARCH INSTITUTE AND THE SHEIKH ZAYED INSTITUTE FOR PEDIATRIC SURGICAL INNOVATION, CHILDREN'S NATIONAL IS ONE OF THE NATION'S TOP NIH-FUNDED PEDIATRIC RESEARCH INSTITUTIONS. CHILDREN'S NATIONAL IS RECOGNIZED FOR ITS EXPERTISE AND INNOVATION IN PEDIATRIC CARE AND AS A STRONG VOICE FOR CHILDREN THROUGH ADVOCACY AT THE LOCAL, REGIONAL AND NATIONAL LEVELS. 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 AND ACTIVITIES THAT WERE CONDUCTED IN FY2019. TEEN STEPS OF SUCCESS IN OUR COMMUNITY, TEENS HAVE REQUESTED AN OPPORTUNITY TO EXPRESS THEMSELVES, HAVE THEIR QUESTIONS ANSWERED, HAVE SOCIAL CONTACT, GOAL SETTING FOR THE FUTURE AND INFORMATION ON PERSONAL HEALTH AND FITNESS, AS WELL AS HAVE A SAFE HAVEN FOR THEM TO RECEIVE SUPPORT AND ENCOURAGEMENT WHILE MAINTAINING OR BUILDING A SENSE OF SELF-WORTH AND POSITIVE SELF-ESTEEM. SINCE 2013, "SOS: STEPS OF SUCCESS FOR TEENS: REAL ISSUES, REAL FACTS, REAL TALK" HAS SERVED AS A SAFE PLACE FOR TEENS IN ONE OF DC'S MOST VULNERABLE NEIGHBORHOODS TO LEARN, GROW AND ASK QUESTIONS. STEPS OF SUCCESS IS AN ENLIGHTENING AND SUPPORTIVE PROGRAM CONSISTING OF 30 WEEKLY 120 MINUTE SESSIONS. THE PROGRAM SEEKS TO BE A PLACE WHERE TEENS CAN LOOK GOOD AND FEEL GOOD ABOUT THEMSELVES AND EDUCATE THE WHOLE PERSON. PRESENTATIONS ARE INFORMAL, WITH A FOCUS ON DISCUSSING EXPERIENCES. THE PROGRAM'S GOAL IS TO INCREASE AWARENESS ON CURRENT PERSONAL AND HEALTH ISSUES AND TO PROVIDE PREVENTIVE TECHNIQUES FOR TEENS TO BE IN A BETTER POSITION TO MAKE THE INFORMED DECISIONS OF A HEALTHIER LIFESTYLE. THE OTHER GOALS ARE TO HAVE FUN AND FEEL GOOD. IN FY2019, A COHORT OF 16 TEENS WAS EDUCATED IN VARIOUS ASPECTS OF ADOLESCENT DEVELOPMENT BY TRAINED SOCIAL WORKERS AND OTHER MEDICAL PROFESSIONALS. THE PROGRAM IS DESIGNED TO FOCUS ON THE MIND, BODY AND GOALS. THE FOLLOWING TOPICS WERE ADDRESSED: NUTRITION/DIET, HEALTH /FITNESS, PERSONAL HYGIENE, SELF ESTEEM, SELF-IMAGE, SELF-WORTH, SELF-EXPRESSION, ANGER MANAGEMENT, LONELINESS, DIETING, OUR BODIES, TATTOOS AND BODY PIERCING, CULTURAL AWARENESS, DRUGS AND ALCOHOL, SKIN COMPLEXION, DATING BOYS / GIRLS, GENDER ORIENTATION, BABIES SEX/ABORTION/STDS, RELATIONSHIPS, FAMILY, PARENTS, ADULT TRANSITION, SOCIAL SKILLS, MENTAL HEALTH, STRESS, DEPRESSION, DEATH/DYING/LOSS, GRIEF, YOUNG ADULTHOOD, ETIQUETTE, COMMUNICATION, VIDEO GAMES, ARTISTIC EXPRESSION, COLLEGE/TRADES, CAREER CHOICES, NETWORKING AND PROFESSIONALISM AND ADVOCACY. THE 30 SESSIONS HAD AN 89% ATTENDANCE RATE, INCLUDING TWO CULTURAL EXPOSURE OUTINGS FREE OF CHARGE. TEEN PARTICIPANTS WERE ALSO REQUIRED TO CONTRIBUTE MEANINGFULLY AT EACH SESSION, ALLOWING THEM TO DEVELOP SPEAKING AND INTERPERSONAL SKILLS. 100% OF TEEN PARTICIPANTS RANKED IMPROVEMENT IN SELF-ESTEEM HEALTHY RELATIONSHIPS, PEER PRESSURE, COPING WITH ANGER, AND CULTURAL EXPOSURE. PERIOD OF PURPLE CRYING THE PERIOD OF PURPLE CRYING PROGRAM IS AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA (SBS/AHT) PREVENTION PROGRAM AVAILABLE SINCE 2007. THE PROGRAM HAS TWO AIMS: - TO SUPPORT PARENTS AND CAREGIVERS IN THEIR UNDERSTANDING OF EARLY INCREASED INFANT CRYING - TO REDUCE THE INCIDENCE OF SBS/AHT THE PROGRAM APPROACHES SBS/AHT AND INFANT ABUSE PREVENTION BY HELPING PARENTS AND CAREGIVERS UNDERSTAND THE FRUSTRATING FEATURES OF CRYING IN NORMAL, HEALTHY INFANTS THAT CAN LEAD TO SHAKING OR ABUSE. THE PROGRAM PROVIDES THE OPPORTUNITY FOR PARENTS TO LEARN ABOUT THE CRYING CHARACTERISTICS FROM OVER 50 YEARS OF RESEARCH ON NORMAL INFANT CRYING CONDUCTED BY DR. RONALD G. BARR, AND OTHER SCIENTISTS WORLDWIDE. CHILDREN'S NATIONAL IS EDUCATING ALL EMPLOYEES IN CHILD DEVELOPMENT CENTERS AND CHILD DEVELOPMENT HOMES IN THE DISTRICT OF COLUMBIA ON THE PERIOD OF PURPLE CRYING. THE PROGRAM TEACHES PARENTS ABOUT THE NORMAL PHASES OF CRYING A BABY GOES THROUGH, WHICH BEGINS AT ABOUT 2 WEEKS OF AGE, PEAKS AT 2 MONTHS, AND STARTS TO DECREASE AROUND MONTHS 4-5. IT ALSO FOCUSES ON TEACHING PARENTS AND CAREGIVERS THAT THIS A NORMAL STAGE OF DEVELOPMENT AND HOW TO COPE WITH IT. SHAKEN BABY SYNDROME IS A TYPE OF INFLICTED TRAUMATIC BRAIN INJURY THAT HAPPENS WHEN A BABY IS VIOLENTLY SHAKEN. THE PROGRAM HELD MONTHLY ONE-HOUR SESSIONS AT THE HOSPITAL DURING FY 2019 WITH THE GOAL TO INCREASE AWARENESS OF SHAKEN BABY SYNDROME AND PROVIDE EDUCATION ON PREVENTION TECHNIQUES. THE OFFICE OF THE SUPERINTENDENT OF EDUCATION (OSSE) FOR THE DISTRICT OF COLUMBIA MANDATES THIS TRAINING FOR ALL EMPLOYEES. CHILDREN'S NATIONAL IS THE SOLE PROVIDER OF THIS EDUCATION FOR THEIR STAFF. SINCE ITS INCEPTION, CHILDREN'S NATIONAL HAS TRAINED OVER 750 CHILD CARE PROVIDERS THROUGH THIS PROGRAM. IN FY2019, WE PROVIDED EDUCATION TO OVER 60 CHILDCARE PROVIDERS. TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM TOMODACHI INITIATIVE IS A PUBLIC-PRIVATE PARTNERSHIP BETWEEN THE US-JAPAN COUNCIL AND THE US EMBASSY IN TOKYO AND IS LED BY THE CURRENT PRESIDENT OF THE US-JAPAN COUNCIL, IRENE INOUYE. THIS PARTNERSHIP WAS BORN OUT OF SUPPORT FOR JAPAN'S RECOVERY FROM THE GREAT EAST JAPAN EARTHQUAKE, AND INVESTS IN THE NEXT GENERATION OF JAPANESE AND AMERICAN LEADERS THROUGH EDUCATIONAL AND CULTURAL EXCHANGES AS WELL AS LEADERSHIP PROGRAMS. TOMODACHI SEEKS TO FOSTER A "TOMODACHI GENERATION" OF YOUNG AMERICAN AND JAPANESE LEADERS WHO ARE COMMITTED TO AND ENGAGED IN STRENGTHENING U.S.-JAPAN RELATIONS, APPRECIATE EACH OTHER'S COUNTRIES AND CULTURES, AND POSSESS THE GLOBAL SKILLS AND MINDSETS NEEDED TO CONTRIBUTE TO AND THRIVE IN A MORE COOPERATIVE, PROSPEROUS, AND SECURE WORLD. IN COLLABORATION WITH THE TOMODACHI INITIATIVE AND JOHNSON & JOHNSON FAMILY OF COMPANIES JAPAN, CHILDREN'S NATIONAL CREATED THE TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM TO FACILITATE A PROGRAM AROUND DISASTER MEDICINE AND NURSING FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS STUDYING IN TOHOKU REGION IN JAPAN. THE TOMODACHI INITIATIVE HELPS NURSING STUDENTS LEARN AND PREPARE FOR DISASTERS. THIS PROGRAM ALSO HELPS PARTICIPANTS LEARN DIFFERENT SKILLS THAT THEY CAN APPLY IN CERTAIN DISASTER SITUATIONS. ALL FY2019 PARTICIPANTS COMPLETED THE PROGRAM, AND MET THE FOLLOWING OBJECTIVES: - STUDENTS GAINED ACCESS TO AND KNOWLEDGE OF THE FIELD OF DISASTER MEDICINE AND DISASTER NURSING, WITH A VIEW TOWARD NEW EDUCATIONAL OPPORTUNITIES TO AID AND LEAD THE MEDICAL AND NURSING INDUSTRY IN JAPAN - STUDENTS ENGAGED WITH US ORGANIZATIONS, GOVERNMENT ENTITIES, AND PROGRAMS THAT HAVE RESPONDED TO DISASTERS AND HAVE BUILT PROGRAMS IN RESPONSE TO AND IN PREPARATION FOR THE NEXT DISASTER - STUDENTS DEVELOPED LEADERSHIP, NETWORKING, AND INTERPERSONAL SKILLS THROUGH VARIOUS INTERACTIVE ACTIVITIES - INCREASED INSTITUTIONAL KNOWLEDGE AND CAPACITY AROUND DISASTER MEDICINE AND NURSING IN THE TOHOKU REGION AND BEYOND - DESIGNED OPPORTUNITIES TO BUILD INSTITUTIONAL PARTNERSHIPS THAT CAN SUSTAIN THE CURRICULUM BEYOND THE THREE-YEAR TOMODACHI PROGRAM - STUDENTS AND MENTORS PRESENTED THEIR EXPERIENCES, CHALLENGES, AND OPPORTUNITIES, AS WELL AS THEIR FINDINGS AND LESSONS LEARNED FROM THE US STUDY TOUR TO COLLEAGUES IN TOHOKU AND ELSEWHERE IN JAPAN. IN FY2019, THE CHILDREN'S NATIONAL NURSING, EMERGENCY, AND SIMULATION DEPARTMENTS WELCOMED 7 NURSES, WHO WERE TRAINED IN CRITICAL DISASTER NURSING SKILLS. THESE NURSES CAN NOW TAKE THESE SKILLS BACK TO THEIR HOME COMMUNITIES AND CONTINUE TO TRAIN MEDICAL PROFESSIONALS TO PREPARE FOR THE UNEXPECTED EMERGENCY SITUATION. EARLY CHILDHOOD INNOVATION NETWORK THE EARLY CHILDHOOD INNOVATION NETWORK (ECIN) IS AN INITIATIVE SPEARHEADED BY A COLLABORATION BETWEEN CHILDREN'S NATIONAL HOSPITAL AND MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, ALONG WITH MANY OTHER PARTNERSHIPS THROUGHOUT THE CITY. ITS AIM IS TO PREVENT AND AMELIORATE THE EFFECTS OF TOXIC STRESS IN YOUNG CHILDREN, AGES 0-5, AND THEIR FAMILIES, AND IMPROVE THEIR RESILIENCE. ECIN IMPLEMENTS AND EVALUATES INNOVATIVE INTERVENTIONS IN PEDIATRIC PRIMARY CARE, EARLY LEARNING, AND OTHER HOME AND COMMUNITY-SERVING AGENCIES. ECIN ALSO ADVOCATES FOR POLICY CHANGES TO ENSURE FURTHER CITY-WIDE DISSEMINATION OF EFFECTIVE MODELS AND FURTHER COLLABORATION ACROSS CHILD-SERVING SECTORS. IN FY2019, ECIN SOUGHT TO EXPAND COMMUNITY PARTNERS AND INTERVENTIONS, IMPLEMENT AND SCALE THE INTERVENTIONS AND SERVICES. THE PROGRAM LEAD THE IMPLEMENTATION OF PEDIATRIC PRIMARY CARE INTERVENTION, HEALTHYSTEPS, AT CHILDREN'S HEALTH CENTER (CHC)-ANACOSTIA, AND CHC-THEARC, AND CONTINUED PREPARATION FOR EXPANSION AT CHC-ANACOSTIA. AT EDUCARE DC, AN EARLY LEARNING CENTER IN WARD 7, ECIN CONTINUED TO PROVIDE SUPPORT AND TRAINING ON BEST PRACTICES FOR INTEGRATION OF EARLY CHILDHOOD MENTAL HEALTH CONSULTATION. THIS INTEGRATION INCLUDES A STRATEGY TO IMPROVE TEACHERS' ABILITY TO HANDLE BEHAVIORAL CONCERNS IN THE CLASSROOM, AND "MINDFUL PARENTING" WORKSHOPS. DATA FROM THE ECIN MINDFUL PARENTING PROGRAM SHOWED SIGNIFICANT DECREASES IN SLEEP DISTURBANCE, PARENTAL DISTRESS, DEPRESSIVE SYMPTOMS, AND SIGNIFICANT INCREASES IN PARENTAL SUPPORT. DURING THE 2018-19 SCHOOL YEAR AT THE APPLE TREE PUBLIC CHARTER PRE-SCHOOL, ECIN CONTINUED TO IMPLEMENT THE EARLY CHILDHOOD MENTAL HEALTH CONSULTATION INITIATIVE. PROGRAM MANAGERS OBSERVED SIGNIFICANT IMPROVEMENTS IN CLASSROOM MENTAL HEALTH CLIMATES AND THE USE OF SOCIAL-EMOTIONAL TEACHING PRACTICES. THE PROGRAM ALSO CONTINUED IMPLEMENTATION OF RESILIENT COMMUNITIES DC (RCDC) IN PARTNERSHIP WITH FAR SOUTHEAST FAMILY STRENGTHENING COLLABORATIVE, A COMMUNITY-BASED PEER SUPPORT MODEL FOR FAMILIES WITH YOUNG CHILDREN. IT STRENGTHENED COMMUNITY ENGAGEMENT THROUGH MONTHLY COMMUNITY BUILDING MEETINGS, AND FEEDBACK FROM PARENTS, FAMILIES AND COMMUNITY MEMBERS. ECIN IS WORKING TO BRING CARE TO THE COMMUNITY IN SETTINGS THAT ARE FAMILIAR AND FREQUENTED OFTEN, INCLUDING PEDIATRIC PRIMARY CARE, EARLY LEARNING AND OTHER COMMUNITY-BASED ORGANIZATIONS. IN FY2019, OVER 1,000 WASHINGTON DC-AREA FAMILIES WERE IMPACTED BY ECIN'S SERVICES. IN ADDITION, HUNDREDS OF CHILDCARE PROFESSIONALS WERE TRAINED IN MENTAL HEALTH BEST PRACTICES. ECIN MADE VALUABLE STEPS IN FY2019 IN ENSURING EVERY CHILD IN THE DISTRICT OF COLUMBIA AND BEYOND HAS ACCESS TO THE SERVICES AND SKILLS THEY NEED TO GROW UP HEALTHY AND STRONG. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7A THE CNMC BOARD IS SELF-PERPETUATING AND THE BOARD MEMBERS VOTE FOR THEIR OWN REPLACEMENTS. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE FORM 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT COMMITTEE OF CNMC, AS WELL AS THE CHAIRMAN EMERITUS OF CNMC, PRIOR TO FILING WITH IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER BEFORE FILING. CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORM 990, PART VI, LINE 12C CHILDREN'S NATIONAL MEDICAL CENTER 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 MEDICAL CENTER 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. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15A AND LINE 15B CHILDREN'S NATIONAL MEDICAL CENTER'S PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES ARE COMPENSATED BY ITS CONTROLLED SUBSIDIARY, CHILDREN'S HOSPITAL, BUT COMPENSATION IS DETERMINED BY A CHILDREN'S NATIONAL MEDICAL CENTER COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL MEDICAL CENTER BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS WHO ARE EXPERTS ON COMPENSATION MATTERS. THE COMMITTEE DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION, FOR EACH PERSON DEEMED BY THE COMPENSATION COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATE SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT, AND RELIES UPON "REASONABLENESS" OPINIONS FOR SUCH CONSULTANTS, PRIOR TO OR CONTEMPORANEOUS WITH MAKING COMPENSATION DECISIONS. THE COMMITTEE MEETS 4-6 TIMES PER YEAR TO CONSIDER SUCH MATTERS. HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 CHILDREN'S NATIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST AND THROUGH PUBLIC FILINGS. 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