2019-05-14T12:44:09-05:00 2018-06-30 Grant Thornton LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990 2017-07-01 521640403 Children's National Medical Center % CORPORATE OFFICERS CHIL 2024765000 111 Michigan Avenue NW Washington DC 20010 ALEC KING CFO 2024765000 2019-05-03 true MARY TORRETTA P00847851 7038477500 2019-04-26 209.220.136.124 54681420191345000002 2019-05-14 P AA918D8483008E32154F6CC583B06457B9AF9E42 93B6A5B2B9E73C0D543A64C04FD842B0CEFC817E 2017 2019-02-21 02:37:17Z KURT DOUGLAS NEWMAN MD 111 Michigan Avenue NW Washington DC 20010 131000875 false X www.childrensnational.org X 1989 DC COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. 13 11 0 11 0 0 0 0 149660021 131634041 0 0 -1105311 -633166 148554710 131000875 0 0 0 0 0 0 0 0 0 0 0 0 0 148554710 131000875 922677374 1053678249 0 0 922677374 1053678249 X CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. false false 0 0 131000875 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 0 0 0 false true CJ CH EI false false false false false false false false X 13 11 false false true false false true false true true false false true true true true true true true true false DC X CORPORATE OFFICERS 3015723502 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 MICHAEL J WILLIAMS BOARD CHAIRMAN 4.0 3.0 X X 0 0 0 EVAN JONES BOARD VICE CHAIRMAN 2.0 1.0 X X 0 0 0 RAMANARAYAN V POTARAZU BOARD SECRETARY/TREASURER 2.0 1.0 X X 0 0 0 KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 2.0 53.0 X X 0 2471800 294314 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 3614029 194338 MICHAEL BLOUNT BOARD MEMBER TO 02/2018 1.0 0.0 X 0 0 0 FRED T GOLDBERG JR BOARD MEMBER 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 1.0 2.0 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 & CHIEF FINANCIAL OFFICER 1.0 54.0 X 0 742591 134808 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 1.0 54.0 X 0 795191 22969 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 1470933 212667 DAVID WESSEL MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1244543 232175 DENICE CORA-BRAMBLE MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1183728 184657 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 1.0 54.0 X 0 350789 40253 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 1.0 54.0 X 0 1016608 178561 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 1.0 54.0 X 0 1230484 171831 ROGER PACKER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 1021637 164521 MARY ANNE HILLIARD CHIEF LEGAL OFFICER 1.0 54.0 X 0 792254 142031 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 1.0 54.0 X 0 595563 101349 DARRYL VARNADO CHIEF PEOPLE OFFICER 1.0 54.0 X 0 833596 145681 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 1.0 54.0 X 0 430972 16583 LINDA TALLEY CHIEF NURSING OFFICER 1.0 54.0 X 0 417569 23722 ROBIN STEINHORN MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 908924 161570 DOUGLAS MYERS FORMER CFO TO 12/2015 0.0 0.0 X 0 389751 1589 PAM KING SAMS FORMER CDO TO 06/2016 0.0 0.0 X 0 389059 6067 GERARD MARTIN MD FMR SVP CENTER OF EXCELLENCE 0.0 55.0 X 0 519057 108800 MENDEL TUCHMAN MD CRO to 6/30/2017 1.0 54.0 X 0 679176 78080 0 21098254 2616566 0 true true false NONE 0 0 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 131634041 131634041 131634041 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTNERSHIP LOSS 900099 -633166 -633166 -633166 131000875 131000875 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 922677374 1053678249 0 0 0 0 0 0 922677374 1053678249 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 922677374 1053678249 0 0 0 0 922677374 1053678249 922677374 1053678249 131000875 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 INVESTMENT IN SUBSIDIARIES 1053678249 C 1053678249 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 (MEDICAL CENTER) AND SUBSIDIARIES, IS AS FOLLOWS: THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH BASIS, THE EXEMPT ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. THE FINANCIAL ACCOUNTING STANDARDS BOARDS (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THE GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE COMBINED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON TECHNICAL MERITS. THE MEDICAL CENTER EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON THE MEDICAL CENTERS FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2018 AND 2017 AS THE MEDICAL CENTER HAS NO UNCERTAIN TAX POSITIONS. Central America and the Caribbean Investments 44024464 44024464 44024464 false false true false false false X X X X true true false false false false false false false KURT D NEWMAN MD PRESIDENT / CEO (CNMC) 0 1196477 0 1221991 0 53332 0 208500 0 85814 0 2766114 0 0 MARK L BATSHAW MD BOARD MEMBER 0 678437 0 542735 0 2392857 0 121012 0 73326 0 3808367 0 2344124 ALEC KING EVP & CHIEF FINANCIAL OFFICER 0 515562 0 208129 0 18900 0 103503 0 31305 0 877399 0 0 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 0 495153 0 225000 0 75038 0 9615 0 13354 0 818160 0 75000 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 0 787217 0 597706 0 86010 0 146708 0 65959 0 1683600 0 63890 DAVID WESSEL MD CHIEF MEDICAL OFFICER 0 599267 0 483697 0 161579 0 109218 0 122957 0 1476718 0 92929 DENICE CORA-BRAMBLE MD CHIEF MEDICAL OFFICER 0 597148 0 479571 0 107009 0 109218 0 75439 0 1368385 0 82783 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 0 250847 0 80952 0 18990 0 13500 0 26753 0 391042 0 0 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 0 512879 0 405569 0 98160 0 99250 0 79311 0 1195169 0 76653 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 0 645045 0 488124 0 97315 0 121296 0 50535 0 1402315 0 77121 ROGER PACKER MD SVP CENTER OF EXCELLENCE 0 506573 0 406535 0 108529 0 96754 0 67767 0 1186158 0 64535 MARY ANNE HILLIARD CHIEF LEGAL OFFICER 0 414371 0 324848 0 53035 0 85516 0 56515 0 934285 0 32085 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 0 439069 0 134485 0 22009 0 48865 0 52484 0 696912 0 0 DARRYL VARNADO CHIEF PEOPLE OFFICER 0 354712 0 285864 0 193020 0 73529 0 72152 0 979277 0 169805 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 0 311573 0 88864 0 30535 0 13500 0 3083 0 447555 0 0 LINDA TALLEY CHIEF NURSING OFFICER 0 304239 0 92492 0 20838 0 11198 0 12524 0 441291 0 0 ROBIN STEINHORN MD SVP CENTER OF EXCELLENCE 0 501087 0 321501 0 86336 0 97185 0 64385 0 1070494 0 10539 DOUGLAS MYERS FORMER CFO TO 12/2015 0 0 0 0 0 389751 0 1019 0 570 0 391340 0 160000 PAM KING SAMS FORMER CDO TO 06/2016 0 0 0 0 0 389059 0 0 0 6067 0 395126 0 0 GERARD MARTIN MD FMR SVP CENTER OF EXCELLENCE 0 361422 0 109896 0 47739 0 51374 0 57426 0 627857 0 41575 MENDEL TUCHMAN MD CRO to 6/30/2017 0 307296 0 288005 0 83875 0 33750 0 44330 0 757256 0 57486 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. SEVERANCE SCHEDULE J, PART 1, LINE 4A THE FOLLOWING FORMER OFFICERS RECEIVED A SEVERANCE PAYMENT. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION. DOUGLAS MYERS $389,751 PAM KING SAMS $389,059 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 $195,000 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 $90,003 ELIZABETH FLURY $85,750 ROBIN STEINHORN $83,685 ROGER PACKER, MD $83,254 MARY ANNE HILLIARD $72,016 DARRYL VARNADO $60,029 GERARD MARTIN, MD $37,874 BRIAN JACOBS $35,365 MENDEL TUCHMAN $20,250 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 CHILDRENS 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 CHILDRENS NATIONAL, BASED IN WASHINGTON, D.C., HAS BEEN SERVING THE NATIONS CHILDREN SINCE 1870. CHILDRENS 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 CHILDRENS RESEARCH INSTITUTE AND THE SHEIKH ZAYED INSTITUTE FOR PEDIATRIC SURGICAL INNOVATION, CHILDRENS NATIONAL IS ONE OF THE NATIONS TOP NIH-FUNDED PEDIATRIC INSTITUTIONS. CHILDRENS 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. CHILDRENS NATIONAL IS DEDICATED TO FULFILLING ITS VISION OF SETTING THE STANDARD IN EXCELLENCE IN PEDIATRIC CARE, ADVOCACY, RESEARCH, AND EDUCATION, HERE IN THE NATIONS CAPITAL, AROUND THE COUNTRY, AND THROUGHOUT THE WORLD. AS PART OF OUR COMMITMENT TO OUR COMMUNITY, BELOW ARE SOME OF THE PROGRAMS AND ACTIVITIES THAT WERE CONDUCTED IN FY2018. TEAM KID POWER: KIPOW! TEAM KID POWER (KNOWN AS KIPOW!) STARTED IN WASHINGTON, D.C., IN 2012 THROUGH THE LEADERSHIP OF CHILDREN'S NATIONAL CARDIOLOGIST MICHELE MIETUS-SNYDER, M.D., AND THEN-GEORGE WASHINGTON UNIVERSITY MEDICAL SCHOOL STUDENT NISHA NARAYANAN, M.D. KIPOW! IS DESIGNED TO HELP KIDS TAKE FULL ADVANTAGE OF THE PHYSICAL ACTIVITY PROGRAMS, HEALTH EDUCATION AND NUTRTITIOUS MEALS AVAILABLE IN D.C. PUBLIC AND PUBLIC CHARTER SCHOOLS THROUGH THE D.C. HEALTHY SCHOOLS ACT OF 2010, A LOCALLY AND FEDERALLY MANDATED SCHOOL WELLNESS POLICY INTENDED TO HELP ELEMENTARY AND MIDDLE-SCHOOL CHILDREN REACH FULL PHYSICAL, EMOTIONAL, AND ACADEMIC POTENTIAL, BUT LAGGING BEHIND TARGET NUTRITION, ACTIVITY, AND HEALTH LITERACY GOALS. KIPOW! IS AN ACADEMIC-COMMUNITY PARTNERSHIP INITIATED BETWEEN CHILDREN'S NATIONAL HEALTH SYSTEM, GEORGE WASHINGTON UNIVERSITY MEDICAL SCHOOL, AND DISTRICT OF COLUMBIA PUBLIC AND PRIVATE CHARTER SCHOOLS. KIPOW! IS A MENTORED BEHAVIORAL CHANGE PROGRAM THAT HAS BEEN ACTIVE IN DC FOR 7 YEARS AND WAS SUCCESSFULLY EXPANDED BY GEORGE WASHINGTON UNIVERSITY MEDICAL SCHOOL GRADUATES OF TEAM KIPOW! TO ORGANGE COUNTY, CA IN 2014 WITH THE UNIVERSITY OF CALIFORNIA IRVINE MEDICAL SCHOOL, AND TO DALLAS TEXAS IN 2017 WITH UT SOUTHWESTERN MEDICAL SCHOOL. KIPOW! IS CURRENTLY ACTIVE IN FIVE TITLE 1 ELEMENTARY SCHOOLS (1 IN WASHINGTON, D.C., 2 IN CALIFORNIA, AND 1 IN TEXAS). THROUGH THE VOLUNTEER PROGRAM, GEORGE WASHINGTON UNIVERSITY MEDICAL STUDENTS SERVE AS HEALTH MENTORS IN THE SCHOOLS. THEY ENCOURAGE HEALTHY CHOICES AS THEY: -EAT LUNCH WITH KIDS, BUILDING BONDS OVER FRESH, LOCAL VEGGIES -PLAY FUN, PHYSICAL GAMES TO ENGAGE KIDS IN EXERCISE -EDUCATE STUDENTS ON HEALTH TOPICS FROM NUTRITION TO SLEEP EVIDENCE-BASED HEALTH PROMOTION PRINCIPLES THEREFORE ARE NOT JUST TAUGHT TO SCHOOL CHILDREN, BUT LIVED. THE KIDS DEVELOP HEALTHY HABITS THAT WILL BENEFIT THEM THROUGHOUT THEIR LIVES. MEANWHILE, THE MED STUDENTS GET HANDS-ON EXPERIENCE IN HEALTH EDUCATION AND BEHAVIORAL CHANGE THAT WILL SOMEDAY BENEFIT THEIR PATIENTS. IN FY2018 KIPOW! REPORTED: -IMPROVEMENT IN STANDARDIZED HEALTH LITERACY TEST SCORES -DECREASED DIASTOLIC BLOOD PRESSURE -INCREASED VALIDATED PACER FITNESS TEST SCORES -STABILIZATION OF BMI IN GROWING CHILDREN, PROGRESS TOWARDS CONTROLLING THE RISE OF OBESITY -ENTHUSIASTIC TESTIMONIAL BY SCHOOL FACULTY AND STAFF OF INCREASED PARTICIPATION IN SCHOOL LUNCH PROGRAM, INCREASED WILLINGNESS TO EAT UNFAMILIAR OR PREVIOUSLY UNDESIRABLE FOODS, AND IMPROVE SELF-EFFICACY WITH HEALTHY LIFESTYLE CHOICES. DC COLLABORATIVE FOR MENTAL HEALTH IN PEDIATRIC PRIMARY CARE AND DC MENTAL HEALTH ACCESS IN PEDIATRICS FOUNDED IN 2012, THE DC COLLABORATIVE FOR MENTAL HEALTH IN PEDIATRIC PRIMARY CARE (DC COLLABORATIVE) AIMS TO IMPROVE THE INTEGRATION OF MENTAL HEALTH IN PEDIATRIC PRIMARY CARE FOR YOUTH IN THE DISTRICT OF COLUMBIA. THIS PUBLIC-PRIVATE PARTNERSHIP INCLUDES AN INTERDISCIPLINARY WORKING GROUP, A COMMUNITY ADVISORY BOARD AND A CHILDRENS NATIONAL PROJECT TEAM. DURING THE COURSE OF THE REPORTING PERIOD, THE COLLABORATIVE HAS BEEN PARTICULARLY FOCUSED ON: 1) EDUCATING AND SUPPORTING PEDIATRIC PRIMARY CARE PROVIDERS (PPCPS) IN THE IMPLEMENTATION OF UNIVERSAL, ANNUAL MENTAL HEALTH SCREENING AT WELL-CHILD VISITS; 2) ENGAGING IN COMPREHENSIVE PLANNING PROCESS TO BRING A CHILD BEHAVIORAL HEALTH ACCESS PROGRAM TO THE DISTRICT OF COLUMBIA WHICH WOULD PROVIDE PPCPS WITH REAL-TIME PHONE CONSULTATION WITH CHILD MENTAL HEALTH EXPERTS; BRIEF, TIME-LIMITED FOLLOW-UP SERVICES; MENTAL HEALTH EDUCATION AND TRAINING; RESOURCE GUIDE MAINTENANCE; AND PSYCHOTROPIC MEDICATION REVIEWS FOR CHILDREN IN THE CITYS SYSTEM OF CARE. WITH THIS MISSION IN MIND, THE DC COLLABORATIVE CREATED THE DC MENTAL HEALTH ACCESS IN PEDIATRIC (DC MAP) PROGRAM. DC MAP WAS LAUNCHED IN THE DISTRICT IN 2015 (PILOTED IN MAY 2015, LAUNCHED CITY-WIDE IN SEPTEMBER 2015) FOLLOWING SEVERAL YEARS OF PLANNING BY STAKEHOLDERS. KEY TO PLANNING EFFORTS HAS BEEN THE DC COLLABORATIVE, A PUBLIC-PRIVATE PARTNERSHIP THAT INCLUDES CHILDRENS NATIONAL HEALTH SYSTEM, MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, THE CHILDRENS LAW CENTER, THE DC CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS AND THE DC DEPARTMENTS OF HEALTH, BEHAVIORAL HEALTH AND HEALTH CARE FINANCE, AS WELL AS A COMMUNITY ADVISORY BOARD WITH REPRESENTATION FROM MORE THAN 25 CHILD-SERVING ORGANIZATIONS, PARENTS AND COMMUNITY GROUPS. DC MAP IS MODELED AFTER A HIGHLY SUCCESSFUL PROGRAM STARTED IN MASSACHUSETTS (MASSACHUSETTS CHILD PSYCHIATRY ACCESS PROGRAM) AND IT JOINS A LONG LIST OF OTHER ACCESS PROGRAMS ACROSS THE COUNTRY THAT ARE PART OF THE NATIONAL NETWORK OF CHILD PSYCHIATRY ACCESS PROGRAMS. THESE PROGRAMS OFFER PEDIATRIC PRIMARY CARE PROVIDERS WITH INCREASED ACCESS TO CHILD MENTAL HEALTH EXPERTS AND HAVE LED TO SIGNIFICANT IMPROVEMENTS IN PROVIDERS FEELING BETTER ABLE TO ADDRESS THEIR PATIENTS. DC MAP PROVIDES THE FOLLOWING SERVICES: PRIMARY CARE CLINICIAN TELEPHONE CONSULTATION WITH CHILD MENTAL HEALTH SPECIALISTS, COMMUNITY RESOURCE REFERRALS AND FACE-TO-FACE CONSULTATIONS AS CLINICALLY INDICATED, MENTAL HEALTH EDUCATION AND TRAINING IN PRIMARY CARE, CHILD MENTAL HEALTH RESOURCE GUIDE MAINTENANCE, AND QUARTERLY MEDICATION REVIEWS FLAGGED BY THE PSYCHOTROPIC MONITORING GROUP. DC MAP AIMS TO IMPROVE THE INTEGRATION OF MENTAL HEALTH IN PEDIATRIC PRIMARY CARE FOR CHILDREN IN THE DISTRICT OF COLUMBIA. WE ARE COMMITTED TO ADDRESSING THE MENTAL HEALTH NEEDS OF DIVERSE CHILDREN AND THEIR FAMILIES THROUGH CULTURALLY COMPETENT, FAMILY-FOCUSED INITIATIVES. WE ACKNOWLEDGE THAT THE UNMET MENTAL HEALTH NEEDS OF YOUNG CHILDREN, ESPECIALLY THOSE WHO HAVE NOT YET ENTERED SCHOOL, ARE GREAT. THUS, ALTHOUGH WE AIM TO ADDRESS THE MENTAL HEALTH NEEDS OF ALL CHILDREN AND YOUTHS, WE ARE PARTICULARLY FOCUSED ON INFANTS, TODDLERS, AND PRESCHOOLERS. IN FY2018, DC MAP FIELDED APPROXIMATELY 500 CALLS FROM PRIMARY CARE PROVIDERS IN THE DC METRO AREA, AN INCREASE OF 200% IN CALL VOLUME FROM LAST YEAR. ALL PRIMARY CARE PROVIDERS WHO UTILIZED THE DC MAP HOTLINE SERVICE WERE CONNECTED WITH A PSYCHIATRIST WITHIN ONE HOUR OF CALLING, TYPICALLY ALLOWING THEM EXPERT CONSULTATION WHILE PATIENTS WERE STILL IN THE OFFICE. ONE PEDIATRICIAN AT THE CHILDRENS NATIONAL PRIMARY CARE CENTERS SAID OF THE PROGRAM, "DC MAP EMPOWERS ME TO PROVIDE THE BEST CARE FOR MY PATIENTS. IT IS AN INTEGRAL PART OF MY MEDICAL PRACTICE." CHILD AND ADOLESCENT PROTECTION CENTER IN PARTNERSHIP WITH CHILDREN'S NATIONAL, THE FREDDIE MAC FOUNDATION CHILD AND ADOLESCENT PROTECTION CENTER IS THE ONLY MEDICAL CENTER IN THE DISTRICT OF COLUMBIA WITH A TEAM OF HEALTH PROFESSIONALS DEDICATED TO VICTIMS OF CHILD ABUSE AND THEIR FAMILIES, AND ONE OF THE FEW HOSPITALS IN THE COUNTRY USING A TEAM APPROACH TO ASSESSING AND TREATING THESE VICTIMS. THE DISTRICT OF COLUMBIA CONTINUES TO HAVE TWICE THE NATIONAL RATE OF CHILD ABUSE, MAKING THE CENTER'S WORK MORE IMPORTANT THAN EVER. THE CENTER'S TEAM OF MEDICAL PROFESSIONALS PROVIDES COMPREHENSIVE EXAMINATIONS (CONDUCTED BY PEDIATRICIANS AND NURSES WHO SPECIALIZE IN FORENSIC ISSUES), TREATMENT OF SEXUALLY TRANSMITTED DISEASES OR INJURIES, AND TRAUMA COUNSELING FOR CHILD VICTIMS OF ALL FORMS OF MALTREATMENT (PROVIDED BY PSYCHOLOGISTS AND CLINICAL SOCIAL WORKERS WHO SPECIALIZE IN CHILDHOOD TRAUMA AND ABUSE). THE CENTER'S OTHER SERVICES INCLUDE: -ADVOCACY FOR VICTIMS AND FAMILIES -PSYCHOLOGICAL TESTING -JUVENILE OFFENDER COUNSELING SERVICES -EDUCATIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, AND PARENT-CHILD RELATIONSHIP ASSESSMENTS -INDIVIDUAL AND FAMILY THERAPY FOR VICTIMIZED CHILDREN (AGE 4-22 YEARS FOR NON-OFFENDING MENTAL HEALTH SERVICES) -PARENTING EDUCATION/THERAPY CLASSES -CASE MANAGEMENT -REFERRAL SERVICES FOR VICTIMS AND THEIR FAMILIES MENTAL HEALTH SERVICES ARE PROVIDED BY CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS WHO ARE CHILD VICTIMIZATION SPECIALISTS. OUR PSYCHOLOGISTS ALSO CAN PROVIDE EDUCATIONAL, PSYCHOLOGICAL, DEVELOPMENTAL, PSYCHOSEXUAL, AND PARENT-CHILD RELATIONSHIP ASSESSMENTS. THE CENTER STAFF ALSO PROVIDES CONSULTATION TO COLLEAGUES INSIDE AND OUTSIDE THE HOSPITAL. MEDICAL SERVICES ARE AVAILABLE BY APPOINTMENT OR ON AN EMERGENCY BASIS, AND FORENSIC MEDICAL EXAMINATIONS FOR RECENT SEXUAL ABUSE/ASSAULT ARE AVAILABLE AFTER NORMAL BUSINESS HOURS. ADDITIONALLY, THE CENTER'S TEAM MEMBERS PROVIDE TRAINING TO A VARIETY OF PROFESSIONALS, BOTH MEDICAL AND NON-MEDICAL, FOR WHOM THE IDENTIFICATION, INTERVENTION, AND TREATMENT OF CHILD ABUSE IS NECESSARY. IN FY2018, THE STAFF TREATED MORE THAN 1,300 CHILDREN ANNUALLY FROM THE DISCTRICT OF COLUMBIA AND SURROUNDING JURISDICTIONS, AND SERVED MORE THAN 1,800 CHILDREN THROUGH THE CENTER'S PARTICIPATION IN THE DISTRICT OF COLUMBIA'S MULTIDISCIPLINARY TEAM ON CHILD ABUSE. IN ADDITION TO DIRECT PATIENT CARE, THE CENTER PROVIDED TRAINING FOR SEXUAL ASSAULT NURSE EXAMINERS, HELD TWO RESOURCE FAIRS, EDUCATED HEALTH PROFESSIONALS ON TRAUMA VIA TRAININGS AND A SYMPOSIUM, AND PROVIDED MEDICAL CONSULTATIONS IN CRIMINAL CASES. INTERN ADVOCACY DAY BEGUN IN 2016, INTERN ADVOCACY DAY HOSTS MEDICAL STUDENTS OUT INTO THE COMMUNITY THEY SERVE TO LEARN ABOUT THE SOCIAL DETERMINANTS OF HEALTH FIRST-HAND. IN FY2018, INTERN ADVOCACY DAY EXPANDED TO BOLSTER EDUCATION FOR PEDIATRIC RESIDENTS AROUND FOOD INSECURITY AND COMMUNITY RESOURCES. ORGANIZERS STREAMLINED AND STANDARDIZED INTERN ADVOCACY DAY BY 1) ALIGNING THE EXPERIENCE WIHT A DEFINED COMMUNITY HEALTH NEED FROM THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND 2) IDENTIFYING A COMMUNITY PARTNER SUCH THAT EACH INTERN WOULD COMPLETE A SIMILAR, ROBUST EXPERIENCE. ORGANIZERS IDENTIFIED THE LOCAL CAPITAL AREA FOOD BANK AS A COMMUNITY PARTNER, GIVEN THE HIGH RATES OF FOOD INSECURITY IN OUR COMMUNITY. EVERY PEDIATRIC INTERN PARTICIPATES AT SOME POINT IN THE ACADEMIC YEAR, AND HAS A FULL DAY OF PROTECTED TIME TO PARTICIPATE IN THE PROGRAM. EACH SESSION IS ALSO ATTENDED BY STAFF MEMBERS FROM THE CHILDREN'S CHILD HEALTH ADVOCACY INSTITUTE, ENSURING RELATIONSHIP BUILDING BETWEEN MEDICAL STAFF AND COMMUNITY HEALTH ADVOCATES. RESIDENTS ARE TRAINED IN THE CONCEPT OF PHYSICIAN ADVOCACY, INCLUDING BENEFITS AND BARRIERS, LED THROUGH DISCUSSIONS ON WAYS TO INTEGRATE ADVOCACY INTO BUSY PHYSICIAN CAREERS, PROVIDED AN OVERVIEW OF THE BASIC ELEMENTS OF CHILD HEALTH POLICY, AND END THE DAY WITH A DISCUSSION HOW RESIDENTS CAN PERSONALLY INTEGRATE ADVOCACY INTO THEIR OWN TRAINING AND CAREERS. AT THE END OF INTERN ADVOCACY DAY, RESIDENTS CAN: DEFINE FOOD INSECURITY AND ITS HEALTH EFFECTS, PROVIDE LOCAL RESOURCES TO ALLEVIATE FOOD INSECURITY, UNDERSTAND HOW FOOD BANKS OPERATE, INCLUDING THEIR VOLUNTEER SERVICES, AND IDENTIFY STRATEGIES THAT PEDIATRICIANS CAN EMPLOY TO ADDRESS FOOD INSECURITY IN THEIR PATIENTS AND TO ADVOCATE ON A COMMUNITY OR FEDERAL LEVEL. SINCE JULY 2016, THERE HAVE BEEN SEVEN INTERN ADVOCACY DAY SESSIONS OF ONE-DAY ADVOCACY TRAINING SESSIONS FOR INTERNS. PRELIMINARY DATA SHOW AN IMPROVEMENT IN ALL FIELDS ASSESSED, BOTH KNOWLEDGE AND COMMUNITY HEALTH ADVOCACY RELATED SELF-EFFICACY. THE MEAN PERCENT INCREASE WAS 35%, RANGE 10-79%. THE SATISFACTION SCORE FOR THE EXPERIENCE WAS 4.6 OUT OF 5. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE 7/1/18 TO HELP DELINEATE/CLARIFY ROLES AND RESERVED POWERS OF THE BOARD AND MANAGEMENT. 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 OF THE BOARD 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 CHILDRENS 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 CHILDRENS 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 BOARDS 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 SUBCOMMITTEE 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, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST AND THROUGH PUBLIC FILINGS. 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