2019-05-14T11:26:42-05:00 2018-06-30 Grant Thornton LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990EZ 2017-07-01 521640399 CHILDREN'S HOSPITAL SELF-INSURANCE TRUST % 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 54681420191345000001 2019-05-14 P AA918D8483008E32154F6CC583B06457B9AF9E42 F3025B962F5CDC81089D134DBE2E83273904A17C 2017 2019-02-21 02:37:17Z X X N/A X X 0 X 0 0 0 0 0 0 0 41453 2507129 10206369 12754951 -12754951 0 12754951 X 118519 397424 0 0 0 0 118519 397424 118519 397424 0 0 X MALPRACTICE/GENERAL LIABILITY INSURANCE CHILDREN'S HOSPITAL SELF-INSURANCE TRUST WAS CREATED TO PROVIDE A MECHANISM FOR PAYING MALPRACTICE AND COMPREHENSIVE GENERAL LIABILITY CLAIMS ARISING AGAINST CHILDREN'S HOSPITAL AND OTHER AFFILIATED ENTITIES AS WELL AS INDIVIDUALS PERFORMING SERVICES FOR OR ON BEHALF OF THE AFFILIATED ORGANIZATIONS. 0 10206369 10206369 SEDGWICK CLAIMS MANAGEMENT SERVICES INSTITUTIONAL TRUSTEE 1.0 41453 0 0 false false false false false false false 0 0 0 false 0 0 false DC CORPORATE OFFICERS 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 3015726283 false false false false false false false false X false false false NONE 0 ARMSTRONG DONOHUE CEPPOS 204 MONROE STREET SUITE 101 ROCKVILLE MD 20850 LEGAL SERVICES 432295 JACKSON AND CAMPBELL PC 1120 20TH STREET NW Suite 300 WASHINGTON DC 20036 LEGAL SERVICES 425652 MILES AND STOCKBRIDGE 1500 K STREET NW WASHINGTON DC 200051209 LEGAL SERVICES 419071 WILSON ELSER MOSKOWITZ EDELMAN DICK 700 11TH STREET NW SUITE 400 WASHINGTON DC 20001 LEGAL SERVICES 149255 SEYFARTH SHAW LLP 815 CONNECTICUT AVENUE NW WASHINGTON DC 20006 LEGAL SERVICES 134813 2 true X X 1 CHILDREN'S HOSPITAL 530196580 3 true 12754951 0 1 12754951 0 true false false false false false false false false false false false false false false true false true X true true FORM 990-EZ, SCHEDULE A, PART IV, SECTION D, LINES 2 AND 3 THE SUPPORTED ORGANIZATION, CHILDREN'S HOSPITAL (THE HOSPITAL), RETAINS OWNERSHIP OF ALL INCOME AND ASSETS OF CHILDREN'S HOSPITAL SELF-INSURANCE TRUST FUND (SELF-INSURANCE TRUST). THE HOSPITAL'S BOARD OF DIRECTORS AND/OR ADMINISTRATIVE OFFICERS PROVIDE OVERSIGHT AND FINAL CONSENT AUTHORITY OVER THE SELF-INSURANCE TRUST. ADDITIONALLY, ALL CLAIMS AND CLAIM SETTLEMENTS ARE SUPERVISED AND AUTHORIZED BY THE HOSPITAL'S PROVIDERS' REPRESENTATIVES IN ADDITION TO BOARD ADMINISTRATORS AND PROFESSIONAL CONSULTANT PERSONNEL. FORM 990-EZ, SCHEDULE A, PART IV, SECTION E, LINE 2A IN OCTOBER 1976, THE HOSPITAL ESTABLISHED THE FILING ORGANIZATION, A SELF-INSURANCE TRUST, TO PROVIDE A SELF-INSURANCE MECHANISM TO PAY PROFESSIONAL AND COMPREHENSIVE GENERAL LIABILITY CLAIMS OR SUITS AGAINST THE HOSPITAL AND ITS EMPLOYEES. OVER THE YEARS, THE CORPUS OF THE SELF-INSURANCE TRUST HAS INCREASED AS WELL AS THE NUMBER AND CATEGORIES OVER COVERED PERSONS. THE CATEGORIES AND SCOPE OF COVERAGE UNDER THE TRUST HAVE ALSO INCREASED IN ORDER TO ALLOW THE HOSPITAL TO FURTHER ITS EXEMPT ACTIVITIES. FORM 990-EZ, SCHEDULE A, PART IV, SECTION E, LINE 2B THE SELF-INSURANCE TRUST WAS CREATED TO PROVIDE A MECHANISM TO PAY MALPRACTICE AND COMPREHENSIVE GENERAL LIABILITY CLAIMS ARISING AGAINST CHILDREN'S HOSPITAL (EIN:53-0196580) IN FURTHERANCE OF ITS CHARITABLE PURPOSE OF PROVIDING MEDICAL CARE TO CHILDREN AND OTHER AFFILIATED ENTITIES AS WELL AS INDIVIDUALS PERFORMING SERVICES FOR OR ON BEHALF OF THE AFFILIATED ORGINIZATIONS. THE HOSPITAL OR OTHER AFFILIATED ENTITIES WOULD BE REQUIRED TO PERFORM THESE DUTIES IF NOT FOR THE ESTABLISHMENT OF THE SELF-INSURANCE TRUST. FORM 990EZ PART I LINE 16 Description:CLAIM SETTLEMENTS Amount:10206369 FORM 990EZ PART I LINE 20 Description:TRANSFERS FROM AFFILIATE Amount:12754951