2018-05-14T13:24:51-05:00 2017-06-30 Grant Thornton LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990 2016-07-01 521640403 Children's National Medical Center % CORPORATE OFFICERS CHIL 2024765000 111 Michigan Avenue NW Washington DC 20010 ALEC KING CFO 2024765000 2018-05-11 true MARY TORRETTA P00847851 7038477500 2016 2022-09-23 18:48:47Z KURT DOUGLAS NEWMAN MD 111 Michigan Avenue NW Washington DC 20010 148554710 false X www.childrensnational.org X 1989 DC COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. 14 12 0 12 0 0 0 0 -53698341 149660021 0 0 -1694655 -1105311 -55392996 148554710 0 0 0 0 0 0 0 0 0 0 0 0 0 -55392996 148554710 774122664 922677374 0 0 774122664 922677374 X CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. SEE SCHEDULE O. false false 0 0 149660021 CHILDRENS NATIONAL MEDICAL CENTER IS THE PREMIER PROVIDER OF PEDIATRIC CARE IN THE WASHINGTON, DC METROPOLITAN AREA AND IS THE ONLY FREESTANDING CHILDRENS HOSPITAL BETWEEN PHILADELPHIA, PITTSBURGH, NORFOLK, AND ATLANTA. SERVING THE NATIONS CHILDREN FOR 145 YEARS, CHILDRENS 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 14 12 false false false false false false false true true false false true true true true true true false false false DC X CORPORATE OFFICERS 3015723502 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 X MICHAEL J WILLIAMS BOARD CHAIRMAN 2.0 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 2266277 298687 SCHONAY BARNETT-JONES BOARD MEMBER FROM 01/2017 1.0 1.0 X 0 0 0 MARK L BATSHAW MD PHY IN CHIEF / CAO 1.0 54.0 X 0 1310915 363306 MICHAEL BLOUNT BOARD MEMBER FROM 01/2017 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 FROM 01/2017 1.0 0.0 X 0 0 0 SCOTT KOENIG MD PhD BOARD MEMBER TO 12/2016 1.0 2.0 X 0 0 0 BARBARA LOPEZ-KUNZ BOARD MEMBER FROM 01/2017 1.0 2.0 X 0 0 0 GREGORY A O'DELL BOARD MEMBER 1.0 0.0 X 0 0 0 CAROLYN A THORNELL BOARD MEMBER TO 12/2016 1.0 2.0 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 FROM 01/2017 2.0 0.0 X 0 0 0 ALEC KING CHIEF FINANCIAL OFFICER 1.0 54.0 X 0 381281 19617 MENDEL TUCHMAN MD CHIEF RESEARCH OFFICER 1.0 54.0 X 0 704235 116875 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 1.0 54.0 X 0 340914 8925 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 1166704 131800 DAVID WESSEL MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1057323 171107 DENICE CORA-BRAMLE MD CHIEF MEDICAL OFFICER 1.0 54.0 X 0 1038554 166402 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 1.0 54.0 X 0 312140 33068 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 1.0 54.0 X 0 875256 165155 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 1.0 54.0 X 0 1016227 142741 ROGER PACKER MD SVP CENTER OF EXCELLENCE 1.0 54.0 X 0 916299 141807 MARY ANNE HILLIARD CHIEF LEGAL OFFICER 1.0 54.0 X 0 703636 121446 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 1.0 54.0 X 0 559572 79813 DARRYL VARNADO CHIEF PEOPLE OFFICER 1.0 54.0 X 0 629808 113140 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 1.0 54.0 X 0 376110 17346 LINDA TALLEY CHIEF NURSING OFFICER 1.0 54.0 X 0 388785 23315 DOUGLAS MYERS FORMER CFO To 12/2015 0.0 0.0 X 0 879032 151314 PAM KING SAMS FORMER CDO TO 06/2016 0.0 0.0 X 0 724518 65624 GERARD MARTIN MD FMR SVP Center of Excellence 0.0 1.0 X 0 506880 94603 0 16154466 2426091 0 true true false NONE 0 0 EQUITY IN EARNINGS OF SUBSIDIARIES 900099 149660021 149660021 149660021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTNERSHIP LOSS 900099 -1105311 -1105311 -1105311 148554710 148554710 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 774122664 922677374 0 0 0 0 0 0 774122664 922677374 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 774122664 922677374 0 0 0 0 774122664 922677374 774122664 922677374 148554710 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 922677374 F 922677374 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, 2017 AND 2016 AS THE MEDICAL CENTER HAS NO UNCERTAIN TAX POSITIONS. Central America and the Caribbean Investments 40219110 40219110 40219110 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 1088989 0 1080000 0 97288 0 175250 0 123437 0 2564964 0 0 MARK L BATSHAW MD PHY IN CHIEF / CAO 0 665941 0 507588 0 137386 0 263250 0 100056 0 1674221 0 0 ALEC KING CHIEF FINANCIAL OFFICER 0 281537 0 75000 0 24744 0 0 0 19617 0 400898 0 0 CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER 0 225458 0 115000 0 456 0 8925 0 0 0 349839 0 0 ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE 0 669630 0 454588 0 42486 0 66000 0 65800 0 1298504 0 0 DAVID WESSEL MD CHIEF MEDICAL OFFICER 0 560842 0 428723 0 67758 0 97727 0 73380 0 1228430 0 0 DENICE CORA-BRAMLE MD CHIEF MEDICAL OFFICER 0 558678 0 423670 0 56206 0 97730 0 68672 0 1204956 0 0 MICHELLE M MCGUIRE VP & CHIEF OF STAFF 0 243705 0 67445 0 990 0 7735 0 25333 0 345208 0 0 ELIZABETH FLURY CHIEF STRATEGIC OFFICER 0 497063 0 375010 0 3183 0 88252 0 76903 0 1040411 0 0 KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER 0 555966 0 405457 0 54804 0 94099 0 48642 0 1158968 0 0 ROGER PACKER MD SVP CENTER OF EXCELLENCE 0 463736 0 357264 0 95299 0 70747 0 71060 0 1058106 0 0 MENDEL TUCHMAN MD CHIEF RESEARCH OFFICER 0 363100 0 267986 0 73149 0 67997 0 48878 0 821110 0 0 MARY ANNE HILLIARD CHIEF LEGAL OFFICER 0 365398 0 278722 0 59516 0 69500 0 51946 0 825082 0 0 BRIAN JACOBS MD CHIEF INFORMATION OFFICER 0 406498 0 110367 0 42707 0 43851 0 35962 0 639385 0 0 DARRYL VARNADO CHIEF PEOPLE OFFICER 0 320021 0 251208 0 58579 0 49499 0 63641 0 742948 0 0 MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION 0 288990 0 78773 0 8347 0 13250 0 4096 0 393456 0 0 LINDA TALLEY CHIEF NURSING OFFICER 0 291061 0 79079 0 18645 0 11330 0 11985 0 412100 0 0 DOUGLAS MYERS FORMER CFO To 12/2015 0 0 0 0 0 879032 0 92751 0 58563 0 1030346 0 0 GERARD MARTIN MD FMR SVP Center of Excellence 0 353806 0 143848 0 9226 0 49300 0 45303 0 601483 0 0 PAM KING SAMS FORMER CDO TO 06/2016 0 189596 0 335335 0 199587 0 45324 0 20300 0 790142 0 0 METHODS USED TO DETERMINE COMPANSATION SCHEDULE J, PART I, LINE 3 CHILDREN'S NATIONAL MEDICAL CENTER USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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. Pam King Sams $184,813 Douglas Myers $879,032 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: MARK L. BATSHAW, MD $250,000 KURT D. NEWMAN, MD $162,000 DENICE CORA-BRAMBLE, MD $84,480 DAVID WESSEL, MD $84,477 KATHLEEN CHAVANU GORMAN $80,849 DOUGLAS MYERS $79,501 ELIZABETH FLURY $75,002 ANTHONY SANDLER, MD $66,000 ROGER PACKER, MD $57,497 MENDEL TUCHMAN $54,747 DARRYL VARNADO $49,499 MARY ANNE HILLIARD $42,250 PAM KING SAMS $35,709 BRIAN JACOBS $30,601 GERARD MARTIN, MD $26,350 GERARD MARTIN, MD $26,350 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. COMMUNITY BENEFIT REPORT 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 FY 2017. 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 for Mental Health in Pediatric Primary Care 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 for Mental Health in Pediatric Primary Care (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 FY2017, DC MAP fielded approximately 500 calls from primary care providers in the DC metro area, an increase of 213% 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 ARC 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." Engaging East End Communities in Health Outcomes (E3CHO) The Engaging East End Communities in Health Outcomes (E3CHO) work group seeks to explore both the views of parents/caregivers who use the emergency department (ED) for low acuity conditions as well as the views of clinical staff in order to develop actionable items that will encourage appropriate health care utilization and improvement of accessible health care services in east end Washington, DC. The work group most recently conducted focus groups with parents/caregivers of children who have used the Childrens National Emergency Department at United Medical Center (UMC ED) 4 or more times between July 2016 and June 2017 for low acuity conditions, and with clinical staff at the UMC ED and the two Goldberg Center primary care clinics in Wards 7 and 8. The team conducted 5 focus groups for parents/caregivers with 31 participants and 5 focus groups for clinical staff, including 48 physicians, nurses, physician extenders, and other clinical staff. The work group is currently reviewing and collating a report of focus groups findings. The findings will be used to understand why families choose the ED for low acuity conditions and what resources are needed in primary care to make primary care clinics more accessible. Additionally, the work group will evaluate interventions that aim to increase appropriate health care utilization for families in Wards 7 and 8 in Washington, DC. Some of these interventions include increased health education within the ED, professional education for ED providers, and the expansion of hours and services for community clinics. School based health centers Approximately 18 percent of the DC population is comprised of children ages 0-17 and 50 percent live in Wards 4, 7, and 8, which have some of the greatest health disparities in the city. These health disparities are perpetuated by the social determinants of health, conditions in the places where people live, learn, work, and play. About one third of DC children live below the federal poverty level, which is more prevalent among Black children and exacerbates poor health outcomes. School attendance has also been a chronic challenge in DC public schools with 32 percent of all students in pre-kindergarten through high school missing more than 10 days without a valid excuse in 2014. Given Childrens National Health Systems proven capacity to serve the community via school-health programs, and the necessity of reaching pediatric populations in school, there is an identified need for collaboration and intentional in the school-setting. Childrens Nationals School-Based Health Centers provide a primary care home to students at Ballou, Dunbar, and Coolidge High schools in Washington, D.C. During FY17, these school-based health centers staffed with RNs, Nurse Practitioners, Medical Doctors, and mental health experts, provided over 1,000 visits. A SBHC can serve as a students primary health care provider or supplement the services they would normally receive. Each SBHC offers medical, oral, social and mental health services, and education to enrolled students and to the children of enrolled students. SBHC staff can also provide referrals to specialty care, community providers and other programs to ensure every student receives the care they need to lead healthier lives. District of Columbia Healthy Communities Collaborative and DC Health Matters Children's National is a founding member and ongoing leader in the District of Columbia Healthy Communities Collaborative (DCHCC).The DCHCC is a data-driven Collaborative of four local DC hospitals and four federally-qualified health centers that share a common goal of reducing health disparities and increasing healthy equity for the most vulnerable DC populations. 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. With these goals in mind, the DCHCC launched DC Health Matters, an online web resource that brings non-biased data, local resources, and a wealth of information in one, accessible, user-friendly location. DC Health Matters (www.dchealthmatters.org) is an innovative, community-driven health dashboard that provides useful data of local health metrics and related resources for the Washington, DC community. The intent is to give our community the tools needed to read, understand, and act on the public health indicators that affect the health of DC communities. The tools can also help our communities set goals and evaluate progress. Community groups, schools, health associations, chambers of commerce, tourism and many other organizations can use this information to show the great benefits of living in DC as well as opportunities for improvement, with specific information. Master planners and government can use this data to establish community goals on a variety of platforms. The data are updated whenever source data is updated providing the most up-to-date information of its kind. The DC Health Matters dashboard tracks over 200 health and related indicators specific to DC, offers data on a vast number of community-level interventions, provides links to funding opportunities, and contains resources on health and health-related domains. In addition, DC Health Matters provides the foundation for our citywide Community Health Needs Assessment and now houses and tracks progress of the Community Health Improvement Plan. In an effort to increase interdisciplinary collaboration and utilization of the DCHCC web resources, over the past fiscal year, trainings on DC Health Matters took place. These trainings took place internally within the departments of the Child Health Advocacy Institute (CHAI), during Community Health Improvement Week, and were also provided to all 2nd year Medical Students during the 2017 George Washington University School of Medicine & Health Sciences Obesity Summit. The trainings highlighted the purpose and layout of DC Health Matters and how to navigate and strategically find and compare data. Practical skills on using the web portal were also provided to attendees by highlighting health and demographic data per Ward. The trainings served as a mechanism to increase transparency of DC Health Matters both internally at Childrens National as well as outward facing amongst our external stakeholders. The trainings also emphasized the critical role that health information technology plays in addressing community health. East of the River Lactation Support Center Breastfeeding is a benefit to mother and child; helping to reduce infections and ensure growth and development, enables bonding for mothers and babies, and provides comfort and recovery from childbirth. Breastfeeding is also a great cost savings for families by reducing or eliminating the need to purchase formula. The East of the River Lactation Support Center, a collaborative between Childrens National (including our WIC Program) and the DC Breastfeeding Coalition, aims to help mothers who choose to breastfeed reach their breastfeeding goals through prenatal breastfeeding education and post-partum breastfeeding support. The center is located in Ward 8 where the majority of mothers are African American; disparities exist in breastfeeding rates of African Americans (55%) compared to non-Hispanic Whites (97%) in the District of Columbia. DC Breastfeeding Coalition, in partnership with DOH and the Childrens National Health provide peer counselor services, provide lactation consults, breastfeeding education, and support at the East of The River Lactation Support Center. An International Board Certified Lactation Consultant (IBCLC), employed by the DC WIC Program, trains the peer counselors using the acclaimed "Loving Support to Grow and Glow in WIC" training program. The program addresses breastfeeding disparities among African American infants by improving access to lactation support services for low-income families. East of River Lactation Support Centers clinic space, IT support and staff supervision is provided by Childrens National Health System. A total of 540 in-person lactation consults were conducted in FY2017, as compared to FY16s 394. A total number of 592 telephone consults were facilitated in FY2017, as compared to last years 280. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990 (FOR EXAMPLE, THE CNAPPI BOARD REVIEWS THE PUBLIC BENEFIT SECTIONS). 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 CHILDREN'S HOSPITAL 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 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. 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 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 INTERMEDIATES 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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