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LIABILITY FOR UNCERTAIN TAX POSITIONS 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, OF WHICH CHILDREN'S HOSPITAL FOUNDATION IS A SUBSIDIARY, 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. 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THESE PERSONS DO NOT RAISE MONEY ON BEHALF OF THE ORGANIZATION AND DO NOT HAVE CUSTODY OF FUNDS. true CHILDREN'S HOSPITAL 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 530196580 501(C)(3) 17278912 PROG. SUPPORT GEN. SUPPORT GEN. SUPPORT GEN. SUPPORT CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521654453 501(C)(3) 11400970 GEN. SUPPORT BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271547370 501(C)(3) 129968 GEN. SUPPORT CHILDRENS NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521996521 20000 GEN. SUPPORT 3 1 PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S. SCHEDULE I, PART I, LINE 2 THE GRANTS MADE BY THE ORGANIZATION ARE FOR AFFILIATE COMPANY PROGRAMS. THE ORGANIZATION IS INVOLVED IN IMPLEMENTING THE PROGRAMS 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 BOARD MEMBER 0 665941 0 507588 0 137386 0 263250 0 100056 0 1674221 0 0 DENICE CORA-BRAMBLE MD BOARD MEMBER 0 558678 0 423670 0 56206 0 97730 0 68672 0 1204956 0 0 JUDY GRAHAM VP-COO/BOARD MEMBER 0 315598 0 78449 0 2838 0 35653 0 10537 0 443075 0 0 RICHARD JONAS MD BOARD MEMBER 0 1465308 0 604761 0 138932 0 104457 0 67222 0 2380680 0 0 GERARD MARTIN MD Board Member 0 353806 0 143848 0 9226 0 49300 0 45303 0 601483 0 0 ROGER PACKER MD BOARD MEMBER 0 463736 0 357264 0 95299 0 70747 0 71060 0 1058106 0 0 ANTHONY SANDLER MD BOARD MEMBER 0 669630 0 454588 0 42486 0 66000 0 65800 0 1298504 0 0 ROBIN STEINHORN MD BOARD MEMBER 0 447651 0 187856 0 62054 0 47001 0 13405 0 757967 0 0 DAVID WESSEL MD BOARD MEMBER 0 560842 0 428723 0 67758 0 97727 0 73380 0 1228430 0 0 ALEC KING EVP & CHIEF FINANCIAL OFFICER 0 281537 0 75000 0 24744 0 0 0 19617 0 400898 0 0 THOMAS MANESS AVP, ANL, MAJOR & PLAN GIVING 0 204020 0 44072 0 990 0 0 0 7085 0 256167 0 0 MARK MILLER AVP, PHIL MARKETING & COMM 0 193165 0 57716 0 15914 0 9651 0 527 0 276973 0 0 JULIE BUTLER AVP, Corp & Comm Giving 0 192426 0 42748 0 1507 0 10048 0 20974 0 267703 0 0 TRACY CHURCH Sr. Director of Development 0 171213 0 34092 0 880 0 8974 0 15828 0 230987 0 0 SHOMARI WHITE AVP, FOUNDATION BUS. OPS. 0 188348 0 56300 0 624 0 6394 0 20293 0 271959 0 0 PAM KING-SAMS FORMER BOARD MEMBER & CDO 0 189596 0 335335 0 199587 0 45324 0 20300 0 790142 0 0 DOUGLAS MYERS FORMER CFO 0 0 0 0 0 879032 0 92751 0 58563 0 1030346 0 0 RELATED ORGANIZATION SCHEDULE J, PART I, LINE 3 CHILDREN'S HOSPITAL FOUNDATION (CHF) RELIES ON ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (CNMC), TO DETERMINE COMPENSATION FOR CHF'S PRESIDENT. CHILDREN'S NATIONAL MEDICAL CENTER USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION. RECEIVE A SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A THE FOLLOWING FORMER OFFICERS AND BOARD MEMBERS RECEIVED A SEVERENCE PAYMENT. THE SEVERENCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (BIII) AS PART OF OTHER REPORTABLE COMPENSATION: PAM KING-SAMS $184,813 DOUGLAS MYERS $879,032 SUPPLEMENTAL NON-QUALIFIED 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 ANTHONY SANDLER, MD $66,000 GERARD MARTIN, MD $26,350 DAVID WESSEL, MD $84,477 DOUGLAS MYERS $79,501 ROGER PACKER, MD $57,497 PAM KING SAMS $35,709 DENICE CORA-BRAMBLE, MD $84,480 RICHARD JONAS, MD $91,207 JUDY GRAHAM $22,403 X 6725 FMV X 3 9420 FMV X EVENT TICKETS 2 2471 FMV X OFFICE SUPPLIES 9 29634 FMV X GIFT CRDS AND CERTIFICATES 3 39340 FMV false true false NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED SCHEDULE M, COLUMN B THE AMOUNTS SHOWN IN PART I, COLUMN (B) FOR "NUMBERS OF CONTRIBUTIONS" REPRESENTS THE TOTAL NUMBER OF ACTUAL CONTRIBUTIONS AND NOT NECESSARILY THE TOTAL NUMBER OF DONATIONS CONTRIBUTED. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 CHILDREN'S HOSPITAL FOUNDATION IS A 501(C)(3) ORGANIZATION THAT SUPPORTS WORLD CLASS CARE AND RESEARCH FOR THE NATION'S CHILDREN. THE FOUNDATION SERVES AS THE FUNDRAISING ARM FOR CHILDREN'S NATIONAL MEDICAL CENTER IN WASHINGTON, D.C., ONE OF THE NATION'S TOP-RANKED CHILDREN'S HOSPITALS. THE FOUNDATION PARTNERS WITH INDIVIDUAL DONORS, CORPORATIONS, AND COMMUNITY ORGANIZATIONS TO HELP CHILDREN'S DOCTORS, NURSES, AND CLINICIANS FULFILL THEIR VISION TO TRANSFORM CHILDREN'S HEALTH IN THE WASHINGTON, D.C. AREA, ACROSS THE COUNTRY, AND AROUND THE WORLD. GIFTS AND GRANTS RAISED BY THE FOUNDATION BENEFIT CHILDREN'S NATIONAL MEDICAL CENTER, CHILDREN'S HOSPITAL, CHILDREN'S RESEARCH INSTITUTE, AND OTHER CHILDREN'S AFFILIATES. PROGRAM SERVICE ACCOMPLISHMENT 1 FORM 990, PART III, LINE 4A CHILDREN'S HOSPITAL FOUNDATION RAISES PRIVATE, CORPORATE, AND INSTITUTIONAL SUPPORT TO ENSURE THAT EVERY CHILD, FROM EVERY BACKGROUND AND EVERY WALK OF LIFE, CAN RECEIVE EXCEPTIONAL CARE, REGARDLESS OF INSURANCE OR ABILITY TO PAY. GIFTS FROM DONORS ARE RECEIVED BY CHILDREN'S HOSPITAL FOUNDATION AND 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 IMPROVE PEDIATRIC HEALTHCARE. WITH A HEALTHCARE EXPERIENCE DESIGNED AROUND KIDS' UNIQUE NEEDS, WE ARE THE PREMIER PROVIDER OF PEDIATRIC SERVICES IN THE WASHINGTON, DC, METRO AREA AND ITS ONLY HEALTH SYSTEM SPECIALIZING IN KIDS. LAST YEAR, WE SAW MORE THAN 219,000 CHILDREN FROM THE NATIONS CAPITAL, MARYLAND, AND VIRGINIA AS WELL AS FROM ACROSS THE COUNTRY AND AROUND THE WORLD. WE OFFER ACCESS TO TOP SPECIALISTS, SURGEONS, AND MENTAL HEALTH PROFESSIONALS; DRIVE NEW TECHNOLOGIES AND THERAPIES TO TREAT AND CURE CHILDREN; AND EDUCATE COMMUNITIES, PATIENTS, AND THEIR FAMILIES ON PEDIATRIC HEALTH ISSUES. WITH CHILDREN'S HOSPITAL FOUNDATION'S SUPPORT, CHILDREN'S NATIONAL STANDS AS ONE OF THE NATIONS TOP TEN CHILDRENS HOSPITALS AS RANKED BY U.S. NEWS & WORLD REPORT. PROGRAM SERVICE ACCOMPLISHMENT 2 FORM 990, PART III, LINE 4B CREATIVE AND THERAPEUTIC ARTS SERVICES: FORMERLY CALLED NEW HORIZONS, CREATIVE AND THERAPEUTIC ARTS SERVICES COMBINES ART, MUSIC, DANCE, AND LITERATURE TO TREAT PAIN, RELIEVE SYMPTOMS, EASE ANXIETY, AND EMPOWER PATIENTS. A DEDICATED TEAM OF ARTS-IN-HEALING PROFESSIONALS SERVE MORE THAN 20,000 EACH YEAR. THE PROGRAM SUPPORTS WELLNESS AND HEALING THROUGH SELF-EXPRESSION, AND ALSO HELPS FAMILY MEMBERS, INCLUDING SIBLINGS, DURING A DIFFICULT TIME. SPECIFIC SERVICES INCLUDE ART THERAPY, THERAPEUTIC MUSIC, YOGA THERAPY, ART ACTIVITIES AND GALLERIES, AND LIVE PERFORMANCES. FAMILY RELATIONSHIPS FORM 990, PART VI, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A FAMILIAL RELATIONSHIP: - BRET BAIER - AMY BAIER - NICHOLAS SEIDENBERG - CASEY SEIDENBERG - ANDREW FLORANCE - HEATHER FLORANCE MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINES 6, 7A AND 7B CHILDREN'S NATIONAL MEDICAL CENTER IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL FOUNDATION AND HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S HOSPITAL FOUNDATION. THE ARTICLES AND BY-LAWS OF CHILDREN'S HOSPITAL FOUNDATION DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER. 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. THE FOUNDATION FORMALLY ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER, DURING ITS MAY-JUNE 2011 BOARD MEETINGS. GOVERNING POLICIES FORM 990, PART VI, LINES 13 AND 14 CHILDREN'S HOSPITAL FOUNDATION IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S HOSPITAL FOUNDATION RELIES ON ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER, TO DETERMINE COMPENSATION FOR CHF'S PRESIDENT. CHILDREN'S NATIONAL MEDICAL CENTER USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION. HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 CHILDREN'S HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. 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