CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349303329
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T10:17:52-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Grant Thornton LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2010 CORPORATE RIDGE SUITE 400	AddressLine1
City	MCLEAN	City
State	VA	State
ZIP Code	22102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	530196580	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% CORPORATE OFFICERS	InCareOfName
Name Control	CHIL	NameControl
Phone	3015726283	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 Michigan Avenue NW	AddressLine1
Address Line2	Suite	AddressLine2
City	Washington	City
State	DC	State
ZIP Code	20010	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOUGLAS MYERS	Name
Title	cfo	Title
Phone	3015726283	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7038477500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KURT DOUGLAS NEWMAN MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	111 Michigan Avenue NW	AddressLine1
City	Washington	City
State	DC	State
ZIP Code	20010	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1088713444	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.childrensnational.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1870	YearFormation
State Legal Domicile	DC	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE HEALTH OUTCOMES FOR CHILDREN, BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS, & EXCEL IN CARE , ADVOCACY, RESEARCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	7366	TotalNbrEmployees
Total Nbr Volunteers	938	TotalNbrVolunteers
Total Gross UBI	908492	TotalGrossUBI
Contributions Grants Prior Year	27471455	ContributionsGrantsPriorYear
Contributions Grants Current Year	24876905	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	884771203	ProgramServiceRevenuePriorYear
Program Service Revenue CY	939338067	ProgramServiceRevenueCY
Investment Income Prior Year	-5372744	InvestmentIncomePriorYear
Investment Income Current Year	1926045	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3209168	OtherRevenuePriorYear
Other Revenue Current Year	3891674	OtherRevenueCurrentYear
Total Revenue Prior Year	910079082	TotalRevenuePriorYear
Total Revenue Current Year	970032691	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	525267158	SalariesEtcPriorYear
Salaries Etc Current Year	564441141	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	342762679	OtherExpensePriorYear
Other Expenses Current Year	381165008	OtherExpensesCurrentYear
Total Expenses Prior Year	868029837	TotalExpensesPriorYear
Total Expenses Current Year	945606149	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	42049245	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24426542	RevenuesLessExpensesCY
Total Assets BOY	908465625	TotalAssetsBOY
Total Assets EOY	993489726	TotalAssetsEOY
Total Liabilities BOY	536572770	TotalLiabilitiesBOY
Total Liabilities EOY	586092278	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	371892855	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	407397448	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	617889542	Expense
Revenue	939388067	Revenue
Description	CHILDREN'S HOSPITAL OPERATES AN ACUTE CARE PEDIATRIC AND TEACHING FACILITY IN WASHINGTON, DC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) IS THE PARENT COMPANY OF THE HOSPITAL. CNMC AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND YOUTH IN WASHINGTON, DC AND THE SURROUNDING METROPOLITAN AREA. SEE SCHEDULE O FOR COMPLETE FY13 COMMUNITY BENEFIT REPORT.	Description
Total Program Service Expense	617889542	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	2303	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7366	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	AE	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	DC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CORPORATE OFFICERS	NamePerson
Telephone Number	3015726283	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20010	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KURT D NEWMAN MD
PRESIDENT/CEO (CNMC)	39.0	16.0	X	X	1387812	0	323094
CAROLYN A THORNELL
BOARD CHAIRMAN	2.0	1.0	X	X	0	0	0
DEBRA L FRIEDMAN
BOARD VICE CHAIRMAN	2.0		X	X	0	0	0
GREGORY A O'DELL
BOARD SECRETARY-TREASURER	2.0		X	X	0	0	0
IVAN SABLE
BD SEC-TREAS. (EXP: 12/31/12)	2.0		X	X	0	0	0
DIANA ABNEY MD
BOARD MEMBER (BEG: 01/01/13)	1.0	1.0	X		0	0	0
DEIDRE ADKINS
BOARD MEMBER	1.0		X		0	0	0
KATHRYN D BARKER
BOARD MEMBER	1.0	1.0	X		0	0	0
SCHONAY BARNETT-JONES
BOARD MEMBER	1.0		X		0	0	0
ELIZABETH DUGGAL
BOARD MEMBER	1.0		X		0	0	0
GAIL FEAGLES
BOARD MEMBER	1.0	1.0	X		0	0	0
ALBERTO GOMEZ
BOARD MEMBER	1.0		X		0	0	0
ROBERT MCDOWELL MD
BOARD MEMBER (EXP: 12/31/12)	1.0		X		0	0	0
RAHUL K SHAH MD
BOARD MEMBER	55.0		X		393600	0	14322
MARY HELEN THOMPSON
BOARD MEMBER	1.0		X		0	0	0
DAVID WHISTON DDS
BOARD MEMBER	1.0		X		0	0	0
DOUGLAS MYERS
CHIEF FINANCIAL OFFICER	44.0	11.0		X	844585	0	107447
MARK BATSHAW MD
PHYSICIAN IN CHIEF / CAO	9.0	46.0			1181477	0	323619	X
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	53.0	2.0			706662	0	88577	X
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	53.0	2.0			767081	0	102795	X
DAVID WESSEL MD
CHIEF MEDICAL OFFICER	52.0	3.0			763653	0	94866	X
RAYMOND S SCZUDLO
CHIEF LEGAL OFFICER	51.0	4.0			962200	0	57389	X
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	43.0	12.0			723205	0	223370	X
JACQUELINE BOWENS
EXT. AFF. OFF.(EXP: 9/30/12)	52.0	3.0			1372201	0	50996	X
MENDAL TUCHMAN MD
CHIEF RESEARCH OFFICER	5.0	50.0			584299	0	104901	X
JOSEPH WRIGHT MD
SVP CENTER OF EXCELLENCE	52.0	3.0			569990	0	103577	X
NELLIE ROBINSON
CHIEF NURSING OFFICER	54.0	1.0			639381	0	59473	X
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	5.0	50.0			535778	0	170424	X
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER	51.0	4.0			678199	0	81606	X
DAVID SPARKS
VP FINANCE AND CONTROLLER	54.0	1.0			430778	0	82929	X
MARY ANNE HILLIARD
CHIEF RISK OFFICER	54.0	1.0			479166	0	97146	X
ROBERTA ALESSI
VP OPERATIONS	54.0	1.0			445334	0	63368	X
ELIZABETH FLURY
CHIEF STRATEGY OFFICER	52.0	3.0			252045	0	57301	X
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	54.0	1.0			209917	0	29915	X
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	54.0	1.0			410504	0	30968	X
MARY OTTOLINI MD PHD
VICE CHAIR MED. EDUCATION	54.0	1.0			321005	0	20550	X
DARRYL VARNADO
CHIEF PEOPLE OFFICER	54.0	1.0			167267	0	41240	X
RICHARD JONAS MD
CHIEF OF CARDIOLOGY	54.0	1.0			1664371	0	168968	X
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	55.0				874253	0	102389		X
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	55.0				765840	0	30917		X
H GIL RUSHTON MD
CHIEF OF UROLOGY	55.0				654859	0	87339		X
JOHN MYSEROS MD
NEUROSURGEON	55.0				652689	0	35725		X
GARY F ROGERS MD
CHIEF OF PLASTIC & RECON SURG	55.0				638058	0	32586		X
JODY BURDELL
COO (EXP: 01/31/12)					918557	0	13640			X
MAX COPPES MD
SVP CTR OF EXC.(EXP: 06/30/12)		1.0			772780	0	110425			X
CAROL SCHOR
VP HR (EXP: 12/15/11)					430501	0	1226			X
PETER R HOLBROOK MD
FORMER CHIEF MED. OFFICER					1602425	0	54114			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	23800472	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2967202	TotalOtherCompensation
Number Individuals GT100 K	1354	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ATLANTIC SERVICES GROUP
2131 K STREET NW	WASHINGTON	DC	20037	Parking	3480470
COLONIAL PARKING
2145 K STREET NW	WASHINGTON	DC	20037	Parking	3060484
WASHINGTON REAL ESTATE
6110 EXECUTIVE BLVD STE 800	ROCKVILLE	MD	20852	Leasing	2626305
MICROSOFT LICENSING
PO BOX 067	DALLAS	TX	752892467	Licensing	2452919
NATIONAL NURSES SERVICE
DEPT L-9032	COLUMBUS	OH	432609032	Nursing	2383860

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	160	NumberOfContractorsGT100K
Related Organizations	24876905	RelatedOrganizations
Total Contributions	24876905	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	621400	844655294	844655294
FEES AND CONTRACTS	900099	8031183	8031183
ALL OTHER PROGRAM SERVICES	900099	86651590	86651590

Field	Value	IRS element (for citing)
Total Program Service Revenue	939338067	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2007998	TotalRevenueColumn
Exclusion	$2,007,998	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	118595300	Securities
Other	3500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	118680753	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-85453	Securities
Other	3500	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-81953	TotalRevenueColumn
Exclusion	-$81,953	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PARTNERSHIP LOSS	621110	-604111	-604111
PARKING	812930	3587293		$3,587,293
LAB FEES	621500	908492			908492

Field	Value	IRS element (for citing)
Total Other Revenue	3891674	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	970032691	TotalRevenueColumn
Related Or Exempt Function Income	938733956	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	908492	UnrelatedBusinessRevenue
Exclusion	$5,513,338	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	16910435	Total
Management And General	16910435	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	471973885	Total
Program Services	349123115	ProgramServices
Management And General	122850770	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	16041177	Total
Program Services	11271063	ProgramServices
Management And General	4770114	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27523496	Total
Program Services	21585860	ProgramServices
Management And General	5937636	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	31992148	Total
Program Services	889296	ProgramServices
Management And General	31102852	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	11880	Total
Program Services	6917	ProgramServices
Management And General	4963	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1682859	Total
Program Services	470484	ProgramServices
Management And General	1212375	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	739445	Total
Management And General	739445	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	371058	Total
Management And General	371058	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	73854950	Total
Program Services	33308769	ProgramServices
Management And General	40546181	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2233567	Total
Program Services	310926	ProgramServices
Management And General	1922641	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10982962	Total
Program Services	5462990	ProgramServices
Management And General	5519972	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	16613886	Total
Program Services	1408358	ProgramServices
Management And General	15205528	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24572993	Total
Program Services	10532879	ProgramServices
Management And General	14040114	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3658039	Total
Program Services	2323983	ProgramServices
Management And General	1334056	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	846298	Total
Program Services	442611	ProgramServices
Management And General	403687	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	26249165	Total
Program Services	11840058	ProgramServices
Management And General	14409107	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	52418086	Total
Program Services	30069240	ProgramServices
Management And General	22348846	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	33749587	Total
Program Services	32654072	ProgramServices
Management And General	1095515	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	79392537	72448797	6943740
BAD DEBT EXPENSE	27438956	27438956
REPAIRS AND MAINTENANCE	17305613	6301168	11004445
OVERHEAD	2577289		2577289

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6465838	Total
Management And General	6465838	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	945606149	Total
Program Services	617889542	ProgramServices
Management And General	327716607	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	72128029	BOY
EOY	59376517	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3151413	BOY
EOY	4416815	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	147548630	BOY
EOY	186580547	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3546822	BOY
EOY	6910911	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5332847	BOY
EOY	5824315	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	981108826	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	454358137	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	532942684	BOY
EOY	526750689	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	72988468	BOY
EOY	132119472	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	32277136	BOY
EOY	32065538	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	20000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	38529596	BOY
EOY	39424922	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	908465625	BOY
EOY	993489726	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	128163443	BOY
EOY	150809067	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	10798597	BOY
EOY	5630726	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	415069144	BOY
EOY	411076761	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	428568	BOY
EOY	75342852	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	-17886982	BOY
EOY	-56767128	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	536572770	BOY
EOY	586092278	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	371892855	BOY
EOY	407397448	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	371892855	BOY
EOY	407397448	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	908465625	BOY
EOY	993489726	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	24426542	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	11403810	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-325759	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$247,496	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$123,562	OtherActivitiesAmount
Total Lobbying Expenditures IIB	371058	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Paid Staff or Management	Schedule C, Part II-B, Line 1b	FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS.
Direct Contact	Schedule C, Part II-B, Line 1g	THOSE LOBBYING ACTIVITIES INCLUDE CONTINUAL MONITORING OF LEGISLATION VIA DISCUSSIONS WITH LEGISLATIVE STAFF, HOSTING EDUCATIONAL BRIEFING SESSIONS FOR MEMBERS OF CONGRESS, EXECUTIVE BRANCH, STATE AND LOCAL OFFICIALS/STAFF REGARDING CHILD HEALTH ISSUES, AND COORDINATING THE SUBMISSION OF CORRESPONDENCE/WRITTEN COMMENTS ON PROPOSED LEGISLATION AND REGULATIONS, AS WELL AS THE PRESENTATION OF TESTIMONY BEFORE LEGISLATIVE COMMITTEES. CHILDREN'S HOSPITAL ALSO DEVELOPS POLICY POSITIONS IN RESPONSE TO PROBLEMS AND OPPORTUNITIES IN THE PUBLIC SECTOR. EXPENSES TOTALED $247,496.
OTHER ACTIVITIES	SCHEDULE C, PART II-B, LINE 1i	THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). NACH HAS CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1440758	OtherCostOrOtherBasis
Book Value	1440758	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	784160074	OtherCostOrOtherBasis
Depreciation	371195091	Depreciation
Book Value	412964983	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	85507855	OtherCostOrOtherBasis
Depreciation	62391927	Depreciation
Book Value	23115928	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	110000139	OtherCostOrOtherBasis
Depreciation	20771119	Depreciation
Book Value	89229020	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	526750689	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE OBLIGATIONS	$4,775,152
DUE TO AFFILIATES	-$148,222,896
RESERVE FOR CLAIMS	$37,641,960
OTHER LIABILITIES	$44,532,756
SETTLEMENTS TO THIRD PARTY PAY	$4,505,900

Field	Value	IRS element (for citing)
Total Of Amounts	-56767128	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Liability for Uncertain Tax Position (ASC 740)	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	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 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 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. THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS DURING THE YEARS ENDED JUNE 30, 2013 AND 2012.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Middle East and North Africa	1	7	Program Services	PATIENTS REFFERALS	948068
Central America and the Caribbean	0	0	Program Services	INSURANCE PREMIUMS	23813000

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	1	SubtotalNumberOfOffices
Subtotal Number Of Employees	7	SubtotalNumberOfEmployees
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	7	TotalNumberOfEmployees
Subtotal Amount Spent	24761068	SubtotalAmountSpent
Total Amount Spent	24761068	TotalAmountSpent
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	350.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6501121	TotalCommunityBenefitExpense
Net Community Benefit Expense	6501121	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68937341	TotalCommunityBenefitExpense
Net Community Benefit Expense	68937341	NetCommunityBenefitExpense
Percent Of Total Expense	0.07510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	75438462	TotalCommunityBenefitExpense
Net Community Benefit Expense	75438462	NetCommunityBenefitExpense
Percent Of Total Expense	0.08220	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	40	NumberOfActivitiesOrPrograms
Persons Served	137456	PersonsServed
Total Community Benefit Expense	21633437	TotalCommunityBenefitExpense
Net Community Benefit Expense	21633437	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	1038	PersonsServed
Total Community Benefit Expense	24617238	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5919723	DirectOffsettingRevenue
Net Community Benefit Expense	18697515	NetCommunityBenefitExpense
Percent Of Total Expense	0.02040	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6694503	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5621700	DirectOffsettingRevenue
Net Community Benefit Expense	1072803	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15327652	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8031183	DirectOffsettingRevenue
Net Community Benefit Expense	7296469	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67222	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17414	DirectOffsettingRevenue
Net Community Benefit Expense	49808	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	77	NumberOfActivitiesOrPrograms
Persons Served	138494	PersonsServed
Total Community Benefit Expense	68340052	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19590020	DirectOffsettingRevenue
Net Community Benefit Expense	48750032	NetCommunityBenefitExpense
Percent Of Total Expense	0.05320	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	77	NumberOfActivitiesOrPrograms
Persons Served	138494	PersonsServed
Total Community Benefit Expense	143778514	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19590020	DirectOffsettingRevenue
Net Community Benefit Expense	124188494	NetCommunityBenefitExpense
Percent Of Total Expense	0.13540	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	9630	PersonsServed
Total Community Building Expense	41016	TotalCommunityBuildingExpense
Net Community Building Expense	41016	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	650	PersonsServed
Total Community Building Expense	23269	TotalCommunityBuildingExpense
Net Community Building Expense	23269	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	67	PersonsServed
Total Community Building Expense	242541	TotalCommunityBuildingExpense
Net Community Building Expense	242541	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	10347	PersonsServed
Total Community Building Expense	306826	TotalCommunityBuildingExpense
Net Community Building Expense	306826	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$13,804,481	BadDebtExpenseAmount
Amount Reimbursed By Medicare	1756018	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2676128	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-920110	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20010	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Critical Access Hospital	X	CriticalAccessHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours
Er Other	X	ErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	13	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	350.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	350.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	18	NumberOfOtherFacilities

Other Facilities OtherFacilities (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CHILDREN'S OUTPATIENT CTR OF MONTGOMERY
SHADY GROVE MEDICAL PARK	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
8501 ARLINGTON BOULEVARD STE 200	FAIRFAX	VA	22031	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN LAUREL
13922 BALTIMORE AVE	LAUREL	MD	20707	REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - ADAMS MORGAN
1630 EUCLID STREET NW	WASHINGTON	DC	20009	HEALTH CENTERS
CHILDREN'S HEALTH CENTER - GOOD HOPE RD
2501 GOOD HOPE ROAD SE	WASHINGTON	DC	20020	HEALTH CENTERS
CHILDREN'S HEALTH CENTER - MLK JR AVE
3029 MARTIN LUTHER KING JR AVE SE	WASHINGTON	DC	20032	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR - UPR MARLBORO
9440 PENNSYLVANIA AVENUE	UPPER MARLBORO	MD	20772	REGIONAL OUTPATIENT CENTER
MOBILE VAN - HEALTH CARE
N/A	NA	DC	20010	MOBILE HEALTH CARE
CHILDREN'S OUTPATIENT CTR IN ANNAPOLIS
888 BESTGATE ROAD STE 320	ANNAPOLIS	MD	21401	REGIONAL OUTPATIENT CENTER
CHILDREN'S HEALTH CENTER - SHAW
2220 11TH STREET NW	WASHINGTON	DC	20001	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR SPRING VALLEY
4900 MASSACHUSETTS AVENUE NW	WASHINGTON	DC	20016	REGIONAL OUTPATIENT CENTER
CHILDREN'S NAT'L AMBULATORY SURGERY CTR
9850 KEY WEST AVENUE	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR IN FREDERICK
5910 FREDERICK CROSSING LANE STE 1	FREDERICK	MD	21704	REGIONAL OUTPATIENT CENTER
MOBILE VAN - DENTAL
N/A	NA	DC	20010	MOBILE HEALTH CARE
CHILDREN'S HEALTH CENTER AT THEARC
1901 MISSISSIPPI AVE SE	WASHINGTON	DC	20020	HEALTH CENTERS
CHILDREN'S OUTPATIENT CTR MONTGOMERY CTY
15245 SHADY GROVE ROAD STE 350	ROCKVILLE	MD	20858	REGIONAL OUTPATIENT CENTER
CHILDREN'S OUTPATIENT CTR OF NORTHERN VA
8501 ARLINGTON BLVD STE 450	FAIRFAX	VA	22031	REGIONAL OUTPATIENT CENTER
CHILDREN'S NATIONAL IMAGING CENTER
9850 KEY WEST AVENUE Suite 110	ROCKVILLE	MD	20850	REGIONAL OUTPATIENT CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Criteria for free or discounted care	schedule h, part i, line 3c	Children's Hospital and its parent, Childrens National Medical Center, is committed to provide quality pediatric health care for all patients regardless of their ability to meet the associated financial obligations and without discrimination on the grounds of race, color, national origin or creed. Community benefit report At Children's National Hospital System, we stand for children! Our vision of advancing the health and wellbeing of children has been the motivation behind a number of forward-focused initiatives aimed at creating a lasting standard for prevention and community education, coupled with top-notch treatment and continuous improvement. As always, the vision is carried out through a cadre of nationally recognized healthcare professionals, staff, and administrators who tirelessly serve the unique and diverse medical needs of the residents of the Washington, DC, metropolitan area and the broader community. Their work provides a unique perspective of the health improvements important for all children, in every family. With this in mind, the hospital is committed to building a universal blueprint for improving healthcare that can be replicated in health systems, hospitals, and clinics in communities across the country. The programs highlighted in this report provide a snapshot of the important work being done at Children's National every day to improve the health and well-being of kids and our communities. Every member of our team is committed to giving children and our communities the best chance for a healthy future, it's all we do. Bereavement Programming Loss of a loved one can be difficult. The loss is felt by family, friends and even the community. That's why Children's National Health System provides resources to families and communities when a child is dying or has died. Through our Family Services department, we offer education on helping children understand loss and ways to provide safe havens for grieving children and families coping with loss of many sorts. These sessions are provided to faith communities, schools, civic organizations and other interest groups. In addition, Family Services makes available resource materials including Legacy Book making materials, workbooks and other literature on coping with grief. In FY 2013, Children's National Bereavement program provided resources to 250 families. Teen Life Club The Teen Life Club is just one of several signature projects focused on equipping teens with the tools to make healthy choices. As a part of the Adolescent Prevention Education Programs (APEP) at Children's National, the Teen Life Clubs (TLC) program helps youth improve decision making skills and ultimately reduces sexual risks. Geared towards adolescents between the ages of 11 to 14, the program curriculum is divided into four units; Self Awareness and Identity, Healthy Bodies, Violence Prevention and Money Matters. The clubs are based in community settings such as community clinics, community housing complexes or schools during the after school time frame. The Clubs meet Monday through Thursday and incorporates weekly health education sessions as well as academic support and monthly enrichment activities. In FY 2013, nearly 50 teens participated in the Teen Life Clubs offered at Faircliff Plaza, Hubbard Place and THEARC. Start Early, Start Right According to the Center for Disease Control, approximately 17%, or 12.5 million children and adolescents from ages two to nineteen are obese. The CDC reports that since 1980, obesity prevalence among children and adolescents has almost tripled. The District of Columbia ranks 43rd among states in overall obesity prevalence with 35.4 percent of children considered overweight or obese. Children's National Health System is tackling obesity head on with programs such as Start Early, Start Right. Start Early, Start Right is a free, nutrition -education program for Latino families with children ages six and under. The program is a comprehensive family-based approach to the prevention of obesity in children by working with parents/caregivers and teachers and daycare providers of Hispanic preschoolers. Start early, start right focuses on promoting healthy diet and eating habits, increasing physical activity and decreasing sedentary behavior and improving the parenting skills of parents and caregivers of preschool children. Parents meet once a week for 2 hours to learn about basic nutrition themes; receive simple healthy food demonstrations, take a trip to the grocery store, maintain a food and activity diary and participate in weekly weigh-ins for children and parents to monitor behavior A total of 53 parents/caregivers and 50 preschool children under their care participated in start early, start right in fiscal year 2013. Parish Nursing Program Nurses at Children's National aren't just dedicated to the patients and families seen in the hospital, their commitment to care extends beyond the hospital. As respected and sought after health experts, many of our nurses reach out and support community health needs. The Parish Nursing program at Children's National collaborates with the faith-based community, and faith community leaders to plan and implement health promotion and injury prevention programs to improve the health of pediatric and young populations. The program also has an advisory council that provides reviews and recommendations of ideas, policies and procedures, program assessment, planning and evaluation. In fiscal year 2013, the Parish Nursing program attended at least six community events promoting health and wellness and presented at the Howard University Spirituality and Medicine Conference. Children's National Medical Center Annual Report Schedule H, Part I, Line 6a CHILDREN'S NATIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT FOR MASS PUBLIC DISTRIBUTION. THE REPORT IS POSTED TO OUR WEBSITE. IN ADDITION, AN EXECUTIVE SUMMARY INCLUDING THE LINK TO THE REPORT IS DISTRIBUTED TO THE HOSPITAL'S KEY INTERNAL AND EXTERNAL STAKEHOLDERS.
BAD DEBT EXPENSE	Schedule H, Part I, Line 7	A COST ACCOUNTING SYSTEM HAS BEEN UTILIZED TO CALCULATE AMOUNTS REPORTED IN THE TABLE IN PART I, LINE 7A-D. THE COST ACCOUNTING SYSTEM INCLUDES CHARITY, MEDICAID SHORTFALLS, SELF-PAY, AND PUBLIC PROGRAMS. The amounts reported are based on a cost-accounting system. A COST TO CHARGE RATIO WAS NOT USED TO CALCULATE ANY OF THE FIGURES REPORTED IN THE TABLE IN PART I. THE AMOUNTS WERE PULLED FROM FINANCIAL DATABASES MANAGED BY THE CHILDREN'S NATIONAL ACCOUNTING AND FINANCE DEPARTMENT.
COST ATTRIBUTABLE TO A PHYSICAL CLINIC	Schedule H, Part I, Line 7g	AS DESCRIBED BY DEFINITION, SUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT AND MEDICAID SHORTFALLS. THE SERVICES ARE PROVIDED DESPITE THE FINANCIAL LOSS TO MEET THE NEEDS OF THE COMMUNITY. IF THE SERVICES WERE NOT PROVIDED, THEY WOULD NOT BE AVAILABLE TO THE AREA OR WOULD RESULT IN THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION PROVIDING THE SERVICES. THE SUBSIDIZED HEALTH SERVICES AMOUNT IN PART I, LINE 7G INCLUDES $1,072,803 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL'S SIX CHILDREN'S HEALTH CENTERS LOCATED IN THE DISTRICT OF COLUMBIA. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAM AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH. IT IS IMPORTANT TO NOTE THAT IN DETERMINING THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENT OF CHILDREN'S HOSPITAL'S TOTAL EXPENSES, CHILDREN'S HOSPITAL'S BAD DEBT EXPENSE ($27,438,956) WAS NETTED FROM CHILDREN'S HOSPITAL'S TOTAL EXPENSES ($945,606,149), AS REPORTED ON FORM 990 PART IX LINE 25.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	As reported in Part II and defined, community-building activities include programs that address the root causes of health problems, such as homelessness, poverty, and environmental problems. Each program included in Part II meets the definition of community benefit including meeting one or more of the community benefit objectives: improving access to health services, enhancing health, advancing generalizable knowledge, or relief of government burden. The primary purpose of the programming is to improve the health of the community. Programs accounted for as community building activities fall into the subcategories of community support and workforce development. No one is disputing the growing need for more physicians and health care professionals in general. In fact, organizations like the Association of American Medical Association predict that by 2015 the United States will experience a shortage of 65,000 doctors. That number is expected to more than double by 2025. Childrens National Health System promotes early interest in medical professions through several programs: Our Student Innovators program is within the subcategory of workforce development under community building and is just one of the many ways Childrens National is striving to engage students in professions in Science Technology Engineering and Mathematics (STEM). Supported by The Sheik Zayed Institute for Pediatric Surgical Innovation at Childrens National Health System, US and Non-US high school, university and graduate/medical students spend two months during the summer working on specific projects mostly in translational research in the biological sciences and engineering. Mentors for the program come from within the Institute as well as from faculty across Childrens National. Through the program, students learn about innovation theory and practice, acquire new lab and research skills and gain knowledge and first-hand exposure to the study of medicine or conducting advanced work in the sciences. Projects are based on current research in bioengineering, surgical issues, medicine, biological sciences and innovation management, with each Student Innovator producing a written report and final presentation of their work at the end of the program. Childrens National continues to strive in engaging young minds and providing opportunities for experience a variety of professions in health care. The Cesar Chavez Fellowship program is no exception. The Cesar Chavez Fellowship is a 3 week program that offers scholars the opportunity to apply their academic skills and civic knowledge to address a policy issue or community concern. Scholars experience a public policy work environment where they gain an understanding of the role of organizations in addressing the public good. Scholars learn about the education and works skills necessary to succeed in the public policy field. The fellowship taking place the summer of 2013 focused on the hospital setting and the challenges facing nursing and becoming a nurse as well as the importance of education in science, technology, engineering and mathematics. The Department of Laboratory Medicine is also hard at work in providing opportunities for young students in the community to gain experience in health profession careers. Partnering with Flower High School in Prince Georges County, Maryland, the program provides first-hand experience working in a lab and gives students insight into professions in laboratory research. Our Emergency Communication and Information Center (ECIC) provides community support in the area of Disaster Readiness. The ECIC is a state of the art facility open 24 hours a day every day of the year. In addition to its regular responsibilities of connecting primary care physicians with Childrens emergency specialists and dispatching and monitoring all air and ground teams, ECIC team members coordinates communications for all hospitals through the Washington, DC Hospital Association Hospital Mutual Aid Radio System. The ECIC center serves as a coalition notification center for such events on a rotating basis with two facilities. Team members train annually and conduct weekly and monthly drills on disaster preparedness for the region.
BAD DEBT EXPENSE	Schedule H, Part III, Line 4	BAD DEBT IS ACCOUNTED FOR IN THE FOOTNOTES FOR ACCOUNTS RECEIVABLE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. ACCOUNTS RECEIVABLE FOR PATIENT SERVICES CONSIST OF AMOUNTS DUE DIRECTLY FROM PATIENTS OR PATIENTS' THIRD PARTY PAYORS SUCH AS INSURANCE COMPANIES, MANAGED CARE PROGRAMS, AND MEDICAID PROGRAMS FOR SERVICES RENDERED. PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE FINANCIAL STATEMENTS OF THE ORGANIZATION IS SHOWN NET OF RECOVERIES ON AMOUNTS PREVIOUSLY WRITTEN OFF. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTIMATED BASED ON PRIOR EXPERIENCE AND MANAGEMENT'S JUDGMENT AND IS, THEREFORE, SUSCEPTIBLE TO CHANGE. THE PROCESS OF DETERMINING BAD DEBT MAY ALSO INCLUDE THE REDUCTION OF AN ACCOUNT BASED ON PROCEDURES ASSOCIATED WITH INSURANCE CONTRACTUAL AGREEMENTS, GUARANTOR CHARITY EVALUATION, AND GUARANTOR BAD DEBT EVALUATION. THE COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3. BAD DEBT IS NOT INCLUDED IN CHILDREN'S HOSPITAL'S COMMUNITY BENEFIT DETERMINATION.
MEDICARE COST REPORT	SCHEDULE H, PART III, LINE 8	SHORTFALLS ARE NOT INCLUDED AS COMMUNITY BENEFIT. ANY SHORTFALL IS EVENTUALLY PAID IN FULL BY MEDICARE AS SETTLEMENT. THERE IS THEREFORE NO SHORTFALL. THE FY 2013 SETTLED COST REPORT- WORKSHEET E-3 PART IV WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.
COLLECTION PRACTICES	SCHEDULE H, PART III, LINE 9B	THE COLLECTION POLICY DOES NOT CONTAIN SPECIFIC PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY. ALL PATIENTS ARE TREATED THE SAME. CHILDREN'S NATIONAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S NATIONAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL, THEREFORE, WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATIONS TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR EFFECTIVE AND RESPONSIBLE FISCAL PROGRAM, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY. COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENT RESPONSIBLE BALANCES ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN MADE. CHILDREN HOSPITAL - FACILITY INFORMATION Schedule H, Part V, Section B, Line 1J The community health needs assessment also includes illustrative maps/figures of assets and vulnerabilities related to specific health metrics, including but not limited to major outlet fast food locations per ward of the District, hospitals and primary care centers in the District, medically underserved areas in the District, and locations of primary care and mental health professionals shortage areas in the District. By providing this information this will assist in overall data analysis, program planning and informing decision making on important health related issues affecting the residents of Washington, DC. Schedule H,Part V, Section B, Line 3 In conducting the most recent CHNA, input was received via four focus groups conducted with key stakeholders who are advocates or providers of health and social services. Two of the groups focused on health and health service issues. The other two groups focused on social determinants and related social service issues that impact health. There was a total of 30 focus group participants including hospital patient advocates, case managers, Department of Health officials, and community-based health and social service stakeholders. Stakeholders were queried about a number of major issues, including what they viewed as priority health and social services needs for the city in general, the particular needs that were relevant to the populations they serve, and their specific recommendations for concrete steps that could be implemented to improve overall health and social services for residents. Social scientists from RAND developed the script for the focus groups. The focus group guide included additional information specifically the questions asked of focus groups' participants. The questions aligned with the health needs identified through the quantitative analyses, and were analyzed as part of the qualitative component of the community health needs assessment. In addition, RAND spearheaded the recruitment efforts of the focus groups to ensure representation of the community as a whole. RAND has records and access to all focus group participants' names along with the focus group guide on file and available upon request from RAND. Schedule H,Part V, Section B, Line 4 Children's National, through its membership in the DC Healthy Communities Collaborative, conducted the CHNA in participation with three additional non-profit hospitals: Howard University Hospital, Providence Hospital, Sibley Memorial Hospital; and three community health centers, two of which are Federally qualified health centers, Bread for the City, Community of Hope, and Unity Health Care, Inc. The DC Healthy Communities Collaborative (DCHCC) works to eliminate health disparities and create health equity for all communities in the District of Columbia to realize one healthy Capital city. With the unique perspectives of each hospital and community health center, DCHCC members provided guidance and feedback respective to populations and neighborhoods served. Schedule H,Part V, Section B, Line 5C In addition to the broad distribution via the hospital's website and the DCHCC's DC Health Matters web portal, Children's National also participated in community-based meetings and forums to disseminate the CHNA report findings, and as part of the launch of the DCHM, a news release was distributed with URL information for viewing the CHNA report. Additionally, each DCHCC member organization has an electronic copy of the CHNA report on their website. Schedule H,Part V, Section B, Line 6i Children's Hospital adopted an implementation strategy, referred to as the Community Health Improvement Plan (CHIP) that addresses four of the six priority community health needs identified through the citywide CHNA. The CHIP is available online at: HTTP://www.childrensnational.org/Files/PDF/Advocacy/FINAL-Childrens-Nation al-CHIP-FY2014-2016.pdf Schedule H,Part V, Section B, Line 7 The DCHCC accepted the six top health issues -- Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, Asthma, Access to Care, and Stress-Related Conditions - that emerged through analyses of quantitative data sources (including the Behavioral Risk Factor Survey, Youth Behavioral Risk Survey, hospital discharge data, American Community Survey, and US Census data) and qualitative data (input from community representatives obtained during stakeholder focus groups). Members of the DCHCC deliberated and decided access to care and stress-related conditions should not be addressed as independent priority issues as they are systemic issues that impact all of the other priority health areas. Thus, the implementation strategy (Community Health Improvement Plan) addresses the remaining four priority issues: Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, and Asthma. In preparation for developing the implementation strategy, Children's National conducted a series of internal meetings with experts to assess its capacity to address and prioritize the identified health areas based on organizational strategy. With the organizational capacity identified and sanctioned, Children's National reconvened as part of the DCHCC process to develop the implementation strategy (Community Health Improvement Plan) as follows: conducted Gap and Strength, Weaknesses, Opportunities, and Threats (SWOT) analyses (for each health priority); prioritization of issues (to rank the health issues); creation of action plan; and monitoring of the action plan. DCHCC members included in their individual organization's implementation strategy (community health improvement plan) additional health issues that support their organization's mission, including but not limited to, access to care and stress-related conditions. Children's National added oral health and injury prevention to their implementation strategy. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees. Children's National received approval by its Board on May 23, 2013.
COMMUNITY HEALTH CARE NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2	Childrens National commits to conducting a community health needs assessment (CHNA) every three years to understand the health and health care status of the pediatric population in our community. The assessment will guide the hospital in targeting its resources to achieve the greatest impact on child health and wellness at a population-level. Our most recent citywide CHNA was released in June 2013 (FY 2013), in collaboration with the DC Healthy Communities Collaborative (DCHCC). The DCHCC is an alliance of DC hospitals and community health centers, most of which are federally qualified health centers that have partnered to develop a citywide CHNA and implementation strategy that is responsive to needs identified by the CHNA. The DCHCC works to eliminate health disparities and create health equity for all communities in the District of Columbia to realize one healthy Capital city. 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. The community health needs assessment is a unique blend of both quantitative data and qualitative community perspectives that provide a comprehensive and grassroots view of the state of health in the District. In response to the findings of the needs assessment, the DCHCC, with input from community stakeholders developed an implementation strategy. The strategy provides a targeted and coordinated approach to addressing the priority areas mental health and substance abuse, asthma, obesity/overweight, and sexual health with the ultimate goal of improving local health and quality of life for DC residents. As the only pediatric focused member of the DCHCC, Children's National identified two additional health priorities-oral health and injury prevention. Using the DCHCC citywide implementation strategy as a basis, Childrens National developed a Community Health Improvement Plan approved and adopted by the Childrens National Medical Center Board of Directors. The CHNA and the implementation strategy are housed on the DC Health Matters website. DC Health Matters provides a one-stop resource for on-line access to community health indicators and related resources that impact the health of DC communities. The site contains community health measures, evidence-based promising practices, local resources, and funding opportunities. DC Health Matters will be used as a platform to track progress of the implementation strategy. Internally, ongoing evaluation and monitoring of the implementation strategy will take place by the Advocacy and Community Affairs and Child Health Data Lab departments of Childrens National. The 2013 CHNA is available online at: http://www.childrensnational.org/files/PDF/advocacy/District_of_Columbia_C ommunity_Health_Needs_Assessment_2013_FINAL.pdf. The 2014-2016 implementation plan is available online at: HTTP://www.childrensnational.org/Files/PDF/Advocacy/FINAL-Childrens-Nation al-CHIP-FY2014-2016.pdf
ELIGIBILITY EDUCATION	SCHEDULE H, PART VI, LINE 3	THE FOLLOWING PROCESSES TAKE PLACE FOR FAMILIES WHO DO NOT HAVE INSURANCE OR WHO CANNOT PAY. 1. AN APPLICATION IS MADE FOR MEDICAL ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAM (FAP) STAFFED BY CONTRACTED COMPANIES, MED LAW & DECO IN THE FINANCIAL INFORMATION CENTER (FIC). ELIGIBILITY IS CONSIDERED FOR ALL APPROPRIATE PUBLIC PROGRAMS. WE WOULD LIKE THIS PROCESS TO TAKE PLACE PRIOR TO THE MEDICAL VISIT. FAP APPLICATIONS ARE MAILED TO SELF PAY PATIENTS WHEN THEY MAKE AN APPOINTMENT. 2. WHILE THE APPLICATION IS IN PROCESS, THE PATIENT IS REGISTERED AS MEDICAID PENDING AND THE MEDICAL VISIT TAKES PLACE (CITIZENS ONLY). NON CITIZENS ARE REGISTERED AS SELF PAY. 3. IF MEDICAID ELIGIBLE, THE PATIENT REGISTRATION IS CONVERTED TO THE MEDICAID PLAN. 4. IF NOT ELIGIBLE, THE PATIENT'S CHARITY CARE APPLICATION IS FURTHER EVALUATED FOR CN CHARITY CARE BY CNMC CUSTOMER SERVICE IN THE FIC. 5. IF FAP IS APPROVED, ACCOUNTS NOTES ARE UPDATED AND THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. THE ACCOUNTS ARE MANAGED BY CUSTOMER SERVICE STAFF. ONLY EXPECTED BALANCES REMAIN ON THE ACCOUNT AND FAMILIES RECEIVE STATEMENTS SHOWING THEIR RESPONSIBILITY. 6. IF FAP IS NOT APPROVED, ACCOUNTS NOTES ARE UPDATED AND THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. FAMILIES CAN SET UP PAYMENT PLANS TO RESOLVE THEIR ACCOUNT BALANCES 7. FOR INSURED FAMILIES: MEDICALLY INDIGENT STATUS CAN APPLY. THIS STATUS CAN BE EVALUATED AT ANY TIME IF A FAMILY'S REMAINING BALANCE (EXCLUDING ANY DEDUCTIBLES) AFTER 3RD PARTY PAYER IS GREATER THAN 30% OF ANNUAL INCOME LESS HOUSING EXPENSES. - WHENEVER APPLICABLE, IT IS ENCOURAGED THAT FAMILIES REVIEW THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE THE APPOINTMENT DATE. APPOINTMENTS ARE TYPICALLY MADE WITH THE FIC OFFICE WHEN FAMILIES MAKE THEIR MEDICAL APPOINTMENTS. THEY CAN GO DIRECTLY TO THE FIC OFFICE AT CN AT ANY OTHER TIME. - FAMILIES ARE ENCOURAGED TO COOPERATE WITH OUR STAFF BY SUPPLYING ALL NECESSARY INFORMATION FOR THE MEDICAID AND FAP APPLICATIONS.
DESCRIPTION OF COMMUNITY SERVED	SCHEDULE H, PART VI, LINE 4	As the only exclusive provider of pediatric care center in the Nations capital, Childrens National has the privilege of serving a diverse and broad community, spanning from the District of Columbia to Maryland and Virginia and beyond. Our community is filled with an array of ethnic groups and vibrant cultures. According to the U.S. Census Bureau, population figures for the region are estimated at approximately 600,000 for the District of Columbia; nearly 6 million in Maryland; and a little over 8 million in Virginia. The social demographics for the District of Columbia, Maryland and Virginia are as follows: District of Columbia: about 50% Black; 39.White; 9% Latino 4% Asian and 0.3% American Indian; Maryland: approximately 58% White; 29% Black; 8% Hispanic; 6% Asian and 0.4 percent American Indian and Virginia: about 38.5% White, 50.7% Black; 9.1% Hispanic; 3.5% Asian and 0.3% American Indian. In the District of Columbia, children 18 years old and under, make up 17 percent of the population and about 23 percent of the population in Maryland and Virginia. Children age five and under are approximately 5 percent of the population in the District and represent a little more than 6 percent of the population in Maryland and Virginia. In the District of Columbia and Virginia about 15 percent of the population age five and older report speaking a language other than English at home while in Maryland the percentage is slightly higher at almost 17 percent. More than 1,500 nurses, 800 physicians, and hundreds of allied team members provide care for infants, children and adolescents, averaging more than 400,000 outpatient visits each year at health clinics in the District, affiliated centers in Maryland and Virginia, and at the Sheikh Zayed Campus. Childrens National is the regional referral center for cancer, cardiac and critical care, fetal medicine, neonatology, neurology, neurosurgery, orthopedic surgery, pediatric emergency medicine and trauma. Childrens Emergency Medicine and Trauma Center is the regions Level I Pediatric Trauma Center, the highest rating possible, and serves the District of Columbia, Virginia, Maryland, Delaware, and West Virginia. Additionally, Childrens National is the largest non-government provider of primary care in the District of Columbia. We deliver care at community centers and mobile health services, which is one of several ways we help make quality care more accessible to children and families. We have programs focusing in the areas of school health services, community partnerships and safety campaigns. Since our early beginnings in 1870, our mission has been and remains striving to set the standard of excellence in care of children; serving as the voice for the most vulnerable among us; leading the quest to cure childhoods most devastating diseases and preparing the nations future leaders in child health. While the median incomes for the metropolitan area range from approximately $64,000 in the District; $63,500 in Virginia and $73,000 in Maryland, about 18 percent of all persons in the District of Columbia live below the poverty line with that percentage increasing to almost 30 percent for those age 18 and under. In Maryland, persons living below the poverty line are at approximately 9 percent for all persons and about 12 percent for those 18 and under. In Virginia, the number of all persons living below the poverty line is about 11 percent and close to 15 percent for those 18 years old and younger. The American Academy of Pediatrics in partnership with the Childrens Hospital Association reports that approximately 69 percent of the children in the District are enrolled in Medicaid, with an estimated 2.3 percent children uninsured. The state of Maryland has approximately 35 percent of its children enrolled with just over 5 percent uninsured. Virginia has an estimated about 28 percent of its children enrolled in the program and an estimated 6.7 percent of children uninsured. In FY 2013, all admissions from the District of Columbia were 76 percent DC Medicaid beneficiaries, 51 percent of all Maryland admissions were MD Medicaid beneficiaries, and about 27 percent of Childrens National hospital admissions from Virginia were VA Medicaid beneficiaries. Childrens National strives every day to improve upon our commitment to improve the health of our children. In FY 2013 Childrens National provided more than $14,804,930 in charity care. Our commitment to improve health status of children extends beyond our local and regional area. Through our international program we are able to extend our community and provide care to families from around the world seeking care for their children at our institution. Families from more than 30 countries seek care for their children at Childrens National. Because the hospital is located in the heart of the nations capital, Childrens National has the unique advantage of having access to, such as embassies and three major airports to welcome our international families. We contact embassies, provide interpreters and coordinate all medical appointments to ease the stay of families from abroad. Through our Global Services Program at Childrens National, we now have two offices to assist families overseas one in Abu Dhabi, United Arab Emirates (UAE) and the other in Kuwait City, Kuwait. Childrens National Health System and Washington Hospital Center opened a medical office in the United Arab Emirates in the city of Abu Dhabi. The office serves as a liaison office for children's National and Washington Hospital Center in the Gulf Region and is responsible for coordinating conferences and continuing medical education courses for medical staff and facilitating second opinion services via the internet and telemedicine, bringing the expertise offered at the two Washington, DCbased hospitals to the citizens of the UAE and other Gulf countries. Additionally, the Sheikh Zayed Institute for Pediatric Surgical Innovation located on the main campus of Childrens National is redefining what is possible in surgery through innovative, integrated research. The Institutes team, made up of physicians, scientists, and engineers are applying their expertise in their specialized fields to pursue the common goal of finding new treatments, devices and other innovative approaches to improving childrens health. Through focused leadership, tracking and measuring advances, and by promoting creativity, discovery, and invention, the institute is developing innovations that will allow children to live longer, healthier lives. Childrens National is dedicated to providing high quality educational opportunities for internal and external physicians, nurses, and allied health professionals through internships, residency, fellowships, graduate medical education, and continuing medical education. Each year, pediatric training is provided for approximately 180 third-year medical students from George Washington University (GWU), 48 third-year medical students from Howard University, and 100 fourth-year students from GWU and other medical schools. Clinical training is provided to 117 pediatric residents and 150 fellows and other graduate trainees each year.
PROMOTING THE HEALTH OF THE COMMUNITY	SCHEDULE H, PART VI, LINE 5	For more than 140 years, Childrens National has been committed to serving the community by promoting and improving the health of children and supporting the health improvements in their homes, schools, neighborhoods, and broader community. This commitment is evidenced from the governing boards to community health initiatives to the development of DC Healthy Communities Collaborative (DCHCC). Childrens National, the 501 (c)(3) not-for-profit organization, is governed by board of directors representing the diversity of the local, regional, national, and international communities that we serve. The majority of our board of directors resides within the primary service area of the Washington, DC metropolitan area, including the District of Columbia, Maryland, and Virginia. Childrens National is a pioneer in innovative programs that move beyond awareness to targeted interventions that improve the lives of children and their families, locally, regionally, nationally, and internationally. The Childrens National Advocacy and Public Policy, Inc. (CNAPPI) governs the Advocacy component of our care, advocacy, research, and education (CARE) mission as a charitable organization. The CNAPPI is comprised of leaders from throughout the region with experience in policy, advocacy, leadership and strategic planning. With this capacity, the CNAPPI serves as a platform for the Childrens National to reach beyond the boundaries of the institution; advocate for all children regardless of their circumstance or location; and prioritize and guide official policy statements and action, government relations, community benefit outreach and other relevant issues. Over the past 20 years, Childrens Health Board has awarded approximately $5 million in grants to more than 200 Childrens National Medical Center programs. Our grants have turned early ideas into proven models that have attracted support from leading investors in improved health outcomes for children nationwide. The Advocacy and Community Affairs Department established a partnership with the Childrens Health Board, a service affiliate of Childrens National Health System, that works to advance the health and well-being of children in the Washington, DC metropolitan community, especially those most in need, through advocacy, education, prevention and early intervention. Beginning in FY 2014, the Childrens Health Board will implement an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Childrens Health Board will focus its grant making on supporting the Childrens National Community Health Improvement Plan (implementation strategy), in an effort to improve community health demonstrated by measurable outcomes. In 2013, the community benefit team worked with the Childrens Health Board to establish this new grant process and will engage in the grant application review process to review grant applications for community benefit program alignment. In 2014, grant awardees will be required to report their programs/initiatives as Community Benefit and will be included in the Community Benefit Report. Childrens National Health system is further promoting the health of the community, locally, nationally and internationally through the Childrens Telemedicine Program. Childrens Telemedicine team is continually looking for new ways to improve access to care and outcomes for children throughout the region and abroad through the use of electronic and telecommunications technologies. The telemedicine program serves community hospitals, suburban health centers, inner city health clinics, national hospitals, and international partners across a wide range of pediatric subspecialties including neurology, genetics, radiology, and general surgery. The program also provides distance learning initiatives locally, regionally, nationally, and in many other countries, including Germany, Morocco, Uganda, Qatar Kuwait, United Arab Emirates, and Iraq. More than 1,000 consults have been provided by the team. Innovative ways are being explored to assist physicians in providing consultations while at home via high speed networks as a direct response to the growing number of telemedicine consultation requests that come into Childrens at night or over the weekends. For example, Childrens is working with other healthcare institutions across the country and abroad to establish consultative services, such as the Tele-Tumor board program. The team is also partnering with the Childrens Hospital in Rabat, Morocco to develop a model that could provide the basis for future telemedicine programs in the Arab world. The partnership, which is placing emphasis on improving education, technology and healthcare staffing, is aiming to improve the level of pediatric care now available in North Africa. With support from the Mosaic Foundation, this initiative gives local physicians in Morocco access to the transmitted content, which includes live video lectures by Childrens staff members. Childrens Telemedicine program has also been used to support inner-city youths through collaboration with the Quincy Jones Foundation. These programs are just a few examples of the many ways Childrens National is working to improve the health of our community.
AFFILIATED HEALTH CARE SYSTEM	Schedule H, Part VI, Line 6	Children's Hospital is part of an affiliated health care system comprised of the following entities: - Children's Hospital Foundation - 501(c)(3), fundraising - Children's National Medical Center - 501(c)(3), oversight and financial responsiblity for health care system - Safe Kids Worldwide - 501(c)(3), injury prevention for children - Children's Hospital Self-Insurance Trust - 501(c)(3), provision of insurance to system - Brainy Camps Association - 501(c)(3), provision of camps for children - Children's National Advocacy & Public Policy Inc - 501(c)(3), advocating for children's health issues -Children's research Institute - 501(c)(3), conducting clinical medical research and education programs Each entity participates in the Children's National Medical Center's ability to deliver pediatric health care services on an integrated basis.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	DC,

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	true	InitialContractException
Rebuttable Presumption Procedure	true	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KURT D NEWMAN MD
PRESIDENT/CEO (CNMC)	750764	0	614987	0	22061	0	241000	0	82094	0	1710906	0	0	0
RAHUL K SHAH MD
BOARD MEMBER	253118	0	139888	0	594	0	12087	0	2235	0	407922	0	0	0
DOUGLAS MYERS
CHIEF FINANCIAL OFFICER	502579	0	323223	0	18783	0	81071	0	26376	0	952032	0	0	0
MARK BATSHAW MD
PHYSICIAN IN CHIEF / CAO	622144	0	422910	0	136423	0	262500	0	61119	0	1505096	0	0	0
JODY BURDELL
COO (EXP: 01/31/12)	51561	0	503578	0	363418	0	12500	0	1140	0	932197	0	0	0
ANTHONY SANDLER MD
SVP CENTER OF EXCELLENCE	555263	0	150548	0	851	0	57500	0	31077	0	795239	0	0	0
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	470670	0	287229	0	9182	0	61533	0	41262	0	869876	0	0	0
DAVID WESSEL MD
CHIEF MEDICAL OFFICER	425385	0	311786	0	26482	0	58568	0	36298	0	858519	0	0	0
RAYMOND S SCZUDLO
CHIEF LEGAL OFFICER	422173	0	308978	0	231049	0	12500	0	44889	0	1019589	0	0	0
MAX COPPES MD
SVP CTR OF EXC.(EXP: 06/30/12)	294285	0	420423	0	58072	0	82425	0	28000	0	883205	0	0	0
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	397155	0	299335	0	26715	0	177084	0	46286	0	946575	0	0	0
JACQUELINE BOWENS
EXT. AFF. OFF.(EXP: 9/30/12)	228085	0	550826	0	593290	0	27324	0	23672	0	1423197	0	0	0
MENDAL TUCHMAN MD
CHIEF RESEARCH OFFICER	317120	0	240881	0	26298	0	64639	0	40262	0	689200	0	0	0
JOSEPH WRIGHT MD
SVP CENTER OF EXCELLENCE	304515	0	240707	0	24768	0	63606	0	39971	0	673567	0	0	0
NELLIE ROBINSON
CHIEF NURSING OFFICER	296919	0	193828	0	148634	0	12500	0	46973	0	698854	0	0	0
PAM KING SAMS
CHIEF DEVELOPMENT OFFICER	311152	0	217652	0	6974	0	144961	0	25463	0	706202	0	0	0
DENICE CORA-BRAMBLE MD
CHIEF MEDICAL OFFICER	377402	0	275830	0	24967	0	44792	0	36814	0	759805	0	0	0
DAVID SPARKS
VP FINANCE AND CONTROLLER	286551	0	135727	0	8500	0	42265	0	40664	0	513707	0	0	0
MARY ANNE HILLIARD
CHIEF RISK OFFICER	251994	0	202672	0	24500	0	56946	0	40200	0	576312	0	0	0
CAROL SCHOR
VP HR (EXP: 12/15/11)	0	0	0	0	430501	0	0	0	1226	0	431727	0	0	0
ROBERTA ALESSI
VP OPERATIONS	302578	0	134940	0	7816	0	37308	0	26060	0	508702	0	0	0
ELIZABETH FLURY
CHIEF STRATEGY OFFICER	151490	0	100000	0	555	0	25000	0	32301	0	309346	0	0	0
KATHLEEN CHAVANU GORMAN
CHIEF OPERATING OFFICER	109618	0	100000	0	299	0	17813	0	12102	0	239832	0	0	0
BRIAN JACOBS MD
CHIEF INFORMATION OFFICER	318060	0	72609	0	19835	0	12500	0	18468	0	441472	0	0	0
MARY OTTOLINI MD PHD
VICE CHAIR MED. EDUCATION	261218	0	58327	0	1460	0	12500	0	8050	0	341555	0	0	0
DARRYL VARNADO
CHIEF PEOPLE OFFICER	96745	0	70000	0	522	0	15000	0	26240	0	208507	0	0	0
RICHARD JONAS MD
CHIEF OF CARDIOLOGY	1060825	0	573142	0	30404	0	101051	0	67917	0	1833339	0	0	0
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	729763	0	143071	0	1419	0	81791	0	20598	0	976642	0	0	0
PETER KIM MD
VP SHEIKH ZAYED INSTITUTE	640980	0	123342	0	1518	0	9515	0	21402	0	796757	0	0	0
H GIL RUSHTON MD
CHIEF OF UROLOGY	514133	0	137000	0	3726	0	57499	0	29840	0	742198	0	0	0
JOHN MYSEROS MD
NEUROSURGEON	567177	0	84522	0	990	0	12500	0	23225	0	688414	0	0	0
GARY F ROGERS MD
CHIEF OF PLASTIC & RECON SURG	442428	0	195000	0	630	0	12500	0	20086	0	670644	0	0	0
PETER R HOLBROOK MD
FORMER CHIEF MED. OFFICER	79493	0	690000	0	832932	0	44500	0	9614	0	1656539	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIRST-CLASS OR CHARTER TRAVEL	Schedule J, Part I, Line 1a	FIRST CLASS OR CHARTER TRAVEL/TRAVEL FOR COMPANIONS THE CEO PER HIS EMPLOYMENT CONTRACT IS ENTITLED TO (A) USE FIRST CLASS TRAVEL (WHERE BUSINESS CLASS IS NOT AVAILABLE) FOR TRIPS OF MORE THAN 4 HOURS, AND (B) TAKE HIS SPOUSE ON UP TO 7 TRIPS PER YEAR FOR CONFERENCES WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS. HOSPITAL POLICY PERMITS BUSINESS CLASS FOR INTERNATIONAL TRAVEL. THERE IS NO CHARTER TRAVEL.
TAX INDEMNIFICATION AND GROSS UP PAYMENTS	Schedule J, Part I, Line 1a	Five key employees received CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS, UPON APPROVAL OF THE COMPENSATION COMMITTEE, ARE INCREASED BY A TAX EQUALIZATION AMOUNT, WHICH IS SIGNIFICANTLY LESS THAN THE AMOUNT THAT WOULD BE DETERMINED BY A TAX GROSS UP OR INDEMNIFICATION METHOD. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES	Schedule J, Part I, Line 1a	CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR HEALTH CLUB OR SOCIAL CLUB DUES. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
PERSONAL SERVICES	Schedule J, Part I, Line 1a	CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR TAX, FINANCIAL AND ESTATE PLANNING, AND HEALTH COSTS. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. THERE ARE NO EXPENDITURES FOR MAIDS, CHAUFFEURS OR CHEFS. Severance or Change of Control payment Schedule J, Part I, Line 4a THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED A SEVERENCE PAYMENT. THE SEVERENCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (Biii) AS PART OF OTHER REPORTABLE COMPENSATION: PETER R. HOLBROOK, MD - $551,034 JODY BURDELL - $260,000 JACQUELINE BOWENS - $426,580 CAROL SCHOR - $430,501
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 - $228,500 PETER R. HOLBROOK, MD - $32,000 DOUGLAS MYERS - $68,571 ANTHONY SANDLER, MD - $45,000 GERARD MARTIN, MD - $49,033 DAVID WESSEL, MD - $46,068 MAX COPPES, MD - $66,845 ROGER PACKER, MD - $164,584 JACQUELINE BOWENS - $15,600 MENDAL TUCHMAN, MD - $52,139 JOSEPH WRIGHT, MD - $51,106 PAM KING SAMS - $132,461 DENICE CORA-BRAMBLE, MD - $32,292 DAVID SPARKS - $29,765 MARY ANNE HILLIARD - $44,446 ROBERTA ALESSI - $24,808 ELIZABETH FLURY - $25,000 KATHLEEN CHAVANU GORMAN - $17,813 DARRYL VARNADO - $15,000 RICHARD JONAS, MD - $88,551 ROBERT KEATING, MD - $69,291 H. GIL RUSHTON, MD - $44,999
Non-fixed Payments	Schedule J, Part I, Line 7	The organization establishes quantitative targets for its officers, key employees, and highest compensated employees to meet. If the metrics are met, then a bonus is paid to the individual. Both the determination to pay a bonus and the amount of the bonus is determined by established formulas and the payment is not contingent on the exercise of any person's discretion. Due to extenuating circumstances, bonuses will sometimes be awarded even if metrics are not met. However, for this to occur, there is a multi-level review process and concurrence regarding the appropriateness of the payment.
Schedule J, Part I, Line 8		Certain individuals hired during the year have employment contracts which meet the initial contract exceptions described in the Treasury Regulations.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DISTRICT OF COLUMBIA
A	536001131	254764GN7	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
B	536001131	254764GP2	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
C	536001131	254764GQ0	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
D	536001131	254764GX5	2008-04-10	3555193	CONSTRUCT AND RENOVATE FACILITIES	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	50000000	3738181	12645266	889291	2909809	29817453	2009	false	false	true	true
B	50000000	3738181	12645267	889291	2909809	29817453	2009	false	false	true	true
C	50000000	3738181	12645267	889291	2909809	29817453	2009	false	false	true	true
D	3555193	233255	511928	63310	198654	2548046	2009	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements
A	false	false	false	false
B	false	false	false	false
C	false	false	false	false
D	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested
UBS
A	false	true	true	29.75	true	false	false	0	false
UBS
B	false	true	true	29.75	true	false	false	0	false
UBS
C	false	true	true	29.75	true	false	false	0	false
0
D	false	false	false		false	false	false	0	false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd
A
B
C
D

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DISTRICT OF COLUMBIA
A	536001131	254764GY3	2008-04-10	3854679	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
B	536001131	254764GZ0	2008-04-10	10931252	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
C	536001131	254764HA4	2008-04-10	73663982	CONSTRUCT AND RENOVATE FACILITIES	false	false	false
DISTRICT OF COLUMBIA
D	536001131	254764HB2	2008-04-10	149516148	CONSTRUCT AND RENOVATE FACILITIES	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	3854679	252904	555053	68643	215388	2762691	2012	false	false	false	true
B	10931252	717196	1574040	194661	610806	7834550	2012	false	false	false	true
C	73663982	4833070	10607208	1311788	4116123	52795794	2012	false	false	false	true
D	149516148	9809706	21529502	2662542	8354514	107159883	2012	false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements
A	false	false	false	false
B	false	false	false	false
C	false	false	false	false
D	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested
0
A	false	false	false	false	false	false	0	false
0
B	false	false	false	false	false	false	0	false
0
C	false	false	false	false	false	false	0	false
0
D	false	false	false	false	false	false	0	false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd
A
B
C
D

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	Form 990, Part III, Line 1	TO IMPROVE HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, AND EDUCATION TO MEET UNIQUE NEEDS OF CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. Program Services 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 As the nation's children's hospital, we will set the standard of excellence for the care of children. - We will serve as the voice for the most vulnerable among us: our children. - We will lead the quest to cure some of childhood's most devastating diseases. - We will prepare the nation's future leaders in child health. - We will be the children's hospital against which all others are measured. 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 blaze trail it. About Children's National 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 140 years, Children's National is a proven leader in the development and application of innovative new treatments for childhood illness and injury. Children's internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Serving as an advocate for all children, Children's is the largest non-governmental provider of pediatric care in the District of Columbia, providing more than $50 million in uncompensated care. In addition, Children's serves as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care as well as neonatology, orthopedic surgery, neurology, and neurosurgery. Children's National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report and the Leapfrog Group, and has received Magnet designation by the ANCC. At Children's National Medical Center, we stand for children! Our vision of advancing the health and wellbeing of children has been the motivation behind a number of forward-focused initiatives aimed at creating a lasting standard for prevention and community education, coupled with top-notch treatment and continuous improvement. As always, the vision is carried out through a cadre of nationally recognized healthcare professionals, staff, and administrators who tirelessly serve the unique and diverse medical needs of the residents of the Washington, DC, metropolitan area and the broader community. Their work provides a unique perspective of the health improvements important for all children, in every family. With this in mind, the hospital is committed to building a universal blueprint for improving healthcare that can be replicated in health systems, hospitals, and clinics in communities across the country. The programs highlighted in this report provide a snapshot of the important work being done at Children's National every day to improve the health and wellbeing of kids and our communities. Every member of our team is committed to giving children and our communities the best chance for a healthy future, it's all we do. Bereavement Programming Loss of a loved one can be difficult. The loss is felt by family, friends and even the community. That's why Children's National Health System provides resources to families and communities when a child is dying or has died. Through our Family Services department, we offer education on helping children understand loss and ways to provide safe havens for grieving children and families coping with loss of many sorts. These sessions are provided to faith-based communities, schools, civic organizations and other interest groups. In addition, Family Services makes available resource materials including Legacy Book making materials, workbooks and other literature on coping with grief. In FY 2013, Children's National Bereavement program provided resources to 250 families. Teen Life Club The Teen Life Club is just one of several signature projects focused on equipping teens with the tools to make healthy choices. As a part of the Adolescent Prevention Education Programs (APEP) at Children's National, the Teen Life Clubs (TLC) program helps youth improve decision making skills and ultimately reduces sexual risks. Geared towards adolescents between the ages of 11 to 14, the program curriculum is divided into four units; Self Awareness and Identity, Healthy Bodies, Violence Prevention and Money Matters. The clubs are based in community settings such as community clinics, community housing complexes or schools during the after school time frame. The Clubs meet Monday through Thursday and incorporates weekly health education sessions as well as academic support and monthly enrichment activities. In FY 2013, nearly 50 teens participated in the Teen Life Clubs offered at Faircliff Plaza, Hubbard Place and THEARC. Start Early, Start Right According to the Center for Disease Control, approximately 17%, or 12.5 million children and adolescents from ages two to nineteen are obese. The CDC reports that since 1980, obesity prevalence among children and adolescents has almost tripled. The District of Columbia ranks 43rd among states in overall prevalence with 35.4 percent of children considered overweight or obese. Children's National Health System is tackling obesity head on with programs such as Start Early, Start Right. Start Early, Start Right is a free, nutrition-education program for Latino families with children ages six and under. The program is a comprehensive family-based approach to the prevention of obesity in children by working with parents/caregivers and teachers and daycare providers of Hispanic preschoolers. Start early, start right focuses on promoting healthy diet and eating habits, increasing physical activity and decreasing sedentary behavior and improving the parenting skills of parents and caregivers of preschool children. Parents meet once a week for 2 hours to learn about basic nutrition themes; receive simple healthy food demonstrations, take a trip to the grocery store, maintain a food and activity diary and participate in weekly weigh-ins for children and parents to monitor behavior A total of 53 parents/caregivers and 50 preschool children under their care participated in start early, start right in fiscal year 2013. Parish Nursing Program Nurses at Children's National aren't just dedicated to the patients and families seen in the hospital, their commitment to care extends beyond the hospital. As respected and sought after health experts, many of our nurses reach out and support community health needs. The Parish Nursing program at Children's National collaborates with the faith community, and faith community leaders to plan and implement health promotion and injury prevention programs to improve the health of pediatric and young populations. The program also has an advisory council that provides reviews and recommendations of ideas, policies and procedures, program assessment, planning and evaluation. In fiscal year 2013, the Parish Nursing program attended at least six community events promoting health and wellness and presented at the Howard University Spirituality and Medicine Conference.
MEMBERS OR STOCKHOLDERS	Form 990, Part VI, Lines 6, 7a, and 7b	CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC") IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL AND HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S HOSPITAL. THE ARTICLES AND BY-LAWS OF CHILDREN'S HOSPITAL DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER.
FORM 990 REVIEW PROCESS	Form 990, Part VI, Line 11b	THE RELEVANT COMMITTEES OF THE ORGANIZATION AND ITS PARENT ORGANIZATION, CNMC, REVIEW APPLICABLE PORTIONS OF THE FORM 990: THE LEGAL AFFAIRS AND AUDIT COMMITTEE REVIEW THE FINANCIAL DISCLOSURES, THE NOMINATING AND GOVERNANCE COMMITTEE REVIEW THE GOVERNANCE SECTIONS AND THE PUBLIC BENEFIT SECTIONS, AND THE EXECUTIVE COMPENSATION COMMITTEE REVIEW THE COMPENSATION DISCLOSURES. THE COMPLETED FORM 990 IS THEN MADE AVAILABLE TO THE ENTIRE GOVERNING BOARD OF CHILDREN'S HOSPITAL BEFORE FILING.
Conflict of Interest policy monitoring and enforcement	Form 990, Part VI, Line 12c	CHILDREN'S HOSPITAL REQUIRES 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 AND REQUIRED 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 AND 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. GOVERNING POLICIES FORM 990, PART VI, LINES 13 & 14 CHILDREN'S HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC"). THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
PROCESS FOR DETERMINING COMPENSATION	Form 990, Part VI, Line 15a	THE EXECUTIVE COMPENSATION COMMITTEE OF THE CNMC 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 UP "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 HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	CP&A Partnership Capital Account Adjustment - $325,759 (Difference Between Income and Change in Capital Account per Schedule K-1).

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S NATIONAL SPECIALISTS OF VA	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20010	ZIPCode

Field	Value	IRS element (for citing)
EIN	264571100	EIN
Primary Activities	HEALTH CARE	PrimaryActivities
Legal Domicile State	DC	LegalDomicileState
Total Income	-1121656	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521654453	RESEARCH	DC	501(C)(3)	09	CNMC	false
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640403	HEALTH CARE	DC	501(C)(3)	11B, II	NA	false
SAFE KIDS WORLDWIDE
1301 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20004	521627574	INJURY PRVNTN	DC	501(C)(3)	11A, I	CNMC	false
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640399	INSURANCE	DC	501(C)(3)	11C, III-FI	CNMC	false
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640402	FUNDRAISING	DC	501(C)(3)	07	CNMC	false
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271547370	CHILD CAMPS	DC	501(C)(3)	11A, I	CH	true
CHILDREN'S NAT'L ADVOC & PUBLIC POLICY
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271564354	ADVOCACY	DC	501(C)(3)	11B, II	CNMC	false

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S PEDIATRICIANS ASSOC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	111 MICHIGAN AVENUE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20010	ZIPCode

Field	Value	IRS element (for citing)
EIN	522072589	EIN
Primary Activity	HEALTH CARE	PrimaryActivity
Legal Domicile State	DC	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Share Of Total Income	-604111	ShareOfTotalIncome
Share Of EOY Assets	4996851	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521996521	HEALTH CARE	DC	NA	C Corp	0	0	false
SAFE KIDS WORLDWIDE LTD
					INJURY PREVEN		NA	C Corp	0	0	false	PO BOX 916	ROAD TOWN TORTOLA	VQ	VQ
BEARACUDA RE
					REINSURANCE		NA	C Corp	0	0	false	PO BOX 69 KY1-1102	GRANDCAYMAN	CJ	CJ
BEAR CUB REINSURANCE LTD
					REINSURANCE		NA	C Corp	0	0	false	PO BOX 69 KY1-1102	GRANDCAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Brainy Camps Association
P	294729	FMV
Brainy Camps Association
R	309245	FMV
Safe Kids Worldwide Ltd
R	320675	FMV
BEARACUDA RE
R	27598782	FMV