2013-05-15T09:39:51-05:00 2012-06-30 Grant Thornton LLP 2010 CORPORATE RIDGE SUITE 400 MCLEAN VA 22102 990 2011-07-01 530196580 Children's Hospital % CORPORATE OFFICERS CHIL 3015726283 111 Michigan Avenue NW Washington DC 20010 DOUGLAS MYERS 3015726283 2013-05-13 true Mary Torretta 7038477500 2011 2016-02-25 16:41:14Z KURT DOUGLAS NEWMAN MD 111 Michigan Avenue NW Washington DC 20010 1005332710 false X www.childrensnational.org X 1870 DC TO IMPROVE HEALTH OUTCOMES FOR CHILDREN, LEAD IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS, & EXCEL IN CARE, ADVOCACY, RESEARCH, & EDUCATION, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES. 16 14 6728 956 527776 -1280552 30058390 27471455 820236376 884771203 509419 -5372744 2821450 3209168 853625635 910079082 0 0 0 0 496071639 525267158 0 0 0 302978063 342762679 799049702 868029837 54575933 42049245 940880504 908465625 573919237 536572770 366961267 371892855 X 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. false false 639452920 884771203 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 FY12 COMMUNITY BENEFIT REPORT. 639452920 true true false true false false false false false true false false false true true false true false true true false false false false false true true false false true true false true false false false false false false false false false false false false true true true true false false true 1756 0 true 6728 true true true true AE false false false false false false false false X 16 14 false false false false true true true true true false false true true true true true true true true false DC X CORPORATE OFFICERS 3015726283 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 X KATHY BARKER 1.0 X 0 0 0 DEIDRE ADKINS 1.0 X 0 0 0 SHONAY BARNETT-JONES 1.0 X 0 0 0 ELIZABETH DUGGAL 1.0 X 0 0 0 DEBRA FRIEDMAN 2.0 X X 0 0 0 ALBERTO GOMEZ 1.0 X 0 0 0 DAVID WHISTON 1.0 X 0 0 0 PETER R HOLBROOK MD 53.0 X X 1544145 0 97219 ROBERT KEATING MD 55.0 X 846080 0 93999 ROBERT MCDOWELL MD 1.0 X 0 0 0 GREGORY O'DELL 1.0 X 0 0 0 TERRY CORNWELL RUMSEY 1.0 X 0 0 0 IVAN SABEL 2.0 X X 0 0 0 MARY HELEN THOMPSON 1.0 X 0 0 0 CAROLYN THORNELL 2.0 X X 0 0 0 KATHIE WILLIAMS 1.0 X 0 0 0 MARK BATSHAW MD 9.0 X 1218937 0 321598 JODY BURDELL 54.0 X 1473285 0 44646 MARY ANNE HILLIARD 54.0 X 511344 0 65785 DOUGLAS MYERS 50.0 X 721849 0 97762 NELLIE ROBINSON 54.0 X 664582 0 52662 PAM KING SAMS 5.0 X 551105 0 165490 RAYMOND SCZUDLO 53.0 X 1050566 0 53055 MENDEL TUCHMAN MD 5.0 X 614315 0 97136 JACQUELINE BOWENS 53.0 X 773474 0 28576 ROBERTA ALESSI 54.0 X 371066 0 61438 MAX COPPES MD PHD 53.0 X 776376 0 103687 DENICE CORA-BRAMBLE MD 53.0 X 568740 0 70982 RICHARD JONAS MD 53.0 X 1771904 0 152853 MIRIAM MARKOWITZ 53.0 X 451229 0 66385 GERARD MARTIN MD 53.0 X 844228 0 82223 KURT DOUGLAS NEWMAN MD 53.0 X 1137776 0 276098 ROGER PACKER MD 43.0 X 768454 0 206551 ANTHONY SANDLER MD 55.0 X 694066 0 24708 CAROLE SCHOR 54.0 X 412008 0 75763 DAVID SPARKS 54.0 X 444508 0 80516 DAVID WESSEL MD 53.0 X 821440 0 86074 JOSEPH WRIGHT MD 52.0 X 602187 0 89066 LAUREL BLAKEMORE MD 55.0 X 634193 0 50876 H GIL RUSHTON MD 55.0 X 600636 0 78008 JOHN MYSEROS MD 55.0 X 636276 0 22877 LOUIS M MARMON MD 55.0 X 538872 0 24708 GARY F ROGERS MD 55.0 X 589316 0 15057 EDWIN K ZECHMAN JR X 5206966 0 173866 27839923 0 2859664 1248 true true false NATIONAL NURSES SERVICE DEPT L-9032 COLUMBUS OH 432609032 Nursing 3527866 COLONIAL PARKING 2145 K STREET NW WASHINGTON DC 20037 Parking 3121964 ATLANTIC SERVICES GROUP 2131 K STREET NW WASHINGTON DC 20037 Parking 2637599 HITT CONTRACTING INC PO BOX 403509 ATLANTA GA 303843509 Construction 2635048 MICROSOFT LICENSING PO BOX 067 DALLAS TX 752892467 Licensing 1887163 136 24325398 3146057 27471455 PATIENT REVENUE 621400 800307241 800307241 FEES AND CONTRACTS 900099 9177492 9177492 ALL OTHER PROGRAM SERVICES 900099 75286470 75286470 884771203 1239659 1239659 0 0 88643889 -2664 88457496 6796132 186393 -6798796 -6612403 -6612403 0 0 0 PARTNERSHIP LOSS 621110 -588088 -588088 PARKING 812930 3269480 3269480 LAB FEES 621500 527776 527776 3209168 910079082 884183115 527776 -2103264 0 0 0 0 43770459 43770459 0 407683756 342028068 65655688 15244351 8982225 6262126 28829828 19869253 8960575 29738764 23130656 6608108 0 1320900 145171 1175729 657113 657113 351922 351922 0 0 53369450 32491593 20877857 1370409 190650 1179759 9852865 5887344 3965521 13740464 1109911 12630553 0 25292258 16157333 9134925 6877898 1981664 4896234 0 278000 263568 14432 21566539 14311791 7254748 0 52746904 34980538 17766366 34269419 33076838 1192581 MEDICAL SUPPLIES 73170537 69613786 3556751 BAD DEBT EXPENSE 23187334 23187334 REPAIRS AND MAINTENANCE 14006309 5025031 8981278 OVERHEAD 2569945 2569945 8134413 4450221 3684192 868029837 639452920 228576917 0 0 0 93509895 72128029 4190014 3151413 131416855 147548630 0 0 0 0 0 0 3692052 3546822 6510544 5332847 935436841 402494157 520149345 532942684 91788843 72988468 47142094 32277136 0 0 20000 20000 42460862 38529596 940880504 908465625 157541208 128163443 0 0 8685472 10798597 418911526 415069144 0 0 0 0 514284 428568 0 0 -11733253 -17886982 573919237 536572770 X 366961267 371892855 0 0 0 0 366961267 371892855 940880504 908465625 X 42049245 -37117657 X false true true X X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 234732 false true 117190 351922 false 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 THE LOBBYING ACTIVITIES ENGAGED IN BY CHILDREN'S HOSPITAL FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS. 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 $234,732. Other 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. 1440758 1440758 645878956 261433700 384445256 248099243 139594074 108505169 40017884 1466383 38551501 532942684 0 CAPITAL LEASE OBLIGATIONS 5334215 DUE TO AFFILIATES -122117164 RESERVE FOR CLAIMS 33094874 OTHER LIABILITIES 58321063 SETTLEMENTS TO THIRD PARTY PAY 7480030 -17886982 Liability for Uncertain Tax Position (ASC 740) Schedule D, Part X, Line 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (MEDICAL CENTER), 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. There was no impact on the Medical Centers financial statements during the years ended June 30, 2012 and 2011. Middle East and North Africa 1 4 Program Services PATIENTS REFFERALS 717144 Central America and the Caribbean 0 0 Program Services INSURANCE PREMIUMS 22096000 1 4 1 4 22813144 22813144 true false false false false false true true X true X 350. true X true true true false true true 8846754 8846754 0.01020 44160814 44160814 0.05090 53007568 53007568 0.06110 42 228272 21101656 21101656 0.02430 36 436 22131684 6130519 16001165 0.01840 16974170 12940821 4033349 0.00460 17167177 9096983 8070194 0.00920 71057 7167 63890 0.00010 78 228708 77445744 28175490 49270254 0.05660 78 228708 130453312 28175490 102277822 0.11770 2 811 103961 103961 0.00010 1 5 4423 4423 3 816 108384 108384 0.00010 true 11672972 2348950 2702944 -353994 X true true 1 1 CHILDREN'S HOSPITAL

111 MICHIGAN AVE NW WASHINGTON DC 20010

X X X X X X X X CHILDREN'S HOSPITAL 1 true true 350. true 350. true X X X X X X X true true X X true X X false true X false true 17 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 NATIONAL IMAGING CENTER

9850 KEY WEST AVENUE Suite 110 ROCKVILLE MD 20850

REGIONAL OUTPATIENT CENTER community benefit report Please see Schedule O for an executive summary of the community benefit report. 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. Last year, our administrators and staff focused their exceptional skills, talents, and energy on expanding already successful programs to reach more at-risk families and communities, while launching new ones with the promise of addressing unmet needs. Our community benefit report highlights a few of these accomplishments, including the: -DC Pediatric Oral Health Coalition, a group comprised of stakeholders across organizations and disciplines that share best practices and develop solutions to improve the state of pediatric oral health in the District; -Healthy Teeth Fluoride Varnish Program, where over 1,400 parents in underserved communities received an education in good oral health habits, while establishing a dental home for their children; -Congenital Heart Disease Screening Program, which promotes the value of early screening to prevent the risks created by delayed diagnosis; -Health Education Program at the Children's National ED at United Medical Center, a program that provides much needed education on the top five ambulatory care sensitive (ACS) conditions, and the proper use of the emergency department; -Focus on Youth with ImPACT, a CDC funded project, that serves both youth ages 12-15 and their parents with education on preventing HIV, as well as the risks of early sexual activity, and lastly -Sickle Cell Adolescent Transition Program, which empowers and prepares kids with sickle cell anemia to successfully transition from pediatric to adult care. The Children's National family is proud of our contribution to creating and maintaining healthier communities in the District of Columbia. Working together, we can make sure that every child has the opportunity to grow up healthy! 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 which includes information about Children's Hospital. 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 STAKEHOLDERS AND GENERAL PUBLIC. 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. 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 Medical Center ACCOUNTING AND FINANCE DEPARTMENT. Bad Debt Expense Schedule H, Part I, Line 7, column (f) Children's Hospitals Net Community Benefit expense does not include the organizations bad debt expense for the FYE June 30, 2012 of $23,187,334. 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 $4,033,349 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S Hospital'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. 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 coalition building, community support, and workforce development. Our Injury Prevention Coalition program falls under the category of community building as it is comprised of Safe Kids World Wide and the Injury Free Coalition for Kids DC Chapter. The Injury Prevention Coalition is dedicated to the prevention of intentional and unintentional childhood injuries and strives to prioritize injury prevention for children and their families, caregivers, public officials, residents and visitors in the metropolitan area. These two organizations began as a result of two physicians responding to a need in their respective communities. Through both organizations coalitions such as The Injury Prevention Coalition have formed and grown to address issues surrounding injury prevention and safety. Today, Safe Kids USA is one of the 19 member countries of Safe Kids Worldwide, with more than 600 local coalitions and chapters in communities across the U.S. Injury is the leading cause of morbidity and mortality for children and young adults living in the United States and children living in poverty have a higher rate of injury than children of more substantial means. The Injury Prevention Coalition at Childrens National Medical Center includes collaboration between local stakeholders including: the Poison Control Center, Metropolitan Police Department, Fire and EMS, Washington Area Bicyclist Association, and other community groups with the goal of providing educational services and resources regarding the prevention of unintentional and intentional injuries to include: child passenger safety; bike safety; pedestrian safety; fire safety, and youth violence. The Coalition strives to decrease the number of injuries experienced among children and equip children and parents with proper knowledge of prevention, thereby enhancing the public health of the community. Will there be enough doctors to care for the growing health care concerns in America? Organizations like the Association of American Medical Colleges say not likely. They predict that by 2015 the US will experience a shortage of 65,000 doctors and that number is expected to more than double by 2025. Childrens National is answering the call to promote early interest in the medical profession by offering 10-week summer internships for pre-med college students. The program is housed in the division of Trauma and Burn and gives interns opportunities to observe patient care, a mentorship with attending surgeons in Trauma, Ortho, Neurosurgery and General Surgery and training and experience in clinical research. Research projects are selected from the Trauma and Burn research portfolio and focuses primarily on studying the early management of injured patients, using human factors and technology approaches to improve the efficiency and reduce errors in the care of injured children. The student interns also gain practical experience in data entry and analysis. Childrens National also sponsors weekly seminars where faculty members present on their specialty area and the educational path for their profession. The summer internship program not only encourages students to pursue medical training in a pediatric specialty, but the experience also assists them in gaining admission to medical school. Most of the program participants expected to pursue pediatric specialty training by the completion of the internship. Additionally, two activities conducted by our Orthopedic Surgery and Sports Medicine department fall into the community support subcategory of community building. Members of our medical faculty were on site during sporting events to provide any necessary physician/medical services. During the events, medical faculty worked to ensure that there was safe participation. Faculty also provided services during a two day basketball tournament that raised funds for adaptive sports. 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 LINE 2. BAD DEBT IS NOT INCLUDED IN COMMUNITY BENEFIT. 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 2012 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. Community Health Care Needs Assessment Schedule H, Part VI, Line 2 Children's National Medical Center through Children's Hospital 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. In compliance with IRC Section 501(r), Childrens Hospital is in process of completing a community health needs assessment and plan during FYE June 30, 2013, including Board approval of the plans implementation. Our most recent CHNA was completed and released in October 2009 (FY 2010). The assessment was a first-of-its-kind study conducted in collaboration with RAND Health and is an in-depth study of the health and health care of the 100,000 plus youth who reside in the District of Columbia. The assessment was a unique blend of both quantitative data and qualitative interviews which led to a comprehensive and grassroots view of the actual state of our pediatric community. The 2009 CHNA highlighted several pressing public health issues, namely striking health disparities, across our local communities. In addition to identifying health care needs, a key finding was the lack of data infrastructure to monitor and track local health indicators. In response to this finding, Children's National has embarked on a large data infrastructure project to develop a web-based platform to aggregate, display, track, and disseminate health metrics in the District of Columbia: the DC Health Matters web portal. This innovative, community driven portal will rely on both primary and secondary sources of data and serve as the foundation for our next needs assessment. Children's National believes strongly in the power of collaboration. We have reached out to our peer DC hospitals to work with us in development of the DC Health Matters web portal, as well as a citywide CHNA and implementation plan. We have proposed that all DC hospitals partner in this effort by forming the District of Columbia Healthy Communities Collaborative (DCHCC). This Collaborative will conduct a citywide community health needs assessment (CHNA) and implementation strategy that is responsive to the needs and priorities identified by the CHNA. Community representatives will be engaged continually in all aspects of the project. The overarching objective of this ambitious collective endeavor is to improve population health and health equity by devising and executing a citywide community health improvement plan. Comparable to how we utilized the 2009 CHNA findings, the next set of CHNA findings will assist Children's National in decision making for infrastructure development and data collection priorities; health promotion and disease prevention program planning, development, and monitoring; budget justifications and allocation of advocacy funds; influence on public policy initiatives; and, identification of advocacy-based research and education priorities. Once the next citywide CHNA is complete, Children's National will partake in continued education to external and internal stakeholders on the findings of needs assessment. Internally, the Children's National Advocacy and Public Policy, Inc. will have the responsibility and function to identify and make recommendations of Children's National's priority agenda based on the incorporation and integration of findings from the needs assessment along with Children's National strategic plan. The recommended priority agenda will be reviewed and officially approved by the Children's Hospital Board of Directors. This effort will be guided by our "prioritization tool." The prioritization tool was developed within Children's National's Advocacy and Community Affairs Department which houses the community benefit operations staff. The tool assesses the feasibility and overall impact of health programs. Once Children's National has developed its prioritization focal areas, we will work with the DCHCC to represent our areas of focus within the larger citywide implementation plan. Internally, ongoing evaluation and monitoring of the implementation plan will take place by the Advocacy and Community Affairs and Child Health Data Lab departments of Children's National. The DC Health Matters portal will be used as a platform to track progress of the implementation plan. 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 Nation's capital, Children's National Medical Center 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. Population figures for the region are estimated at approximately 632,323 for the District of Columbia; 5,884,563 in Maryland; and 8,185,867 in Virginia. 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 5.9 percent of the population in the District and represent a little more than 6 percent of the population in Maryland and Virginia. In the DC metropolitan area, 14.52 percent of the population age five and older report speaking a language other than English at home; 9.5 percent are Hispanic, less than 4 percent are Asian/Pacific Islander, less than 1 percent are Indian, nearly 50 percent are African American, and 42.45 percent are White. Each year Children's National provides services to over 360,000 of our youngest residents from near and far offering services throughout the area via seven Children's Health Centers, which provide primary care programs including mobile units all centered in the District of Columbia; our eight regional outpatient centers that provide specialty care in Maryland, Virginia and the District of Columbia; the Sheikh Zayed Campus which features 303 beds, of which 54 our designated for level IIIC Newborn Intensive Care Unit bassinets and Children's National Health Network with more than 750 affiliated pediatricians. Children's National is the largest provider of pediatric care in the District of Columbia. In addition, serving as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care, neonatology, orthopedic surgery, neurology, and neurosurgery. Additionally, Children's National has programs focusing in the areas of school health services, mobile health services, community partnerships and safety campaigns. Since our early beginnings in 1870, our mission has been and remains improving the health status of our communities and providing care to our most vulnerable children. While the median incomes for the metropolitan area range from $61,835 in the District; $63,302 in Virginia and $72,419 in Maryland, 18 percent of persons in the District of Columbia live below the poverty line, while 9 percent in Maryland and 10.7 percent in Virginia live below the poverty line. Approximately 74,000 children in the District are enrolled in Medicaid. The state of Maryland has just over 370,000 enrolled and Virginia has an estimated 475,000 children enrolled in the program. In FY 2012, 76% of all District of Columbia hospital inpatients are Medicaid beneficiaries, 51% of all Maryland admissions are Medicaid beneficiaries, and about 31% of Virginia inpatients are Medicaid beneficiaries. Children's National strives every day to improve upon our commitment to improve the health of our children. In FY 2012, Children's National provided $18,162,343 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 30 countries seek care for their children at Children's National. Because the hospital is located in the heart of the nation's capital, Children's National has the unique advantage of resources, 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. In addition, Children's National Center and Washington Hospital Center recently opened a medical office in the United Arab Emirates in the city of Abu Dhabi. The new office serves as a liaison office for Children's National Medical Center and Washington Hospital Center in the Gulf Region. The office coordinates conferences and continuing medical education courses for medical staff and facilitates second opinion services via the internet and telemedicine, bringing the expertise offered at the two Washington, DC -based hospitals to the citizens of the UAE and other Gulf countries. Children's National is also known internationally as a leader in research. Children's Research Institute spearheads research at Children's National Medical Center. Located on the top floor of the Sheikh Zayed Campus for Advanced Children's Medicine building, our research concentrates on all translational, clinical and community studies that lead to improved understanding, prevention, treatment, and care of childhood diseases. The institute is divided into specialty research centers that include: Center for Cancer and Immunology Research, Center for Translational Science Research, Center for Genetic Medicine Research, and the Center for Neuroscience Research, overseeing more than 250 research projects. Children's Research Institute also oversees the educational activities and academic affairs of Children's and the Department of Pediatrics at the George Washington University School of Medicine and Health Sciences and also has frequent partnerships with many other research institutions regionally and nationally. Additionally, Children's National recently launched the Shiekh Zayed Institute for Pediatric Surgical Innovation redefining what is possible in surgery through innovative, integrated research. The Institute's physician -scientists are applying their expertise in their specialized fields to pursue the common goal to make pediatric surgery more precise, less invasive, and pain-free. Children's 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), 45 third-year medical students from Howard University, and 100 fourth-year students from GWU and other medical schools. Clinical training is provided to 84 pediatric residents and 115 fellows and other graduate trainees each year. Promoting the Health of the Community Schedule H, Part VI, Line 5 For more than 140 years, Children's National Medical Center 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 collaborative citywide forums. Children's Hospital, 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. Children's 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 Children's 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 vast experience in policy, advocacy, leadership and strategic planning and serves as a leading voice on child health for the Children's National enterprise, reaching beyond the boundaries of the institution to advocate for all children regardless of their circumstance or location. The CNAPPI serves as Children's National's designated clearinghouse for prioritizing and guiding official policy statements and action, government relations, community benefit outreach and other relevant issues. Children's National was able to implement a program linking families to medical homes for comprehensive care as well and educate families on the proper use of the Emergency Department for ambulatory care sensitive issues, a health priority determined by the findings from our 2009 Community Needs Assessment. The Community Education program at Children's National Satellite Emergency Department at United Medical Center was able to provide health education on the top five ambulatory care sensitive issues: fever, gastro intestinal illness, upper respiratory infections, ear infections and asthma to over 2675 families in fiscal year 2012. In addition, the program was able to schedule 4003 appointments, with 70.3% of the families attending their scheduled follow up appointment. Both the IMPACT DC and IDEAL clinics and other programs received nearly 200 referrals and approximately 60 appointments with specialists were made. The health education program develops and maintains partnerships with area primary care physicians and other community-based programs in the region serving the health needs of children. Findings from Children's National's 2009 Community Health Needs Assessment also highlighted the need to address pediatric oral health care in the District of Columbia. Children's National is leading the charge by helping to establish the District of Columbia Pediatric Oral Health Coalition. The coalition is comprised of stakeholders across organizations and disciplines that share best practices and develop solutions to improve the state of pediatric oral health in the District of Columbia. The mission of the coalition is to advocate for improved oral health access and care for all children in the District of Columbia. Children's National endorses the Coalition's Action Plan to achieve its' goals which includes utilizing collaborative public and private partnerships of health, social services and educational systems to improve oral health literacy to create behavioral change in oral health care for the District of Columbia children and families. These are just a few examples of the many ways Children's National is working to promote the health of our community. Affiliated Health Care System Roles 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, X X X X X true true X X X X X true true false false false false false false false PETER R HOLBROOK MD 716289 0 564457 0 263399 0 12250 0 84969 0 1641364 0 0 0 ROBERT KEATING MD 714781 0 129781 0 1518 0 81541 0 12458 0 940079 0 0 0 EDWIN K ZECHMAN JR 482614 0 0 0 4724352 0 110467 0 63399 0 5380832 0 0 0 MARK BATSHAW MD 620547 0 477757 0 120633 0 262250 0 59348 0 1540535 0 0 0 JACQUELINE BOWENS 364276 0 290068 0 119130 0 12250 0 16326 0 802050 0 0 0 JODY BURDELL 614425 0 477620 0 381240 0 12250 0 32396 0 1517931 0 0 0 MARY ANNE HILLIARD 276062 0 227943 0 7339 0 42696 0 23089 0 577129 0 0 0 DOUGLAS MYERS 431230 0 282278 0 8341 0 76740 0 21022 0 819611 0 0 0 NELLIE ROBINSON 319771 0 212948 0 131863 0 12250 0 40412 0 717244 0 0 0 PAM KING SAMS 317524 0 226685 0 6896 0 144711 0 20779 0 716595 0 0 0 RAYMOND SCZUDLO 447425 0 351854 0 251287 0 12250 0 40805 0 1103621 0 0 0 MENDEL TUCHMAN MD 340962 0 264270 0 9083 0 64389 0 32747 0 711451 0 0 0 ROBERTA ALESSI 244345 0 119210 0 7511 0 37057 0 24381 0 432504 0 0 0 LAUREL BLAKEMORE MD 486460 0 146128 0 1605 0 37251 0 13625 0 685069 0 0 0 MAX COPPES MD PHD 438441 0 329796 0 8139 0 79095 0 24592 0 880063 0 0 0 DENICE CORA-BRAMBLE MD 311047 0 249872 0 7821 0 44542 0 26440 0 639722 0 0 0 RICHARD JONAS MD 1076603 0 681821 0 13480 0 98222 0 54631 0 1924757 0 0 0 MIRIAM MARKOWITZ 180614 0 222817 0 47798 0 37555 0 28830 0 517614 0 0 0 GERARD MARTIN MD 479802 0 355538 0 8888 0 51583 0 30640 0 926451 0 0 0 KURT DOUGLAS NEWMAN MD 639687 0 456702 0 41387 0 220761 0 55337 0 1413874 0 0 0 ROGER PACKER MD 422094 0 336813 0 9547 0 163934 0 42617 0 975005 0 0 0 H GIL RUSHTON MD 443679 0 153947 0 3010 0 57249 0 20759 0 678644 0 0 0 ANTHONY SANDLER MD 586945 0 105603 0 1518 0 12250 0 12458 0 718774 0 0 0 CAROLE SCHOR 272154 0 130999 0 8855 0 39839 0 35924 0 487771 0 0 0 DAVID SPARKS 292398 0 143029 0 9081 0 42015 0 38501 0 525024 0 0 0 DAVID WESSEL MD 451446 0 360649 0 9345 0 58318 0 27756 0 907514 0 0 0 JOSEPH WRIGHT MD 327086 0 267466 0 7635 0 63356 0 25710 0 691253 0 0 0 JOHN MYSEROS MD 525706 0 109580 0 990 0 12250 0 10627 0 659153 0 0 0 LOUIS M MARMON MD 347790 0 188244 0 2838 0 12250 0 12458 0 563580 0 0 0 GARY F ROGERS MD 442640 0 145686 0 990 0 2538 0 12519 0 604373 0 0 0 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. IN ADDITION, UPON PRIOR APPROVAL OF THE CEO, AND IN LIMITED CIRCUMSTANCES, TRAVEL FOR AN EXECUTIVE'S SPOUSE MAY BE AUTHORIZED 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 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 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 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 During calendar year 2011, the organization transitioned its key leadership position from Mr. Edwin Zechman, who had served Children's National Medical Center as CEO for 16 years, to a new CEO. As part of his contract, Mr. Zechman was paid additional compensation at the close of his tenure. The organization's Board has and maintains a previously established process for determining the reasonableness of the executive compensation of the organization's CEO. As part of its typical process, the Executive Compensation Committee of the Board obtains the services of an independent, third-party compensation specialist. That specialist relies on comparability data to establish a range of what is "reasonable" compensation for the CEO's position in the current market. The compensation specialist presents its findings to the Board via a written report. The Executive Compensation Committee, comprised of members independent to the transactions at hand, discuss the contents of the report and, using that report, determine what compensation should be paid to the CEO. This process of determining the reasonable compensation is recorded in contemporaneous written minutes of the Committee meeting. As an extension of this process, the Board determined that it was reasonable to provide Mr. Zechman the compensation which is reported on Form 990, Part VII and further detailed on Schedule J. The compensation reported here represents compensation which was paid to Mr. Zechman in 2011. 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: ROBERT KEATING, MD - $69,291 MARK L BATSHAW, MD - $250,000 MARY ANNE HILLIARD - $30,446 DOUGLAS MYERS - $64,490 PAM KING SAMS - $132,461 MENDAL TUCHMAN, MD - $52,139 ROBERT ALESSI - $24,808 LAUREL BLAKEMORE, MD - $25,001 MAX COPPES, MD - $66,845 DENICE CORA-BRAMBLE, MD - $32,292 MIRIAM MARKOWITZ - $25,305 GERARD MARTIN, MD - $39,333 KURT D NEWMAN, MD - $208,511 ROGER PACKER, MD - $151,684 H GIL RUSHTON, MD - $44,999 CAROL SCHOR - $27,589 DAVID SPARKS - $29,765 DAVID WESSEL, MD - $46,068 JOSEPH WRIGHT, MD - $51,106 RICHARD JONAS, MD - $85,972 DISTRICT OF COLUMBIA 536001131 254764GN7 2005-10-26 50000000 CONSTRUCT AND RENOVATE FACILITIES false false false DISTRICT OF COLUMBIA 536001131 254764GP2 2005-10-26 50000000 CONSTRUCT AND RENOVATE FACILITIES false false false DISTRICT OF COLUMBIA 536001131 254764GQ0 2005-10-26 50000000 CONSTRUCT AND RENOVATE FACILITIES false false false DISTRICT OF COLUMBIA 536001131 254764GX5 2008-04-10 3555193 CONSTRUCT AND RENOVATE FACILITIES false false false 0 0 50000000 3738181 12645266 0 889291 2909809 0 29817453 0 0 2009 false false true true 0 0 50000000 3738181 12645267 0 889291 2909809 0 29817453 0 0 2009 false false true true 0 0 50000000 3738181 12645267 0 889291 2909809 0 29817453 0 0 2009 false false true true 0 0 3555193 233255 511928 0 63310 198654 0 2548046 0 0 2012 false false false true false false false false false true 0 true false false false false false true 0 true false false false true false true 0 true false false false true false true 0 true false true true UBS 29.75 true false false 0 false false false true true UBS 29.75 true false false 0 false false false true true UBS 29.75 true false false 0 false false false false false 0 false false false 0 false false 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 & 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 PART VI, LINES 13 & 14: CHILDREN'S HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, 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 SANCTION 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 or fund balances PART XI, LINE 5: Derivative losses $ (22,180,306) Unrealized gains $ 644,879 Derivative interest expense $ (5,708,352) Bearacuda Funding $ (9,814,392) Partnership adjustment $ (59,486) ---------------- Total other changes in net Assets : $ (37,117,657) 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. SCIENCE EDUCATION PARTNERSHIP AWARD (SEPA) A HOLISTIC HEALTH MODEL AIMS AT SERVING ALL AREAS OF A CHILD'S DEVELOPMENT, INCLUDING THOSE THAT CAN BE IMPACTED BY THE SURROUNDING COMMUNITY. THE "BEING ME" INITIATIVE IS A SCIENCE EDUCATION PARTNERSHIP AWARD (SEPA) PROGRAM THAT USES THIS INTEGRATIVE APPROACH TO BUILDING A CHILD'S PHYSICAL, COGNITIVE, AND SOCIAL SKILLS, WHILE SUPPORTING COLLABORATIVE LEARNING AND PARTICIPATION FROM FAMILIES, FRIENDS, AND TEACHERS. THE GOAL: TO EMPLOY HANDS-ON, INQUIRY-BASED LEARNING, AND TO PROMOTE AWARENESS OF HEALTH-RELATED ISSUES BY BLENDING SCIENCE AND ART. "BEING ME" WAS PILOTED LAST YEAR IN TWO URBAN SCHOOL SYSTEMS WITH MOSTLY LOWER-INCOME, MINORITY, AND IMMIGRANT STUDENTS - A DEMOGRAPHIC WITH RELATED DISPARITIES IN BOTH ACCESS TO HEALTH CARE AND HEALTH OUTCOMES. THE PROGRAM, SUPPORTED BY THE NATIONAL SCIENCE CONTENT STANDARDS, USES AN ART-BASED, SCIENCE CURRICULUM AROUND FIVE CONDITIONS OR ISSUES: ASTHMA, OBESITY, SLEEP, BULLYING, AND SICKLE CELL DISEASE. HOWEVER, THE TRUE INNOVATION IS THE PROGRAM'S GOAL TO MAKE CHILDREN CREATIVE EXPERTS IN UNDERSTANDING THE SCIENTIFIC PROCESS IN TERMS OF THEIR OWN HEALTH AND WELL-BEING. "BEING ME" INCLUDES INSTRUCTION WITH STUDENTS AND ALSO INVOLVES PARENTS AND HEALTH AIDS THROUGH FAMILY LEARNING EVENTS AND A SPECIAL SUMMER SCIENCE CAMP EXPERIENCE. TEACHERS BENEFIT FROM REGULAR TARGETED PROFESSIONAL DEVELOPMENT IN BOTH CLINICAL AND RESEARCH SETTINGS. "BEING ME" IS A PARTNERSHIP BETWEEN CHILDREN'S NATIONAL MEDICAL CENTER, THE NATIONAL CHILDREN'S MUSEUM, AND GEORGE WASHINGTON UNIVERSITY SCHOOL OF EDUCATION. MARK THORNE, DIRECTOR OF THE NATIONAL CHILDREN'S MUSEUM WITHOUT WALLS, SEES THE BENEFIT OF THIS NOVEL EFFORT: "THE PROGRAM IS SO IMPORTANT BECAUSE IT REACHES CHILDREN AND FAMILIES IN UNDERSERVED COMMUNITIES WITH THE BASICS OF SCIENCE AND HEALTH, WHILE ALLOWING FOR CREATIVITY THROUGH ART. IMPORTANTLY, IT ALSO EDUCATES FAMILIES - AND TEACHERS - ABOUT THOSE HEALTH DISPARITIES THAT TEND TO HIT OUR COMMUNITIES HARDEST." TEENS AGAINST THE SPREAD OF AIDS (TASA) TEENS AGAINST THE SPREAD OF AIDS (TASA) IS A PROGRAM FOR HIGH SCHOOL STUDENTS AGES 16 - 18 FROM THE WASHINGTON, DC AREA. USING THEATER, POETRY, AND HIP HOP, TASA MEMBERS EDUCATE THEIR PEERS, PARENTS, AND HEALTH PROFESSIONALS ABOUT IMPORTANT TEEN HEALTH CONCERNS, INCLUDING HIV, SEXUALITY, AND VIOLENCE. THE PROGRAM WAS CREATED BECAUSE THE DISTRICT OF COLUMBIA HAS THE HIGHEST RATE OF HIV INFECTION IN THE COUNTRY AND MANY PEOPLE DON'T EVEN KNOW THEY EVEN HAVE IT. THROUGH THE PROGRAM, TEENS BECOME PEER AND PUBLIC EDUCATORS ABOUT THE RISKS OF GETTING THE DISEASE, HOW TO BE TESTED, AND HOW TO FIND MEDICAL CARE AND HELP. TASA CONDUCTED 10 EVENTS AND WORKSHOPS REACHING 395 YOUTH AND EDUCATED 40 YOUTH ON COMMUNICATING WITH HEALTH CARE PROVIDERS AND HEALTH CARE RIGHTS. FOCUS ON YOUTH WITH IMPACT HIV REMAINS A PREVENTABLE DISEASE, AND WITH EDUCATION AND AWARENESS THE RATES OF INFECTION CAN DRAMATICALLY DECREASE. THE FOCUS ON YOUTH IMPACT PROJECT (INFORMED PARENTS AND CHILDREN TOGETHER) - A CENTERS FOR DISEASE CONTROL AND PREVENTION-FUNDED INITIATIVE - AIMS TO EDUCATE CHILDREN ABOUT THE RISKS OF UNSAFE SEXUAL ACTIVITY, AND HELP PARENTS DISCUSS SEXUAL BEHAVIOR WITH THEIR CHILDREN. OVER EIGHT SESSIONS THE IMPACT PROGRAM TEACHES YOUTH AGES 12 - 15 THE IMPORTANCE OF RESPECTING THEIR VALUES AND MORALS, AND THE BENEFITS OF ABSTAINING FROM EARLY SEXUAL ACTIVITY. IT ALSO EQUIPS PARENTS, THROUGH A MANDATORY ADULT EDUCATIONAL CURRICULUM, WITH THE KNOWLEDGE AND COMMUNICATION TOOLS NECESSARY TO KEEP THEIR FAMILIES HEALTHY, AND IN THE LONG RUN, TO HELP STEM THE HIV EPIDEMIC. OVER 60 CHILDREN PARTICIPATED IN THE PROGRAM. HEALTH EDUCATION PROGRAM DATA SHOWS THAT MANY PARENTS OPT TO USE THE EMERGENCY ROOM RATHER THAN WAIT FOR AN APPOINTMENT WITH THEIR CHILD'S PRIMARY CARE PHYSICIAN. CHILDREN'S EMERGENCY DEPARTMENT HEALTH EDUCATION PROGRAM WAS ESTABLISHED WITH THE GOAL OF EDUCATING AT-RISK FAMILIES ON THE PROPER USE OF THE EMERGENCY DEPARTMENT AND THE IMPORTANCE OF FINDING A MEDICAL HOME FOR THEIR CHILD. THE HEALTH EDUCATORS NOT ONLY EDUCATE, THEY ALSO LOCATE A PRIMARY CARE PROVIDER AND SCHEDULE AN APPOINTMENT. IN 2011 OVER 300 COMMUNITY MEMBERS WERE REACHED BY THE PROGRAM. HEALTHY TEETH FLUORIDE VARNISH PROGRAM HEALTHY TEETH AMOUNT TO MORE THAN JUST A GREAT SMILE. UNTREATED DENTAL DECAY CAN AFFECT A CHILD'S ABILITY TO EAT, SLEEP, CONCENTRATE AND YES, PERFORM IN SCHOOL. IN FACT, A STAGGERING 51 MILLION SCHOOL HOURS ARE LOST EACH YEAR DUE TO DENTAL-RELATED ILLNESS. THE HEALTHY TEETH FLUORIDE VARNISH PROGRAM INITIATED BY CHILDREN'S NATIONAL GIVES KIDS IN UNDERSERVED AREAS THE OPPORTUNITY TO RECEIVE PREVENTIVE ORAL CARE AT THEIR HEAD START PROGRAM, SCHOOL, OR PRIMARY PROVIDER'S OFFICE, AND IT EDUCATES PARENTS ABOUT GOOD ORAL HEALTH PRACTICES, AS WELL. THIS COMPREHENSIVE APPROACH SERVES TWO IMPORTANT PURPOSES: TO ELIMINATE DENTAL DECAY BY MAKING GOOD ORAL HYGIENE A DAILY ROUTINE FOR EVERY CHILD, AND A STANDARD COMPONENT OF PREVENTIVE HEALTH CARE. IN 2011 1,493 INDIVIDUALS RECEIVED ORAL HEALTH EDUCATION, 1,926 FLUORIDE APPLICATIONS WERE PROVIDED, AND 128 CHILDREN WERE REFERRED TO A DENTAL HOME THROUGH THE HEALTHY TEETH PROGRAM. CHILDREN'S SCHOOL SERVICES SCHOOL NURSING PROGRAM INCREASINGLY, SCHOOLS ARE CALLED UPON TO OFFER MUCH MORE THAN AN ENRICHING ACADEMIC EXPERIENCE. IN MANY COMMUNITIES, SCHOOLS ARE ON THE FRONT LINES OF CONNECTING FAMILIES WITH THE SOCIAL SUPPORTS SO CRITICAL TO OPTIMAL LEARNING. RECOGNIZING THAT SCHOOL NURSES ARE UNIQUELY QUALIFIED AND POSITIONED TO HELP, CHILDREN'S SCHOOL SERVICES SCHOOL HEALTH NURSING PROGRAM -ARMED WITH A SPECIALLY-DESIGNED HEALTH PROMOTION CURRICULUM - WORKS ONSITE WITH PERSONNEL, FAMILIES, AND COMMUNITY RESOURCES TO MINIMIZE AND ELIMINATE HEALTH-RELATED BARRIERS TO LEARNING. IN 2011, 177 SCHOOLS BENEFITTED FROM INITIATIVES FOCUSED ON PREVENTION, EARLY IDENTIFICATION AND INTERVENTIONS FOR VARIOUS HEALTH PROBLEMS. REFERRALS TO CASE MANAGEMENT INCREASED BY AN ASTONISHING 166 PERCENT OVER THE PREVIOUS YEAR, AND THE NUMBER OF STUDENTS LINKED TO CARE AS A RESULT OF THOSE REFERRALS INCREASED EXPONENTIALLY. ACTIVITIES PROVIDED MORE THAN $50 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2011, INCLUDING THOSE HIGHLIGHTED IN THE NARRATIVES: Program Services Continued Part III, Line 4a - ADVANCED PROFESSIONAL PRACTICE EXPERIENCE - ALLIANCE FOR SAFE CHILDREN AND YOUTH - CAR SEAT INSPECTION STATION - CHILDREN'S HEALTH PROJECT OF DC MOBILE HEALTH PROGRAM - CLINICAL AND COMMUNITY RESEARCH STUDIES - COMMUNITY BENEFIT OPERATIONS - COMMUNITY HEALTH INITIATIVE - COMMUNITY PHYSICIAN AND MEDICAL STAFF LECTURES - COMMUNITY WORKFORCE DEVELOPMENT ROTATIONS - CONGENITAL HEART DISEASE SCREENING PROGRAM - DC PEDIATRIC ORAL HEALTH COALITION - EMERGENCY MEDICAL SERVICES FOR CHILDREN NATIONAL RESOURCE CENTER - HAITI EARTHQUAKE RELIEF - HEALTH EDUCATION WORKSHOPS AND CLASSES OFFERED AT CHILDREN'S HEALTH CENTERS - HEALTH PROFESSIONS EDUCATION (MEDICAL STUDENTS, NURSES, RESIDENTS, AND FELLOWS) - HEALTHY START HEALTHY FAMILIES - HEMOPHELIA TREATMENT CENTER NEW PARENT BREAKFAST - INJURY PREVENTION COALITION - LA FERIA DE LA FAMILIA - LAB HEALTH PROFESSIONALS ROTATION - LUPUS FOUNDATION MEETING - MEETING THE MENTAL HEALTH NEEDS OF CHILDREN AND ADOLESCENT VICTIMS OF MALTREATMENT - OCCUPATIONAL THERAPY STUDENT FIELDWORK PROGRAM - NBC 4 HEALTH & FITNESS EXPO - PHYSICAL THERAPY STUDENT AFFILIATION PROGRAM - PRIMARY CARE PROVIDED AT CHILDREN'S HEALTH CENTERS - RESPONSE TO CHILD AND ADOLESCENT VICTIMIZATION - SCIENTIFIC SYMPOSIUM OF HEMOSTATSIS & THROMBOSIS RESEARCH SOCIETY - SICKLE CELL ADOLESCENT TRANSITION PROGRAM - SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC) - SUBPOENAS AND MEDICAL CONSULTATION - SUPER H RACE - TEEN LIFE CLUBS (TLC) - VOICES - WHEELCHAIR BASKETBALL INVITATIONAL TOURNAMENT PARTNERS INCLUDE: - ADVENTURE DENTAL - ADVISORY NEIGHBORHOOD COMMISSIONERS (ANCS) - BOSTON UNIVERSITY - BOYS AND GIRLS CLUBS OF GREATER WASHINGTON - CALVARY HEALTH CARE INC. - CATHOLIC UNIVERSITY - COMMUNITY OF HOPE - DC ACTION FOR CHILDREN - DC DEPARTMENT OF HEALTH CARE FINANCE - DC PRIMARY CARE ASSOCIATION - DENTAQUEST - DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH - DISTRICT OF COLUMBIA DEPARTMENT OF TRANSPORTATION - DISTRICT OF COLUMBIA FIRE AND EMERGENCY MEDICAL SERVICES - DISTRICT OF COLUMBIA FIRE FIGHTER BURN FOUNDATION - DISTRICT OF COLUMBIA PUBLIC SCHOOLS - DUKE UNIVERSITY - GEORGETOWN UNIVERSITY - GEORGE WASHINGTON UNIVERSITY - HOLY CROSS HOSPITAL - HOWARD UNIVERSITY - JOB CORPS - KIDS SMILES OF DC - MARYMOUNT UNIVERSITY - MARY'S CENTER FOR MATERNAL AND CHILD HEALTH - METROPOLITAN POLICE DEPARTMENT - MONTGOMERY COMMUNITY COLLEGE - NATIONAL REHABILITATION HOSPITAL - NATIONAL INSTITUTES OF HEALTH (NIH) - OFFICE OF EARLY CHILDHOOD DEVELOPMENT - POISON CONTROL CENTER - PRINCE GEORGE'S COMMUNITY COLLEGE - SMALL SMILES - STREETWISE FOUNDATION - TELEMUNDO - TRINITY UNIVERSITY - UNITY HEALTH CARE - UNIVERSITY OF MARYLAND - WASHINGTON AREA BICYCLIST ASSOCIATION - WASHINGTON HOSPITAL CENTER - UNIVERSITY OF MARYLAND - WASHINGTON AREA BICYCLIST ASSOCIATION - WASHINGTON HOSPITAL CENTER - MONTGOMERY COMMUNITY COLLEGE - NATIONAL REHABILITATION HOSPITAL - NATIONAL INSTITUTES OF HEALTH (NIH) - OFFICE OF EARLY CHILDHOOD DEVELOPMENT - POISON CONTROL CENTER - PRINCE GEORGE'S COMMUNITY COLLEGE - SMALL SMILES - STREETWISE FOUNDATION - TELEMUNDO - TRINITY UNIVERSITY - UNITY HEALTH CARE - UNIVERSITY OF MARYLAND - WASHINGTON AREA BICYCLIST ASSOCIATION - WASHINGTON HOSPITAL CENTER - UNIVERSITY OF MARYLAND - WASHINGTON AREA BICYCLIST ASSOCIATION - WASHINGTON HOSPITAL CENTER Community Benefit Report Children's National Medical Center is committed to meeting its mission of Care, Advocacy, Research, and Education by growing healthy kids! In 2011, this goal was the motivation behind a number of programs and initiatives aimed at educating, treating, and preventing a wide range of diseases, as well as breaking the racial, ethnic, and socioeconomic boundaries that can be barriers to impactful health care. Because the Washington, DC metropolitan area is comprised of communities with unique and diverse medical needs, we are continually challenged to determine where the need for care is greatest, and identify key partnerships to bring meaningful services to children and their families. Last year, our administrators and staff focused their exceptional skills, talents, and energy on expanding already successful programs to reach more at-risk families and communities, while launching new ones with the promise of addressing unmet needs. The community benefit report highlights a few of these accomplishments, including the: DC Pediatric Oral Health Coalition, a group comprised of stakeholders across organizations and disciplines that share best practices and develop solutions to improve the state of pediatric oral health in the District; Healthy Teeth Fluoride Varnish Program, where over 1,400 parents in underserved communities received an education in good oral health habits, while establishing a dental home for their children; Congenital Heart Disease Screening Program, which promotes the value of early screening to prevent the risks created by delayed diagnosis; Health Education Program at the Children's National ED at United Medical Center, a program that provides much needed education on the top five ambulatory care sensitive (ACS) conditions, and the proper use of the emergency department; Focus on Youth with ImPACT, a CDC funded project, that serves both youth ages 12-15 and their parents with education on preventing HIV, as well as the risks of early sexual activity, and lastly Sickle Cell Adolescent Transition Program, which empowers and prepares kids with sickle cell anemia to successfully transition from pediatric to adult care. The Children's National family is proud of our contribution to creating and maintaining healthier communities in the District of Columbia. Working together, we can make sure that every child has the opportunity to grow up healthy. 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