2012-05-14T09:40:28-05:00 2011-06-30 PRICEWATERHOUSECOOPERS LLP 1301 K STREET NW SUITE 800W WASHINGTON DC 200053333 990 2010-07-01 530196580 Children's Hospital CHIL 3015726283 111 Michigan Avenue NW Washington DC 20010 DOUGLAS MYERS 2012-05-11 2024141000 2010 2016-02-24 21:20:13Z KURT DOUGLAS NEWMAN MD 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 961852070 false X www.childrensnational.org X 1870 DC TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESRCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES. 15 12 6907 733 601609 -1069142 20515116 30058390 782766303 820236376 -8528 509419 2723945 2821450 805996836 853625635 0 0 0 0 459964385 496071639 0 0 0 279795867 302978544 739760252 799050183 66236584 54575452 918072610 940880504 588565887 573919237 329506723 366961267 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 581455921 819739169 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 FY11 COMMUNITY BENEFIT REPORT. 581455921 true true false true false false false false false true true 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 6907 true true true true AE false false false false false false false false X 15 12 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 ALLAN BERMAN 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 WARREN GRAVES 1.0 X 0 0 0 PETER ROY HOLBROOK MD 49.0 X X 1478661 0 106155 ROBERT KEATING MD 55.0 X 812467 0 95948 ROBERT MCDOWELL MD 1.0 X 0 0 0 GREGORY O'DELL 1.0 X 0 0 0 TERRY CORNWELL RUMSEY 2.0 X 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 EDWIN K ZECHMAN JR 43.0 X X 1991316 0 106128 MARK BATSHAW MD 9.0 X 1180107 0 327006 JACQUELINE BOWENS 52.0 X 773636 0 36834 JODY BURDELL 51.0 X 1405381 0 48309 MARY ANNE HILLIARD 54.0 X 482728 0 101993 DOUGLAS MYERS 46.0 X 644458 0 102120 NELLIE ROBINSON 54.0 X 696533 0 60257 PAM KING SAMS 5.0 X 569449 0 167076 RAYMOND SCZUDLO 52.0 X 1022787 0 61492 MENDEL TUCHMAN MD 5.0 X 632950 0 101558 ROBERTA ALESSI 54.0 X 331230 0 52896 LAUREL BLAKEMORE MD 54.0 X 662566 0 50549 RANDALL BURD 55.0 X 481066 0 47338 MAX COPPES MD PHD 53.0 X 869707 0 106339 DENICE CORA-BRAMBLE MD 53.0 X 561103 0 69483 MOHAMED JAAFAR MD 55.0 X 493210 0 23880 RICHARD JONAS MD 53.0 X 1733531 0 150803 MIRIAM MARKOWITZ 53.0 X 321244 0 61523 GERARD MARTIN MD 53.0 X 856923 0 83570 KURT DOUGLAS NEWMAN MD 53.0 X 1016191 0 124102 ROGER PACKER MD 43.0 X 759322 0 206861 H GIL RUSHTON MD 55.0 X 604409 0 74520 ANTHONY SANDLER MD 55.0 X 630525 0 28348 CAROLE SCHOR 54.0 X 372324 0 80415 DAVID SPARKS 54.0 X 406319 0 81002 RAYMOND SZE MD 55.0 X 468348 0 28348 DAVID WESSEL MD 53.0 X 795255 0 87895 JOSEPH WRIGHT MD 52.0 X 582883 0 90455 GEORGE ZALZAL MD 55.0 X 507969 0 26920 MICHAEL JOHN BOYAJIAN MD 55.0 X 489719 0 20453 JEFFERY HANWAY MD 55.0 X 509710 0 14681 SHANNON KELLY MD 55.0 X 457728 0 22201 JOHN LOVEJOY MD 55.0 X 402408 0 17293 JOHN MYSEROS MD 55.0 X 611773 0 26485 JOHN COCKERHAM MD 55.0 X 198484 0 7405 26814420 0 2898641 1339 true true false NATIONAL NURSES SERVICE DEPT L-9032 COLUMBUS OH 432609032 MEDICAL NURSING SVCS 3670331 CERNER CORP 2800 ROCKCREEK PKW KANSAS CITY MO 64117 CLINICAL SYSTEM SVCS 2899535 COLONIAL PARKING 2145 K STREET NW WASHINGTON DC 20037 PARKING SERVICES 2883792 ATLANTIC SERVICES GROUP 2131 K STREET NW WASHINGTON DC 20037 PARKING SERVICES 2515077 SPM MARKETING COMMUNICATIONS 15 W HARRIS STE 300 LAGRANGE IL 60525 HEALTHCARE MKTG SVCS 1851524 131 26206584 3851806 30058390 PATIENT REVENUE 621400 746022892 746022892 FEES AND CONTRACTS 900099 15029183 15029183 ALL OTHER PROGRAM SERVICES 900099 59184301 59184301 820236376 2048705 2048705 0 0 106739886 -52737 106523241 1703194 216645 -1755931 -1539286 -1539286 0 0 0 PARTNERSHIP LOSS 621110 -1098816 -1098816 PARKING 812930 3318657 3318657 LAB FEES 621500 601609 601609 2821450 853625635 819137560 601609 3828076 0 0 0 0 30412933 30412933 0 395837877 319520200 76317677 15417092 8751930 6665162 26586811 18324205 8262606 27816926 21112924 6704002 0 1372975 66647 1306328 597075 597075 805850 805850 0 0 47025333 31714219 15311114 3050388 448239 2602149 10460387 6537594 3922793 14876918 1052168 13824750 0 24249255 15026122 9223133 7427782 1918171 5509611 0 381578 267987 113591 9618402 6213663 3404739 0 41846642 27041574 14805068 32919143 31863845 1055298 MEDICAL SUPPLIES 69741524 66797456 2944068 BAD DEBT EXPENSE 14366990 14366990 0 REPAIRS AND MAINTENANCE 15093435 5176761 9916674 OVERHEAD 2562898 2562898 0 OTHER EXPENSES 6581969 2692328 3889641 799050183 581455921 217594262 0 47459908 93509895 0 4190014 127869505 131416855 3273694 3692052 4455340 6510544 892353873 372204528 455505001 520149345 125523208 91788843 112641591 47142094 0 20000 41344363 42460862 918072610 940880504 159016453 157541208 3946869 8685472 421898909 418911526 781132 514284 2922524 -11733253 588565887 573919237 X 329506723 366961267 329506723 366961267 918072610 940880504 X 54575452 -17120908 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 537502 false true 268348 805850 false 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 $537,502. 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 563881541 253759561 310121980 235700148 117132961 118567187 91331426 1312006 90019420 520149345 CONSTRUCTION BOND FUND 46284136 F CHCA/CHIC PARTNERSHIP 832958 F INVEST IN SAFEKIDS WORLD WIDE 25000 F 47142094 0 CAPITAL LEASE OBLIGATIONS 7317472 DUE TO AFFILIATES -95026828 RESERVE FOR CLAIMS 29891796 OTHER LIABILITIES 40684307 SETTLEMENTS TO THIRD PARTY PAY 5400000 -11733253 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. THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS DURING THE YEARS ENDED JUNE 30, 2011 AND 2010. Middle East and North Africa 1 2 Program Services CONTRACTING PATIENTS 200000 Central America and the Caribbean 0 0 Program Services INSURANCE PREMIUMS 17222212 1 2 1 2 17422212 17422212 true false false false false false true true X true X 350. true X true true true false true true 23107426 23107426 0.02940 18252526 18252526 0.02330 41359952 41359952 0.05270 20 159837 24302044 24302044 0.03100 27 397 19078015 6076173 13001842 0.01660 18876918 11670060 7206858 0.00920 20000 6031036 6031036 0.00770 2 1698 52592 6431 46161 0.00010 49 181932 68340605 17752664 50587941 0.06460 49 181932 109700557 17752664 91947893 0.11730 2 136 2790 2790 2 802 96794 96794 0.00010 1 9 117246 117246 0.00010 5 947 216830 216830 0.00020 true 9444109 0 1894816 2242429 -347613 X true true 1 1 CHILDREN'S HOSPITAL

111 MICHIGAN AVENUE 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 OUTPATIENT CTR OF NORTHERN VA

8501 ARLINGTON BLVD STE 450 FAIRFAX VA 22031

REGIONAL OUTPATIENT CENTER SCHEDULE H, PART I, LINE 3C: NOT APPLICABLE 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 STAKEHOLDERS. 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 CHARGES NOT COSTS. 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. 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 $7,206,858.00 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. SCHEDULE H, PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE IN THE AMOUNT OF $14,366,990 WAS EXCLUDED FROM THE DENOMINATOR IN THE CALCULATIONS FOR PART I AND II, COLUMN F. (TOTAL EXPENSES OF $799,050,183, THE AMOUNT ON FORM 990 PART IX, LINE 25). THERE ARE NO JOINT VENTURE EXPENSES. 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. BARBARA BARLOW, MD, A FORMER CHIEF OF PEDIATRIC SURGERY AT HARLEM HOSPITAL IN NEW YORK, ESTABLISHED AN INJURY PREVENTION PROGRAM, WHICH BECAME THE MODEL FOR THE INJURY FREE COALITION FOR KIDS AS A RESPONSE TO THE LARGE NUMBER OF INJURED KIDS SHE OBSERVED AS A PHYSICIAN. HER INJURY PREVENTION PROGRAM BECAME THE MODEL FOR INJURY PREVENTION PROGRAMS AROUND THE COUNTRY AND DEVELOPED INTO THE INJURY FREE COALITION FOR KIDS AFTER DEMONSTRATING EFFECTIVENESS IN REDUCING INJURY RATES. IN THE SAME MANNER, DR. MARTIN EICHELBERGER, FORMER CHIEF OF THE EMERGENCY TRAUMA AND BURN SERVICES AT CHILDREN'S NATIONAL MEDICAL CENTER, ESTABLISHED THE SAFE KIDS CAMPAIGN, WHICH LATER BECAME SAFE KIDS WORLDWIDE, IN AN EFFORT TO PREVENT CHILDHOOD INJURIES. THROUGH BOTH ORGANIZATIONS COALITIONS SUCH AS THE INJURY PREVENTION COALITION HAVE FORMED AND GROWN TO ADDRESS ISSUES SURROUNDING INJURY PREVENTION AND SAFETY. LANDMARK SAFE KIDS RESEARCH IN 1998, "REPORT TO THE NATION ON UNINTENTIONAL CHILDHOOD INJURY," SHOWED A 26% DECLINE IN THE UNINTENTIONAL CHILD INJURY DEATH RATE OVER THE PAST DECADE. 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 CHILDREN'S 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 CONICS OF: 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. A PROGRAM WITHIN THE LABORATORY MEDICINE DEPARTMENT CONSTITUTES THE AMOUNTS REPORTED AS WORKFORCE DEVELOPMENT. THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES PREDICTS THAT THE UNITED STATES WILL FACE A SHORTAGE OF AT LEAST 125,000 PHYSICIANS BY THE YEAR 2025 AND THERE IS AN OVERALL SHORTAGE OF NURSES IN HOSPITALS ACROSS THE COUNTRY. TO ASSIST IN GARNERING THE INTEREST OF HIGH SCHOOL AND COLLEGE STUDENTS IN HEALTH CARE CAREERS, THIS PROGRAM PROVIDES HIGH SCHOOL, COLLEGE, AND SPECIAL STUDENTS WITH HANDS ON EXPERIENCE IN A CLINICAL LABORATORY. WITH RECENT POLLS AND REPORTS CITING THAT WE FACE SEVERE SHORTFALLS IN NURSING AND PHYSICIANS BY 2020, IT IS IMPERATIVE THAT WE PROVIDE PROGRAMS THAT INTRODUCE OUR STUDENTS TO PROFESSIONS IN HEALTH CARE AS EARLY AS HIGH SCHOOL AND PROMOTE SCIENCE AS EARLY AS MIDDLE SCHOOL. PROVIDING COMMUNITY BUILDING PROGRAMS THAT INTRODUCE STUDENTS TO HEALTH PROFESSIONS AND WORK EXPERIENCE WILL IN RETURN, FURTHER IMPROVE ACCESS TO HEALTH CARE SIMPLY BY PRODUCING AN INCREASE IN THE NUMBER OF DOCTORS, NURSES AND OTHER HEALTH RELATED PROFESSIONS TO MEET THE HEALTH CONCERNS OF OUR COMMUNITY, WITHOUT TURNING PATIENTS AWAY DUE TO SHORTAGES IN STAFF. IN ADDITION, IT ALSO ENHANCES THE HEALTH OF THE COMMUNITY BECAUSE MORE SERVICES CAN BE PROVIDED AS A RESULT OF A SUFFICIENT HEALTH PROFESSION WORKFORCE. ADDITIONALLY, TWO ACTIVITIES CONDUCTED BY OUR PHYSICAL MEDICINE & REHABILITATION DEPARTMENT FALL INTO THE COMMUNITY SUPPORT SUBCATEGORY OF COMMUNITY BUILDING. MEMBERS OF OUR MEDICAL FACULTY WERE ON SITE DURING COMMUNITY EVENTS TO PROVIDE ANY NECESSARY PHYSICIAN/MEDICAL SERVICES. DURING ON EVENTS, MEDICAL FACULTY WORKED TO ENSURE THAT THERE WAS SAFE PARTICIPATION IN ADAPTIVE SPORTS AND IN A RACE THAT RAISED FUNDS FOR ADAPTIVE SPORTS. 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 COMMUNITY BENEFIT. 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 2011 SETTLED COST REPORT- WORKSHEET E-3 PART IV WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6. 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. NEEDS ASSESSMENT CHILDREN'S 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 CHNA WAS 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 HEALTHY COMMUNITIES NETWORK (DC-HCN) 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-HCN, 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. ALL PROGRAMS WILL BE EVALUATED ON PROGRAM GOALS, OBJECTIVES, INDICATORS, AND RESULTS. WE EXPECT THE DC DEPARTMENT OF HEALTH TO MONITOR PROGRESS ON THE CITYWIDE IMPLEMENTATION PLAN DEVELOPED BY THE DCHCC. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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. COMMUNITY INFORMATION AS THE ONLY EXCLUSIVE PROVIDER OF PEDIATRIC CARE CENTER IN THE NATION'S CAPITOL, 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 601,723 FOR THE DISTRICT OF COLUMBIA; 5,773,552 IN MARYLAND; AND 8,001,024 IN VIRGINIA. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND UNDER MAKE UP 16.8 PERCENT OF THE POPULATION AND 23 PERCENT OF THE POPULATION IN MARYLAND AND VIRGINIA. CHILDREN AGE FIVE AND UNDER ARE 5.4 PERCENT OF THE POPULATION IN THE DISTRICT AND REPRESENT A LITTLE LESS THAN 7 PERCENT OF THE POPULATION IN MARYLAND AND VIRGINIA. IN THE DC METROPOLITAN AREA, 14.2 PERCENT OF THE POPULATION AGE FIVE AND OLDER REPORT SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME; 9.1 PERCENT ARE HISPANIC, LESS THAN 4 PERCENT ARE ASIAN/PACIFIC ISLANDER, LESS THAN 1 PERCENT ARE INDIAN, NEARLY 51 PERCENT ARE AFRICAN AMERICAN, AND 38.5 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 MEDIUM INCOMES FOR THE METROPOLITAN AREA RANGE FROM $58,906 IN THE DISTRICT; $59,372 IN VIRGINIA AND $69,193 IN MARYLAND, 17.6 PERCENT OF CHILDREN IN THE DISTRICT OF COLUMBIA LIVE BELOW THE POVERTY LINE, WHILE 9.2 PERCENT IN MARYLAND AND 10.6 PERCENT IN VIRGINIA LIVE BELOW THE POVERTY LINE. APPROXIMATELY 75,000-80,000 CHILDREN IN THE DISTRICT ARE ENROLLED IN MEDICAID. IN FY 2009, THE STATE OF MARYLAND HAS JUST OVER 361,000 ENROLLED AND VIRGINIA HAS AN ESTIMATED 450,000 CHILDREN ENROLLED IN THE PROGRAM. IN FY 2011, 77% OF ALL DISTRICT OF COLUMBIA HOSPITAL INPATIENTS ARE MEDICAID BENEFICIARIES, 47% OF ALL MARYLAND ADMISSIONS ARE MEDICAID BENEFICIARIES, AND NEARLY 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 2011 WE PROVIDED MORE THAN $23,107,426 DOLLARS 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. IN THE LAST FIVE YEARS 1,330 INTERNATIONAL FAMILIES FROM 30 COUNTRIES WERE CARED FOR 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 FIVE SPECIALTY RESEARCH CENTERS THAT INCLUDE: CENTER FOR CANCER AND IMMUNOLOGY RESEARCH, CENTER FOR CLINICAL AND COMMUNITY RESEARCH, CENTER FOR GENETIC MEDICINE RESEARCH, CENTER FOR MOLECULAR PHYSIOLOGY RESEARCH, AND THE CENTER FOR NEUROSCIENCE RESEARCH. 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 PROVIDED 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 FORTH-YEAR STUDENTS FROM GWU AND OTHER MEDICAL SCHOOLS. CLINICAL TRAINING IS PROVIDED TO 89 PEDIATRIC RESIDENTS AND 121 FELLOWS AND OTHER GRADUATE TRAINEES EACH YEAR. PROMOTION OF COMMUNITY HEALTH 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 PEDIATRIC 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 RESIDE WITHIN THE PRIMARY SERVICE AREA OF THE WASHINGTON, DC METROPOLITAN AREA, INCLUDING THE DISTRICT OF COLUMBIA, MARYLAND, AND VIRGINIA. AS 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, IN 2007 CHILDREN'S NATIONAL ESTABLISHED A STANDING COMMITTEE OF THE CHILDREN'S NATIONAL BOARD OF DIRECTORS, THE COMMITTEE ON ADVOCACY AND PUBLIC POLICY (CAPP). THE CAPP WAS COMPROMISED OF MEMBERS REPRESENTING LOCAL AND NATIONAL CHILD HEALTH ADVOCACY AND POLICY, LOCAL COMMUNITY ELECTED OFFICIALS, AND FAMILIES SERVED BY THE INSTITUTION. THE COMMITTEE SERVED AS THE MAJOR VOICE TO RECOMMEND ADVOCACY AND PUBLIC POLICY PRIORITIES FOR CHILDREN'S AND ITS ENTITIES THROUGH IDENTIFICATION AND ENDORSEMENT OF BEST PRACTICE MODELS OF PUBLIC AWARENESS, COMMUNITY EDUCATION AND PROGRAM REPLICATION, AND EVIDENCE-BASED OUTCOMES. OVER ITS 4 YEAR TENURE TO BE A VOICE FOR CHILDREN HEALTH ADVOCACY AND PUBLIC POLICY ISSUES IN THE WASHINGTON, DC REGION AND BEYOND, THE MEMBERS OF CAPP ADVOCATED FOR STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) REAUTHORIZATION; HPV VACCINE RECOMMENDATIONS; EFFECTIVE CHILDHOOD OBESITY STRATEGIES; AND HEALTH REFORM PRINCIPLES. THE WORK OF THE CAPP CALLED ATTENTION TO THE NEED FOR A HIGHER LEVEL OF ENGAGE AND THUS THE FORMATION OF AN ADVOCACY BOARD. IN 2010, THROUGH THE LEADERSHIP OF OUR CURRENT MEDICAL CENTER BOARD OF DIRECTORS, CHILDREN'S NATIONAL ESTABLISHED AN ADVOCACY BOARD, THE CHILDREN'S NATIONAL ADVOCACY AND PUBLIC POLICY, INC. (CNAPPI) TO GOVERN THE ADVOCACY COMPONENT OF OUR CARE ADVOCACY RESEARCH AND EDUCATION (CARE) MISSION AS A CHARITABLE ORGANIZATION. THE CNAPPI 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 ALSO SERVES AS CHILDREN'S NATIONAL'S DESIGNATED CLEARINGHOUSE FOR ESTABLISHING OFFICIAL POLICY POSITIONS AND ENGAGEMENT STRATEGIES ON CHILD HEALTH AND OTHER RELEVANT ISSUES. FROM COMMITTEE AND BOARDS TO COMMUNITY PARTNERSHIPS, CHILDREN'S NATIONAL HAS HAD A LONG-STANDING RELATIONSHIP WITH COMMUNITY PARTNERS, BOTH PRIVATE AND PUBLIC. IN FACT, CHILDREN'S NATIONAL SPEARHEADED THE RESPONSE TO THE COMPREHENSIVE PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FINDINGS BY COALESCING TWO PARTNERS-ONE PRIVATE, COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATION AND A PUBLIC HEALTH DEPARTMENT, TO LEAD THE IDENTIFICATION OF THE TOP HEALTH ISSUES (FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT), COME TO CONSENSUS ON THE TOP HEALTH ISSUES TO ADDRESS, AND DEVELOP, IMPLEMENT, MONITOR, AND EVALUATE A PRIORITY AGENDA ADDRESSING THE HEALTH ISSUES. THIS COMMUNITY HEALTH COLLABORATION HAS PULLED TOGETHER MORE THAN 40 ORGANIZATIONS IN THE DISTRICT OF COLUMBIA WHO ARE COMMITTED TO IMPROVING THE HEALTH OF OUR CHILDREN. CHILDREN'S HOSPITAL IS THE ONLY STAND-ALONE PEDIATRIC HOSPITAL IN THE COMMUNITY PROVIDING PRIMARY AND SPECIALTY PEDIATRIC SERVICES. CHILDREN'S NATIONAL UNDERSTANDS ITS COMMUNITIES AND THEREFORE, UTILIZES A UNIQUE MEDICAL STAFF MODEL OF DIRECTLY EMPLOYING ITS PHYSICIANS AS WELL AS PARTNERING WITH NETWORKS OF PHYSICIANS TO ENSURE ACCESS TO PRIMARY AND SPECIALTY HEALTH CARE FOR THE HIGH POPULATION OF LOW-INCOME CHILDREN INSURED BY MEDICAID THAT LIVE IN WASHINGTON, DC, MARYLAND, AND NORTHERN VIRGINIA. IN ADDITION, AS A TEACHING HOSPITAL, CHILDREN'S HOSPITAL TRAINS AND PREPARES PEDIATRICIANS AND OTHER HEALTHCARE PROFESSIONALS TO NOT ONLY PROVIDE CLINICAL BUT TO GRASP AND FULFILL THE TOTALITY OF THE CARE (CARE ADVOCACY RESEARCH EDUCATION) MISSION. AFFILIATED HEALTH CARE SYSTEM ROLES: CHILDREN'S HOSPITAL IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM. X X X X X true true X X X X X false true false false false false false false false JOHN COCKERHAM MD 179394 0 17305 0 1785 0 6820 0 585 0 205889 0 0 0 PETER ROY HOLBROOK MD 703352 0 760159 0 15150 0 12250 0 93905 0 1584816 0 0 0 ROBERT KEATING MD 675935 0 135014 0 1518 0 79850 0 16098 0 908415 0 0 0 EDWIN K ZECHMAN JR 932163 0 1009404 0 49749 0 12250 0 93878 0 2097444 0 0 0 MARK BATSHAW MD 609513 0 558946 0 11648 0 262250 0 64756 0 1507113 0 0 0 JACQUELINE BOWENS 356077 0 400880 0 16679 0 12250 0 24584 0 810470 0 0 0 JODY BURDELL 591940 0 800108 0 13333 0 12250 0 36059 0 1453690 0 0 0 MARY ANNE HILLIARD 261234 0 214366 0 7128 0 76834 0 25159 0 584721 0 0 0 DOUGLAS MYERS 408778 0 229054 0 6626 0 66330 0 35790 0 746578 0 0 0 NELLIE ROBINSON 313512 0 373847 0 9174 0 12250 0 48007 0 756790 0 0 0 PAM KING SAMS 311578 0 251137 0 6734 0 143613 0 23463 0 736525 0 0 0 RAYMOND SCZUDLO 433311 0 580332 0 9144 0 12250 0 49242 0 1084279 0 0 0 MENDEL TUCHMAN MD 353102 0 271182 0 8666 0 62626 0 38932 0 734508 0 0 0 ROBERTA ALESSI 232582 0 91565 0 7083 0 34480 0 18416 0 384126 0 0 0 LAUREL BLAKEMORE MD 492992 0 167246 0 2328 0 37251 0 13298 0 713115 0 0 0 RANDALL BURD 391185 0 88891 0 990 0 35586 0 11752 0 528404 0 0 0 MAX COPPES MD PHD 428796 0 433141 0 7770 0 76834 0 29505 0 976046 0 0 0 DENICE CORA-BRAMBLE MD 304479 0 249126 0 7498 0 43450 0 26033 0 630586 0 0 0 MOHAMED JAAFAR MD 358054 0 132318 0 2838 0 12250 0 11630 0 517090 0 0 0 RICHARD JONAS MD 1045945 0 675302 0 12284 0 95718 0 55085 0 1884334 0 0 0 MIRIAM MARKOWITZ 222520 0 91828 0 6896 0 33472 0 28051 0 382767 0 0 0 GERARD MARTIN MD 469149 0 379345 0 8429 0 49925 0 33645 0 940493 0 0 0 KURT DOUGLAS NEWMAN MD 555409 0 451221 0 9561 0 67975 0 56127 0 1140293 0 0 0 ROGER PACKER MD 413300 0 336848 0 9174 0 161750 0 45111 0 966183 0 0 0 H GIL RUSHTON MD 434149 0 165331 0 4929 0 52248 0 22272 0 678929 0 0 0 ANTHONY SANDLER MD 506780 0 122227 0 1518 0 12250 0 16098 0 658873 0 0 0 CAROLE SCHOR 260607 0 103732 0 7985 0 38034 0 42381 0 452739 0 0 0 DAVID SPARKS 281899 0 116341 0 8079 0 40330 0 40672 0 487321 0 0 0 RAYMOND SZE MD 382712 0 84646 0 990 0 12250 0 16098 0 496696 0 0 0 DAVID WESSEL MD 434439 0 351909 0 8907 0 55710 0 32185 0 883150 0 0 0 JOSEPH WRIGHT MD 315729 0 259820 0 7334 0 60922 0 29533 0 673338 0 0 0 GEORGE ZALZAL MD 422922 0 82209 0 2838 0 12250 0 14670 0 534889 0 0 0 MICHAEL JOHN BOYAJIAN MD 369014 0 116349 0 4356 0 5783 0 14670 0 510172 0 0 0 JEFFERY HANWAY MD 399498 0 109222 0 990 0 12250 0 2431 0 524391 0 0 0 SHANNON KELLY MD 374755 0 82379 0 594 0 12250 0 9951 0 479929 0 0 0 JOHN LOVEJOY MD 316734 0 85014 0 660 0 0 0 17293 0 419701 0 0 0 JOHN MYSEROS MD 518257 0 92526 0 990 0 12250 0 14235 0 638258 0 0 0 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. 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. ROBERTA ALESSI - $22,759 MARK BATSHAW, MD - $250,000 LAUREL BLAKEMORE, MD - $25,001 RANDALL BURD - $23,336 MAX COPPES, MD, PHD - $64,584 DENICE CORA-BRAMBLE, MD, - $31,200 MARY ANNE HILLIARD - $64,584 RICHARD JONAS, MD - $83,468 ROBERT KEATING, MD - $67,600 PAM KING SAMS - $131,364 MIRIAM MARKOWITZ - $22,004 GERARD MARTIN, MD - $37,675 DOUGLAS MYERS - $60,840 KURT DOUGLAS NEWMAN, MD - $55,725 ROGER PACKER, MD - $149,500 H GIL RUSHTON - $39,998 CAROLE SCHOR - $25,784 DAVID SPARKS - $28,080 MENDEL TUCHMAN, MD - $50,376 DAVID WESSEL, MD - $43,460 JOSEPH WRIGHT, MD - $48,672 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 12645266 0 889291 2909809 0 29817453 0 0 2009 false false true true 0 0 50000000 3738181 12645266 0 889291 2909809 0 29817453 0 0 2009 false false true true 0 0 3555193 233255 511928 0 63310 198654 0 2280954 0 267092 2012 false false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true UBS 29.75 true false false false false false true true UBS 29.75 true false false false false false true true UBS 29.75 true false false false false false false false false false false false false PART VI, LINE 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. 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. 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. 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. CHILDREN'S HOSPITAL'S BOARD FORMALLY ADOPTED CNMC'S WHISTELBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES DURING ITS MAY-JUNE 2011 MEETINGS. PART VI, LINE 15B: 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. PART VI, LINE 19: CHILDREN'S HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST. PART III, LINE 4A: COMMUNITY INVESTMENT CATEGORY NET BENEFIT CHARITY CARE $23,107,426 BAD DEBT 9,444,109 MEDICAID SHORTFALLS 44,935,300 MEANS-TESTED GOVERNMENT PROGRAMS 0 ------------ TOTAL UNCOMPENSATED CARE $77,486,835 COMMUNITY HEALTH IMPROVEMENT SERVICES $23,992,139 HEALTH PROFESSIONS EDUCATION 13,001,842 SUBSIDIZED HEALTH SERVICES 7,206,858 RESEARCH 6,031,036 FINANCIAL AND IN-KIND CONTRIBUTIONS 46,161 COMMUNITY BUILDING ACTIVITIES 216,830 COMMUNITY BENEFIT OPERATIONS 309,905 TOTAL COMMUNITY BENEFIT CATEGORIES 50,804,771 ------------ TOTAL COMMUNITY BENEFIT $128,291,606 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. PART III, LINE 4A, CONTINUED: ACTIVITIES PROVIDED MORE THAN $50 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2011, INCLUDING THOSE HIGHLIGHTED IN THE NARRATIVES: * 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 PART III, LINE 4A, CONTINUED: [PLACEHOLDER] PART XI, LINE 5: UBS DERIVATIVE GAIN: $ 5,822,946 UNREALIZED LOSSES: ($ 697,264) DERIVATIVE INTEREST EXPENSE: ($ 5,808,361) BEARACUDA FUNDING: ($16,382,015) PARTNERSHIP ADJUSTMENT: ($ 56,214) ------------- ($17,120,908) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHY BARKER TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALLAN BERMAN TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PETER ROY HOLBROOK MD TITLE:EVP/CHIEF MEDICAL OFFICER HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:TERRY CORNWELL RUMSEY TITLE:CHAIRMAN HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWIN K ZECHMAN JR TITLE:PRESIDENT/CEO HOURS:12 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK BATSHAW MD TITLE:EVP/CHIEF ACADEMIC OFFICER HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JACQUELINE BOWENS TITLE:EVP/EXTERNAL AFFAIRS OFFICER HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JODY BURDELL TITLE:EVP/CHIEF OPERATING OFFICER HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARY ANNE HILLIARD TITLE:CHIEF RISK OFFICER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLAS MYERS TITLE:EVP & CHIEF FINANCIAL OFFICER HOURS:9 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NELLIE ROBINSON TITLE:EVP/CHIEF NURSING/PATIENT SVCS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAM KING SAMS TITLE:EVP/ CHIEF DEVELOPMENT OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAYMOND SCZUDLO TITLE:EVP/ CHIEF LEGAL OFFICER HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MENDEL TUCHMAN MD TITLE:CHIEF RESEARCH OFFICER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERTA ALESSI TITLE:VP OPERATIONS HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LAUREL BLAKEMORE MD TITLE:CHIEF OF ORTHOPEDIC SURGERY HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MAX COPPES MD PHD TITLE:SVP CENTER OF EXCELLENCE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DENICE CORA-BRAMBLE MD TITLE:SVP CENTER OF EXCELLENCE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD JONAS MD TITLE:CHIEF OF CARDIO SURGERY HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MIRIAM MARKOWITZ TITLE:CORP VP STRATEGIC PLANNING HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GERARD MARTIN MD TITLE:SVP CENTER OF EXCELLENCE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KURT DOUGLAS NEWMAN MD TITLE:SVP CENTER OF EXCELLENCE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER PACKER MD TITLE:SVP CENTER OF EXCELLENCE HOURS:12 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CAROLE SCHOR TITLE:CORP VP HUMAN RESOURCES HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID SPARKS TITLE:VP FINANCE & CONTROLLER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID WESSEL MD TITLE:SVP CENTER OF EXCELLENCE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH WRIGHT MD TITLE:SVP CENTER OF EXCELLENCE HOURS:3 CHILDREN'S NATIONAL SPECIALISTS OF VA 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 264571100 HEALTH CARE DC -2251033 0 NA CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640403 HEALTH CARE DC 501(C)(3) 11B, II NA CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640402 FUNDRAISING DC 501(C)(3) 7 CNMC CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521654453 RESEARCH DC 501(C)(3) 9 CNMC CHILDREN'S HOSPITAL SELF INSURANCE TRUST 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640399 INSURANCE DC 501(C)(3) 11C, III-FI CH SAFE KIDS WORLDWIDE 1301 PENNSYLVANIA AVENUE NW WASHINGTON DC 20004 521627574 INJURY PRVNTN DC 501(C)(3) 11A, I CNMC BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271547370 SUMMER CAMPS DC 501(C)(3) 11A, I CH CHILDREN'S NATL ADVOCACY PUBLIC POLICY 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271564354 ADVOCACY DC 501(C)(3) 11B, II CNMC CHILDREN'S PEDIATRICIANS ASSOCIATES LLC 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 HEALTH CARE DC NA RELATED -1098816 5281724 false 0 false 0.50000 CHILDREN'S NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521996521 HEALTH CARE DC NA C SAFE KIDS WORLDWIDE LTD PO BOX 916 ROAD TOWN TORTOLA, VIRGIN ISLANDS VQ INJURY PREVEN VQ NA C BEARACUDA RE PO BOX 69 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 REINSURANCE CJ NA C BEAR CUB REINSURANCE LTD PO BOX 69 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 REINSURANCE CJ NA C false true true true true false false false true true true true true true true true true true CHILDREN'S HOSPITAL SELF-INSURANCE TRUST Q 32444795 BRAINY CAMPS ASSOCIATION P 269803