CHILDRENS HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL (EIN 53-0196580)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201101369349300545
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T11:44:36-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1301 K STREET NW SUITE 800W	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20005	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	530196580	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	3015726283	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID SPARKS	Name
Title	VP FINANCE & CONTROLLER	Title
Date Signed	2011-05-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2024141000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWARD K ZECHMAN JR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	1068500915	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.childrensnational.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1870	YearFormation
State Legal Domicile	DC	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESRCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	6208	TotalNbrEmployees
Total Nbr Volunteers	458	TotalNbrVolunteers
Total Gross UBI	660963	TotalGrossUBI
Net Unrelated Business Txbl Income	-987902	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	14152329	ContributionsGrantsPriorYear
Contributions Grants Current Year	20515116	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	707899191	ProgramServiceRevenuePriorYear
Program Service Revenue CY	782766303	ProgramServiceRevenueCY
Investment Income Prior Year	4904027	InvestmentIncomePriorYear
Investment Income Current Year	-8528	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3320064	OtherRevenuePriorYear
Other Revenue Current Year	2723945	OtherRevenueCurrentYear
Total Revenue Prior Year	730275611	TotalRevenuePriorYear
Total Revenue Current Year	805996836	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	409842731	SalariesEtcPriorYear
Salaries Etc Current Year	459964385	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	279598703	OtherExpensePriorYear
Other Expenses Current Year	279795867	OtherExpensesCurrentYear
Total Expenses Prior Year	689441434	TotalExpensesPriorYear
Total Expenses Current Year	739760252	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	40834177	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	66236584	RevenuesLessExpensesCY
Total Assets BOY	851234586	TotalAssetsBOY
Total Assets EOY	918072610	TotalAssetsEOY
Total Liabilities BOY	557244992	TotalLiabilitiesBOY
Total Liabilities EOY	588565887	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	293989594	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	329506723	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	539401028	Expense
Grants	0	Grants
Revenue	782766303	Revenue
Description	CHILDREN'S HOSPITAL OPERATES AN ACUTE CARE PEDIATRIC AND TEACHING FACILITY IN WASHINGTON, DC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) IS THE PARENT COMPANY OF THE HOSPITAL. CNMC AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND YOUTH IN WASHINGTON, DC AND THE SURROUNDING METROPOLITAN AREA. SEE SCHEDULE O FOR COMPLETE FY10 COMMUNITY BENEFIT REPORT.	Description
Total Program Service Expense	539401028	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	980	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6208	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	AE	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	DC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (51 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JOHN COCKERHAM MD
PRES MEDICAL STAFF (THRU 6/10)	55.0	X	261526	0	11494
ALLAN BERMAN
BOARD MEMBER	1.0	X	0	0	0
MARY KATE CARY
BOARD MEMBER (THRU 6/10)	1.0	X	0	0	0
ELIZABETH DUGGAL
BOARD MEMBER	1.0	X	0	0	0
DEBRA FRIEDMAN
BOARD MEMBER	1.0	X	0	0	0
ALBERTO GOMEZ
BOARD MEMBER	1.0	X	0	0	0
WARREN GRAVES
BOARD MEMBER	1.0	X	0	0	0
KATHY KIES
BOARD MEMBER (THRU 6/10)	1.0	X	0	0	0
ROBERT MCDOWELL MD
BOARD MEMBER	1.0	X	0	0	0
GREGORY O'DELL
BOARD MEMBER	1.0	X	0	0	0
MARY HELEN THOMPSON
BOARD MEMBER (AS OF 1/2010)	1.0	X	0	0	0
PETER ROY HOLBROOK MD
EVP/ CHIEF MEDICAL OFFICER	50.0	X	1385390	0	67585	X
TERRY CORNWELL RUMSEY
CHAIRMAN	2.0	X	0	0	0	X
IVAN SABEL
SECRETARY/TREASURER	2.0	X	0	0	0	X
CAROLYN THORNELL
VICE CHAIRMAN	2.0	X	0	0	0	X
EDWIN K ZECHMAN JR
PRESIDENT/CEO	44.0	X	2344392	0	29566	X
MARK BATSHAW MD
EVP/ CHIEF ACADEMIC OFFICER	11.0		1114143	0	282546	X
JACQUELINE BOWENS
EVP/ EXTERNAL AFFAIRS OFFICER	44.0		750873	0	47566	X
JODY BURDELL
EVP/ CHIEF OPERATING OFFICER	44.0		1519813	0	28858	X
MARY ANNE HILLIARD
CHIEF RISK OFFICER	54.0		452070	0	70793	X
DOUGLAS MYERS
EVP & CHIEF FINANCIAL OFFICER	50.0		372263	0	44634	X
NELLIE ROBINSON
EVP/CHIEF NURSING/PATIENT SVCS	50.0		649024	0	35968	X
PAM KING SAMS
EVP/CHIEF DEVELOPMENT OFFICER	6.0		524750	0	60376	X
RAYMOND SCZUDLO
EVP/ CHIEF LEGAL OFFICER	44.0		1144080	0	29707	X
MENDEL TUCHMAN MD
CHIEF RESEARCH OFFICER	6.0		564418	0	75437	X
ROBERTA ALESSI
VP OPERATIONS	52.0		272714	0	45518		X
LAUREL BLAKEMORE MD
CHIEF OF ORTHOPEDIC SURGERY	54.0		500011	0	48015		X
RANDALL BURD
CHIEF OF TRAUMA	55.0		471286	0	17323		X
MAX COPPES MD
SVP CENTER OF EXCELLENCE	28.0		752408	0	96445		X
DENICE CORA-BRAMBLE MD
SVP CENTER OF EXCELLENCE	52.0		528650	0	59591		X
MOHAMED JAAFAR MD
CHIEF OF OPHTHALMOLOGY	55.0		471810	0	17440		X
RICHARD JONAS MD
CHIEF OF CARDIO SURGERY	52.0		1697443	0	103789		X
ROBERT KEATING MD
CHIEF OF NEUROSURGERY	55.0		692910	0	399538		X
MIRIAM MARKOWITZ
CORP VP STRATEGIC PLANNING	44.0		260641	0	48022		X
GERARD MARTIN MD
SVP CENTER OF EXCELLENCE	54.0		808287	0	75529		X
KURT DOUGLAS NEWMAN MD
SVP CENTER OF EXCELLENCE	52.0		912524	0	81249		X
ROGER PACKER MD
SVP CENTER OF EXCELLENCE	54.0		712464	0	191897		X
H GIL RUSHTON MD
CHIEF OF UROLOGY	55.0		536106	0	13315		X
ANTHONY SANDLER MD
CHIEF OF PEDIATRIC SURGERY	55.0		550014	0	18902		X
CAROLE SCHOR
CORP VP HUMAN RESOURCES	44.0		319309	0	50477		X
DAVID SPARKS
VP FINANCE & CONTROLLER	54.0		300592	0	41404		X
RAYMOND SZE MD
CHIEF OF DI AND RADIOLOGY	55.0		399069	0	19690		X
DAVID WESSEL MD
SVP CENTER OF EXCELLENCE	28.0		670978	0	77188		X
JOSEPH WRIGHT MD
SVP CENTER OF EXCELLENCE	54.0		545763	0	83512		X
GEORGE ZALZAL MD
CHIEF OF OTOLARYGOLOGY	55.0		488314	0	19440		X
MICHAEL JOHN BOYAJIAN MD
SECTION HEAD PLASTIC SURGERY	55.0		492836	0	19440			X
JEFFREY HANWAY MD
ORTHOPEDIC SURGEON	55.0		520037	0	13064			X
SHANNON KELLY MD
ORTHOPEDIC SURGEON	55.0		501843	0	15537			X
JOHN LOVEJOY MD
ORTHOPEDIC SURGEON	55.0		414857	0	5305			X
JOHN MYSEROS MD
NEUROSURGEON	55.0		612512	0	18436			X
GARY MANION
FORMER OFFICER	0.0		368547	0	6876				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	25884667	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2371472	TotalOtherCompensation
Number Individuals GT100 K	1066	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HITT CONTRACTING INC
2900 FAIRVIEW PARK DRIVE	FALLS CHURCH	VA	22042	CONSTRUCTION	37985885
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	FOOD/NUTRITION SVCS	8359904
THE WHITING-TURNER CO
300 E JOPPA ROAD	BALTIMORE	MD	21286	CONSTRUCTION	4647883
NATIONAL NURSES SERVICE
25 WINCHESTER STREET	WARRENTON	VA	20186	STAFFING SERVICES	3731596
ANR CONSRTUCTION
3149 HAWTHORNE DRIVE NE	WASHINGTON	DC	20017	CONSTRUCTION	2691217

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	108	NumberOfContractorsGT100K
Related Organizations	13470185	RelatedOrganizations
All Other Contributions	7044931	AllOtherContributions
Total Contributions	20515116	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	621400	709160085	709160085
FEES AND CONTRACTS	900099	10379344	10379344
ALL OTHER PROGRAM SERVICES	900099	63226874	63226874

Field	Value	IRS element (for citing)
Total Program Service Revenue	782766303	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1198972	TotalRevenueColumn
Exclusion	$1,198,972	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	261243670	Securities
Other	52909	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	259761384	Securities
Other	2742695	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1482286	Securities
Other	-2689786	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1207500	TotalRevenueColumn
Exclusion	-$1,207,500	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PARTNERSHIP LOSS	621110	-1292346	-1292346
PARKING	812930	3355328		$3,355,328
LAB FEES	621500	660963			660963

Field	Value	IRS element (for citing)
Total Other Revenue	2723945	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	805996836	TotalRevenueColumn
Related Or Exempt Function Income	781473957	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	660963	UnrelatedBusinessRevenue
Exclusion	$3,346,800	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	28256137	Total
Management And General	28256137	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	367766216	Total
Program Services	298341110	ProgramServices
Management And General	69425106	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13938916	Total
Program Services	7641536	ProgramServices
Management And General	6297380	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	24611649	Total
Program Services	16035095	ProgramServices
Management And General	8576554	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	25391467	Total
Program Services	19769516	ProgramServices
Management And General	5621951	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	499072	Total
Management And General	499072	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	700811	Total
Management And General	700811	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	722069	Total
Management And General	722069	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36783399	Total
Program Services	24815220	ProgramServices
Management And General	11968179	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3893822	Total
Program Services	691517	ProgramServices
Management And General	3202305	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7080690	Total
Program Services	3115323	ProgramServices
Management And General	3965367	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10683681	Total
Program Services	126772	ProgramServices
Management And General	10556909	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	23308192	Total
Program Services	14191839	ProgramServices
Management And General	9116353	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	8161161	Total
Program Services	2739769	ProgramServices
Management And General	5421392	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	148677	Total
Program Services	146467	ProgramServices
Management And General	2210	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10014477	Total
Program Services	6450824	ProgramServices
Management And General	3563653	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	38205724	Total
Program Services	24610007	ProgramServices
Management And General	13595717	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	24819451	Total
Program Services	23813509	ProgramServices
Management And General	1005942	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	66723039	63722137	3000902
BAD DEBT EXPENSE	17492888	17492888
REPAIRS AND MAINTENANCE	13045724	4157307	8888417
SPECIAL PURPOSE FUND	1684017	1684017
OVERHEAD	2332827	2332827

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	13496146	Total
Program Services	7523348	ProgramServices
Management And General	5972798	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	739760252	Total
Program Services	539401028	ProgramServices
Management And General	200359224	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	63321906	BOY
EOY	47459908	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	131002096	BOY
EOY	127869505	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

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

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3393893	BOY
EOY	3273694	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3452602	BOY
EOY	4455340	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	800319367	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	344814366	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	382102914	BOY
EOY	455505001	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	53199126	BOY
EOY	125523208	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	175188792	BOY
EOY	112641591	EOY

Intangible Assets IntangibleAssets

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

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	39573257	BOY
EOY	41344363	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	851234586	BOY
EOY	918072610	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	132754446	BOY
EOY	159016453	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	7205107	BOY
EOY	3946869	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	422953110	BOY
EOY	421898909	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1808893	BOY
EOY	781132	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	-7476564	BOY
EOY	2922524	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	557244992	BOY
EOY	588565887	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	293989594	BOY
EOY	329506723	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	293989594	BOY
EOY	329506723	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	851234586	BOY
EOY	918072610	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$481,620	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$240,449	OtherActivitiesAmount
Total Lobbying Expenditures IIB	722069	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

SCHEDULE C, PART II-B, LINE 1B:

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 $481,620.

SCHEDULE C, PART II-B, LINE 1I:

THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). NACH HAS CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	496691654	OtherCostOrOtherBasis
Depreciation	232326464	Depreciation
Book Value	264365190	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	224430226	OtherCostOrOtherBasis
Depreciation	109525710	Depreciation
Book Value	114904516	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	77756729	OtherCostOrOtherBasis
Depreciation	2962192	Depreciation
Book Value	74794537	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	455505001	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CONSTRUCTION BOND FUND	111784786	F
CHCA/CHIC PARTNERSHIP	831805	F
INVEST IN SAFEKIDS WORLD WIDE	25000	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	112641591	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CAPITAL LEASE OBLIGATIONS	$10,097,103
DUE TO AFFILIATES	-$83,890,754
RESERVE FOR CLAIMS	$26,269,269
OTHER LIABILITIES	$45,846,906
SETTLEMENTS TO THIRD PARTY PAYORS	$4,600,000

Field	Value	IRS element (for citing)
Total Of Amounts	2922524	TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Middle East and North Africa	1	2	Program Services	CONTRACTING PATIENTS	136336
Central America and the Caribbean	0	0	Program Services	INSURANCE PREMIUMS	13535000

Field	Value	IRS element (for citing)
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	2	TotalNumberOfEmployees
Total Amount Spent	13671336	TotalAmountSpent

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17886519	TotalCommunityBenefitExpense
Net Community Benefit Expense	17886519	NetCommunityBenefitExpense
Percent Of Total Expense	0.02480	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37798213	TotalCommunityBenefitExpense
Net Community Benefit Expense	37798213	NetCommunityBenefitExpense
Percent Of Total Expense	0.05230	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55684732	TotalCommunityBenefitExpense
Net Community Benefit Expense	55684732	NetCommunityBenefitExpense
Percent Of Total Expense	0.07710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	143499	PersonsServed
Total Community Benefit Expense	22847646	TotalCommunityBenefitExpense
Direct Offsetting Revenue	635256	DirectOffsettingRevenue
Net Community Benefit Expense	22212390	NetCommunityBenefitExpense
Percent Of Total Expense	0.03080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	150	PersonsServed
Total Community Benefit Expense	15546790	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6568451	DirectOffsettingRevenue
Net Community Benefit Expense	8978339	NetCommunityBenefitExpense
Percent Of Total Expense	0.01240	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18071141	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9707459	DirectOffsettingRevenue
Net Community Benefit Expense	8363682	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	7000	PersonsServed
Total Community Benefit Expense	9976972	TotalCommunityBenefitExpense
Net Community Benefit Expense	9976972	NetCommunityBenefitExpense
Percent Of Total Expense	0.01380	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	5908	PersonsServed
Total Community Benefit Expense	44405	TotalCommunityBenefitExpense
Net Community Benefit Expense	44405	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	156557	PersonsServed
Total Community Benefit Expense	66486954	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16911166	DirectOffsettingRevenue
Net Community Benefit Expense	49575788	NetCommunityBenefitExpense
Percent Of Total Expense	0.06870	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	156557	PersonsServed
Total Community Benefit Expense	122171686	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16911166	DirectOffsettingRevenue
Net Community Benefit Expense	105260520	NetCommunityBenefitExpense
Percent Of Total Expense	0.14580	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	150	PersonsServed
Total Community Building Expense	595	TotalCommunityBuildingExpense
Net Community Building Expense	595	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	1000	PersonsServed
Total Community Building Expense	85005	TotalCommunityBuildingExpense
Net Community Building Expense	85005	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	294380	TotalCommunityBuildingExpense
Net Community Building Expense	294380	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	349	PersonsServed
Total Community Building Expense	139163	TotalCommunityBuildingExpense
Net Community Building Expense	139163	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	1499	PersonsServed
Total Community Building Expense	519143	TotalCommunityBuildingExpense
Net Community Building Expense	519143	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,994,204	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	2387261	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2712801	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-325540	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

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

Address Address

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

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	PART I, LINE 3C: NOT APPLICABLE	IncomeBasedCriteria
Annual Community Benefit Expln	PART I, LINE 6A: CHILDREN'S NATIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THE REPORT IS POSTED TO OUR WEBSITE AND DISTRIBUTED TO THE PUBLIC. ATTACHED IS THE FY 2010 COMMUNITY BENEFIT REPORT.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	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 1, LINE 7G INCLUDES $8,363,682.00 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.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	PART I, LINE 7, COLUMN (F): BAD DEBT EXPENSE IN THE AMOUNT OF $17,499,280 WAS EXCLUDED FROM THE DENOMINATOR IN THE CALCULATIONS FOR PART I AND II, COLUMN F. (TOTAL EXPENSES OF $739,760,252, THE AMOUNT ON FORM 990 PART IX, LINE 25). THERE ARE NO JOINT VENTURE EXPENSES.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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.	BadDebtFootnote
Shortfall As Community Benefit	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 2010 SETTLED COST REPORT- WORKSHEET E-3 PART IV WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Needs Assessment	CHILDREN'S NATIONAL MEDICAL CENTER STRATEGICALLY ADDRESSES PUBLIC HEALTH ISSUES AFFECTING OUR PEDIATRIC POPULATIONS IN WASHINGTON, DC AND NEIGHBORING VIRGINIA AND MARYLAND. IN ORDER TO PROVIDE A TARGETED, MEANINGFUL APPROACH AND TO BE IN ADHERENCE WITH OUR HOSPITAL COMMUNITY BENEFIT PROGRAM AS A NOT-FOR-PROFIT ORGANIZATION, CHILDREN'S NATIONAL THROUGH THE CHILD HEALTH ADVOCACY INSTITUTE (CHAI) EMBARKED ON CONDUCTING THE FIRST COMPREHENSIVE PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE DISTRICT OF COLUMBIA. THIS PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS OUTSOURCED TO THE RAND CORPORATION, WAS THE FIRST OF ITS KIND THAT APPROPRIATELY ADDRESSED AND IDENTIFIED THE UNIQUE HEALTH NEEDS OF CHILDREN LIVING IN WASHINGTON, DC. THIS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBED THE HEALTH STATUS AND ACCESS TO HEALTH CARE AMONG DISTRICT CHILDREN, ASSESSED THE HEALTH ENVIRONMENT FOR DC YOUTH, AND CONSIDERED VARIOUS HEALTH CARE POLICY OPTIONS FOR FUTURE NEEDS. A HOST OF DATA SOURCES WERE USED TO ACHIEVE A SOUND AND EXTENSIVE ANALYSIS OF HEALTH CONDITIONS, HEALTH BEHAVIOR, AND HOSPITAL DISCHARGE AND CLAIM DATA. IN ADDITION, FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE CITY THAT WERE COMPRISED OF PARENTS OF CHILDREN, TEENAGERS, AND HEALTHCARE PROVIDERS WHICH PROVIDED QUALITATIVE MEASURES. THE FINDINGS FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SUBSEQUENT ASSESSMENTS 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 CHANGE; IDENTIFICATION OF ADVOCACY-BASED RESEARCH AND EDUCATION PRIORITIES; AND WILL PROVIDE BASELINE MEASURES FOR THE STRATEGIC APPROACH THAT CHILDREN'S NATIONAL WILL TAKE. MOVING FORWARD, CHILDREN'S NATIONAL IS NOW PROCEEDING WITH THE PLANNING FOR THE NEXT NEEDS ASSESSMENT WORK WHICH WILL BUILD OFF OF THIS FIRST TIME EXTENSIVE 2009 NEEDS ASSESSMENT CONDUCTED. CHILDREN'S NATIONAL WILL PARTICIPATE IN A NEEDS ASSESSMENT EVERY THREE YEARS TO REVIEW AND EVALUATE CHANGES IN PREVIOUSLY IDENTIFIED PRIORITY AREAS AS WELL IDENTIFY ANY NEW POPULATION THREATS AFFECTING OUR PEDIATRIC POPULATION IN THE DISTRICT. CHILDREN'S NATIONAL WILL PARTAKE IN CONTINUED EDUCATION TO EXTERNAL AND INTERNAL STAKEHOLDERS ON THE FINDINGS OF NEEDS ASSESSMENT REPORTS WHILE BRINGING ALL AGENCIES/ORGANIZATIONS WITHIN THE CITY THAT WORK ON YOUTH RELATED AGENDAS TOGETHER TO PRIORITIZE ON THE OVERALL CITY-WIDE APPROACH THAT WILL BE USED. INTERNALLY, THE CHILDREN'S NATIONAL ADVOCACY AND PUBLIC POLICY, INC. WILL HAVE THE ULTIMATE RESPONSIBILITY AND FUNCTION TO DETERMINE THE PRIORITY AGENDA BASED ON THE INCORPORATION AND INTEGRATION OF FINDINGS FROM THE NEEDS ASSESSMENT ALONG WITH BOTH THE CHILDREN'S NATIONAL AND CHAI STRATEGIC PLAN AS WELL AS THE PRIORITIZATION TOOL RESULTS. THE PRIORITIZATION TOOL WAS INTERNALLY DEVELOPED WITHIN OUR ADVOCACY AND COMMUNITY AFFAIRS DEPARTMENT WHICH HOUSES THE COMMUNITY BENEFIT OPERATIONS STAFF AND IS USED TO ASSESS FEASIBILITY AND OVERALL IMPACT OF PROGRAMS. ONGOING EVALUATION AND MONITORING WILL TAKE PLACE BY OUR CHILD HEALTH DATA LAB ON COMMUNITY BENEFIT PROGRAMS TO DEMONSTRATE THAT PROGRAMS ARE EFFECTIVELY MEETING CRITICAL COMMUNITY HEALTH NEEDS. ALL PROGRAMS WILL BE EVALUATED ON PROGRAM GOALS, OBJECTIVES, INDICATORS, AND RESULTS.	NeedsAssessment
Patient Education 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.	PatientEducationAssistance
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 599,657 FOR THE DISTRICT OF COLUMBIA; 5,699,478 IN MARYLAND; AND 7,882,590 IN VIRGINIA. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND UNDER MAKE UP 19 PERCENT OF THE POPULATION AND 23 PERCENT OF THE POPULATION IN MARYLAND AND VIRGINIA. CHILDREN AGE FIVE AND UNDER ARE 6.2 PERCENT OF THE POPULATION IN THE DISTRICT AND REPRESENT JUST FEWER THAN 7 PERCENT OF THE POPULATION IN MARYLAND AND VIRGINIA. IN THE DC METROPOLITAN AREA, 21 PERCENT OF THE POPULATION AGE FIVE AND OLDER REPORT SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME; 86.4 PERCENT ARE HISPANIC, 83.4 PERCENT ARE ASIAN/PACIFIC ISLANDER, 22.5 PERCENT ARE INDIAN, 10.2 PERCENT ARE AFRICAN AMERICAN, AND 8.2 PERCENT ARE NON-HISPANIC 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. 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 $58,553 IN THE DISTRICT; $61,210 IN VIRGINIA AND $70,482 IN MARYLAND, 16.9 PERCENT OF CHILDREN IN THE DISTRICT OF COLUMBIA LIVE BELOW THE POVERTY LINE, WHILE 8.2 PERCENT IN MARYLAND AND 10.2 PERCENT IN VIRGINIA LIVE BELOW THE POVERTY LINE. APPROXIMATELY 75,000-80,000 CHILDREN IN THE DISTRICT ARE ENROLLED IN MEDICAID. THE STATE OF MARYLAND HAS JUST OVER 361,000 ENROLLED AND VIRGINIA HAS AN ESTIMATED 450,000 CHILDREN ENROLLED IN THE PROGRAM. IN FY 2009, 75% OF ALL DISTRICT OF COLUMBIA HOSPITAL INPATIENTS ARE MEDICAID BENEFICIARIES, 47% OF ALL MARYLAND ADMISSIONS ARE MEDICAID BENEFICIARIES, AND NEARLY 30% 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 FY2010 WE PROVIDED MORE THAN $60 MILLION DOLLARS IN UNCOMPENSATED CARE. IN 2009, WE ALSO CONDUCTED THE FIRST COMPREHENSIVE PEDIATRIC HEALTH NEEDS ASSESSMENT FOR THE DISTRICT OF COLUMBIA. THE ASSESSMENT DESCRIBED THE HEALTH STATUS AND ACCESS TO HEALTH CARE AMONG DISTRICT CHILDREN, ASSESSED THE HEALTH ENVIRONMENT FOR DC YOUTH AND CONSIDERED VARIOUS HEALTH CARE POLICY OPTIONS FOR FUTURE NEEDS. CHILDREN'S NATIONAL IS WORKING IN AN ONGOING COLLABORATION WITH OTHER LOCAL HOSPITALS, ORGANIZATIONS AND GOVERNMENT ENTITIES TO DEVELOP A STRATEGIC PLAN TO ADDRESS THESE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT HEALTH CONCERNS FROM FUTURE ASSESSMENTS. SEVERAL OF THE IDENTIFIED HEALTH CONCERNS FROM THE NEEDS ASSESSMENT ARE ALSO FOUND IN THE STATE POLICY GOALS FOR MARYLAND AND VIRGINIA AND IN THE DISTRICT OF COLUMBIA'S INITIATIVES. THEY INCLUDE: OBESITY, TEEN PREGNANCY, HIV INFECTION, ASTHMA, ACCESS TO HEALTH SERVICES AND PREVENTION OF CHILD MALTREATMENT TO NAME A FEW. BASED ON THE 2009 HEALTH NEEDS ASSESSMENT, IN 2010, WE IMPLEMENTED A COMMUNITY ENGAGEMENT PROJECT TO BRING TOGETHER PUBLIC, PRIVATE, AND INDIVIDUAL STAKEHOLDERS TO DEVELOP AN IMPLEMENTATION STRATEGY ADDRESSING THE KEY PRIORITIES. IN 2009, WE HELD ONE FORUM AND IN 2010, WE HAVE HELD TWO ADDITIONAL FORUMS WITH A 4TH (IN TOTAL) FORUM SCHEDULED IN JUNE 2011. THE CITYWIDE FORUMS ARE WELL ATTENDED WITH OVER 90 PERSONS REPRESENTING MORE THAN 40 PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUAL CITIZENS. THROUGH THIS EFFORT, 6 HEALTH ISSUES AND ONE BUILT ENVIRONMENT/SYSTEMATIC ISSUE WERE PRIORITIZED AND AN ACTION PLAN WITH GOALS, OBJECTIVES, AND STRATEGIES IS BEING DEVELOPED TO BE PUBLISHED IN SEPTEMBER 2010. THE AIM IS TO IMPROVE POPULATION-BASED HEALTH AROUND THE IDENTIFIED PRIORITY HEALTH ISSUES. THE PUBLISHED PLAN ACTIVITIES WILL BE TRACKED, MONITORED, AND EVALUATED UTILIZING THE CHILDREN'S NATIONAL CHILD HEALTH DATA LAB. 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 MORE THAN 50 COUNTRIES AROUND THE WORLD SEEKING CARE FOR THEIR CHILDREN AT OUR INSTITUTION. 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. 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. 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), 45 THIRD-YEAR MEDICAL STUDENTS FROM HOWARD UNIVERSITY, AND 100 FORTH-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.	CommunityInformation
Community Building Activities	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 IN THE SUBCATEGORIES OF COALITION BUILDING 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. SEVERAL PROGRAMS CONSTITUTE 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, CHILDREN'S NATIONAL GIVES STUDENTS AN UP-CLOSE, FIRST-HAND LOOK AT PATIENT CARE AND CLINICAL SERVICES THROUGH DEPARTMENTAL TOURS, A SPEAKERS' PANEL, AND ONE-ON-ONE DISCUSSIONS WITH PROFESSIONALS AND EXPERIENCED STAFF MEMBERS GUIDE STUDENTS THROUGH A SERIES OF LECTURES. ONE OF THE PROGRAMS PROVIDES EXPERIMENTS USING SCENARIOS AND SAMPLES THAT MIRROR THE WORK THEY MIGHT UNDERTAKE IN A MEDICAL TECHNOLOGY PROGRAM. 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 THAT WE PROMOTE SCIENCE AS EARLY AS MIDDLE SCHOOL. PROVIDING COMMUNITY BUILDING PROGRAMS THAT INTRODUCE STUDENTS TO A VARIETY OF 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.	CommunityBuildingActivities
Other Information	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. AS CHILDREN'S NATIONAL IMPLEMENTS ITS FIVE YEAR STRATEGIC PLAN, WE WILL CONTINUE TO PUT OUR COMMUNITY AND THE PROMOTION OF ITS HEALTH AS A PRIORITY AND A CORE ORGANIZATIONAL PRINCIPLE.	OtherInformation
Affiliated Health Care System	CHILDREN'S HOSPITAL IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.	AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (38 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN COCKERHAM MD
213852	0	44808	0	2866	0	10930	0	564	0	273020	0	0	0
MARK BATSHAW MD
599641	0	408197	0	106305	0	262250	0	20296	0	1396689	0	0	0
PETER ROY HOLBROOK MD
694501	0	473878	0	217011	0	44250	0	23335	0	1452975	0	0	0
JACQUELINE BOWENS
351889	0	244936	0	154048	0	36750	0	10816	0	798439	0	0	0
JODY BURDELL
580599	0	502362	0	436852	0	12250	0	16608	0	1548671	0	0	0
MARY ANNE HILLIARD
258804	0	186158	0	7108	0	53096	0	17697	0	522863	0	0	0
DOUGLAS MYERS
260637	0	50000	0	61626	0	39000	0	5634	0	416897	0	0	0
NELLIE ROBINSON
309470	0	214756	0	124798	0	12250	0	23718	0	684992	0	0	0
PAM KING SAMS
306999	0	211017	0	6734	0	43613	0	16763	0	585126	0	0	0
RAYMOND SCZUDLO
426133	0	451958	0	265989	0	12250	0	17457	0	1173787	0	0	0
MENDEL TUCHMAN MD
329327	0	226458	0	8633	0	60688	0	14749	0	639855	0	0	0
EDWIN K ZECHMAN JR
936880	0	825363	0	582149	0	12250	0	17316	0	2373958	0	0	0
ROBERTA ALESSI
206505	0	58854	0	7355	0	34723	0	10795	0	318232	0	0	0
LAUREL BLAKEMORE MD
325311	0	172060	0	2640	0	37251	0	10764	0	548026	0	0	0
RANDALL BURD
401760	0	68356	0	1170	0	8961	0	8362	0	488609	0	0	0
MAX COPPES MD
473320	0	271318	0	7770	0	76834	0	19611	0	848853	0	0	0
DENICE CORA-BRAMBLE MD
304566	0	216586	0	7498	0	43450	0	16141	0	588241	0	0	0
MOHAMED JAAFAR MD
354949	0	113635	0	3226	0	12250	0	5190	0	489250	0	0	0
RICHARD JONAS MD
1193435	0	491724	0	12284	0	93287	0	10502	0	1801232	0	0	0
ROBERT KEATING MD
582288	0	108447	0	2175	0	392098	0	7440	0	1092448	0	0	0
MIRIAM MARKOWITZ
195383	0	58222	0	7036	0	33571	0	14451	0	308663	0	0	0
GERARD MARTIN MD
464149	0	335798	0	8340	0	59625	0	15904	0	883816	0	0	0
KURT DOUGLAS NEWMAN MD
546673	0	356290	0	9561	0	67975	0	13274	0	993773	0	0	0
ROGER PACKER MD
408458	0	294865	0	9141	0	174650	0	17247	0	904361	0	0	0
H GIL RUSHTON MD
415195	0	117557	0	3354	0	12250	0	1065	0	549421	0	0	0
ANTHONY SANDLER MD
495439	0	53360	0	1215	0	12250	0	6652	0	568916	0	0	0
CAROLE SCHOR
232625	0	78221	0	8463	0	37601	0	12876	0	369786	0	0	0
DAVID SPARKS
251284	0	41229	0	8079	0	27000	0	14404	0	341996	0	0	0
RAYMOND SZE MD
363421	0	34494	0	1154	0	12250	0	7440	0	418759	0	0	0
DAVID WESSEL MD
425849	0	236222	0	8907	0	55710	0	21478	0	748166	0	0	0
JOSEPH WRIGHT MD
311355	0	227074	0	7334	0	60922	0	22590	0	629275	0	0	0
GEORGE ZALZAL MD
424631	0	60277	0	3406	0	12250	0	7190	0	507754	0	0	0
MICHAEL JOHN BOYAJIAN MD
374009	0	115555	0	3272	0	12250	0	7190	0	512276	0	0	0
JEFFREY HANWAY MD
418380	0	100482	0	1175	0	12250	0	814	0	533101	0	0	0
SHANNON KELLY MD
392100	0	109052	0	691	0	12250	0	3287	0	517380	0	0	0
JOHN LOVEJOY MD
329929	0	84190	0	738	0	0	0	5305	0	420162	0	0	0
JOHN MYSEROS MD
534760	0	76472	0	1280	0	12250	0	6186	0	630948	0	0	0
GARY MANION
110175	0	59016	0	199356	0	0	0	6876	0	375423	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
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 4A	GARY MANION DID NOT WORK IN 2009, BUT, IN ACCORDANCE WITH HIS EMPLOYMENT AGREEMENT AND AGREEMENT OF SETTLEMENT AND RELEASE, RECEIVED $375,423 IN 2009. THIS SEVERANCE AMOUNT INCLUDED BASE SALARY CONTINUATION, PAYMENT OF ACCRUED INCENTIVE AND RETIREMENT BENEFITS. THE AGREEMENT OF SETTLEMENT AND RELEASE INCLUDED CERTAIN CONDITIONS THAT MR. MANION MUST MEET, INCLUDING RELEASE OF ANY AND ALL CLAIMS, A NON-COMPETE CLAUSE, AND A NON-DISPARAGEMENT CLAUSE.
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 JACQUELINE BOWENS - $24,500 MAX COPPES, MD, PHD - $64,584 DENICE CORA-BRAMBLE, MD, - $31,200 MARY ANNE HILLIARD - $40,846 PETER ROY HOLBROOK, MD, - $32,000 RICHARD JONAS, MD - $81,037 ROBERT KEATING, MD - $379,848 PAM KING SAMS - $31,364 MIRIAM MARKOWITZ - $22,004 GERARD MARTIN, MD - $47,375 DOUGLAS MYERS - $39,000 KURT DOUGLAS NEWMAN, MD - $55,725 ROGER PACKER, MD - $162,400 CAROLE SCHOR - $25,784 DAVID SPARKS - $27,000 MENDEL TUCHMAN, MD - $48,438 DAVID WESSEL, MD - $43,460 JOSEPH WRIGHT, MD - $48,672

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (5 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
DISTRICT OF COLUMBIA
536001131	254764GN7	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false
DISTRICT OF COLUMBIA
536001131	254764GP2	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false
DISTRICT OF COLUMBIA
536001131	254764GQ0	2005-10-26	50000000	CONSTRUCT AND RENOVATE FACILITIES	false	false
DISTRICT OF COLUMBIA
536001131	254764GX5	2008-04-10	3680000	CONSTRUCT AND RENOVATE FACILITIES	false	false
DISTRICT OF COLUMBIA
536001131	254764GY3	2008-04-10	3990000	CONSTRUCT AND RENOVATE FACILITIES	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
50000000	3738181	3799100	12645266	29817453	2009	false	false	true	true
50000000	3738181	3799100	12645266	29817453	2009	false	false	true	true
50000000	3738181	3799100	12645266	29817453	2009	false	false	true	true
3555193	233255	258906	494566	2420991		false	false	false	true
3854679	252904	280716	536228	2624933		false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (5 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS
false	true	true	29.75	false	false	false
UBS
false	true	true	29.75	false	false	false
UBS
false	true	true	29.75	false	false	false
(no name)
false	false	false		false	false	false
(no name)
false	false	false		false	false	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	ExplanationExplanation
PART VI, LINE 6, 7A, AND 7B:	CHILDREN'S NATIONAL MEDICAL CENTER 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 11:	THE RELEVANT COMMITTEES OF THE ORGANIZATION AND ITS PARENT ORGANIZATION, CHILDREN'S NATIONAL MEDICAL CENTER, 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 ("CH") IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC"). THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. CH'S BOARD OF DIRECTORS HAS NOT OFFICIALLY ADOPTED THESE POLICIES, BUT PLANS A RESOLUTION IN THE FUTURE TO FORMALLY ADOPT CNMC'S POLICIES.
PART VI, LINE 15B:	THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL MEDICAL CENTER BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS EXPERT ON COMPENSATION MATTERS. THE COMMITTEE DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION FOR EACH PERSON DEEMED BY THE COMPENSATION COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATES SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT, AND RELIES 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 VII, SECTION A:	THE INDIVIDUALS LISTED BELOW WORKED THE FOLLOWING HOURS PER WEEK FOR RELATED ORGANIZATIONS DURING THE FISCAL YEAR: PETER ROY HOLBROOK MD, EVP/ CHIEF MEDICAL OFFICER - 5 HOURS EDWIN K ZECHMAN JR, PRESIDENT/ CEO - 11 HOURS MARK BATSHAW MD, EVP/ CHIEF ACADEMIC OFFICER - 44 HOURS JACQUELINE BOWENS, EVP/ EXTERNAL AFFAIRS OFFICER - 11 HOURS JODY BURDELL, EVP/ CHIEF OPERATING OFFICER - 11 HOURS MARY ANNE HILLIARD, CHIEF RISK OFFICER - 1 HOUR DOUGLAS MYERS, EVP/ CHIEF FINANCIAL OFFICER - 5 HOURS NELLIE ROBINSON, EVP/ CHIEF NURSING/PATIENT SVCS - 5 HOURS PAM KING SAMS, EVP/ CHIEF DEVELOPMENT OFFICER - 49 HOURS RAYMOND SCZUDLO, EVP/ CHIEF LEGAL OFFICER - 11 HOURS MENDEL TUCHMAN MD, CHIEF RESEARCH OFFICER - 49 HOURS ROBERTA ALESSI, VP OPERATIONS - 3 HOURS LAUREL BLAKEMORE MD, CHIEF OF ORTHOPEDIC SURGERY - 1 HOUR MAX COPPES MD, SVP CENTER OF EXCELLENCE - 27 HOURS DENICE CORA-BRAMBLE MD, SVP CENTER OF EXCELLENCE - 3 HOURS RICHARD JONAS MD, CHIEF OF CARDIO SURGERY - 3 HOURS MIRIAM MARKOWITZ, CORP VP STRATEGIC PLANNING - 11 HOURS GERARD MARTIN MD, SVP CENTER OF EXCELLENCE - 1 HOUR KURT DOUGLAS NEWMAN MD, SVP CENTER OF EXCELLENCE - 3 HOURS ROGER PACKER MD, SVP CENTER OF EXCELLENCE - 1 HOUR CAROLE SCHOR, CORP VP HUMAN RESOURCES - 11 HOURS DAVID SPARKS, VP FINANCE & CONTROLLER - 1 HOUR DAVID WESSEL MD, SVP CENTER OF EXCELLENCE - 27 HOURS JOSEPH WRIGHT MD, SVP CENTER OF EXCELLENCE - 1 HOUR
PART III, LINE 4A:	FINANCIAL HIGHLIGHTS IN FISCAL YEAR 2010, CHILDREN'S NATIONAL MEDICAL CENTER PROVIDED MORE THAN $113 MILLION IN OVERALL COMMUNITY BENEFIT(1), INCLUDING MORE THAN $60 MILLION IN UNCOMPENSATED CARE AND $50 MILLION IN THE COMMUNITY BENEFIT CATEGORIES(2) OUTLINED BELOW: COMMUNITY HEALTH IMPROVEMENT SERVICES THIS CATEGORY INCLUDES ACTIVITIES CARRIED OUT TO IMPROVE COMMUNITY HEALTH THAT ARE USUALLY SUBSIDIZED BY CHILDREN'S NATIONAL. SUCH SERVICES DO NOT GENERATE INPATIENT BILLS, ALTHOUGH THEY MAY INVOLVE A NOMINAL PATIENT FEE AND/OR SLIDING SCALE FEE. THESE SERVICES INCLUDE COMMUNITY HEALTH EDUCATION, COMMUNITY-BASED CLINICAL SERVICES, AND HEALTHCARE SUPPORT SERVICES. COMMUNITY BENEFIT: $ 22,212,390 FINANCIAL CONTRIBUTIONS FINANCIAL CONTRIBUTIONS INCLUDE FUNDS AND IN-KIND SERVICES DONATED TO INDIVIDUALS AND/OR THE COMMUNITY AT LARGE. COMMUNITY BENEFIT: $ 44,405 HEALTH PROFESSIONS EDUCATION THE DIFFERENCE BETWEEN COST AND REIMBURSEMENTS INCURRED IN PROVIDING EDUCATION IN CLINICAL SETTINGS, INTERNSHIPS, AND PROGRAMS FOR PHYSICIANS, NURSES, AND HEALTH PROFESSIONALS IS CONSIDERED A COMMUNITY BENEFIT. THIS CATEGORY ALSO REFERS TO SCHOLARSHIPS FOR HEALTH PROFESSIONS EDUCATION. COMMUNITY BENEFIT: $ 8,978,339 COMMUNITY-BUILDING ACTIVITIES PROGRAMS THAT ARE NOT DIRECTLY RELATED TO HEALTH CARE, BUT PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS, AND ENVIRONMENTAL PROBLEMS, ARE CONSIDERED COMMUNITY-BUILDING ACTIVITIES. THESE ACTIVITIES SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF CHILDREN'S NATIONAL. COSTS FOR THESE ACTIVITIES INCLUDE CASH DONATIONS, IN-KIND DONATIONS, AND BUDGETED EXPENDITURES FOR DEVELOPING COMMUNITY HEALTH PROGRAMS AND PARTNERSHIPS. COMMUNITY-BUILDING ACTIVITIES INCLUDE PHYSICAL IMPROVEMENT INITIATIVES, ECONOMIC DEVELOPMENT, HEALTH COMMUNITY INITIATIVES, PARTNERSHIPS, AND COMMUNITY LEADERSHIP SKILLS TRAINING. COMMUNITY BENEFIT: $ 224,763 COMMUNITY BENEFIT OPERATIONS COSTS ASSOCIATED WITH DEDICATED STAFF, COMMUNITY HEALTH NEEDS AND/OR ASSET ASSESSMENTS, AND OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS FALL INTO THIS CATEGORY. COMMUNITY BENEFIT: $ 294,380 RESEARCH CLINICAL AND COMMUNITY HEALTH RESEARCH, AS WELL AS STUDIES ON HEALTHCARE DELIVERY THAT ARE SHARED WITH OTHERS OUTSIDE THE ORGANIZATION FALL INTO THIS CATEGORY. ISSUES RELATED TO REDUCING HEALTH DISPARITIES AND PREVENTABLE ILLNESS ARE A PRIORITY. COMMUNITY BENEFIT: $ 9,976,972 SUBSIDIZED HEALTH SERVICES CLINICAL SERVICES THAT ARE PROVIDED DESPITE A FINANCIALS LOSS ARE CATEGORIZED AS SUBSIDIZED HEALTH SERVICES. THE SERVICE IS PROVIDED BECAUSE IT MEETS AN IDENTIFIED COMMUNITY NEED AND IF NOT OFFERED IT WOULD NOT BE AVAILABLE IN THE AREA OR FALL TO THE RESPONSIBILITY OF THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION TO PROVIDE. SERVICES MAY INCLUDE EMERGENCY AND TRAUMA SERVICES, NEONATAL INTENSIVE CARE, HOSPITAL OUTPATIENT SERVICES, BURN UNITS, INPATIENTS AND BEHAVIORAL HEALTH SERVICES, AND SPECIAL PROGRAMS TO ADDRESS PATIENTS' PALLIATIVE CARE NEEDS. COMMUNITY BENEFIT: $ 8,363,682 TOTAL COMMUNITY BENEFIT FOR FISCAL YEAR 2010 = $113,773,867 UNCOMPENSATED CARE $ 63,678,936 HEALTH PROFESSIONS EDUCATION $ 8,978,339 COMMUNITY HEALTH SERVICES $ 22,212,390 COMMUNITY BENEFIT OPERATIONS $ 294,380 COMMUNITY-BUILDING ACTIVITIES $ 224,763 RESEARCH $ 9,976,972 SUBSIDIZED HEALTH SERVICES $ 8,363,682 IN-KIND AND FINANCIAL CONTRIBUTIONS $ 44,405 1) COMMUNITY BENEFIT NUMBERS HAVE BEEN ROUNDED UP TO THE NEAREST 100TH. 2) CATEGORIES ADAPTED FROM CATHOLIC HEALTH ASSOCIATION (2006). A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT. HEALTHY START/HEALTHY FAMILIES NUMEROUS STUDIES SHOW THAT WITH PROPER RESOURCES AND EARLY INTERVENTIONS, DISADVANTAGED CHILDREN CAN AVOID BEHAVIORAL, ACADEMIC, AND SOCIAL PROBLEMS THAT ARE LINKED TO POVERTY. THESE CHILDREN CAN GO ON TO SUCCEED AND LEAD HEALTHY AND PRODUCTIVE LIVES. CHILDREN'S NATIONAL HEALTHY START/HEALTHY FAMILIES PROGRAM OFFERS HEALTH EDUCATION AND LIFE SKILLS DIRECTLY IN THE HOMES OF HIGH-RISK FAMILIES - FAMILIES THAT ARE OFTEN OVERBURDENED AND IN DESPERATE NEED OF SUPPORT. CHILDREN'S NATIONAL STAFF MEMBERS IDENTIFY FAMILIES THROUGH REFERRALS FROM COMMUNITY PROGRAMS AND PROVIDERS, AS WELL AS FROM DEPARTMENTS WITHIN CHILDREN'S. THEY WORK WITH FAMILIES ON A RANGE OF ISSUES FROM BASIC INFANT AND CHILD CARE, TO PARENTING SKILLS, AND GOAL SETTING. THROUGH INTENSIVE, LONG-TERM VISITS, CHILDREN'S STAFF MEMBERS ALSO ASSESS THE NEED FOR IMMUNIZATIONS, MEDICAL CARE, OR PRENATAL VISITS. ADDITIONALLY, THEY LOOK FOR, AND HELP FAMILIES ADDRESS SIGNS OF CHILD ABUSE AND/OR NEGLECT, DEPRESSION, OR VIOLENCE. THE HEALTHY START/HEALTHY FAMILIES PROGRAM IS THE RESULT OF A LONG AND SUCCESSFUL PARTNERSHIP WITH MARY'S CENTER FOR MATERNAL AND CHILD HEALTH IN NORTHWEST WASHINGTON, DC. MARY'S CENTER PROVIDES EXPERT TECHNICAL ASSISTANCE, HELP WITH SOLICITING FINANCIAL AND OTHER PROGRAM RESOURCES, STAFF TRAINING, AND MENTAL HEALTH SERVICES. SIMILARLY, ALLIANCES WITH ORGANIZATIONS AND AGENCIES THROUGHOUT THE CITY ENABLE CHILDREN'S TO MAKE REFERRALS TO OTHER COMMUNITY RESOURCES. LAST YEAR, HEALTHY START/HEALTHY FAMILIES SERVED MORE THAN 80 FAMILIES, IMPROVING OUTCOMES OF CHILDREN IN THE QUALITY OF THEIR HOME LIVES, IN SCHOOL READINESS, HEALTHY BIRTH WEIGHTS, AND LOWERED INCIDENCE OF DEVELOPMENTAL DELAYS AND CHILD ABUSE AND NEGLECT. CONGENITAL HEART DISEASE SCREENING PROGRAM WITH THE EXCITEMENT OF EVERY BIRTH, COMES THE ANXIOUS HOURS IMMEDIATELY FOLLOWING WHEN PARENTS WAIT TO HEAR THAT THEIR NEWBORN IS HEALTHY AND STRONG. MORE OFTEN THAN NOT, A "CLEAN BILL OF HEALTH" COMES QUICKLY, AND BABY AND FAMILY ARE ON THEIR WAY HOME. BUT TOO OFTEN THE NEWS IS TROUBLING AS NEARLY 35,000 PARENTS EACH YEAR LEARN THAT THEIR CHILD HAS A FORM OF THE MOST COMMON BIRTH DEFECT IN THE UNITED STATES - CONGENITAL HEART DISEASE (CHD). SOME DEFECTS MAY BE DETECTED DURING PREGNANCY OR WHILE THE BABY IS IN THE NEWBORN NURSERY, WHEN DOCTORS CAN PLAN EFFECTIVE TREATMENT. HOWEVER, OTHER DEFECTS HAVE LESS APPARENT SIGNS AND SYMPTOMS AND MAY NOT BE DETECTED WHILE THE BABY IS IN THE NURSERY. A DELAY IN DIAGNOSIS MAY LEAD TO SERIOUS HEALTH PROBLEMS OR DEATH. CHILDREN'S NATIONAL IS A STRONG ADVOCATE FOR THE EARLIEST POSSIBLE DETECTION OF CHD, AND HAS LAUNCHED A MULTI-PRONGED COMMUNITY RESEARCH PROJECT THAT COULD LEAD TO THE SCREENING OF ALL HEALTHY NEWBORNS WITHIN THE FIRST 24 HOURS OF LIFE. RESEARCH IS UNDERWAY STUDYING THE "FEASIBILITY OF IMPLEMENTATION OF PULSE OXIMETRY SCREENING IN THE NEWBORN NURSERY". FINDINGS ARE CURRENTLY BEING REVIEWED. PRELIMINARY FINDINGS FOR NEWBORNS SCREENED AT AN AVERAGE OF 42 HOURS OF LIFE SHOW THAT THE SCREENINGS TAKE ON AVERAGE FOUR MINUTES TO PERFORM AND ANY BARRIERS ENCOUNTERED WHEN PERFORMING THE SCREENINGS CAN BE OVERCOME WITHIN 3.5 MINUTES. TO ADVANCE EDUCATION AROUND THIS PROPOSED INTERVENTION, CHILDREN'S NATIONAL HAS CREATED AN EVIDENCE-BASED TOOLKIT THAT INCLUDES RECOMMENDATIONS FOR COMMUNITY-BASED AND PROFESSIONAL ORGANIZATIONS ON IMPLEMENTING SCREENING AND EDUCATING STAFF AND FAMILIES ON THE IMPORTANCE OF SCREENING. IN 2010, MORE THAN 70 TOOLKITS HAVE BEEN DISTRIBUTED AND FOUR ORGANIZATIONS (WITHIN THE DC METROPOLITAN AREA AND INTERNATIONAL) HAVE USED THE TOOLKIT TO IMPLEMENT SCREENINGS.
PART III, LINE 4A, CONTINUED:	A HEALTH PROMOTION AND ADVOCACY CAMPAIGN IS UNDERWAY, THAT INVOLVES REACHING OUT TO FAMILIES, COMMUNITY LEADERS, AND OTHER STAKEHOLDERS ABOUT CHD AND THE USE OF PULSE OXIMETRY AS AN EFFECTIVE TOOL FOR DETECTING THE DISEASE. AT THE SAME TIME, THE CHILD HEALTH ADVOCACY INSTITUTE AND GOVERNMENT AFFAIRS DEPARTMENT ARE WORKING HARD TO EDUCATE KEY LEGISLATORS IN AN EFFORT TO GAIN LOCAL, REGIONAL, AND NATIONAL SUPPORT FOR MAKING THIS SCREENING STANDARD-OF-CARE FOR NEWBORNS. ADVANCES IN TESTING CAN HELP ENSURE THAT CHILDREN WITH CHD THRIVE AND LIVE HEALTHY, ADULT LIVES. CHILDREN'S NATIONAL IS PROUD TO BE ON THE FOREFRONT OF EFFORTS TO DETECT CHD EARLY, AND TO IMPROVE THE LONG-TERM PROGNOSIS OF CHILDREN AFFECTED BY THE MOST COMMON BIRTH DEFECT. IMPROVING PEDIATRIC ASTHMA CARE IN THE DISTRICT OF COLUMBIA (IMPACT DC) ASTHMA IS A MULTI-FACETED DISEASE THAT CAN BE LINKED TO MANY SOCIOECONOMIC AND ENVIRONMENTAL FACTORS, SUCH AS AIR QUALITY, POVERTY, POOR HOUSING, AND INADEQUATE ACCESS TO CARE. IN URBAN AREAS NATIONWIDE, THESE FACTORS CAN COME TOGETHER WITH DEVASTATING RESULTS. FOR EXAMPLE, IN THE DISTRICT OF COLUMBIA, CHILDREN UNDER AGE 5 WITH ASTHMA ARE FIVE TIMES MORE LIKELY TO VISIT EMERGENCY DEPARTMENTS FOR ACUTE ASTHMA ATTACKS THAN CHILDREN NATIONALLY. IMPROVING PEDIATRIC ASTHMA CARE IN THE DISTRICT OF COLUMBIA (IMPACT DC), A COMMUNITY-BASED SURVEILLANCE, RESEARCH, AND INTERVENTION PROJECT AT CHILDREN'S NATIONAL MEDICAL CENTER, EMPOWERS PARENTS AND CHILDREN WITH ASTHMA INFORMATION AND THE TOOLS THEY NEED TO KEEP THEM HEALTHY AND TO DRASTICALLY REDUCE THEIR NEED FOR EMERGENCY CARE. THE PROGRAM'S OVERALL GOAL IS TO TRANSITION PATIENTS FROM OVERDEPENDENCE ON THE ED FOR EPISODIC CARE TO A MORE EFFECTIVE SYSTEM OF CHRONIC DISEASE MANAGEMENT. RECENT DATA FROM THE PROGRAM VALIDATES ITS CONTINUED EFFECTIVENESS IN REDUCING ASTHMA MORBIDITY. COMPARING THE 12 MONTHS BEFORE AND AFTER THE FIRST VISIT TO ITS CLINIC, IMPACT DC DEMONSTRATED A 60 PERCENT REDUCTION IN ASTHMA-RELATED ED VISITS AND A 70 PERCENT REDUCTION IN ASTHMA-RELATED HOSPITALIZATIONS AMONG ITS PATIENTS. IMPACT DC TAKES A NOVEL APPROACH BY EDUCATING PATIENTS WHERE THEY'RE TYPICALLY SEEN FIRST - IN THE EMERGENCY DEPARTMENT (ED) AT CHILDREN'S NATIONAL. FAMILIES ARE LINKED WITH A PRIMARY CARE PROVIDER IF THEY DO NOT HAVE ONE, AND ARE SCHEDULED TO RETURN TO THE ED OR CHILDREN'S HEALTH CENTER AT THEARC OR ADAMS MORGAN FOR AN EDUCATIONAL SESSION ON ASTHMA MANAGEMENT. THE IMPACT DC CLINIC PROVIDES COMPREHENSIVE CARE BASED ON FOUR KEY PRINCIPLES OF QUALITY ASTHMA CARE: - EDUCATION ABOUT THE NATURE OF THE DISEASE; - IDENTIFICATION AND CONTROL OF ENVIRONMENTAL TRIGGERS; - PRESCRIPTION OF PROPER MEDICINES WITH EDUCATION ABOUT THEIR CORRECT USE; AND - CARE COORDINATION THROUGH SCHOOL NURSES AND PRIMARY CARE PROVIDERS. LAST YEAR, IMPACT DC INCREASED THE NUMBER OF NEW PATIENTS SERVED IN THEIR ASTHMA CLINIC BY 16% (779 NEW PATIENT VISITS) WITH 15% OF NEW PATIENT VISITS TAKING PLACE AT ONE OF THEIR COMMUNITY LOCATIONS. IMPACT DC IS ALSO COMMITTED TO INCREASING ASTHMA AWARENESS AND PROVIDING EVIDENCE-BASED ASTHMA EDUCATION IN THE LOCAL COMMUNITY BY PARTICIPATING IN COMMUNITY EVENTS, INITIATING HEALTH PROVIDER EDUCATION SESSIONS, AND EDUCATING STUDENTS IN DC PUBLIC AND PUBLIC CHARTER SCHOOLS. IMPACT DC PARTICIPATED IN 73 COMMUNITY EVENTS REACHING A TOTAL OF 1536 COMMUNITY MEMBERS, PROVIDED EDUCATION TO 50 COMMUNITY HEATLH EDUCATORS THAT WORK IN THE PRIMARY CARE AND EMERGENCY DEPARTMENT SETTINGS, AND EDUCATED 232 STUDENTS THROUGH 28 EDUCATION SESSIONS. INJURY PREVENTION COALITION GROWING UP, MOST CHILDREN EXPERIENCE THEIR FAIR SHARE OF SCRAPES, BUMPS, AND BRUISES. SOME RESULT IN A TRIP TO THE EMERGENCY DEPARTMENT, WHILE OTHERS JUST A TRIP TO THE MEDICINE CABINET FOR ANTISEPTIC AND A BAND-AID. HOWEVER, SERIOUS INJURIES, SUCH AS BROKEN BONES, ACCIDENTAL POISONINGS, AND HEAD TRAUMAS CAN CHANGE A YOUNG LIFE FOREVER. THE INJURY PREVENTION COALITION AT CHILDREN'S NATIONAL IS DEDICATED TO MAKING SURE FAMILIES KNOW HOW TO PREVENT ALL INJURIES, LARGE AND SMALL. TOGETHER WITH THE LOCAL POISON CONTROL CENTER, METROPOLITAN POLICE DEPARTMENT, FIRE AND EMS, WASHINGTON AREA BICYCLIST ASSOCIATION, AND OTHER COMMUNITY GROUPS, THE COALITION ROUTINELY TAKES WORKSHOPS AND DEMONSTRATIONS ON THE ROAD TO EVENTS IN NEIGHBORHOODS ACROSS THE CITY. LAST YEAR THE COALITION ATTENDED 31 COMMUNITY-BASED EVENTS, TEACHING RESIDENTS HOW TO KEEP KIDS SAFE WHETHER THEY ARE RIDING A BIKE, WALKING TO SCHOOL, OR CROSSING THE STREET. THEY ALSO OFFER INTERACTIVE SESSIONS ON FIRE SAFETY, POISON PREVENTION, YOUTH VIOLENCE, AND CHILD PASSENGER SAFETY. CHILDREN'S SPECIALTY CAMPS - GIVING EVERY CHILD THE CHANCE TO GET AWAY SUMMER CAMP IS A WELCOME RITUAL FOR THOUSANDS OF CHILDREN EACH YEAR. IT COMES WITH THE OPPORTUNITY TO MEET NEW FRIENDS, ENJOY NATURE, AND GET A TASTE OF INDEPENDENCE. UNFORTUNATELY, FOR SOME CHILDREN COPING WITH SERIOUS MEDICAL CONDITIONS, THIS RITE OF PASSAGE IS NOT TYPICAL AT ALL. OFTEN, THE NEED FOR INJECTIONS AND MULTIPLE MEDICATIONS, OR THE THREAT OF SEVERE SYMPTOMS KEEPS PARENTS FROM SENDING CHILDREN TOO FAR FROM HOME. AT CHILDREN'S SPECIALTY CAMPS, KIDS EXPERIENCE THE FUN OF A TRADITIONAL CAMP, IN A MEDICALLY SUPERVISED AND ENCOURAGING ENVIRONMENT. FOR ONE WEEK, OVERNIGHT CAMPERS BUILD SELF-ESTEEM, FORM FRIENDSHIPS WITH OTHERS, LEARN MORE ABOUT THEIR CONDITION, AND MOST OF ALL, HAVE A GOOD TIME. MEDICAL PROFESSIONALS ARE ON HAND 24 HOURS A DAY TO ASSIST WITH HEALTH OR EMOTIONAL PROBLEMS. STAFF AND VOLUNTEERS, MANY WITH THE SAME ILLNESS, ACT AS GROUP COUNSELORS AND MENTORS. SUPER CAMPERS ALWAYS OFFERS SUMMER FUN TO CHILDREN AND TEENS WITH SICKLE CELL - AN INHERITED RED BLOOD CELL DISORDER CHARACTERIZED BY ABNORMAL HEMOGLOBIN, A PROTEIN WITHIN RED BLOOD CELLS THAT CARRIES OXYGEN TO THE TISSUES OF THE BODY. THE CAMP PROVIDES OPPORTUNITIES FOR CHILDREN TO BUILD SELF-ESTEEM, GAIN INDEPENDENCE, AND ESTABLISH SOCIAL CONNECTIONS WITH OTHER CHILDREN AND STAFF WHO LIVE WITH THE CONDITION. IN 2010, 31 CHILDREN WERE ABLE ATTEND SUPER CAMPERS ALWAYS. EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC)/ NATIONAL RESOURCE CENTER (NRC) WHEN A CHILD IS SERIOUSLY ILL OR INJURED AND EMERGENCY MEDICAL SERVICES ARE CALLED, MOST PEOPLE ASSUME THAT THE RESPONDERS HAVE BEEN TRAINED IN PEDIATRIC TREATMENT PRACTICES AND LIFESAVING PROCEDURES. THEY DON'T THINK TWICE ABOUT WHETHER OR NOT THE AMBULANCE IS EQUIPPED WITH THE SPECIFIC SUPPLIES AND MEDICATION DOSAGES NEEDED FOR KIDS OF ALL AGES AND SIZES. BUT ACROSS THE NATION, THOSE ASSUMPTIONS MAY BE WRONG, AS MANY COMMUNITIES FIND THEMSELVES ILL-PREPARED TO DELIVER THE SPECIALIZED EMERGENCY CARE THAT CHILDREN NEED. IN MANY AREAS, EMERGENCY PERSONNEL ARE WITHOUT TRAINING IN BASIC LIFE-SAVING PROCEDURES FOR CHILDREN, AND EMERGENCY VEHICLES ARE ON THE ROAD WITHOUT THE EQUIPMENT AND SUPPLIES NEEDED TO SAVE A CHILD'S LIFE. TO ADDRESS THESE PROBLEMS, THE FEDERAL GOVERNMENT CREATED THE EMERGENCY MEDICAL SERVICES FOR CHILDREN (EMSC). EMSC IS A NATIONAL INITIATIVE ADMINISTERED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTH RESOURCE AND SERVICES ADMINISTRATION AND THE MATERNAL AND CHILD HEALTH BUREAU. ITS GOAL IS TO FIRST PREVENT CHILDHOOD INJURY AND ILLNESS, BUT SHOULD PREVENTION FAIL, ENSURE THAT CHILDREN AND ADOLESCENTS RECEIVE STATE-OF-THE-ART PEDIATRIC MEDICAL CARE FROM EMERGENCY MEDICAL TECHNICIANS (EMTS) AND PARAMEDICS, AS WELL AS EMERGENCY DEPARTMENT PERSONNEL AND REHABILITATION SPECIALISTS, IF NEEDED. TO DO THIS, THE PROGRAM PROVIDES FEDERAL GRANTS TO STATES TO ADDRESS DEFICIENCIES IN THEIR PEDIATRIC EMERGENCY SYSTEMS AND TO SUPPORT RESEARCH EFFORTS AS WELL. IN ADDITION, EMSC SUPPORTS THE NATIONAL RESOURCE CENTER (NRC), NOW LOCATED WITHIN CHILDREN'S NATIONAL MEDICAL CENTER. THE NRC PROVIDES THE TECHNICAL ASSISTANCE AND EXPERTISE NECESSARY TO IMPROVE THE PEDIATRIC EMERGENCY CARE INFRASTRUCTURE IN ALL 50 STATES AND THE FIVE U.S. TERRITORIES. IN THIS WAY, EMSC ENSURES THAT ALL CHILDREN, NO MATTER WHERE THEY LIVE, GO TO SCHOOL, OR TRAVEL, WILL RECEIVE APPROPRIATE CARE IN A HEALTH EMERGENCY. CHILDREN'S NATIONAL, AS ONE OF THE NATION'S LEADING PEDIATRIC INSTITUTIONS, IS UNIQUELY POSITIONED TO ADVANCE THE MISSION AND GOALS OF THE NRC. PROGRAM STAFF HAS DIRECT ACCESS TO ONE OF THE BUSIEST EMERGENCY DEPARTMENTS AND EMERGENCY RESPONSE SYSTEMS IN THE NATION, AND BY ITS LOCATION IN WASHINGTON, DC, PROXIMITY TO POLICY-MAKERS AND RELATED NATIONAL ORGANIZATIONS AND ADVOCACY GROUPS.
PART III, LINE 4A, CONTINUED:	IN 2010, THE NRC: - PROVIDED TECHNICAL ASSISTANCE TO EMSC PROGRAM GRANTEES. THE NRC WORKS WITH EACH GRANTEE TO IMPROVE EXISTING EMERGENCY MEDICAL SERVICES (EMS) SYSTEMS AND TO DEVELOP AND EVALUATE IMPROVED PROCEDURES AND PROTOCOLS FOR TREATING CHILDREN. LAST YEAR, THE NRC PROVIDED TECHNICAL ASSISTANCE TO GRANTEES THROUGH PHONE CALLS, EMAILS AND IN PERSON MEETINGS - MAKING APPROXIMATELY 3900 CONTACTS WITH MORE THAN 70 PROGRAM GRANTEES. - COLLABORATED WITH FEDERAL ORGANIZATIONS. IN KEEPING WITH EMSC'S COMMITMENT TO RESEARCH, THE NRC COLLABORATES WITH NUMEROUS FEDERAL AGENCIES TO IMPROVE THE QUALITY AND QUANTITY OF EMSC RESEARCH, TO FOSTER COLLABORATION BETWEEN FEDERAL AGENCIES IN HIGHLIGHTING EMSC RESEARCH TOPICS DURING DEVELOPMENT OF RESEARCH AGENDAS, AND TO REDUCE BARRIERS TO THE PRODUCTION OF HIGH-QUALITY EMSC RESEARCH. - SERVED AS AN INFORMATIONAL CLEARINGHOUSE. THE NRC MAINTAINS A COMPREHENSIVE DATABASE OF EMSC PRODUCTS CREATED USING FEDERAL DOLLARS. THIS SITE OFFERS PUBLIC INFORMATION ABOUT THE NATIONAL EFFORT AND FEATURES THE NRC TOOLBOXES, A COLLECTION OF INFORMATION AND RESOURCES ON A SPECIFIC TOPIC CURRENTLY OF INTEREST TO THE EMSC COMMUNITY. LAST YEAR 13 TOOLBOXES WERE UPDATED AND POSTED TO THE WEBSITE, ALONG WITH 22 NEWLY DEVELOPED RESOURCES AS WELL AS A WEEKLY ELECTRONIC NEWSLETTER DISTRIBUTED TO GRANTEES. - PLANNED EMSC PROGRAM STRATEGIC PLAN MEETING. THE EMSC STAKEHOLDER GROUP CONDUCTED A MEETING REGARDING THE PROGRAM'S STRATEGIC PLAN, WHICH OUTLINES PRIORITIES FOR THE IMPROVEMENT OF PEDIATRIC EMERGENCY CARE. AN OUTLINE FOR THE NEW PLAN WAS DEVELOPED AND THE PROJECT WILL CONTINUE INTO THE NEXT FISCAL YEAR. - PLANNED THE ANNUAL EMSC GRANTEE MEETING. THE NRC PLANS ALL EDUCATIONAL ACTIVITIES AND SPECIAL MEETINGS/EVENTS, RECRUITS SPEAKERS, PROVIDES LOGISTICAL SUPPORT, AND ENSURES THE AVAILABILITY OF NETWORKING OPPORTUNITIES. THE NRC ALSO IS TASKED WITH OVERSEEING THE NATIONAL HEROES AWARDS, PRESENTED ANNUALLY TO RECOGNIZE AND REWARD OUTSTANDING ACHIEVEMENT IN EMERGENCY MEDICAL SERVICES FOR CHILDREN AND TO ENCOURAGE CONTINUED EXCELLENCE IN THE FIELD. COMMUNITY BENEFIT PROGRAMS AND PARTNERS THE FOLLOWING CHILDREN'S NATIONAL MEDICAL CENTER'S PROGRAMS AND ACTIVITIES PROVIDED MORE THAN $50 MILLION IN COMMUNITY BENEFIT IN FISCAL YEAR 2010, INCLUDING THOSE HIGHLIGHTED IN THE NARRATIVES: - ADVANCED PROFESSIONAL PRACTICE EXPERIENCE FOR PHARMACY STUDENTS - BURN CAMP FOR PEDIATRIC BURN SURVIVORS (IN-KIND DONATIONS) - BURN PREVENTION OUTREACH - BURN PREVENTION TRAINING (FOR COMMUNITY MEMBERS) - CAR SEAT INSPECTION STATION - CHILDREN'S HEALTH PROJECT OF DC MOBILE HEALTH PROGRAM - CHILDREN'S SCHOOL SERVICES SCHOOL HEALTH NURSING PROGRAM - CLINICAL AND COMMUNITY RESEARCH STUDIES - CLINICAL SITE FOR TRAINING OF ULTRASOUND/SONOGRAPHY AND RADIOLOGIC TECHNOLOGY STUDENTS - COMMUNITY BENEFIT OPERATIONS - COMMUNITY HEALTH EDUCATION - CONGENITAL HEART DISEASE SCREENING PROGRAM - FAMILY HELP DESK - HEALTH EDUCATION WORKSHOPS AND CLASSES OFFERED AT CHILDREN'S HEALTH CENTERS - HEALTH PROFESSIONS EDUCATION (MEDICAL STUDENTS, NURSES, RESIDENTS, AND FELLOWS) - IT'S WISE TO IMMUNIZE BACKPACK CAMPAIGN - IT'S WISE TO IMMUNIZE FAMILY FUN DAY - IT'S WISE TO IMMUNIZE HOTLINE - LA FERIA DE LA FAMILIA - LAB HEALTH PROFESSIONALS ROTATION - LUPUS FOUNDATION MEETING - NATIONAL YOUTH LEADERSHIP FORUM - OCCUPATIONAL THERAPY STUDENT FIELDWORK PROGRAM - NATIONAL YOUTH LEADERSHIP FORUM - NBC 4 HEALTH & FITNESS EXPO - PHYSICAL THERAPY STUDENT AFFILIATION PROGRAM - PRIMARY CARE PROVIDED AT CHILDREN'S HEALTH CENTERS - SICKLE CELL AWARENESS DAY - SICKLE CELL ART SPEAKS DAY - SICKLE CELL SUMMER CAMP - SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC) - STOMP OUT SICKLE CELL WALK-A-THON - SOUND MIND SOUND BODY CAMP - TEEN LIFE CLUBS (TLC) - TEENS AGAINST THE SPREAD OF AIDS (TASA) - TODAY'S NEW TEENS (TNT) - WORKFORCE DEVELOPMENT PROGRAMS FOR HIGH SCHOOL STUDENTS AND COLLEGE STUDENTS PARTNERS INCLUDE: - ADVISORY NEIGHBORHOOD COMMISSIONERS (ANCS) - ART WITH A HEART - BOSTON UNIVERSITY - BOYS AND GIRLS CLUBS OF GREATER WASHINGTON - CALVARY HEALTH CARE INC. - CATHOLIC UNIVERSITY - COMMUNITY OF HOPE - CONNECTICUT BURN FOUNDATION - 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 - FACES OF OUR CHILDREN - FAMILY PLACE - FLORIDA AVENUE BAPTIST CHURCH - GEORGETOWN UNIVERSITY - GEORGE WASHINGTON UNIVERSITY - HOLY CROSS HOSPITAL - HOWARD UNIVERSITY - LIFTING AS WE CLIMB FOUNDATION, INC. - MARY'S CENTER FOR MATERNAL AND CHILD HEALTH - METROPOLITAN POLICE DEPARTMENT - MONTGOMERY COMMUNITY COLLEGE - NATIONAL INSTITUTES OF HEALTH (NIH) - POISON CONTROL CENTER - PRINCE GEORGE'S COMMUNITY COLLEGE - ROSEMOUNT SCHOOL - SICKLE CELL ASSOCIATION OF NATIONAL CAPITAL AREA - STREETWISE FOUNDATION - TELEMUNDO - UNIVERSITY OF MARYLAND - WASHINGTON AREA BICYCLIST ASSOCIATION - WASHINGTON HOSPITAL CENTER - W.E. PROUDFORD FOUNDATION - WORLD VISION - YMCA
SCHEDULE K, PART II, LINE 5:	SERIES 2005 BONDS - OF THE $11,397,300 OF AGGREGATE ISSUANCE COSTS REPORTED, $8,729,427 RELATE TO CREDIT ENHANCEMENT FEES. SERIES 2008 BONDS - OF THE $17,588,740 OF AGGREGATE ISSUANCE COSTS REPORTED, $13,495,484 RELATE TO CREDIT ENHANCEMENT FEES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	264571100	EIN
Primary Activities	HEALTH CARE	PrimaryActivities
Legal Domicile State	DC	LegalDomicileState
Total Income	-2372682	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640403	HEALTH CARE	DC	501(C)(3)	11B	NA
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640402	FUNDRAISING	DC	501(C)(3)	7	NA
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521654453	RESEARCH	DC	501(C)(3)	9	NA
CHILDREN'S HOSPITAL SELF INSURANCE TRUST
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521640399	INSURANCE	DC	501(C)(3)	11C	NA
SAFE KIDS WORLDWIDE
1301 PENNSYLVANIA AVENUE NW	WASHINGTON	DC	20004	521627574	INJURY PRVNTN	DC	501(C)(3)	11A	NA
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271547370	SUMMER CAMPS	DC	501(C)(3)	11A	NA
CHILDREN'S NATL ADVOCACY PUBLIC POLICY
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	271564354	ADVOCACY	DC	501(C)(3)	11A	NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-1292346	ShareOfTotalIncome
Share Of EOY Assets	5347600	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Postal CodeAddressForeign/PostalCode
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NW	WASHINGTON	DC	20010	521996521	HEALTH CARE	DC	NA	C	0	0	0.00000
SAFE KIDS WORLDWIDE LTD
					INJURY PREVEN		NA	C	0	0	0.00000	PO BOX 916	ROAD TOWN	TORTOLA, VIRGIN ISLANDS	VQ	VQ
BEARACUDA RE
					REINSURANCE		NA	C	0	0	0.00000	PO BOX 69	GRAND CAYMAN	CAYMAN ISLANDS	CJ	CJ	KY1-1102
BEAR CUB REINSURANCE LTD
					REINSURANCE		NA	C	0	0	0.00000	PO BOX 69	GRAND CAYMAN	CAYMAN ISLANDS	CJ	CJ	KY1-1102

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