2011-05-16T11:44:36-05:00 2010-06-30 PRICEWATERHOUSECOOPERS LLP 1301 K STREET NW SUITE 800W WASHINGTON DC 20005 990 2009-07-01 530196580 Children's Hospital CHIL 3015726283 111 Michigan Avenue NW Washington DC 20010 DAVID SPARKS 2011-05-11 2024141000 2009 2016-02-24 21:20:13Z EDWARD K ZECHMAN JR 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 1068500915 false X www.childrensnational.org X 1870 DC TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESRCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES. 16 13 6208 458 660963 -987902 14152329 20515116 707899191 782766303 4904027 -8528 3320064 2723945 730275611 805996836 0 0 0 0 409842731 459964385 0 0 0 279598703 279795867 689441434 739760252 40834177 66236584 851234586 918072610 557244992 588565887 293989594 329506723 TO IMPROVE HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, AND EDUCATION TO MEET UNIQUE NEEDS OF CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. false false 539401028 0 782766303 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. 539401028 true true false true false false false false false true false true false true true false false false false false true false false true true false true false false false false false false false false false false false false true true false false false true 980 0 true 6208 true true true true AE false false false false false false false 16 13 false false false false true true true true true false false true true true true false false true true false DC X CORPORATE OFFICERS 3015726283 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 JOHN COCKERHAM MD 55.0 X 261526 0 11494 ALLAN BERMAN 1.0 X 0 0 0 MARY KATE CARY 1.0 X 0 0 0 ELIZABETH DUGGAL 1.0 X 0 0 0 DEBRA FRIEDMAN 1.0 X 0 0 0 ALBERTO GOMEZ 1.0 X 0 0 0 WARREN GRAVES 1.0 X 0 0 0 KATHY KIES 1.0 X 0 0 0 ROBERT MCDOWELL MD 1.0 X 0 0 0 GREGORY O'DELL 1.0 X 0 0 0 MARY HELEN THOMPSON 1.0 X 0 0 0 PETER ROY HOLBROOK MD 50.0 X X 1385390 0 67585 TERRY CORNWELL RUMSEY 2.0 X X 0 0 0 IVAN SABEL 2.0 X X 0 0 0 CAROLYN THORNELL 2.0 X X 0 0 0 EDWIN K ZECHMAN JR 44.0 X X 2344392 0 29566 MARK BATSHAW MD 11.0 X 1114143 0 282546 JACQUELINE BOWENS 44.0 X 750873 0 47566 JODY BURDELL 44.0 X 1519813 0 28858 MARY ANNE HILLIARD 54.0 X 452070 0 70793 DOUGLAS MYERS 50.0 X 372263 0 44634 NELLIE ROBINSON 50.0 X 649024 0 35968 PAM KING SAMS 6.0 X 524750 0 60376 RAYMOND SCZUDLO 44.0 X 1144080 0 29707 MENDEL TUCHMAN MD 6.0 X 564418 0 75437 ROBERTA ALESSI 52.0 X 272714 0 45518 LAUREL BLAKEMORE MD 54.0 X 500011 0 48015 RANDALL BURD 55.0 X 471286 0 17323 MAX COPPES MD 28.0 X 752408 0 96445 DENICE CORA-BRAMBLE MD 52.0 X 528650 0 59591 MOHAMED JAAFAR MD 55.0 X 471810 0 17440 RICHARD JONAS MD 52.0 X 1697443 0 103789 ROBERT KEATING MD 55.0 X 692910 0 399538 MIRIAM MARKOWITZ 44.0 X 260641 0 48022 GERARD MARTIN MD 54.0 X 808287 0 75529 KURT DOUGLAS NEWMAN MD 52.0 X 912524 0 81249 ROGER PACKER MD 54.0 X 712464 0 191897 H GIL RUSHTON MD 55.0 X 536106 0 13315 ANTHONY SANDLER MD 55.0 X 550014 0 18902 CAROLE SCHOR 44.0 X 319309 0 50477 DAVID SPARKS 54.0 X 300592 0 41404 RAYMOND SZE MD 55.0 X 399069 0 19690 DAVID WESSEL MD 28.0 X 670978 0 77188 JOSEPH WRIGHT MD 54.0 X 545763 0 83512 GEORGE ZALZAL MD 55.0 X 488314 0 19440 MICHAEL JOHN BOYAJIAN MD 55.0 X 492836 0 19440 JEFFREY HANWAY MD 55.0 X 520037 0 13064 SHANNON KELLY MD 55.0 X 501843 0 15537 JOHN LOVEJOY MD 55.0 X 414857 0 5305 JOHN MYSEROS MD 55.0 X 612512 0 18436 GARY MANION 0.0 X 368547 0 6876 25884667 0 2371472 1066 true true false 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 108 13470185 7044931 20515116 PATIENT REVENUE 621400 709160085 709160085 FEES AND CONTRACTS 900099 10379344 10379344 ALL OTHER PROGRAM SERVICES 900099 63226874 63226874 782766303 1198972 1198972 0 0 261243670 52909 259761384 2742695 1482286 -2689786 -1207500 -1207500 0 0 0 PARTNERSHIP LOSS 621110 -1292346 -1292346 PARKING 812930 3355328 3355328 LAB FEES 621500 660963 660963 2723945 805996836 781473957 660963 3346800 0 0 0 0 28256137 28256137 0 367766216 298341110 69425106 13938916 7641536 6297380 24611649 16035095 8576554 25391467 19769516 5621951 0 499072 499072 700811 700811 722069 722069 0 0 36783399 24815220 11968179 3893822 691517 3202305 7080690 3115323 3965367 10683681 126772 10556909 0 23308192 14191839 9116353 8161161 2739769 5421392 0 148677 146467 2210 10014477 6450824 3563653 0 38205724 24610007 13595717 24819451 23813509 1005942 MEDICAL SUPPLIES 66723039 63722137 3000902 BAD DEBT EXPENSE 17492888 17492888 REPAIRS AND MAINTENANCE 13045724 4157307 8888417 SPECIAL PURPOSE FUND 1684017 1684017 OVERHEAD 2332827 2332827 13496146 7523348 5972798 739760252 539401028 200359224 0 63321906 47459908 131002096 127869505 0 0 3393893 3273694 3452602 4455340 800319367 344814366 382102914 455505001 53199126 125523208 175188792 112641591 0 0 39573257 41344363 851234586 918072610 132754446 159016453 7205107 3946869 422953110 421898909 1808893 781132 -7476564 2922524 557244992 588565887 X 293989594 329506723 293989594 329506723 851234586 918072610 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 481620 false true 240449 722069 false 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. 1440758 1440758 496691654 232326464 264365190 224430226 109525710 114904516 77756729 2962192 74794537 455505001 CONSTRUCTION BOND FUND 111784786 F CHCA/CHIC PARTNERSHIP 831805 F INVEST IN SAFEKIDS WORLD WIDE 25000 F 112641591 0 CAPITAL LEASE OBLIGATIONS 10097103 DUE TO AFFILIATES -83890754 RESERVE FOR CLAIMS 26269269 OTHER LIABILITIES 45846906 SETTLEMENTS TO THIRD PARTY PAYORS 4600000 2922524 Middle East and North Africa 1 2 Program Services CONTRACTING PATIENTS 136336 Central America and the Caribbean 0 0 Program Services INSURANCE PREMIUMS 13535000 1 2 13671336 true true X true X 350. true X true true true false true true 17886519 17886519 0.02480 37798213 37798213 0.05230 55684732 55684732 0.07710 143499 22847646 635256 22212390 0.03080 150 15546790 6568451 8978339 0.01240 18071141 9707459 8363682 0.01160 7000 9976972 9976972 0.01380 5908 44405 44405 0.00010 156557 66486954 16911166 49575788 0.06870 156557 122171686 16911166 105260520 0.14580 150 595 595 1000 85005 85005 0.00010 294380 294380 0.00040 349 139163 139163 0.00020 1499 519143 519143 0.00070 true 7994204 0 2387261 2712801 -325540 X true true CHILDREN'S HOSPITAL

111 MICHIGAN AVENUE NW WASHINGTON DC 20010

X X X X X X X X PART I, LINE 3C: NOT APPLICABLE 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. 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. 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. 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. 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. 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. PART III, LINE 9B: THE COLLECTION POLICY DOES NOT CONTAIN SPECIFIC PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY. ALL PATIENTS ARE TREATED THE SAME. CHILDREN'S NATIONAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S NATIONAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL, THEREFORE, WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATIONS TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR EFFECTIVE AND RESPONSIBLE FISCAL PROGRAM, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY. COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENT RESPONSIBLE BALANCES ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN MADE. CHILDREN'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. 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. 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. 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. 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. CHILDREN'S HOSPITAL IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM. X X X X X true true X X X X X true true false false false false false false false 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 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 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 50000000 3738181 0 0 3799100 12645266 29817453 2009 false false true true 50000000 3738181 0 0 3799100 12645266 29817453 2009 false false true true 50000000 3738181 0 0 3799100 12645266 29817453 2009 false false true true 3555193 233255 0 0 258906 494566 2420991 false false false true 3854679 252904 0 0 280716 536228 2624933 false false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false true true UBS 29.75 false false false false true true UBS 29.75 false false false false true true UBS 29.75 false false false false false false false false false false false false false false false 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. CHILDREN'S NATIONAL SPECIALISTS OF VA 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 264571100 HEALTH CARE DC -2372682 0 NA 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 CHILDREN'S PEDIATRICIANS ASSOCIATES LLC 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 HEALTH CARE DC NA RELATED -1292346 5347600 false 0 false 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 PO BOX 916 ROAD TOWN TORTOLA, VIRGIN ISLANDS VQ INJURY PREVEN VQ NA C 0 0 0.00000 BEARACUDA RE PO BOX 69 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 REINSURANCE CJ NA C 0 0 0.00000 BEAR CUB REINSURANCE LTD PO BOX 69 GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1102 REINSURANCE CJ NA C 0 0 0.00000 false true true true true false false false true true true true true true true true true true