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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALDWIN LINDSAY</PersonNm>
        <TitleTxt>EVP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>53.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1242243</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>141698</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANNE HILLIARD</PersonNm>
        <TitleTxt>EVP/CHIEF LEGAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>53.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1118540</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>145296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY SANDLER MD</PersonNm>
        <TitleTxt>SVP CENTER OF EXCELLENCE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1709244</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>225592</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WESSEL MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1322732</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>172126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEANN MARSHALL</PersonNm>
        <TitleTxt>PRESIDENT OF FOUNDATION</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>998741</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>161251</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATHANIEL BEERS MD</PersonNm>
        <TitleTxt>EVP OF COMMUNITY AND POP. HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>959891</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>141274</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW MACVEY</PersonNm>
        <TitleTxt>CHIEF INFO OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>851281</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>142429</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA TALLEY</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>869571</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>121842</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WELLS</PersonNm>
        <TitleTxt>SVP CENTER OF EXCELLENCE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>892785</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>151928</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE BOLLARD</PersonNm>
        <TitleTxt>CHIEF RESEARCH OFFICER FROM 02/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1044306</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>99768</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KURT D NEWMAN MD</PersonNm>
        <TitleTxt>FORMER PRESIDENT/CEO CNMC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>658152</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25903</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENICE CORA-BRAMBLE MD</PersonNm>
        <TitleTxt>FORMER CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>331760</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>78171</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN CHAVANU GORMAN</PersonNm>
        <TitleTxt>FORMER CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>2964852</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>175648</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK L BATSHAW MD</PersonNm>
        <TitleTxt>FMR EVP &amp; CHIEF ACADEMIC OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>694223</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>129644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES WEINSTEIN</PersonNm>
        <TitleTxt>FORMER CHIEF REAL ESTATE OFF.</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>580628</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25792</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE M MCGUIRE</PersonNm>
        <TitleTxt>FORMER CHIEF STRATEGY OFF.</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>54.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>709041</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33535</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER PACKER MD</PersonNm>
        <TitleTxt>FORMER SVP CENTER OF EXCELLENCE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>53.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>739265</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>132031</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>20064862</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>2371041</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>EQUITY EARNINGS OF SUBSIDIARIES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>178601265</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>178601265</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>178601265</TotalProgramServiceRevenueAmt>
      <OtherRevenueMiscGrp>
        <Desc>PARTNERSHIP INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1549846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1480868</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>68978</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueTotalAmt>1549846</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>180151111</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>180082133</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>68978</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1367000</BOYAmt>
        <EOYAmt>972478</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>1561444428</BOYAmt>
        <EOYAmt>1741990061</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>1562811428</BOYAmt>
        <EOYAmt>1742962539</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1120743506</BOYAmt>
        <EOYAmt>1265775539</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>442067922</BOYAmt>
        <EOYAmt>477187000</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1562811428</BOYAmt>
        <EOYAmt>1742962539</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1562811428</BOYAmt>
        <EOYAmt>1742962539</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>180151111</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>530196580</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>1</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>0</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>0</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>1</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>1</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>1</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ParentSupportedOrgInd>X</ParentSupportedOrgInd>
        <AppointElectMajorityOfficerInd>1</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>1</ExerciseDirectionPoliciesInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SIGNIFICANT VOICE TEST</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, SECTION D, LINE 3 THERE IS SIGNIFICANT OVERLAP BETWEEN THE BOARDS OF DIRECTORS AND OFFICERS OF THE SUPPORTING AND SUPPORTED ORGANIZATIONS. BY WAY OF EXAMPLE, THREE MEMBERS OUT OF THE ELEVEN MEMBER GOVERNING BODY OF THE SUPPORTED ORGANIZATION, CHILDREN'S HOSPITAL (DBA CHILDREN'S NATIONAL HOSPITAL), ALSO SERVED ON THE BOARD OF CHILDREN'S NATIONAL. THESE MEMBERS WERE GIVEN A SIGNIFICANT VOICE IN DETERMINING THE INVESTMENT POLICIES OF CHILDREN'S NATIONAL AND USE OF CHILDREN'S NATIONAL INCOME OR ASSETS THROUGH THEIR DUAL POSITIONS ON THE BOARDS OF CHILDREN'S NATIONAL AND THE SUPPORTED ORGANIZATIONS. AS OF JUNE 6, 2025 THERE IS 100% OVERLAP OF DIRECTORS AND OFFICER OF THE GOVERNING BODIES OF CHILDREN'S NATIONAL AND ITS CORE AFFILIATES, WHICH INCLUDE THE SUPPORTED ORGANIZATIONS (E.G., CHILDREN'S NATIONAL HOSPITAL). THE OVERLAP OF DIRECTORS AND OFFICERS ALLOWED CHILDREN'S NATIONAL TO MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS TO ENSURE ALIGNMENT OF MISSION, QUALITY, FINANCE, AND ASSET MANAGEMENT.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUBSTANTIAL DEGREE OF CONTROL</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, SECTION E, LINES 3A AND 3B CHILDREN'S NATIONAL IS THE PARENT AND SOLE MEMBER (OR SOLE MEMBER OF THE SOLE MEMBER) OF THE SUPPORTED ORGANIZATIONS (INCLUDING BUT NOT LIMITED TO CHILDREN'S NATIONAL HOSPITAL). CHILDREN'S NATIONAL HAS THE POWER TO APPOINT THE FULL BOARD OF THE SUPPORTED ORGANIZATIONS. AS OF JUNE 6, 2025 ALL OF THE DIRECTORS OF CHILDREN'S NATIONAL SERVE AS EX OFFICIO DIRECTORS OF CHILDREN'S NATIONAL'S CORE AFFILIATES, WHICH INCLUDES THE SUPPORTED ORGANIZATIONS. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATIONS GIVE THE SOLE MEMBER THE EXCLUSIVE POWER: (A) TO ESTABLISH FISCAL GOALS FOR THE SUPPORTED ORGANIZATIONS AND APPROVE THEIR OPERATING AND CAPITAL BUDGETS AND ANY SIGNIFICANT VARIANCES THERE FROM; (B) TO APPROVE THE MANAGEMENT AND INVESTMENT OF ALL SUPPORTED ORGANIZATION FUNDS; (C) TO SELECT AND ANNUALLY EVALUATE THE CHIEF EXECUTIVE OFFICER OF CHILDREN'S NATIONAL WHO ALSO SERVES AS CHIEF EXECUTIVE OFFICER OF THE SUPPORTED ORGANIZATIONS (D) TO APPOINT DIRECTORS OF THE SUPPORTED ORGANIZATIONS AND TO REMOVE SUCH DIRECTORS FROM OFFICE (E) TO APPOINT THE OFFICERS OF THE SUPPORTED ORGANIZATIONS AND TO REMOVE SUCH OFFICERS; (F) TO APPROVE AMENDMENTS TO THE BYLAWS OF THE SUPPORTED ORGANIZATIONS AS PROPOSED BY SUPPORTED ORGANIZATIONS' BOARDS OF DIRECTORS; (G) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE SUPPORTED ORGANIZATIONS AS PROPOSED BY THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS; AND (H) APPROVE CERTAIN OTHER NAMED ACTIVITIES OF THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARIES</Desc>
        <BookValueAmt>1741990061</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>1741990061</TotalBookValueProgramRltdAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL IS AS FOLLOWS: CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2025 AND 2024 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA &amp; BARBUDA, ARUBA, BAHAMAS,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>21378665</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>21378665</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>21378665</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
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        <PersonNm>DENICE CORA-BRAMBLE MD</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S NATIONAL'S BOARD OF DIRECTORS' PEOPLE, CULTURE, AND COMPENSATION COMMITTEE HAS RETAINED AND IS SERVED BY AN OUTSIDE INDEPENDENT CONSULTANT WITH EXPERTISE IN EXECUTIVE COMPENSATION. THE CONSULTANT UTILIZES COMPENSATION STUDIES AND COMPARISON TO INFORM THE COMMITTEE RELATIVE TO THE COMMITTEE'S DETERMINATIONS OF REASONABLE COMPENSATION. ALL COMPENSATION IS PAID BY A CONTROLLED SUBSIDIARY, CHILDREN'S HOSPITAL (DBA CHILDREN'S NATIONAL HOSPITAL). PLEASE SEE SCHEDULE O NARRATIVE TO FORM 990, PART VI, LINES 15A AND 15B FOR FURTHER EXPLANATION REGARDING OVERSIGHT OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4A: THE FOLLOWING FORMER OFFICERS AND KEY EMPLOYEES RECEIVED A SEVERANCE PAYMENT. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION: KATHLEEN CHAVANU GORMAN $282,647 CHARLES WEINSTEIN $541,059 MICHELLE M. MCGUIRE $547,961 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 OR SCHEDULE J, PART II, COLUMN (B)(III) WHEN AMOUNTS ARE DEFERRED AND DISTRIBUTED IN THE SAME CALENDAR YEAR. KATHLEEN CHAVANU GORMAN $122,480 ROGER PACKER, MD $80,325 MARK L. BATSHAW, MD $85,511 DENICE CORA-BRAMBLE, MD $37,320 ALDWIN LINDSAY $111,334 MARY ANNE HILLIARD $91,225 ANTHONY SANDLER, MD $158,922 DAVID WESSEL, MD $122,382 DEANN MARSHALL $98,002 ELIZABETH WELLS $85,052 NATHANIEL BEERS, MD $84,638 MATTHEW MACVEY $81,113 LINDA TALLEY $80,325 CATHERINE BOLLARD $42,750 MICHELLE RILEY-BROWN $202,500 ADDITIONALLY, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE PLAN THAT WERE DEFERRED ON A PREVIOUSLY FILED FORM 990 AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III) AS TAXABLE WAGES IN THE CURRENT YEAR. KURT D. NEWMAN, MD $464,056 KATHLEEN CHAVANU GORMAN $365,743 MICHELLE M. MCGUIRE $166,545 ANTHONY SANDLER, MD $155,810 DAVID WESSEL, MD $122,382 CATHERINE BOLLARD $110,043 ALDWIN LINDSAY $94,247 MARK L. BATSHAW, MD $85,511 ROGER PACKER, MD $80,325 MATTHEW MACVEY $72,221 NATHANIEL BEERS, MD $71,774 LINDA TALLEY $68,993 MARY ANNE HILLIARD $65,952 DENICE CORA-BRAMBLE, MD $37,320 ELIZABETH WELLS $31,708</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 AND PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION CHILDREN'S NATIONAL COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS TO ENSURE CONTINUED FINANCIAL VIABILITY OF THE SYSTEM AND TO SUPPORT THE DELIVERY OF HEALTHCARE IN WASHINGTON, DC AND SURROUNDING AREAS. SEE FORM 990 FOR CHILDREN'S NATIONAL HOSPITAL FOR A COMPLETE PICTURE OF THE COMMUNITY BENEFITS PROVIDED BY CHILDREN'S NATIONAL AND AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACTIVITY CHILDREN'S MISSION STATEMENT AS THE NATION'S CHILDREN'S HOSPITAL, THE MISSION OF CHILDREN'S NATIONAL IS TO EXCEL IN CARE, ADVOCACY, RESEARCH AND EDUCATION. WE ACCOMPLISH THIS THROUGH: - PROVIDING A QUALITY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND FAMILIES. - IMPROVING HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY. - LEADING THE CREATION OF INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTH CHALLENGES. CHILDREN'S VISION STATEMENT CHILDREN'S NATIONAL WILL LEAD THE FUTURE OF PEDIATRIC HEALTH THROUGH ITS CLINICAL EXCELLENCE, TRANSFORMATIVE RESEARCH, INNOVATION AND SERVICE TO THE COMMUNITY. CHILDREN'S CHILD-CENTERED VISION BY INCORPORATING FEEDBACK FROM OUR FAMILIES, WE HAVE DEVELOPED OUR FIRST CHILD-CENTERED VISION, WHICH LOOKS AT THE HOSPITAL EXPERIENCE THROUGH A CHILD'S EYES. HEALING A CHILD'S BODY, MIND AND SPIRIT TAKES MORE THAN MEDICINE: IT TAKES A TEAM TO FULFILL A FAMILY'S DREAM. - MY HOSPITAL IS A BRIGHT AND HAPPY PLACE THAT FEELS LIKE HOME. - MY PROVIDERS, MY FAMILY, AND I ARE A TEAM, AND EVERYONE'S JOB IS IMPORTANT. - THE WAY MY HOSPITAL WORKS IS BUILT AROUND ME. - MY PROVIDERS DON'T ALL LOOK ALIKE. - MY HOSPITAL IS MY FAMILY'S CONNECTION TO EVERYTHING I NEED FOR MY HEALTH, WHETHER THEY PROVIDE IT OR TRAIL-BLAZE IT. ABOUT CHILDREN'S NATIONAL CHILDREN'S NATIONAL, BASED IN WASHINGTON, D.C., HAS BEEN SERVING THE NATION'S CHILDREN SINCE 1870. CHILDREN'S NATIONAL IS #2 FOR BABIES AND RANKED IN EVERY SPECIALTY EVALUATED BY U.S. NEWS &amp; WORLD REPORT AND HAS BEEN DESIGNATED THREE TIMES AS A MAGNET HOSPITAL, A DESIGNATION GIVEN TO HOSPITALS THAT DEMONSTRATE THE HIGHEST STANDARDS OF NURSING AND PATIENT CARE DELIVERY. THIS PEDIATRIC ACADEMIC HEALTH SYSTEM OFFERS EXPERT CARE THROUGH A CONVENIENT, COMMUNITY-BASED PRIMARY CARE NETWORK AND SPECIALTY. OUTPATIENT CENTERS IN THE D.C. METROPOLITAN AREA INCLUDING THE MARYLAND SUBURBS AND NORTHERN VIRGINIA. HOME TO THE CHILDREN'S NATIONAL RESEARCH &amp; INNOVATION AND THE SHEIKH ZAYED INSTITUTE FOR PEDIATRIC SURGICAL INNOVATION, CHILDREN'S NATIONAL IS ONE OF THE NATION'S TOP NIH-FUNDED PEDIATRIC RESEARCH INSTITUTIONS. CHILDREN'S NATIONAL IS RECOGNIZED FOR ITS EXPERTISE AND INNOVATION IN PEDIATRIC CARE AND AS A STRONG VOICE FOR CHILDREN THROUGH ADVOCACY AT THE LOCAL, REGIONAL AND NATIONAL LEVELS. CHILDREN'S NATIONAL IS DEDICATED TO FULFILLING ITS VISION OF SETTING THE STANDARD IN EXCELLENCE IN PEDIATRIC CARE, ADVOCACY, RESEARCH, AND EDUCATION, HERE IN THE NATION'S CAPITAL, AROUND THE COUNTRY, AND THROUGHOUT THE WORLD. AS PART OF OUR COMMITMENT TO OUR COMMUNITY, BELOW ARE SOME OF THE PROGRAMS AND ACTIVITIES THAT WERE CONDUCTED IN FY2025. SAFE CONCUSSION OUTCOME RECOVERY &amp; EDUCATION (SCORE) PROGRAM THE SAFE CONCUSSION OUTCOME RECOVERY &amp; EDUCATION (SCORE) PROGRAM IS A COMPREHENSIVE CLINICAL, RESEARCH AND EDUCATIONAL PROGRAM TO EVALUATE AND MANAGE THE CARE OF CHILDREN AND ADOLESCENTS WITH CONCUSSIONS (ALSO KNOWN AS MILD TRAUMATIC BRAIN INJURY OR MTBI). THE PROGRAM CONSULTS WITH HEALTHCARE PROVIDERS REGIONALLY AND NATIONALLY, AS WELL AS SCHOLASTIC AND YOUTH RECREATIONAL SPORTS PROGRAMS IN WHICH CHILDREN ARE VULNERABLE TO INJURY. CLINICIANS IN THE SCORE PROGRAM HAVE SPECIFIC EXPERTISE IN MANAGING ACADEMIC NEEDS AND WORK WITH SCHOOLS TO ASSURE A SAFE AND EFFECTIVE RETURN TO SCHOOL. THE SCORE PROGRAM HAS FOUR GOALS: - PROVIDE THE HIGHEST LEVEL OF SERVICE TO CHILDREN, ADOLESCENTS AND YOUNG ADULTS WITH CONCUSSIONS/MILD TBI - INCREASE RESEARCH-BASED KNOWLEDGE, SKILLS AND INSTRUMENTATION USED IN EVALUATION AND TREATMENT OF CONCUSSIONS/MILD TBI - DEVELOP THE NEXT GENERATION OF HIGHLY QUALIFIED PROFESSIONALS TO TREAT CHILDREN AND ADOLESCENTS WITH CONCUSSIONS/MILD TBI - IMPROVE THE GENERAL KNOWLEDGE AND SKILL OF PEOPLE IN THE MEDICAL, EDUCATIONAL AND ATHLETIC COMMUNITY REGARDING THE SPECIFIC TREATMENT/NEEDS OF INDIVIDUALS WITH CONCUSSIONS/MILD TBI IN FY 2025, SCORE PROGRAM STAFF EDUCATED LOCAL PEDIATRICIANS AND SCHOOL PERSONNEL INCLUDING SCHOOL NURSES AND TEACHERS ON CURRENT CONCUSSION MANAGEMENT STRATEGIES AND RECREATIONAL BASKETBALL COACHES IN MONTGOMERY COUNTY, MD ON CONCUSSION RECOGNITION AND RESPONSE. OVER 1300 PEOPLE PARTICIPATED IN THE EDUCATIONAL OFFERINGS. THE SCORE PROGRAM STAFF PROVIDES EDUCATIONAL EVENTS NOT ONLY FOR THE LOCAL COMMUNITY, BUT ALSO NATIONALLY AND INTERNATIONALLY. ADDITIONALLY, THE SCORE PROGRAM CREATED THE SCORE4 BRAIN HEALTH APP, TO PROVIDE IMMEDIATE AND FREE ACCESS TO A CONCUSSION RECOGNITION AND RESPONSE TOOL, WITH SYMPTOM ASSESSMENT AND TRACKING FEATURES, INITIAL RESPONSE AND SCREENING FOR URGENT MEDICAL NEEDS, AND EDUCATIONALLY BASED VIDEOS AND TIP SHEETS FOR MANAGING SYMPTOMS AND FACILITATING RECOVERY. NURSING STUDENTS CHILDREN'S NATIONAL IS COMMITTED TO EDUCATING THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS INCLUDING NURSES. NURSING IS THE LARGEST HEALTHCARE PROFESSION IN THE COUNTRY, WITH MORE THAN 4 MILLION REGISTERED NURSES, LICENSED PRACTICAL/VOCATIONAL NURSES AND ADVANCED PRACTICE REGISTERED NURSES IN 2024 (PER AN ANALYSIS RELEASED IN NOVEMBER 2025 BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION). EVEN WITH THESE NUMBERS, CONCERNS ABOUT SHORTAGES CONTINUE. THROUGH SEVERAL PROGRAMS, OUR DIVISION OF NURSING PROVIDES OPPORTUNITIES FOR STUDENTS FROM ACROSS THE UNITED STATES. STUDENTS EXPERIENCE THE DISTINCTIVE ASPECTS OF PEDIATRIC NURSING AND IMMERSE THEMSELVES IN A CULTURE OF EXCELLENCE AND SAFETY, ALL WHILE BENEFITING FROM MENTORSHIP. IN FY 2025, MORE THAN 700 NURSING STUDENTS ROTATED WITHIN OUR SYSTEM. ADDITIONALLY, WE OFFER THE LAUNCH AND CONWAY NURSING PATHWAY PROGRAM. LAUNCH PROVIDES SUMMER AND WINTER INTERNSHIPS FOR NURSING STUDENTS FROM ACROSS THE COUNTRY INTERESTED IN PEDIATRIC NURSING. NOT ONLY ARE THEY EXPOSED TO THE CLINICAL SETTING BUT ALSO EDUCATED THROUGH A LECTURE SERIES ON SOCIAL DRIVERS OF HEALTH AND HEALTH EQUITY. LAUNCH STUDENTS PRESENT AT THE END OF THEIR SESSIONS TO HIGHLIGHT WHAT THEY'VE LEARNED. THE CONWAY NURSING PATHWAY PROGRAM IDENTIFIES STUDENTS FACING FINANCIAL HARDSHIPS AND OTHER CHALLENGES THAT WOULD PREVENT THEM FROM STARTING A CAREER IN PEDIATRIC NURSING AND PROVIDES THEM WITH SUPPORTS. IN ADDITION TO SCHOLARSHIPS AND FINANCIAL SUPPORT, THE NURSES CULTIVATE MENTORSHIP RELATIONSHIPS WITH PRACTICING PEDIATRIC NURSES. THE MENTORSHIP BEGINS AS THEY ENTER THE PROGRAM AND THROUGHOUT THEIR FIRST YEAR AS A PRACTICING NURSE. A LITTLE OVER 100 STUDENTS PARTICIPATED IN THESE PROGRAMS IN FY 2025. FOOD INSECURITY CHILDREN'S NATIONAL HOSPITAL IS COMMITTED TO HELPING ADDRESS THE SOCIAL DRIVERS OF HEALTH THAT AFFECT CHILDREN AND FAMILIES IN OUR COMMUNITY. SOCIAL DRIVERS OF HEALTH (SDOH) ARE NONMEDICAL FACTORS THAT INFLUENCE HEALTH OUTCOMES. ACCESS TO NUTRITIOUS FOOD IS A CRITICAL SOCIAL DRIVER OF HEALTH. ONE IN TEN CHILDREN ACROSS OUR REGION EXPERIENCE FOOD INSECURITY. THROUGH A PARTNERSHIP WITH OUR LOCAL FOOD BANK, WE LEAD A FOOD PHARMACY PROGRAM WITHIN OUR DIABETES AND ENDOCRINOLOGY CLINIC. PATIENTS WITH PREDIABETES AND DIABETES THAT SCREEN POSITIVE FOR FOOD INSECURITY ARE PROVIDED WITH PRODUCE AND SHELF-STABLE FOOD FOR THEIR FAMILY. FAMILIES ARE ALSO PROVIDED WITH INFORMATION ON WHERE TO FIND ADDITIONAL SUPPORT AS WELL AS RECIPE CARDS AND NUTRITION EDUCATION MATERIALS. THE PROGRAM SERVICES OVER 200 UNIQUE FAMILIES EACH MONTH AND HAS RECEIVED OVERWHELMINGLY POSITIVE FEEDBACK FROM PARTICIPANTS. PATIENTS AND FAMILIES HAVE GIVEN INCREASINGLY POSITIVE FEEDBACK WHILE RECEIVING MEDICALLY TAILORED GROCERIES, ESPECIALLY WITH THE GROWING VARIETY OF FOODS PROVIDED INCLUDING FRESH EGGS. THE FOOD PHARMACY PROGRAM HAS INSPIRED A SECOND LOCATION IN A PRIMARY CARE CLINIC IN COLUMBIA HEIGHTS, DC, ALSO IN COLLABORATION WITH OUR LOCAL FOOD BANK, PROVIDING SHELF STABLE FOODS TO ANY WHO SCREEN POSITIVE FOR FOOD INSECURITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PEDIATRIC MENTAL HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>RECENT NATIONAL SURVEYS OF CHILDREN HAVE SHOWN INCREASES IN THE PREVALENCE OF MENTAL HEALTH CHALLENGES. IN 2021, U.S. SURGEON GENERAL DR. VIVEK MURTHY ISSUED AN ADVISORY DETAILING AN URGENT YOUTH MENTAL HEALTH CRISIS. THE LEADING CHILD HEALTH ASSOCIATIONS ALSO DECLARED A YOUTH MENTAL HEALTH CRISIS IN OCTOBER 2021. MENTAL HEALTH IS SHAPED BY MANY FACTORS INCLUDING BIOLOGICAL AND ENVIRONMENTAL FACTORS SUCH AS LIFE EXPERIENCES. AS YOUNG PEOPLE DEAL WITH MENTAL HEALTH CHALLENGES, ACCESS TO PEDIATRIC MENTAL HEALTH CARE IS A CHALLENGE OF NATIONAL SCALE. MENTAL HEALTH REMAINS A PRIORITY FOR CHILDREN'S NATIONAL WITH STAFF WORKING TO EMPOWER PRIMARY CARE PROVIDERS WITH TRAINING, ADVOCATE FOR EQUITABLE MENTAL HEALTH SERVICES THROUGH POLICY AND ADVOCACY EFFORTS AT LOCAL, NATIONAL AND FEDERAL LEVELS, AND EDUCATION OF COMMUNITY RESIDENTS THROUGH PARENT CAFS WHICH ARE DESIGNED TO ADDRESS STIGMAS AROUND MENTAL HEALTH AND BEHAVIORAL HEALTH CHALLENGES WITHIN FAMILIES. IN COLLABORATION WITH CAREFIRST BLUECROSS BLUESHIELD (CAREFIRST), WE CONVENED A 1-DAY PEDIATRIC MENTAL HEALTH SUMMIT OF COMMUNITY LEADERS, PROVIDERS, ELECTED OFFICIALS, AND OTHER STAKEHOLDERS TO DISCUSS CHILDREN'S MENTAL HEALTH IN THE CAPITOL REGION. THE GOAL OF THE SUMMIT WAS TO INCREASE AWARENESS AND UNDERSTANDING OF THE YOUTH MENTAL HEALTH CRISIS, OPPORTUNITIES AND CHALLENGES TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES AND IDENTIFY POTENTIAL CHANGES IN POLICY AND PROGRAMMATIC EFFORTS RELATED TO YOUTH MENTAL HEALTH. THE SUMMIT INCLUDED PANEL DISCUSSIONS WITH FEDERAL OFFICIALS REGARDING POLICIES AND OPPORTUNITIES, LEADERS OF NATIONAL ORGANIZATIONS WHO ORIGINALLY DECLARED THE CHILDREN'S MENTAL HEALTH CRISIS, AND LOCAL AND REGIONAL PROGRAMS WORKING TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES. OVER TWO HUNDRED ATTENDEES PARTICIPATED IN THE SUMMIT. BUILDING ON THE SUCCESS OF THE SUMMIT, STAFF ARE NOW CURRENTLY PRODUCING WEBINARS IN COLLABORATION WITH CAREFIRST, FOR COMMUNITY RESIDENTS TO EDUCATE AND BRING AWARENESS OF MENTAL HEALTH CHALLENGES FACED BY YOUTH. FORM 990, PART V: THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A AND LINE 2A BECAUSE THE ORGANIZATION'S 1099 AND W-2 RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF CHILDREN'S HOSPITAL, INC. (DBA CHILDREN'S NATIONAL HOSPITAL), A RELATED ENTITY, UNDER A SHARED SERVICES AGREEMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JUNE 6, 2025, THE BOARD OF DIRECTORS ADOPTED AMENDED AND RESTATED BYLAWS AS PART OF A COMPREHENSIVE GOVERNANCE RESTRUCTURING (THE "2025 GOVERNANCE TRANSFORMATION"). UNDER THE AMENDED BYLAWS, EACH DIRECTOR AND OFFICER OF THE CORPORATION NOW ALSO SERVES IN AN EX OFFICIO CAPACITY ON THE BOARDS OF EACH CORE AFFILIATE (CHILDREN'S NATIONAL HOSPITAL, CHILDREN'S NATIONAL HOSPITAL FOUNDATION, CHILDREN'S NATIONAL RESEARCH INSTITUTE, AND CHILDREN'S NATIONAL REHABILITATION AND SPECIALIZED CARE), WHICH BOARDS MAY MEET CONCURRENTLY. DIRECTORS ARE NOW CLASSIFIED AS EX OFFICIO (CEO), DESIGNATED (ONE-YEAR TERMS), OR AT-LARGE (THREE-YEAR TERMS, CHANGED FROM TWO), WITH MAXIMUM CONSECUTIVE SERVICE REVISED FROM APPROXIMATELY EIGHT TO NINE YEARS; A "LEGACY DIRECTOR" PROVISION EXTENDS INCUMBENT DIRECTORS' TERMS TO ENSURE TRANSITION CONTINUITY. THE STANDING COMMITTEE STRUCTURE WAS REORGANIZED TO ADD QUALITY, SAFETY, AND CLINICAL OPERATIONS; RESEARCH AND INNOVATION; AND EXECUTIVE COMMITTEES, MERGE THE FORMER AUDIT AND ENTERPRISE RISK AND COMPLIANCE COMMITTEES, AND RENAME THE EXECUTIVE COMPENSATION COMMITTEE TO THE PEOPLE, CULTURE, AND COMPENSATION COMMITTEE ALL COMMITTEES MUST NOW BE COMPRISED SOLELY OF DIRECTORS. OFFICER TERMS WERE CHANGED FROM TWO FISCAL YEARS TO ONE YEAR, THE CHIEF LEGAL OFFICER NOW SERVES AS SECRETARY, AND THE VICE CHAIR POSITION WAS MADE DISCRETIONARY. ADDITIONAL AMENDMENTS INCLUDE ADOPTION OF THE "DBA CHILDREN'S NATIONAL" NAME, ADDITION OF CHILDREN'S NATIONAL SCHOOL SERVICES AND SAFE KIDS WORLDWIDE AS AFFILIATES, REDUCTION OF MINIMUM REGULAR BOARD MEETINGS FROM FIVE TO FOUR PER YEAR, A NEW INDEMNIFICATION LIMITATION UNDER IRC 4958, EXPANDED CONFLICT OF INTEREST PROVISIONS, FORMALIZATION OF UNANIMOUS WRITTEN CONSENT PROCEDURES, AND REMOVAL OF ALL INTEGRATION-ERA PROVISIONS RELATED TO THE 2019 HSC CLOSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS AFTER THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S PROFESSIONAL TAX SERVICES PROVIDER THEN THE RELEVANT COMMITTEES OF THE ORGANIZATION, OPERATION LEADERSHIP, AND FINANCE MANAGEMENT REVIEW APPLICABLE PORTIONS OF THE FORM 990. THE COMPLETED FORM 990 IS MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY MONITORING &amp; ENFORCEMENT CHILDREN'S NATIONAL AND ITS SUBSIDIARY ENTITIES REQUIRES EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AT LEAST ANNUALLY. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST DISCLOSURE FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE DISCLOSURE FORM. THE DISCLOSURE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND POTENTIAL CONFLICTS OF INTEREST ARE NOTED. THE CHILDREN'S NATIONAL 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 ORGANIZATION'S CONFLICT OF INTEREST POLICY. INDIVIDUALS WITH A POTENTIAL CONFLICT MAY ATTEND A MEETING WHERE THE MATTER IS INTRODUCED AND MAY BE ASKED QUESTIONS RELATED TO THE MATTER BUT ARE THEN EXCUSED FROM THE MEETING FOR ULTIMATE DELIBERATION AND VOTE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION CHILDREN'S NATIONAL'S PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES ARE COMPENSATED BY ITS CONTROLLED SUBSIDIARY, CHILDREN'S HOSPITAL (DBA CHILDREN'S NATIONAL HOSPITAL), BUT COMPENSATION IS DETERMINED BY A CHILDREN'S NATIONAL COMMITTEE OF THE BOARD OF DIRECTORS. THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS WHO ARE EXPERTS ON COMPENSATION MATTERS. THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL BOARD DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION, FOR EACH PERSON DEEMED BY THE COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATE SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE DOCUMENTS ITS DELIBERATIONS AND DECISIONS REGARDING COMPENSATION MATTERS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT AND RELIES UPON "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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC CHILDREN'S NATIONAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST AND THROUGH PUBLIC FILINGS.</ExplanationTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>530196580</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAFE KIDS WORLDWIDE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 INVENTA PL 6TH FL W</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
        <EIN>521627574</EIN>
        <PrimaryActivitiesTxt>INJURY PREVENTION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILDREN'S SCHOOL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>814291601</EIN>
        <PrimaryActivitiesTxt>NURSING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HSC FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521346603</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE HOSPITAL FOR SICK CHILDREN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>530204670</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH SVCS FOR CHILDREN W SPEC NEEDS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521862406</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>522072589</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1549846</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>16012606</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>5253 NMTC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>832873855</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>5253 HTC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833044006</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>54 NMTC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833358685</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>54 HTC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833385522</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S NATIONAL HEALTH NETWORK</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>521996521</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BEARACUDA RE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 69 KY1-1102</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>REINSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-9684826</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>70281267</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PEDIATRIC HEALTH NETWORK INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>12211 PLUM ORCHARD DR STE 102</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20904</ZIPCd>
        </USAddress>
        <EIN>833415276</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-2297614</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>725624</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BUILDING 5253 MANAGING MEMBER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>832801690</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-725388</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>17911032</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BUILDING 54 MANAGING MEMBER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 MICHIGAN AVENUE NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <EIN>833272918</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-3297809</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>113649842</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE HSC FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>25870122</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HSC FOUNDATION WAS DISSOLVED EFFECTIVE JULY 2, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>