2025-05-14T21:55:25-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 2850 QUARRY LAKE DRIVE SUITE 306 BALTIMORE MD 21209 990 2023-07-01 530204670 THE HOSPITAL FOR SICK CHILDREN HOSP 2024765000 111 MICHIGAN AVE NW WASHINGTON DC 20010 ALDWIN LINDSAY CFO 2024765000 2025-05-14 1 1 MARY TORRETTA P00847851 4106854000 2023 2025-03-06 01:10:19Z CHILDREN'S NATIONAL REHAB & SPEC CARE MICHELLE RILEY-BROWN 111 MICHIGAN AVE NW WASHINGTON DC 20010 33653946 0 X WWW.CHILDRENSNATIONAL.ORG X 1888 DC PROVIDE QUALITY CARE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS IN WASHINGTON, D.C. AND BALTIMORE. 8 8 0 8 0 0 33064 118060 31965438 30131408 763 17288 94332 3387190 32093597 33653946 102000 0 0 0 20662573 22989568 0 0 0 19383478 19096940 40148051 42086508 -8054454 -8432562 46607428 62782702 81531213 106140218 -34923785 -43357516 THE HOSPITAL FOR SICK CHILDREN, DBA CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE (RSC), PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, D.C. AND BALTIMORE AREAS. 0 0 25831377 0 30131408 TO PROVIDE QUALITY REHABILITATIVE AND TRANSITIONAL CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN A SUPPORTIVE, CULTURALLY COMPETENT, RESPECTFUL ENVIRONMENT, AND TO PARTICIPATE IN RELATED LOCAL, REGIONAL, AND NATIONAL PROJECTS WITH GOVERNMENT, PRIVATE, AND PHILANTHROPIC ORGANIZATIONS. DURING THE YEAR ENDED JUNE 30, 2024, RSC PROVIDED 6,092 DAYS OF CARE. RSC ALSO PROVIDED REHABILITATIVE SERVICES ON AN OUTPATIENT BASIS, APPROXIMATELY 25,549 ENCOUNTERS IN THE YEAR ENDED JUNE 30, 2024. 25831377 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CORPORATE OFFICERS 2024765000 111 MICHIGAN AVE NW WASHINGTON DC 20010 X MARSHA REGENSTEIN BOARD CHAIR 2.00 3.00 X X 0 0 0 MICHAEL JONES BOARD MEMBER (FROM 07/23) 1.00 3.00 X 0 0 0 MARIE MANN BOARD MEMBER 1.00 1.00 X 0 0 0 ERIC MINKOVE BOARD MEMBER 1.00 1.00 X 0 0 0 CHRISTOPHER NACE BOARD MEMBER (FROM 07/23) 1.00 1.00 X 0 0 0 STEPHEN F RILEY BOARD MEMBER 1.00 1.00 X 0 0 0 CAROLINE VAN VLECK MD BOARD MEMBER (FROM 07/23) 1.00 2.00 X 0 0 0 MICHAEL WARD BOARD MEMBER 1.00 2.00 X 0 0 0 ALDWIN LINDSAY TREASURER & EVP/CFO 2.00 53.00 X 0 1138312 135445 MARY ANNE HILLIARD SECRETARY 2.00 53.00 X 0 932977 126033 NATHANIEL BEERS MD PRESIDENT OF HSC (NON-VOTING) 20.00 35.00 X 0 843320 134498 DEBBIE HOLSON COO, PEDIATRIC CENTER 55.00 0.00 X 0 313749 45248 TOVA RONIS RHEUMATOLOGIST 55.00 0.00 X 0 216414 47954 JACLYN KLINE EMERGENCY MEDICINE PHYSICIAN 55.00 0.00 X 0 264043 15831 MELANIE D ANSPACHER HOSPITALIST 55.00 0.00 X 0 250603 14430 JAMIE CINOTTI DIR OPS & BUS DEVELOPMENT 55.00 0.00 X 0 216962 34624 PATRICE S JOHNSON PHARM CLNCL INFORMATICS MANAGER 55.00 0.00 X 0 220333 22739 KIMBERLY BROWN FORMER OFFICER 0.00 55.00 X 0 262919 21524 DONNA ANTHONY FORMER KEY EMPLOYEE 0.00 55.00 X 0 456728 75308 0 5116360 673634 0 1 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST STE SAN DIEGO CA 92121 STAFFING SERVICES 1044034 ARAMARK SERVICES INC PO BOX 978839 DALLAS TX 75397 FOOD AND NUTRITION SERVICES 624313 BARTON HEALTHCARE STAFFING LLC PO BOX 412801 BOSTON MA 02241 STAFFING SERVICES 255745 NAC MECHANICAL SERVICES LLC 15800 GAITHER DR STE 100 GAITHERSBURG MD 208771431 REPAIRS AND MAINTENANCE 156235 AMN HEALTHCARE INC PO BOX 281939 ATLANTA GA 303841939 STAFFING SERVICES 124477 5 30050 88010 118060 PATIENT SERVICE REV 621300 29310897 29310897 DSH REVENUE 621300 820511 820511 30131408 17288 17288 35432 0 35432 35432 35432 THIRD PARTY SETTLEMENT 900099 3249951 3249951 CAFETERA VENDING 722210 77844 77844 MISCELLANEOUS 900099 23963 23963 3351758 33653946 30131408 0 3404478 273261 273261 19242856 16576950 2665906 487101 413743 73358 1559304 1324470 234834 1427046 1212130 214916 11170 2000 9170 1282 1282 3783588 3479893 303695 253892 221133 32759 346694 84577 262117 1580252 669125 911127 29135 25477 3658 286928 286928 2983427 2983427 11301 2253 9048 SHARED SERVICE ALLOC 7409000 7409000 MEDICAL SUPPLIES 1114097 1103305 10792 MAINTENANCE 668253 102127 566126 FOOD AND CATERING 617921 614194 3727 42086508 25831377 16255130 0 9601285 17313421 62788 123665 735271 319406 51224190 9061791 33099485 42162399 35702 0 3072897 2863811 46607428 62782702 1993343 3317289 6510238 0 73027632 102822929 81531213 106140218 X -35102913 -43444559 179128 87043 -34923785 -43357516 46607428 62782702 -8432562 -1169 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35702 15823 1282 50243 36069 1342 1709 35702 46530 -9177 1284 36069 40296 10158 3924 46530 49392 -9952 -856 40296 1.00000 0 0 13300000 13300000 17551503 5735226 11816278 0 4351146 1664270 2686875 16021541 1662295 14359246 42162399 DUE TO AFFILIATIES 99863574 OPERATING LEASE LIABILITY 2959355 102822929 X PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT FUND CORPUS IS PERMANENTLY RESTRICTED AND WILL REMAIN INVESTED. THE INCOME DERIVED FROM THE ENDOWMENT FUND IS TO BE USED BY RSC TO SUPPORT CURRENT OPERATIONS. PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL, THE ULTIMATE PARENT OF RSC'S SOLE MEMBER, 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, 2024 AND 2023 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS. 1 1 1 X 400.000000000000 1 X 1 1 1 0 0 104143 104143 0.00250 5770776 5770776 0.13710 5874919 5874919 0.13960 208988 208988 0.00500 208988 208988 0.00500 6083907 6083907 0.14460 1 0 0 0 0 1 1 1 1 CHILDREN'S NATIONAL REHAB & SPEC CARE 1731 BUNKER HILL RD NE WASHINGTON DC 20017 WWW.CHILDRENSNATIONAL.ORG HFD01-0216 X X CHILDREN'S NATIONAL REHAB & SPEC CARE 1 0 0 1 X X X X X X X X X X 22 1 1 0 1 X WWW.CHILDRENSNATIONAL.ORG X X 1 22 1 WWW.CHILDRENSNATIONAL.ORG 0 1 X 400.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 0 X X 0 0 CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, SECTION B, LINE 3J: RSC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH CHILDREN'S NATIONAL HOSPITAL IN 2022. THIS 2022 CHNA, DIFFERS FROM OUR PRIOR ASSESSMENTS AS IT FOCUSES SPECIFICALLY ON CHILDREN, IS AN ASSESSMENT OF CHILDREN'S NATIONAL AND RSC'S PRIMARY SERVICE AREA (PSA) WHICH INCLUDES WASHINGTON, D.C., AND PARTS OF MARYLAND, AND APPLIES A STRONGER PEDIATRIC HEALTH EQUITY LENS BY UTILIZING THE CHILD OPPORTUNITY INDEX (COI). THE COI DEFINES OPPORTUNITY AS THE NEIGHBORHOOD RESOURCES THAT MATTER FOR A CHILD'S HEALTHY DEVELOPMENT. THE 29 INDICATORS FOCUS ON NEIGHBORHOOD FEATURES SUCH AS ACCESS TO HEALTHY FOOD, HIGH-QUALITY EDUCATION, PARKS, AND PLAYGROUNDS. EACH NEIGHBORHOOD IS ASSIGNED A SCORE RANGING FROM 1 TO 100 TO INDICATE THE OPPORTUNITY IN THAT SPECIFIC NEIGHBORHOOD FOR CHILDREN TO REACH THEIR POTENTIAL. THE HIGHER THE SCORE, THE BETTER THE OPPORTUNITY FOR CHILD DEVELOPMENT AND WELL-BEING. THE COI HIGHLIGHTS THE INTERPLAY BETWEEN LOW OPPORTUNITY NEIGHBORHOODS AND THE AVAILABILITY OF SOCIAL RESOURCES THAT ARE CRITICAL TO CHILD WELL-BEING. OUR CHNA FINDINGS REVEAL THAT CHILD OPPORTUNITY VARIES CONSIDERABLY WITHIN OUR SERVICE AREA. CHILD OPPORTUNITY IS LOWEST AND CRITICALLY LACKING IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS CERTAIN PRINCE GEORGE'S COUNTY NEIGHBORHOODS IN MARYLAND. IN ADDITION TO THE QUANTITATIVE DATA, WE IMPLEMENTED MANY COMMUNITY ENGAGEMENT EFFORTS TO GATHER QUALITATIVE DATA. WE INVITED RESIDENTS FROM OUR COMMUNITY, SPECIFICALLY THE NEIGHBORHOODS WE IDENTIFIED WITH THE LOWEST OPPORTUNITY SCORES, TO SHARE THEIR EXPERIENCES ON OPPORTUNITY IN THEIR COMMUNITIES. WE ENGAGED WITH YOUTH, PARENTS AND OLDER ADULTS THROUGH VIRTUAL CONVERSATIONS, INPUT FORMS AND INTERVIEWS TO FURTHER INFORM OUR FINDINGS AND RECOMMENDATIONS SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS. TO ELEVATE THE VOICE OF OUR YOUTH IN THIS ASSESSMENT, WE CREATED AN EIGHT-WEEK PHOTOVOICE PROGRAM TAILORED TO ADOLESCENTS. THE STUDENTS WERE ASKED TO USE THEIR CELL PHONES TO CAPTURE IMAGES THAT SHOWED THE ASSETS AND CHALLENGES THAT IMPACT HEALTH IN THEIR COMMUNITIES. THEY WORKED WITH THE FACILITATORS TO LEARN HOW TO USE THEIR VOICES TO PROMOTE POSITIVE CHANGE IN THEIR NEIGHBORHOODS. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE (1) EARLY CHILDHOOD EDUCATION, (2) HEALTH INSURANCE COVERAGE, (3) HEALTHY FOOD AND (4) EMPLOYMENT RATE. CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, RSC CONSIDERED INPUT FROM COMMUNITY RESIDENTS, STAKEHOLDERS INCLUDING LEADERS IN HEALTHCARE AND COMMUNITY-BASED ORGANIZATIONS AND BUSINESS AND GOVERNMENT OFFICIALS INCLUDING THE DC HOSPITAL ASSOCIATION, PRINCE GEORGE'S COUNTY CHAMBER OF COMMERCE, DC PRIMARY CARE ASSOCIATION, CHILDREN'S LAW CENTER AND THE DC HEALTH MATTERS COLLABORATIVE. THROUGH OUR QUALITATIVE WORK, WE HEARD FROM OVER 300 STAKEHOLDERS. WE CONDUCTED ELEVEN 60-MINUTE, VIRTUAL COMMUNITY CONVERSATIONS WITH 67 PARENTS AND CAREGIVERS LIVING IN THE NEIGHBORHOODS WITH THE LOWEST OPPORTUNITY FOR CHILDREN IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS PRINCE GEORGE'S COUNTY, MD. THREE OF THE 11 COMMUNITY CONVERSATIONS WERE HELD IN SPANISH. THESE CONVERSATIONS PROVIDED PERSPECTIVES FROM NEIGHBORHOOD RESIDENTS ON HOW THEY VIEW THE IMPACT OF NEIGHBORHOOD CONDITIONS - SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS - ON A CHILD'S OPPORTUNITY TO LIVE A HEALTHY AND PRODUCTIVE LIFE. WE CONDUCTED 33 KEY INFORMANT INTERVIEWS WITH A WIDE RANGE OF PEOPLE - INCLUDING RESIDENTS, PUBLIC HEALTH, COMMUNITY, AND GOVERNMENT LEADERS - WHO HAD FIRSTHAND KNOWLEDGE ABOUT THE COMMUNITY. WE ALSO ISSUED A COMMUNITY INPUT FORM AS A WAY FOR RESIDENTS WHO MAY NOT HAVE BEEN ABLE TO PARTICIPATE IN PREVIOUS CONVERSATIONS AND INTERVIEWS TO PROVIDE THEIR INPUT. WE RECEIVED FEEDBACK FROM 88 NEIGHBORHOOD RESIDENTS ON WHICH INDICATORS SHOULD BE A PRIORITY, WHAT FACTORS IMPACT OPPORTUNITIES IN THEIR NEIGHBORHOOD, AND HOW HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS CAN WORK TOGETHER TO MAKE IMPROVEMENTS IN THESE AREAS. IN ADDITION TO THE COMMUNITY INPUT FORM, WE RECEIVED FEEDBACK FROM 156 HOSPITAL STAFF VIA A HOSPITAL INPUT FORM TO GAIN THEIR PERSPECTIVE ON WHICH OF THE 29 COI INDICATORS WE SHOULD SELECT AS "PRIORITY INDICATORS" FOR THE 2022 CHNA. ONCE THE PRIORITIES WERE SELECTED, WE HOSTED FOUR ADDITIONAL COMMUNITY CONVERSATIONS WITH 26 PARENTS AND CAREGIVERS LIVING IN PRIORITY NEIGHBORHOODS TO IDENTIFY SPECIFIC STRATEGIES TO IMPROVE ACCESS TO EARLY CHILDHOOD EDUCATION, HEALTHY FOOD, HEALTH INSURANCE AND HEALTH SERVICES AND EMPLOYMENT. CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH CHILDREN'S NATIONAL. BASED IN WASHINGTON, D.C., RSC AND CHILDREN'S NATIONAL ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH COMPLEX MEDICAL CONDITIONS. OUR GOAL IS TO PROVIDE COMPREHENSIVE, FAMILY-CENTERED CARE THAT MEETS OUR PATIENTS' PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL NEEDS. WE STRIVE TO CREATE AN ENVIRONMENT WHERE EVERY FAMILY FEELS INCLUDED, RESPECTED, AND SUPPORTED. OUR TEAM OF PHYSICIANS, NURSES, AND OTHER HEALTHCARE PROVIDERS WORK TOGETHER TO ENSURE THE BEST OUTCOMES FOR OUR PATIENTS. CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, SECTION B, LINE 7D: THE CHNA IS LOCATED ON THE CHILDREN'S NATIONAL'S WEBSITE. RSC ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH RSC AND CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS. WE ALSO SHARED OUR CHNA AND IMPLEMENTATION STRATEGY (COMMUNITY HEALTH IMPROVEMENT PLAN) DURING COMMUNITY EVENTS SUCH AS OUR CELEBRATING OUR PARTNERS EVENT HELD IN JUNE 2023. DURING THIS EVENT, WE GATHERED WITH OUR COMMUNITY PARTNERS AND PROVIDED AN OVERVIEW OF OUR CHNA AND CHIP AND HELD A DISCUSSION ON THE IMPORTANCE OF PARTNERSHIPS TO ADVANCE COMMUNITY HEALTH IMPROVEMENT EFFORTS.PART V, SECTION B, LINE 8:RSC ADOPTED AN IMPLEMENTATION STRATEGY IN NOVEMBER 2022, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE CHIP IS AVAILABLE AT: HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, SECTION B, LINE 11: FROM THE INSIGHT GAINED FROM THE COI AND OUR UNDERSTANDING OF OUR COMMUNITY PERSPECTIVES, WE PARED DOWN THE 29 COI INDICATORS TO FOUR INDICATORS THAT WILL BE OUR HOSPITAL'S FOCUS FROM 2022-2025. TO GET TO THESE FOUR INDICATORS, WE USED A PROCESS MODELED OFF A WIDELY USED PRIORITIZATION METHOD, CALLED THE HANLON METHOD. THE PRIORITIZATION EXERCISE SCORED EACH INDICATOR BASED ON THE IMPORTANCE TO OUR COMMUNITY, IMPORTANCE TO OUR HOSPITALS, HOSPITAL'S CAPACITY TO ADDRESS THE INDICATOR, ALIGNMENT WITH THE HOSPITAL'S MISSION, AND HOSPITAL'S EXISTING WORK IN THE AREA. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE EARLY CHILDHOOD EDUCATION, HEALTH INSURANCE COVERAGE, HEALTHY FOOD AND EMPLOYMENT RATE. THE CHNA UNCOVERED NUMEROUS NEEDS WITHIN OUR COMMUNITY. HOWEVER, DUE TO PRACTICAL AND RESOURCE CONSTRAINTS, THE ORGANIZATION PRIORITIZED ITS EFFORTS ON THE MOST IMPACTFUL NEEDS.WITH A FOCUS ON THE HIGHEST PRIORITY INDICATORS, WE DEVELOPED AN IMPLEMENTATION STRATEGY THAT WE CALL A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN WHICH WE OUTLINE ACTIONS AND IDENTIFY RESOURCES TO RESPOND TO THE ASSESSMENT FINDINGS OVER THE NEXT THREE YEARS. TO CREATE THE CHIP, WE ENGAGED WITH OUR HOSPITAL EMPLOYEES, LOCAL COMMUNITIES, AND AREA ORGANIZATIONS TO SHARE THESE FINDINGS AND IDENTIFY POLICY AND SYSTEMS CHANGES THAT WILL IMPROVE OPPORTUNITY LEVELS FOR CHILDREN LIVING IN LOW OPPORTUNITY NEIGHBORHOODS. IN THE 2022 CHIP, ADOPTED BY OUR HOSPITAL BOARD IN NOVEMBER 2022, WE OUTLINE NINE STRATEGIES THAT USE ADVOCACY EFFORTS AND PROGRAMS AND PRACTICE TO IMPROVE OPPORTUNITY FOR CHILDREN LIVING IN WARDS 7 AND 8 IN WASHINGTON, DC AND PRINCE GEORGE'S COUNTY, MARYLAND. AN INTERNAL CHIP STRUCTURE HAS BEEN PUT IN PLACE TO ENSURE THE SUCCESS OF OUR INVESTMENTS IN CHANGING POLICY, IMPROVING PROGRAMS AND ALLOCATING RESOURCES MORE EQUITABLY: WORKGROUPS AND A STEERING COMMITTEE. IN MARCH 2023, WE LAUNCHED WORKGROUPS FOR EACH PRIORITY AREA, COMPRISED OF REPRESENTATIVES FROM ACROSS CHILDREN'S NATIONAL AND RSC THAT PROVIDE SUBJECT MATTER EXPERTISE FOR THE CHIP AND LEAD THE ACTIVITIES ACROSS THE FOUR PRIORITY AREAS. WORKGROUPS ARE LED BY TWO CO-LEADS THAT DRIVE THE AGENDA, MONITOR PROGRESS, AND REPORT TO THE STEERING COMMITTEE. AS PART OF THIS STRUCTURE, THE WORKGROUPS PROVIDE FREQUENT UPDATES TO THE CHIP STEERING COMMITTEE WHICH IS COMPRISED OF REPRESENTATIVES FROM ACROSS CHILDREN'S NATIONAL AND RSC THAT PROVIDE STRATEGIC DIRECTION FOR THE CHIP AND CHAMPIONS ITS WORK. TOGETHER WITH CHILDREN'S HOSPITAL, BELOW ARE THE CHIP STRATEGIES ALONG WITH PROGRESS FOR FY 2024. 1. EARLY CHILDHOOD EDUCATION GOAL: BUILD A STRONGER EARLY CHILDHOOD EDUCATION COMMUNITYADVOCACY: ADVOCATE FOR HIGH QUALITY, AFFORDABLE ECE CENTERS WITH WELL COMPENSATED STAFFPROGRAMS AND PRACTICE: STRENGTHEN CONNECTIONS BETWEEN ECE AND HOSPITALS ABOUT THE REFERRAL PROCESS (E.G., WHAT'S AVAILABLE, HOW TO ENROLL, REQUIREMENTS FOR VOUCHERS, HELPING FAMILIES WHO HAVE CHILDREN WITH DISABILITIES, MATERIALS IN MULTIPLE LANGUAGES, ETC.)2. HEALTHY FOOD GOAL: INCREASE ACCESS TO HEALTHY FOOD OPTIONSADVOCACY: ADVOCATE FOR FUNDING AND IMPROVED ACCESS TO HEALTHY FOOD OPTIONS IN THE COMMUNITYPROGRAMS AND PRACTICE: INCREASE ACCESS TO HEALTHY FOOD OPTIONS WITHIN THE HOSPITAL AND COMMUNITY THROUGH THE HOSPITAL CAFETERIA, FOOD PHARMACIES, FARMERS MARKETS AND OTHER INITIATIVES EXPAND FOOD INSECURITY SCREENINGS TO DETERMINE ELIGIBILITY FOR ENROLLMENT IN FOOD ACCESS PROGRAMS 3. HEALTH INSURANCE COVERAGE GOAL: IMPROVE ACCESS TO HEALTH CARE AND HEALTH INSURANCE COVERAGEADVOCACY: ADVOCATE FOR HIGH QUALITY AND EASILY ACCESSIBLE MENTAL HEALTH SERVICE CONTINUUM INCLUSIVE OF SUSTAINABLE PROMOTION, PREVENTION, EARLY INTERVENTION, TREATMENT, CRISIS AND RECOVERY SERVICES COVERED BY INSURANCEPROGRAMS AND PRACTICE: IMPROVE CARE COORDINATION WITHIN THE HOSPITAL AND WITH INSURANCE PROVIDERS AND COMMUNITY ORGANIZATIONS.4. EMPLOYMENT RATEGOAL: STRENGTHEN EMPLOYMENT OPPORTUNITIESPROGRAMS AND PRACTICE: SUSTAIN AND EXPAND HOSPITAL RESEARCH YOUTH ENGAGEMENT PROGRAMS AND JOB OPPORTUNITIES (INTERNSHIPS, TRAININGS, AND RESEARCH OPPORTUNITIES)CREATE JOB OPPORTUNITIES FOR PEOPLE WITH DISABILITIES, INCLUDING PARTNERING WITH ORGANIZATIONS TO PROVIDE SKILL-BASED TRAINING. FY 2024 PROGRESS: - CONDUCTED LANDSCAPE ANALYSES AND STAKEHOLDER MAPPING TO LEARN ABOUT PROGRAMS AND ACTIVITIES RELATED TO THEIR SPECIFIC PRIORITY AREAS, WHERE WE HAVE PARTNERSHIPS, AND POTENTIAL PARTNERS. - TESTIFIED OR SUBMITTED WRITTEN COMMENTS ON BILLS IN MARYLAND AND D.C., INCLUDING BUT NOT LIMITED TO, REQUIRING ECE PROGRAMS IN CERTAIN HIGH SCHOOLS AND THE UNIVERSAL FREE SCHOOL MEALS AMENDMENT- HOSTED A VIRTUAL COMMUNITY CONVERSATION EVENT FOCUSED ON OPEN DIALOGUE AND DISCUSSION AROUND BARRIERS TO, AND RESOURCES FOR, THE INCLUSION OF CHILDREN WITH DEVELOPMENTAL DISABILITIES IN ECE PROGRAMS. THE PROGRAM WAS OPEN TO THE COMMUNITY WITH 50 PARENTS & ECE PROVIDERS ATTENDING THE EVENT. - PARTICIPATED IN CAREER DAYS AND COMMUNITY EVENTS AT ECE CENTERS AND SCHOOLS TO PROVIDE RESOURCES RELATED TO THE CHIP PRIORITIES.- DISTRIBUTED 1,500 HEALTH INSURANCE POSTCARDS TO WIC OFFICES, WITHIN FOOD PHARMACY BAGS AND COMMUNITY EVENTS TO SHARE INFORMATION ON MEDICAID RE-ENROLLMENT. - SHARED HEALTHY FOOD RESOURCES AT COMMUNITY EVENTS. COLLABORATED WITH D.C. HUNGER SOLUTIONS TO HOST A SUMMER FOOD PROGRAM KICKOFF EVENT AT ELEMENTARY SCHOOL LOCATED IN WARD 7 IN THE DISTRICT OF COLUMBIA WITH OVER 100 ATTENDEES. CHILDREN'S NATIONAL REHAB. & SPEC. CARE PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.CHILDRENSNATIONAL.ORG/GET-CARE/DEPARTMENTS/REHABILITATION-SPECIALIZED-CARE/BILLINGCHILDREN'S NATIONAL REHAB. & SPEC. CAREPART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.CHILDRENSNATIONAL.ORG/GET-CARE/DEPARTMENTS/REHABILITATION-SPECIALIZED-CARE/BILLINGCHILDREN'S NATIONAL REHAB. & SPEC. CAREPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.CHILDRENSNATIONAL.ORG/GET-CARE/DEPARTMENTS/REHABILITATION-SPECIALIZED-CARE/BILLING 3 1 - THE HSC OUTPATIENT CENTER 4500 FORBES BLVD SUITE 100 LANHAM MD 20706 PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY 2 - THE HSC OUTPATIENT CENTER 14995 SHADY GROVE RD SUITE 200 ROCKVILLE MD 20850 PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY 3 - CHILDREN'S NATL SKILLED NURSING FACILITY 1731 BUNKER HILL ROAD NE WASHINGTON DC 20017 PROVIDES SKILLED NURSING SERVICES TO CHILDREN & YOUNG ADULTS THROUGH AGE 21 PART I, LINE 3C: ELIGIBILITY FOR CHARITY CARE PROGRAMRSC USED THE FEDERAL POVERTY GUIDELINES, MEDICAL INDIGENCE, INSURANCE STATUS, AND RESIDENCY TO DETERMINE ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. ELIGIBILITY WAS INCOME BASED AND NOT ASSET BASED.PART I, LINE 7A:COSTING METHODOLOGY CHARITY AT COSTHOSPITAL CHARITY AMOUNTS REPORTED IN THE AUDITED FINANCIAL STATEMENTS WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO CALCULATION PER THE IRS INSTRUCTIONS. PART I, LINE 7B:MEDICAIDHOSPITAL GROSS PATIENT REVENUE AND PAYMENT FROM THE PATIENT ACCOUNTINGS SYSTEMS WERE ADJUSTED TO COST USING THE COST TO CHARGES RATIO PER THE IRS INSTRUCTIONS. PART I, LINE 7, COLUMN (F);RSC DID NOT HAVE ANY BAD DEBT WRITEOFFS FOR FISCAL YEAR 2024. PART III, LINE 2: RSC DID NOT HAVE ANY BAD DEBT WRITEOFFS FOR FISCAL YEAR 2024. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO RSC. FINANCIAL ASSISTANCE ELIGIBLE PATIENTS RECEIVE A 100% DISCOUNT ON THE BALANCE DUE. PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENT BALANCES DUE. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER COLLECTION EFFORTS (BILLING STATEMENTS AND PHONE CALLS) ARE UNSUCCESSFUL.PART III, LINE 3:THE HOSPITAL DOES NOT REPORT AN ESTIMATE FOR THE POSITION OF BAD DEBT EXPENSE THAT MAY HAVE BEEN LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY.PART III, LINE 4:SEE NARRATIVE FOR PART III, LINE 2. PART III, LINE 8: RSC DOES NOT PARTICIPATE IN THE MEDICARE PROGRAM. PART III, LINE 9B: RSC HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS. RSC IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. RSC SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. RSC THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY.COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, RSC OFFERS PAYMENT PLANS. BILLING STATEMENTS WILL BE SENT TO GUARANTORS FOR OUTSTANDING BALANCES. ATTEMPTS TO CONTACT THE GUARANTORS VIA PHONE WILL ALSO OCCUR. ACCOUNTS WITH BALANCES AND NO RESPONSE FROM GUARANTORS AFTER REPEATED STATEMENTS AND PHONE CALLS WILL BE WRITTEN OFF TO BAD DEBT. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED, AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. RSC DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES, E.G. CREDIT REPORTING, WAGE GARNISHMENTS, LIENS, ETC. PART VI, LINE 2: COMMUNITY HEALTH CARE NEEDS ASSESSMENTIN ADDITION TO THE JOINT PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHILDREN'S NATIONAL, RSC ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OTHER EFFORTS. FOR EXAMPLE, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, RSC PARTNERED ON A DC-WIDE CHNA TO LEVERAGE RESOURCES AND INVEST IN COMMUNITY HEALTH INITIATIVES THAT ADDRESS COMMUNITY NEEDS WITH THE ULTIMATE GOAL OF CREATING A CULTURE OF HEALTH AND IMPROVING HEALTH AND WELLNESS. THE DC HEALTH MATTERS COLLABORATIVE INCLUDES THREE DC HOSPITALS (CHILDREN'S NATIONAL, HOWARD UNIVERSITY HOSPITAL, AND SIBLEY MEMORIAL HOSPITAL) AND FOUR COMMUNITY HEALTH CENTERS (BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER AND UNITY HEALTH CARE). THE 2022 CHNA IDENTIFIED THE FOLLOWING NEEDS THAT RSC IS ALIGNING WITH ITS PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT:- MENTAL WELL-BEING - EQUITABLE ACCESS TO CARE (AND EVERYTHING PATIENTS NEED - INCLUDING COORDINATION OF THAT CARE, HOUSING, AND SOCIAL SUPPORT SERVICES.) - COMMUNITY-BASED WORKFORCE DEVELOPMENT (INCLUDING RETENTION AND DEVELOPMENT OF HEALTHCARE WORKFORCE.) RSC ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF CHRONIC CARE FOR PEDIATRIC PATIENTS AND IS TRUSTED THROUGHOUT ITS COMMUNITY AS A RESOURCE READY AND WILLING TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. RSC'S CURRENT COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. PART VI, LINE 3: ELIGIBILITY EDUCATIONRSC HAS A STRONG COMMITMENT TO PROVIDING SERVICES TO FAMILIES AT NO COST TO THEM IF AT ALL POSSIBLE. MANY OF THE FAMILIES WHO RECEIVE SERVICES FROM RSC HAVE ALREADY QUALIFIED FOR MEDICAID BY THE TIME OF THEIR ARRIVAL AT RSC DUE TO PRIOR SERVICES AT OTHER FACILITIES. IF A FAMILY ARRIVES AT RSC WITH PRIVATE INSURANCE, OFTEN TIMES THEY QUALIFY FOR MEDICAID BY THE TIME THEY ARE DISCHARGED TO CARE AT HOME. FAMILIES ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE TIME OF THEIR ADMISSION TO RSC. THEY ARE GIVEN WRITTEN COPIES OF THE STATEMENT: NOTICE OF AVAILABILITY OF UNCOMPENSATED SERVICES" IN THE APPROPRIATE LANGUAGE. IF THEY BELIEVE THEY MAY BE IN NEED OF THE SERVICES, AN APPLICATION IS FILLED OUT AT THE TIME OF ADMISSION. IF A FAMILY DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE TO PURSUE THE AVAILABLE UNCOMPENSATED SERVICES. IF PATIENTS ARE NOT ELIGIBLE FOR MEDICAID AND OTHER GOVERNMENTAL PROGRAMS SUBSEQUENT TO DISCHARGE, RSC BOTH INFORMS AND ATTEMPTS TO QUALIFY THEM PROSPECTIVELY FOR THE CHARITY CARE SERVICES PROVIDED BY RSC. STAFF OF THE ORGANIZATION HELP IDENTIFY GOVERNMENT OR NON-PROFIT ASSISTANCE WHICH MAY BE AVAILABLE, AND THE ORGANIZATION WILL ASSIST PATIENTS' FAMILIES WITH APPLYING FOR SUCH PROGRAMS, SUCH AS MEDICAID. PART VI, LINE 4: DESCRIPTION OF COMMUNITY SERVEDRSC SERVES CHILDREN AND YOUNG ADULTS UP TO THE AGE OF 21 IN THE WASHINGTON DC METRO AREA WHO HAVE SPECIAL HEALTH CARE NEEDS. RSC SERVES THE WASHINGTON DC METRO AREA WHICH IS A DIVERSE COMMUNITY THAT COVERS TWO STATES AND THE DISTRICT OF COLUMBIA. OF THE DC SPECIAL NEEDS CHILDREN APPROXIMATELY 5,045 WERE ENROLLED IN HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC., RSC'S SISTER ORGANIZATION THAT PROVIDES CARE MANAGEMENT SERVICES TO CHILDREN WHO HAVE SSI OR SSI RELATED DIAGNOSES.THE PRIMARY CONDITIONS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS TREATED AT RSC ARE CONDITIONS REQUIRING LONGER TERM TRANSITIONAL CARE AND/OR SPECIALTY REHABILITATION CARE PRIOR TO THEIR DISCHARGE TO HOME OR NURSING/GROUP HOME. THESE CONDITIONS INCLUDE CEREBRAL PALSY, ANOXIC BRAIN DAMAGE, SPINA BIFIDA, FAILURE TO THRIVE RELATED TO PREMATURITY, CHRONIC LUNG DISEASE AND INTESTINAL OR OTHER FEEDING DISORDERS. THE U.S. CENSUS ESTIMATES THE 2024 POPULATION OF THE DISTRICT OF COLUMBIA TO BE 702,250 RESIDENTS. THE POPULATION GREW BY 23,278 PEOPLE FROM JULY 1, 2023, TO JULY 1, 2024, WHICH IS ATTRIBUTED TO THE DISTRICT HAVING 2,761 MORE BIRTHS THAN DEATHS AND POSITIVE NET MIGRATION OF 12,165 MORE PEOPLE MOVING INTO THE DISTRICT THAN MOVING OUT DURING THIS PERIOD. MARYLAND AND VIRGINIA ARE HOME TO 6.3 MILLION AND 8.8 MILLION RESIDENTS, RESPECTIVELY. THE SOCIAL DEMOGRAPHICS FOR THE DISTRICT OF COLUMBIA, MARYLAND, AND VIRGINIA, ACCORDING TO THE U.S. CENSUS, ARE AS FOLLOWS: DISTRICT OF COLUMBIA: ABOUT 44.4% BLACK OR AFRICAN AMERICAN; 46.6% WHITE; 4.9% ASIAN; 12.0% HISPANIC OR LATINO; 0.7% AMERICAN INDIAN OR ALASKA NATIVE; 3.3% TWO OR MORE RACES; MARYLAND: APPROXIMATELY 31.6% BLACK OR AFRICAN AMERICAN; 57.2% WHITE; 7.1% ASIAN; 12.6% HISPANIC OR LATINO; VIRGINIA: 20.0% BLACK OR AFRICAN AMERICAN; 68.3% WHITE; 7.4% ASIAN; 11.2% HISPANIC OR LATINO; 0.6% AMERICAN INDIAN OR ALASKA NATIVE. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND YOUNGER MAKE UP 18.6% OF THE POPULATION WITH THE HIGHEST PERCENTAGE RESIDING IN WARDS 7 AND 8. IN BOTH MARYLAND AND VIRGINIA, ABOUT 22% OF THE POPULATION IS CHILDREN 18 YEARS OLD AND YOUNGER. CHILDREN AGED FIVE AND YOUNGER MAKE UP APPROXIMATELY 6% OF THE POPULATION IN THE DISTRICT OF COLUMBIA, MARYLAND AND VIRGINIA. PART VI, LINE 5: PROMOTING THE HEALTH OF THE COMMUNITYRSC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE ORGANIZATIONS SURPLUS FUNDS ARE USED TO FURTHER ITS EXEMPT PURPOSE AND COMMUNITY PROGRAMS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLESTHE HOSPITAL FOR SICK CHILDREN DBA CHILDREN'S NATIONAL REHABILITATION & SPECIALIZED CARE IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING ADDITIONAL TAX-EXEMPT ENTITIES:-CHILDREN'S HOSPITAL DBA CHILDREN'S NATIONAL HOSPITAL - 501(C)(3), HOSPITAL -CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLE FOR HEALTH CARE SYSTEM-CHILDREN'S HOSPITAL FOUNDATION DBA CHILDREN'S NATIONAL HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING-CHILDREN'S RESEARCH INSTITUTE DBA CHILDREN'S NATIONAL RESEARCH-INSTITUTE - 501(C)(3), CONDUCTING CLINICAL MEDICAL RESEARCH AND EDUCATION PROGRAMS-SAFE KIDS WORLDWIDE - 501(C)(3), INJURY PREVENTION FOR CHILDREN-BRAINY CAMPS ASSOCIATION - 501(C)(3), PROVISION OF CAMPS FOR CHILDREN- CHILDREN'S SCHOOL SERVICES - 501(C)(3), OPERATION OF A SCHOOL NURSE PROGRAM-HSC FOUNDATION - 501(C)(3), SUPPORT FOR THE HSC ENTITIES-HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS - 501(C)(3), HEALTHCARE, SOCIAL, AND EDUCATIONAL SERVICES FOR YOUNG INDIVIDUALS WITH SPECIAL NEEDS-HSC HOME CARE, LLC - 501(C)(3), HOME AND COMMUNITY PROVIDES ACCESS TO QUALITY REHABILITATIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS.THE FOR-PROFIT ENTITIES (PHN, CNHN AND CP&A) AFFILIATED WITH THE CHILDREN'S NATIONAL HOSPITAL HEALTH SYSTEM PROVIDE SIGNIFICANT CONTRIBUTIONS TO THE OVERALL OPERATIONS, FINANCIAL PERFORMANCE, AND GROWTH OF THE SYSTEM. THESE CONTRIBUTIONS INCLUDE, BUT ARE NOT LIMITED TO, FINANCIAL SUPPORT, SHARED RESOURCES, COLLABORATIVE HEALTHCARE INITIATIVES, AND INVESTMENT IN INNOVATIVE CARE MODELS. THE AFFILIATED FOR-PROFIT ENTITIES ENGAGE IN VARIOUS STRATEGIC PARTNERSHIPS, SERVICE EXPANSIONS, AND SPECIALIZED HEALTHCARE PROGRAMS, WHICH ENHANCE THE DELIVERY OF CARE AND FURTHER THE MISSION OF THE CHILDREN'S NATIONAL HOSPITAL HEALTH SYSTEM. THESE ENTITIES OPERATE IN ACCORDANCE WITH THEIR RESPECTIVE BUSINESS OBJECTIVES, WHILE ALSO SUPPORTING THE BROADER GOALS OF THE AFFILIATED HEALTH SYSTEM THROUGH MEANINGFUL COLLABORATIONS. EACH ENTITY PARTICIPATES IN CHILDREN'S NATIONAL'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS. 0 1 0 0 0 0 0 0 0 ALDWIN LINDSAY TREASURER & EVP/CFO 0 680428 0 318096 0 139788 0 122532 0 12913 0 1273757 0 82363 MARY ANNE HILLIARD SECRETARY 0 583992 0 260644 0 88341 0 89381 0 36652 0 1059010 0 61769 NATHANIEL BEERS MD PRESIDENT OF HSC (NON-VOTING) 0 511166 0 241822 0 90332 0 97107 0 37391 0 977818 0 65118 DONNA ANTHONY FORMER KEY EMPLOYEE 0 335399 0 81113 0 40216 0 43538 0 31770 0 532036 0 21077 DEBBIE HOLSON COO, PEDIATRIC CENTER 0 263280 0 46113 0 4356 0 13663 0 31585 0 358997 0 0 KIMBERLY BROWN FORMER OFFICER 0 220935 0 37628 0 4356 0 10720 0 10804 0 284443 0 0 JACLYN KLINE EMERGENCY MEDICINE PHYSICIAN 0 250705 0 12744 0 594 0 12632 0 3199 0 279874 0 0 MELANIE D ANSPACHER HOSPITALIST 0 235901 0 13184 0 1518 0 11231 0 3199 0 265033 0 0 TOVA RONIS RHEUMATOLOGIST 0 185716 0 30038 0 660 0 9676 0 38278 0 264368 0 0 JAMIE CINOTTI DIR OPS & BUS DEVELOPMENT 0 166526 0 49851 0 585 0 0 0 34624 0 251586 0 0 PATRICE S JOHNSON PHARM CLNCL INFORMATICS MANAGER 0 207650 0 12413 0 270 0 10585 0 12154 0 243072 0 0 SCHEDULE J, PART I, LINE 3: PROCESS FOR DETERMINING COMPENSATION RSC RELIES ON ITS SOLE MEMBER'S PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR RSC'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL 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: ALDWIN LINDSAY $106,032 MARY ANN HILLIARD $72,881 NATHANIEL BEERS, MD $80,607 DONNA ANTHONY $27,038 ADDITIONALLY, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE IN SCHEDULE J, PART II, COLUMN (B)(III) AS TAXABLE WAGES IN THE CURRENT PLAN THAT WERE DEFERRED ON A PREVIOUSLY FILED FORM 990 AND ARE INCLUDED YEAR. ALDWIN LINDSAY $82,363 MARY ANN HILLIARD $61,769 NATHANIEL BEERS, MD $65,118 DONNA ANTHONY $21,077 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., A RELATED ENTITY, UNDER A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS THE HSC FOUNDATION IS THE SOLE MEMBER OF CHILDREN'S NATIONAL REHAB. & SPEC. CARE (RSC). FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS THE HSC FOUNDATION IS THE SOLE CORPORATE MEMBER OF RSC. CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) IS THE SOLE CORPORATE MEMBER OF THE HSC FOUNDATION. ON SEPTEMBER 1, 2019, THE FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL AND FOR A PERIOD OF FIVE YEARS THEREAFTER, THE MEMBERS OF THE FOUNDATION'S GOVERNING BODY TOGETHER WITH THE BOARD OF CHILDREN'S NATIONAL APPOINT THE MEMBERS OF RSC'S GOVERNING BODY. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL APPOINT MEMBERS OF RSC'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ELECTION OF MEMBERS THE SOLE MEMBER (THE HSC FOUNDATION) TOGETHER WITH ITS SOLE MEMBER (CHILDREN'S NATIONAL) HAVE ALL OF THE POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION AND BYLAWS, INCLUDING THE POWER TO: (A) ESTABLISH RSC'S POLICIES AND GOALS, AND APPROVE THE BYLAWS INCLUDING ANY AMENDMENTS THERETO; (B) APPOINT AND REMOVE RSC'S BOARD OF DIRECTORS; (C) MONITOR THE DECISIONS OF THE RSC'S BOARD OF DIRECTORS; AND (D) APPROVE RSC'S BUDGET. ON SEPTEMBER 1, 2019, AND BY MEANS OF AN AFFILIATION AGREEMENT, THE HSC FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL. EFFECTIVE AS OF THAT DATE, THE HSC FOUNDATION AND RSC AMENDED AND RESTATED RSC'S BYLAWS TO COMPLY WITH CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE. UNDER CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE, CHILDREN'S NATIONAL RETAINS CERTAIN AUTHORITY OVER SUBSIDIARY (AND A SUBSIDIARY OF A SUBSIDIARY) ENTITIES. THE RETENTION OF AUTHORITY INCLUDES ITEMS SUCH AS: THE AUTHORITY TO AMEND A SUBSIDIARY'S GOVERNING DOCUMENTS, AUTHORIZATION OF THE SALE OF SUBSTANTIALLY ALL ASSETS, APPOINT/REMOVE OFFICERS AND DIRECTORS, APPROVE BUDGETS, SET SIGNATURE AUTHORITY, AND ADOPT AN ENTERPRISE-WIDE COMPLIANCE PLAN. THE AFFILIATION AGREEMENT ANTICIPATES A FIVE-YEAR INTEGRATION PERIOD, DURING SUCH PERIOD THE HSC FOUNDATION AND CHILDREN'S NATIONAL WILL SHARE RESPONSIBILITY FOR CERTAIN AUTHORITIES THAT ARE OTHERWISE SET UNDER THE SYSTEM OF GOVERNANCE. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL HAVE SOLE RESPONSIBILITY FOR AUTHORITY THAT IS RESERVED UNDER THE SYSTEM OF GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY ONE THE FORM 990 AND ALL SCHEDULES HAVE BEEN PREPARED BY THE ORGANIZATION'S PROFESSIONAL TAX SERVICES PROVIDER, THE RELEVANT COMMITTEES OF THE ORGANIZATION, ENTITY OPERATIONAL LEADERSHIP, AND FINANCE MANAGEMENT REVIEW APPLICABLE PORTIONS OF THE FORM 990. RSC POSTS A COPY OF THE FORM 990 TO THE RSC BOARD'S PORTAL PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY EACH OF RSC AND ITS CORPORATE MEMBER, THE HSC FOUNDATION, HAVE ADOPTED THE CONFLICT OF INTEREST POLICY OF THE PARENT ORGANIZATION, CHILDREN'S NATIONAL. CHILDREN'S NATIONAL AND ITS SUBSIDIARIES ASK EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED 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 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 BOARD'S GOVERNANCE POLICY. FORM 990, PART VI, SECTION B, LINES 13 & 14: GOVERNING POLICIES RSC IS GOVERNED BY THE COMPLIANCE POLICIES OF CHILDREN'S NATIONAL, THE SOLE MEMBER OF RSC'S PARENT ORGANIZATION. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION RSC RELIES ON CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER, TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. CHILDREN'S NATIONAL USED AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: FORMER OFFICER, KIMBERLY BROWN, AND FORMER KEY EMPLOYEE, DONNA ANTHONY, ARE LISTED AS "FORMER" ON PART VII, BUT CONTINUE TO BE EMPLOYED BY CHILDREN'S NATIONAL IN A DIFFERENT CAPACITY. THEY NO LONGER SERVE THE HOSPITAL FOR SICK CHILDREN IN THEIR PRIOR ROLE AS OFFICER OR KEY EMPLOYEE. THE HSC FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521346603 HEALTH CARE DC 501(C)(3) LINE 12C, III-FI CNMC 0 HLTH SVCS FOR CHILDREN W SPEC NEEDS 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521862406 HEALTH CARE DC 501(C)(3) LINE 10 HSC FNDN 0 CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640402 FUNDRAISING DC 501(C)(3) LINE 7 CNMC 0 CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640403 HEALTHCARE DC 501(C)(3) LINE 12C, III-FI N/A 0 SAFE KIDS WORLDWIDE 1 INVENTA PL 6TH FL W SILVER SPRING MD 20910 521627574 INJURY PREVENTION DC 501(C)(3) LINE 7 CNMC 0 CHILDREN'S HOSPITAL 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 530196580 HEALTH CARE DC 501(C)(3) LINE 3 CNMC 0 BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 271547370 CHILD CAMPS DC 501(C)(3) LINE 12A, I CH 0 CHILDREN'S SCHOOL SERVICES 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 814291601 NURSING SERVICES DC 501(C)(3) LINE 12A, I CNMC 0 CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521654453 RESEARCH DC 501(C)(3) LINE 7 CNMC 0 CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 522072589 HEALTH CARE DC N/A 0 0 5253 NMTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 832873855 PROPERTY MANAGEMENT DC N/A 0 0 5253 HTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833044006 PROPERTY MANAGEMENT DC N/A 0 0 54 NMTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833358685 PROPERTY MANAGEMENT DE N/A 0 0 54 HTC LLC 111 MICHIGAN AVE NW WASHINGTON DC 20010 833385522 PROPERTY MANAGEMENT DC N/A 0 0 CHILDREN'S NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521996521 HEALTH CARE DC N/A C 0 BEARACUDA RE PO BOX 69 GRAND CAYMAN CJ KY1-1102 REINSURANCE CJ N/A C 0 PEDIATRIC HEALTH NETWORK INC 12211 PLUM ORCHARD DR STE 102 SILVER SPRING MD 20904 833415276 HEALTH CARE DC N/A C 0 BUILDING 5253 MANAGING MEMBER LLC 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 832081690 PROPERTY MANAGEMENT DC N/A C 0 BUILDING 54 MANAGING MEMBER LLC 111 MICHIGAN AVENUE NW GRAND CAYMAN DC 20010 833272918 PROPERTY MANAGEMENT DC N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0