TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KURT D NEWMAN MD........................................................................ PRESIDENT/CEO (CNMC)	39.0 .......................16.0	X	X	1,387,812	323,094
(2) CAROLYN A THORNELL........................................................................ BOARD CHAIRMAN	2.0 .......................1.0	X	X	0	0
(3) DEBRA L FRIEDMAN........................................................................ BOARD VICE CHAIRMAN	2.0 .......................	X	X	0	0
(4) GREGORY A O'DELL........................................................................ BOARD SECRETARY-TREASURER	2.0 .......................	X	X	0	0
(5) IVAN SABLE........................................................................ BD SEC-TREAS. (EXP: 12/31/12)	2.0 .......................	X	X	0	0
(6) DIANA ABNEY MD........................................................................ BOARD MEMBER (BEG: 01/01/13)	1.0 .......................1.0	X		0	0
(7) DEIDRE ADKINS........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(8) KATHRYN D BARKER........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0
(9) SCHONAY BARNETT-JONES........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(10) ELIZABETH DUGGAL........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(11) GAIL FEAGLES........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0
(12) ALBERTO GOMEZ........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(13) ROBERT MCDOWELL MD........................................................................ BOARD MEMBER (EXP: 12/31/12)	1.0 .......................	X		0	0
(14) RAHUL K SHAH MD........................................................................ BOARD MEMBER	55.0 .......................	X		393,600	14,322
(15) MARY HELEN THOMPSON........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(16) DAVID WHISTON DDS........................................................................ BOARD MEMBER	1.0 .......................	X		0	0
(17) DOUGLAS MYERS........................................................................ CHIEF FINANCIAL OFFICER	44.0 .......................11.0		X	844,585	107,447

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MARK BATSHAW MD........................................................................ PHYSICIAN IN CHIEF / CAO	9.0 .......................46.0	X			1,181,477	323,619
(19) ANTHONY SANDLER MD........................................................................ SVP CENTER OF EXCELLENCE	53.0 .......................2.0	X			706,662	88,577
(20) GERARD MARTIN MD........................................................................ SVP CENTER OF EXCELLENCE	53.0 .......................2.0	X			767,081	102,795
(21) DAVID WESSEL MD........................................................................ CHIEF MEDICAL OFFICER	52.0 .......................3.0	X			763,653	94,866
(22) RAYMOND S SCZUDLO........................................................................ CHIEF LEGAL OFFICER	51.0 .......................4.0	X			962,200	57,389
(23) ROGER PACKER MD........................................................................ SVP CENTER OF EXCELLENCE	43.0 .......................12.0	X			723,205	223,370
(24) JACQUELINE BOWENS........................................................................ EXT. AFF. OFF.(EXP: 9/30/12)	52.0 .......................3.0	X			1,372,201	50,996
(25) MENDAL TUCHMAN MD........................................................................ CHIEF RESEARCH OFFICER	5.0 .......................50.0	X			584,299	104,901
(26) JOSEPH WRIGHT MD........................................................................ SVP CENTER OF EXCELLENCE	52.0 .......................3.0	X			569,990	103,577
(27) NELLIE ROBINSON........................................................................ CHIEF NURSING OFFICER	54.0 .......................1.0	X			639,381	59,473
(28) PAM KING SAMS........................................................................ CHIEF DEVELOPMENT OFFICER	5.0 .......................50.0	X			535,778	170,424
(29) DENICE CORA-BRAMBLE MD........................................................................ CHIEF MEDICAL OFFICER	51.0 .......................4.0	X			678,199	81,606
(30) DAVID SPARKS........................................................................ VP FINANCE AND CONTROLLER	54.0 .......................1.0	X			430,778	82,929
(31) MARY ANNE HILLIARD........................................................................ CHIEF RISK OFFICER	54.0 .......................1.0	X			479,166	97,146
(32) ROBERTA ALESSI........................................................................ VP OPERATIONS	54.0 .......................1.0	X			445,334	63,368
(33) ELIZABETH FLURY........................................................................ CHIEF STRATEGY OFFICER	52.0 .......................3.0	X			252,045	57,301
(34) KATHLEEN CHAVANU GORMAN........................................................................ CHIEF OPERATING OFFICER	54.0 .......................1.0	X			209,917	29,915
(35) BRIAN JACOBS MD........................................................................ CHIEF INFORMATION OFFICER	54.0 .......................1.0	X			410,504	30,968
(36) MARY OTTOLINI MD PHD........................................................................ VICE CHAIR MED. EDUCATION	54.0 .......................1.0	X			321,005	20,550
(37) DARRYL VARNADO........................................................................ CHIEF PEOPLE OFFICER	54.0 .......................1.0	X			167,267	41,240
(38) RICHARD JONAS MD........................................................................ CHIEF OF CARDIOLOGY	54.0 .......................1.0	X			1,664,371	168,968
(39) ROBERT KEATING MD........................................................................ CHIEF OF NEUROSURGERY	55.0 .......................		X		874,253	102,389
(40) PETER KIM MD........................................................................ VP SHEIKH ZAYED INSTITUTE	55.0 .......................		X		765,840	30,917
(41) H GIL RUSHTON MD........................................................................ CHIEF OF UROLOGY	55.0 .......................		X		654,859	87,339
(42) JOHN MYSEROS MD........................................................................ NEUROSURGEON	55.0 .......................		X		652,689	35,725
(43) GARY F ROGERS MD........................................................................ CHIEF OF PLASTIC & RECON SURG	55.0 .......................		X		638,058	32,586
(44) JODY BURDELL........................................................................ COO (EXP: 01/31/12)	.......................			X	918,557	13,640
(45) MAX COPPES MD........................................................................ SVP CTR OF EXC.(EXP: 06/30/12)	.......................1.0			X	772,780	110,425
(46) CAROL SCHOR........................................................................ VP HR (EXP: 12/15/11)	.......................			X	430,501	1,226
(47) PETER R HOLBROOK MD........................................................................ FORMER CHIEF MED. OFFICER	.......................			X	1,602,425	54,114

(A) Name and business address	(B) Description of services	(C) Compensation
ATLANTIC SERVICES GROUP, 2131 K STREET NWWASHINGTONDC20037	Parking	3,480,470
COLONIAL PARKING, 2145 K STREET NWWASHINGTONDC20037	Parking	3,060,484
WASHINGTON REAL ESTATE, 6110 EXECUTIVE BLVD STE 800ROCKVILLEMD20852	Leasing	2,626,305
MICROSOFT LICENSING, PO BOX 067DALLASTX752892467	Licensing	2,452,919
NATIONAL NURSES SERVICE, DEPT L-9032COLUMBUSOH432609032	Nursing	2,383,860
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 160

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	16,910,435		16,910,435
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	471,973,885	349,123,115	122,850,770
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	16,041,177	11,271,063	4,770,114
9	Other employee benefits .......	27,523,496	21,585,860	5,937,636
10	Payroll taxes ...........	31,992,148	889,296	31,102,852
11	Fees for services (non-employees):
a	Management ......	11,880	6,917	4,963
b	Legal .........	1,682,859	470,484	1,212,375
c	Accounting ...........	739,445		739,445
d	Lobbying ...........	371,058		371,058
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	73,854,950	33,308,769	40,546,181
12	Advertising and promotion ....	2,233,567	310,926	1,922,641
13	Office expenses .......	10,982,962	5,462,990	5,519,972
14	Information technology ......	16,613,886	1,408,358	15,205,528
15	Royalties ..	0
16	Occupancy ...........	24,572,993	10,532,879	14,040,114
17	Travel ............	3,658,039	2,323,983	1,334,056
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	846,298	442,611	403,687
20	Interest ...........	26,249,165	11,840,058	14,409,107
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	52,418,086	30,069,240	22,348,846
23	Insurance ..............	33,749,587	32,654,072	1,095,515
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	79,392,537	72,448,797	6,943,740
b	BAD DEBT EXPENSE	27,438,956	27,438,956
c	REPAIRS AND MAINTENANCE	17,305,613	6,301,168	11,004,445
d	OVERHEAD	2,577,289		2,577,289
e	All other expenses	6,465,838		6,465,838
25	Total functional expenses. Add lines 1 through 24e	945,606,149	617,889,542	327,716,607	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	72,128,029	2	59,376,517
3	Pledges and grants receivable, net ...........	3,151,413	3	4,416,815
4	Accounts receivable, net .............	147,548,630	4	186,580,547
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	3,546,822	8	6,910,911
9	Prepaid expenses and deferred charges ..........	5,332,847	9	5,824,315
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	981,108,826
b	Less: accumulated depreciation .....	10b	454,358,137	532,942,684	10c	526,750,689
11	Investments—publicly traded securities ..........	72,988,468	11	132,119,472
12	Investments—other securities. See Part IV, line 11 .....	32,277,136	12	32,065,538
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	20,000	14	20,000
15	Other assets. See Part IV, line 11 ...........	38,529,596	15	39,424,922
16	Total assets. Add lines 1 through 15 (must equal line 34)......	908,465,625	16	993,489,726
	17	Accounts payable and accrued expenses .........	128,163,443	17	150,809,067
18	Grants payable .................	0	18	0
19	Deferred revenue ................	10,798,597	19	5,630,726
20	Tax-exempt bond liabilities .............	415,069,144	20	411,076,761
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	428,568	23	75,342,852
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	-17,886,982	25	-56,767,128
26	Total liabilities. Add lines 17 through 25.........	536,572,770	26	586,092,278
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	371,892,855	27	407,397,448
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	371,892,855	33	407,397,448
34	Total liabilities and net assets/fund balances ........	908,465,625	34	993,489,726

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization Children's Hospital

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization Children's Hospital

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
Children's Hospital

Employer identification number

53-0196580

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

247,496

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

123,562

Total. Add lines 1c through 1i ...............................

371,058

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
Paid Staff or Management	Schedule C, Part II-B, Line 1b	FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS.
Direct Contact	Schedule C, Part II-B, Line 1g	THOSE LOBBYING ACTIVITIES INCLUDE CONTINUAL MONITORING OF LEGISLATION VIA DISCUSSIONS WITH LEGISLATIVE STAFF, HOSTING EDUCATIONAL BRIEFING SESSIONS FOR MEMBERS OF CONGRESS, EXECUTIVE BRANCH, STATE AND LOCAL OFFICIALS/STAFF REGARDING CHILD HEALTH ISSUES, AND COORDINATING THE SUBMISSION OF CORRESPONDENCE/WRITTEN COMMENTS ON PROPOSED LEGISLATION AND REGULATIONS, AS WELL AS THE PRESENTATION OF TESTIMONY BEFORE LEGISLATIVE COMMITTEES. CHILDREN'S HOSPITAL ALSO DEVELOPS POLICY POSITIONS IN RESPONSE TO PROBLEMS AND OPPORTUNITIES IN THE PUBLIC SECTOR. EXPENSES TOTALED $247,496.
OTHER ACTIVITIES	SCHEDULE C, PART II-B, LINE 1i	THE HOSPITAL IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH). NACH HAS CHILD ADVOCACY AND LEGISLATIVE ADVOCACY PROGRAMS.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,440,758		1,440,758
b	Buildings ................	784,160,074	371,195,091	412,964,983
c	Leasehold improvements ............
d	Equipment ................	85,507,855	62,391,927	23,115,928
e	Other .................	110,000,139	20,771,119	89,229,020
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				526,750,689

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
CAPITAL LEASE OBLIGATIONS		4,775,152
DUE TO AFFILIATES		-148,222,896
RESERVE FOR CLAIMS		37,641,960
OTHER LIABILITIES		44,532,756
SETTLEMENTS TO THIRD PARTY PAY		4,505,900




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		-56,767,128
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Liability for Uncertain Tax Position (ASC 740)	Schedule D, Part X, Line 2	FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS OF CHILDREN'S NATIONAL MEDICAL CENTER (MEDICAL CENTER) AND SUBSIDIARIES, OF WHICH Children's Hospital is a SUBSIDIARY, IS AS FOLLOWS: THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH BASIS, THE EXEMPT ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. THE MEDICAL CENTER EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THE MEDICAL CENTER HAD NO UNCERTAIN TAX POSITIONS DURING THE YEARS ENDED JUNE 30, 2013 AND 2012.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
Children's Hospital

Employer identification number

53-0196580

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Middle East and North Africa	1	7	Program Services	PATIENTS REFFERALS	948,068
	Central America and the Caribbean	0	0	Program Services	INSURANCE PREMIUMS	23,813,000















3a	Sub-total .....	1	7			24,761,068
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	7			24,761,068

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 350 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..			6,501,121		6,501,121	0.710 %
b	Medicaid (from Worksheet 3, column a) ....			68,937,341		68,937,341	7.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .			75,438,462		75,438,462	8.220 %
Other Benefits		40	137,456	21,633,437		21,633,437	2.360 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	40	137,456	21,633,437		21,633,437	2.360 %
f	Health professions education (from Worksheet 5) ..	37	1,038	24,617,238	5,919,723	18,697,515	2.040 %
g	Subsidized health services (from Worksheet 6) ..			6,694,503	5,621,700	1,072,803	0.120 %
h	Research (from Worksheet 7)			15,327,652	8,031,183	7,296,469	0.790 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			67,222	17,414	49,808	0.010 %
j	Total. Other Benefits ..	77	138,494	68,340,052	19,590,020	48,750,032	5.320 %
k	Total. Add lines 7d and 7j .	77	138,494	143,778,514	19,590,020	124,188,494	13.540 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	4	9,630	41,016	41,016
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1	650	23,269	23,269
7	Community health improvement advocacy
8	Workforce development	7	67	242,541	242,541	0.030 %
9	Other
10	Total	12	10,347	306,826	306,826	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

13,804,481

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

1,756,018

Enter Medicare allowable costs of care relating to payments on line 5.....

2,676,128

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-920,110

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	CHILDREN'S HOSPITAL 111 MICHIGAN AVE NW WASHINGTON,DC20010	X	X	X	X	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CHILDREN'S HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 350.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 350.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?18
Name and address		Type of Facility (describe)
1	CHILDREN'S OUTPATIENT CTR OF MONTGOMERY SHADY GROVE MEDICAL PARK ROCKVILLE,MD20850	REGIONAL OUTPATIENT CENTER
2	CHILDREN'S OUTPATIENT CTR OF NORTHERN VA 8501 ARLINGTON BOULEVARD STE 200 FAIRFAX,VA22031	REGIONAL OUTPATIENT CENTER
3	CHILDREN'S OUTPATIENT CTR IN LAUREL 13922 BALTIMORE AVE LAUREL,MD20707	REGIONAL OUTPATIENT CENTER
4	CHILDREN'S HEALTH CENTER - ADAMS MORGAN 1630 EUCLID STREET NW WASHINGTON,DC20009	HEALTH CENTERS
5	CHILDREN'S HEALTH CENTER - GOOD HOPE RD 2501 GOOD HOPE ROAD SE WASHINGTON,DC20020	HEALTH CENTERS
6	CHILDREN'S HEALTH CENTER - MLK JR AVE 3029 MARTIN LUTHER KING JR AVE SE WASHINGTON,DC20032	HEALTH CENTERS
7	CHILDREN'S OUTPATIENT CTR - UPR MARLBORO 9440 PENNSYLVANIA AVENUE UPPER MARLBORO,MD20772	REGIONAL OUTPATIENT CENTER
8	MOBILE VAN - HEALTH CARE N/A NA,DC20010	MOBILE HEALTH CARE
9	CHILDREN'S OUTPATIENT CTR IN ANNAPOLIS 888 BESTGATE ROAD STE 320 ANNAPOLIS,MD21401	REGIONAL OUTPATIENT CENTER
10	CHILDREN'S HEALTH CENTER - SHAW 2220 11TH STREET NW WASHINGTON,DC20001	HEALTH CENTERS
11	CHILDREN'S OUTPATIENT CTR SPRING VALLEY 4900 MASSACHUSETTS AVENUE NW WASHINGTON,DC20016	REGIONAL OUTPATIENT CENTER
12	CHILDREN'S NAT'L AMBULATORY SURGERY CTR 9850 KEY WEST AVENUE ROCKVILLE,MD20850	REGIONAL OUTPATIENT CENTER
13	CHILDREN'S OUTPATIENT CTR IN FREDERICK 5910 FREDERICK CROSSING LANE STE 1 FREDERICK,MD21704	REGIONAL OUTPATIENT CENTER
14	MOBILE VAN - DENTAL N/A NA,DC20010	MOBILE HEALTH CARE
15	CHILDREN'S HEALTH CENTER AT THEARC 1901 MISSISSIPPI AVE SE WASHINGTON,DC20020	HEALTH CENTERS
16	CHILDREN'S OUTPATIENT CTR MONTGOMERY CTY 15245 SHADY GROVE ROAD STE 350 ROCKVILLE,MD20858	REGIONAL OUTPATIENT CENTER
17	CHILDREN'S OUTPATIENT CTR OF NORTHERN VA 8501 ARLINGTON BLVD STE 450 FAIRFAX,VA22031	REGIONAL OUTPATIENT CENTER
18	CHILDREN'S NATIONAL IMAGING CENTER 9850 KEY WEST AVENUE Suite 110 ROCKVILLE,MD20850	REGIONAL OUTPATIENT CENTER

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
Criteria for free or discounted care	schedule h, part i, line 3c	Children's Hospital and its parent, Childrens National Medical Center, is committed to provide quality pediatric health care for all patients regardless of their ability to meet the associated financial obligations and without discrimination on the grounds of race, color, national origin or creed. Community benefit report At Children's National Hospital System, we stand for children! Our vision of advancing the health and wellbeing of children has been the motivation behind a number of forward-focused initiatives aimed at creating a lasting standard for prevention and community education, coupled with top-notch treatment and continuous improvement. As always, the vision is carried out through a cadre of nationally recognized healthcare professionals, staff, and administrators who tirelessly serve the unique and diverse medical needs of the residents of the Washington, DC, metropolitan area and the broader community. Their work provides a unique perspective of the health improvements important for all children, in every family. With this in mind, the hospital is committed to building a universal blueprint for improving healthcare that can be replicated in health systems, hospitals, and clinics in communities across the country. The programs highlighted in this report provide a snapshot of the important work being done at Children's National every day to improve the health and well-being of kids and our communities. Every member of our team is committed to giving children and our communities the best chance for a healthy future, it's all we do. Bereavement Programming Loss of a loved one can be difficult. The loss is felt by family, friends and even the community. That's why Children's National Health System provides resources to families and communities when a child is dying or has died. Through our Family Services department, we offer education on helping children understand loss and ways to provide safe havens for grieving children and families coping with loss of many sorts. These sessions are provided to faith communities, schools, civic organizations and other interest groups. In addition, Family Services makes available resource materials including Legacy Book making materials, workbooks and other literature on coping with grief. In FY 2013, Children's National Bereavement program provided resources to 250 families. Teen Life Club The Teen Life Club is just one of several signature projects focused on equipping teens with the tools to make healthy choices. As a part of the Adolescent Prevention Education Programs (APEP) at Children's National, the Teen Life Clubs (TLC) program helps youth improve decision making skills and ultimately reduces sexual risks. Geared towards adolescents between the ages of 11 to 14, the program curriculum is divided into four units; Self Awareness and Identity, Healthy Bodies, Violence Prevention and Money Matters. The clubs are based in community settings such as community clinics, community housing complexes or schools during the after school time frame. The Clubs meet Monday through Thursday and incorporates weekly health education sessions as well as academic support and monthly enrichment activities. In FY 2013, nearly 50 teens participated in the Teen Life Clubs offered at Faircliff Plaza, Hubbard Place and THEARC. Start Early, Start Right According to the Center for Disease Control, approximately 17%, or 12.5 million children and adolescents from ages two to nineteen are obese. The CDC reports that since 1980, obesity prevalence among children and adolescents has almost tripled. The District of Columbia ranks 43rd among states in overall obesity prevalence with 35.4 percent of children considered overweight or obese. Children's National Health System is tackling obesity head on with programs such as Start Early, Start Right. Start Early, Start Right is a free, nutrition -education program for Latino families with children ages six and under. The program is a comprehensive family-based approach to the prevention of obesity in children by working with parents/caregivers and teachers and daycare providers of Hispanic preschoolers. Start early, start right focuses on promoting healthy diet and eating habits, increasing physical activity and decreasing sedentary behavior and improving the parenting skills of parents and caregivers of preschool children. Parents meet once a week for 2 hours to learn about basic nutrition themes; receive simple healthy food demonstrations, take a trip to the grocery store, maintain a food and activity diary and participate in weekly weigh-ins for children and parents to monitor behavior A total of 53 parents/caregivers and 50 preschool children under their care participated in start early, start right in fiscal year 2013. Parish Nursing Program Nurses at Children's National aren't just dedicated to the patients and families seen in the hospital, their commitment to care extends beyond the hospital. As respected and sought after health experts, many of our nurses reach out and support community health needs. The Parish Nursing program at Children's National collaborates with the faith-based community, and faith community leaders to plan and implement health promotion and injury prevention programs to improve the health of pediatric and young populations. The program also has an advisory council that provides reviews and recommendations of ideas, policies and procedures, program assessment, planning and evaluation. In fiscal year 2013, the Parish Nursing program attended at least six community events promoting health and wellness and presented at the Howard University Spirituality and Medicine Conference. Children's National Medical Center Annual Report Schedule H, Part I, Line 6a CHILDREN'S NATIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT FOR MASS PUBLIC DISTRIBUTION. THE REPORT IS POSTED TO OUR WEBSITE. IN ADDITION, AN EXECUTIVE SUMMARY INCLUDING THE LINK TO THE REPORT IS DISTRIBUTED TO THE HOSPITAL'S KEY INTERNAL AND EXTERNAL STAKEHOLDERS.
BAD DEBT EXPENSE	Schedule H, Part I, Line 7	A COST ACCOUNTING SYSTEM HAS BEEN UTILIZED TO CALCULATE AMOUNTS REPORTED IN THE TABLE IN PART I, LINE 7A-D. THE COST ACCOUNTING SYSTEM INCLUDES CHARITY, MEDICAID SHORTFALLS, SELF-PAY, AND PUBLIC PROGRAMS. The amounts reported are based on a cost-accounting system. A COST TO CHARGE RATIO WAS NOT USED TO CALCULATE ANY OF THE FIGURES REPORTED IN THE TABLE IN PART I. THE AMOUNTS WERE PULLED FROM FINANCIAL DATABASES MANAGED BY THE CHILDREN'S NATIONAL ACCOUNTING AND FINANCE DEPARTMENT.
COST ATTRIBUTABLE TO A PHYSICAL CLINIC	Schedule H, Part I, Line 7g	AS DESCRIBED BY DEFINITION, SUBSIDIZED HEALTH SERVICES ARE CLINICAL PROGRAMS THAT ARE PROVIDED DESPITE A LOSS SO SIGNIFICANT THAT NEGATIVE MARGINS REMAIN AFTER REMOVING THE EFFECTS OF CHARITY CARE, BAD DEBT AND MEDICAID SHORTFALLS. THE SERVICES ARE PROVIDED DESPITE THE FINANCIAL LOSS TO MEET THE NEEDS OF THE COMMUNITY. IF THE SERVICES WERE NOT PROVIDED, THEY WOULD NOT BE AVAILABLE TO THE AREA OR WOULD RESULT IN THE GOVERNMENT OR ANOTHER NOT-FOR-PROFIT ORGANIZATION PROVIDING THE SERVICES. THE SUBSIDIZED HEALTH SERVICES AMOUNT IN PART I, LINE 7G INCLUDES $1,072,803 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL'S SIX CHILDREN'S HEALTH CENTERS LOCATED IN THE DISTRICT OF COLUMBIA. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAM AND INITIATIVES INCLUDING COMPREHENSIVE AND HIGH QUALITY PREVENTIVE SERVICES, IMPROVEMENT OF IMMUNIZATION RATES, AND COORDINATION OF CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS. THE AMOUNT INCLUDES SALARY, FRINGE, DIRECT, AND INDIRECT COSTS EXPENDED TO PROVIDE THE CLINICAL SERVICES. OUR CHILDREN'S HEALTH CENTERS ARE ESTABLISHING BEST PRACTICES IN COMMUNITY HEALTH. IT IS IMPORTANT TO NOTE THAT IN DETERMINING THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENT OF CHILDREN'S HOSPITAL'S TOTAL EXPENSES, CHILDREN'S HOSPITAL'S BAD DEBT EXPENSE ($27,438,956) WAS NETTED FROM CHILDREN'S HOSPITAL'S TOTAL EXPENSES ($945,606,149), AS REPORTED ON FORM 990 PART IX LINE 25.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	As reported in Part II and defined, community-building activities include programs that address the root causes of health problems, such as homelessness, poverty, and environmental problems. Each program included in Part II meets the definition of community benefit including meeting one or more of the community benefit objectives: improving access to health services, enhancing health, advancing generalizable knowledge, or relief of government burden. The primary purpose of the programming is to improve the health of the community. Programs accounted for as community building activities fall into the subcategories of community support and workforce development. No one is disputing the growing need for more physicians and health care professionals in general. In fact, organizations like the Association of American Medical Association predict that by 2015 the United States will experience a shortage of 65,000 doctors. That number is expected to more than double by 2025. Childrens National Health System promotes early interest in medical professions through several programs: Our Student Innovators program is within the subcategory of workforce development under community building and is just one of the many ways Childrens National is striving to engage students in professions in Science Technology Engineering and Mathematics (STEM). Supported by The Sheik Zayed Institute for Pediatric Surgical Innovation at Childrens National Health System, US and Non-US high school, university and graduate/medical students spend two months during the summer working on specific projects mostly in translational research in the biological sciences and engineering. Mentors for the program come from within the Institute as well as from faculty across Childrens National. Through the program, students learn about innovation theory and practice, acquire new lab and research skills and gain knowledge and first-hand exposure to the study of medicine or conducting advanced work in the sciences. Projects are based on current research in bioengineering, surgical issues, medicine, biological sciences and innovation management, with each Student Innovator producing a written report and final presentation of their work at the end of the program. Childrens National continues to strive in engaging young minds and providing opportunities for experience a variety of professions in health care. The Cesar Chavez Fellowship program is no exception. The Cesar Chavez Fellowship is a 3 week program that offers scholars the opportunity to apply their academic skills and civic knowledge to address a policy issue or community concern. Scholars experience a public policy work environment where they gain an understanding of the role of organizations in addressing the public good. Scholars learn about the education and works skills necessary to succeed in the public policy field. The fellowship taking place the summer of 2013 focused on the hospital setting and the challenges facing nursing and becoming a nurse as well as the importance of education in science, technology, engineering and mathematics. The Department of Laboratory Medicine is also hard at work in providing opportunities for young students in the community to gain experience in health profession careers. Partnering with Flower High School in Prince Georges County, Maryland, the program provides first-hand experience working in a lab and gives students insight into professions in laboratory research. Our Emergency Communication and Information Center (ECIC) provides community support in the area of Disaster Readiness. The ECIC is a state of the art facility open 24 hours a day every day of the year. In addition to its regular responsibilities of connecting primary care physicians with Childrens emergency specialists and dispatching and monitoring all air and ground teams, ECIC team members coordinates communications for all hospitals through the Washington, DC Hospital Association Hospital Mutual Aid Radio System. The ECIC center serves as a coalition notification center for such events on a rotating basis with two facilities. Team members train annually and conduct weekly and monthly drills on disaster preparedness for the region.
BAD DEBT EXPENSE	Schedule H, Part III, Line 4	BAD DEBT IS ACCOUNTED FOR IN THE FOOTNOTES FOR ACCOUNTS RECEIVABLE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. ACCOUNTS RECEIVABLE FOR PATIENT SERVICES CONSIST OF AMOUNTS DUE DIRECTLY FROM PATIENTS OR PATIENTS' THIRD PARTY PAYORS SUCH AS INSURANCE COMPANIES, MANAGED CARE PROGRAMS, AND MEDICAID PROGRAMS FOR SERVICES RENDERED. PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE FINANCIAL STATEMENTS OF THE ORGANIZATION IS SHOWN NET OF RECOVERIES ON AMOUNTS PREVIOUSLY WRITTEN OFF. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTIMATED BASED ON PRIOR EXPERIENCE AND MANAGEMENT'S JUDGMENT AND IS, THEREFORE, SUSCEPTIBLE TO CHANGE. THE PROCESS OF DETERMINING BAD DEBT MAY ALSO INCLUDE THE REDUCTION OF AN ACCOUNT BASED ON PROCEDURES ASSOCIATED WITH INSURANCE CONTRACTUAL AGREEMENTS, GUARANTOR CHARITY EVALUATION, AND GUARANTOR BAD DEBT EVALUATION. THE COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3. BAD DEBT IS NOT INCLUDED IN CHILDREN'S HOSPITAL'S COMMUNITY BENEFIT DETERMINATION.
MEDICARE COST REPORT	SCHEDULE H, PART III, LINE 8	SHORTFALLS ARE NOT INCLUDED AS COMMUNITY BENEFIT. ANY SHORTFALL IS EVENTUALLY PAID IN FULL BY MEDICARE AS SETTLEMENT. THERE IS THEREFORE NO SHORTFALL. THE FY 2013 SETTLED COST REPORT- WORKSHEET E-3 PART IV WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.
COLLECTION PRACTICES	SCHEDULE H, PART III, LINE 9B	THE COLLECTION POLICY DOES NOT CONTAIN SPECIFIC PROVISIONS FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY. ALL PATIENTS ARE TREATED THE SAME. CHILDREN'S NATIONAL IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. CHILDREN'S NATIONAL SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. CHILDREN'S HOSPITAL, THEREFORE, WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATIONS TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR EFFECTIVE AND RESPONSIBLE FISCAL PROGRAM, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY. COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENT RESPONSIBLE BALANCES ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN MADE. CHILDREN HOSPITAL - FACILITY INFORMATION Schedule H, Part V, Section B, Line 1J The community health needs assessment also includes illustrative maps/figures of assets and vulnerabilities related to specific health metrics, including but not limited to major outlet fast food locations per ward of the District, hospitals and primary care centers in the District, medically underserved areas in the District, and locations of primary care and mental health professionals shortage areas in the District. By providing this information this will assist in overall data analysis, program planning and informing decision making on important health related issues affecting the residents of Washington, DC. Schedule H,Part V, Section B, Line 3 In conducting the most recent CHNA, input was received via four focus groups conducted with key stakeholders who are advocates or providers of health and social services. Two of the groups focused on health and health service issues. The other two groups focused on social determinants and related social service issues that impact health. There was a total of 30 focus group participants including hospital patient advocates, case managers, Department of Health officials, and community-based health and social service stakeholders. Stakeholders were queried about a number of major issues, including what they viewed as priority health and social services needs for the city in general, the particular needs that were relevant to the populations they serve, and their specific recommendations for concrete steps that could be implemented to improve overall health and social services for residents. Social scientists from RAND developed the script for the focus groups. The focus group guide included additional information specifically the questions asked of focus groups' participants. The questions aligned with the health needs identified through the quantitative analyses, and were analyzed as part of the qualitative component of the community health needs assessment. In addition, RAND spearheaded the recruitment efforts of the focus groups to ensure representation of the community as a whole. RAND has records and access to all focus group participants' names along with the focus group guide on file and available upon request from RAND. Schedule H,Part V, Section B, Line 4 Children's National, through its membership in the DC Healthy Communities Collaborative, conducted the CHNA in participation with three additional non-profit hospitals: Howard University Hospital, Providence Hospital, Sibley Memorial Hospital; and three community health centers, two of which are Federally qualified health centers, Bread for the City, Community of Hope, and Unity Health Care, Inc. The DC Healthy Communities Collaborative (DCHCC) works to eliminate health disparities and create health equity for all communities in the District of Columbia to realize one healthy Capital city. With the unique perspectives of each hospital and community health center, DCHCC members provided guidance and feedback respective to populations and neighborhoods served. Schedule H,Part V, Section B, Line 5C In addition to the broad distribution via the hospital's website and the DCHCC's DC Health Matters web portal, Children's National also participated in community-based meetings and forums to disseminate the CHNA report findings, and as part of the launch of the DCHM, a news release was distributed with URL information for viewing the CHNA report. Additionally, each DCHCC member organization has an electronic copy of the CHNA report on their website. Schedule H,Part V, Section B, Line 6i Children's Hospital adopted an implementation strategy, referred to as the Community Health Improvement Plan (CHIP) that addresses four of the six priority community health needs identified through the citywide CHNA. The CHIP is available online at: HTTP://www.childrensnational.org/Files/PDF/Advocacy/FINAL-Childrens-Nation al-CHIP-FY2014-2016.pdf Schedule H,Part V, Section B, Line 7 The DCHCC accepted the six top health issues -- Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, Asthma, Access to Care, and Stress-Related Conditions - that emerged through analyses of quantitative data sources (including the Behavioral Risk Factor Survey, Youth Behavioral Risk Survey, hospital discharge data, American Community Survey, and US Census data) and qualitative data (input from community representatives obtained during stakeholder focus groups). Members of the DCHCC deliberated and decided access to care and stress-related conditions should not be addressed as independent priority issues as they are systemic issues that impact all of the other priority health areas. Thus, the implementation strategy (Community Health Improvement Plan) addresses the remaining four priority issues: Sexual Health, Mental Health and Substance Abuse, Obesity/Overweight, and Asthma. In preparation for developing the implementation strategy, Children's National conducted a series of internal meetings with experts to assess its capacity to address and prioritize the identified health areas based on organizational strategy. With the organizational capacity identified and sanctioned, Children's National reconvened as part of the DCHCC process to develop the implementation strategy (Community Health Improvement Plan) as follows: conducted Gap and Strength, Weaknesses, Opportunities, and Threats (SWOT) analyses (for each health priority); prioritization of issues (to rank the health issues); creation of action plan; and monitoring of the action plan. DCHCC members included in their individual organization's implementation strategy (community health improvement plan) additional health issues that support their organization's mission, including but not limited to, access to care and stress-related conditions. Children's National added oral health and injury prevention to their implementation strategy. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees. Children's National received approval by its Board on May 23, 2013.
COMMUNITY HEALTH CARE NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2	Childrens National commits to conducting a community health needs assessment (CHNA) every three years to understand the health and health care status of the pediatric population in our community. The assessment will guide the hospital in targeting its resources to achieve the greatest impact on child health and wellness at a population-level. Our most recent citywide CHNA was released in June 2013 (FY 2013), in collaboration with the DC Healthy Communities Collaborative (DCHCC). The DCHCC is an alliance of DC hospitals and community health centers, most of which are federally qualified health centers that have partnered to develop a citywide CHNA and implementation strategy that is responsive to needs identified by the CHNA. The DCHCC works to eliminate health disparities and create health equity for all communities in the District of Columbia to realize one healthy Capital city. The mission of the DCHCC is to merge the two faces of the capital city into one healthy and thriving community that holds the same promise for all residents. The community health needs assessment is a unique blend of both quantitative data and qualitative community perspectives that provide a comprehensive and grassroots view of the state of health in the District. In response to the findings of the needs assessment, the DCHCC, with input from community stakeholders developed an implementation strategy. The strategy provides a targeted and coordinated approach to addressing the priority areas mental health and substance abuse, asthma, obesity/overweight, and sexual health with the ultimate goal of improving local health and quality of life for DC residents. As the only pediatric focused member of the DCHCC, Children's National identified two additional health priorities-oral health and injury prevention. Using the DCHCC citywide implementation strategy as a basis, Childrens National developed a Community Health Improvement Plan approved and adopted by the Childrens National Medical Center Board of Directors. The CHNA and the implementation strategy are housed on the DC Health Matters website. DC Health Matters provides a one-stop resource for on-line access to community health indicators and related resources that impact the health of DC communities. The site contains community health measures, evidence-based promising practices, local resources, and funding opportunities. DC Health Matters will be used as a platform to track progress of the implementation strategy. Internally, ongoing evaluation and monitoring of the implementation strategy will take place by the Advocacy and Community Affairs and Child Health Data Lab departments of Childrens National. The 2013 CHNA is available online at: http://www.childrensnational.org/files/PDF/advocacy/District_of_Columbia_C ommunity_Health_Needs_Assessment_2013_FINAL.pdf. The 2014-2016 implementation plan is available online at: HTTP://www.childrensnational.org/Files/PDF/Advocacy/FINAL-Childrens-Nation al-CHIP-FY2014-2016.pdf
ELIGIBILITY EDUCATION	SCHEDULE H, PART VI, LINE 3	THE FOLLOWING PROCESSES TAKE PLACE FOR FAMILIES WHO DO NOT HAVE INSURANCE OR WHO CANNOT PAY. 1. AN APPLICATION IS MADE FOR MEDICAL ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAM (FAP) STAFFED BY CONTRACTED COMPANIES, MED LAW & DECO IN THE FINANCIAL INFORMATION CENTER (FIC). ELIGIBILITY IS CONSIDERED FOR ALL APPROPRIATE PUBLIC PROGRAMS. WE WOULD LIKE THIS PROCESS TO TAKE PLACE PRIOR TO THE MEDICAL VISIT. FAP APPLICATIONS ARE MAILED TO SELF PAY PATIENTS WHEN THEY MAKE AN APPOINTMENT. 2. WHILE THE APPLICATION IS IN PROCESS, THE PATIENT IS REGISTERED AS MEDICAID PENDING AND THE MEDICAL VISIT TAKES PLACE (CITIZENS ONLY). NON CITIZENS ARE REGISTERED AS SELF PAY. 3. IF MEDICAID ELIGIBLE, THE PATIENT REGISTRATION IS CONVERTED TO THE MEDICAID PLAN. 4. IF NOT ELIGIBLE, THE PATIENT'S CHARITY CARE APPLICATION IS FURTHER EVALUATED FOR CN CHARITY CARE BY CNMC CUSTOMER SERVICE IN THE FIC. 5. IF FAP IS APPROVED, ACCOUNTS NOTES ARE UPDATED AND THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. THE ACCOUNTS ARE MANAGED BY CUSTOMER SERVICE STAFF. ONLY EXPECTED BALANCES REMAIN ON THE ACCOUNT AND FAMILIES RECEIVE STATEMENTS SHOWING THEIR RESPONSIBILITY. 6. IF FAP IS NOT APPROVED, ACCOUNTS NOTES ARE UPDATED AND THE FAMILY IS NOTIFIED OF THEIR STATUS AND RESPONSIBILITY. FAMILIES CAN SET UP PAYMENT PLANS TO RESOLVE THEIR ACCOUNT BALANCES 7. FOR INSURED FAMILIES: MEDICALLY INDIGENT STATUS CAN APPLY. THIS STATUS CAN BE EVALUATED AT ANY TIME IF A FAMILY'S REMAINING BALANCE (EXCLUDING ANY DEDUCTIBLES) AFTER 3RD PARTY PAYER IS GREATER THAN 30% OF ANNUAL INCOME LESS HOUSING EXPENSES. - WHENEVER APPLICABLE, IT IS ENCOURAGED THAT FAMILIES REVIEW THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE THE APPOINTMENT DATE. APPOINTMENTS ARE TYPICALLY MADE WITH THE FIC OFFICE WHEN FAMILIES MAKE THEIR MEDICAL APPOINTMENTS. THEY CAN GO DIRECTLY TO THE FIC OFFICE AT CN AT ANY OTHER TIME. - FAMILIES ARE ENCOURAGED TO COOPERATE WITH OUR STAFF BY SUPPLYING ALL NECESSARY INFORMATION FOR THE MEDICAID AND FAP APPLICATIONS.
DESCRIPTION OF COMMUNITY SERVED	SCHEDULE H, PART VI, LINE 4	As the only exclusive provider of pediatric care center in the Nations capital, Childrens National has the privilege of serving a diverse and broad community, spanning from the District of Columbia to Maryland and Virginia and beyond. Our community is filled with an array of ethnic groups and vibrant cultures. According to the U.S. Census Bureau, population figures for the region are estimated at approximately 600,000 for the District of Columbia; nearly 6 million in Maryland; and a little over 8 million in Virginia. The social demographics for the District of Columbia, Maryland and Virginia are as follows: District of Columbia: about 50% Black; 39.White; 9% Latino 4% Asian and 0.3% American Indian; Maryland: approximately 58% White; 29% Black; 8% Hispanic; 6% Asian and 0.4 percent American Indian and Virginia: about 38.5% White, 50.7% Black; 9.1% Hispanic; 3.5% Asian and 0.3% American Indian. In the District of Columbia, children 18 years old and under, make up 17 percent of the population and about 23 percent of the population in Maryland and Virginia. Children age five and under are approximately 5 percent of the population in the District and represent a little more than 6 percent of the population in Maryland and Virginia. In the District of Columbia and Virginia about 15 percent of the population age five and older report speaking a language other than English at home while in Maryland the percentage is slightly higher at almost 17 percent. More than 1,500 nurses, 800 physicians, and hundreds of allied team members provide care for infants, children and adolescents, averaging more than 400,000 outpatient visits each year at health clinics in the District, affiliated centers in Maryland and Virginia, and at the Sheikh Zayed Campus. Childrens National is the regional referral center for cancer, cardiac and critical care, fetal medicine, neonatology, neurology, neurosurgery, orthopedic surgery, pediatric emergency medicine and trauma. Childrens Emergency Medicine and Trauma Center is the regions Level I Pediatric Trauma Center, the highest rating possible, and serves the District of Columbia, Virginia, Maryland, Delaware, and West Virginia. Additionally, Childrens National is the largest non-government provider of primary care in the District of Columbia. We deliver care at community centers and mobile health services, which is one of several ways we help make quality care more accessible to children and families. We have programs focusing in the areas of school health services, community partnerships and safety campaigns. Since our early beginnings in 1870, our mission has been and remains striving to set the standard of excellence in care of children; serving as the voice for the most vulnerable among us; leading the quest to cure childhoods most devastating diseases and preparing the nations future leaders in child health. While the median incomes for the metropolitan area range from approximately $64,000 in the District; $63,500 in Virginia and $73,000 in Maryland, about 18 percent of all persons in the District of Columbia live below the poverty line with that percentage increasing to almost 30 percent for those age 18 and under. In Maryland, persons living below the poverty line are at approximately 9 percent for all persons and about 12 percent for those 18 and under. In Virginia, the number of all persons living below the poverty line is about 11 percent and close to 15 percent for those 18 years old and younger. The American Academy of Pediatrics in partnership with the Childrens Hospital Association reports that approximately 69 percent of the children in the District are enrolled in Medicaid, with an estimated 2.3 percent children uninsured. The state of Maryland has approximately 35 percent of its children enrolled with just over 5 percent uninsured. Virginia has an estimated about 28 percent of its children enrolled in the program and an estimated 6.7 percent of children uninsured. In FY 2013, all admissions from the District of Columbia were 76 percent DC Medicaid beneficiaries, 51 percent of all Maryland admissions were MD Medicaid beneficiaries, and about 27 percent of Childrens National hospital admissions from Virginia were VA Medicaid beneficiaries. Childrens National strives every day to improve upon our commitment to improve the health of our children. In FY 2013 Childrens National provided more than $14,804,930 in charity care. Our commitment to improve health status of children extends beyond our local and regional area. Through our international program we are able to extend our community and provide care to families from around the world seeking care for their children at our institution. Families from more than 30 countries seek care for their children at Childrens National. Because the hospital is located in the heart of the nations capital, Childrens National has the unique advantage of having access to, such as embassies and three major airports to welcome our international families. We contact embassies, provide interpreters and coordinate all medical appointments to ease the stay of families from abroad. Through our Global Services Program at Childrens National, we now have two offices to assist families overseas one in Abu Dhabi, United Arab Emirates (UAE) and the other in Kuwait City, Kuwait. Childrens National Health System and Washington Hospital Center opened a medical office in the United Arab Emirates in the city of Abu Dhabi. The office serves as a liaison office for children's National and Washington Hospital Center in the Gulf Region and is responsible for coordinating conferences and continuing medical education courses for medical staff and facilitating second opinion services via the internet and telemedicine, bringing the expertise offered at the two Washington, DCbased hospitals to the citizens of the UAE and other Gulf countries. Additionally, the Sheikh Zayed Institute for Pediatric Surgical Innovation located on the main campus of Childrens National is redefining what is possible in surgery through innovative, integrated research. The Institutes team, made up of physicians, scientists, and engineers are applying their expertise in their specialized fields to pursue the common goal of finding new treatments, devices and other innovative approaches to improving childrens health. Through focused leadership, tracking and measuring advances, and by promoting creativity, discovery, and invention, the institute is developing innovations that will allow children to live longer, healthier lives. Childrens National is dedicated to providing high quality educational opportunities for internal and external physicians, nurses, and allied health professionals through internships, residency, fellowships, graduate medical education, and continuing medical education. Each year, pediatric training is provided for approximately 180 third-year medical students from George Washington University (GWU), 48 third-year medical students from Howard University, and 100 fourth-year students from GWU and other medical schools. Clinical training is provided to 117 pediatric residents and 150 fellows and other graduate trainees each year.
PROMOTING THE HEALTH OF THE COMMUNITY	SCHEDULE H, PART VI, LINE 5	For more than 140 years, Childrens National has been committed to serving the community by promoting and improving the health of children and supporting the health improvements in their homes, schools, neighborhoods, and broader community. This commitment is evidenced from the governing boards to community health initiatives to the development of DC Healthy Communities Collaborative (DCHCC). Childrens National, the 501 (c)(3) not-for-profit organization, is governed by board of directors representing the diversity of the local, regional, national, and international communities that we serve. The majority of our board of directors resides within the primary service area of the Washington, DC metropolitan area, including the District of Columbia, Maryland, and Virginia. Childrens National is a pioneer in innovative programs that move beyond awareness to targeted interventions that improve the lives of children and their families, locally, regionally, nationally, and internationally. The Childrens National Advocacy and Public Policy, Inc. (CNAPPI) governs the Advocacy component of our care, advocacy, research, and education (CARE) mission as a charitable organization. The CNAPPI is comprised of leaders from throughout the region with experience in policy, advocacy, leadership and strategic planning. With this capacity, the CNAPPI serves as a platform for the Childrens National to reach beyond the boundaries of the institution; advocate for all children regardless of their circumstance or location; and prioritize and guide official policy statements and action, government relations, community benefit outreach and other relevant issues. Over the past 20 years, Childrens Health Board has awarded approximately $5 million in grants to more than 200 Childrens National Medical Center programs. Our grants have turned early ideas into proven models that have attracted support from leading investors in improved health outcomes for children nationwide. The Advocacy and Community Affairs Department established a partnership with the Childrens Health Board, a service affiliate of Childrens National Health System, that works to advance the health and well-being of children in the Washington, DC metropolitan community, especially those most in need, through advocacy, education, prevention and early intervention. Beginning in FY 2014, the Childrens Health Board will implement an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Childrens Health Board will focus its grant making on supporting the Childrens National Community Health Improvement Plan (implementation strategy), in an effort to improve community health demonstrated by measurable outcomes. In 2013, the community benefit team worked with the Childrens Health Board to establish this new grant process and will engage in the grant application review process to review grant applications for community benefit program alignment. In 2014, grant awardees will be required to report their programs/initiatives as Community Benefit and will be included in the Community Benefit Report. Childrens National Health system is further promoting the health of the community, locally, nationally and internationally through the Childrens Telemedicine Program. Childrens Telemedicine team is continually looking for new ways to improve access to care and outcomes for children throughout the region and abroad through the use of electronic and telecommunications technologies. The telemedicine program serves community hospitals, suburban health centers, inner city health clinics, national hospitals, and international partners across a wide range of pediatric subspecialties including neurology, genetics, radiology, and general surgery. The program also provides distance learning initiatives locally, regionally, nationally, and in many other countries, including Germany, Morocco, Uganda, Qatar Kuwait, United Arab Emirates, and Iraq. More than 1,000 consults have been provided by the team. Innovative ways are being explored to assist physicians in providing consultations while at home via high speed networks as a direct response to the growing number of telemedicine consultation requests that come into Childrens at night or over the weekends. For example, Childrens is working with other healthcare institutions across the country and abroad to establish consultative services, such as the Tele-Tumor board program. The team is also partnering with the Childrens Hospital in Rabat, Morocco to develop a model that could provide the basis for future telemedicine programs in the Arab world. The partnership, which is placing emphasis on improving education, technology and healthcare staffing, is aiming to improve the level of pediatric care now available in North Africa. With support from the Mosaic Foundation, this initiative gives local physicians in Morocco access to the transmitted content, which includes live video lectures by Childrens staff members. Childrens Telemedicine program has also been used to support inner-city youths through collaboration with the Quincy Jones Foundation. These programs are just a few examples of the many ways Childrens National is working to improve the health of our community.
AFFILIATED HEALTH CARE SYSTEM	Schedule H, Part VI, Line 6	Children's Hospital is part of an affiliated health care system comprised of the following entities: - Children's Hospital Foundation - 501(c)(3), fundraising - Children's National Medical Center - 501(c)(3), oversight and financial responsiblity for health care system - Safe Kids Worldwide - 501(c)(3), injury prevention for children - Children's Hospital Self-Insurance Trust - 501(c)(3), provision of insurance to system - Brainy Camps Association - 501(c)(3), provision of camps for children - Children's National Advocacy & Public Policy Inc - 501(c)(3), advocating for children's health issues -Children's research Institute - 501(c)(3), conducting clinical medical research and education programs Each entity participates in the Children's National Medical Center's ability to deliver pediatric health care services on an integrated basis.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	DC,

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)KURT D NEWMAN MDPRESIDENT/CEO (CNMC)	(i) (ii)	750,764 0	614,987 0	22,061 0	241,000 0	82,094 0	1,710,906 0	0 0
(2)RAHUL K SHAH MDBOARD MEMBER	(i) (ii)	253,118 0	139,888 0	594 0	12,087 0	2,235 0	407,922 0	0 0
(3)DOUGLAS MYERSCHIEF FINANCIAL OFFICER	(i) (ii)	502,579 0	323,223 0	18,783 0	81,071 0	26,376 0	952,032 0	0 0
(4)MARK BATSHAW MDPHYSICIAN IN CHIEF / CAO	(i) (ii)	622,144 0	422,910 0	136,423 0	262,500 0	61,119 0	1,505,096 0	0 0
(5)JODY BURDELLCOO (EXP: 01/31/12)	(i) (ii)	51,561 0	503,578 0	363,418 0	12,500 0	1,140 0	932,197 0	0 0
(6)ANTHONY SANDLER MDSVP CENTER OF EXCELLENCE	(i) (ii)	555,263 0	150,548 0	851 0	57,500 0	31,077 0	795,239 0	0 0
(7)GERARD MARTIN MDSVP CENTER OF EXCELLENCE	(i) (ii)	470,670 0	287,229 0	9,182 0	61,533 0	41,262 0	869,876 0	0 0
(8)DAVID WESSEL MDCHIEF MEDICAL OFFICER	(i) (ii)	425,385 0	311,786 0	26,482 0	58,568 0	36,298 0	858,519 0	0 0
(9)RAYMOND S SCZUDLOCHIEF LEGAL OFFICER	(i) (ii)	422,173 0	308,978 0	231,049 0	12,500 0	44,889 0	1,019,589 0	0 0
(10)MAX COPPES MDSVP CTR OF EXC.(EXP: 06/30/12)	(i) (ii)	294,285 0	420,423 0	58,072 0	82,425 0	28,000 0	883,205 0	0 0
(11)ROGER PACKER MDSVP CENTER OF EXCELLENCE	(i) (ii)	397,155 0	299,335 0	26,715 0	177,084 0	46,286 0	946,575 0	0 0
(12)JACQUELINE BOWENSEXT. AFF. OFF.(EXP: 9/30/12)	(i) (ii)	228,085 0	550,826 0	593,290 0	27,324 0	23,672 0	1,423,197 0	0 0
(13)MENDAL TUCHMAN MDCHIEF RESEARCH OFFICER	(i) (ii)	317,120 0	240,881 0	26,298 0	64,639 0	40,262 0	689,200 0	0 0
(14)JOSEPH WRIGHT MDSVP CENTER OF EXCELLENCE	(i) (ii)	304,515 0	240,707 0	24,768 0	63,606 0	39,971 0	673,567 0	0 0
(15)NELLIE ROBINSONCHIEF NURSING OFFICER	(i) (ii)	296,919 0	193,828 0	148,634 0	12,500 0	46,973 0	698,854 0	0 0
(16)PAM KING SAMSCHIEF DEVELOPMENT OFFICER	(i) (ii)	311,152 0	217,652 0	6,974 0	144,961 0	25,463 0	706,202 0	0 0
(17)DENICE CORA-BRAMBLE MDCHIEF MEDICAL OFFICER	(i) (ii)	377,402 0	275,830 0	24,967 0	44,792 0	36,814 0	759,805 0	0 0
(18)DAVID SPARKSVP FINANCE AND CONTROLLER	(i) (ii)	286,551 0	135,727 0	8,500 0	42,265 0	40,664 0	513,707 0	0 0
(19)MARY ANNE HILLIARDCHIEF RISK OFFICER	(i) (ii)	251,994 0	202,672 0	24,500 0	56,946 0	40,200 0	576,312 0	0 0
(20)CAROL SCHORVP HR (EXP: 12/15/11)	(i) (ii)	0 0	0 0	430,501 0	0 0	1,226 0	431,727 0	0 0
(21)ROBERTA ALESSIVP OPERATIONS	(i) (ii)	302,578 0	134,940 0	7,816 0	37,308 0	26,060 0	508,702 0	0 0
(22)ELIZABETH FLURYCHIEF STRATEGY OFFICER	(i) (ii)	151,490 0	100,000 0	555 0	25,000 0	32,301 0	309,346 0	0 0
(23)KATHLEEN CHAVANU GORMANCHIEF OPERATING OFFICER	(i) (ii)	109,618 0	100,000 0	299 0	17,813 0	12,102 0	239,832 0	0 0
(24)BRIAN JACOBS MDCHIEF INFORMATION OFFICER	(i) (ii)	318,060 0	72,609 0	19,835 0	12,500 0	18,468 0	441,472 0	0 0
(25)MARY OTTOLINI MD PHDVICE CHAIR MED. EDUCATION	(i) (ii)	261,218 0	58,327 0	1,460 0	12,500 0	8,050 0	341,555 0	0 0
(26)DARRYL VARNADOCHIEF PEOPLE OFFICER	(i) (ii)	96,745 0	70,000 0	522 0	15,000 0	26,240 0	208,507 0	0 0
(27)RICHARD JONAS MDCHIEF OF CARDIOLOGY	(i) (ii)	1,060,825 0	573,142 0	30,404 0	101,051 0	67,917 0	1,833,339 0	0 0
(28)ROBERT KEATING MDCHIEF OF NEUROSURGERY	(i) (ii)	729,763 0	143,071 0	1,419 0	81,791 0	20,598 0	976,642 0	0 0
(29)PETER KIM MDVP SHEIKH ZAYED INSTITUTE	(i) (ii)	640,980 0	123,342 0	1,518 0	9,515 0	21,402 0	796,757 0	0 0
(30)H GIL RUSHTON MDCHIEF OF UROLOGY	(i) (ii)	514,133 0	137,000 0	3,726 0	57,499 0	29,840 0	742,198 0	0 0
(31)JOHN MYSEROS MDNEUROSURGEON	(i) (ii)	567,177 0	84,522 0	990 0	12,500 0	23,225 0	688,414 0	0 0
(32)GARY F ROGERS MDCHIEF OF PLASTIC & RECON SURG	(i) (ii)	442,428 0	195,000 0	630 0	12,500 0	20,086 0	670,644 0	0 0
(33)PETER R HOLBROOK MDFORMER CHIEF MED. OFFICER	(i) (ii)	79,493 0	690,000 0	832,932 0	44,500 0	9,614 0	1,656,539 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FIRST-CLASS OR CHARTER TRAVEL	Schedule J, Part I, Line 1a	FIRST CLASS OR CHARTER TRAVEL/TRAVEL FOR COMPANIONS THE CEO PER HIS EMPLOYMENT CONTRACT IS ENTITLED TO (A) USE FIRST CLASS TRAVEL (WHERE BUSINESS CLASS IS NOT AVAILABLE) FOR TRIPS OF MORE THAN 4 HOURS, AND (B) TAKE HIS SPOUSE ON UP TO 7 TRIPS PER YEAR FOR CONFERENCES WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS. HOSPITAL POLICY PERMITS BUSINESS CLASS FOR INTERNATIONAL TRAVEL. THERE IS NO CHARTER TRAVEL.
TAX INDEMNIFICATION AND GROSS UP PAYMENTS	Schedule J, Part I, Line 1a	Five key employees received CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS, UPON APPROVAL OF THE COMPENSATION COMMITTEE, ARE INCREASED BY A TAX EQUALIZATION AMOUNT, WHICH IS SIGNIFICANTLY LESS THAN THE AMOUNT THAT WOULD BE DETERMINED BY A TAX GROSS UP OR INDEMNIFICATION METHOD. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES	Schedule J, Part I, Line 1a	CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR HEALTH CLUB OR SOCIAL CLUB DUES. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT.
PERSONAL SERVICES	Schedule J, Part I, Line 1a	CERTAIN EXECUTIVES, THROUGH THEIR EMPLOYMENT AGREEMENTS, ARE REIMBURSED FOR TAX, FINANCIAL AND ESTATE PLANNING, AND HEALTH COSTS. THIS IS TREATED AS TAXABLE COMPENSATION TO THE RECIPIENT. THERE ARE NO EXPENDITURES FOR MAIDS, CHAUFFEURS OR CHEFS. Severance or Change of Control payment Schedule J, Part I, Line 4a THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED A SEVERENCE PAYMENT. THE SEVERENCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (Biii) AS PART OF OTHER REPORTABLE COMPENSATION: PETER R. HOLBROOK, MD - $551,034 JODY BURDELL - $260,000 JACQUELINE BOWENS - $426,580 CAROL SCHOR - $430,501
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	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: MARK L. BATSHAW, MD - $250,000 KURT D. NEWMAN, MD - $228,500 PETER R. HOLBROOK, MD - $32,000 DOUGLAS MYERS - $68,571 ANTHONY SANDLER, MD - $45,000 GERARD MARTIN, MD - $49,033 DAVID WESSEL, MD - $46,068 MAX COPPES, MD - $66,845 ROGER PACKER, MD - $164,584 JACQUELINE BOWENS - $15,600 MENDAL TUCHMAN, MD - $52,139 JOSEPH WRIGHT, MD - $51,106 PAM KING SAMS - $132,461 DENICE CORA-BRAMBLE, MD - $32,292 DAVID SPARKS - $29,765 MARY ANNE HILLIARD - $44,446 ROBERTA ALESSI - $24,808 ELIZABETH FLURY - $25,000 KATHLEEN CHAVANU GORMAN - $17,813 DARRYL VARNADO - $15,000 RICHARD JONAS, MD - $88,551 ROBERT KEATING, MD - $69,291 H. GIL RUSHTON, MD - $44,999
Non-fixed Payments	Schedule J, Part I, Line 7	The organization establishes quantitative targets for its officers, key employees, and highest compensated employees to meet. If the metrics are met, then a bonus is paid to the individual. Both the determination to pay a bonus and the amount of the bonus is determined by established formulas and the payment is not contingent on the exercise of any person's discretion. Due to extenuating circumstances, bonuses will sometimes be awarded even if metrics are not met. However, for this to occur, there is a multi-level review process and concurrence regarding the appropriateness of the payment.
Schedule J, Part I, Line 8		Certain individuals hired during the year have employment contracts which meet the initial contract exceptions described in the Treasury Regulations.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Children's Hospital

Employer identification number
53-0196580

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DISTRICT OF COLUMBIA	53-6001131	254764GN7	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
B	DISTRICT OF COLUMBIA	53-6001131	254764GP2	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
C	DISTRICT OF COLUMBIA	53-6001131	254764GQ0	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
D	DISTRICT OF COLUMBIA	53-6001131	254764GX5	04-10-2008	3,555,193	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764GY3	04-10-2008	3,854,679	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764GZ0	04-10-2008	10,931,252	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764HA4	04-10-2008	73,663,982	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764HB2	04-10-2008	149,516,148	CONSTRUCT AND RENOVATE FACILITIES		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	50,000,000		50,000,000		50,000,000		3,555,193
4 Gross proceeds in reserve funds . . . . . . . . . . . .	3,738,181		3,738,181		3,738,181		233,255
5 Capitalized interest from proceeds . . . . . . . . . . .	12,645,266		12,645,267		12,645,267		511,928
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	889,291		889,291		889,291		63,310
8 Credit enhancement from proceeds . . . . . . . . . . .	2,909,809		2,909,809		2,909,809		198,654
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	29,817,453		29,817,453		29,817,453		2,548,046
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2009		2009		2009		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		0.00000%		0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X		X			X
b Name of provider . . . . . . . . .	UBS		UBS		UBS
c Term of hedge . . . . . . . . . .	29.75		29.75		29.75
d Was the hedge superintegrated? . . . . . .	X		X		X			X
e Was a hedge terminated? . . . . . . .		X		X		X		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Children's Hospital

Employer identification number
53-0196580

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DISTRICT OF COLUMBIA	53-6001131	254764GN7	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
B	DISTRICT OF COLUMBIA	53-6001131	254764GP2	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
C	DISTRICT OF COLUMBIA	53-6001131	254764GQ0	10-26-2005	50,000,000	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
D	DISTRICT OF COLUMBIA	53-6001131	254764GX5	04-10-2008	3,555,193	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764GY3	04-10-2008	3,854,679	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764GZ0	04-10-2008	10,931,252	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764HA4	04-10-2008	73,663,982	CONSTRUCT AND RENOVATE FACILITIES		X		X		X
	DISTRICT OF COLUMBIA	53-6001131	254764HB2	04-10-2008	149,516,148	CONSTRUCT AND RENOVATE FACILITIES		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		0		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	50,000,000		50,000,000		50,000,000		3,555,193
4 Gross proceeds in reserve funds . . . . . . . . . . . .	3,738,181		3,738,181		3,738,181		233,255
5 Capitalized interest from proceeds . . . . . . . . . . .	12,645,266		12,645,267		12,645,267		511,928
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	889,291		889,291		889,291		63,310
8 Credit enhancement from proceeds . . . . . . . . . . .	2,909,809		2,909,809		2,909,809		198,654
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	29,817,453		29,817,453		29,817,453		2,548,046
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2009		2009		2009		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		0.00000%		0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X		X			X
b Name of provider . . . . . . . . .	UBS		UBS		UBS
c Term of hedge . . . . . . . . . .	29.75		29.75		29.75
d Was the hedge superintegrated? . . . . . .	X		X		X			X
e Was a hedge terminated? . . . . . . .		X		X		X		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	Form 990, Part III, Line 1	TO IMPROVE HEALTH OUTCOMES FOR CHILDREN REGIONALLY, NATIONALLY, AND INTERNATIONALLY; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, AND EDUCATION TO MEET UNIQUE NEEDS OF CHILDREN, ADOLESCENTS, AND THEIR FAMILIES. Program Services Part III, Line 4a Children's Mission Statement As the nation's children's hospital, the mission of Children's National Medical Center 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 As the nation's children's hospital, we will set the standard of excellence for the care of children. - We will serve as the voice for the most vulnerable among us: our children. - We will lead the quest to cure some of childhood's most devastating diseases. - We will prepare the nation's future leaders in child health. - We will be the children's hospital against which all others are measured. 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 blaze trail it. About Children's National Children's National Medical Center is the premier provider of pediatric care in the Washington, DC, metropolitan area and is the only freestanding children's hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta. Serving the nation's children for 140 years, Children's National is a proven leader in the development and application of innovative new treatments for childhood illness and injury. Children's internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Serving as an advocate for all children, Children's is the largest non-governmental provider of pediatric care in the District of Columbia, providing more than $50 million in uncompensated care. In addition, Children's serves as the regional referral center for pediatric emergency, trauma, cancer, cardiac and critical care as well as neonatology, orthopedic surgery, neurology, and neurosurgery. Children's National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report and the Leapfrog Group, and has received Magnet designation by the ANCC. At Children's National Medical Center, we stand for children! Our vision of advancing the health and wellbeing of children has been the motivation behind a number of forward-focused initiatives aimed at creating a lasting standard for prevention and community education, coupled with top-notch treatment and continuous improvement. As always, the vision is carried out through a cadre of nationally recognized healthcare professionals, staff, and administrators who tirelessly serve the unique and diverse medical needs of the residents of the Washington, DC, metropolitan area and the broader community. Their work provides a unique perspective of the health improvements important for all children, in every family. With this in mind, the hospital is committed to building a universal blueprint for improving healthcare that can be replicated in health systems, hospitals, and clinics in communities across the country. The programs highlighted in this report provide a snapshot of the important work being done at Children's National every day to improve the health and wellbeing of kids and our communities. Every member of our team is committed to giving children and our communities the best chance for a healthy future, it's all we do. Bereavement Programming Loss of a loved one can be difficult. The loss is felt by family, friends and even the community. That's why Children's National Health System provides resources to families and communities when a child is dying or has died. Through our Family Services department, we offer education on helping children understand loss and ways to provide safe havens for grieving children and families coping with loss of many sorts. These sessions are provided to faith-based communities, schools, civic organizations and other interest groups. In addition, Family Services makes available resource materials including Legacy Book making materials, workbooks and other literature on coping with grief. In FY 2013, Children's National Bereavement program provided resources to 250 families. Teen Life Club The Teen Life Club is just one of several signature projects focused on equipping teens with the tools to make healthy choices. As a part of the Adolescent Prevention Education Programs (APEP) at Children's National, the Teen Life Clubs (TLC) program helps youth improve decision making skills and ultimately reduces sexual risks. Geared towards adolescents between the ages of 11 to 14, the program curriculum is divided into four units; Self Awareness and Identity, Healthy Bodies, Violence Prevention and Money Matters. The clubs are based in community settings such as community clinics, community housing complexes or schools during the after school time frame. The Clubs meet Monday through Thursday and incorporates weekly health education sessions as well as academic support and monthly enrichment activities. In FY 2013, nearly 50 teens participated in the Teen Life Clubs offered at Faircliff Plaza, Hubbard Place and THEARC. Start Early, Start Right According to the Center for Disease Control, approximately 17%, or 12.5 million children and adolescents from ages two to nineteen are obese. The CDC reports that since 1980, obesity prevalence among children and adolescents has almost tripled. The District of Columbia ranks 43rd among states in overall prevalence with 35.4 percent of children considered overweight or obese. Children's National Health System is tackling obesity head on with programs such as Start Early, Start Right. Start Early, Start Right is a free, nutrition-education program for Latino families with children ages six and under. The program is a comprehensive family-based approach to the prevention of obesity in children by working with parents/caregivers and teachers and daycare providers of Hispanic preschoolers. Start early, start right focuses on promoting healthy diet and eating habits, increasing physical activity and decreasing sedentary behavior and improving the parenting skills of parents and caregivers of preschool children. Parents meet once a week for 2 hours to learn about basic nutrition themes; receive simple healthy food demonstrations, take a trip to the grocery store, maintain a food and activity diary and participate in weekly weigh-ins for children and parents to monitor behavior A total of 53 parents/caregivers and 50 preschool children under their care participated in start early, start right in fiscal year 2013. Parish Nursing Program Nurses at Children's National aren't just dedicated to the patients and families seen in the hospital, their commitment to care extends beyond the hospital. As respected and sought after health experts, many of our nurses reach out and support community health needs. The Parish Nursing program at Children's National collaborates with the faith community, and faith community leaders to plan and implement health promotion and injury prevention programs to improve the health of pediatric and young populations. The program also has an advisory council that provides reviews and recommendations of ideas, policies and procedures, program assessment, planning and evaluation. In fiscal year 2013, the Parish Nursing program attended at least six community events promoting health and wellness and presented at the Howard University Spirituality and Medicine Conference.
MEMBERS OR STOCKHOLDERS	Form 990, Part VI, Lines 6, 7a, and 7b	CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC") IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL AND HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S HOSPITAL. THE ARTICLES AND BY-LAWS OF CHILDREN'S HOSPITAL DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER.
FORM 990 REVIEW PROCESS	Form 990, Part VI, Line 11b	THE RELEVANT COMMITTEES OF THE ORGANIZATION AND ITS PARENT ORGANIZATION, CNMC, REVIEW APPLICABLE PORTIONS OF THE FORM 990: THE LEGAL AFFAIRS AND AUDIT COMMITTEE REVIEW THE FINANCIAL DISCLOSURES, THE NOMINATING AND GOVERNANCE COMMITTEE REVIEW THE GOVERNANCE SECTIONS AND THE PUBLIC BENEFIT SECTIONS, AND THE EXECUTIVE COMPENSATION COMMITTEE REVIEW THE COMPENSATION DISCLOSURES. THE COMPLETED FORM 990 IS THEN MADE AVAILABLE TO THE ENTIRE GOVERNING BOARD OF CHILDREN'S HOSPITAL BEFORE FILING.
Conflict of Interest policy monitoring and enforcement	Form 990, Part VI, Line 12c	CHILDREN'S HOSPITAL REQUIRES THAT EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED AND REQUIRED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS AND INTERESTS ARE NOTED. THE CHILDREN'S HOSPITAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. GOVERNING POLICIES FORM 990, PART VI, LINES 13 & 14 CHILDREN'S HOSPITAL IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER ("CNMC"). THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
PROCESS FOR DETERMINING COMPENSATION	Form 990, Part VI, Line 15a	THE EXECUTIVE COMPENSATION COMMITTEE OF THE CNMC BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS EXPERT ON COMPENSATION MATTERS. THE COMMITTEE DETERMINES ADJUSTMENTS IN COMPENSATION, INCLUDING BASE PAY, INCENTIVES, AND OTHER FORMS OF COMPENSATION FOR EACH PERSON DEEMED BY THE COMPENSATION COMMITTEE TO BE A "DISQUALIFIED PERSON" AS THAT TERM IS USED IN THE INTERMEDIATES SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT, AND RELIES UP "REASONABLENESS" OPINIONS FOR SUCH CONSULTANTS, PRIOR TO OR CONTEMPORANEOUS WITH MAKING COMPENSATION DECISIONS. THE COMMITTEE MEETS 4-6 TIMES PER YEAR TO CONSIDER SUCH MATTERS.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC	Form 990, Part VI, Line 19	CHILDREN'S HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED ON REQUEST.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	CP&A Partnership Capital Account Adjustment - $325,759 (Difference Between Income and Change in Capital Account per Schedule K-1).

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CHILDREN'S NATIONAL SPECIALISTS OF VA 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 26-4571100	HEALTH CARE	DC	-1,121,656	0	NA

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1654453	RESEARCH	DC	501(C)(3)	9	CNMC		No
(2) CHILDREN'S NATIONAL MEDICAL CENTER 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640403	HEALTH CARE	DC	501(C)(3)	11B, II	NA		No
(3) SAFE KIDS WORLDWIDE 1301 PENNSYLVANIA AVENUE NW WASHINGTON,DC20004 52-1627574	INJURY PRVNTN	DC	501(C)(3)	11A, I	CNMC		No
(4) CHILDREN'S HOSPITAL SELF-INSURANCE TRUST 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640399	INSURANCE	DC	501(C)(3)	11C, III-FI	CNMC		No
(5) CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640402	FUNDRAISING	DC	501(C)(3)	7	CNMC		No
(6) BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 27-1547370	CHILD CAMPS	DC	501(C)(3)	11A, I	CH	Yes
(7) CHILDREN'S NAT'L ADVOC & PUBLIC POLICY 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 27-1564354	ADVOCACY	DC	501(C)(3)	11B, II	CNMC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CHILDREN'S PEDIATRICIANS ASSOC 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-2072589	HEALTH CARE	DC	NA	-604,111	4,996,851		No	0		No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) CHILDREN'S NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1996521	HEALTH CARE	DC	NA	C Corp	0	0		No
(2) SAFE KIDS WORLDWIDE LTD PO BOX 916 ROAD TOWN TORTOLA VQ	INJURY PREVEN	VQ	NA	C Corp	0	0		No
(3) BEARACUDA RE PO BOX 69 KY1-1102 GRANDCAYMAN CJ	REINSURANCE	CJ	NA	C Corp	0	0		No
(4) BEAR CUB REINSURANCE LTD PO BOX 69 KY1-1102 GRANDCAYMAN CJ	REINSURANCE	CJ	NA	C Corp	0	0		No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Brainy Camps Association	P	294,729	FMV
(2) Brainy Camps Association	R	309,245	FMV
(3) Safe Kids Worldwide Ltd	R	320,675	FMV
(4) BEARACUDA RE	R	27,598,782	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE HEALTH OUTCOMES FOR CHILDREN, BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS, & EXCEL IN CARE , ADVOCACY, RESEARCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	7,366
6	Total number of volunteers (estimate if necessary) .............	6	938
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	908,492
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	27,471,455	24,876,905
9	Program service revenue (Part VIII, line 2g) .........	884,771,203	939,338,067
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-5,372,744	1,926,045
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,209,168	3,891,674
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	910,079,082	970,032,691
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	525,267,158	564,441,141
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	342,762,679	381,165,008
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	868,029,837	945,606,149
19	Revenue less expenses. Subtract line 18 from line 12.......	42,049,245	24,426,542
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	908,465,625	993,489,726
21	Total liabilities (Part X, line 26).............	536,572,770	586,092,278
22	Net assets or fund balances. Subtract line 21 from line 20.....	371,892,855	407,397,448

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 617,889,542 including grants of $ ) (Revenue $ 939,388,067 )
	CHILDREN'S HOSPITAL OPERATES AN ACUTE CARE PEDIATRIC AND TEACHING FACILITY IN WASHINGTON, DC. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) IS THE PARENT COMPANY OF THE HOSPITAL. CNMC AND ITS AFFILIATES PROVIDE HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND YOUTH IN WASHINGTON, DC AND THE SURROUNDING METROPOLITAN AREA. SEE SCHEDULE O FOR COMPLETE FY13 COMMUNITY BENEFIT REPORT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses617,889,542

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	23,800,472	0	2,967,202

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		24,876,905
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			24,876,905
			Business Code
2a	PATIENT REVENUE		621400	844,655,294	844,655,294
b	FEES AND CONTRACTS		900099	8,031,183	8,031,183
c	ALL OTHER PROGRAM SERVICES		900099	86,651,590	86,651,590
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			939,338,067
3	Investment income (including dividends, interest, and other similar amounts).......			2,007,998			2,007,998
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	118,595,300	3,500
b	Less: cost or other basis and sales expenses	118,680,753
c	Gain or (loss)	-85,453	3,500
d	Net gain or (loss)..........			-81,953			-81,953
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	PARTNERSHIP LOSS		621110	-604,111	-604,111
b	PARKING		812930	3,587,293			3,587,293
c	LAB FEES		621500	908,492		908,492
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,891,674
12	Total revenue. See Instructions......			970,032,691	938,733,956	908,492	5,513,338


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			72,128,029	2	59,376,517
3	Pledges and grants receivable, net ...........			3,151,413	3	4,416,815
4	Accounts receivable, net .............			147,548,630	4	186,580,547
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			3,546,822	8	6,910,911
9	Prepaid expenses and deferred charges ..........			5,332,847	9	5,824,315
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	981,108,826
b	Less: accumulated depreciation .....	10b	454,358,137	532,942,684	10c	526,750,689
11	Investments—publicly traded securities ..........			72,988,468	11	132,119,472
12	Investments—other securities. See Part IV, line 11 .....			32,277,136	12	32,065,538
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			20,000	14	20,000
15	Other assets. See Part IV, line 11 ...........			38,529,596	15	39,424,922
16	Total assets. Add lines 1 through 15 (must equal line 34)......			908,465,625	16	993,489,726
17	Accounts payable and accrued expenses .........			128,163,443	17	150,809,067
18	Grants payable .................			0	18	0
19	Deferred revenue ................			10,798,597	19	5,630,726
20	Tax-exempt bond liabilities .............			415,069,144	20	411,076,761
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			428,568	23	75,342,852
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			-17,886,982	25	-56,767,128
26	Total liabilities. Add lines 17 through 25.........			536,572,770	26	586,092,278
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			371,892,855	27	407,397,448
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			371,892,855	33	407,397,448
34	Total liabilities and net assets/fund balances ........			908,465,625	34	993,489,726

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No