TY 2014 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) CAROLYN A THORNELL........................................................................ BOARD CHAIRMAN	2.0 .......................1.0	X	X	0	0
(2) DEBRA L FRIEDMAN - 123114........................................................................ BOARD VICE CHAIRMAN	2.0 .......................0.0	X	X	0	0
(3) KURT D NEWMAN MD........................................................................ PRESIDENT / CEO (CNMC)	39.0 .......................16.0	X	X	1,851,520	328,884
(4) DEIDRE ADKINS........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(5) KATHRYN D BARKER........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0
(6) SCHONAY BARNETT-JONES........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(7) DENICE CORA-BRAMBLE MD........................................................................ BRD MEMBER/CMO	51.0 .......................4.0	X		915,460	151,705
(8) DARYL DAVIS........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(9) ELIZABETH DUGGAL........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(10) IVY WAFFORD DUKE........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(11) ALBERTO GOMEZ........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(12) MAE H GRENNAN........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0
(13) DAVID STOCKWELL MD........................................................................ Board MEMBER	55.0 .......................0.0	X		175,429	3,379
(14) MARY HELEN THOMPSON........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(15) CAROLINE VAN VLECK MD........................................................................ BOARD MEMBER	1.0 .......................0.0	X		0	0
(16) CHERYL WEINER........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0
(17) DAVID WESSEL MD........................................................................ BRD MEMBER/CMO	52.0 .......................3.0	X		978,828	153,109

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) DAVID WHISTON DDS........................................................................ BOARD MEMBER	1.0 .......................0.0	X					0	0
(19) DOUGLAS MYERS........................................................................ CHIEF FINANCIAL OFFICER	44.0 .......................11.0		X				1,008,946	129,503
(20) MARK BATSHAW MD........................................................................ PHY IN CHIEF / CAO	9.0 .......................46.0			X			1,285,578	335,849
(21) ELIZABETH FLURY........................................................................ CHIEF STRATEGY OFFICER	51.0 .......................4.0			X			847,741	125,977
(22) KATHLEEN CHAVANU GORMAN........................................................................ CHIEF OPERATING OFFICER	54.0 .......................1.0			X			820,828	111,649
(23) MARY ANNE HILLIARD........................................................................ CHIEF RISK OFFICER	54.0 .......................1.0			X			555,094	91,756
(24) BRIAN JACOBS MD........................................................................ CHIEF INFORMATION OFFICER	54.0 .......................1.0			X			513,869	71,151
(25) RICHARD JONAS MD........................................................................ CHIEF OF CARDIOLOGY	54.0 .......................1.0			X			1,864,158	139,231
(26) PAM KING SAMS........................................................................ CHIEF DEVELOPMENT OFFICER	5.0 .......................50.0			X			604,235	176,762
(27) GERARD MARTIN MD........................................................................ SVP CENTER OF EXCELLENCE	53.0 .......................2.0			X			900,708	113,285
(28) MICHELLE MCGUIRE........................................................................ VP & CHIEF OF STAFF	43.0 .......................12.0			X			294,954	35,990
(29) MARY OTTOLINI MD PHD........................................................................ VICE CHAIR MED. EDUCATION	54.0 .......................1.0			X			374,598	17,641
(30) ROGER PACKER MD........................................................................ SVP CENTER OF EXCELLENCE	43.0 .......................12.0			X			798,726	132,967
(31) ANTHONY SANDLER MD........................................................................ SVP CENTER OF EXCELLENCE	44.0 .......................11.0			X			983,717	139,864
(32) RAYMOND S SCZUDLO........................................................................ CHIEF LEGAL OFFICER	51.0 .......................4.0			X			857,774	108,634
(33) LINDA TALLEY........................................................................ CHIEF NURSING OFFICER	54.0 .......................1.0			X			329,865	23,076
(34) MENDeL TUCHMAN MD........................................................................ CHIEF RESEARCH OFFICER	25.0 .......................30.0			X			632,896	116,850
(35) DARRYL VARNADO........................................................................ CHIEF PEOPLE OFFICER	54.0 .......................1.0			X			500,275	104,300
(36) ROBERT KEATING MD........................................................................ CHIEF OF NEUROSURGERY	55.0 .......................0.0				X		926,517	110,353
(37) PETER KIM MD........................................................................ VP SHEIKH ZAYED INSTITUTE	55.0 .......................0.0				X		902,955	34,403
(38) H GIL RUSHTON MD........................................................................ CHIEF OF UROLOGY	55.0 .......................0.0				X		660,966	96,236
(39) JOHN MYSEROS MD........................................................................ NEUROSURGEON	55.0 .......................0.0				X		734,905	36,037
(40) TIMOTHY KANE MD........................................................................ CHIEF OF PEDIATRIC SURGERY	55.0 .......................0.0				X		806,712	32,805
(41) NELLIE ROBINSON - 63014........................................................................ EVP NURSING PHILANTHROPHY	0.0 .......................0.0					X	372,283	4,964
(42) JOSEPH WRIGHT MD - 63014........................................................................ SVP CENTER OF EXCELLENCE	0.0 .......................0.0					X	760,466	141,702
(43) DAVID SPARKS........................................................................ INTERIM TRANSITION DIR. FIN.	55.0 .......................0.0					X	454,772	39,823
(44) RAHUL K SHAH MD........................................................................ FORMER BOARD MEMBER	55.0 .......................0.0					X	465,564	26,670

(A) Name and business address	(B) Description of services	(C) Compensation
CERNER CORPORATION, 2800 ROCKCREEK PARKWAY NORTH KANSAS CITY,MO64117	IT SERVICES	23,551,930
CARDINAL HEALTH, 7000 CARDINAL PLACE DUBLIN,OH43017	SUPPLY DISTRIBUTION	16,097,783
FTI CONSULTING INC, 909 COMMERCE ROAD ANNAPOLIS,MD21401	CONSULTING	6,079,136
ATLANTIC SERVICES GROUP, 2131 K STREET NW STE 200 WASINGTON,DC20037	SHUTTLE SERVICE	3,808,224
COLONIAL PARKING, 1050 THOMAS JEFFERSON ST NW STE 10 WASHINGTON,DC20007	PARKING SERVICES	3,494,697
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 276

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 domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ....	16,608,507		16,608,507
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 ....	471,211,481	357,947,185	113,264,296
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,403,077	11,302,301	4,100,776
9	Other employee benefits .......	33,966,586	24,923,628	9,042,958
10	Payroll taxes ...........	32,648,259	23,956,281	8,691,978
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	3,580,570	2,627,312	953,258
c	Accounting ...........	984,937		984,937
d	Lobbying ...........	456,337		456,337
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) ....	52,704,316	38,766,282	13,938,034
12	Advertising and promotion ....	3,186,579	2,338,213	848,366
13	Office expenses .......	9,251,395	6,788,387	2,463,008
14	Information technology ......	41,176,300	30,213,892	10,962,408
15	Royalties ..	0
16	Occupancy ...........	21,805,225	15,999,998	5,805,227
17	Travel ............	2,826,612	2,074,080	752,532
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	825,092	605,427	219,665
20	Interest ...........	26,500,085	19,444,941	7,055,144
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	59,269,886	43,490,405	15,779,481
23	Insurance ..............	24,658,048	18,093,311	6,564,737
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	86,253,607	63,290,223	22,963,384
b	BAD DEBT EXPENSE	25,409,620	25,409,620
c	REPAIRS AND MAINTENANCE	15,967,613	11,716,539	4,251,074
d	OVERHEAD	2,908,910		2,908,910
e	All other expenses	9,657,158		9,657,158
25	Total functional expenses. Add lines 1 through 24e	957,260,200	698,988,025	258,272,175	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 or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	80,288,535	2	114,829,265
3	Pledges and grants receivable, net ...........	7,994,785	3	7,959,219
4	Accounts receivable, net .............	175,456,200	4	171,500,657
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		360,000	5	120,000
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 ..............	7,410,283	8	8,587,583
9	Prepaid expenses and deferred charges ..........	11,035,619	9	12,901,610
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,049,434,319
b	Less: accumulated depreciation .....	10b	567,736,981	519,797,175	10c	481,697,338
11	Investments—publicly traded securities ..........	132,304,887	11	149,965,068
12	Investments—other securities. See Part IV, line 11 .....	35,582,245	12	74,782,199
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	20,000	14	0
15	Other assets. See Part IV, line 11 ...........	42,317,426	15	41,083,466
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,012,567,155	16	1,063,426,405
	17	Accounts payable and accrued expenses .........	154,860,336	17	141,897,536
18	Grants payable .................	0	18	0
19	Deferred revenue ................	15,025,591	19	22,630,573
20	Tax-exempt bond liabilities .............	406,619,378	20	383,871,996
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 ..	75,257,136	23	75,452,247
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....................	-92,000,838	25	-129,829,864
26	Total liabilities. Add lines 17 through 25.........	559,761,603	26	494,022,488
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	452,805,552	27	569,403,917
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 ...........	452,805,552	33	569,403,917
34	Total liabilities and net assets/fund balances ........	1,012,567,155	34	1,063,426,405

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Children's Hospital

Employer identification number

53-0196580

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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) 2014

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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

408,260

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

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

Yes

48,077

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

456,337

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

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 THE LOBBYING ACTIVITIES ENGAGED IN BY CHILDREN'S HOSPITAL FOCUS PRIMARILY ON EFFORTS TO IMPROVE THE LEVEL OF FUNDING FOR SERVICES FOR CHILDREN IN PUBLIC HEALTH PROGRAMS. THOSE LOBBYING ACTIVITIES INCLUDE CONTINUAL MONITORING OF LEGISLATION VIA DISCUSSIONS WITH LEGISLATIVE STAFF, HOSTING EDUCATIONAL BRIEFING SESSIONS FOR MEMBERS OF CONGRESS, EXECUTIVE BRANCH, STATE AND LOCAL OFFICIALS/STAFF REGARDING CHILD HEALTH ISSUES, AND COORDINATING THE SUBMISSION OF CORRESPONDENCE/WRITTEN COMMENTS ON PROPOSED LEGISLATION AND REGULATIONS, AS WELL AS THE PRESENTATION OF TESTIMONY BEFORE LEGISLATIVE COMMITTEES. CHILDREN'S HOSPITAL ALSO DEVELOPS POLICY POSITIONS IN RESPONSE TO PROBLEMS AND OPPORTUNITIES IN THE PUBLIC SECTOR. EXPENSES TOTALED $408,260.
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) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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)

Revenue 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:

Revenue 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) 2014

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, for escrow or custodial account liability?

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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 ................	85,041,607	73,484,431	11,557,176
c	Leasehold improvements ............	775,683,408	375,734,986	399,948,422
d	Equipment ................	185,051,641	117,098,590	67,953,051
e	Other .................	2,216,905	1,418,974	797,931
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				481,697,338

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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
(3)Other (A) INVESTMENT IN BEARACUDA	35,539,061	F
(B) INVESTMENT IN PSV	9,182,621	F
(C) DEBT RESERVE FUND	29,948,621	F
(D) CHCA/CHIC PARTNERSHIP	45,919	F
(E) OTHER INVESTMENTS	65,977	F




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	74,782,199

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
CAPITAL LEASE OBLIGATIONS		4,744,104
RESERVE FOR CLAIMS		47,687,992
OTHER LIABILITIES		49,344,848
SETTLEMENTS TO THIRD PARTY PAY		7,015,493
DUE TO AFFILIATES		-238,622,301




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		-129,829,864
2. Liability for uncertain tax positions. 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) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

Liability for Uncertain Tax Position (ASC 740)

Schedule D, Part X, Line 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (MEDICAL CENTER), 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. There was no impact on the Medical Centers financial statements during the years ended June 30, 2015 and 2014.

Schedule D (Form 990) 2014

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

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 its grants

and other 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 its grants and other assistance outside the United States.

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

(a) 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	Program Services	PATIENTS REFFERALS	523,080
	Central America and the Caribbean		Program Services	INSURANCE PREMIUMS	13,735,561















3a	Sub-total .....	1			14,258,641
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1			14,258,641

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

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)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount 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) 2014

Schedule F (Form 990) 2014Page 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) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
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).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 criteria used 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) ..			7,856,988		7,856,988	0.850 %
b	Medicaid (from Worksheet 3, column a) ....			55,827,718		55,827,718	6.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .			63,684,706		63,684,706	6.980 %
Other Benefits		50	143,859	22,933,629	20,670,174	2,263,455	0.240 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	50	143,859	22,933,629	20,670,174	2,263,455	0.240 %
f	Health professions education (from Worksheet 5) ..	23	3,036	34,821,026	8,474,689	26,346,337	2.570 %
g	Subsidized health services (from Worksheet 6) ..	9		19,221,600	14,930,600	4,291,000	0.460 %
h	Research (from Worksheet 7)	1		10,882,216		10,882,216	1.170 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	17	1,208	554,422	10,928	543,494	0.060 %
j	Total. Other Benefits ..	100	148,103	88,412,893	44,086,391	44,326,502	4.500 %
k	Total. Add lines 7d and 7j .	100	148,103	152,097,599	44,086,391	108,011,208	11.480 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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	(d) Direct offsetting revenue	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	5	25	13,845		13,845
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2		21,338	1,000	20,338
7	Community health improvement advocacy
8	Workforce development	1	4	39,728	4,500	35,228
9	Other
10	Total	8	29	74,911	5,500	69,411

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. ......

12,568,156

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).....

1,817,602

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

1,905,667

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

-88,065

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) 2014

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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	CHILDREN'S HOSPITAL 111 MICHIGAN AVE NW WASHINGTON,DC20010 www.childrensnational.org HFD01-0208	X	X	X	X	X	X	X	X

Schedule H (Form 990) 2014

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

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 significant 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 Section C)

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 persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C 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 Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): www.childrensnational.org

Other website (list url): www.dchealthmatters.org

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.childrensnational.org

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 350.%
and FPG family income limit for eligibility for discounted care of 350.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): www.childrensnational.org

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Children's Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Childrens Hospital - Facility Information	Schedule H, Part V, Section B, Line 3J 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. Providing this information will assist in overall data analysis, program planning and inform decision making on important health related issues affecting the residents of Washington, DC. Schedule H, Part V, Section B, Line 5 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 questions geared towards gaining pertinent information from focus group 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 record and access to all focus group participants' name along with the focus group guide on file and is available upon request from RAND. Schedule H, Part V, Section B, Line 6a & 6b Children's National, through its membership in the DC Healthy Communities Collaborative, conducted the CHNA in participation with three non-profit hospitals: Howard University Hospital, Providence Hospital, Sibley Memorial Hospital. 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. As part of the DC Healthy Communities Collaborative, three community health centers, two of which are federally qualified health centers, Bread for the City, Community of Hope, and Unity Health Care, Inc. also worked to conduct the FY 2013 CHNA. Another community health center, Mary's Center joined the DC Healthy Families Collaborative after the needs assessment was conducted and participated in the community health improvement plan development process. Schedule H, Part V, Section B, Line 7d In addition to the broad distribution via the hospital's website and the DCHCC's DC Health Matters (DCHM) web portal, Children's Hospital also participated in community-based meetings and forums to disseminate the CHNA report findings. Part of the launch of the DCHM, we distributed 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 8 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://CHILDRENSNATIONAL.ORG/~/MEDIA/CNHS-SITE/FILES/ABOUT/ADVOCACY/FINAL_ CHILDRENS_NATIONAL_CHIP_FY_20142016.ASHX Schedule H, Part V, Section B, Line 11 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 Hospital 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 Hospital 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. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees. Children's Hospital received approval by its Board on May 23, 2013. By the close of FY15, DCHCC addressed community health improvement in the areas of Mental Health/Substance Abuse, Obesity/Overweight, Asthma, and Sexual/Reproductive Health. The Collaborative offered continuing educational programs for clinicians on programmatic best practices in the areas of sexual health, mental health and asthma. The collaborative also created asset maps showcasing citywide resources in the four priority areas. The Collaborative is moving forward with the second community health needs assessment and health improvement plan. EXAMPLES OF WAYS THE DCHCC IS ADDRESSING THE NEEDS OF THE WASHINGTON, DC COMMUNITY. 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 Hospital 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 Hospital 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. Each DCHCC member organization received approval of the implementation strategy (community health improvement plan) by their Board of Directors/Trustees.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. 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?19
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 IMGAGING CENTER 9850 KEY WEST AVENUE Suite 110 ROCKVILLE,MD20850	REGIONAL OUTPATIENT CENTER
19	CHILDREN'S NATIONAL SPECIALISTS OF VIRGI 3023 HAMAKER COURT SUITE 500 FAIRFAX,VA22031	HEALTH CENTER

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Criteria for Free or Discounted Care	Schedule H, Part I, Line 3c Children's Hospital and its parent, Childrens National Medical Center, are 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.
CHILDREN'S NATIONAL MEDICAL CENTER ANNUAL REPORT	Schedule H, Part I, Line 6 Children's National 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. Children's National is dedicated to fulfilling its vision of setting the standard in excellence in pediatric care, advocacy, research, and education, here in the nation's capital, around the country, and throughout the world. As part of our commitment to our community, below are some of the programs that were implemented in FY 2015: -DC Collaborative for Mental Health in Pediatric Primary Care The DC Collaborative for Mental Health in Pediatric Primary Care (DC Collaborative), founded in 2012, aims to improve the integration of mental health in pediatric primary care for children and youth in the District of Columbia. This public-private partnership consists of a working group that is responsible for the planning, implementation and evaluation of all activities of the DC Collaborative; a community advisory board that includes parents, community stakeholders, and over 25 diverse organizations; and a project team comprised of Children's National staff that provide the day-to-day support for the work of the DC Collaborative. The DC Collaborative supports and implements initiatives focused on supporting primary care practices and clinicians; supporting families; integrating mental health services into primary care; and engaging in related policy and advocacy efforts. As of June 2015, over 150 providers and 16 practices completed mental health screening training through a 15 month learning collaborative model. 100% of providers reported that they felt somewhat or very prepared to identify mental health issues of their patients. Another component of the DC Collaborative is DC MAP (Mental Health Access in Pediatrics), which offers pediatric primary care providers increased access to child mental health experts. The DC MAP team of child mental health experts offers telephone consultation, community resource referral, and training to pediatric practices in an effort to help with the management of mental health concerns of patients and families. The program launched city-wide in September 2015. -Safe Kids DC Car Seat Inspection Station Safe Kids DC works to prevent childhood accidents in the District, the leading cause of death and disability in children ages one to 19. As part of Safe Kids DC, the Car Seat Inspection Program aims to raise awareness of preventable injuries as a result of motor vehicle crashes. The desired outcome is to reduce preventable injury during a crash due to proper child restraint techniques. Parents and caregivers are provided education on child passenger safety including how to correctly install car seats and position the child in the seat, how to identify the proper seat for the child's age, weight and height as well as how to determine if the car seat is expired or recalled. The car seat inspection station is operated by nationally certified child passenger safety technicians. In addition to the education and installation services provided, the child passenger safety technicians also connect families to resources for obtaining child safety seats at reduced rates. Through partnerships with the District Department of Transportation, Metropolitan Police Department, and DC Department of Motor Vehicles, areas in the city that are most in need of education and outreach efforts are identified. The Car Seat Inspection Station Program provided 705 people services in FY 2015. -IMPACT DC Asthma is the most common chronic childhood disease and has become considerably more prevalent and severe in the United States during the last 40 years. In recent years, the number of children diagnosed with asthma has dramatically increased. In Washington, DC, more than one in ten children currently have asthma, which is well above the national average. IMPACT DC is a pediatric asthma program in Washington, DC, dedicated to improving asthma care and outcomes for children through clinical care, education, research, and advocacy. One of the program's main goals is to educate patients and families about ways to manage asthma and connect with valuable resources in the community in an effort to lessen the need for emergency room visits and hospital stays. In an effort to increase asthma awareness, community education and outreach is an important component of IMPACT DC. Staff of IMPACT DC provide evidence-based educational outreach through health fairs, school-based programs, and other educational and advocacy events. There is a particular focus on early childhood providers since most children spend most of their day in school or daycare, where asthma can have a tremendous impact on their attendance, ability to learn, and participation in normal activities. IMPACT DC staff work closely with school nurses, teachers, parents, and other caregivers to better identify, assess, and manage asthma in these settings. Program staff also assist these individuals with reducing common triggers in these environments. In FY 2015, health education was provided to 199 early childhood educators who serve over 3,000 children. -HEALTHY GENERATIONS PROGRAM Adolescent pregnancy is a significant issue in the District of Columbia. With a primary goal of reducing repeat pregnancies, the Healthy Generations Program provides primary care and case management support to adolescent parents and their children. The program has maintained a repeat pregnancy rate of under 10% which is significantly lower than the average repeat pregnancy rate for adolescents in the District of Columbia. The Healthy Generations Program also strives to provide parenting, mental health and social work support to these young families. The parents are also educated about the prevention of sexually transmitted infections, problem-solving skills, safety and nutrition, and connected to necessary resources. The Healthy Generations Program also helps adolescent parents get the support needed to finish high school. Seventy percent of the program's participants are enrolled in High School/GED programs or have completed such programs. The program also provides mental health screenings and referrals as needed to all participants. Sixty percent of program participants have completed a mental health screening. 849 adolescents and their children were served through the Healthy Generations Program in FY 2015.
Costing Methodology	Schedule H, Part I, Line 7 bad debt write-offs adjusted by the irs cost to charge ratio were UTILIZED TO CALCULATE AMOUNTS REPORTED IN THE TABLE IN PART I, LINE 7A-D. THE AMOUNTS WERE PULLED FROM FINANCIAL DATABASES MANAGED BY THE CHILDREN'S NATIONAL ACCOUNTING AND FINANCE DEPARTMENT. DetermiNATIOn of net commnuity benefit expenses Schedule H, Part I, Line 7 IT IS IMPORTANT TO NOTE THAT THE NET COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF CHILDREN'S HOSPITAL'S TOTAL EXPENSES IS BASED ON A TOTAL EXPENSES OF $957,260,200 RESULTING FROM SUBTRACTING CHILDREN'S HOSPITAL'S BAD DEBT EXPENSES, $25,409,620, FROM CHILDREN'S HOSPITAL'S TOTAL FUNCTIONAL EXPENSES, $957,260,200, AS REPORTED ON FORM 990 PART IX LINE 25. Charity at Cost Schedule H, Part I, Line 7A Hospital & Physician Charity amounts from the respective income statements adjusted to cost using the IRS adjusted ratio of cost to charges. Medicaid Schedule H, Part I, Line 7B Hospital & Physician Gross Patient Revenue from Trendstar and the Physician Business Office report adjusted to cost using the IRS adjusted ratio of cost to charges. Claims payments were derived from the same source. Medicaid GME add-on payments were excluded as they are reported in the Health Education section. CHGME IME payments were included as per 990 instructions. Health Education Schedule H, Part I, Line 7f Interns and Residents total cost from the FY15 Submitted Medicare cost report. Specific medical student/training programs were identified by the GME Office and added as Health Education costs. Education payments and resident funding amounts offset the expense. DC Medicaid GME payments were calculated (rate x volume) and deducted from total Medicaid payments to be reported under health education. Subsidized Health Services Schedule H, Part I, Line 7G Physician claims report by department received from physician accounting team. Total charges were adjusted to cost using the IRS cost to charge ratio and claims payments netted against the cost. Departments with a loss were then compared to hospital claims report by department (also netted down to cost and adjusted for profitability). The combined service lines for programs in underserved areas with losses were reported as Subsidized Health Services. Cost Attributable to a Physical Clinic 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 $4,291,000 WHICH IS ATTRIBUTED TO THE PRIMARY CLINICAL SERVICES PROVIDED VIA CHILDREN'S NATIONAL. CHILDREN'S HEALTH CENTERS PROVIDE PROGRAMS 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. Research Schedule H, Part I, Line 7H The hospital research (not CRI) was obtained from the FY15 general ledger and adjusted for grants from taxable entities. Other benefits Schedule H, Part I, Line 7 e & i In calculating the amounts reported in the Table in Part I relating to Other Benefits (e - i), we use an accountability and eligibility system based on the community benefit definition and guidelines for determining where programs fit into each community benefit category. Program financials are provided by program staff through Children's National financial software system. Direct supervisors of the program staff verify the accuracy of the financials and sign off on the submission. Community Benefit staff then analyze financials submitted to ensure consistency in reporting and confirm with program staff the accuracy of the financials. The Community Benefit staff also works with the Accounting & Finance department to verify the accuracy of submitted financials. The financials for grant funded programs is received from the Office of Grants and Contracts. See the below community benefit report for narratives related to programs within the community benefit categories.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II Part II includes the costs incurred for activities and programs to protect or improve the community's health or safety. As reported and defined in Part II, 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. Programs accounted for as community building activities fall into the subcategories of community support, coalition building, and workforce development. Children's National is dedicated to engaging and providing opportunities of learning and development to students with an interest in health professions. With our involvement with the Princeton Internship program we provide hands on learning through an immersion into the academic practices of pediatric surgical care, modeling many of the day to day activities of an academic surgeon. Students interning are also able to gain skills in areas such as research. For example, students working in the Trauma and Burn department at Children's National participated in medical research, developing skills such as data collection, use of statistics for data analysis and authorship. Children's National also engages in city-wide emergency preparedness activities, one in which a citywide hazard vulnerability analysis was developed and incorporated into the District's Emergency Management Plan. Also, as part of our injury prevention efforts, the Injury Prevention Alliance was created. The Alliance, comprised of various community-based organizations, is developing their action plan that focuses on advocacy and public policy efforts needed to adequately address identified areas of injury prevention. The number of persons served by the community building activities were not tracked for all programs throughout the course of the year.
Bad Debt Expense	Schedule H, Part III, Lines 2-4 BAD DEBT IS ACCOUNTED FOR IN THE FOOTNOTES FOR ACCOUNTS RECEIVABLE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. Children's Hospital reports $25,409,620 on its Statement of Functional Expenses for its bad debt; however, in this section, the reporting of the $12,568,156 is appropriate because it reflects the value of the bad debt at cost. Financial Services Footnote ACCOUNTS RECEIVABLE FOR PATIENT SERVICES CONSISTS 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. Costing methodology used to determine the amount reported on Line 6 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.
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 PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY. COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENT RESPONSIBLE BALANCES ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN MADE. Children's Hospital does not engage in any extraordinary collection activities.
Community Health Care Needs Assessment	Schedule H, Part V, Lines 5 and 6 SCHEDULE H, PART VI, LINE 2 CHILDREN'S 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 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, CHILDREN'S NATIONAL DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN APPROVED AND ADOPTED BY THE CHILDREN'S 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 CHILDREN'S NATIONAL. In addition to the hospital's community health needs assessment, to help inform community health improvement programming, hospital and community programming staff also conducts significant analysis on the health care needs as it relates to their population. For example, the hospital asthma program reviews data and receives input from the community to inform the programming logistics. The hospital's active role in these and similar community needs activities serve as a catalyst for identification and prioritization of community health needs. An updated CHNA has been completed, awaiting Board Review and Approval, and expected to be released June 30, 2016. PUBLICLY AVAILABLE CHNA PART V, LINE 7 THE 2013 CHNA IS AVAILABLE ONLINE AT: http://childrensnational.org/~/media/cnhs-site/files/about/advocacy/distri ct_of_columbia_community_health_needs_assessment_2013_final.ashx PUBLICLY AVAILABLE IMPLEMENTATION PLAN PART V, LINE 10 IMPLEMENTATION PLAN IS AVAILABLE ONLINE AT: http://childrensnational.org/~/media/cnhssite/files/about/advocacy/final_c hildrens_national_chip_fy_20142016.ashx Children's Hospital is in the process of reviewing and addressing internally and with external advisors to update their policies in light of the enactment of IRC Section 501(r). These policies will ensure Children's National Medical System and Children's Hospital are fully in compliance with the new laws on a timely basis.
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, ACCOUNT 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 in the Nation's capital, Children's 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 has broad ethnic diversity and vibrant cultures. According to the U.S. Census Bureau, population figures for the region are estimated at 658,893 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, according to the U.S. Census, are as follows: District of Columbia: about 49% Black; 43.6% White; 10.4% Latino; 4% Asian and 0.6% American Indian/Alaska Native; Maryland: approximately 60% White; 30% Black; 9% Hispanic; 6.4% Asian and 0.6% American Indian/Alaska Native and Virginia: 70.5% White, 19.7% Black; 8.9% Hispanic; 6.3% Asian and 0.5% American Indian/Alaska Native. In the District of Columbia, children 18 years old and under make up about 18 percent of the population with the highest in Wards 7 and 8, 3.14% and 3.30%, respectively. In both Maryland and Virginia about 23 percent of the population are children 18 years and under. Children age five and under make up approximately 6 percent of the population in the District of Columbia, Maryland, and Virginia. In the District of Columbia about 16 percent and in 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 nearly 17 percent. The U.S. Census reports median household income at approximately $65,830 in the District with the highest income in Ward 3 and lowest in WardS 7 and 8. In Maryland the median household income is $73,538 in Maryland; including $73,623 in Prince George's County and $98,221 and $63,907 in Virginia. The percentage of persons living below the poverty line is reported at 18.6% for the District of Columbia, 11.3% in Virginia, and 9.8% in Maryland; with 9.4% in Prince George's County and 6.7% in Montgomery County. The Centers for Medicare and Medicaid Services (CMS) reports total Medicaid and CHIP enrollment figures based on enrollment data as of January 2015 at 69,975,289. The breakdown for total Medicaid and CHIP enrollment based on October figures from CMS for the District of Columbia Medicaid and CHIP enrollment was 256,383; 1,152,248 in Maryland; and 968,216 in Virginia. In 2014, the percentage of hospital inpatients receiving Medicaid was 76 percent from the District of Columbia, 28 percent from Virginia, and 31 percent from the state of Maryland. Serving children for more than 140 years, Children's National is a proven leader in developing and providing innovative new treatments for childhood illness and injury. We care for more than 35,000 children through our health centers each year, as the largest non-government provider of primary care in the District of Columbia. About 56 percent of our patients live in Maryland. We also offer families a link to quality pediatric care through our mobile medical program and at community centers. Our team averages more than 460,000 outpatient visits each year at health clinics in the District of Columbia, affiliated centers in Maryland and Virginia, and at the Sheikh Zayed Campus in Washington, D.C. On average, that equals nearly 1,000 patient visits in one day to one of Children's National's 30 locations in the District of Columbia and throughout the metropolitan area. In 2015, we performed 17,449 surgical procedures, 122,485 diagnostic imaging procedures, and more than 1 million laboratory tests.
Promoting the Health of the Community	Schedule H, Part VI, Line 5 For more than 140 years, Children's 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 through its governing boards to community health initiatives, and the development of DC Healthy Communities Collaborative (DCHCC). Children's 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. Children's 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 Children's 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 Children's 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, Children's Health Board has awarded approximately $5 million in grants to more than 200 Children's National Medical Center programs. The grants have turned early ideas into proven models that have attracted support from leading investors in improved health outcomes for children nationwide. The Community Affairs Department established a partnership with the Children's Health Board, a service affiliate of Children's National, 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 Children's Health Board implemented an updated grant making strategy which includes the Community Benefit Grant Program. Through the Community Benefit Grant Program the Children's Health Board focuses its grant making on supporting the Children's 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 Children's 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. Grant awardees are now required to report their programs/initiatives as Community Benefit and will be included in the Community Benefit Report.
Affiliated Health Care System Roles	Schedule H, Part VI, Line 6 CHILDREN'S HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING ENTITIES: - CHILDREN'S NATIONAL MEDICAL CENTER - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLITY FOR HEALTH CARE SYSTEM - CHILDREN'S HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING - CHILDREN'S RESEARCH INSTITUTE - 501(C)(3), CONDUCTING CLINICAL MEDICAL RESEARCH AND EDUCATION PROGRAMS - SAFE KIDS WORLDWIDE - 501(C)(3), INJURY PREVENTION FOR CHILDREN - BRAINY CAMPS ASSOCIATION - 501(C)(3), PROVISION OF CAMPS FOR CHILDREN - CHILDREN'S NATIONAL ADVOCACY & PUBLIC POLICY INC - 501(C)(3), ADVOCATING FOR CHILDREN'S HEALTH ISSUES - CHILDREN'S HOSPITAL SELF-INSURANCE TRUST - 501(C)(3), PROVISION OF INSURANCE TO SYSTEM 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 SCHEDULE H, PART VI, LINE 7 DC

Schedule H (Form 990) 2014

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
directors, trustees, officers, including 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? ................

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), 501(c)(4), and 501(c)(29) organizations 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) 2014

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 in column(B) 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)
1KURT D NEWMAN MDPRESIDENT / CEO (CNMC)	(i) (ii)	843,178 ............................... 0	981,964 ............................... 0	26,378 ............................... 0	292,525 ............................... 0	36,359 ............................... 0	2,180,404 ............................... 0	0 ............................... 0
2DENICE CORA-BRAMBLE MDBRD MEMBER/CMO	(i) (ii)	521,281 ............................... 0	372,587 ............................... 0	21,592 ............................... 0	95,502 ............................... 0	56,203 ............................... 0	1,067,165 ............................... 0	0 ............................... 0
3DAVID STOCKWELL MDBoard MEMBER	(i) (ii)	116,842 ............................... 0	17,350 ............................... 0	41,237 ............................... 0	2,597 ............................... 0	782 ............................... 0	178,808 ............................... 0	0 ............................... 0
4DAVID WESSEL MDBRD MEMBER/CMO	(i) (ii)	522,922 ............................... 0	391,393 ............................... 0	64,513 ............................... 0	95,502 ............................... 0	57,607 ............................... 0	1,131,937 ............................... 0	0 ............................... 0
5DOUGLAS MYERSCHIEF FINANCIAL OFFICER	(i) (ii)	504,890 ............................... 0	452,042 ............................... 0	52,014 ............................... 0	92,501 ............................... 0	37,002 ............................... 0	1,138,449 ............................... 0	0 ............................... 0
6MARK BATSHAW MDPHY IN CHIEF / CAO	(i) (ii)	596,516 ............................... 0	621,303 ............................... 0	67,759 ............................... 0	263,000 ............................... 0	72,849 ............................... 0	1,621,427 ............................... 0	0 ............................... 0
7ELIZABETH FLURYCHIEF STRATEGY OFFICER	(i) (ii)	490,881 ............................... 0	354,355 ............................... 0	2,505 ............................... 0	88,002 ............................... 0	37,975 ............................... 0	973,718 ............................... 0	0 ............................... 0
8KATHLEEN CHAVANU GORMANCHIEF OPERATING OFFICER	(i) (ii)	459,979 ............................... 0	341,981 ............................... 0	18,868 ............................... 0	84,251 ............................... 0	27,398 ............................... 0	932,477 ............................... 0	0 ............................... 0
9MARY ANNE HILLIARDCHIEF RISK OFFICER	(i) (ii)	270,453 ............................... 0	250,719 ............................... 0	33,922 ............................... 0	57,446 ............................... 0	34,310 ............................... 0	646,850 ............................... 0	0 ............................... 0
10BRIAN JACOBS MDCHIEF INFORMATION OFFICER	(i) (ii)	371,298 ............................... 0	120,001 ............................... 0	22,570 ............................... 0	34,246 ............................... 0	36,905 ............................... 0	585,020 ............................... 0	0 ............................... 0
11RICHARD JONAS MDCHIEF OF CARDIOLOGY	(i) (ii)	1,080,179 ............................... 0	747,960 ............................... 0	36,019 ............................... 0	101,551 ............................... 0	37,680 ............................... 0	2,003,389 ............................... 0	0 ............................... 0
12PAM KING SAMSCHIEF DEVELOPMENT OFFICER	(i) (ii)	316,181 ............................... 0	262,255 ............................... 0	25,799 ............................... 0	145,461 ............................... 0	31,301 ............................... 0	780,997 ............................... 0	0 ............................... 0
13GERARD MARTIN MDSVP CENTER OF EXCELLENCE	(i) (ii)	479,248 ............................... 0	396,139 ............................... 0	25,321 ............................... 0	62,033 ............................... 0	51,252 ............................... 0	1,013,993 ............................... 0	0 ............................... 0
14MICHELLE MCGUIREVP & CHIEF OF STAFF	(i) (ii)	226,466 ............................... 0	67,498 ............................... 0	990 ............................... 0	11,899 ............................... 0	24,091 ............................... 0	330,944 ............................... 0	0 ............................... 0
15MARY OTTOLINI MD PHDVICE CHAIR MED. EDUCATION	(i) (ii)	256,999 ............................... 0	109,645 ............................... 0	7,954 ............................... 0	13,000 ............................... 0	4,641 ............................... 0	392,239 ............................... 0	0 ............................... 0
16ROGER PACKER MDSVP CENTER OF EXCELLENCE	(i) (ii)	404,336 ............................... 0	363,351 ............................... 0	31,039 ............................... 0	77,584 ............................... 0	55,383 ............................... 0	931,693 ............................... 0	0 ............................... 0
17ANTHONY SANDLER MDSVP CENTER OF EXCELLENCE	(i) (ii)	581,344 ............................... 0	399,565 ............................... 0	2,808 ............................... 0	73,000 ............................... 0	66,864 ............................... 0	1,123,581 ............................... 0	0 ............................... 0
18RAYMOND S SCZUDLOCHIEF LEGAL OFFICER	(i) (ii)	438,307 ............................... 0	387,266 ............................... 0	32,201 ............................... 0	58,003 ............................... 0	50,631 ............................... 0	966,408 ............................... 0	0 ............................... 0
19LINDA TALLEYCHIEF NURSING OFFICER	(i) (ii)	253,467 ............................... 0	74,880 ............................... 0	1,518 ............................... 0	10,925 ............................... 0	12,151 ............................... 0	352,941 ............................... 0	0 ............................... 0
20MENDeL TUCHMAN MDCHIEF RESEARCH OFFICER	(i) (ii)	316,964 ............................... 0	287,077 ............................... 0	28,855 ............................... 0	65,139 ............................... 0	51,711 ............................... 0	749,746 ............................... 0	0 ............................... 0
21DARRYL VARNADOCHIEF PEOPLE OFFICER	(i) (ii)	274,390 ............................... 0	205,370 ............................... 0	20,515 ............................... 0	58,003 ............................... 0	46,297 ............................... 0	604,575 ............................... 0	0 ............................... 0
22ROBERT KEATING MDCHIEF OF NEUROSURGERY	(i) (ii)	746,056 ............................... 0	179,687 ............................... 0	774 ............................... 0	88,697 ............................... 0	21,656 ............................... 0	1,036,870 ............................... 0	0 ............................... 0
23PETER KIM MDVP SHEIKH ZAYED INSTITUTE	(i) (ii)	641,187 ............................... 0	260,250 ............................... 0	1,518 ............................... 0	13,000 ............................... 0	21,403 ............................... 0	937,358 ............................... 0	0 ............................... 0
24H GIL RUSHTON MDCHIEF OF UROLOGY	(i) (ii)	473,748 ............................... 0	172,122 ............................... 0	15,096 ............................... 0	60,499 ............................... 0	35,737 ............................... 0	757,202 ............................... 0	0 ............................... 0
25JOHN MYSEROS MDNEUROSURGEON	(i) (ii)	601,824 ............................... 0	131,563 ............................... 0	1,518 ............................... 0	13,000 ............................... 0	23,037 ............................... 0	770,942 ............................... 0	0 ............................... 0
26TIMOTHY KANE MDCHIEF OF PEDIATRIC SURGERY	(i) (ii)	591,184 ............................... 0	214,010 ............................... 0	1,518 ............................... 0	11,483 ............................... 0	21,322 ............................... 0	839,517 ............................... 0	0 ............................... 0
27NELLIE ROBINSON - 63014EVP NURSING PHILANTHROPHY	(i) (ii)	46,657 ............................... 0	247,482 ............................... 0	78,144 ............................... 0	2,539 ............................... 0	2,425 ............................... 0	377,247 ............................... 0	0 ............................... 0
28JOSEPH WRIGHT MD - 63014SVP CENTER OF EXCELLENCE	(i) (ii)	179,144 ............................... 0	515,455 ............................... 0	65,867 ............................... 0	105,460 ............................... 0	36,242 ............................... 0	902,168 ............................... 0	0 ............................... 0
29DAVID SPARKSINTERIM TRANSITION DIR. FIN.	(i) (ii)	275,033 ............................... 0	154,000 ............................... 0	25,739 ............................... 0	13,000 ............................... 0	26,823 ............................... 0	494,595 ............................... 0	0 ............................... 0
30RAHUL K SHAH MDFORMER BOARD MEMBER	(i) (ii)	276,629 ............................... 0	186,344 ............................... 0	2,591 ............................... 0	13,000 ............................... 0	13,670 ............................... 0	492,234 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

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.

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 USE FIRST CLASS TRAVEL (WHERE BUSINESS CLASS IS NOT AVAILABLE) FOR TRIPS OF MORE THAN 4 HOURS, AND HOSPITAL POLICY PERMITS BUSINESS CLASS FOR INTERNATIONAL TRAVEL. THERE IS NO CHARTER TRAVEL. TRAVEL FOR COMPANION SCHEDULE J, PART I, LINE 1A THE CEO MAY TAKE HIS SPOUSE ON UP TO 7 TRIPS PER YEAR FOR CONFERENCES WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS. IN ADDITION, UPON PRIOR APPROVAL OF THE CEO, AND IN LIMITED CIRCUMSTANCES, TRAVEL FOR AN EXECUTIVE'S SPOUSE MAY BE AUTHORIZED WHERE HER PRESENCE BENEFITS THE HOSPITAL AND ITS BUSINESS RELATIONS.
Tax indemnification and gross-up payments	Schedule J, Part I, Line 1a TWO KEY EMPLOYEES AND ONE FORMER KEY EMPLOYEE RECEIVED CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS, UPON APPROVAL OF THE COMPENSATION COMMITTEE, WHICH 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.
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: KURT D. NEWMAN, MD - $279,525 MARK L. BATSHAW, MD - $250,000 DOUGLAS MYERS - $79,501 ANTHONY SANDLER, MD - $60,000 DAVID WESSEL, MD - $82,502 DENICE CORA-BRAMBLE, MD - $82,502 GERARD MARTIN, MD - $49,033 RAYMOND S. SCZUDLO - $45,003 ELIZABETH FLURY - $75,002 KATHLEEN CHAVANU GORMAN - $71,251 ROGER PACKER, MD - $64,584 JOSEPH WRIGHT, MD - $95,499 MENDeL TUCHMAN, MD - $52,139 PAM KING SAMS - $132,461 MARY ANNE HILLIARD - $44,446 BRIAN JACOBS, MD - $21,246 DARRYL VARNADO - $45,003 RICHARD JONAS, MD - $88,551 ROBERT KEATING, MD - $75,697 H. GIL RUSHTON, MD - $47,499
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.
Initial contract exception	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) 2014

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) 2014

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 %		0 %		0 %		0 %
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 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X		X
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?. . . . . . . . . . . . . . . . .		X		X		X		X
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? . . . . . . . . . . . . .		X		X		X		X
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? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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 the hedge terminated? . . . . . .		X		X		X		X

Schedule K (Form 990) 2014

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? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2014

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) 2014

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 %		0 %		0 %		0 %
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 %		0 %		0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X		X
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?. . . . . . . . . . . . . . . . .		X		X		X		X
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? . . . . . . . . . . . . .		X		X		X		X
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? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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 the hedge terminated? . . . . . .		X		X		X		X

Schedule K (Form 990) 2014

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? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) DAVID WESSEL MD	DIRECTOR	HOUSING LOAN - COMP	X		200,000	120,000		No	Yes		Yes





Total ...... $						120,000

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Children's Hospital

Employer identification number

53-0196580

Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990, Part I, Line 1 TO IMPROVE HEALTH OUTCOMES FOR CHILDREN; BE A LEADER IN CREATING INNOVATIVE SOLUTIONS TO PEDIATRIC HEALTHCARE PROBLEMS; AND EXCEL IN CARE, ADVOCACY, RESEARCH, TO MEET NEEDS OF CHILDREN AND THEIR FAMILIES. 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. Children's National is dedicated to fulfilling its vision of setting the standard in excellence in pediatric care, advocacy, research , and education, here in the nation's capital, around the country, and throughout the world. As part of our commitment to our community, below are some of the programs that were implemented in FY 2015: -DC Collaborative for Mental Health in Pediatric Primary Care The DC Collaborative for Mental Health in Pediatric Primary Care (DC Collaborative), founded in 2012, aims to improve the integration of mental health in pediatric primary care for children and youth in the District of Columbia. This public-private partnership consists of a working group that is responsible for the planning, implementation and evaluation of all activities of the DC Collaborative; a community advisory board that includes parents, community stakeholders, and over 25 diverse organizations; and a project team comprised of Children's National staff that provide the day-to-day support for the work of the DC Collaborative. The DC Collaborative supports and implements initiatives focused on supporting primary care practices and clinicians; supporting families; integrating mental health services into primary care; and engaging in related policy and advocacy efforts. As of June 2015, over 150 providers and 16 practices completed mental health screening training through a 15 month learning collaborative model. 100% of providers reported that they felt somewhat or very prepared to identify mental health issues of their patients. Another component of the DC Collaborative is DC MAP (Mental Health Access in Pediatrics), which offers pediatric primary care providers increased access to child mental health experts. The DC MAP team of child mental health experts offers telephone consultation, community resource referral, and training to pediatric practices in an effort to help with the management of mental health concerns of patients and families. The program launched city-wide in September 2015. -Safe Kids DC Car Seat Inspection Station Safe Kids DC works to prevent childhood accidents in the District, the leading cause of death and disability in children ages one to 19. As part of Safe Kids DC, the Car Seat Inspection Program aims to raise awareness of preventable injuries as a result of motor vehicle crashes. The desired outcome is to reduce preventable injury during a crash due to proper child restraint techniques. Parents and caregivers are provided education on child passenger safety including how to correctly install car seats and position the child in the seat, how to identify the proper seat for the child's age, weight and height as well as how to determine if the car seat is expired or recalled. The car seat inspection station is operated by nationally certified child passenger safety technicians. In addition to the education and installation services provided, the child passenger safety technicians also connect families to resources for obtaining child safety seats at reduced rates. Through partnerships with the District Department of Transportation, Metropolitan Police Department, and DC Department of Motor Vehicles, areas in the city that are most in need of education and outreach efforts are identified. The Car Seat Inspection Station Program provided 705 people services in FY 2015. -IMPACT DC Asthma is the most common chronic childhood disease and has become considerably more prevalent and severe in the United States during the last 40 years. In recent years, the number of children diagnosed with asthma has dramatically increased. In Washington, DC, more than one in ten children currently have asthma, which is well above the national average. IMPACT DC is a pediatric asthma program in Washington, DC, dedicated to improving asthma care and outcomes for children through clinical care, education, research, and advocacy. One of the program's main goals is to educate patients and families about ways to manage asthma and connect with valuable resources in the community in an effort to lessen the need for emergency room visits and hospital stays. In an effort to increase asthma awareness, community education and outreach is an important component of IMPACT DC. Staff of IMPACT DC provide evidence-based educational outreach through health fairs, school-based programs, and other educational and advocacy events. There is a particular focus on early childhood providers since most chil
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 reviews the financial disclosures, the CNAPPI board reviews the public benefit sections, and the executive compensation committee reviews the compensation disclosures. The full board reviewed the entire Form 990. The completed Form 990 is made available to the board of Children's National Medical Center before filing.
Conflict of Interest Policy Monitoring & 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 & 15b 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 INTERMEDIATE SANCTION 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 $140,647 (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) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: see schedule o.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	7,649
6	Total number of volunteers (estimate if necessary) .............	6	1,451
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,312,160
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-848

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	15,746,236	25,722,100
9	Program service revenue (Part VIII, line 2g) .........	964,559,428	998,090,371
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,726,062	3,896,652
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	522,306	48,408,925
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	983,554,032	1,076,118,048
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,415,133	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)	565,408,241	569,837,910
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)....	372,391,003	387,422,290
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	940,214,377	957,260,200
19	Revenue less expenses. Subtract line 18 from line 12.......	43,339,655	118,857,848
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,012,567,155	1,063,426,405
21	Total liabilities (Part X, line 26).............	559,761,603	494,022,488
22	Net assets or fund balances. Subtract line 21 from line 20.....	452,805,552	569,403,917

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 698,988,025 including grants of $ ) (Revenue $ 1,040,402,932 )
	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 FY15 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 expenses698,988,025

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	23,180,339	0	3,134,555

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		15,473,029
e	Government grants (contributions)1e		7,268,871

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,980,200

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			25,722,100
			Business Code
2a	NET PATIENT REVENUE		621400	917,239,376	917,239,376
b	ALL OTHER PROGRAM SERVICES REVENUE		900099	80,850,995	80,850,995
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			998,090,371
3	Investment income (including dividends, interest, and other similar amounts).......			3,069,394			3,069,394
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	53,006,070	5,257,278
b	Less: cost or other basis and sales expenses	53,034,689	4,401,401
c	Gain or (loss)	-28,619	855,877
d	Net gain or (loss)..........			827,258			827,258
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	EQUITY AND PARTNERSHIP GAIN		621110	42,312,561	42,312,561
b	PARKING		812930	4,784,204			4,784,204
c	LAB FEES		621500	1,312,160		1,312,160
d	All other revenue ....
e	Total. Add lines 11a–11d ......			48,408,925
12	Total revenue. See Instructions......			1,076,118,048	1,040,402,932	1,312,160	8,680,856


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			80,288,535	2	114,829,265
3	Pledges and grants receivable, net ...........			7,994,785	3	7,959,219
4	Accounts receivable, net .............			175,456,200	4	171,500,657
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				360,000	5	120,000
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 ..............			7,410,283	8	8,587,583
9	Prepaid expenses and deferred charges ..........			11,035,619	9	12,901,610
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,049,434,319
b	Less: accumulated depreciation .....	10b	567,736,981	519,797,175	10c	481,697,338
11	Investments—publicly traded securities ..........			132,304,887	11	149,965,068
12	Investments—other securities. See Part IV, line 11 .....			35,582,245	12	74,782,199
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			20,000	14	0
15	Other assets. See Part IV, line 11 ...........			42,317,426	15	41,083,466
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,012,567,155	16	1,063,426,405
17	Accounts payable and accrued expenses .........			154,860,336	17	141,897,536
18	Grants payable .................			0	18	0
19	Deferred revenue ................			15,025,591	19	22,630,573
20	Tax-exempt bond liabilities .............			406,619,378	20	383,871,996
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 ..			75,257,136	23	75,452,247
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....................			-92,000,838	25	-129,829,864
26	Total liabilities. Add lines 17 through 25.........			559,761,603	26	494,022,488
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			452,805,552	27	569,403,917
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 ...........			452,805,552	33	569,403,917
34	Total liabilities and net assets/fund balances ........			1,012,567,155	34	1,063,426,405

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 organization may 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; do not file with Form 990)............................	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, Information 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; do not file with Form 990).....................................	Yes	No

(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	-1,587,606	0	NA

(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)	11-II	NA		No
(3) SAFE KIDS WORLDWIDE 1301 PENNSYLVANIA AVENUE NW WASHINGTON,DC20004 52-1627574	INJURY PRVNTN	DC	501(C)(3)	11-I	CNMC		No
(4) CHILDREN'S HOSPITAL SELF-INSURANCE TRUST 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640399	INSURANCE	DC	501(C)(3)	11-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)	11-I	CH	Yes
(7) CHILDREN'S NAT'L ADVOC & PUBLIC POLICY 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 27-1564354	ADVOCACY	DC	501(C)(3)	11-II	CNMC		No

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI 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 V-UBI 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	RELATED	-1,040,875	2,130,544		No	0		No	50.000 %

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BRAINY CAMPS ASSOCIATION	P	371,047	FMV
(2) BRAINY CAMPS ASSOCIATION	S	304,815	FMV
(3) SAFE KIDS WORLDWIDE	P	11,496,273	FMV
(4) SAFE KIDS WORLDWIDE	S	15,420,146	FMV
(5) CHILDREN'S HOSPITAL FOUNDATION	P	25,015,314	FMV
(6) CHILDREN'S HOSPITAL FOUNDATION	S	42,439,988	FMV
(7) CHILDREN'S RESEARCH INSTITUTE	P	84,757,970	FMV
(8) CHILDREN'S RESEARCH INSTITUTE	S	47,607,227	FMV
(9) BEARACUDA RE	R	13,735,561	FMV
(10) CHILDREN'S HOSPITAL SELF-INSURANCE TRUST	R	11,596,837	FMV

(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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No