Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 51,702,002 | 59,624,118 | 46,146,023 | 96,559,878 | 39,998,878 | 294,030,899 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 51,702,002 | 59,624,118 | 46,146,023 | 96,559,878 | 39,998,878 | 294,030,899 |
| 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).. | 69,647,366 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 224,383,533 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 51,702,002 | 59,624,118 | 46,146,023 | 96,559,878 | 39,998,878 | 294,030,899 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 9,444,039 | 9,204,177 | 11,729,463 | 13,896,053 | 18,311,967 | 62,585,699 |
| 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.).. | 691,504 | 855,396 | 1,074,285 | 810,285 | 507,561 | 3,939,031 |
| 11 | Total support. Add lines 7 through 10 | 360,555,629 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| ORGANIZATIONS MISSION | FORM 990, PART III, LINE 1 CHILDREN'S HOSPITAL FOUNDATION IS A 501(C)(3) ORGANIZATION THAT SUPPORTS PEDIATRIC RESEARCH AND EXCEPTIONAL CARE FOR CHILDREN IN THE COMMUNITY, THE NATION AND AROUND THE WORLD. THE FOUNDATION SERVES AS THE FUNDRAISING ARM FOR CHILDREN'S NATIONAL HOSPITAL IN WASHINGTON, D.C., ONE OF THE COUNTRY'S TOP-RANKED CHILDREN'S HOSPITALS. THE FOUNDATION PARTNERS WITH INDIVIDUAL DONORS, CORPORATIONS AND COMMUNITY ORGANIZATIONS TO HELP THE INSTITUTION'S DOCTORS, NURSES, AND CLINICIANS FULFILL THEIR VISION TO TRANSFORM CHILDREN'S HEALTH. THE FOUNDATION RAISES PHILANTHROPIC GIFTS AND GRANTS THAT BENEFIT CHILDREN'S NATIONAL AND ALL OF ITS CENTERS AND AFFILIATES. ITS MISSION IS TO CONNECT CARE, COMMUNITY AND DISCOVERY TO HELP EVERY CHILD GROW UP STRONGER. |
| PROGRAM SERVICE ACCOMPLISHMENT 1 | FORM 990, PART III, LINE 4A CHILDREN'S HOSPITAL FOUNDATION RAISES PRIVATE, CORPORATE AND INSTITUTIONAL FINANCIAL SUPPORT TO ENSURE THAT EVERY CHILD CAN RECEIVE WORLD-CLASS, COMPASSIONATE PEDIATRIC CARE, REGARDLESS OF THEIR ILLNESS, INJURY, INSURANCE OR FAMILY'S ABILITY TO PAY. DONOR GIFTS RECEIVED BY THE FOUNDATION ARE REFLECTED AS REVENUE IN THE ORGANIZATION'S BUDGET. AS CHILDREN'S NATIONAL INCURS COSTS FOR RESEARCH, CARE AND EDUCATION, DONATED FUNDS ARE RELEASED INTO THE BUDGET AND THE EXPENSES ARE REFLECTED IN THIS CATEGORY. THIS REPRESENTS A MOVEMENT OF GIFT FUNDS TO THE HOSPITAL IN ACCORDANCE WITH THE DONOR'S DESIGNATION AND THE HOSPITAL'S MISSION TO IMPROVE PEDIATRIC CARE. WITH A HEALTHCARE EXPERIENCE DESIGNED AROUND KIDS' UNIQUE NEEDS, CHILDREN'S NATIONAL IS THE PREMIER PROVIDER OF PEDIATRIC SERVICES IN THE WASHINGTON, D.C., METROPOLITAN AREA AND THE REGION'S ONLY HEALTH SYSTEM SPECIALIZING IN CARE SPECIFICALLY FOR CHILDREN. LAST YEAR, WE SAW MORE THAN 237,000 PATIENTS FROM THE NATION'S CAPITAL, MARYLAND, AND VIRGINIA, AS WELL AS FROM ACROSS THE U.S. AND AROUND THE WORLD. WE OFFER ACCESS TO TOP PEDIATRIC SPECIALISTS, SURGEONS AND MENTAL HEALTH PROFESSIONALS; WE INNOVATE, DISCOVER AND DRIVE NEW TECHNOLOGIES AND THERAPIES TO TREAT AND CURE CHILDREN; AND WE EDUCATE COMMUNITIES, PATIENTS AND THEIR FAMILIES ON PEDIATRIC HEALTH ISSUES. WITH THE SUPPORT OF ITS FOUNDATION, CHILDREN'S NATIONAL IS ONE OF THE NATION'S TOP-6 PEDIATRIC INSTITUTIONS AND NO. 1 FOR NEWBORN CARE FOR THREE YEARS IN A ROW, AS RANKED BY U.S. NEWS & WORLD REPORT. |
| PROGRAM SERVICE ACCOMPLISHMENT 2 | FORM 990, PART III, LINE 4B CHILD LIFE & INTEGRATIVE CARE SERVICES AT CHILDRENS NATIONAL REFLECTS OUR APPROACH TO TREATING THE WHOLE CHILD. OUR TEAM USES ART, MUSIC AND PET THERAPY AND INTEGRATIVE CARE SERVICES TO HELP CHILDREN UNDERSTAND AND COPE WITH ILLNESS, TREATMENT, PAIN AND HOSPITALIZATION. CERTIFIED SPECIALISTS CREATE POSITIVE EXPERIENCES DURING A CHILDS OUTPATIENT VISIT OR INPATIENT HOSPITAL STAY. THEY PROMOTE PATIENT COOPERATION AND POSITIVE COPING THROUGH PLAY, SELF-EXPRESSION, AGE-APPROPRIATE MEDICAL PREPARATION AND EDUCATION. OUR PROGRAM, ACTIVITIES AND CHILD-FRIENDLY SPACES HELP PATIENTS, SIBLINGS AND OTHER FAMILY MEMBERS REDUCE STRESS AND FEAR OF THE UNKNOWN AND FEEL SUPPORTED SO THAT THEY CAN HEAL. |
| SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS | FORM 990, PART VI, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS EFFECTIVE 9/4/18 TO HELP DELINEATE/CLARIFY ROLES AND RESERVED POWERS OF THE MEMBER, BOARD, AND MANAGEMENT. |
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINES 6, 7A AND 7B CHILDREN'S NATIONAL MEDICAL CENTER IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL FOUNDATION AND HAS THE RIGHT TO ELECT DIRECTORS OF CHILDREN'S HOSPITAL FOUNDATION. THE ARTICLES AND BY-LAWS OF CHILDREN'S HOSPITAL FOUNDATION DESCRIBE CERTAIN RIGHTS RESERVED TO THE SOLE MEMBER. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, LINE 11B THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT COMMITTEE OF CNMC, AS WELL AS THE CHAIRMAN OF THE BOARD OF CNMC, PRIOR TO FILING WITH IRS. CHILDREN'S HOSPITAL FOUNDATION PROVIDES A COPY OF THE FORM 990 TO THE FULL CHILDREN'S HOSPITAL FOUNDATION BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO 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 CHILDRENS NATIONAL MEDICAL CENTER AND SUBSIDIARIES ASKS 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 TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTEREST ARE NOTED. THE CHILDRENS NATIONAL MEDICAL CENTER 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 BOARDS GOVERNANCE POLICY. CHILDREN'S HOSPITAL FOUNDATION FORMALLY ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER, DURING ITS MAY-JUNE 2011 BOARD MEETINGS. |
| GOVERNING POLICIES | FORM 990, PART VI, LINES 13 AND 14 CHILDREN'S HOSPITAL FOUNDATION IS GOVERNED BY THE POLICIES OF ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S HOSPITAL FOUNDATION RELIES ON ITS PARENT, CHILDREN'S NATIONAL MEDICAL CENTER, TO DETERMINE COMPENSATION FOR CHF'S PRESIDENT. CHILDREN'S NATIONAL MEDICAL CENTER USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD TO DETERMINE REASONABLE COMPENSATION. |
| HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC | FORM 990, PART VI, LINE 19 CHILDREN'S HOSPITAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE UPON REQUEST. |
| Software ID: | |
| Software Version: |