TY 2018 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) MICHAEL J WILLIAMS...................................................................... BOARD CHAIRMAN	4.0 ................. 5.0	X	X	0	0
(2) EVAN JONES...................................................................... BOARD VICE CHAIRMAN	2.0 ................. 0.0	X	X	0	0
(3) RAMANARAYAN V POTARAZU...................................................................... TREASURER	2.0 ................. 0.0	X	X	0	0
(4) KURT D NEWMAN MD...................................................................... PRESIDENT / CEO (CNMC)	2.0 ................. 53.0	X	X	2,293,903	261,842
(5) SCHONAY BARNETT-JONES...................................................................... BOARD MEMBER	1.0 ................. 1.0	X		0	0
(6) MARK L BATSHAW MD...................................................................... BOARD MEMBER	1.0 ................. 54.0	X		1,246,450	199,015
(7) FRED T GOLDBERG JR...................................................................... BOARD MEMBER TO 12/31/2018	1.0 ................. 0.0	X		0	0
(8) LESLIE KIERNAN...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		0	0
(9) BARBARA LOPEZ KUNZ...................................................................... BOARD MEMBER	2.0 ................. 0.0	X		0	0
(10) GREGORY A O'DELL...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		0	0
(11) LAURA S UNGER...................................................................... BOARD MEMBER	1.0 ................. 1.0	X		0	0
(12) TONI G VERSTANDIG...................................................................... BOARD MEMBER	1.0 ................. 2.0	X		0	0
(13) WILLIAM WALKER...................................................................... BOARD MEMBER	2.0 ................. 0.0	X		0	0
(14) ALEC KING...................................................................... EVP & CFO	1.0 ................. 54.0	X	X	1,077,575	149,276
(15) MARY ANNE HILLIARD...................................................................... BOARD SECRETARY	1.0 ................. 54.0	X	X	819,775	131,168
(16) AMY BAIER...................................................................... BOARD MEMBER	1.0 ................. 2.0	X		0	0
(17) MARK ROUCHARD...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		0	0

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CAROLINE VAN VLECK MD........................................................................ BOARD MEMBER	1.0 .......................1.0	X			0	0
(19) DAVID STRICKLAND........................................................................ BOARD MEMBER TO 04/30/2019	1.0 .......................2.0	X			0	0
(20) CHARLES WEINSTEIN........................................................................ CHIEF REAL ESTATE OFFICER	1.0 .......................54.0		X		861,895	27,854
(21) ANTHONY SANDLER MD........................................................................ SVP CENTER OF EXCELLENCE	1.0 .......................54.0		X		1,477,296	197,540
(22) DAVID WESSEL MD........................................................................ CHIEF MEDICAL OFFICER	1.0 .......................54.0		X		1,145,158	188,821
(23) DENICE CORA-BRAMBLE MD........................................................................ CHIEF MEDICAL OFFICER	1.0 .......................54.0		X		1,092,431	170,672
(24) MICHELLE M MCGUIRE........................................................................ VP & CHIEF OF STAFF	1.0 .......................54.0		X		394,880	38,158
(25) ELIZABETH FLURY........................................................................ CHIEF STRATEGIC OFFICER	1.0 .......................54.0		X		976,553	141,049
(26) KATHLEEN CHAVANU GORMAN........................................................................ CHIEF OPERATING OFFICER	1.0 .......................54.0		X		1,248,601	139,604
(27) ROGER PACKER MD........................................................................ SVP CENTER OF EXCELLENCE	1.0 .......................54.0		X		989,396	69,856
(28) BRIAN JACOBS MD........................................................................ CHIEF INFORMATION OFFICER	1.0 .......................54.0		X		658,536	83,372
(29) DARRYL VARNADO........................................................................ CHIEF PEOPLE OFFICER	1.0 .......................54.0		X		825,869	126,876
(30) MARY OTTOLINI MD PHD........................................................................ VICE CHAIR MEDICAL EDUCATION	1.0 .......................54.0		X		466,486	16,367
(31) LINDA TALLEY........................................................................ CHIEF NURSING OFFICER	1.0 .......................54.0		X		484,228	24,043
(32) ROBIN STEINHORN........................................................................ SVP CENTER OF EXCELLENCE	1.0 .......................54.0		X		997,868	175,715
(33) DEANN MARSHALL........................................................................ PRES OF FOUNDATION	1.0 .......................54.0		X		1,074,964	50,070
(34) MENDEL TUCHMAN MD........................................................................ FORMER CRO TO 6/30/2017	0.0 .......................55.0			X	300,085	37,509
(35) GERARD MARTIN MD........................................................................ FMR SVP CENTER OF EXCELLENCE	0.0 .......................55.0			X	483,715	93,315

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Children's National Medical Center

Employer identification number

52-1640403

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 ...............................1

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

(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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) CHILDREN'S HOSPITAL	530196580	3	Yes		0	0

Total 1					0	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 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.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 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.)

Section B. Total Support

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.)..

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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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.

Yes

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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

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).

Yes

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.

Yes

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.

Yes

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.

Yes

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
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)
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.
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.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
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.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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
SIGNIFICANT VOICE TEST	SCHEDULE A, SECTION D, LINE 3 THERE IS SIGNIFICANT OVERLAP BETWEEN THE BOARDS OF DIRECTORS AND OFFICERS OF THE SUPPORTING AND SUPPORTED ORGANIZATIONS. SIX MEMBERS OUT OF THE ELEVEN MEMBER GOVERNING BODY OF THE SUPPORTED ORGANIZATION, CHILDREN'S HOSPITAL (HOSPITAL), ALSO SERVED ON THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER (CNMC). THESE MEMBERS WERE GIVEN A SIGNIFICANT VOICE IN DETERMINING THE INVESTMENT POLICIES OF CNMC AND USE OF CNMC INCOME OR ASSETS THROUGH THEIR DUAL POSITIONS ON THE BOARDS OF CNMC AND HOSPITAL. THREE OUT OF THE SIX MEMBERS ALSO SERVED IN AN OFFICER CAPACITY ON BOTH BOARDS. THE SHARING OF INDIVIDUALS ALLOWED CNMC TO MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION.
SUBSTANTIAL DEGREE OF CONTROL	SCHEDULE A, SECTION E, LINES 3A AND 3B CNMC IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION. CNMC HAS THE POWER TO APPOINT THE FULL BOARD OF CHILDREN'S HOSPITAL, THE SUPPORTED ORGANIZATION. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATION GIVE THE SOLE MEMBER THE EXCLUSIVE POWER: (A) TO ESTABLISH FISCAL GOALS FOR HOSPITAL AND APPROVE HOSPITAL'S OPERATING AND CAPITAL BUDGETS AND ANY SIGNIFICANT VARIANCES THEREFROM; (B) TO APPROVE THE MANAGEMENT AND INVESTMENT OF ALL HOSPITAL FUNDS (C) TO SELECT AND ANNUALLY EVALUATE THE CHIEF EXECUTIVE OFFICER OF CNMC WHO SHALL SERVE AS CEO AND PRESIDENT OF ALL AFFILIATES; (D) TO ELECT DIRECTORS OF HOSPITAL AND TO REMOVE SUCH DIRECTORS FROM OFFICE; (E) TO APPOINT THE OFFICERS OF HOSPITAL AND TO REMOVE SUCH OFFICERS; (F) TO APPROVE AMENDMENTS TO THE BYLAWS OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS; (G) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS: ... AND (K) APPROVAL OF CERTAIN OTHER NAMED ACTIVITIES OF HOSPITAL

Return Reference

Explanation

SIGNIFICANT VOICE TEST

SCHEDULE A, SECTION D, LINE 3 THERE IS SIGNIFICANT OVERLAP BETWEEN THE BOARDS OF DIRECTORS AND OFFICERS OF THE SUPPORTING AND SUPPORTED ORGANIZATIONS. SIX MEMBERS OUT OF THE ELEVEN MEMBER GOVERNING BODY OF THE SUPPORTED ORGANIZATION, CHILDREN'S HOSPITAL (HOSPITAL), ALSO SERVED ON THE BOARD OF CHILDREN'S NATIONAL MEDICAL CENTER (CNMC). THESE MEMBERS WERE GIVEN A SIGNIFICANT VOICE IN DETERMINING THE INVESTMENT POLICIES OF CNMC AND USE OF CNMC INCOME OR ASSETS THROUGH THEIR DUAL POSITIONS ON THE BOARDS OF CNMC AND HOSPITAL. THREE OUT OF THE SIX MEMBERS ALSO SERVED IN AN OFFICER CAPACITY ON BOTH BOARDS. THE SHARING OF INDIVIDUALS ALLOWED CNMC TO MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH ITS SUPPORTED ORGANIZATION.

SUBSTANTIAL DEGREE OF CONTROL

SCHEDULE A, SECTION E, LINES 3A AND 3B CNMC IS THE PARENT AND SOLE MEMBER OF THE SUPPORTED ORGANIZATION. CNMC HAS THE POWER TO APPOINT THE FULL BOARD OF CHILDREN'S HOSPITAL, THE SUPPORTED ORGANIZATION. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATION GIVE THE SOLE MEMBER THE EXCLUSIVE POWER: (A) TO ESTABLISH FISCAL GOALS FOR HOSPITAL AND APPROVE HOSPITAL'S OPERATING AND CAPITAL BUDGETS AND ANY SIGNIFICANT VARIANCES THEREFROM; (B) TO APPROVE THE MANAGEMENT AND INVESTMENT OF ALL HOSPITAL FUNDS (C) TO SELECT AND ANNUALLY EVALUATE THE CHIEF EXECUTIVE OFFICER OF CNMC WHO SHALL SERVE AS CEO AND PRESIDENT OF ALL AFFILIATES; (D) TO ELECT DIRECTORS OF HOSPITAL AND TO REMOVE SUCH DIRECTORS FROM OFFICE; (E) TO APPOINT THE OFFICERS OF HOSPITAL AND TO REMOVE SUCH OFFICERS; (F) TO APPROVE AMENDMENTS TO THE BYLAWS OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS; (G) TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF HOSPITAL AS PROPOSED BY HOSPITAL'S BOARD OF DIRECTORS: ... AND (K) APPROVAL OF CERTAIN OTHER NAMED ACTIVITIES OF HOSPITAL

Schedule A (Form 990 or 990-EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's National Medical Center

Employer identification number

52-1640403

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(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 on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements
d	Equipment ....
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on 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 SUBSIDIARIES	1,095,782,293	C
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,095,782,293

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	0
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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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 POSITIONS (ASC 740)	SCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS OF CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) AND SUBSIDIARIES, IS AS FOLLOWS: CHILDREN'S NATIONAL 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 FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THE GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE COMBINED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON TECHNICAL MERITS. CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018 AS THE MEDICAL CENTER HAS NO UNCERTAIN TAX POSITIONS.

Return Reference

Explanation

LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740)

SCHEDULE D, PART X, LINE 2 FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS OF CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) AND SUBSIDIARIES, IS AS FOLLOWS: CHILDREN'S NATIONAL 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 FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THE GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE COMBINED FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON TECHNICAL MERITS. CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2019 AND 2018 AS THE MEDICAL CENTER HAS NO UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
Children's National Medical Center

Employer identification number

52-1640403

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		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	45,354,069
















3a	Sub-total .....		45,354,069
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		45,354,069

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

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

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

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

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) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's National Medical Center

Employer identification number

52-1640403

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 on 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 .........

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? ..

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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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 ..........................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

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 on 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 on 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 MD PRESIDENT / CEO (CNMC)	(i) (ii)	0 ------------- 1,286,909	0 ------------- 975,000	0 ------------- 31,994	0 ------------- 214,600	0 ------------- 47,242	0 ------------- 2,555,745	0 ------------- 0
2MARK L BATSHAW MD BOARD MEMBER	(i) (ii)	0 ------------- 692,772	0 ------------- 408,546	0 ------------- 145,132	0 ------------- 121,262	0 ------------- 77,753	0 ------------- 1,445,465	0 ------------- 107,512
3ALEC KING EVP & CFO	(i) (ii)	0 ------------- 606,181	0 ------------- 345,610	0 ------------- 125,784	0 ------------- 115,867	0 ------------- 33,409	0 ------------- 1,226,851	0 ------------- 59,372
4MENDEL TUCHMAN MD FORMER CRO TO 6/30/2017	(i) (ii)	0 ------------- 189,442	0 ------------- 68,851	0 ------------- 41,792	0 ------------- 10,432	0 ------------- 27,077	0 ------------- 337,594	0 ------------- 20,250
5CHARLES WEINSTEIN CHIEF REAL ESTATE OFFICER	(i) (ii)	0 ------------- 494,395	0 ------------- 292,500	0 ------------- 75,000	0 ------------- 13,750	0 ------------- 14,104	0 ------------- 889,749	0 ------------- 75,000
6ANTHONY SANDLER MD SVP CENTER OF EXCELLENCE	(i) (ii)	0 ------------- 856,058	0 ------------- 506,192	0 ------------- 115,046	0 ------------- 146,958	0 ------------- 50,582	0 ------------- 1,674,836	0 ------------- 92,006
7DAVID WESSEL MD CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 608,775	0 ------------- 370,239	0 ------------- 166,144	0 ------------- 109,468	0 ------------- 79,353	0 ------------- 1,333,979	0 ------------- 95,718
8DENICE CORA-BRAMBLE MD CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 606,076	0 ------------- 375,216	0 ------------- 111,139	0 ------------- 109,468	0 ------------- 61,204	0 ------------- 1,263,103	0 ------------- 85,422
9MICHELLE M MCGUIRE VP & CHIEF OF STAFF	(i) (ii)	0 ------------- 267,218	0 ------------- 89,045	0 ------------- 38,617	0 ------------- 13,750	0 ------------- 24,408	0 ------------- 433,038	0 ------------- 18,599
10ELIZABETH FLURY CHIEF STRATEGIC OFFICER	(i) (ii)	0 ------------- 542,832	0 ------------- 318,990	0 ------------- 114,731	0 ------------- 99,500	0 ------------- 41,549	0 ------------- 1,117,602	0 ------------- 91,978
11KATHLEEN CHAVANU GORMAN CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 697,740	0 ------------- 416,093	0 ------------- 134,768	0 ------------- 121,546	0 ------------- 18,058	0 ------------- 1,388,205	0 ------------- 105,801
12ROGER PACKER MD SVP CENTER OF EXCELLENCE	(i) (ii)	0 ------------- 534,640	0 ------------- 333,016	0 ------------- 121,740	0 ------------- 26,650	0 ------------- 43,206	0 ------------- 1,059,252	0 ------------- 70,354
13MARY ANNE HILLIARD BOARD SECRETARY	(i) (ii)	0 ------------- 464,550	0 ------------- 278,557	0 ------------- 76,668	0 ------------- 88,783	0 ------------- 42,385	0 ------------- 950,943	0 ------------- 54,645
14BRIAN JACOBS MD CHIEF INFORMATION OFFICER	(i) (ii)	0 ------------- 459,668	0 ------------- 138,632	0 ------------- 60,236	0 ------------- 50,583	0 ------------- 32,789	0 ------------- 741,908	0 ------------- 37,875
15DARRYL VARNADO CHIEF PEOPLE OFFICER	(i) (ii)	0 ------------- 499,575	0 ------------- 240,115	0 ------------- 86,179	0 ------------- 71,847	0 ------------- 55,029	0 ------------- 952,745	0 ------------- 60,029
16MARY OTTOLINI MD PHD VICE CHAIR MEDICAL EDUCATION	(i) (ii)	0 ------------- 339,054	0 ------------- 96,264	0 ------------- 31,168	0 ------------- 13,750	0 ------------- 2,617	0 ------------- 482,853	0 ------------- 21,723
17LINDA TALLEY CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 336,652	0 ------------- 98,630	0 ------------- 48,946	0 ------------- 11,513	0 ------------- 12,530	0 ------------- 508,271	0 ------------- 27,608
18GERARD MARTIN MD FMR SVP CENTER OF EXCELLENCE	(i) (ii)	0 ------------- 398,011	0 ------------- 44,756	0 ------------- 40,948	0 ------------- 57,750	0 ------------- 35,565	0 ------------- 577,030	0 ------------- 35,942
19ROBIN STEINHORN SVP CENTER OF EXCELLENCE	(i) (ii)	0 ------------- 547,324	0 ------------- 334,739	0 ------------- 115,805	0 ------------- 101,619	0 ------------- 74,096	0 ------------- 1,173,583	0 ------------- 40,970
20DEANN MARSHALL PRES OF FOUNDATION	(i) (ii)	0 ------------- 548,068	0 ------------- 395,010	0 ------------- 131,886	0 ------------- 9,952	0 ------------- 40,118	0 ------------- 1,125,034	0 ------------- 0

Schedule J (Form 990) 2018

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

METHODS USED TO DETERMINE COMPENSATION

SCHEDULE J, PART I, LINE 3 CHILDREN'S NATIONAL MEDICAL CENTER USED 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. ALL COMPENSATION IS PAID BY CHILDREN'S HOSPITAL. PLEASE SEE SCHEDULE O NARRATIVE TO FORM 990, PART VI, LINES 15A AND 15B FOR FURTHER EXPLANATION REGARDING OVERSIGHT OF COMPENSATION.

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 $200,850 ANTHONY SANDLER, MD $133,208 KATHLEEN CHAVANU GORMAN $107,796 MARK L. BATSHAW, MD $107,512 DAVID WESSEL, MD $95,718 DENICE CORA-BRAMBLE, MD $95,718 ALEC KING $102,117 ELIZABETH FLURY $85,750 ROBIN STEINHORN $87,869 ROGER PACKER, MD $12,900 MARY ANNE HILLIARD $75,033 DARRYL VARNADO $64,921 GERARD MARTIN, MD $44,000 BRIAN JACOBS $36,833

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

Children's National Medical Center

Employer identification number

52-1640403

Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990, PART 1, LINE 1 AND PART III, LINE 1 CHILDREN'S NATIONAL MEDICAL CENTER (CNMC) COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS TO ASSURE CONTINUED FINANCIAL VIABILITY OF THE SYSTEM AND TO SUPPORT THE DELIVERY OF HEALTHCARE IN WASHINGTON, DC AND SURROUNDING AREAS. SEE FORM 990 FOR CHILDREN'S HOSPITAL FOR A COMPLETE PICTURE OF THE COMMUNITY BENEFITS PROVIDED BY CNMC AND AFFILIATES.
PROGRAM SERVICE ACTIVITY	FORM 990, 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 CHILDREN'S NATIONAL WILL LEAD THE FUTURE OF PEDIATRIC HEALTH THROUGH ITS CLINICAL EXCELLENCE, TRANSFORMATIVE RESEARCH, INNOVATION AND SERVICE TO THE COMMUNITY. CHILDREN'S CHILD-CENTERED VISION BY INCORPORATING FEEDBACK FROM OUR FAMILIES, WE HAVE DEVELOPED OUR FIRST CHILD-CENTERED VISION, WHICH LOOKS AT THE HOSPITAL EXPERIENCE THROUGH A CHILD'S EYES. HEALING A CHILD'S BODY, MIND AND SPIRIT TAKES MORE THAN MEDICINE: IT TAKES A TEAM TO FULFILL A FAMILY'S DREAM. - MY HOSPITAL IS A BRIGHT AND HAPPY PLACE THAT FEELS LIKE HOME. - MY PROVIDERS, MY FAMILY, AND I ARE A TEAM, AND EVERYONE'S JOB IS IMPORTANT. - THE WAY MY HOSPITAL WORKS IS BUILT AROUND ME. - MY PROVIDERS DON'T ALL LOOK ALIKE. - MY HOSPITAL IS MY FAMILY'S CONNECTION TO EVERYTHING I NEED FOR MY HEALTH, WHETHER THEY PROVIDE IT OR TRAIL-BLAZE IT. ABOUT CHILDREN'S NATIONAL CHILDREN'S NATIONAL, BASED IN WASHINGTON, D.C., HAS BEEN SERVING THE NATION'S CHILDREN SINCE 1870. CHILDREN'S NATIONAL IS #1 FOR BABIES AND RANKED IN EVERY SPECIALTY EVALUATED BY U.S. NEWS & WORLD REPORT AND HAS BEEN DESIGNATED TWO TIMES AS A MAGNET HOSPITAL, A DESIGNATION GIVEN TO HOSPITALS THAT DEMONSTRATE THE HIGHEST STANDARDS OF NURSING AND PATIENT CARE DELIVERY. THIS PEDIATRIC ACADEMIC HEALTH SYSTEM OFFERS EXPERT CARE THROUGH A CONVENIENT, COMMUNITY-BASED PRIMARY CARE NETWORK AND SPECIALTY OUTPATIENT CENTERS IN THE D.C. METROPOLITAN AREA INCLUDING THE MARYLAND SUBURBS AND NORTHERN VIRGINIA. HOME TO THE CHILDREN'S RESEARCH INSTITUTE AND THE SHEIKH ZAYED INSTITUTE FOR PEDIATRIC SURGICAL INNOVATION, CHILDREN'S NATIONAL IS ONE OF THE NATION'S TOP NIH-FUNDED PEDIATRIC RESEARCH INSTITUTIONS. CHILDREN'S NATIONAL IS RECOGNIZED FOR ITS EXPERTISE AND INNOVATION IN PEDIATRIC CARE AND AS A STRONG VOICE FOR CHILDREN THROUGH ADVOCACY AT THE LOCAL, REGIONAL AND NATIONAL LEVELS. CHILDREN'S NATIONAL IS DEDICATED TO FULFILLING ITS VISION OF SETTING THE STANDARD IN EXCELLENCE IN PEDIATRIC CARE, ADVOCACY, RESEARCH, AND EDUCATION, HERE IN THE NATION'S CAPITAL, AROUND THE COUNTRY, AND THROUGHOUT THE WORLD. AS PART OF OUR COMMITMENT TO OUR COMMUNITY, BELOW ARE SOME OF THE PROGRAMS AND ACTIVITIES THAT WERE CONDUCTED IN FY2019. TEEN STEPS OF SUCCESS IN OUR COMMUNITY, TEENS HAVE REQUESTED AN OPPORTUNITY TO EXPRESS THEMSELVES, HAVE THEIR QUESTIONS ANSWERED, HAVE SOCIAL CONTACT, GOAL SETTING FOR THE FUTURE AND INFORMATION ON PERSONAL HEALTH AND FITNESS, AS WELL AS HAVE A SAFE HAVEN FOR THEM TO RECEIVE SUPPORT AND ENCOURAGEMENT WHILE MAINTAINING OR BUILDING A SENSE OF SELF-WORTH AND POSITIVE SELF-ESTEEM. SINCE 2013, "SOS: STEPS OF SUCCESS FOR TEENS: REAL ISSUES, REAL FACTS, REAL TALK" HAS SERVED AS A SAFE PLACE FOR TEENS IN ONE OF DC'S MOST VULNERABLE NEIGHBORHOODS TO LEARN, GROW AND ASK QUESTIONS. STEPS OF SUCCESS IS AN ENLIGHTENING AND SUPPORTIVE PROGRAM CONSISTING OF 30 WEEKLY 120 MINUTE SESSIONS. THE PROGRAM SEEKS TO BE A PLACE WHERE TEENS CAN LOOK GOOD AND FEEL GOOD ABOUT THEMSELVES AND EDUCATE THE WHOLE PERSON. PRESENTATIONS ARE INFORMAL, WITH A FOCUS ON DISCUSSING EXPERIENCES. THE PROGRAM'S GOAL IS TO INCREASE AWARENESS ON CURRENT PERSONAL AND HEALTH ISSUES AND TO PROVIDE PREVENTIVE TECHNIQUES FOR TEENS TO BE IN A BETTER POSITION TO MAKE THE INFORMED DECISIONS OF A HEALTHIER LIFESTYLE. THE OTHER GOALS ARE TO HAVE FUN AND FEEL GOOD. IN FY2019, A COHORT OF 16 TEENS WAS EDUCATED IN VARIOUS ASPECTS OF ADOLESCENT DEVELOPMENT BY TRAINED SOCIAL WORKERS AND OTHER MEDICAL PROFESSIONALS. THE PROGRAM IS DESIGNED TO FOCUS ON THE MIND, BODY AND GOALS. THE FOLLOWING TOPICS WERE ADDRESSED: NUTRITION/DIET, HEALTH /FITNESS, PERSONAL HYGIENE, SELF ESTEEM, SELF-IMAGE, SELF-WORTH, SELF-EXPRESSION, ANGER MANAGEMENT, LONELINESS, DIETING, OUR BODIES, TATTOOS AND BODY PIERCING, CULTURAL AWARENESS, DRUGS AND ALCOHOL, SKIN COMPLEXION, DATING BOYS / GIRLS, GENDER ORIENTATION, BABIES SEX/ABORTION/STDS, RELATIONSHIPS, FAMILY, PARENTS, ADULT TRANSITION, SOCIAL SKILLS, MENTAL HEALTH, STRESS, DEPRESSION, DEATH/DYING/LOSS, GRIEF, YOUNG ADULTHOOD, ETIQUETTE, COMMUNICATION, VIDEO GAMES, ARTISTIC EXPRESSION, COLLEGE/TRADES, CAREER CHOICES, NETWORKING AND PROFESSIONALISM AND ADVOCACY. THE 30 SESSIONS HAD AN 89% ATTENDANCE RATE, INCLUDING TWO CULTURAL EXPOSURE OUTINGS FREE OF CHARGE. TEEN PARTICIPANTS WERE ALSO REQUIRED TO CONTRIBUTE MEANINGFULLY AT EACH SESSION, ALLOWING THEM TO DEVELOP SPEAKING AND INTERPERSONAL SKILLS. 100% OF TEEN PARTICIPANTS RANKED IMPROVEMENT IN SELF-ESTEEM HEALTHY RELATIONSHIPS, PEER PRESSURE, COPING WITH ANGER, AND CULTURAL EXPOSURE. PERIOD OF PURPLE CRYING THE PERIOD OF PURPLE CRYING PROGRAM IS AN EVIDENCE-BASED SHAKEN BABY SYNDROME/ABUSIVE HEAD TRAUMA (SBS/AHT) PREVENTION PROGRAM AVAILABLE SINCE 2007. THE PROGRAM HAS TWO AIMS: - TO SUPPORT PARENTS AND CAREGIVERS IN THEIR UNDERSTANDING OF EARLY INCREASED INFANT CRYING - TO REDUCE THE INCIDENCE OF SBS/AHT THE PROGRAM APPROACHES SBS/AHT AND INFANT ABUSE PREVENTION BY HELPING PARENTS AND CAREGIVERS UNDERSTAND THE FRUSTRATING FEATURES OF CRYING IN NORMAL, HEALTHY INFANTS THAT CAN LEAD TO SHAKING OR ABUSE. THE PROGRAM PROVIDES THE OPPORTUNITY FOR PARENTS TO LEARN ABOUT THE CRYING CHARACTERISTICS FROM OVER 50 YEARS OF RESEARCH ON NORMAL INFANT CRYING CONDUCTED BY DR. RONALD G. BARR, AND OTHER SCIENTISTS WORLDWIDE. CHILDREN'S NATIONAL IS EDUCATING ALL EMPLOYEES IN CHILD DEVELOPMENT CENTERS AND CHILD DEVELOPMENT HOMES IN THE DISTRICT OF COLUMBIA ON THE PERIOD OF PURPLE CRYING. THE PROGRAM TEACHES PARENTS ABOUT THE NORMAL PHASES OF CRYING A BABY GOES THROUGH, WHICH BEGINS AT ABOUT 2 WEEKS OF AGE, PEAKS AT 2 MONTHS, AND STARTS TO DECREASE AROUND MONTHS 4-5. IT ALSO FOCUSES ON TEACHING PARENTS AND CAREGIVERS THAT THIS A NORMAL STAGE OF DEVELOPMENT AND HOW TO COPE WITH IT. SHAKEN BABY SYNDROME IS A TYPE OF INFLICTED TRAUMATIC BRAIN INJURY THAT HAPPENS WHEN A BABY IS VIOLENTLY SHAKEN. THE PROGRAM HELD MONTHLY ONE-HOUR SESSIONS AT THE HOSPITAL DURING FY 2019 WITH THE GOAL TO INCREASE AWARENESS OF SHAKEN BABY SYNDROME AND PROVIDE EDUCATION ON PREVENTION TECHNIQUES. THE OFFICE OF THE SUPERINTENDENT OF EDUCATION (OSSE) FOR THE DISTRICT OF COLUMBIA MANDATES THIS TRAINING FOR ALL EMPLOYEES. CHILDREN'S NATIONAL IS THE SOLE PROVIDER OF THIS EDUCATION FOR THEIR STAFF. SINCE ITS INCEPTION, CHILDREN'S NATIONAL HAS TRAINED OVER 750 CHILD CARE PROVIDERS THROUGH THIS PROGRAM. IN FY2019, WE PROVIDED EDUCATION TO OVER 60 CHILDCARE PROVIDERS.
TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM	TOMODACHI INITIATIVE IS A PUBLIC-PRIVATE PARTNERSHIP BETWEEN THE US-JAPAN COUNCIL AND THE US EMBASSY IN TOKYO AND IS LED BY THE CURRENT PRESIDENT OF THE US-JAPAN COUNCIL, IRENE INOUYE. THIS PARTNERSHIP WAS BORN OUT OF SUPPORT FOR JAPAN'S RECOVERY FROM THE GREAT EAST JAPAN EARTHQUAKE, AND INVESTS IN THE NEXT GENERATION OF JAPANESE AND AMERICAN LEADERS THROUGH EDUCATIONAL AND CULTURAL EXCHANGES AS WELL AS LEADERSHIP PROGRAMS. TOMODACHI SEEKS TO FOSTER A "TOMODACHI GENERATION" OF YOUNG AMERICAN AND JAPANESE LEADERS WHO ARE COMMITTED TO AND ENGAGED IN STRENGTHENING U.S.-JAPAN RELATIONS, APPRECIATE EACH OTHER'S COUNTRIES AND CULTURES, AND POSSESS THE GLOBAL SKILLS AND MINDSETS NEEDED TO CONTRIBUTE TO AND THRIVE IN A MORE COOPERATIVE, PROSPEROUS, AND SECURE WORLD. IN COLLABORATION WITH THE TOMODACHI INITIATIVE AND JOHNSON & JOHNSON FAMILY OF COMPANIES JAPAN, CHILDREN'S NATIONAL CREATED THE TOMODACHI J&J DISASTER NURSING TRAINING PROGRAM TO FACILITATE A PROGRAM AROUND DISASTER MEDICINE AND NURSING FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS STUDYING IN TOHOKU REGION IN JAPAN. THE TOMODACHI INITIATIVE HELPS NURSING STUDENTS LEARN AND PREPARE FOR DISASTERS. THIS PROGRAM ALSO HELPS PARTICIPANTS LEARN DIFFERENT SKILLS THAT THEY CAN APPLY IN CERTAIN DISASTER SITUATIONS. ALL FY2019 PARTICIPANTS COMPLETED THE PROGRAM, AND MET THE FOLLOWING OBJECTIVES: - STUDENTS GAINED ACCESS TO AND KNOWLEDGE OF THE FIELD OF DISASTER MEDICINE AND DISASTER NURSING, WITH A VIEW TOWARD NEW EDUCATIONAL OPPORTUNITIES TO AID AND LEAD THE MEDICAL AND NURSING INDUSTRY IN JAPAN - STUDENTS ENGAGED WITH US ORGANIZATIONS, GOVERNMENT ENTITIES, AND PROGRAMS THAT HAVE RESPONDED TO DISASTERS AND HAVE BUILT PROGRAMS IN RESPONSE TO AND IN PREPARATION FOR THE NEXT DISASTER - STUDENTS DEVELOPED LEADERSHIP, NETWORKING, AND INTERPERSONAL SKILLS THROUGH VARIOUS INTERACTIVE ACTIVITIES - INCREASED INSTITUTIONAL KNOWLEDGE AND CAPACITY AROUND DISASTER MEDICINE AND NURSING IN THE TOHOKU REGION AND BEYOND - DESIGNED OPPORTUNITIES TO BUILD INSTITUTIONAL PARTNERSHIPS THAT CAN SUSTAIN THE CURRICULUM BEYOND THE THREE-YEAR TOMODACHI PROGRAM - STUDENTS AND MENTORS PRESENTED THEIR EXPERIENCES, CHALLENGES, AND OPPORTUNITIES, AS WELL AS THEIR FINDINGS AND LESSONS LEARNED FROM THE US STUDY TOUR TO COLLEAGUES IN TOHOKU AND ELSEWHERE IN JAPAN. IN FY2019, THE CHILDREN'S NATIONAL NURSING, EMERGENCY, AND SIMULATION DEPARTMENTS WELCOMED 7 NURSES, WHO WERE TRAINED IN CRITICAL DISASTER NURSING SKILLS. THESE NURSES CAN NOW TAKE THESE SKILLS BACK TO THEIR HOME COMMUNITIES AND CONTINUE TO TRAIN MEDICAL PROFESSIONALS TO PREPARE FOR THE UNEXPECTED EMERGENCY SITUATION.
EARLY CHILDHOOD INNOVATION NETWORK	THE EARLY CHILDHOOD INNOVATION NETWORK (ECIN) IS AN INITIATIVE SPEARHEADED BY A COLLABORATION BETWEEN CHILDREN'S NATIONAL HOSPITAL AND MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, ALONG WITH MANY OTHER PARTNERSHIPS THROUGHOUT THE CITY. ITS AIM IS TO PREVENT AND AMELIORATE THE EFFECTS OF TOXIC STRESS IN YOUNG CHILDREN, AGES 0-5, AND THEIR FAMILIES, AND IMPROVE THEIR RESILIENCE. ECIN IMPLEMENTS AND EVALUATES INNOVATIVE INTERVENTIONS IN PEDIATRIC PRIMARY CARE, EARLY LEARNING, AND OTHER HOME AND COMMUNITY-SERVING AGENCIES. ECIN ALSO ADVOCATES FOR POLICY CHANGES TO ENSURE FURTHER CITY-WIDE DISSEMINATION OF EFFECTIVE MODELS AND FURTHER COLLABORATION ACROSS CHILD-SERVING SECTORS. IN FY2019, ECIN SOUGHT TO EXPAND COMMUNITY PARTNERS AND INTERVENTIONS, IMPLEMENT AND SCALE THE INTERVENTIONS AND SERVICES. THE PROGRAM LEAD THE IMPLEMENTATION OF PEDIATRIC PRIMARY CARE INTERVENTION, HEALTHYSTEPS, AT CHILDREN'S HEALTH CENTER (CHC)-ANACOSTIA, AND CHC-THEARC, AND CONTINUED PREPARATION FOR EXPANSION AT CHC-ANACOSTIA. AT EDUCARE DC, AN EARLY LEARNING CENTER IN WARD 7, ECIN CONTINUED TO PROVIDE SUPPORT AND TRAINING ON BEST PRACTICES FOR INTEGRATION OF EARLY CHILDHOOD MENTAL HEALTH CONSULTATION. THIS INTEGRATION INCLUDES A STRATEGY TO IMPROVE TEACHERS' ABILITY TO HANDLE BEHAVIORAL CONCERNS IN THE CLASSROOM, AND "MINDFUL PARENTING" WORKSHOPS. DATA FROM THE ECIN MINDFUL PARENTING PROGRAM SHOWED SIGNIFICANT DECREASES IN SLEEP DISTURBANCE, PARENTAL DISTRESS, DEPRESSIVE SYMPTOMS, AND SIGNIFICANT INCREASES IN PARENTAL SUPPORT. DURING THE 2018-19 SCHOOL YEAR AT THE APPLE TREE PUBLIC CHARTER PRE-SCHOOL, ECIN CONTINUED TO IMPLEMENT THE EARLY CHILDHOOD MENTAL HEALTH CONSULTATION INITIATIVE. PROGRAM MANAGERS OBSERVED SIGNIFICANT IMPROVEMENTS IN CLASSROOM MENTAL HEALTH CLIMATES AND THE USE OF SOCIAL-EMOTIONAL TEACHING PRACTICES. THE PROGRAM ALSO CONTINUED IMPLEMENTATION OF RESILIENT COMMUNITIES DC (RCDC) IN PARTNERSHIP WITH FAR SOUTHEAST FAMILY STRENGTHENING COLLABORATIVE, A COMMUNITY-BASED PEER SUPPORT MODEL FOR FAMILIES WITH YOUNG CHILDREN. IT STRENGTHENED COMMUNITY ENGAGEMENT THROUGH MONTHLY COMMUNITY BUILDING MEETINGS, AND FEEDBACK FROM PARENTS, FAMILIES AND COMMUNITY MEMBERS. ECIN IS WORKING TO BRING CARE TO THE COMMUNITY IN SETTINGS THAT ARE FAMILIAR AND FREQUENTED OFTEN, INCLUDING PEDIATRIC PRIMARY CARE, EARLY LEARNING AND OTHER COMMUNITY-BASED ORGANIZATIONS. IN FY2019, OVER 1,000 WASHINGTON DC-AREA FAMILIES WERE IMPACTED BY ECIN'S SERVICES. IN ADDITION, HUNDREDS OF CHILDCARE PROFESSIONALS WERE TRAINED IN MENTAL HEALTH BEST PRACTICES. ECIN MADE VALUABLE STEPS IN FY2019 IN ENSURING EVERY CHILD IN THE DISTRICT OF COLUMBIA AND BEYOND HAS ACCESS TO THE SERVICES AND SKILLS THEY NEED TO GROW UP HEALTHY AND STRONG.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINE 7A THE CNMC BOARD IS SELF-PERPETUATING AND THE BOARD MEMBERS VOTE FOR THEIR OWN REPLACEMENTS. FORM 990 REVIEW PROCESS FORM 990, PART VI, LINE 11B THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE FORM 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT COMMITTEE OF CNMC, AS WELL AS THE CHAIRMAN EMERITUS OF CNMC, PRIOR TO FILING WITH 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 CHILDREN'S 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 CHILDREN'S 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 BOARD'S GOVERNANCE POLICY.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINE 15A AND LINE 15B CHILDREN'S NATIONAL MEDICAL CENTER'S PRESIDENT, OTHER OFFICERS, AND KEY EMPLOYEES ARE COMPENSATED BY ITS CONTROLLED SUBSIDIARY, CHILDREN'S HOSPITAL, BUT COMPENSATION IS DETERMINED BY A CHILDREN'S NATIONAL MEDICAL CENTER COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHILDREN'S NATIONAL MEDICAL CENTER BOARD OF DIRECTORS IS COMPRISED WHOLLY OF DISINTERESTED, INDEPENDENT BOARD MEMBERS. THE COMMITTEE HAS RETAINED INDEPENDENT OUTSIDE CONSULTANTS WHO ARE EXPERTS ON COMPENSATION MATTERS. THE 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 SANCTIONS REGULATIONS OF THE IRS. THE COMMITTEE IS INFORMED IN ITS DECISION-MAKING BY COMPENSATION STUDIES AND COMPARISONS DONE BY THE INDEPENDENT CONSULTANT, AND RELIES UPON "REASONABLENESS" OPINIONS FOR SUCH CONSULTANTS, PRIOR TO OR CONTEMPORANEOUS WITH MAKING COMPENSATION DECISIONS. THE COMMITTEE MEETS 4-6 TIMES PER YEAR TO CONSIDER SUCH MATTERS.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC	FORM 990, PART VI, LINE 19 CHILDREN'S NATIONAL MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 ARE PROVIDED ON REQUEST AND THROUGH PUBLIC FILINGS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

Children's National Medical Center

Employer identification number

52-1640403

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CHILDREN'S RESEARCH INSTITUTE 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1654453	RESEARCH	DC	501(C)(3)	10	CNMC	Yes
(2)CHILDREN'S HOSPITAL 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 53-0196580	HEALTH CARE	DC	501(C)(3)	3	CNMC	Yes
(3)SAFE KIDS WORLDWIDE 1255 23rd Street NW Ste 400 WASHINGTON,DC20037 52-1627574	INJURY PRVNTN	DC	501(C)(3)	7	CNMC	Yes
(4)CHILDREN'S HOSPITAL SELF-INSURANCE TRUST 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640399	INSURANCE	DC	501(C)(3)	12-III FI	CH	Yes
(5)CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1640402	FUNDRAISING	DC	501(C)(3)	7	CNMC	Yes
(6)BRAINY CAMPS ASSOCIATION 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 27-1547370	CHILD CAMPS	DC	501(C)(3)	12 TYPE I	CH	Yes
(7)CHILDREN'S NAT'L ADVOC & PUBLIC POLICY 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 27-1564354	ADVOCACY	DC	501(C)(3)	12 TYPE II	CNMC	Yes
(8)CHILDREN'S SCHOOL SERVICES 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 81-4291601	NURSING SVCS	DC	501(C)(3)	12 TYPE I	CNMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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) CPA 111 MICHIGAN AVE NW WASH DC,DC20010 52-2072589	HEALTH CARE	DC	NA	RELATED	-7,653	3,505,196		No	0		No	50.000 %
(2) 5253 NMTC LLC 111 MICHIGAN AVE NW WASH,DC20010 83-2873855	PROPERTY MGMT	DC	BLDG 5253 MM	RELATED	0	0		No	0		No	90.000 %
(3) 5253 HTC LLC 111 MICHIGAN AVE NW WASH,DC20010 83-3044006	PROPERTY MGMT	DC	BLDG 5253 MM	RELATED	0	0		No	0		No	1.000 %
(4) 54 NMTC LLC 111 MICHIGAN AVE NW WASH,DC20010 83-3358685	PROPERTY MGMT	DC	BLDG 54 MM LLC	RELATED	0	0		No	0		No	90.000 %
(5) 54 HTC LLC 111 MICHIGAN AVE NW WASH,DC20010 83-3385522	PROPERTY MGMT	DC	BLDG 54 NMTC	RELATED	0	0		No	0		No	1.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) CHILDREN'S NATIONAL HEALTH NETWORK 111 MICHIGAN AVENUE NW WASHINGTON,DC20010 52-1996521	HEALTH CARE	DC	CNMC	C Corp	-298,082	1,406,746	100.000 %	Yes
(2) BEARACUDA RE PO BOX 69 KY1-1102 GRAND CAYMAN CJ	REINSURANCE	CJ	CNMC	C Corp	1,329,605	76,329,818	100.000 %	Yes
(3) PEDIATRIC HEALTH NETWORK INC 12211 PLUM ORCHARD DR STE 102 SILVER SPRING,MD20904 83-3415276	HEALTH CARE	DC	CNMC	C Corp	-835,038	0	100.000 %	Yes
(4) BUILDING 5253 MANAGING MEMBER LLC 111 MICHIGAN AVE NW WASHINGTON,DC20010 83-2801690	PROPERTY MGMT	DC	CNMC	C CORP	0	0	100.000 %	Yes
(5) BUILDING 54 MANAGING MEMBER LLC 111 MICHIGAN AVE NW WASHINGTON,DC20010 83-3272918	PROPERTY MGMT	DC	CNMC	C CORP	0	0	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

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

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code 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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	131,634,041	42,111,697
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-633,166	-7,653
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	131,000,875	42,104,044
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
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)....	0	0
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	0	0
19	Revenue less expenses. Subtract line 18 from line 12.......	131,000,875	42,104,044
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,053,678,249	1,095,782,293
21	Total liabilities (Part X, line 26).............	0	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,053,678,249	1,095,782,293

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ 42,104,044 )
	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 150 YEARS, CHILDREN'S NATIONAL IS A PROVEN LEADER IN THE DEVELOPMENT AND APPLICATION OF INNOVATIVE NEW TREATMENTS FOR CHILDHOOD ILLNESS AND INJURY. SEE SCHEDULE O.

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 expenses0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	18,915,664	2,322,122

(A) Name and business address	(B) Description of services	(C) Compensation
NONE,




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 0

1	Briefly describe the organization’s mission or most significant activities: COORDINATES THE OVERALL POLICY AND ACTIVITIES OF THE AFFILIATED ORGANIZATIONS. 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 2018 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	13
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		0

		Business Code
2a	EQUITY IN EARNINGS OF SUBSIDIARIES	900099	42,111,697	42,111,697	0	0
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		42,111,697

3 Investment income (including dividends, interest, and othersimilar amounts) ......			0
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	PARTNERSHIP LOSS		900099	-7,653	-7,653	0	0
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-7,653
12	Total revenue. See Instructions......			42,104,044	42,104,044	0	0

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, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
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	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
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)	0
12	Advertising and promotion ....	0
13	Office expenses .......	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	0
23	Insurance ...	0
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
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	0	0	0	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).

1	Cash–non-interest-bearing ........		0	1	0
2	Savings and temporary cash investments .........		0	2	0
3	Pledges and grants receivable, net ......		0	3	0
4	Accounts receivable, net .............		0	4	0
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
			0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
			0	6	0
7	Notes and loans receivable, net ....		0	7	0
8	Inventories for sale or use ........		0	8	0
9	Prepaid expenses and deferred charges ......		0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b	0	10c	0
11	Investments—publicly traded securities .		0	11	0
12	Investments—other securities. See Part IV, line 11 .....		1,053,678,249	12	1,095,782,293
13	Investments—program-related. See Part IV, line 11 ..		0	13	0
14	Intangible assets ...............		0	14	0
15	Other assets. See Part IV, line 11 ...........		0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...		1,053,678,249	16	1,095,782,293

17	Accounts payable and accrued expenses .....	0	17	0
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
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 ..	0	23	0
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	0	25	0
26	Total liabilities. Add lines 17 through 25..	0	26	0

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,053,678,249	27	1,095,782,293
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 ...........	1,053,678,249	33	1,095,782,293
34	Total liabilities and net assets/fund balances ........	1,053,678,249	34	1,095,782,293

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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No