2023-05-10T11:11:17-05:00 2022-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BLVD SUITE 1500 ARLINGTON VA 22209 990 2021-07-01 530204670 THE HOSPITAL FOR SICK CHILDREN HOSP 2024765000 111 MICHIGAN AVE NW WASHINGTON DC 20010 ALDWIN LINDSAY CFO 2024765000 2023-05-10 1 ALDWIN LINDSAY MARY TORRETTA P00847851 7038477500 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z HSC PEDIATRIC CENTER NATHANIEL BEERS MD 111 MICHIGAN AVE NW WASHINGTON DC 20010 29721441 0 X WWW.CHILDRENSNATIONAL.ORG/HSC X 1888 DC SEE SCHEDULE O. 6 5 0 72 0 0 737222 1733063 27619465 27833383 60397 -4313 153759 154958 28570843 29717091 0 110000 0 0 22191127 21075283 0 0 0 18938608 18405876 41129735 39591159 -12558892 -9874068 36862073 40178827 53849131 67048737 -16987058 -26869910 HSCPC PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, D.C. AND BALTIMORE AREAS. 0 0 24370452 110000 27833383 TO PROVIDE QUALITY REHABILITATIVE AND TRANSITIONAL CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN A SUPPORTIVE, CULTURALLY COMPETENT, RESPECTFUL ENVIRONMENT, AND TO PARTICIPATE IN RELATED LOCAL, REGIONAL, AND NATIONAL PROJECTS WITH GOVERNMENT, PRIVATE, AND PHILANTHROPIC ORGANIZATIONS. DURING THE YEAR ENDED JUNE 30, 2022, HSCPC PROVIDED 6,007 DAYS OF CARE. HSCPC ALSO PROVIDED ON AN OUTPATIENT BASIS MEDICAL CARE, APPROXIMATELY 14,488 ENCOUNTERS IN THE YEAR ENDED JUNE 30, 2022. 24370452 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CORPORATE OFFICERS 2024765000 111 MICHIGAN AVE NW WASHINGTON DC 20010 X NATHANIEL BEERS MD PRESIDENT OF HSC 20.00 35.00 X X 0 657986 116094 ROGER E MEYER MD BOARD CHAIR 2.00 1.00 X X 0 0 0 MARSHA REGENSTEIN BOARD VICE CHAIRMAN 2.00 0.00 X X 0 0 0 MICHAEL D WARD BOARD MEMBER 1.00 3.00 X 0 0 0 JOAN CHRISTOPHER BOARD MEMBER 1.00 0.00 X 0 0 0 STEPHEN F RILEY BOARD MEMBER 1.00 1.00 X 0 0 0 MARY ANNE HILLIARD SECRETARY 2.00 53.00 X 0 851023 114077 ALDWIN LINDSAY TREASURER & EVP/CFO 2.00 53.00 X 0 901152 117820 DEBBIE HOLSON COO, PEDIATRIC CENTER 55.00 0.00 X 0 278653 37396 ANDREW METINKO PEDIATRICIAN 55.00 0.00 X 0 198187 33929 SAMAR HUSSEIN PEDIATRICIAN 55.00 0.00 X 0 205638 18356 ANNE RUECKTENWALD DIRECTOR OUTPATIENT PROGRAMS 55.00 0.00 X 0 195923 8045 JULIA P BALASUNDARAM INPATIENT & SNF RN 55.00 0.00 X 0 164355 38210 ESTHER KAGULU INPATIENT & SNF RN 55.00 0.00 X 0 183013 8206 KIMBERLY BROWN FORMER OFFICER 0.00 55.00 X 0 227155 21747 DONNA ANTHONY FORMER KEY EMPLOYEE 0.00 55.00 X 0 369705 39941 0 4232790 553821 0 1 1 0 BARTON HEALTHCARE STAFFING LLC PO BOX 412801 BOSTON MA 02241 STAFFING SERVICES 628911 ARAMARK SERVICES INC PO BOX 978839 DALLAS TX 75397 FOOD AND NUTRITION SERVICES 611678 MEDIX STAFFING SOLUTIONS INC 7839 SOLUTION CENTER CHICAGO IL 60677 STAFFING SERVICES 210751 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST STE SAN DIEGO CA 92121 STAFFING SERVICES 178275 NAC MECHANICAL SERVICES LLC 15800 GAITHER DR SUITE 100 GAITHERSBURG MD 20877 HVAC SERVICES 159116 5 936388 796675 1733063 PATIENT SERVICE REV 621300 26006863 26006863 DSH REVENUE 621300 1826520 1826520 27833383 37 37 13896 0 13896 13896 13896 4350 -4350 -4350 -4350 MISCELLANEOUS 900099 83617 83617 CAFETERA VENDING 722210 57445 57445 141062 29717091 27833383 0 150645 X 110000 110000 17850363 14881675 2968688 465162 392597 72565 1480034 1249149 230885 1279724 1080087 199637 4500 2500 2000 1284 1284 4166540 3583472 583068 265117 221605 43512 102692 75016 27676 666225 602300 63925 9222 3217 6005 124440 124440 1526964 1526964 18879 2253 16626 SHARED SERVICES ALLOC 7950247 21424 7928823 MEDICAL SUPPLIES 1449913 1449901 12 MAINTENANCE 766541 99061 667480 UTILITIES 730956 17028 713928 622356 579167 43189 39591159 24370452 15220707 0 3947078 4525557 74575 61863 529512 478885 34379979 4262620 28308269 30117359 46530 36069 3956109 4959094 36862073 40178827 1187420 1588674 7679817 7104647 44981894 58355416 53849131 67048737 X -17210342 -27137714 223284 267804 -16987058 -26869910 36862073 40178827 -9874068 -8784 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46530 -9177 1284 36069 40296 10158 3924 46530 49392 -9952 -856 40296 46461 4644 1713 49392 57543 -9367 1715 46461 1.00000 0 0 13300000 13300000 14841585 3196825 11644760 2530688 649288 1881400 3707706 416507 3291199 30117359 RIGHT OF USE ASSETS 3611232 DUE FROM THIRD PARTIES 1347862 4959094 DUE TO AFFILIATIES 49453783 OPERATING LEASE LIABILITY 4054301 DUE TO THIRD PARTIES 3815099 MALPRACTICE INSURANCE 1032233 58355416 X PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS THE ENDOWMENT FUND CORPUS IS PERMANENTLY RESTRICTED AND WILL REMAIN INVESTED. THE INCOME DERIVED FROM THE ENDOWMENT FUND IS TO BE USED BY THE PEDIATRIC CENTER TO SUPPORT CURRENT OPERATIONS. PART X, LINE 2: LIABILITY FOR UNCERTAIN TAX POSITIONS (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), THE ULTIMATE PARENT OF HSCPC'S SOLE MEMBER, IS AS FOLLOWS: CHILDREN'S NATIONAL EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. THERE WAS NO IMPACT ON CHILDREN'S NATIONAL'S FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2022 AND 2021 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS. 1 1 1 X 400.000000000000 1 X 1 1 1 0 0 123202 123202 0.00310 6269557 6269557 0.15840 6392759 6392759 0.16150 303385 49588 253797 0.00640 303385 49588 253797 0.00640 6696144 49588 6646556 0.16790 0 1 1 1 1 THE HOSPITAL FOR SICK CHILDREN 1731 BUNKER HILL RD NE WASHINGTON DC 20017 WWW.CHILDRENSNATIONAL.ORG/HSC HFD01-0216 X X THE HOSPITAL FOR SICK CHILDREN 1 0 0 1 X X X X X X X X X X 22 1 1 0 1 X WWW.CHILDRENSNATIONAL.ORG X X 1 19 1 WWW.CHILDRENSNATIONAL.ORG 0 1 X 400.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING X HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING X HTTPS://CHILDRENSNATIONAL.ORG/HSC/HSC-PEDIATRIC-CENTER/BILLING X X X X X X X 1 X 0 X X X X 0 X X X 0 0 PART V, SECTION A: HOSPITAL FACILITIESTHE HOSPITAL FOR SICK CHILDREN COMMONLY KNOW AS "THE HSC PEDIATRIC CENTER" IS A SELF-CONTAINED LONG-TERM PEDIATRIC SPECIALTY HOSPITAL. THE HOSPITAL FACILITY DOES NOT CHARGE ANY INDIVIDUALS THAT IT KNOWS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE HOSPITAL USES THE CHARGE MASTER RATES FOR A SERVICE AS A STARTING POINT AGAINST WHICH THE DISCOUNTS MANDATED IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY ARE APPLIED TO DETERMINE THE AMOUNT ACTUALLY BILLED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FACILITY WILL NOT COLLECT PAYMENT FROM ANY PATIENT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IN EXCESS OF THE REDUCED AMOUNT THAT IS ACTUALLY BILLED TO SUCH FINANCIAL ASSISTANCE PATIENT. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 3J: HSC PEDIATRIC CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN PARTNERSHIP WITH CHILDREN'S NATIONAL HOSPITAL IN 2022. THE PRIOR ASSESSMENT IN 2019 WAS CONDUCTED IN COLLABORATION WITH THE DC HEALTH MATTERS COLLABORATIVE, A COALITION OF WASHINGTON, D.C., HOSPITALS AND COMMUNITY HEALTH CENTERS THAT ENVISION AN EQUITABLE AND SUSTAINABLE STATE OF HEALTH FOR ALL DISTRICT OF COLUMBIA RESIDENTS. THIS 2022 CHNA IS DIFFERENT FROM OUR PRIOR ASSESSMENTS AS IT FOCUSES SPECIFICALLY ON CHILDREN, IS AN ASSESSMENT OF HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL'S PRIMARY SERVICE AREA (PSA) WHICH INCLUDES WASHINGTON, D.C., AND PARTS OF MARYLAND, AND APPLIES A STRONGER PEDIATRIC HEALTH EQUITY LENS BY UTILIZING THE CHILD OPPORTUNITY INDEX (COI). THE COI DEFINES OPPORTUNITY AS THE NEIGHBORHOOD RESOURCES THAT MATTER FOR A CHILD'S HEALTHY DEVELOPMENT. THE 29 INDICATORS FOCUS ON NEIGHBORHOOD FEATURES SUCH AS ACCESS TO HEALTHY FOOD, HIGH-QUALITY EDUCATION, PARKS AND PLAYGROUNDS. BASED ON HOW NEIGHBORHOODS SCORE ACROSS THESE 29 INDICATORS, EACH NEIGHBORHOOD IS ASSIGNED A SCORE RANGING FROM 1 TO 100 TO INDICATE THE OPPORTUNITY IN THAT SPECIFIC NEIGHBORHOOD FOR CHILDREN TO REACH THEIR POTENTIAL. THE HIGHER THE SCORE, THE BETTER THE OPPORTUNITY A CHILD HAS TO DEVELOP IN A HEALTHY MANNER. THE COI HIGHLIGHTS THE INTERPLAY BETWEEN PLACE-AND RACE-BASED INEQUITIES AS LOW OPPORTUNITY NEIGHBORHOODS ARE OFTEN DISPROPORTIONATELY HOME TO CHILDREN OF COLOR.OUR CHNA FINDINGS REVEALED THAT CHILD OPPORTUNITY VARIES CONSIDERABLY WITHIN OUR SERVICE AREA. CHILD OPPORTUNITY IS LOWEST AND CRITICALLY LACKING IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS CERTAIN PRINCE GEORGE'S COUNTY NEIGHBORHOODS IN MARYLAND. IN ADDITION TO THE QUANTITATIVE DATA, WE IMPLEMENTED MANY COMMUNITY ENGAGEMENT EFFORTS TO GATHER QUALITATIVE DATA. WE INVITED RESIDENTS FROM OUR COMMUNITY, SPECIFICALLY THE NEIGHBORHOODS WE IDENTIFIED WITH THE LOWEST OPPORTUNITY SCORES, TO SHARE THEIR EXPERIENCES ON OPPORTUNITY IN THEIR COMMUNITIES. WE ENGAGED WITH YOUTH, PARENTS AND OLDER ADULTS IN OUR COMMUNITIES THROUGH VIRTUAL CONVERSATIONS, INPUT FORMS AND INTERVIEWS TO FURTHER INFORM OUR FINDINGS AND RECOMMENDATIONS SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS. TO ELEVATE THE VOICE OF OUR YOUTH IN THIS ASSESSMENT, WE CREATED AN EIGHT-WEEK PHOTOVOICE PROGRAM TAILORED TO ADOLESCENTS. THE STUDENTS WERE ASKED TO USE THEIR CELL PHONES TO CAPTURE IMAGES THAT SHOWED THE ASSETS AND CHALLENGES THAT IMPACT HEALTH IN THEIR COMMUNITIES. THEY WORKED WITH THE FACILITATORS TO LEARN HOW TO USE THEIR VOICES TO PROMOTE POSITIVE CHANGE IN THEIR NEIGHBORHOODS. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE (1) EARLY CHILDHOOD EDUCATION, (2) HEALTH INSURANCE COVERAGE, (3) HEALTHY FOOD AND (4) EMPLOYMENT RATE. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 5: IN CONDUCTING THE MOST RECENT CHNA, HSC PEDIATRIC CENTER CONSIDERED INPUT FROM COMMUNITY RESIDENTS, STAKEHOLDERS INCLUDING LEADERS IN HEALTHCARE AND COMMUNITY-BASED ORGANIZATIONS AND BUSINESS AND GOVERNMENT OFFICIALS INCLUDING THE DC HOSPITAL ASSOCIATION, PRINCE GEORGE'S COUNTY CHAMBER OF COMMERCE, DC PRIMARY CARE ASSOCIATION, CHILDREN'S LAW CENTER AND THE DC HEALTH MATTERS COLLABORATIVE. THROUGH OUR QUALITATIVE WORK WE HEARD FROM OVER 300 STAKEHOLDERS. WE CONDUCTED ELEVEN 60-MINUTE, VIRTUAL COMMUNITY CONVERSATIONS WITH 67 PARENTS AND CAREGIVERS LIVING IN THE PREVIOUSLY IDENTIFIED NEIGHBORHOODS WITH THE LOWEST OPPORTUNITY FOR CHILDREN IN WARDS 7 AND 8 IN WASHINGTON, D.C., AS WELL AS PRINCE GEORGE'S COUNTY, MD. THREE OF THE 11 COMMUNITY CONVERSATIONS WERE HELD IN SPANISH. THESE CONVERSATIONS PROVIDED PERSPECTIVES FROM NEIGHBORHOOD RESIDENTS ON HOW THEY VIEW THE IMPACT OF NEIGHBORHOOD CONDITIONS - SPECIFICALLY RELATED TO EDUCATION, HEALTH, AND ECONOMIC CONDITIONS - ON A CHILD'S OPPORTUNITY TO LIVE A HEALTHY AND PRODUCTIVE LIFE. WE CONDUCTED 33 KEY INFORMANT INTERVIEWS WITH A WIDE RANGE OF PEOPLE - INCLUDING COMMUNITY LEADERS, GOVERNMENT LEADERS, AND RESIDENTS - WHO HAD FIRSTHAND KNOWLEDGE ABOUT THE COMMUNITY. WE ALSO ISSUED A COMMUNITY INPUT FORM AS A WAY FOR RESIDENTS WHO MAY NOT HAVE BEEN ABLE TO PARTICIPATE IN PREVIOUS CONVERSATIONS AND INTERVIEWS TO PROVIDE THEIR INPUT. WE RECEIVED FEEDBACK FROM 88 NEIGHBORHOOD RESIDENTS ON WHICH INDICATORS SHOULD BE A PRIORITY, WHAT FACTORS IMPACT OPPORTUNITIES IN THEIR NEIGHBORHOOD, AND HOW HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS CAN WORK TOGETHER TO MAKE IMPROVEMENTS IN THESE AREAS. IN ADDITION TO THE COMMUNITY INPUT FORM, WE RECEIVED FEEDBACK FROM 156 HOSPITAL STAFF VIA A HOSPITAL INPUT FORM TO GAIN THEIR PERSPECTIVE ON WHICH OF THE 29 COI INDICATORS WE SHOULD SELECT AS "PRIORITY INDICATORS" FOR THE 2022 CHNA. ONCE THE PRIORITIES WERE SELECTED, WE HOSTED FOUR ADDITIONAL COMMUNITY CONVERSATIONS WITH 26 PARENTS AND CAREGIVERS LIVING IN PRIORITY NEIGHBORHOODS TO IDENTIFY SPECIFIC STRATEGIES TO IMPROVE ACCESS TO EARLY CHILDHOOD EDUCATION, HEALTHY FOOD, HEALTH INSURANCE AND HEALTH SERVICES AND EMPLOYMENT. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH CHILDREN'S NATIONAL HOSPITAL. BASED IN WASHINGTON, D.C., HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE FOR CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH COMPLEX MEDICAL CONDITIONS. OUR GOAL IS TO PROVIDE COMPREHENSIVE, FAMILY-CENTERED CARE THAT MEETS OUR PATIENTS' PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL NEEDS. WE STRIVE TO CREATE AN ENVIRONMENT WHERE EVERY FAMILY FEELS INCLUDED, RESPECTED, AND SUPPORTED. OUR TEAM OF PHYSICIANS, NURSES, AND OTHER HEALTHCARE PROVIDERS WORK TOGETHER TO ENSURE THE BEST OUTCOMES FOR OUR PATIENTS. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 7D: THE CHNA IS LOCATED ON THE CHILDREN'S NATIONAL'S WEBSITE AT WWW.CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. HSC PEDIATRIC CENTER ALSO SHARED FINDINGS AND ANNOUNCEMENTS ABOUT THE CHNA WITH HSC PEDIATRIC CENTER AND CHILDREN'S NATIONAL LEADERSHIP AND BOARD MEMBERS.THE HOSPITAL FOR SICK CHILDREN:PART V, SECTION B, LINE 8:HSC PEDIATRIC CENTER ADOPTED AN IMPLEMENTATION STRATEGY IN NOVEMBER 2022, REFERRED TO AS THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE CHIP IS AVAILABLE AT: HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 11: FROM THE INSIGHT GAINED FROM THE COI AND OUR UNDERSTANDING OF OUR COMMUNITY PERSPECTIVES, WE PARED DOWN THE 29 COI INDICATORS TO FOUR INDICATORS THAT WILL BE OUR HOSPITAL'S FOCUS FOR THE NEXT THREE YEARS. TO GET TO THESE FOUR INDICATORS, WE USED A PROCESS MODELED OFF A WIDELY USED PRIORITIZATION METHOD, CALLED THE HANLON METHOD. THE PRIORITIZATION EXERCISE SCORED EACH INDICATOR BASED ON THE IMPORTANCE TO OUR COMMUNITY, IMPORTANCE TO OUR HOSPITALS, HOSPITAL'S CAPACITY TO ADDRESS THE INDICATOR, ALIGNMENT WITH THE HOSPITAL'S MISSION, AND HOSPITAL'S EXISTING WORK IN THE AREA. THE FOUR INDICATORS THAT SCORED AS THE HIGHEST PRIORITY INDICATORS ARE EARLY CHILDHOOD EDUCATION, HEALTH INSURANCE COVERAGE, HEALTHY FOOD AND EMPLOYMENT RATE. WITH A FOCUS ON THE HIGHEST PRIORITY INDICATORS, WE DEVELOPED AN IMPLEMENTATION STRATEGY THAT WE CALL A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN WHICH WE OUTLINE ACTIONS AND IDENTIFY RESOURCES TO RESPOND TO THE ASSESSMENT FINDINGS OVER THE NEXT THREE YEARS. TO CREATE THE CHIP, WE ENGAGED WITH OUR HOSPITAL EMPLOYEES, LOCAL COMMUNITIES AND AREA ORGANIZATIONS TO SHARE THESE FINDINGS AND IDENTIFY POLICY AND SYSTEMS CHANGES THAT WILL IMPROVE OPPORTUNITY LEVELS FOR CHILDREN LIVING IN LOW OPPORTUNITY NEIGHBORHOODS. IN THE 2022 CHIP, ADOPTED BY OUR HOSPITAL BOARD IN NOVEMBER 2022, WE OUTLINE NINE STRATEGIES THAT USE A VARIETY OF TACTICS TO IMPROVE OPPORTUNITY FOR CHILDREN LIVING IN WARDS 7 AND 8 IN WASHINGTON, D.C. AND PRINCE GEORGE'S COUNTY, MARYLAND INCLUDING ADVOCATING FOR AFFORDABLE EARLY CHILDHOOD EDUCATION CENTERS, IMPLEMENTING NEW PROGRAMS THAT ADDRESS FOOD SECURITY, AND REVISING EXISITING PRACTICES AROUND EMPLOYMENT.THE CHNA IDENTIFIED MANY NEEDS IN OUR COMMUNITY, HOWEVER, DUE TO PRACTICAL AND RESOURCE CONSTRAINTS, THE ORGANIZATION FOCUSED ITS RESOURCES ON THE TOP NEEDS IN WHICH THE ORGANIZATION CAN BE IMPACTFUL. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 16J: AVAILABILITY OF FINANCIAL ASSISTANCE POLICYHSCPC PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY IN MANY DIFFERENT WAYS. FIRST, IT POSTS NOTICES REGARDING THE AVAILABILITY OF CHARITY CARE IN ADMISSIONS, PATIENT REGISTRATION, AND THE BUSINESS OFFICE. THE INFORMATION ON THE SIGNS IS IN BOTH ENGLISH AND SPANISH. IN ADDITION, THE POLICY IS DISTRIBUTED TO PATIENTS ON ADMISSION AND UPON REQUEST, AND IS AVAILABLE AT ALL PATIENT REGISTRATION DESKS AND IN ALL WAITING AREAS. FURTHERMORE, HSCPC, AS MANDATED BY ITS FINANCIAL ASSISTANCE POLICY, PUBLISHES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, ON AN ANNUAL BASIS, IN A NEWSPAPER OF GENERAL CIRCULATION IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. THE HOSPITAL FOR SICK CHILDREN PART V, SECTION B, LINE 21D: POLICY RELATING TO EMERGENCY MEDICAL CARETHE HSC PEDIATRIC CENTER IS A LONG-TERM PEDIATRIC HOSPITAL FACILITY, WHICH DOES NOT PROVIDE EMERGENCY MEDICAL CARE. HOWEVER, THE HSC PEDIATRIC CENTER HAS ADOPTED A TRANSFER POLICY PURSUANT TO WHICH THE HOSPITAL WILL HELP TO TRANSFER, AS APPROPRIATE, ANY PATIENTS SHOWING SYMPTOMS OF AN EMERGENCY TO AN ACUTE CARE HOSPITAL.THE HOSPITAL FOR SICK CHILDREN:SCHEDULE H, PART V, SECTION B, LINE 22D:MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE INDIVIDUALSTHE HSC PEDIATRIC CENTER DETERMINED MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS NOT MORE THAN AMOUNTS GENERALLY BILLED TO INSURED PATIENTS. THE PROSPECTIVE MEDICAID METHOD WAS USED. 3 1 - THE HSC OUTPATIENT CENTER 4500 FORBES BLVD SUITE 100 LANHAM MD 20706 PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY 2 - THE HSC OUTPATIENT CENTER 14995 SHADY GROVE RD SUITE 200 ROCKVILLE MD 20850 PROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITY 3 - THE HSC SKILLED NURSING FACILITY 1731 BUNKER HILL ROAD NE WASHINGTON DC 20017 PROVIDES SKILLED NURSING SERVICES TO CHILDREN & YOUNG ADULTS THROUGH AGE 21 SCHEDULE H, PART I, LINE 3C: OTHER CRITERIA USED FOR DETERMINING ELIGIBILITYTHE HOSPITAL FOR SICK CHILDREN DBA THE HSC PEDIATRIC CENTER (HSCPC) HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO INDIVIDUALS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. HSC PEDIATRIC CENTER USED THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. ELIGIBILITY WAS INCOME BASED AND NOT ASSET BASED.SCHEDULE H, PART I, LINE 4:FINANCIAL ASSISTANCE POLICY FOR THE MEDICALLY INDIGENTHSCPC HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO THE MEDICALLY INDIGENT, WHICH IS A SEPARATE, SUPPLEMENTAL DETERMINATION OF FINANCIAL ASSISTANCE FOR PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PRIMARY SECTION OF THE FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM THE RESULTING FINANCIAL LIABILITY FOR MEDICAL TREATMENT REPRESENTS A CATASTROPHIC LOSS. "CATASTROPHIC" IS DEFINED AS A SITUATION IN WHICH THE SELF-PAY PORTION OF THE HSCPC MEDICAL BILL IS GREATER THAN THE PATIENT'S ABILITY TO REPAY WITH CURRENT INCOME AND LIQUID ASSETS IN 18 MONTHS OR LESS. THE FACTORS TAKEN INTO CONSIDERATION WHEN EVALUATING A CATASTROPHIC ASSISTANCE APPLICATION ARE THE FOLLOWING: CURRENT MEDICAL DEBT, LIQUID ASSETS, LIVING EXPENSES, PROJECTED MEDICAL EXPENSES, ANNUAL INCOME, FAMILY SIZE, AND SPELL OF ILLNESS.SCHEDULE H, PART I, LINE 7:EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLEHOSPITAL CHARITY AMOUNTS REPORTED IN THE AUDITED FINANCIAL STATEMENTS WERE ADJUSTED TO COST USING THE COST TO CHARGE RATIO CALCULATION PER THE IRS INSTRUCTIONS.SCHEDULE H, PART I, LINE 7, COL (F):BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE: NO BAD DEBT CALCULATED THIS YEAR. PART III, LINE 2: METHODOLOGY USED TO ESTIMATE BAD DEBTHSC PEDIATRIC CENTER DID NOT HAVE ANY BAD DEBT WRITE-OFFS FOR FISCAL YEAR 2022. DISCOUNTS AND PAYMENTS REDUCE THE PATIENT'S ACCOUNT BALANCE PRIOR TO SENDING THE PATIENT A STATEMENT FOR ANY REMAINING BALANCES DUE TO HSC PEDIATRIC CENTER. FINANCIAL ASSISTANCE ELIGIBLE PATIENTS RECEIVE A 100% DISCOUNT ON THE BALANCE DUE. PAYMENT PLANS ARE ALSO AVAILABLE FOR PATIENT BALANCES DUE. ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER COLLECTION EFFORTS (BILLING STATEMENTS AND PHONE CALLS) ARE UNSUCCESSFUL. PART III, LINE 8: THE HSC PEDIATRIC CENTER DOES NOT PARTICIPATE IN THE MEDICARE PROGRAM. PART III, LINE 9B: PROVISIONS ON COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR ASSISTANCE HSC PEDIATRIC CENTER HAS A WRITTEN COLLECTION POLICY. THE POLICY IS APPLIED UNIFORMLY TO ALL PATIENTS.HSC PEDIATRIC CENTER IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL PATIENTS WHILE MAINTAINING RESPONSIBLE AND EFFECTIVE FINANCIAL PROGRAMS WHICH ENSURE THAT THIS COMMITMENT CAN CONTINUE. HSC PEDIATRIC CENTER SUPPORTS FAMILIES IN CARRYING OUT THEIR RESPONSIBILITY FOR OBTAINING MEDICAL CARE FOR THEIR CHILDREN. HSC PEDIATRIC CENTER THEREFORE WILL ASSIST FAMILIES IN VERIFYING THEIR ABILITY TO MEET THEIR FINANCIAL OBLIGATION TO THE HOSPITAL OR IN SECURING THE RESOURCES NECESSARY TO DO SO. THE PURPOSE OF THIS POLICY IS TO ESTABLISH GUIDELINES FOR THE EFFECTIVE AND RESPONSIBLE FISCAL PROGRAMMING, WHICH ASSURES THE FINANCIAL VIABILITY OF THE INSTITUTION AND MAINTAINS THE DIGNITY OF THE FAMILY.COLLECTION EFFORTS ARE THEREFORE THE SAME FOR ALL PATIENTS. ONCE THE APPROVED CHARITY ADJUSTMENT HAS BEEN DETERMINED, THE ACCOUNT BALANCE IS WRITTEN OFF TO CHARITY AND COLLECTION EFFORTS CEASE. FOR PATIENT BALANCES THAT ARE NOT FINANCIAL ASSISTANCE ELIGIBLE, HSC PEDIATRIC CENTER OFFERS PAYMENT PLANS. BILLING STATEMENTS WILL BE SENT TO GUARANTORS FOR OUTSTANDING BALANCES. ATTEMPTS TO CONTACT THE GUARANTORS VIA PHONE WILL ALSO OCCUR. ACCOUNTS WITH BALANCES AND NO RESPONSE FROM GUARANTORS AFTER REPEATED STATEMENTS AND PHONE CALLS WILL BE WRITTEN OFF TO BAD DEBT. IF THE PATIENT SUBSEQUENTLY PAYS, THE BAD DEBT ADJUSTMENT WILL BE REVERSED, AND PAYMENT POSTED TO THE PATIENT'S ACCOUNT. HSC PEDIATRIC CENTER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES, E.G. CREDIT REPORTING, WAGE GARNISHMENTS, LIENS, ETC. PART VI, LINE 2: COMMUNITY HEALTH CARE NEEDS ASSESSMENTIN ADDITION TO THE JOINT PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT WITH CHILDREN'S NATIONAL, HSC PEDIATRIC CENTER ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH OTHER EFFORTS. FOR EXAMPLE, IN CONJUNCTION WITH THE DC HEALTH MATTERS COLLABORATIVE, HSC PEDIATRIC CENTER PARTNERED ON A DC-WIDE CHNA TO LEVERAGE NEEDS RESOURCES AND INVEST IN COMMUNITY HEALTH INITIATIVES THAT ADDRESS COMMUNITY NEEDS-WITH THE ULTIMATE GOAL OF CREATING A CULTURE OF HEALTH AND IMPROVING HEALTH AND WELLNESS. THE DC HEALTH MATTERS COLLABORATIVE INCLUDES THREE DC HOSPITALS (CHILDREN'S NATIONAL HEALTH SYSTEM, HOWARD UNIVERSITY HOSPITAL, AND SIBLEY MEMORIAL HOSPITAL) AND FOUR COMMUNITY HEALTH CENTERS (BREAD FOR THE CITY, COMMUNITY OF HOPE, MARY'S CENTER AND UNITY HEALTH CARE). THE 2022 CHNA IDENTIFIED THE FOLLOWING NEEDS THAT HSC PEDIATRIC CENTER IS ALIGNING WITH ITS PEDIATRIC COMMUNITY HEALTH NEEDS ASSESSMENT:-MENTAL WELL-BEING -EQUITABLE ACCESS TO CARE (AND EVERYTHING PATIENTS NEED - INCLUDING COORDINATION OF THAT CARE, HOUSING, AND SOCIAL SUPPORT SERVICES.) -COMMUNITY-BASED WORKFORCE DEVELOPMENT (INCLUDING RETENTION AND DEVELOPMENT OF HEALTHCARE WORKFORCE.) HSC PEDIATRIC CENTER ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF CHRONIC CARE FOR PEDIATRIC PATIENTS AND IS TRUSTED THROUGHOUT ITS COMMUNITY AS A RESOURCE READY AND WILLING TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. HSC PEDIATRIC CENTER'S CURRENT COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://CHILDRENSNATIONAL.ORG/ADVOCACY-AND-OUTREACH/CHILD-HEALTH-ADVOCACY-INSTITUTE/COMMUNITY-AFFAIRS/IMPROVING-COMMUNITY-HEALTH. PART VI, LINE 3: ELIGIBILITY EDUCATIONTHE HSC PEDIATRIC CENTER HAS A STRONG COMMITMENT TO PROVIDING SERVICES TO FAMILIES AT NO COST TO THEM IF AT ALL POSSIBLE. MANY OF THE FAMILIES WHO RECEIVE SERVICES FROM HSC PEDIATRIC CENTER HAVE ALREADY QUALIFIED FOR MEDICAID BY THE TIME OF THEIR ARRIVAL AT HSC PEDIATRIC CENTER DUE TO PRIOR SERVICES AT OTHER FACILITIES. IF A FAMILY ARRIVES AT HSC PEDIATRIC CENTER WITH PRIVATE INSURANCE, OFTEN TIMES THEY QUALIFY FOR MEDICAID BY THE TIME THEY ARE DISCHARGED TO CARE AT HOME. FAMILIES ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE TIME OF THEIR ADMISSION TO HSC PEDIATRIC CENTER. THEY ARE GIVEN WRITTEN COPIES OF THE STATEMENT: NOTICE OF AVAILABILITY OF UNCOMPENSATED SERVICES" IN THE APPROPRIATE LANGUAGE. IF THEY BELIEVE THEY MAY BE IN NEED OF THE SERVICES, AN APPLICATION IS FILLED OUT AT THE TIME OF ADMISSION. IF A FAMILY DOES NOT QUALIFY FOR MEDICAID, THEY WOULD BE ELIGIBLE TO PURSUE THE AVAILABLE UNCOMPENSATED SERVICES. IF PATIENTS ARE NOT ELIGIBLE FOR MEDICAID AND OTHER GOVERNMENTAL PROGRAMS SUBSEQUENT TO DISCHARGE, HSC PEDIATRIC CENTER BOTH INFORMS AND ATTEMPTS TO QUALIFY THEM PROSPECTIVELY FOR THE CHARITY CARE SERVICES PROVIDED BY HSC PEDIATRIC CENTER. STAFF OF THE ORGANIZATION HELP IDENTIFY GOVERNMENT OR NON-PROFIT ASSISTANCE WHICH MAY BE AVAILABLE, AND THE ORGANIZATION WILL ASSIST PATIENTS' FAMILIES WITH APPLYING FOR SUCH PROGRAMS, SUCH AS MEDICAID. PART VI, LINE 4: DESCRIPTION OF COMMUNITY SERVEDTHE HSC PEDIATRIC CENTER SERVES CHILDREN AND YOUNG ADULTS UP TO THE AGE OF 21 IN THE WASHINGTON DC METRO AREA WHO HAVE SPECIAL HEALTH CARE NEEDS. HSC PEDIATRIC CENTER SERVES THE WASHINGTON DC METRO AREA WHICH IS A DIVERSE COMMUNITY THAT COVERS TWO STATES AND THE DISTRICT OF COLUMBIA.THE U.S. CENSUS ESTIMATES THE 2022 POPULATION OF THE DISTRICT OF COLUMBIA TO BE 671,803 RESIDENTS, A POPULATION COMPARABLE TO THE CITIES OF BOSTON AND DENVER. DC'S POPULATION HAS INCREASED BY 18.1% SINCE 2010. MARYLAND AND VIRGINIA ARE HOME TO 6 MILLION AND 8 MILLION RESIDENTS, RESPECTIVELY. THE SOCIAL DEMOGRAPHICS FOR THE DISTRICT OF COLUMBIA, MARYLAND AND VIRGINIA, ACCORDING TO THE U.S. CENSUS, ARE AS FOLLOWS: DISTRICT OF COLUMBIA: ABOUT 45.8% BLACK; 45.9% WHITE; 11.5% LATINO; 4.5% ASIAN AND 0.6% AMERICAN INDIAN/ALASKA NATIVE; MARYLAND: APPROXIMATELY 59% WHITE; 31% BLACK; 10% HISPANIC; 6.7% ASIAN AND VIRGINIA 69.7% WHITE, 19.8% BLACK, 9.4% HISPANIC, 6.8% ASIAN, AND 0.5% AMERICAN INDIAN/ALASKA NATIVE. SINCE 2010, THE LARGEST POPULATION GROWTH OF 33% HAS BEEN IN THE HISPANIC GROUP WHILE THE PORTION OF BLACK POPULATION HAS BEEN DECREASING. IN THE DISTRICT OF COLUMBIA, CHILDREN 18 YEARS OLD AND YOUNGER MAKE UP 19 PERCENT OF THE POPULATION WITH THE HIGHEST PERCENTAGE RESIDING IN WARDS 7 AND 8, 3.14% AND 3.30% RESPECTIVELY. IN BOTH MARYLAND AND VIRGINIA ABOUT 23 PERCENT OF THE POPULATION IS CHILDREN 18 YEARS OLD AND YOUNGER. CHILDREN AGED FIVE AND YOUNGER MAKE UP APPROXIMATELY 6.5% PERCENT OF THE POPULATION IN THE DISTRICT OF COLUMBIA, MARYLAND AND VIRGINIA. SOCIOECONOMIC STATUS IS THE SOCIAL STANDING OF AN INDIVIDUAL OR GROUP. IT IS OFTEN MEASURED AS A COMBINATION OF EDUCATION, INCOME, AND OCCUPATION. LOW SOCIOECONOMIC STATUS IS STRONGLY CORRELATED WITH INEQUITIES IN ACCESS TO RESOURCES, AS WELL AS ISSUES RELATED TO PRIVILEGE, POWER, AND CONTROL. PEOPLE WITH LOWER SOCIOECONOMIC STATUS TYPICALLY EXPERIENCE POORER HEALTH AND DIE YOUNGER THAN THOSE WITH MORE ECONOMIC ADVANTAGE. CITYWIDE AVERAGES OFTEN PAINT DC AS A SOCIALLY AND ECONOMICALLY RICH CITY; HOWEVER, A MORE DETAILED LOOK REVEALS A STORY OF PROFOUND INEQUITIES. SOCIOECONOMIC CHARACTERISTICS OF DC RESIDENTS VARY IMMENSELY ACROSS THE CITY. HEALTH INEQUITIES FOLLOW THE SAME PATTERN. FOR EXAMPLE, THERE ARE DIRECT CORRELATIONS BETWEEN THE CONCENTRATION OF POVERTY IN SEGMENTS OF THE CITY, PARTICULARLY IN WARDS 7 AND 8, AND PATTERNS OF POOR HEALTH OUTCOMES CONCENTRATED IN THE SAME AREAS. 48.5% OF CHILDREN IN WARD 8, THE WARD WITH THE LOWEST HOUSEHOLD INCOME IN THE DISTRICT OF COLUMBIA, LIVE IN POVERTY, AS COMPARED TO 3.5% OF CHILDREN IN WARD 3, THE WEALTHIEST WARD. ADDITIONALLY, DC HAS A 15+ YEAR DIFFERENCE IN LIFE EXPECTANCY BY WARD: 87.6 YEARS IN WARD 3 COMPARED TO 72 YEARS IN WARD 8. RACIAL DIFFERENCES IN LIFE EXPECTANCY ARE ALSO STRIKING. WHEN COMPARED TO OTHER RACIAL GROUPS, THE LIFE EXPECTANCY FOR BLACK RESIDENTS IS THE LOWEST. WHITE MALES IN THE DISTRICT ARE EXPECTED TO LIVE ALMOST 15 YEARS LONGER THAN BLACK MALES (83.2 AND 68.8 YEARS, RESPECTIVELY). WHITE FEMALES IN THE DISTRICT ARE EXPECTED TO LIVE APPROXIMATELY 9 YEARS LONGER THAN BLACK FEMALES (85.2 AND 76.2 YEARS, RESPECTIVELY). OF THE DC SPECIAL NEEDS CHILDREN, APPROXIMATELY 5,500 WERE ENROLLED IN HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC., HSC PEDIATRIC CENTER'S SISTER ORGANIZATION THAT PROVIDES CARE MANAGEMENT SERVICES TO CHILDREN WHO HAVE SSI OR SSI RELATED DIAGNOSES. THE PRIMARY CONDITIONS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS TREATED AT THE HSC PEDIATRIC CENTER ARE CONDITIONS REQUIRING LONGER TERM TRANSITIONAL CARE AND/OR SPECIALTY REHABILITATION CARE PRIOR TO THEIR DISCHARGE TO HOME OR NURSING/GROUP HOME. THESE CONDITIONS INCLUDE CEREBRAL PALSY, ANOXIC BRAIN DAMAGE, SPINA BIFIDA, FAILURE TO THRIVE RELATED TO PREMATURITY, CHRONIC LUNG DISEASE AND INTESTINAL OR OTHER FEEDING DISORDERS. PART VI, LINE 5: PROMOTING THE HEALTH OF THE COMMUNITYTHE HSC PEDIATRIC CENTER'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE ORGANIZATIONS SURPLUS FUNDS ARE USED TO FURTHER ITS EXEMPT PURPOSE AND COMMUNITY PROGRAMS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM ROLESHSC PEDIATRIC CENTER IS PART OF AN AFFILIATED HEALTH CARE SYSTEM COMPRISED OF THE FOLLOWING ADDITIONAL TAX-EXEMPT ENTITIES:-CHILDREN'S HOSPITAL DBA CHILDREN'S NATIONAL HOSPITAL - 501(C)(3), HOSPITAL -CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL - 501(C)(3), OVERSIGHT AND FINANCIAL RESPONSIBLE FOR HEALTH CARE SYSTEM-CHILDREN'S HOSPITAL FOUNDATION DBA CHILDREN'S NATIONAL HOSPITAL FOUNDATION - 501(C)(3), FUNDRAISING-CHILDREN'S RESEARCH INSTITUTE DBA CHILDREN'S NATIONAL RESEARCH INSTITUTE - 501(C)(3), CONDUCTING CLINICAL MEDICAL RESEARCH AND EDUCATION PROGRAMS-SAFE KIDS WORLDWIDE - 501(C)(3), INJURY PREVENTION FOR CHILDREN-BRAINY CAMPS ASSOCIATION - 501(C)(3), PROVISION OF CAMPS FOR CHILDREN-CHILDREN'S SCHOOL SERVICES - 501(C)(3), OPERATION OF A SCHOOL NURSE PROGRAM-HSC FOUNDATION - 501(C)(3), SUPPORT FOR THE HSC ENTITIES-HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS - 501(C)(3), HEALTHCARE, SOCIAL, AND EDUCATIONAL SERVICES FOR YOUNG INDIVIDUALS WITH SPECIAL NEEDS-HSC HOME CARE, LLC - 501(C)(3), HOME AND COMMUNITY PROVIDES ACCESS TO QUALITY REHABILITATIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS.EACH ENTITY PARTICIPATES IN THE CHILDREN'S NATIONAL'S ABILITY TO DELIVER PEDIATRIC HEALTH CARE SERVICES ON AN INTEGRATED BASIS. 1 ADVOCATES FOR JUSTICE AND EDUCATION INC 1200 G STREET NWSUITE 725 WASHINGTON DC 20005 521989809 501(C)(3) 10000 0 LEAP AWARD PROGRAM ARC OF LOUDOUN 601 CATOCTIN CIRCLE NE LESSBURG VA 20176 540835314 501(C)(3) 9000 0 LEAP AWARD PROGRAM FOUNDATION SCHOOLS INC 1330 MCCORMICK DRIVE LARGO MD 20774 237425256 501(C)(3) 10000 0 LEAP AWARD PROGRAM BROADFUTURES INC 2000 PENNSYLVANIA AVENUE NW SUITE 7000 WASHINGTON DC 20006 463344842 501(C)(3) 10000 0 LEAP AWARD PROGRAM LATIN AMERICAN YOUTH CENTER 1419 COLUMBIA ROAD NW WASHINGTON DC 20009 521023074 501(C)(3) 10000 0 LEAP AWARD PROGRAM ARC OF SOUTHERN MARYLAND INC 355 W DARES BEACH ROAD PO BOX 1860 PRINCE FREDERICK MD 20678 521062351 501(C)(3) 10000 0 LEAP AWARD PROGRAM ARC OF NORTHERN VIRGINIA 2755 HARTLAND ROAD SUITE 200 FALLS CHURCH VA 22043 540675506 501(C)(3) 9000 0 LEAP AWARD PROGRAM IVYMOUNT SCHOOL INC 11614 SEVEN LOCKS ROAD ROCKVILLE MD 20854 521195527 501(C)(3) 10000 0 LEAP AWARD PROGRAM POTOMAC COMMUNITY RESOURCES INC 9200 KENTSDALE DRIVE POTOMAC MD 20854 522286949 501(C)(3) 10000 0 LEAP AWARD PROGRAM MONTGOMERY COLLEGE FOUNDATION INC 9221 CORPORATE BLVD3RD FLOOR ROCKVILLE MD 20850 521267008 501(C)(3) 10000 0 LEAP AWARD PROGRAM 10 0 PART I, LINE 2: THE LIFE ENRICHMENT AWARDS PROGRAM (LEAP) PROVIDES GRANTS TO SUPPORT YOUTH AND YOUNG ADULTS WITH DISABILITIES AND CHRONIC ILLNESSES IN THE WASHINGTON, D.C. AREA AS THEY TRANSITION TO ADULTHOOD. GRANTS ARE MADE THROUGH THE HSC PEDIATRIC CENTER'S NETWORK OF COMMUNITY PARTNERS WHO ARE WORKING TO ENSURE YOUNG ADULTS HAVE THE RESOURCES AND SERVICES THEY NEED TO MAKE A SUCCESSFUL TRANSITION TO THE NEXT STEP IN THEIR LIVES. FUNDS MAY BE USED FOR A VARIETY OF PURPOSES, INCLUDING BUSINESS CLOTHING, CAREER EXPLORATION OR RELATED COURSES, COMPUTERS AND EQUIPMENT, OR OTHER TRANSITION NEEDS. GRANT RECIPIENTS ARE REQUIRED TO SUBMIT A PROGRESS AND FINAL REPORT DETAILING AWARDEE NAMES, AGE, AND SPECIFIC EXPENDITURES INCLUDING BENEFIT OBTAINED. 0 1 0 0 0 0 0 0 0 ALDWIN LINDSAY TREASURER & EVP/CFO 0 592009 0 254177 0 54966 0 104500 0 13320 0 1018972 0 30679 MARY ANNE HILLIARD SECRETARY 0 488677 0 242628 0 119718 0 77934 0 36143 0 965100 0 80669 NATHANIEL BEERS MD PRESIDENT OF HSC 0 437038 0 199170 0 21778 0 84250 0 31844 0 774080 0 0 DONNA ANTHONY FORMER KEY EMPLOYEE 0 287110 0 73348 0 9247 0 8403 0 31538 0 409646 0 0 DEBBIE HOLSON COO, PEDIATRIC CENTER 0 252351 0 21946 0 4356 0 13005 0 24391 0 316049 0 0 KIMBERLY BROWN FORMER OFFICER 0 208871 0 17510 0 774 0 10612 0 11135 0 248902 0 0 ANDREW METINKO PEDIATRICIAN 0 193868 0 375 0 3944 0 9707 0 24222 0 232116 0 0 SAMAR HUSSEIN PEDIATRICIAN 0 203919 0 375 0 1344 0 10276 0 8080 0 223994 0 0 ANNE RUECKTENWALD DIRECTOR OUTPATIENT PROGRAMS 0 159940 0 33700 0 2283 0 0 0 8045 0 203968 0 0 JULIA P BALASUNDARAM INPATIENT & SNF RN 0 162150 0 1480 0 725 0 8842 0 29368 0 202565 0 0 ESTHER KAGULU INPATIENT & SNF RN 0 180778 0 1275 0 960 0 0 0 8206 0 191219 0 0 SCHEDULE J, PART I, LINE 3: PROCESS FOR DETERMINING COMPENSATION HOSPITAL FOR SICK CHILDREN RELIES ON ITS SOLE MEMBER'S PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR HSCPC'S PRESIDENT. CHILDREN'S NATIONAL USES AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION. SCHEDULE J, PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS PART OF DEFERRED COMPENSATION: ALDWIN LINDSAY $90,000 MARY ANN HILLIARD $63,434 NATHANIEL BEERS, MD $69,750 A DISTRICT OF COLUMBIA 536001131 2020-04-23 8475000 REFUND SERIES 2005 BOND 0 0 0 A 1600000 8475000 8475000 1992 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 7: ALL COSTS OF ISSUANCE WITH RESPECT TO THE BONDS WERE PAID FROM FUNDS OTHER THAN PROCEEDS OF THE BONDS. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE HOSPITAL FOR SICK CHILDREN, COMMONLY KNOWN AS THE HSC PEDIATRIC CENTER (AND SOMETIMES REFERRED TO IN THIS 990 AS "HSCPC"), PROVIDES QUALITY CARE FOR YOUTH WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, D.C. AND BALTIMORE AREAS. FORM 990, PART V: THE FILING ORGANIZATION HAS ENTERED "0" IN PART V, LINE 1A AND LINE 2A BECAUSE THE ORGANIZATION'S 1099 AND W-2 RETURNS ARE FILED BY AND UNDER THE NAME AND EIN OF CHILDREN'S HOSPITAL, INC., A RELATED ENTITY, UNDER A SHARED SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS THE HSC FOUNDATION IS THE SOLE MEMBER OF THE HOSPITAL FOR SICK CHILDREN. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS THE HSC FOUNDATION IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL FOR SICK CHILDREN. CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL) IS THE SOLE CORPORATE MEMBER OF THE HSC FOUNDATION. ON SEPTEMBER 1, 2019, THE HSC FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL AND FOR A PERIOD OF FIVE YEARS THEREAFTER, THE MEMBERS OF THE HSC FOUNDATION'S GOVERNING BODY TOGETHER WITH THE BOARD OF CHILDREN'S NATIONAL APPOINT THE MEMBERS OF THE HOSPITAL FOR SICK CHILDREN'S GOVERNING BODY. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL APPOINT MEMBERS OF THE HOSPITAL FOR SICK CHILDREN'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B RIGHTS OF MEMBERS THE SOLE MEMBER (THE HSC FOUNDATION) TOGETHER WITH ITS SOLE MEMBER (CHILDREN'S NATIONAL MEDICAL CENTER) HAVE ALL OF THE POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION AND BYLAWS, INCLUDING THE POWER TO: (A) ESTABLISH THE HOSPITAL FOR SICK CHILDREN'S (HSC'S) POLICIES AND GOALS, AND APPROVE THE BYLAWS INCLUDING ANY AMENDMENTS THERETO; (B) APPOINT AND REMOVE HSC'S BOARD OF DIRECTORS; (C) MONITOR THE DECISIONS OF THE HSC'S BOARDS OF DIRECTORS; AND (D) APPROVE HSC'S BUDGET. ON SEPTEMBER 1, 2019, AND BY MEANS OF AN AFFILIATION AGREEMENT, THE HSC FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL MEDICAL CENTER. EFFECTIVE AS OF THAT DATE, THE HSC FOUNDATION AND THE HOSPITAL FOR SICK CHILDREN AMENDED AND RESTATED THE HOSPITAL FOR SICK CHILDREN'S BYLAWS TO COMPLY WITH CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE. UNDER CHILDREN'S NATIONAL'S SYSTEM OF GOVERNANCE, CHILDREN'S NATIONAL RETAINS CERTAIN AUTHORITY OVER SUBSIDIARY (AND A SUBSIDIARY OF A SUBSIDIARY) ENTITIES. THE RETENTION OF AUTHORITY INCLUDES ITEMS SUCH AS: THE AUTHORITY TO AMEND A SUBSIDIARY'S GOVERNING DOCUMENTS, AUTHORIZATION OF THE SALE OF SUBSTANTIALLY ALL ASSETS, APPOINT/REMOVE OFFICERS AND DIRECTORS, APPROVE BUDGETS, SET SIGNATURE AUTHORITY, AND ADOPT AN ENTERPRISE-WIDE COMPLIANCE PLAN. THE AFFILIATION AGREEMENT ANTICIPATES A FIVE-YEAR INTEGRATION PERIOD, DURING SUCH PERIOD THE HSC FOUNDATION AND CHILDREN'S NATIONAL WILL SHARE RESPONSIBILITY FOR CERTAIN AUTHORITIES THAT ARE OTHERWISE SET UNDER THE SYSTEM OF GOVERNANCE. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL HAVE SOLE RESPONSIBILITY FOR AUTHORITY THAT IS RESERVED UNDER THE SYSTEM OF GOVERNANCE. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE RELEVANT COMMITTEES OF THE ORGANIZATION REVIEW APPLICABLE PORTIONS OF THE 990. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIRPERSON OF THE AUDIT RISK AND COMPLIANCE COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH THE IRS. THE HOSPITAL FOR SICK CHILDREN PROVIDES A COPY OF THE FORM 990 TO THE BOARD PRIOR TO FILING WITH THE IRS. THE COMPLETED FORM 990 IS ALSO MADE AVAILABLE TO THE BOARD OF CHILDREN'S NATIONAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY EACH OF THE HOSPITAL FOR SICK CHILDREN AND ITS CORPORATE MEMBER, THE HSC FOUNDATION, HAVE ADOPTED THE CONFLICT OF INTEREST POLICY OF THE PARENT ORGANIZATION, CHILDREN'S NATIONAL MEDICAL CENTER. CHILDREN'S NATIONAL AND ITS SUBSIDIARIES ASK EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST FORM AT LEAST EVERY YEAR. IN ADDITION, EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS INSTRUCTED TO AMEND THE CONFLICT OF INTEREST FORM IMMEDIATELY UPON A CHANGE IN STATUS OF ANY OF THE QUESTIONS ON THE FORM. THESE FORMS ARE REVIEWED ANNUALLY BY THE CHIEF LEGAL OFFICER AND CONFLICTS OF INTEREST ARE NOTED. THE CHILDREN'S NATIONAL BOARD MAKES A DETERMINATION, BASED ON THE RECOMMENDATION OF THE CHIEF LEGAL OFFICER AS TO WHICH PERSONS SHOULD BE CONSIDERED "INTERESTED PARTIES" BASED ON THE CRITERIA SET FORTH IN THE BOARD'S GOVERNANCE POLICY. FORM 990, PART VI, SECTION B, LINES 13 & 14: GOVERNING POLICIES THE HOSPITAL FOR SICK CHILDREN ("HSCPC") IS GOVERNED BY THE COMPLIANCE POLICIES OF CHILDREN'S NATIONAL, THE SOLE MEMBER OF HSCPC'S PARENT ORGANIZATION. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION THE HOSPITAL FOR SICK CHILDREN RELIES ON CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER, TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S PRESIDENT. CHILDREN'S NATIONAL USED AN EXECUTIVE COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE PEOPLE, CULTURE AND COMPENSATION COMMITTEE OF THE BOARD TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: FORMER OFFICER, KIMBERLY BROWN, AND FORMER KEY EMPLOYEE, DONNA ANTHONY, ARE LISTED AS "FORMER" ON PART VII, BUT CONTINUE TO BE EMPLOYED BY CHILDREN'S NATIONAL IN A LESSER CAPACITY. THEY NO LONGER SERVE THE HOSPITAL FOR SICK CHILDREN IN THEIR PRIOR ROLE AS OFFICER OR KEY EMPLOYEE. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 3,646. MANAGEMENT AND GENERAL EXPENSES 57,953. TOTAL EXPENSES 61,599. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,242,705. MANAGEMENT AND GENERAL EXPENSES 504,194. TOTAL EXPENSES 2,746,899. PURCHASED LABOR: PROGRAM SERVICE EXPENSES 1,210,154. TOTAL EXPENSES 1,210,154. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 126,967. MANAGEMENT AND GENERAL EXPENSES 20,921. TOTAL EXPENSES 147,888. 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