HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC (EIN 52-1862406)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202221339349308037
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T15:25:54-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 WILSON BLVD SUITE 1400AddressLine1Txt
CityARLINGTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22209ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521862406EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH SERVICES FOR CHILDREN WITHBusinessNameLine1Txt
Business Name Line2SPECIAL NEEDS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2024765000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALDWIN LINDSAYPersonNm
Person TitleCFOPersonTitleTxt
Phone2024765000PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALDWINPersonFirstNm
Person LastLINDSAYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY TORRETTAPreparerPersonNm
PTINP00847851PTIN
Phone7038477500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNATHANIEL BEERS MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVE NWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$176,897,085GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.CHILDRENSNATIONAL.ORG/HSCWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee214TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$88,246,359PYProgramServiceRevenueAmt
CY Program Service Revenue$176,260,303CYProgramServiceRevenueAmt
PY Investment Income$299,735PYInvestmentIncomeAmt
CY Investment Income$551,324CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$76,018CYOtherRevenueAmt
PY Total Revenue$88,546,094PYTotalRevenueAmt
CY Total Revenue$176,887,645CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,778,019PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,612,514CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$78,252,668PYOtherExpensesAmt
CY Other Expenses$151,214,671CYOtherExpensesAmt
PY Total Expenses$88,030,687PYTotalExpensesAmt
CY Total Expenses$171,827,185CYTotalExpensesAmt
PY Revenues Less Expenses$515,407PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,060,460CYRevenuesLessExpensesAmt
Total Assets BOY$65,554,023TotalAssetsBOYAmt
Total Assets EOY$113,351,852TotalAssetsEOYAmt
Total Liabilities BOY$43,291,621TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,197,860TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,262,402NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,153,992NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COORDINATION OF HEALTHCARE, SOCIAL, AND EDUCATIONAL, SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WHO HAVE DISABILITIES AND/OR COMPLEX MEDICAL AND/OR PSYCHOLOGICAL NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$143,509,283ExpenseAmt
Revenue$176,260,303RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$143,509,283TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document462IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee214EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATE OFFICERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2024765000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 MICHIGAN AVEAddressLine1Txt
CityNW WASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20010ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNA PILSKAYA DUNN
CHAIR TO 07/20/PRESIDENT OF HSCSN55.000.00Yes (X)Yes (X)$0$173,658$18
NEIL GRAMMER
BOARD CHAIR1.002.00Yes (X)Yes (X)$0$0$0
NATHANIEL BEERS
PRESIDENT OF HSC, BOARD MEMBER22.0033.00Yes (X)Yes (X)$0$613,870$111,377
WENDY GOLDBERG
BOARD MEMBER2.002.00Yes (X)$0$0$0
SHARON BRICKHOUSE MARTIN
BOARD MEMBER1.001.00Yes (X)$0$0$0
MICHAEL JONES
BOARD MEMBER1.002.00Yes (X)$0$0$0
KATHRYN KUHMERKER
BOARD MEMBER1.000.00Yes (X)$0$0$0
ALEC KING
TREASURER & EVP/CFO TO 10/201.0054.00Yes (X)$0$702,850$35,922
MARY ANNE HILLIARD
SECRETARY1.0054.00Yes (X)$0$822,880$126,992
ALDWIN LINSDAY
TREASURER & EVP/CFO FROM 12/201.0054.00Yes (X)$0$440,893$38,519
ERIC LEVEY MD
CHIEF MEDICAL OFFICER55.000.00$330,285$0$42,098Yes (X)
STEPHANIE TAYLOR
VP QUALITY & RISK MANAGEMENT55.000.00$218,586$0$23,832Yes (X)
LISA PROCTOR
VP MARKETING & OUTREACH55.000.00$210,597$0$28,568Yes (X)
RICHARD BOLDUC
VP APP & DATA ANALYTICS TO 4/2155.000.00$222,572$0$26,564Yes (X)
NADINE COY
CHIEF OPERATING OFFICER55.000.00$263,710$0$32,626Yes (X)
KIMBERLY BROWN
FMR VP FINANCE/INT CFO TO 11/190.0055.00$0$257,224$31,870Yes (X)
VICTOR FIELDS
FORMER EVP MGD CARE TO 3/200.000.00$0$453,772$41,563Yes (X)
THOMAS W CHAPMAN
FMR PRESIDENT & CEO TO 4/170.000.00$0$137,429$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,245,750TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,602,576TotReportableCompRltdOrgAmt
Total Other Compensation$539,949TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K129IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMANAGED CARE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$176,260,303TotalRevenueColumnAmt
Related Or Exempt Func Income$176,260,303RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$176,260,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$550,309TotalRevenueColumnAmt
Exclusion$550,309ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$10,455OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$9,440OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,015OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,015TotalRevenueColumnAmt
Exclusion$1,015ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION REFUNDDesc
Business900099BusinessCd
Total Revenue Column$76,018TotalRevenueColumnAmt
Exclusion$76,018ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$76,018OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,887,645TotalRevenueColumnAmt
Related Or Exempt Func Income$176,260,303RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$627,342ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$338,435TotalAmt
Management And General$338,435ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,026,605TotalAmt
Program Services$10,411,946ProgramServicesAmt
Management And General$6,614,659ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$545,866TotalAmt
Program Services$13,128ProgramServicesAmt
Management And General$532,738ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,325,010TotalAmt
Program Services$2,398ProgramServicesAmt
Management And General$1,322,612ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,376,598TotalAmt
Program Services$35,075ProgramServicesAmt
Management And General$1,341,523ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,602TotalAmt
Management And General$14,602ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,102,437TotalAmt
Program Services$1,275,271ProgramServicesAmt
Management And General$2,827,166ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$649TotalAmt
Management And General$649ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,310,774TotalAmt
Program Services$160,966ProgramServicesAmt
Management And General$1,149,808ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,595,421TotalAmt
Program Services$32,906ProgramServicesAmt
Management And General$1,562,515ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,033,261TotalAmt
Management And General$1,033,261ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$30,887TotalAmt
Program Services$10,794ProgramServicesAmt
Management And General$20,093ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,495TotalAmt
Management And General$1,495ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,322TotalAmt
Management And General$3,322ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,531,383TotalAmt
Management And General$1,531,383ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,108TotalAmt
Management And General$39,108ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTHCARE SERVICE COST$132,630,188$131,561,870$1,068,318
SHARED SERVICE ALLOC$5,328,000$5,328,000
PREMIUM TAXES$3,510,514$3,510,514
BOOKS & SUBSCRIPTIONS$63,245$4,929$58,316

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,385TotalAmt
Management And General$19,385ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$171,827,185TotalAmt
Program Services$143,509,283ProgramServicesAmt
Management And General$28,317,902ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$23,922,476BOYAmt
EOY$52,673,991EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$155,647BOYAmt
EOY$23,553,236EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,816,532BOYAmt
EOY$6,152,937EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,066BOYAmt
EOY$131,740EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,360,511LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,618,146LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,236,099BOYAmt
EOY$3,742,365EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,091,225BOYAmt
EOY$23,383,002EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,313,978BOYAmt
EOY$3,714,581EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,554,023BOYAmt
EOY$113,351,852EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,599,022BOYAmt
EOY$32,575,956EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,692,599BOYAmt
EOY$48,621,904EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,291,621BOYAmt
EOY$81,197,860EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,262,402BOYAmt
EOY$32,153,992EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,262,402BOYAmt
EOY$32,153,992EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,554,023BOYAmt
EOY$113,351,852EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,060,460ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,431,184NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$399,946OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$5,190TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,616,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$182,035,004CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,417,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,246,359CurrentTaxYearMinus1YearAmt
Current Tax Year$176,260,303CurrentTaxYearAmt
Total$810,576,213TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,621,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$182,035,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,417,740CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,246,359CurrentTaxYearMinus1YearAmt
Current Tax Year$176,260,303CurrentTaxYearAmt
Total$810,581,403TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$810,581,403PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$282,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$745,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,735CurrentTaxYearMinus1YearAmt
Current Tax Year$550,309CurrentTaxYearAmt
Total$1,879,424TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,223CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$282,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$745,896CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,735CurrentTaxYearMinus1YearAmt
Current Tax Year$550,309CurrentTaxYearAmt
Total$1,879,424TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,683CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23CurrentTaxYearMinus2YearsAmt
Current Tax Year$76,018CurrentTaxYearAmt
Total$80,405TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,625,798CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$182,319,051CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,163,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$88,546,094CurrentTaxYearMinus1YearAmt
Current Tax Year$176,886,630CurrentTaxYearAmt
Total$812,541,232TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99840PublicSupportPY509Pct
Investment Income CY0.00230InvestmentIncomeCYPct
Investment Income PY0.00160InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:OTHER INCOME - 2016 AMOUNT: $ 2,683. 2017 AMOUNT: $ 1,681. 2018 AMOUNT: $ 23. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 76,018.
PART III, SHORT YEAR EXPLANATION:THE BOARD OF THE ORGANIZATION APPROVED A FISCAL YEAR CHANGE TO 6/30, WHICH REQUIRED THAT THE ORGANIZATION FILE A SHORT-PERIOD RETURN FOR THE YEAR ENDING 6/30/2020. THE AMOUNTS LISTED FOR 2019 REPRESENT THE SHORT PERIOD FROM 1/1/2020 TO 6/30/2020.

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,787,995OtherCostOrOtherBasisAmt
Depreciation$615,620DepreciationAmt
Book Value$2,172,375BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,533,316OtherCostOrOtherBasisAmt
Depreciation$1,963,326DepreciationAmt
Book Value$1,569,990BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,200OtherCostOrOtherBasisAmt
Depreciation$39,200DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,742,365TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$44,457,947
OPERATING LEASE LIABILITY$3,965,316
FINANCING LEASE LIABILITY$107,241
SELF INSURANCE LIABILITY$91,400
FieldValueIRS element (for citing)
Total Liability$48,621,904TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationLIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) FIN 48 FINANCIAL STATEMENT FOOTNOTE FROM CHILDREN'S NATIONAL MEDICAL CENTER (CHILDREN'S NATIONAL), THE PARENT OF HSCSN'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, 2021 AND 2020 AS CHILDREN'S NATIONAL HAS NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY ANNE HILLIARD
SECRETARY$0$526,285$0$207,524$0$89,071$0$91,684$0$35,308$0$949,872$0$65,414
ALEC KING
TREASURER & EVP/CFO TO 10/20$0$540,791$0-$20,853$0$182,912$0$14,250$0$21,672$0$738,772$0$100,312
NATHANIEL BEERS
PRESIDENT OF HSC, BOARD MEMBER$0$454,172$0$140,198$0$19,500$0$84,000$0$27,377$0$725,247$0$0
VICTOR FIELDS
FORMER EVP MGD CARE TO 3/20$0$130,295$0$62,156$0$261,321$0$22,208$0$19,355$0$495,335$0$0
ALDWIN LINSDAY
TREASURER & EVP/CFO FROM 12/20$0$323,772$0$72,276$0$44,845$0$36,741$0$1,778$0$479,412$0$24,355
ERIC LEVEY MD
CHIEF MEDICAL OFFICER$294,656$0$35,024$0$605$0$14,616$0$27,482$0$372,383$0$0$0
NADINE COY
CHIEF OPERATING OFFICER$231,313$0$31,898$0$499$0$13,149$0$19,477$0$296,336$0$0$0
KIMBERLY BROWN
FMR VP FINANCE/INT CFO TO 11/19$0$254,719$0$300$0$2,205$0$12,393$0$19,477$0$289,094$0$0
RICHARD BOLDUC
VP APP & DATA ANALYTICS TO 4/21$198,445$0$23,821$0$306$0$5,892$0$20,672$0$249,136$0$0$0
STEPHANIE TAYLOR
VP QUALITY & RISK MANAGEMENT$203,354$0$14,339$0$893$0$11,072$0$12,760$0$242,418$0$0$0
LISA PROCTOR
VP MARKETING & OUTREACH$185,908$0$24,272$0$417$0$10,503$0$18,065$0$239,165$0$0$0
ANNA PILSKAYA DUNN
CHAIR TO 07/20/PRESIDENT OF HSCSN$0$143,429$0$30,000$0$229$0$0$0$18$0$173,676$0$0
THOMAS W CHAPMAN
FMR PRESIDENT & CEO TO 4/17$0$0$0$0$0$137,429$0$0$0$0$0$137,429$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:RELATED ORGANIZATION HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. (HSCSN) RELIES ON ITS SOLE MEMBER'S PARENT, CHILDREN'S NATIONAL MEDICAL CENTER (DBA CHILDREN'S NATIONAL), TO DETERMINE COMPENSATION FOR HSCSN'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 4A:SEVERANCE THE FOLLOWING FORMER OFFICERS RECEIVED A SEVERANCE PAYMENT. THE SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS PART OF OTHER REPORTABLE COMPENSATION: VICTOR FIELDS $260,100 THOMAS W. CHAPMAN $137,429
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 $22,491 MARY ANN HILLIARD $77,434 NATHANIEL BEERS $69,750 VICTOR FIELDS $16,500

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1TO PROVIDE COORDINATION OF HEALTHCARE, SOCIAL, AND EDUCATIONAL SERVICES TO PERSONS WHO HAVE DISABILITIES AND/OR COMPLEX MEDICAL AND/OR PSYCHOLOGICAL NEEDS.
FORM 990, PART III, LINE 4APROGRAM SERVICE ACTIVITY 1 HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. (HSCSN) SERVED OVER 5,000 ENROLLEES DURING THE TWELVE MONTHS ENDED JUNE 30, 2021 THROUGH INTENSE ONE ON ONE CARE MANAGEMENT SERVICES. HSCSN COLLABORATED WITH 1,400 PROVIDERS (SYSTEM AND GROUP LEVEL) TO PROVIDE ITS ENROLLEES WITH QUALITY MEDICAL CARE. HSCSN FACILITATED $42 MILLION DOLLARS OF INPATIENT CARE, OVER $28 MILLION DOLLARS OF PRIMARY/SPECIALTY CARE, $16 MILLION DOLLARS OF OUTPATIENT CARE (INCLUDING EMERGENCY ROOM), AND $27 MILLION DOLLARS OF HOME HEALTH CARE. HSCSN ENROLLEES UTILIZED 2,924 EMERGENCY DEPARTMENT VISITS AND A TOTAL OF 674 HOSPITAL ADMISSIONS. HSCSN COVERED APPROXIMATELY 62,000 PRESCRIPTIONS, WHICH TOTALED OVER $14.7 MILLION DOLLARS. OF THE 62,000 PRESCRIPTIONS FILLED IN THE TWELVE MONTHS ENDED JUNE 30, 2021, 705 OR 1.1% WERE FOR SPECIALTY MEDICATIONS WHICH ARE REQUIRED FOR COMPLEX MEDICAL CONDITIONS - TOTALING OVER $8.9 MILLION DOLLARS. OTHER SERVICES COORDINATED INCLUDE: TRANSPORTATION TO MEDICAL APPOINTMENTS, DENTAL CARE, LAB/RADIOLOGY SERVICES, DAY TREATMENT, MEDICAL DRUGS AND MEDICAL EQUIPMENT AND SUPPLIES.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS THE HSC FOUNDATION IS THE SOLE MEMBER OF HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF MEMBERS THE SOLE MEMBER (THE HSC FOUNDATION) HAS THE RIGHT TO ELECT DIRECTORS OF HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. THE HSC FOUNDATION IS THE SOLE CORPORATE MEMBER OF HSCSN. ON SEPTEMBER 1, 2019, THE FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL MEDICAL CENTER DBA CHILDREN'S NATIONAL. EFFECTIVE SEPTEMBER 1, 2019 AND FOR A PERIOD OF FIVE YEARS THEREAFTER, THE MEMBERS OF THE FOUNDATION'S GOVERNING BODY TOGETHER WITH THE BOARD OF CHILDREN'S NATIONAL APPOINT THE MEMBERS OF HSCSN'S GOVERNING BODY. AFTER SEPTEMBER 1, 2024, CHILDREN'S NATIONAL WILL APPOINT MEMBERS OF THE HSCSN'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER (THE HSC FOUNDATION) SHALL HAVE ALL OF THE POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION AND BYLAWS, INCLUDING THE POWER TO: (A) ESTABLISH THE CORPORATION'S POLICIES AND GOALS; (B) APPOINT AND REMOVE THE CORPORATION'S BOARD OF DIRECTORS; (C) MONITOR THE DECISIONS OF THE CORPORATION'S BOARDS OF DIRECTORS; AND (D) APPROVE THE CORPORATION'S BUDGET. ON SEPTEMBER 1, 2019, AND BY MEANS OF AN AFFILIATION AGREEMENT, THE FOUNDATION AFFILIATED WITH CHILDREN'S NATIONAL. EFFECTIVE AS OF THAT DATE, THE FOUNDATION AND HSCSN AMENDED AND RESTATED THEIR 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 AND THE FOUNDATION AND HSCSN'S AMENDED AND RESTATED BYLAWS ANTICIPATE A FIVE-YEAR INTEGRATION PERIOD, DURING SUCH PERIOD THE ORGANIZATION 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 11BREVIEW 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 COMMITTEE OF CHILDREN'S NATIONAL PRIOR TO FILING WITH IRS. HSCSN PROVIDES A COPY OF THE FORM 990 TO THE FULL HSCSN 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 12CCONFLICT OF INTEREST POLICY HSCSN ADOPTED THE CONFLICT OF INTEREST POLICY OF CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER. CHILDREN'S NATIONAL 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 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, LINES 13 & 14: GOVERNING POLICIES HSCSN IS GOVERNED BY THE POLICIES OF CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER. THESE POLICIES INCLUDE A WRITTEN WHISTLEBLOWER POLICY AND A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION HSCSN RELIES ON CHILDREN'S NATIONAL, THE PARENT OF ITS SOLE MEMBER, TO DETERMINE COMPENSATION FOR ITS 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 19REQUIRED DOCUMENTS MADE 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, IS LISTED AS "FORMER" ON PART VII, BUT CONTINUES TO BE EMPLOYED BY CHILDREN'S NATIONAL IN A LESSER CAPACITY. SHE NO LONGER SERVES HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS IN HER PRIOR ROLE AS OFFICER.
FORM 990, PART XI, LINE 9:RESTRUCTURING ADJUSTMENT 399,946.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE HOSPITAL FOR SICK CHILDREN
111 MICHIGAN AVENUE NWWASHINGTONDC20010530204670HOSPITALDC501(C)(3)LINE 3HSC FOUNDATION0
THE HSC FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521346603HEALTHCAREDC501(C)(3)LINE 12C, III-FICNMC0
CHILDREN'S HOSPITAL FOUNDATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640402FUNDRAISINGDC501(C)(3)LINE 7CNMC0
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640403HEALTHCAREDC501(C)(3)LINE 12C, III-FI0N/A
SAFE KIDS WORLDWIDE
1255 23RD STREET NWWASHINGTONDC20037521627574INJURY PREVENTIONDC501(C)(3)LINE 7CNMC0
CHILDREN'S HOSPITAL SELF-INSURANCE TRUST
111 MICHIGAN AVENUE NWWASHINGTONDC20010521640399INSURANCEDC501(C)(3)LINE 12C, III-FICH0
CHILDREN'S HOSPITAL
111 MICHIGAN AVENUE NWWASHINGTONDC20010530196580HEALTHCAREDC501(C)(3)LINE 3CNMC0
BRAINY CAMPS ASSOCIATION
111 MICHIGAN AVENUE NWWASHINGTONDC20010271547370CHILD CAMPSDC501(C)(3)LINE 12A, ICH0
CHILDREN'S SCHOOL SERVICES
111 MICHIGAN AVENUE NWWASHINGTONDC20010814291601NURSING SERVICESDC501(C)(3)LINE 12A, ICNMC0
CHILDREN'S RESEARCH INSTITUTE
111 MICHIGAN AVENUE NWWASHINGTONDC20010521654453RESEARCHDC501(C)(3)LINE 7CNMC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CHILDREN'S PEDIATRICIANS AND ASSOCIATES LLC
111 MICHIGAN AVE NWWASHINGTONDC20010522072589HEALTH CAREDCN/A00
5253 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010832873855PROPERTY MANAGEMENTDCN/A00
5253 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833044006PROPERTY MANAGEMENTDCN/A00
54 NMTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833358685PROPERTY MANAGEMENTDCN/A00
54 HTC LLC
111 MICHIGAN AVE NWWASHINGTONDC20010833385522PROPERTY MANAGEMENTDCN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S NATIONAL HEALTH NETWORK
111 MICHIGAN AVENUE NWWASHINGTONDC20010521996521HEALTH CAREDCN/AC0
BEARACUDA RE
REINSURANCEN/AC0PO BOX 69 KY1-1102GRAND CAYMANCJCJ
PEDIATRIC HEALTH NETWORK INC
111 MICHIGAN AVENUE NWWASHINGTONDC20010833415276HEALTH CAREDCN/AC0
BUILDING 5253 MANAGING MEMBER LLC
111 MICHIGAN AVENUE NWWASHINGTONDC20010832801690PROPERTY MANAGEMENTDCN/AC0
BUILDING 54 MANAGING MEMBER LLC
111 MICHIGAN AVENUE NWWASHINGTONDC20010833272918PROPERTY MANAGEMENTDCN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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