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        <PersonNm>Elaine Crider</PersonNm>
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        <PersonNm>Megan Mariotti</PersonNm>
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        <PersonNm>Michael D Ward</PersonNm>
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        <PersonNm>Raymond Vicks Jr</PersonNm>
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        <PersonNm>Victor Fields</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Debbie Holson</PersonNm>
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        <PersonNm>Patricia Austin</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donna Anthony</PersonNm>
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        <PersonNm>Bradley Weaver</PersonNm>
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        <PersonNm>Khalil Bouharoun</PersonNm>
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        <PersonNm>Lynne Hostetter Piper</PersonNm>
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        <PersonNm>Josephine Bias Robinson</PersonNm>
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        <PersonNm>Daniel Bellamy</PersonNm>
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        <PersonNm>John Mathewson</PersonNm>
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        <PersonNm>Jessie MacKinnon</PersonNm>
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      </SavingsAndTempCashInvstGrp>
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      <SupportedOrgInformationGrp>
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        <FormAndLineReferenceDesc>SUPPORT PROVIDED IN FURTHERANCE OF MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART IV, SECTION A, LINE 6 As reported in Schedule I, the Foundation provides a number of grants to unrelated section 501(c)(3) organizations to further support the tax-exempt purposes of the Foundation and its supported organizations of supporting individuals with special health needs and their families. The grants were related to coalition building and community health improvement activities, including providing sponsorships for more than 6 disability events.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPORTED ORGANIZATIONS HAVE SIGNIFICANT VOICE IN INVESTMENT POLICIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART IV, SECTION D, LINE 3 The HSC Foundation (Foundation) is the parent entity of its two supported organizations: the HSC Pediatric Center (HSCPC) and Health Services for Children with Special Needs (HSCSN). There is important overlap among the senior leadership of the Foundation and HSCPC and HSCSN. As a result, HSCPC and HSCSN have a significant voice in the Foundation's investment policies and in directing the use of the Foundation's income and assets. In particular, the overlapping directors and senior leadership ensure that the Foundation directs its resources in a manner that directly supports the tax-exempt purposes of HSCPC and HSCSN.</ExplanationTxt>
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        <FormAndLineReferenceDesc>POWER TO APPOINT/ELECT MAJORITY OF OFFICER/DIRECTOR/TRUSTEE</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART IV, SECTION E, LINE 3A Pursuant to the organizing documents of HSCSN and the HSC Pediatric Center, the HSC Foundation has the right to appoint the board members of HSCSN and the HSC Pediatric Center.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART IV, SECTION E, LINE 3B The Foundation is the parent entity of its two supported organizations: HSCPC and HSCSN. The Foundation appoints and removes the board members of HSCPC and HSCSN. In addition, there is important overlap among the senior leadership of the Foundation and HSCPC and HSCSN. The Foundation, as sole corporate member of HSCPC and HSCSN, also possesses certain reserved powers over those entities, including the power to establish the policies and goals of each organization and approve amendments to governing documents and organizational budgets. Thus, as a typical parent organization in an integrated healthcare system, the Foundation exercises a substantial degree of direction over the policies, programs, and activities of HSCPC and HSCSN, and has a direct role in guiding the financial, operational, and strategic decision-making of HSCPC and HSCSN.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>0</BookValueAmt>
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        <BookValueAmt>2248138</BookValueAmt>
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        <BookValueAmt>512099</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2760237</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>46817018</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TRUST ACCOUNT</Desc>
        <BookValueAmt>416044</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
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        <ExplanationTxt>SCHEDULE D, PART X, LINE 2 THE FOUNDATION, THE CENTER, AND HSCSN HAVE BEEN RECOGNIZED AS PUBLIC CHARITIES GENERALLY EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). HOLDINGS HAS BEEN RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(C)(2) OF THE CODE. HSCS AND HOME CARE ARE CONSIDERED DISREGARDED ENTITIES FOR FEDERAL AND STATE INCOME TAX PURPOSES. EACH ORGANIZATION IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. EACH ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. EACH ORGANIZATION FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE TAX YEARS ENDING DECEMBER 31, 2017, 2016, 2015 AND 2014 ARE STILL OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. EACH ORGANIZATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AS OF DECEMBER 31, 2017 AND 2016.</ExplanationTxt>
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        <GrossReceiptsTotalAmt>50750</GrossReceiptsTotalAmt>
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          <AddressLine1Txt>1331 H STREET NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
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          <CityNm>WASHINGTON</CityNm>
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        <PurposeOfGrantTxt>LEAP</PurposeOfGrantTxt>
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          <CityNm>ARLINGTON</CityNm>
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        <PurposeOfGrantTxt>LEAP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LATIN AMERICAN YOUTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>WASHINGTON</CityNm>
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        <PurposeOfGrantTxt>LEAP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE IVYMOUNT SCHOOL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>ROCKVILLE</CityNm>
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          <ZIPCd>20854</ZIPCd>
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        <RecipientEIN>521195527</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEAP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE TREATMENT AND LEARNING CENTERS INC</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>ROCKVILLE</CityNm>
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        </USAddress>
        <RecipientEIN>520607924</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>LEAP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DC PUBLIC CHARTER SCHOOL COOPERATIVE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>641 S ST NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>522260620</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SMITHSONIAN INSTITUTION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 JEFFERSON DR SW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20560</ZIPCd>
        </USAddress>
        <RecipientEIN>530206027</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>36712</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>See Part IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL COUNCIL ON INDEPENDENT LIVING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2013 H ST NW 6TH FL</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <RecipientEIN>742291620</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>53000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>NYTI Youth Transitions Fellow</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>US BUSINESS LEADERSHIP NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1310 BRADDOCK PL 101</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22314</ZIPCd>
        </USAddress>
        <RecipientEIN>260482057</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ILAB TOOLKIT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROADFUTURES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2013 H ST NW STE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <RecipientEIN>463344842</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>INTERNSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>14</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE I, PART I, LINE 2 The HSC Foundation is a member of the Washington Regional Association of Grantmakers and utilizes their common grant application and reporting format; when considering a program or initiative for funding support, the Foundation employs a grant review questionnaire to make an initial assessment and determine whether a full proposal will be requested. If a full proposal is requested it will be reviewed by the program officer and one other system staff member utilizing a proposal review sheet. At the discretion of the program officer, a site visit may be conducted before a recommendation is submitted to the Foundation's CEO for approval. All grant awards require the approval of the Foundation's CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF GRANT OR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE I, PART II, COLUMN H THE ACRONYMNS LISTED ABOVE IN COLUMN H STAND FOR THE FOLLOWING: LEAP - LIFE ENRICHMENT AWARDS PROGRAM NYTI - NATIONAL YOUTH TRANSITIONS INITIATIVE ADDITIONAL DETAIL FOR THE FOLLOWING GRANTS DC Public Charter School Cooperative, Inc. 1. LEAP 2. SPONSORSHIP VIA YOUTH TRANSITIONS NATIONAL SUPPORT FUND OF ANNUAL CONFERENCE SMITHSONIAN INSTITUTION 1. ACCESS TO OPPORTUNITIES 2017 INTERNSHIP PROGRAM 2. ACCESS TO OPPORTUNITIES 2018 INTERNSHIP PROGRAM</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>Pres &amp; CEO, Board Member</TitleTxt>
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        <OtherCompensationFilingOrgAmt>22500</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Thomas W Chapman</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SEVERANCE OR CHANGE-OF-CONTROL PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4A DURING THE YEAR ENDED DECEMBER 31, 2017, CERTAIN INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. THE INDIVIDUALS AND AMOUNTS ARE LISTED BELOW: Khalil Bouharoun $100,039 Daniel Bellamy $191,697 JOHN MATHEWSON $176,197 JESSIE MACKINNON $261,261</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4B THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AS PART OF THE TOTAL COMPENSATION ARRANGEMENT FOR THE ORGANIZATION'S CEO, THOMAS CHAPMAN. THE SERP PLAN IS MEANT TO PROVIDE THOMAS CHAPMAN WITH A RETIREMENT BENEFIT FOR OVER 20 YEARS OF SERVICE PROVIDED TO THE ORGANIZATION. THE ORGANIZATION'S COMPENSATION COMMITTEE HAS CAREFULLY REVIEWED AND APPROVED THE SERP PLAN FOR THOMAS CHAPMAN AND CONCLUDED THAT THOMAS CHAPMAN'S ENTIRE COMPENSATION PACKAGE, INCLUDING THE BEFITS PROVIDED BY THE SERP PLAN, IS REASONABLE WHEN COMPARED TO MARKET DATA. NO SERP DISTRIBUTIONS WERE MADE IN 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART III, LINE 4B FUNDING PARTNERSHIP MAINTAINED THE FUNDING PARTNERSHIP WITH MITSUBISHI ELECTRIC AMERICA FOUNDATION TO INCLUDE MATCHING FUNDS FOR THE ADVOCATES IN DISABILITY AWARD PROGRAM AND THE YOUTH TRANSITIONS NATIONAL SUPPORT FUND. THE YOUTH TRANSITIONS NATIONAL SUPPORT FUND PROVIDED CONFERENCE SUPPORT TO SIX (6) ORGANIZATIONS AND FUNDING FOR TWO (2) TRANSITION RELATED GRANTS. WORKING GROUPS THREE (3) NEW WORKING GROUPS DEVELOPED PRODUCTS AND/OR PROJECTS THAT ADDRESS EMPLOYMENT, ADVOCACY, AND COMMUNICATIONS, particularly within communities of color. YOUTH TRANSITIONS FELLOW Continued to partner with the National Council on Independent Living and funded a national fellowship program. LIFE ENRICHMENT AWARDS PROGRAM (LEAP) Partnered with 20 community organizations to administer the LEAP program. LEAP provides goods and services that are directly linked to youth transition planning and implementation that are usually not available from public service and government agencies. SPONSORSHIPS Provided six (6) sponsorships to organizations serving people with disabilities throughout the DC metropolitan area. Grant Provided project funding to engage health care providers and organizations to support efforts to develop the skills and abilities of Community Health Workers who assist children and youth with special health care needs by providing them high quality training and mentoring support.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DELEGATE BROAD AUTHORITY TO A COMMITTEE</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 1A The executive committee shall have the power to exercise each and all of the powers of the board of directors in the same manner and to the same extent as if the committee were in fact the board of directors, provided that any action taken shall not conflict with previously established policies or directives of the board. However, nothing contained in these bylaws shall constitute a delegation to the executive committee of the following powers of the board of directors: to increase or decrease the number of directors; to fill vacancies on or remove directors from the board; to elect officers; to fill officers' vacancies; to remove officers; to sell, encumber or otherwise dispose of all or any material part of the assets of the corporation; to merge or consolidate the corporation with another entity; or to amend these bylaws. All executive committee minutes will be provided to all members of the board of directors prior to the next meeting of the board of directors. The executive committee shall consist of the chairman, vice chairman, secretary and treasurer of the corporation and up to four (4) additional at-large members who may be appointed by the chairman of the board, in his or her discretion. The president shall be an ex officio member of the committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 11B The form 990 is prepared by an accounting firm and then reviewed by the VP's Finance and CFO. Once comments from VP's Finance and CFO have been incorporated into the form 990, the form 990 is made available to HSC Foundation's audit committee followed by a meeting in which the form 990 is presented. The full board of directors has delegated the review of the form 990 to the audit committee. The audit committee is a part of the full voting board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 12C The HSC Foundation has a written conflict of interest policy that covers itself and all of its direct and indirect subsidiaries. Under that policy, whenever a potential conflict arises for the HSC Foundation board of directors and officers, it is brought to the attention of the president and executive committee of the HSC Foundation board, which analyzes the situation and makes a determination of whether or not an actual conflict exists. If it is determined that an actual conflict exists, the president and executive committee reports to the HSC Foundation board of directors regarding the nature of the conflict and that person is thereafter recused from any discussion and vote regarding the matter. Whenever a potential conflict arises for employees of the HSC Foundation management team, it will be brought to the board chair by the president which analyzes the situation and makes a determination of whether or not an actual conflict exists. If it is determined that an actual conflict exists, steps will be taken to eliminate the conflict and communicated to the employee involved. The board chair and president will report all conflicts to the executive committee of foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINES 15A &amp; 15B On an annual basis, the HSC Foundation uses a four step approach to executive compensation of its top management official and the Foundation's other officers and key employees: 1. The executive committee is made up of independent board members without a conflict of interest, to establish and determine the reasonableness of total compensation for the system's disqualified executives and forwards to the full board for approval. 2. Periodically, the executive committee will engage an independent consultant to prepare a detailed written report on appropriate comparability data for comparable positions. 3. The executive committee reviews and relies upon the report of the independent consultant, along with other individual and market data, then debates and fully documents its decision about what is reasonable compensation for disqualified executives. 4. Once the executive committee develops executive compensation recommendations, they are presented to the system's full board for ratification.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT SERVICES TOTAL FEES:1422161</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING TOTAL FEES:140196</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>HSC Home Care LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1731 Bunker Hill Rd NE</AddressLine1Txt>
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          <BusinessNameLine1Txt>HSCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>1731 Bunker Hill Rd NE</AddressLine1Txt>
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          <ZIPCd>20017</ZIPCd>
        </USAddress>
        <EIN>263268864</EIN>
        <PrimaryActivitiesTxt>Ltd Coop Assc</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>HSC Fndn</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Coordination Plus</BusinessNameLine1Txt>
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          <AddressLine1Txt>1101 Vermont Ave NW</AddressLine1Txt>
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          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        </USAddress>
        <EIN>814863936</EIN>
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        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
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        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Health Services for Children Spec Needs</BusinessNameLine1Txt>
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          <AddressLine1Txt>1101 VT Avenue NW Ste 1200</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>2013 Holdings Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>2013 H Street NW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20006</ZIPCd>
        </USAddress>
        <EIN>272882469</EIN>
        <PrimaryActivitiesTxt>Holding Co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HSC Fndn</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>2013 HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>430277</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>85680</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE HOSPITAL FOR SICK CHILDREN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>4197573</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>4010358</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>av</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>