2017-11-09T15:29:43-06:00 2016-12-31 Grant Thornton LLP 1000 WILSON BLVD SUITE 1400 ARLINGTON VA 22209 990 2016-01-01 521346603 The HSC Foundation % VICTOR FIELDS HSCF 2024541220 2013 H Street NW Suite 300 Washington DC 20006 VICTOR FIELDS SVP Fin. & CFO 2024541255 2017-11-07 true MARY TORRETTA P00847851 7038477500 38.69.39.117 54681420173135000003 2017-11-09 P AA918D8483008E32154F6CC583B06457B9AF9E42 AA918D8483008E32154F6CC583B06457B9AF9E42 2016 2017-02-10 21:41:12Z Nathaniel Beers 2013 H Street NW 300 Washington DC 20006 34400317 false X HTTP://WWW.HSCHEALTH.ORG/FOUNDATION X 1984 DC TO FACILITATE ACCESS TO HEALTH CARE SERVICES FOR INDIVIDUALS WITH SPECIAL NEEDS AND THEIR FAMILIES. 16 15 282 35 -30791 -42825 166044 151767 11354842 10114665 2582045 792432 -35410 -27484 14067521 11031380 753028 442610 0 0 10655066 12111354 0 0 0 3962511 3562651 15370605 16116615 -1303084 -5085235 114231231 114816963 40612248 43680379 73618983 71136584 X TO FACILITATE ACCESS TO HEALTH CARE SERVICES FOR INDIVIDUALS WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH SUPPORT OF HSC PEDIATRIC CTR, HSCSN & HSC HOME CARE WHILE CONDUCTING PROJECTS WITH THE GOVERNMENT AND OTHER NON-PROFIT ORGANIZATIONS. false false 5148464 10114665 HSC HOME CARE, LLC, A DISREGARDED ENTITY OF THE ORGANIZATION, OFFERS SKILLED NURSING SERVICES, HOME HEALTH AIDE AND PERSONAL CARE AID SERVICES, RESPITE CARE, REHABILITATIVE THERAPIES, LICENSED CLINICAL SOCIAL WORKERS, WELL MOM AND BABY VISITS, INTERMITTENT INTRAVENOUS SERVICES, CLIENT FAMILY, CAREGIVER, AND PATIENT EDUCATION. DURING 2016, HSC HOME CARE PROVIDED HOME VISITS TO PRIMARILY MEDICAID PEDIATRIC PATIENTS IN THE DC METROPOLITAN AREA. THERE WERE 24,147 SKILLED NURSING VISITS AND 9,556 HOME HEALTH AIDE VISITS. HSC HOME CARE ALSO HAD 745 OT, PT, SPEECH THERAPY AND SOCIAL WORK VISITS. 629736 322610 11582 THE HSC FOUNDATION PARTICIPATED, FUNDED, OR LED ACTIVITIES RELATED TO COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENT ACTIVITIES ASSOCIATED WITH THE YOUTH TRANSITIONS PROGRAM. SEE SCHEDULE O FOR EXAMPLES OF THOSE ACTIVITIES. 427279 120000 THE HSC FOUNDATION PARTNERED WITH 20 COMMUNITY ORGANIZATIONS TO ADMINISTER THE LIFE ENRICHMENT AWARDS PROGRAM (LEAP). 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. 6205479 true true false false false false false false false false true true false true true true false true false false true false false false true false false true false true false false false false false false false false false false false false true true true true true false true 44 0 true 282 true true true false false false false true true false false false false X 16 15 false false false false false false false true true false false true true true true true true true true false X VICTOR FIELDS 2024541255 2013 H STREET NW STE 300 WASHINGTON DC 20006 X THOMAS W CHAPMAN Pres & CEO HSCF, Board Member 31.0 9.0 X X 685979 0 40674 CURTIS RIDDLE CHAIRMAN 3.0 0.0 X X 0 0 0 JACK KASTEN VICE CHAIR 3.0 1.0 X X 0 0 0 WILLIAM CLYBURN SECRETARY 1.0 1.0 X X 0 0 0 KENNETH H SILVERBERG TREASURER 1.0 0.0 X X 0 0 0 ELAINE A CRIDER BOARD MEMBER 1.0 1.0 X 0 0 0 JENNIFER GEETTER BOARD MEMBER 1.0 0.0 X 0 0 0 NEIL GRAMMER BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT F KELLER BOARD MEMBER 1.0 0.0 X 0 0 0 DIANE LEWIS BOARD MEMBER 1.0 0.0 X 0 0 0 CARLA LONGSHORE BOARD MEMBER 1.0 0.0 X 0 0 0 MEGAN MARIOTTI BOARD MEMBER 1.0 0.0 X 0 0 0 SHARON BRICKHOUSE MARTIN BOARD MEMBER 1.0 0.0 X 0 0 0 ROGER E MEYER BOARD MEMBER 1.0 1.0 X 0 0 0 MARIA IVONNE RIVERA BOARD MEMBER 1.0 1.0 X 0 0 0 MICHAEL D WARD BOARD MEMBER 1.0 0.0 X 0 0 0 Marvin Washington Board Member, to 3/2016 1.0 0.0 X 0 0 0 RAYMOND VICKS JR SVP Fin. & CFO, TO 7/31/17 10.0 30.0 X 353165 0 24092 JOHN MATHEWSON HSCF Executive VP, to 3/31/16 24.0 16.0 X 368587 0 33087 Patricia Austin COO, HOME CARE 40.0 0.0 X 190846 0 34101 KHALIL BOUHAROUN CIO 19.0 21.0 X 256575 0 28814 JESSIE MACKINNON COO, NYTC, to 11/30/16 32.0 8.0 X 274786 0 39655 NANCY SOUTHERS SR FIN ADVISOR, to 3/31/16 40.0 0.0 X 412267 0 21892 LYNNE HOSTETTER PIPER CHIEF COMP OFFICER & VP, HR 24.0 16.0 X 257050 0 35068 Daniel Bellamy VP, BUSINESS DEVELOPMENT 0.0 40.0 X 300995 0 39095 3100250 0 296478 9 false true false Anthelio Healthcare Solutions 5400 LBJ Freeway Suite 200 DALLAS TX 75240 IT SUPPORT SERVICES 4534685 Prime Buchholz AND Associates PO Box 16011 LEWISTON ME 04243 CONSULTING SERVICES 108050 Crowe Horwath PO Box 71570 CHICAGO IL 60694 ACCOUNTING/AUDIT SVC 213064 Pricewaterhouse Coopers LLP PO Box 7247-8001 PHILADELPHIA PA 19170 CONSULTING SERVICES 158868 Grossberg Yochelson Fox Beyda 1200 New Hampshire Avenue NW Suit WASHINGTON DC 20036 LEGAL SERVICES 189980 5 43450 108317 151767 PATIENT SERVICE REVENUE 621400 10114665 10114665 10114665 1240196 -30791 1270987 0 0 0 0 0 22874505 23056223 266046 -181718 -266046 -447764 -447764 6500 43450 46668 -40168 -40168 0 0 0 0 0 0 OTHER REVENUE 900099 12684 11582 1102 12684 11031380 10126247 -30791 784157 X 442610 442610 0 0 0 1730531 173053 1557478 0 8794495 5268718 3525777 383762 383762 550295 550295 652271 652271 0 232840 232840 70537 70537 0 0 266046 266046 1629592 216162 1413430 34859 6797 28062 38636 12199 26437 67170 67170 0 801556 68076 733480 37940 3262 34678 0 4765 4765 0 0 62036 62036 30875 30875 MEDICAL SUPPLIES 2478 2478 0 BOOKS, JOURNALS, DUES, SUBSCPT 21481 1789 19692 FOOD 39633 6663 32970 BANK CHARGES 1004 1004 221203 3672 217531 16116615 6205479 9911136 0 10750982 13472304 0 0 0 0 4037621 5140270 0 0 0 0 0 0 0 0 209648 59602 534739 370818 153686 163921 30369700 33882143 63144053 51652843 0 0 0 0 5565541 10445880 114231231 114816963 2023904 3425071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38588344 40255308 40612248 43680379 X 73569033 71086334 49950 50250 0 0 73618983 71136584 114231231 114816963 -5085235 2602836 X false true X true false X X 2 HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC 521862406 10 true 11970 0 HOSPITAL FOR SICK CHILDREN 530204670 3 true 3030 0 2 15000 0 true false false false false true false false false false false false false false false true true true X true true SUPPORT PROVIDED IN FURTHERANCE OF MISSION 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. SUPPORTED ORGANIZATIONS HAVE SIGNIFICANT VOICE IN INVESTMENT POLICIES 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). A MAJORITY OF THE HSCSN DIRECTORS ARE ALSO DIRECTORS OF THE FOUNDATION, AND 3 OUT OF 6 HSCPC DIRECTORS ARE ALSO DIRECTORS OF THE FOUNDATION. IN ADDITION, 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 FOUNDATIONS 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. POWER TO APPOINT/ELECT MAJORITY OF OFFICER/DIRECTOR/TRUSTEE 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. SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 27965 23974 3990 506774 346844 159931 0 0 163921 ALTERNATIVE INVESTMENTS 51652843 F 51652843 DUE FROM AFFILIATES 10066993 TRUST ACCOUNT 378887 10445880 0 AMOUNT DUE TO AFFILIATES 40163114 SELF INSURANCE PROF LIABILITY 92194 40255308 X LIABILITY FOR UNCERTAIN TAX POSITION (ASC 740) 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 PURSUANT TO A DETERMINATION LETTER ISSUED BY THE INTERNAL REVENUE SERVICE (IRS) IN JULY 1997. HOLDINGS HAS BEEN RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE. THE ENTITIES WITHIN THE SYSTEM ARE ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES AND THEREFORE, THE STATUS AS ENTITIES EXEMPT FROM FEDERAL INCOME TAXATION REMAIN IN EFFECT. HSCS AND HOME CARE ARE CONSIDERED DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. THE STATES IN WHICH THE SYSTEM OPERATES ALSO PROVIDE GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THE SYSTEM IS SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXATION AT CORPORATE TAX RATES ON ITS UNRELATED BUSINESS INCOME. EXEMPTION FROM OTHER STATE TAXES, SUCH AS REAL AND PERSONAL PROPERTY TAXES, IS SEPARATELY DETERMINED. THE SYSTEM HAD NO UNRECOGNIZED TAX BENEFITS OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS IN WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, NO TAX RETURN WAS REQUIRED. TAX PERIODS FOR WHICH NO RETURN IS FILED REMAIN OPEN FOR EXAMINATION INDEFINITELY. INFORMATION RETURNS (FORM 990) AND TAX RETURNS (FORM 990-T) FOR THE YEAR ENDED DECEMBER 31, 2016 ARE DUE ON MAY 15, 2017 AND HAVE BEEN EXTENDED TO AUGUST 15, 2017. THE SYSTEM HAS FILED INFORMATION RETURNS AND TAX RETURNS FOR ALL YEARS THROUGH 2015. THE SYSTEM MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS "MORE-LIKELY-THAN-NOT" THAT TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED AS OF DECEMBER 31, 2016 AND 2015. TAX RETURNS FILED BY THE SYSTEM ARE SUBJECT TO EXAMINATION BY THE IRS UP TO THREE YEARS FROM THE DATE THE RETURN WAS FILED. TAX RETURNS FILED BY THE SYSTEM AND ITS AFFILIATES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR ENDED DECEMBER 31, 2012 AND PRIOR. Central America and the Caribbean 0 0 Investments 6742420 North America 0 0 Investments 5869085 0 0 0 0 12611505 12611505 false false true true false false LEAP EVENT 49950 43450 6500 46668 0 49950 43450 6500 46668 46668 -40168 Abilities Network Inc 8503 Lasalle Road Towson MD 21286 526060453 501(c)(3) 6000 LEAP Advocates for Justice and Education Inc 25 E Street NW Washington DC 20001 521989809 501(c)(3) 6000 LEAP Autistic Self Advocacy Network PO Box 66122 Washington DC 20035 261270198 501(c)(3) 25000 NYTC Boston Children's Hospital 300 Longwood Ave Boston MA 02115 042774441 501(c)(3) 25000 See Part IV BroadFutures 2013 H St NW 500 Washington DC 20006 463344842 501(c)(3) 39830 NYTC & Internships Cornerstone Montgomery Inc 6040 Southport Drive N Bethesda MD 20814 520937199 501(c)(3) 6000 LEAP DC Public Charter School Cooperative Inc 641 S ST NW Washington DC 20001 522260620 501(c)(3) 6000 LEAP District of Columbia Public Schools 1200 First ST NE Washington DC 20002 536001131 6000 Emplymt Opp Prgm ENDependence Center of Northern Virginia 2300 Clarendon Blvd Arlington VA 22201 541302368 501(c)(3) 6000 LEAP George Mason University 4400 University DR Fairfax VA 22201 540836354 501(c)(3) 6000 LEAP Health Svcs For Children with Special Needs 1101 Vermont Ave NW Washington DC 20005 521862406 501(c)(3) 11970 See Part IV Kids Included Together 1419 Columbia Rd NW Washington DC 20009 330731368 501(c)(3) 31000 Youth Panel Latin American Youth Center 1419 Columbia Rd NW Washington DC 20009 521023074 501(c)(3) 6000 LEAP & NYTC Linden Resources Inc 750 S 23rd St Arlington VA 22202 540660113 501(c)(3) 6000 LEAP Montgomery College Foundation 40 West Gude Dr 110 Rockville MD 20850 521267008 501(c)(3) 88000 LEAP National Council on Independent Living 2013 H St NW Washington DC 20006 742291620 501(c)(3) 6000 GILS/NYTI/Conference Potomac Community Resources Inc 9200 Kentsdale Dr Potomac MD 20854 522286949 501(c)(3) 7000 LEAP Project Ascend PO Box 1628 Beltsville MD 20704 300846420 501(c)(3) 6000 NYTC - Scholars Prgm TASH 2013 H Street NW Washington DC 20006 510160220 501(c)(3) 6000 Conference The Arc Baltimore Inc 7215 York Rd Baltimore MD 20704 520671428 501(c)(3) 6000 LEAP The Arc of Loudoun 601 Catoctin Circle NE Leesburg VA 20176 540835314 501(c)(3) 6000 LEAP The Arc of Montgomery County 11600 Nebel St Rockville MD 20852 520639953 501(c)(3) 6000 LEAP The Arc of Northern Virginia 2755 Hartland Rd Falls Church VA 22043 540675506 501(c)(3) 6000 LEAP The Arc of Prince George's County 1401 McCormick Dr Largo MD 20678 520715246 501(c)(3) 6000 LEAP The Arc of Southern Maryland PO Box 1860 Prince Frederick MD 20678 521062351 501(c)(3) 6000 LEAP The Center for Adoption Support and Education 4000 Blackburn Lane Burtonsville MD 20866 522100734 501(c)(3) 6000 LEAP The Ivymount School 11614 Seven Lock Rd Rockville MD 20854 521195527 501(c)(3) 6000 LEAP The Treatment and Learning Centers Inc 2092 Gaither Rd 100 Rockville MD 20850 520607924 501(c)(3) 6000 LEAP University of New Hampshire 105 Main St Durham NH 20850 026000937 501(c)(3) 20000 See Part IV Washington Area Women's Foundation 1331 H St NW 1000 Washington DC 20005 522028612 501(c)(3) 10000 Luncheon 29 1 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. Purpose of Grant or Assistance Schedule I, Part II, Column H The acronymns listed above in Column H stand for the following: GILS - Global Independent Living Summit LEAP - Life Enrichment Award Program NYTC - National Youth Transitions Collaborative NYTI - National Youth Transitions Initiative Additional detail for the following grants Autistic Self Advocacy Network: NYTC's Youth Advocacy Working Group project Boston Children's Hospital: 1. Curriculum Project for Community Health Workers and Children with Special Needs 2. Donation to Judy and Sean Palfrey Child Health Advocacy Endowment Fund BroadFutures: 1. Internship Program 2. National Youth Transitions Collaborative's Employment Working Group project 3. Support for three internships (Association of University Centers on Disabilities, American Association of People with Disabilities, and Girl Scouts Nation's Capital) District of Columbia Public Schools: Grantee's Competitive Employment Opportunity Program Health Services for Children With Special Needs, Inc.: Therapeutic grants for a kids basketball program, a kids soccer project, a kids boot camp program, a rowing program, and a LEAP gran to enrich the lives of youth and young adults with disabilities and chronic illnesses in the expanded Washington, DC metropolitan area. Latin American Youth Center: 1. LEAP (Life Enrichment Awards Program) 2. National Youth Transitions Collaborative's Program Advisory Committee project National Council on Independent Living: 1. Global Independent Living Summit 2. National Youth Transitions Initiative - Youth Transitions Fellow 3. Support for annual conference University of New Hampshire: Production, dissemination, and outreach of Intelligent Lives and Post- Secondary Transition films and educational materials X X X true true false false false false false false false THOMAS W CHAPMAN Pres & CEO HSCF, Board Member 625742 0 150 0 60087 0 23216 0 17458 0 726653 0 0 0 KHALIL BOUHAROUN CIO 238810 0 150 0 17615 0 27130 0 1684 0 285389 0 0 0 JESSIE MACKINNON COO, NYTC, to 11/30/16 221991 0 150 0 52645 0 27565 0 12090 0 314441 0 0 0 JOHN MATHEWSON HSCF Executive VP, to 3/31/16 92507 0 0 0 276080 0 10286 0 22801 0 401674 0 0 0 NANCY SOUTHERS SR FIN ADVISOR, to 3/31/16 130484 0 0 0 281783 0 10381 0 11511 0 434159 0 0 0 RAYMOND VICKS JR SVP Fin. & CFO, TO 7/31/17 303355 0 150 0 49660 0 23216 0 876 0 377257 0 0 0 LYNNE HOSTETTER PIPER CHIEF COMP OFFICER & VP, HR 234562 0 150 0 22338 0 27464 0 7604 0 292118 0 0 0 Patricia Austin COO, HOME CARE 176673 0 150 0 14023 0 25731 0 8370 0 224947 0 0 0 Daniel Bellamy VP, BUSINESS DEVELOPMENT 263257 0 150 0 37588 0 23850 0 15245 0 340090 0 0 0 SEVERANCE OR CHANGE-OF-CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A During the year ended December 30, 2016, 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: Nancy Southers $256,238 John Mathewson $254,678 Jessie MacKinnon $17,447 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 15 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 2016. PROGRAM SERVICE DESCRIPTION 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 were created to identify and implement products and/or projects that address employment, advocacy, and communications. These topics of interest were identified by a survey to the Youth Transitions Collaborative membership. Evaluation The Strength in Numbers Committee finalized the evaluation of the reach and impact of the Youth Transitions Collaborative by assessing products and services developed as a result of being part of the Collaborative. The results from committee and independent panel reviews were presented and shared. Youth Transitions Fellow Continue to partner with the National Council on Independent Living and fund 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 conference support to various organizations serving people with disabilities throughout the DC metropolitan area. Internships Provided three (3) grants to organizations supporting internships for young people with disabilities. Community-based Programming Provided two (2) grants to organizations for community-based programming for young people with disabilities. Therapeutic Recreation Fund Provided grant support for seven (7) therapeutic recreation programs offered by Health Services for Children with Special Needs, Inc. and The HSC Pediatric Center. These programs provide children/youth with disabilities an opportunity to learn and participate in group sports and therapeutic recreation activities. DELEGATE BROAD AUTHORITY TO A COMMITTEE 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. REVIEW OF FORM 990 BY GOVERNING BODY FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM AND THEN REVIEWED BY THE VPS FINANCE and CFO. ONCE COMMENTS FROM VPS FINANCE and CFO HAVE BEEN INCORPORATED INTO THE FORM 990, THE FORM 990 IS MADE AVAILABLE TO THE 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. A COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. CONFLICT OF INTEREST POLICY 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 FOUNDATION. PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A & 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. REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:1290973 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:338619 HSC HOME CARE LLC 1731 BUNKER HILL RD NE WASHINGTON DE 20017 263268942 healthcare DC 10115110 6603036 HSCS HSC Services LLC 1731 Bunker Hill RD NE Washington DC 20017 263268864 Ltd Coop Assc DC 0 0 HSC FNDN HOSPITAL FOR SICK CHILDREN 1731 BUNKER HILL RD NE WASHINGTON DE 20017 530204670 hospital DC 501(C)(3) 3 HSC FNDN true HEALTH SERVICES FOR CHILDREN SPEC NEEDS 1101 VT AVENUE NW STE 1200 WASHINGTON DE 20005 521862406 healthcare DC 501(c)(3) 10 HSC FNDN true 2013 HOLDINGS INC 2013 H STREET NW WASHINGTON DE 20006 272882469 Holding Co. DC 501(c)(2) N/A HSC FNDN true false true false false false false false false false false true false false true true true true false false 2013 Holdings Inc K 463785 COST THE HOSPITAL FOR SICK CHILDREN P 1146770 COST HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS P 107111 COST THE HOSPITAL FOR SICK CHILDREN Q 5132192 COST HEALTH SVCS FOR CHILDREN WITH SPECIAL NEEDS Q 4340244 COST