2013-11-11T09:07:00-06:00 2012-12-31 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2012-01-01 521862406 HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC % NANCY SOUTHERS HEAL 2024672737 1101 VERMONT AVENUE NW Suite 1200 WASHINGTON DC 20005 THOMAS CHAPMAN 2024672737 2013-11-07 true TINA C ECKLOFF 3018281008 2012 2016-02-24 21:20:13Z THOMAS CHAPMAN 2013 H STREET NW STE 300 WASHINGTON DC 20006 128116098 false X N/A X 1994 DC TO PROVIDE COORDINATION OF HEALTHCARE, SOCIAL AND EDUCATIONAL SERVICES TO PERSONS WHO HAVE DISABILITIES AND/OR COMPLEX MEDICAL AND/OR PSYCHOSOCIAL NEEDS. 7 5 201 6 0 0 52400 131863 117657391 127983433 0 427 0 375 117709791 128116098 0 0 93711883 97301650 11084272 13711069 0 0 0 11734349 11259226 116530504 122271945 1179287 5844153 39207553 50107246 27350188 32411728 11857365 17695518 TO PROVIDE COORDINATION OF HEALTH CARE, SOCIAL, AND EDUCATIONAL SERVICES FOR INFANTS, CHILDREN, ADOLESCENTS AND YOUNG ADULTS WHO HAVE DISABILITIES AND/OR COMPLEX MEDICAL AND/OR PSYCHOSOCIAL NEEDS. false false 110804537 0 127983808 HSCSN SERVED UP TO 5,571 MEMBERS DURING 2012 THROUGH INTENSE ONE ON ONE CARE MANAGEMENT SERVICES. THERE WERE 1,404 ACUTE HOSPITAL ADMISSIONS FOR A TOTAL OF 8,904 PATIENT DAYS COVERED DURING THE YEAR. THERE WERE in average 20 MEMBERS IN SUB-ACUTE AND LONG-TERM CARE FACILITIES COVERING 7,407 PATIENT DAYS DURING 2012. HSCSN ALSO COORDINATED 13,138 PRIMARY CARE AND 13,123 SPECIALTY CARE DOCTOR VISITS DURING 2012. OTHER SERVICES COORDINATED INCLUDE: MEDICAL TRANSPORTATION TO DOCTOR VISITS, EMERGENCY ROOM VISITS, DENTAL CARE, LAB/RADIOLOGY SERVICES, DAY TREATMENT, HOME HEALTH CARE, MEDICAL DRUGS AND MEDICAL EQUIPMENT AND SUPPLIES. DURING 2012, HSCSN ALSO SPONSORED CME SEMINARS TO OUR PROVIDERS AND STAFF AND EDUCATIONAL PROGRAMS TO OUR MEMBERS. 110804537 true true false false false false false false false false true false false true true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 420 0 true 201 true false false false false false false false false false false X 7 5 false false false false false false false true true false false true true true true true true false true false DC X NANCY SOUTHERS 2024541230 2013 H STREET NW STE 300 WASHINGTON DC 20006 THOMAS CHAPMAN 8.0 32.0 X X 0 617708 146116 JOHN MATHEWSON 8.0 32.0 X X 0 291193 41005 VERONICA FEEG PHD 1.0 0.0 X 0 0 0 DOROTHY MANN PHD 1.0 0.0 X 0 0 0 MARIA IVONNE RIVERA 1.0 0.0 X 0 0 0 ELAINE CRIDER PHD 1.0 0.0 X X 0 0 0 THOMAS WALSH 1.0 0.0 X 0 0 0 CAROLYN JACKSON 1.0 0.0 X 0 0 0 NANCY SOUTHERS 6.0 34.0 X 0 278247 41728 DANNY BELLAMY 34.0 6.0 X 0 231236 35505 KIMBERLY SMITH 16.0 24.0 X 0 129539 7883 GENE GREER 17.0 23.0 X 0 215048 40036 CYD CAMPBELL 40.0 0.0 X 256397 0 19302 LYNNE HOSTETTER 5.0 35.0 X 0 129680 31261 JESSIE MACKINNON 0.0 40.0 X 0 225265 37438 ROBIN PIRTLE 40.0 0.0 X 138425 0 18018 SARIKA JOSHI 32.0 0.0 X 118174 0 3152 CECIL DOGGETTE 40.0 0.0 X 117754 0 11381 CONSTANCE YANCY 40.0 0.0 X 117639 0 12715 Bethany Jones-Griffin 40.0 0.0 X 117464 0 1774 Nancy Doellgast 0.0 0.0 X 0 127061 16479 865853 2244977 463793 7 true true false URBAN BEHAVIORAL HEALTH SERVICES I 2310 NORTH CHARLES STREET BALTIMORE MD 21218 CONSULTING 808098 COGNOSANTE LLC 6263 N SCOTTSDALE RD 200 SCOTTSDALE AZ 85250 CONSULTING 242601 DRINKER BIDDLE REATH LLP ONE LOGAN SQUARE SUITE 2000 PHILADELPHIA PA 19103 LEGAL 336838 SYDNEY WATKINS 931 MONROE DR 102-355 ATLANTA GA 30308 CONSULTING 183511 JANICE WILLIAMS 12990 MARINERS COURT ALPHARETTA GA 30005 CONSULTING 142330 8 13000 115363 3500 131863 OPERATING REVENUE 127983433 127983433 0 0 127983433 427 0 0 427 0 0 0 0 0 0 0 0 0 MED TRANSCRIPTS 375 375 0 0 375 128116098 127983808 0 427 0 0 0 0 0 0 97301650 97301650 256886 256886 0 0 0 0 0 0 10101266 6638615 3462651 0 489885 326120 163765 0 2085380 844699 1240681 0 777652 534401 243251 0 1776828 1087248 689580 0 464404 0 464404 0 54474 0 54474 0 0 0 0 0 0 0 0 0 1283249 643718 639531 0 0 0 0 0 673769 336687 337082 0 1788358 0 1788358 0 0 0 0 0 1387094 0 1387094 0 220259 132884 87375 0 0 0 0 0 35413 14903 20510 0 0 0 0 0 0 0 0 0 513888 0 513888 0 21749 0 21749 0 PREMIUM TAXES 2686726 2686726 0 0 GENERAL & ADMINISTRATIVE 353015 0 353015 0 122271945 110804537 11467408 0 400 0 0 0 0 0 0 46604 0 0 0 0 0 0 0 0 0 766 4749168 3705106 1222586 1044062 0 0 251689 252612 0 0 0 0 37732878 48763202 39207553 50107246 27350188 32105832 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 305896 27350188 32411728 X 11816433 17654586 40932 40932 0 0 11857365 17695518 39207553 50107246 X 5844153 -6000 X false true X true false X 96551 211913 157755 52400 131863 650482 74136833 83697507 100212158 117657391 127983433 503687322 0 0 0 74233384 83909420 100369913 117709791 128115296 504337804 0 0 0 504337804 21183 6183 52 0 427 27845 0 21183 6183 52 0 427 27845 0 767 57313 0 0 375 58455 74255334 83972916 100369965 117709791 128116098 504424104 0.99983 0.99979 0.00006 0.00008 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 147177 132153 15024 4311247 3572953 738294 290744 290744 1044062 DEPOSITS 282582 DUE FROM AFFILIATES 48480620 ACCRUED INTEREST REC 0 48763202 0 CASH DEFICIT 305896 305896 X 128110098 128110098 6000 6000 128116098 122271945 122271945 122271945 REVENUE RECONCILIATION PART XI, LINE 4B RESTRICTED CONTRIBUTION 6,000 FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 THE FIN 48 FOOTNOTE IN THE AFS READS AS FOLLOWS: HSCSN was recognized as a public charity generally exempt from federal income taxation under 501(c)(3) of the Internal Revenue Code pursuant to a determination letter issued by the IRS on August 30, 1999. HSCSN is 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 HSCSN's status as a public charity exempt from federal income taxation remains in effect. The states in which HSCSN operates also provide general exemption from state income taxation for organizations that are exempt from federal income taxation. However, HSCSN is subject to both federal and state income taxation at corporate tax rate on its unrelated business income. Exemption from other state taxes, such as real and personal property taxes, is separately determined. HSCSN had no unrecognized tax benefits or such amounts were immaterial during the periods presented. For tax periods with respect to 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, 2012 were due on May 15, 2013 and have been extended to August 15, 2013. HSCSN has filed information returns and tax returns for tax year 2011. Current accounting standards address uncertain income tax position in financial statements by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management believes there is no impact on HSCSN's financial statements related to uncertain income tax positions. IN ADDITION, SUBSEQUENT TO THE COMPILATION OF THE AFS, THE ORGANIZATION FURTHER EXTENDED THE FORM 990 AND FORM 990-T TO NOVEMBER 15, 2013 true true false false false false false false false THOMAS CHAPMAN 0 617458 0 250 0 0 0 134150 0 11966 0 763824 0 0 NANCY SOUTHERS 0 277997 0 250 0 0 0 29335 0 12393 0 319975 0 0 DANNY BELLAMY 0 224486 0 6750 0 0 0 23607 0 11898 0 266741 0 0 JOHN MATHEWSON 0 282943 0 8250 0 0 0 29584 0 11421 0 332198 0 0 GENE GREER 0 212298 0 2750 0 0 0 27333 0 12703 0 255084 0 0 CYD CAMPBELL 256147 0 250 0 0 0 11943 0 7359 0 275699 0 0 0 ROBIN PIRTLE 138175 0 250 0 0 0 6981 0 11037 0 156443 0 0 0 LYNNE HOSTETTER 0 124430 0 5250 0 0 0 24875 0 6386 0 160941 0 0 JESSIE MACKINNON 0 225015 0 250 0 0 0 28010 0 9428 0 262703 0 0 Nancy Doellgast 0 127061 0 0 0 0 0 10781 0 5698 0 143540 0 0 CEO'S COMPENSATION PART I, LINE 1 - 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL COMPENSATION: 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) COMPENSATION SURVEY OR STUDY 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SEVERANCE PAYMENT PART I, LINE 4A ONE EMPLOYEE RECEIVED SEVERANCE PAYMENT FROM A RELATED ORGANIZATION IN 2012. NANCY DOELLGAST RECEIVED $127,061. Supplemental Nonqualified Retirement Plan Schedule J, Part I, Line 4B A related 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 related organization. The related 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 benefits provided by the SERP plan, is reasonable when compared to market data. The amount of the supplemental executive retirement plan benefit during the 2012 tax year was $103,700. MONITORING CONFLICT OF INTEREST POLICY Part VI, SECTION B, LINE 12C The organization falls underneath the HSC Foundation 's Conflict of Interest Policy. Under that policy, whenever a potential conflict arises for Health Services for Children with Special Needs, Inc. 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 Health Services for Children with Special Needs, Inc. 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 Heath Services for Children with Special Needs, Inc. management team and of the Company, 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 COI to the Executive Committee Foundation. DETERMINING EXECUTIVE COMPENSATION Part VI, SECTION B, LINE 15 The organization relied on a related organization, HSC Foundation, to determine compensation of the organization's CEO. In addition, the organization determines the compensation of other officers and key employees of the organization, as discussed below. The Organization and HSC Foundation both use a four step approach to executive compensation: 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. REVIEWING THE 990 PART VI, SECTION B, LINE 11B The Form 990 is prepared by an accounting firm and then reviewed by the assistant VP finance and vp finance. Once comments from the assistant vp finance and vp finance have been incorporated into the Form 990, the Form 990 is made available to the Finance Committee of its parent organization, the HSC Foundation, for their review, followed by a meeting of the HSC Foundation Finance Committee in which the Form 990 is presented and any questions are answered. After the Finance Committee meeting, the Form 990 is made available to all members of the organization's Board of Directors for their review and comments. ANY COMMENTS OR QUESTIONS FROM BOARD MEMBERS ARE INCORPORATED INTO THE FORM 990 PRIOR TO FILING. MAKING DOCUMENTS AVAILABLE PART VI, SECTION C, LINE 19 THIS ORGANIZATION MAKES THEIR CONFLICT OF INTEREST POLICY, FINANCIAL Statements AND ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGE IN NET ASSETS PART XI, LINE 5 RESTRICTED CONTRIBUTION (6,000) THE HOSPITAL FOR SICK CHILDREN (DBA THE 1731 BRUNKER HILL ROAD NE WASHINGTON DC 20017 530204670 HOSPITAL DC 501(c)(3) 170B1(A)III THE HSC FDN true THE HSC FOUNDATION 2013 H Street NW Suite 300 WASHINGTON DC 20006 521346603 ACCESS TO HEA DC 501(c)(3) 509(A)(3) NONE false 2013 HOLDINGS INC 2013 H STREET NW WASHINGTON DC 20006 272882469 HOLDING COMPA DC 501(c)(2) NONE THE HSC FDN true SPECIAL NEEDS CONSULTING SERVICES INC 1150 18TH STREET NW STE 775 WASHINGTON DC 20036 451143185 CONSULTING DC THE HSC FDN C CORP 0 0 0.00000 true false false true false false false false false false false false false true false true true true false false SPECIAL NEEDS CONSULTING SERVICES INC m 273730 FMV SPECIAL NEEDS CONSULTING SERVICES INC q 3678 FMV SPECIAL NEEDS CONSULTING SERVICES INC o 12116 fmv THE HOSPITAL FOR SICK CHILDREN m 1560762 FMV THE HOSPITAL FOR SICK CHILDREN o 207565 FMV THE HOSPITAL FOR SICK CHILDREN p 1945946 FMV THE HOSPITAL FOR SICK CHILDREN q 67782 FMV THE HSC FOUNDATION C 13000 FMV THE HSC FOUNDATION o 963892 FMV THE HSC FOUNDATION p 2230360 FMV THE HSC FOUNDATION q 60797 FMV THE HSC FOUNDATION q 1973 FMV THE HSC FOUNDATION o 9877 fmv THE HSC FOUNDATION m 5581765 fmv