2011-11-15T11:08:24-06:00 2010-12-31 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2010-01-01 530204670 THE HOSPITAL FOR SICK CHILDREN HOSP 2028324400 1731 BUNKER HILL ROAD NE WASHINGTON DC 200173096 THOMAS CHAPMAN 2028324400 2011-11-14 3018281008 2010 2016-03-07 17:11:31Z The HSC Pediatric Center THOMAS CHAPMAN 1731 BUNKER HILL RD NE WASHINGTON DC 20017 38686465 false X hscpediatriccenter.org X 1997 DC THE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES THE HIGHEST QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE IN THE WASHINGTON, DC AND BALTIMORE AREAS. 7 5 410 225 0 0 214795 197956 38807609 38331585 -68674 48430 97307 4159 39051037 38582130 0 0 0 0 22052565 23170831 0 0 50804 17767182 17214536 39819747 40385367 -768710 -1803237 30508240 29161042 25481839 25927718 5026401 3233324 THE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES THE HIGHEST QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE IN THE WASHINGTON, DC AND BALTIMORE AREAS. false false 31808770 38331585 To provide quality rehabilitative and transitional care for infants, children, adolescents and young adults with special healht care needs in a supportive, culturally compentent, respectful environment, and to participate in related local, regional and national projects with government, private and philanthropic organizations. In 2010, HSC expended $40.3 million in operating expenses, of which $31.9 million was used for program related expenses. HSC provided 20,600 days of care, and approximately 89% of the services rendered in 2010 were provided to Medicaid Patients. HSC also provided on an Outpatient bases Medical Care, approximately 7,303 visits in 2010. 31808770 true true false false false false false false true true true false true true false true false false false false false false true true false true false false false true true false false false false false false false false false false false false false false false true true false false false true 71 0 true 410 true false false false 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 true true false DC X NANCY SOUTHERS THE HSC FOUND 2028324400 1731 BUNKER HILL ROAD NE WASHINGTON DC 200173026 X THOMAS W CHAPMAN 7.0 X X 0 562480 143459 JOHN MATHEWSON 6.0 X X 0 270506 41614 JACK KASTEN 1.0 X 0 0 0 MARIA GOMEZ 1.0 X 0 0 0 ROGER MEYER MD 1.0 X 0 0 0 ROBERT G ROSENBURG MD 1.0 X 0 0 0 CHARLOTTE COLLINS JD 2.0 X X 0 0 0 BRUCE GOLDMAN 36.0 X 0 247593 35065 NANCY SOUTHERS 1.0 X 0 247891 38202 NANCY DOELLGAST 7.0 X 0 202749 35402 GENE GREER 14.0 X 0 203075 34019 LYNNE HOSTETTER 8.0 X 0 159974 30153 DEBBIE HOLSON 40.0 X 182908 0 17531 ROBERT COOK 40.0 X 165116 0 9373 BONNETTA WILSON 40.0 X 151915 0 16891 JESSAMINE GAYTANO 40.0 X 129523 0 24304 BEATRICE OSEI-AMOH 40.0 X 126090 0 22118 755552 1894268 448131 27 false true false ADEX MEDICAL STAFFING LLC 1035 WINDWARD RIDGE PARKWAY SUITE ALPHARETTA GA 30005 MEDICAL STAFFING 1069337 GOLDBERG FINNEGAN MESTER LLC 1010 WAYNE AVENUE SILVER SPRING MD 20910 LEGAL SERVICES 495000 ALLSCRIPTS MISYS LLC 24630 NETWORK PLACE CHICAGO IL 60673 CONSULTANTS 150086 PLUS CONSULTING LLC 1370 WASHINGTON PIKE SUITE 203 BRIDGEVILLE PA 15017 CONSULTANTS 119524 BEYOND EXCELLENCE LLC 15416 NORWALK CT BOWIE MD 20716 CONSULTING 114986 6 15899 182057 197956 CAREFIRST 1502594 1502594 COMMERCIAL CHAMPUS 845556 845556 OTHER 209646 209646 MANAGED CARE 1955425 1955425 MEDICAID 33818364 33818364 38331585 46930 0 46930 0 0 0 0 13900 17193 -3293 -3293 -3293 1500 1500 1500 1500 15899 87142 -87142 0 0 0 0 0 CAFETRIA SALES 80714 80714 TRANSPORTATION 4741 4741 MISC REVENUE 9139 9139 94594 38582130 38426179 0 45137 0 0 0 0 0 0 0 0 0 0 0 0 16392057 13038965 3343702 9390 924658 735935 188723 0 4508872 3582854 918785 7233 1345244 1070680 274564 0 0 72465 0 72465 0 76035 0 76035 0 0 0 0 0 0 0 0 0 0 0 0 0 150186 119533 30653 0 2090925 1651307 423460 16158 2666348 2122146 544202 0 0 0 0 0 879896 700266 179576 54 72533 57729 14804 0 0 0 0 0 52781 42008 10773 0 144802 115248 29554 0 0 2180450 1735420 445030 0 465726 370671 95055 0 CONTRACT SERVICES 4415388 3513282 900943 1163 GENERAL AND ADMINISTRATIVE 1634425 1291466 331183 11776 TEMPORARY LABOR 1186341 944209 242132 0 PURCHASED SERVICES 449917 354086 90801 5030 CONSULTANTS 143085 113881 29204 0 533233 249084 284149 40385367 31808770 8525793 50804 28929 261464 0 0 6459278 4608008 187645 190069 208720 176813 46885097 29793318 18586695 17091779 2475062 2446630 2561911 4386279 30508240 29161042 5865019 6411082 11750000 11525000 7866820 7991636 25481839 25927718 X 4428731 2618248 574855 592261 22815 22815 5026401 3233324 30508240 29161042 X -1803237 10160 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30426 120 30546 26869 3557 30426 35104 -8235 26869 1.00000 false false false 200000 200000 21720532 14875371 6845161 24964565 14917947 10046618 17091779 INVS- ENDOWMENT 30546 F ALLOC RESTRICTED CASH 0 F SUNTRUST SELF INSURANCE TRUST 2416084 F 2446630 DUE FROM 3RD PARTY PAYERS 3521502 DEFERRED BOND ISSUANCE COST, N 93839 CONSTRUCTION IN PROGRESS 770938 4386279 0 UNFUNDED ACCUM BENEFIT OBLIGAT 3470629 ESTIMATED SELF INS PRO LIABILI 2049761 AMOUNT DUE TO AFFILIATES NET 2471246 7991636 38582130 40385367 -1803237 157173 -147013 10160 -1793077 38662967 114141 114141 38548826 33304 33304 38582130 40489702 104335 104335 40385367 40385367 Expense Reconciliation Part XIII line 2d Rental Expenses $ 17,193 Special Event Expenses 87,142 --------------------------------------------------------------------- TOTAL $104,335 Revenue Reconciliation Part XII Line 2d Net assets released $ 9,806 Rental expenses 17,193 Special events expenses 87,142 -------------------------------------------------------------------- Total $114,141 Revenue Reconciliation Part XII Line 4b Restricted contributions $ 33,304 --------------------------------------------------------------------- TOTAL $ 33,304 Net Asset Reconciliation Part XI Line 8 Change in minimum pension liability $ (147,013) --------------------------------------------------------------------- TOTAL $ (147,013) endowments This account pre-dates my employment but I believe that it was set-up primarly to support HSC's operations. According to past employees who worked in the fundrasing department no formal purpose was established. X X X X X false JUNE FAIR EVENT 15899 15899 5467 81675 0 15899 15899 5467 81675 87142 -87142 true true true X true X true true true false false 324812 324812 0.00810 324812 324812 0.00810 20000 20000 0.00050 1513 1513 21513 21513 0.00050 346325 346325 0.00860 true true true 1 1 The Hospital For Sick Children

1731 Bunker Hill Rd NE Washington DC 20017

X X The Hospital For Sick Children 1 PART I, LINE 3C: N/A PART I, LINE 6A: THE HOSPITAL FOR SICK CHILDREN D/B/A THE HSC PEDIATRIC CENTER HAS NOT PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT IN 2010 BUT, WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT IN 2012. ONCE COMPLETED AND BASED ON THE REPORT'S FINDINGS, HSC WILL BEGIN PREPARING A COMMUNITY BENEFITS REPORT THAT WILL ADDRESS THE NEEDS OF THE COMMUNITY THAT IT SERVES, BASED ON THE ORGANIZATION'S MISSION. PART I, LINE 7G: N/A PART I, LINE 7, COLUMN F: N/A PART I, LINE 7: THE HOSPITAL FOR SICK CHILDREN D/B/A THE HSC PEDIATRIC CENTER (HSC) DID NOT USE WORKSHEET 2 TO CALCULATE COST REPORTED IN PART I, LINE 7(B) BUT, RATHER IT USED THE COST-TO-CHARGE RATIO CALCULATION OF TOTAL COST DIVIDED BY TOTAL CHARGES PER THE 2010 DC MEDICAID COST REPORT. THE BENEFIT EXPENSE AMOUNT REPORTED ON PART I, LINE 7(H) REPRESENTS A DIRECT DONATION AND IS CONSIDERED THE COST FROM HSC. THE COST REPORTED ON PART I, LINE 7(I) WAS DERIVED BY THE PERCENTAGE OF INDIRECT COSTS TO DIRECT COSTS PER THE 2010 DC MEDICAID COST REPORT. PART II: SEE THE RESPONSE TO PART VI, LINE 5 PART III, LINE 4: N/A- THE HOSPITAL FOR SICK CHILDREN D/B/A THE HSC PEDIATRIC CENTER (HSC) PAYOR MIX IN 2010 WAS APPROXIMATELY 89% MEDICAID AND DUE TO THE HIGH VOLUME OF MEDICAID PATIENTS HSC HAD NO BAD DEBT EXPENSE IN 2010. PART III, LINE 8: N/A HSC DOES NOT PARTICIPATE IN THE MEDICARE PROGRAM. PART III, LINE 9B: HSC patients who are uninsured for the relevant, services, who are ineligible for government or other insurance coverage, and who have family income not in excess of 200% of the Federal Poverty Guidelines will be eligible to receive 100% or partial charity care, respectively. The determination of charity care should be made before providing services when possible but all efforts will be made to establish whether the patient is eligible for charity care before leaving the hospital. Patients may also be determined to be unable to pay without submitting requested income information discovered through the collection process. Once eligibility has been established, the patient account in whole or in part, is written-off to charity care and all collection efforts cease. If the patient receives partial charity care, all efforts will be made to obtain a monthly payment contract to satisfy the amount due and, they will receive monthly bills for the amount due. PART V: THE HOSPITAL FOR SICK CHILDREN D/B/A THE HSC PEDIATRIC CENTER IS A SELF-CONTAINED SUBACUTE, SPECIALTY CHILDREN'S HOSPITAL. PART VI, LINE 2: THE HSC PEDIATRIC CENTER HAS NOT PREPARED AN ANNUAL COMMUNITY BENEFIT REPORT IN 2010 BUT WILL CONDUCT A COMMUNITY NEEDS ASSESSMENT IN 2012. ONCE COMPLETED AND BASED ON THE REPORT'S FINDINGS, HSC WILL BEGIN PREPARING A COMMUNITY BENEFITS REPORT THAT WILL ADDRESS THE NEEDS OF THE COMMUNITY THAT IT SERVES, BASED ON THE ORGANIZATION'S MISSION. PART VI, LINE 3: THE HSC PEDIATRIC CENTER HAS A STRONG COMMITMENT TO PROVIDING SERVICES TO FAMILIES AT NO COST TO THEM IF AT ALL POSSIBLE. MANY OF THE FAMILIES WHO RECEIVE SERVICES FROM HSC HAVE ALREADY QUALIFIED FOR MEDICAID BY THE TIME OF THEIR ARRIVAL AT HSC DUE TO PRIOR SERVICES AT OTHER FACILITIES. IF A FAMILY ARRIVES AT HSC WITH PRIVATE INSURANCE, OFTEN TIMES THEY QUALIFY FOR MEDICAID BY THE TIME THEY ARE DISCHARGED TO CARE AT HOME. FAMILIES ARE INFORMED OF THE AVAILABILITY OF financial assistance AT THE TIME OF THEIR ADMISSION TO HSC. THEY ARE GIVEN WRITTEN COPIES OF THE STATEMENT: "NOTICE OF AVAILABILITY OF UNCOMPENSATED SERVICES" IN THE APPROPRIATE LANGUAGE. IF THEY BELIEVE THEY MAY BE IN NEED OF THE SERVICES, AN APPLICATION IS FILLED OUT AT THE TIME OF ADMISSION. IF A FAMILY DOES NOT QUALIFY FOR MEDICAID THEY WOULD BE ELIGIBLE TO PURSUE THE AVAILABLE UNCOMPENSATED SERVICES. PART VI, LINE 4: THE HSC PEDIATRIC CENTER SERVES CHILDREN AND YOUNG ADULTS UP TO THE AGE OF 21 WHO HAVE SPECIAL HEALTH CARE NEEDS. HSC SERVES THE WASHINGTON DC METRO AREA WHICH IS A DIVERSE COMMUNITY THAT COVERS TWO STATES AND THE DISTRICT OF COLUMBIA. SPECIFIC GEOGRAPHIC AND DEMOGRAPHIC CHARACTERISTICS OF THE COMMUNITY WE SERVICE INCLUDE THE FOLLOWING: 1. THERE ARE APPROXIMATELY 85,000 CHILDREN IN THE DISTRICT OF COLUMBIA COVERED BY MEDICAID. 2. OF THOSE 85,000 DC CHILDREN, 4,346 WERE ENROLLED IN HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC, HSC'S SISTER ORGANIZATION THAT PROVIDES CARE MANAGEMENT SERVICES TO CHILDREN WHO HAVE SSI OR SSI RELATED DIAGNOSES. 3. PRINCE GEORGES COUNTY MARYLAND IS AN ETHNICALLY AND SOCIOECONOMICALLY DIVERSE POPULATION WITH HIGHER RATE OF UNINSURANCE THAN SURROUNDING MD COUNTIES. 4. THE DISTRICT OF COLUMBIA (DC) RANKS HIGHEST WHEN COMPARED TO MARYLAND OR VIRGINIA IN THE PERCENTAGE OF RESIDENTS WHO LIVE BELOW 185% OF THE FEDERAL POVERTY GUIDELINES. 5. BETWEEN 2000 AND 2006, DC HAD THE HIGHEST RATE OF LOW BIRTH WEIGHT BABIES IN THE AREA FOLLOWED BY PRINCE GEORGES COUNTY. 24% OF INPATIENT SERVICES PROVIDED AT HSC WERE TO CHILDREN WITH CONDITIONS THAT ORIGINATED IN THE PRENATAL PERIOD WITH ANOTHER 14% OF CHILDREN WITH CONGENITAL ANOMALIES. 6. IN 2010, 89% OF HSC'S PATIENTS WERE COVERED BY MEDICAID OR MEDICAID MANAGED CARE. 34% WERE MD MEDICAID OR MD MEDICAID MANAGED CARE, 46% DC MEDICAID MANAGED CARE, AND 9% VIRGINIA MEDICAID. 7. 386 CHILDREN WERE ADMITTED TO HSC IN 2010. 20,600 DAYS OF CARE WERE PROVIDED TO THOSE CHILDREN. PART VI, LINE 5: WHILE HSC HAS NOT BEEN INVOLVED IN COMMUNITY BUILDING ACTIVITIES ITS PARENT COMPANY, THE HSC FOUNDATION PARTICIPATED, FUNDED, OR LED ACTIVITIES RELATED TO, COALITION BUILDING AND COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. EXAMPLES OF THOSE ACTIVITIES INCLUDED: -HELD A GROUNDBREAKING CEREMONY FOR THE NATIONAL YOUTH TRANSITIONS CENTER, FEATURING CONGRESSWOMAN ELEANOR HOLMES NORTON. -HOSTED THE ANNUAL ADVOCATES IN DISABILITY AWARD RECEPTION, ATTRACTING A RECORD NUMBER OF ATTENDEES WITH EQUAL REPRESENTATION FROM THE DC SUBURBS AND THE DISTRICT, WHICH RECEIVED TELEVISION COVERAGE AND A STORY IN A NATIONAL MAGAZINE, ABILITY. -SPONSORED NINE DISABILITY EVENTS, INCLUDING THREE NATIONAL CONFERENCES ON DISABILITY ISSUES. -EXPANDED THE LIFE ENRICHMENT AWARDS PROGRAM (LEAP) FROM 21 TO 25 COMMUNITY ORGANIZATIONS THAT SERVE TRANSITIONING YOUTH WITH DISABILITIES IN THE EXPANDED WASHINGTON METROPOLITAN AREA. -FUNDED FIVE INTERNSHIP PROGRAMS FOR INDIVIDUALS WITH ALL TYPES OF DISABILITIES THAT OFFER WORK EXPERIENCE IN A VARIETY OF FIELDS, INCLUDING PUBLIC SERVICE, THE ARTS, ADMINISTRATIVE, MEDICAL, AND CUSTOMER SERVICE. -ENHANCED THE ADVOCATES IN DISABILITY AWARD PROGRAM TO INCLUDE A $10,000 AWARD, WITH $3,000 PRESENTED TO THE RECIPIENT AND $7,000 TO FUND A PROGRAM PROPOSED BY THE AWARD RECIPIENT, WHO WE SUBSEQUENTLY TOOK TO MEET HER REPRESENTATIVE, CONGRESSMAN JIM MORAN. -WITH FUNDING FROM TWO EXTERNAL SOURCES, PROVIDED FUNDS FOR OVER SIX SEPARATE THERAPEUTIC RECREATION GRANTS TO HSCSN, THE HSC PEDIATRIC CENTER, AND OTHER COMMUNITY-BASED ORGANIZATIONS. -WITH TWO PARTNERS, CONDUCTED A NUMBER OF LISTENING SESSIONS WITH NON-TRADITIONAL FAMILY CAREGIVERS AND PUBLISHED AND DISTRIBUTED A BRIEFING ON THE FINDINGS. -FUNDED A FOCUS GROUP STUDY WITH INNER-CITY ADOLESCENTS AND THEIR PARENTS TO DETERMINE HOW BEST TO ADDRESS ADOLESCENTS' PHYSICAL, BEHAVIORAL AND REPRODUCTIVE HEALTH CARE NEEDS AND THE DISTRIBUTION OF THE FINDINGS REPORT. -CONDUCTED FIVE FEEDBACK SESSIONS WITH COMMUNITY PARTNERS, INCLUDING A YOUTH GROUP, TO SOLICIT INPUT ON THE INFRASTRUCTURE OF THE NATIONAL YOUTH TRANSITIONS COLLABORATION NOW IN DEVELOPMENT, WHICH IS FOCUSED ON BUILDING CAPACITY AND COMMUNITY. PUBLICATIONS INCLUDED: -A COMPENDIUM OF RESEARCH PAPERS ON CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS AND DISABILITIES FROM UNDERSERVED COMMUNITIES, WHICH WILL APPEAR IN THE DECEMBER ISSUE OF PEDIATRICS, THE PUBLICATION OF THE AMERICAN ACADEMY OF PEDIATRICS. -ADOLESCENTS' EXPERIENCES AND VIEWS ON HEALTH CARE -CAREER INVESTIGATIONS FOR TRANSITIONING YOUTH -2010 PARTNERSHIP NETWORK ALSO THE HSC HEALTHCARE SYSTEM ASSESSED AND DETERMINED THAT THERE WAS A GREAT NEED WITHIN THE SPECIAL NEEDS PEDIATRIC POPULATION THAT REQUIRED COMMUNITY BASED HEALTH SERVICES WITHIN THE DISTRICT OF COLUMBIA. THE, HSC HEALTHCARE SYSTEM ESTABLISHED THE HSC HOME CARE, LLC TO PROVIDE ACCESS TO HIGH QUALITY REHABILITIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS. PART VI, LINE 6: THE HSC PEDIATRIC CENTER (FORMERLY THE HOSPITAL FOR SICK CHILDREN) IS PART OF THE HSC HEALTHCARE SYSTEM WHICH CONSISTS OF FIVE DISTINCT ENTITIES: THE HSC FOUNDATION (HSCF), THE HSC PEDIATRIC CENTER (HSC), 2013 HOLDINGS, THE HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. (HSCSN) AND THE HSC HOME CARE, LLC. (HSCHC). -THE MISSION OF HSCF IS TO FACILITATE ACCESS TO SERVICES FOR INDIVIDUALS WITH SPECIAL NEEDS AND THEIR FAMILIES IN THE WASHINGTON DC METROPOLITAN AREA, WHILE CONDUCTING REGIONAL AND NATIONAL PROJECTS WITH GOVERNMENT AND PHILANTHROPIC ORGANIZATIONS. IT ALSO SERVES AS THE SUPPORTING ORGANIZATION FOR THE OTHER THREE NON-PROFIT ENTITIES AND OPERATES A YOUTH TRANSITION INITIATIVE. -HSC'S MISSION IS TO PROVIDE REHABILITATION AND TRANSITIONAL CARE FOR CHILDREN AND ADOLESCENTS WITH DISABILITIES AND CHRONIC ILLNESSES. FURTHER, IT PROVIDES ASSISTANCE WITH ACCESSING RELATED CARE SERVICES FOR ALL PATIENTS AND THEIR FAMILIES IN A NURTURING ENVIRONMENT OF FAMILY-CENTERED CARE THE WITHIN THE WASHINGTON METROPOLITAN AREA. -HSCSN IS AN INNOVATIVE MANAGEMENT ORGANIZATION THAT COORDINATES HEALTH, SOCIAL AND EDUCATION SERVES FOR THE PEDIATRIC SUPPLEMENTAL SECURITY INCOME (SSI) AND SSI ELIGIBLE POPULATIONS IN WASHINGTON, DC. BENEFITS TO MEMBER AND THEIR FAMILIES, AND COMMUNITIES INCLUDE ALL TRADITIONAL MEDICAID BENEFITS, PLUS INDIVIDUALIZED CARE MANAGEMENT SERVICES, 24 HOUR ACCESS TO CARE COORDINATION, OUTREACH, AND RESPITE CARE SERVICES FOR ITS MEMBERS AND THEIR FAMILIES. -HSC HOME CARE, LLC, LOCATED IN THE DISTRICT OF COLUMBIA, MISSION IS TO PROVIDE ACCESS TO QUALITY REHABILITATIVE AND SPECIALTY SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS AND THEIR FAMILIES IN A MANNER THAT IS CULTURALLY AND LINGUISTICALLY APPROPRIATE THROUGH THE OFFERING OF A VAST ARRAY OF REHABILITATIVE, MEDICAL, SOCIAL, AND EDUCATIONAL SERVICES. THE ORGANIZATION RECOGNIZES THE VALUE OF CARE IN THE HOME AND RECONNECTING PATIENTS BACK INTO THEIR COMMUNITY. -THE HSC HEALTH CARE SYSTEM IS DESIGNED AND DEDICATED TO PROVIDE QUALITY MEDICAL CARE SERVICES, INNOVATIVE CARE MANAGEMENT, HOME CARE AND OTHER RELATED SERVES TAILORED TO THE NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS WITH DISABILITIES AND CHRONIC MEDICAL CONDITIONS AND THEIR FAMILY TO IMPROVE ACCESS TO MEDICAL CARE AND TO IMPROVE THE HEALTHCARE STATUS OF THE GROSSLY UNDERSERVED PEDIATRIC POPULATION IN WHICH THE HSC HEALTHCARE SYSTEM SERVES. PART VI, LINE 7: N/A false false false false false false false false false THOMAS W CHAPMAN 0 555957 0 250 0 6273 0 131055 0 12404 0 705939 0 0 BRUCE GOLDMAN 0 247343 0 250 0 0 0 29018 0 6047 0 282658 0 0 NANCY SOUTHERS 0 247641 0 250 0 0 0 29740 0 8462 0 286093 0 0 NANCY DOELLGAST 0 202499 0 250 0 0 0 27412 0 7990 0 238151 0 0 JOHN MATHEWSON 0 270256 0 250 0 0 0 29746 0 11868 0 312120 0 0 GENE GREER 0 202825 0 250 0 0 0 23087 0 10932 0 237094 0 0 LYNNE HOSTETTER 0 159724 0 250 0 0 0 25021 0 5132 0 190127 0 0 DEBBIE HOLSON 182908 0 0 0 0 0 10100 0 7431 0 200439 0 0 0 ROBERT COOK 165116 0 0 0 0 0 8620 0 753 0 174489 0 0 0 BONNETTA WILSON 151915 0 0 0 0 0 7259 0 9632 0 168806 0 0 0 JESSAMINE GAYTANO 129523 0 0 0 0 0 3886 0 20418 0 153827 0 0 0 HOSPITAL FOR SICK CHILDREN 530204670 000000000 2010-12-17 11775000 REFUND 2005 BONDS false false false 11775000 11775000 1992 true false true true false false false false true false true false false ISSUANCE COSTS ISSUANCE COSTS OF $94,000 FROM THE BOND ISSUANCE ON 12/17/10 WERE NOT INCLUDED IN PART II BECAUSE THE FUNDS USED TO PAY THE ISSUANCE COSTS CAME FROM WITHOUT THE BOND ISSUANCE. AS A RESULT, THE TOTAL AMOUNT OF PROCEEDS FROM THE ISSUE WERE USED TO CURRENTLY REFUND THE REMAINING PRINCIPAL AMOUNT ON THE 2005 BONDS. Process of reviewing return Part VI Section B Line 11 The Form 990 is prepared by an accounting firm and then reviewed by the controller and vp of finance. Once comments from the controller and vp of finance have been incorporated into the Form 990, the Form 990 is made available to the Finance Committee for their review, followed by a meeting of the 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 Board of Directors for their review and comments. Conflict of interest Part VI Section B, Question 12c Whenever a potential conflict arises for The HSC Pediatric Center 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 The HSC Pediatric Center 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 Pediatric Center 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 The Organization uses 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. CHANGE IN NET ASSETS PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENTS $157,173 CHANGE IN MINIMUM PENSION LIABILITY (147,013) ------------------------------------------------------------------------- TOTAL $ 10,160 DOCUMENT AVAILABILITY PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS W CHAPMAN TITLE:CEO/PRES/SEC/TREASURER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN MATHEWSON TITLE:EXECUTIVE VP HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JACK KASTEN TITLE:board member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARIA GOMEZ TITLE:BOARD MEMBER HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER MEYER MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT G ROSENBURG MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLOTTE COLLINS JD TITLE:CHAIRMAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRUCE GOLDMAN TITLE:CHIEF OPERATING OFFICER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY SOUTHERS TITLE:VP FINANCE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY DOELLGAST TITLE:VP COMPLIANCE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GENE GREER TITLE:CHIEF INFORMATION OFFICER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LYNNE HOSTETTER TITLE:VP HUMAN RESOURCES HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBBIE HOLSON TITLE:VP PATIENT CARE SERVICES HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT COOK TITLE:VP SUPPORT AND ANCILLARY SERVI HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BONNETTA WILSON TITLE:REGISTERED NURSE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JESSAMINE GAYTANO TITLE:REGISTERED NURSE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BEATRICE OSEI-AMOH TITLE:REGISTERED NURSE HOURS: THE HSC FOUNDATION 1808 EYE ST NW WASHINGTON DC 20006 521346603 ACCESS TO HEA DC 509(A)(3) 501(c)(3) NA HEALTH SERVICES FOR CHILDREN SPECIALNEED 1101 VERMONT AVE NW WASHINGTON DC 20005 521862406 HEALTHCARE DC 170B(A)(3) 501(c)(3) HSC FOUNDTN 2013 HOLDINGS INC 1808 EYE STREET NW SUITE 600 WASHINGTON DC 20006 272882469 HOLDING DC NONE 501(C)(2) HSC FOUNDTN false false false false false false false false false false false false false true true true false false