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CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE (EIN 53-0204670)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-01
IRS object ID
201603069349300105
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-01T08:00:20-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11455 Pennsylvania Avenue NWAddressLine1Txt
Address Line2Suite 700AddressLine2Txt
CityWashingtonCityNm
State AbbreviationDCStateAbbreviationCd
ZIP200041008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN530204670EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL FOR SICK CHILDRENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone2028324400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11731 BUNKER HILL ROAD NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP200173096ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAY VICKSPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone2026245555PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HSC PEDIATRIC CENTERBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS CHAPMANBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11731 BUNKER HILL ROAD NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP200173096ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,800,388GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.hschealth.org/medical-programs-therapyWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateDCLegalDomicileStateCd
Activity Or MissionTHE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES QUALITY REHABILITATIVE TRANSITIONAL, AND SPECIALTY CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN WASHINGTON, DC AND BALTIMORE AREAS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee354TotalEmployeeCnt
Total Volunteers102TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$280,947PYContributionsGrantsAmt
CY Contributions Grants$121,127CYContributionsGrantsAmt
PY Program Service Revenue$31,202,354PYProgramServiceRevenueAmt
CY Program Service Revenue$24,050,757CYProgramServiceRevenueAmt
PY Investment Income$42,459PYInvestmentIncomeAmt
CY Investment Income$234,011CYInvestmentIncomeAmt
PY Other Revenue$88,722PYOtherRevenueAmt
CY Other Revenue$109,016CYOtherRevenueAmt
PY Total Revenue$31,614,482PYTotalRevenueAmt
CY Total Revenue$24,514,911CYTotalRevenueAmt
CY Grants And Similar Paid$900CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$26,002,625PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,474,059CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,495,310PYOtherExpensesAmt
CY Other Expenses$12,404,242CYOtherExpensesAmt
PY Total Expenses$39,497,935PYTotalExpensesAmt
CY Total Expenses$34,879,201CYTotalExpensesAmt
PY Revenues Less Expenses-$7,883,453PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,364,290CYRevenuesLessExpensesAmt
Total Assets BOY$26,617,223TotalAssetsBOYAmt
Total Assets EOY$21,742,376TotalAssetsEOYAmt
Total Liabilities BOY$17,996,465TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,654,580TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,620,758NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,912,204NetAssetsOrFundBalancesEOYAmt
MissionTHE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN THE WASHINGTON, DC AND BALTIMORE AREAS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,328,486ExpenseAmt
Grant$900GrantAmt
Revenue$24,059,021RevenueAmt
DescOPEN TO PROVIDE QUALITY REHABILITATIVE AND TRANSITIONAL CARE FOR INFANTS, CHILDREN, ADOLESCENTS, AND YOUNG ADULTS WITH SPECIAL HEALTH CARE NEEDS IN A SUPPORTIVE, CULTURALLY COMPETENT, RESPECTFUL ENVIRONMENT, AND TO PARTICIPATE IN RELATED LOCAL, REGIONAL, AND NATIONAL PROJECTS WITH GOVERNMENT, PRIVATE, AND PHILANTHROPIC ORGANIZATIONS. IN 2015, HSC PROVIDED 10,022 DAYS OF CARE, AND APPROXIMATELY 80% OF THE SERVICES RENDERED IN 2015 WERE PROVIDED TO MEDICAID PATIENTS. HSC ALSO PROVIDED ON AN OUTPATIENT BASIS MEDICAL CARE, APPROXIMATELY 10,207 VISITS IN 2015.Desc
Total Program Service Expenses$30,328,486TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee354EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAY VICKSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2024541255PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12013 H STREET NW STE 300AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas W Chapman
President & CEO HSCF, Board Member4.036.0Yes (X)Yes (X)$0$760,408$36,552
Deborah Holson
COO, HSCPC and Board Member40.00.0Yes (X)Yes (X)$143,046$0$5,854
John Mathewson
Executive Vice President7.033.0Yes (X)Yes (X)$0$362,925$20,575
Jack Kasten
Board Member1.03.0Yes (X)$0$0$0
Roger E Meyer
Board Member1.01.0Yes (X)$0$0$0
Margaret O'Bryon
Board Member1.00Yes (X)$0$0$0
Suzanne Randolph
Chairman1.00Yes (X)$0$0$0
Pierre Vigilance
Board Member1.00Yes (X)$0$0$0
Khalil Bouharoun
CIO11.029.0Yes (X)$0$207,432$24,000
Raymond Vicks Jr
Chief Financial Officer10.030.0Yes (X)$0$280,397$0
Frances P Christmon
VP FINANCE, FINANCIAL PLANNING & ANALYSIS20.020.0$0$192,935$16,097Yes (X)
Lynne Hostetter Piper
VP, Human Resources8.032.0$0$299,245$22,089Yes (X)
SAMAR AFLAR HUSSEIN MAAMOUN
PEDIATRICIAN40.00$223,174$0$18,000Yes (X)
DR Robert A Blake
VP MEDICAL STRATEGIES40.00$216,093$0$8,604Yes (X)
ROBERT D COOK
VP SUPPORT AND ANCILLARY SERVICES40.00$205,923$0$24,000Yes (X)
Erlinda S Austria
Dir, Reimbursement and Business Analytics40.00$165,793$0$3,280Yes (X)
ANTHONY A QUANDER
VP, PROVIDER FINANCIAL SERVICES40.00$162,227$0$10,278Yes (X)
Gene Greer
FORMER CIO0.00.0$0$147,373$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,116,257TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,250,715TotReportableCompRltdOrgAmt
Total Other Compensation$189,329TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Anthelio Healthcare Solutions
5400 LBJ FREEWAY STE 200DALLASTX75240IT SUPPORT SERVICES$1,962,367
CHILDREN'S NATIONAL MEDICAL CENTER
111 MICHIGAN AVE NWWASHINGTONDC20010HOSPITAL & MEDICAL SPECIALTY SERVICES$958,218
ADP Inc
PO BOX 842875BOSTONMA02284PAYROLL SERVICES$243,484
Clinical Pharmacy Associates
316 TALBOTT AVE STE ALAURELMD20707PHARMACY MGMT SERVICES$241,941
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
All Other Contributions$121,127AllOtherContributionsAmt
Total Contributions$121,127TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621300$22,952,350$22,952,350
DSH REVENUE621300$1,098,407$1,098,407

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,050,757TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,435TotalRevenueColumnAmt
Exclusion$43,435ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,896RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$13,896RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,896TotalRevenueColumnAmt
Exclusion$13,896ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$476,053OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$285,477OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$190,576OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,576TotalRevenueColumnAmt
Exclusion$190,576ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA VENDING722210$86,856$86,856
MISCELLANEOUS900099$8,264$8,264

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$95,120OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,514,911TotalRevenueColumnAmt
Related Or Exempt Func Income$24,059,021RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$334,763ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$900TotalAmt
Program Services$900ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$148,901TotalAmt
Program Services$134,011ProgramServicesAmt
Management And General$14,890ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,362,287TotalAmt
Program Services$16,801,412ProgramServicesAmt
Management And General$1,560,875ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$965,322TotalAmt
Program Services$965,322ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,647,332TotalAmt
Program Services$1,589,252ProgramServicesAmt
Management And General$58,080ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,350,217TotalAmt
Program Services$1,215,196ProgramServicesAmt
Management And General$135,021ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$174,939TotalAmt
Program Services$168,174ProgramServicesAmt
Management And General$6,765ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$85,300TotalAmt
Program Services$17,000ProgramServicesAmt
Management And General$68,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,444,192TotalAmt
Program Services$3,936,259ProgramServicesAmt
Management And General$507,933ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,418TotalAmt
Program Services$45,023ProgramServicesAmt
Management And General$1,395ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$152,861TotalAmt
Program Services$115,671ProgramServicesAmt
Management And General$37,190ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$51,131TotalAmt
Program Services$40,955ProgramServicesAmt
Management And General$10,176ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,633,235TotalAmt
Program Services$1,521,809ProgramServicesAmt
Management And General$111,426ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,033TotalAmt
Program Services$40,989ProgramServicesAmt
Management And General$1,044ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$63,999TotalAmt
Program Services$57,735ProgramServicesAmt
Management And General$6,264ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$130,735TotalAmt
Management And General$130,735ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,824,270TotalAmt
Program Services$1,459,416ProgramServicesAmt
Management And General$364,854ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,617,133TotalAmt
Program Services$408,780ProgramServicesAmt
Management And General$1,208,353ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$169,216$169,216
MEDICAL SUPPLIES$997,451$997,356$95
FOOD$255,889$240,623$15,266
SPECIAL EVENTS$77,541$76,444$1,097

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$637,899TotalAmt
Program Services$326,943ProgramServicesAmt
Management And General$310,956ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,879,201TotalAmt
Program Services$30,328,486ProgramServicesAmt
Management And General$4,550,715ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,261BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,019,577BOYAmt
EOY$2,824,002EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$164,510BOYAmt
EOY$151,389EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$410,110BOYAmt
EOY$129,691EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,518,604LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,361,097LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,795,658BOYAmt
EOY$12,157,507EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$45,770BOYAmt
EOY$46,336EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,178,337BOYAmt
EOY$6,433,451EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,617,223BOYAmt
EOY$21,742,376EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,413,015BOYAmt
EOY$3,696,904EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,475,000BOYAmt
EOY$10,175,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,108,450BOYAmt
EOY$9,782,676EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,996,465BOYAmt
EOY$23,654,580EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,880,381BOYAmt
EOY-$2,092,672EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$717,562BOYAmt
EOY$157,653EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,815BOYAmt
EOY$22,815EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,620,758BOYAmt
EOY-$1,912,204EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,617,223BOYAmt
EOY$21,742,376EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,364,290ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$77,058NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$91,614OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,770BeginningYearBalanceAmt
Investment Earnings Or Losses$598InvestmentEarningsOrLossesAmt
Administrative Expenses$32AdministrativeExpensesAmt
End Year Balance$46,336EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,921BeginningYearBalanceAmt
Investment Earnings Or Losses$11,849InvestmentEarningsOrLossesAmt
End Year Balance$45,770EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,586BeginningYearBalanceAmt
Investment Earnings Or Losses$5,335InvestmentEarningsOrLossesAmt
End Year Balance$33,921EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,295BeginningYearBalanceAmt
Investment Earnings Or Losses$291InvestmentEarningsOrLossesAmt
End Year Balance$28,586EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,546BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,251InvestmentEarningsOrLossesAmt
End Year Balance$28,295EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,000OtherCostOrOtherBasisAmt
Book Value$200,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,685,004OtherCostOrOtherBasisAmt
Depreciation$16,931,220DepreciationAmt
Book Value$4,753,784BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,257,660OtherCostOrOtherBasisAmt
Depreciation$22,429,877DepreciationAmt
Book Value$6,827,783BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$375,940OtherCostOrOtherBasisAmt
Book Value$375,940BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,157,507TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM 3RD PARTY PAYERS$2,168,220
DEFERRED BOND INSURANCE COST$74,277
DUE FROM AFFILIATES$1,292,295
SUNTRUST SELF INSURANCE TRUST$2,898,659
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,433,451TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ESTIMATED SELF INSURANCE PROFESSIONAL LIABILITY$2,355,753
INTEREST RATE SWAP LIABILITY$390,935
DUE TO 3RD PARTY PAYERS$2,106,788
DUE TO AFFILIATES$4,929,200
FieldValueIRS element (for citing)
Total Liability$9,782,676TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,177,023TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$77,058NetUnrealizedGainsInvstAmt
Other Revenue-$260,830OtherRevenueAmt
Revenue Not Reported-$337,888RevenueNotReportedAmt
Revenue Subtotal$24,514,911RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,514,911TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$34,709,985TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$34,709,985ExpensesSubtotalAmt
Other Expenses Not Included$169,216OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$169,216ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$34,879,201TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE ENDOWMENT FUND CORPUS IS PERMANENTLY RESTRICTED AND WILL REMAIN INVESTED. THE INCOME DERIVED FROM THE ENDOWMENT FUND IS TO BE USED BY THE PEDIATRIC CENTER TO SUPPORT CURRENT OPERATIONS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Center was recognized as a public charity generally exempt from federal income taxation under section 501(c)(3) of the Internal Revenue Code pursuant to a determination letter issued by the IRS in July 1997. The Center 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 the Center's status as a public charity exempt from federal income taxation remains in effect. The state in which the Center operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However, the Center 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 Center 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, 2015 were due on May 15, 2016 and have been extended to August 15, 2016. The Center has filed information returns and tax returns for all years through 2014. Under ASC, Subtopic 740, Income Taxes, the Center must recognize the tax benefit from an uncertain tax position only if it is "more-likely-than-not" that the tax position will be sustained on examination by the applicable taxing authorities based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. ASC, Subtopic 740-10, also provides guidance of derecognition, classification, interest and penalties on income taxes and accounting in interim periods and requires increased disclosure. There were no uncertain tax positions identified as of December 31, 2015 and 2014.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990UNREALIZED LOSS ON INTEREST RATE SWAP - -91614 BAD DEBT EXPENSE - -169216
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsBAD DEBT EXPENSE - 169216

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$42,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,949NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$27,681,606TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,898,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,783,604NetCommunityBenefitExpnsAmt
Total Expense0.2822TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$27,724,555TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,898,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,826,553NetCommunityBenefitExpnsAmt
Total Expense0.2834TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$62,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,064NetCommunityBenefitExpnsAmt
Total Expense0.0018TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$62,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,064NetCommunityBenefitExpnsAmt
Total Expense0.0018TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$27,786,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,898,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,888,617NetCommunityBenefitExpnsAmt
Total Expense0.2852TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$169,216BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$0ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$0CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$0MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesN/APrimaryActivitiesTxt
Org Profit Or Ownership0.0OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.0PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL FOR SICK CHILDRENBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11731 BUNKER HILL RD NEAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20017ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.hschealth.orgWebsiteAddressTxt
State LicenseHFD01-0216StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL FOR SICK CHILDRENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.hschealth.org/foundation/publicationsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.hschealth.org/foundation/publicationsStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.hschealth.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.hschealth.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.hschealth.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Other ReasonYes (X)OtherReasonInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN (HSCPC). PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TOOK INTO ACCOUNT INPUT FROM A BROAD BASE OF HEALTH CARE EXPERTS AND COMMUNITY MEMBERS SERVED BY HSCPC INCLUDING DC AND MARYLAND PUBLIC HEALTH AGENCIES, AND HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. (HSCSN). CONTACTED LOCAL EXPERTS PARTICIPATED IN BOTH STRUCTURED AND INFORMAL INTERVIEWS DESIGNED TO IDENTIFY UNMET HEALTH AND RELATED SOCIAL NEEDS THAT IMPACT POSITIVE HEALTH OUTCOMES FOR THIS POPULATION. THE CHNA ALSO EXAMINED RECENT PUBLISHED LITERATURE AND RELEVANT DATA PERTAINING TO COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN. PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENT 2015 CHNA BY ADOPTING AN IMPLEMENTATION STRATEGY IDENTIFIED IN THE CHNA REPORT. HSC WILL BEGIN TO EXECUTE THE IMPLEMENTATION STRATEGY BEGINNING 2016 BY UNDERTAKING THE FOLLOWING ACTIONS: CONTINUE TO PROVIDE CHARITY SERVICES FOR PATIENTS (A) NEEDING NON-COVERED MEDICAID SERVICES THAT ARE MEDICALLY NEEDY AND (B) MEETING THE CHARITY DEFINITION BASED ON FEDERAL POVERTY GUIDELINES. CONTINUE TO FOLLOW THE SPECIFIC COMMUNITY BENEFIT REQUIREMENTS FOR NON-PROFIT HOSPITALS WHICH INCLUDE FINANCIAL COUNSELING, UNIFORM CHARGING, AND PUBLISHED CHARITY CARE POLICIES AND ANNUAL AMOUNTS. OPEN AN ADVANCED CARE CENTER TO PROVIDE OUTPATIENT EARLY INTERVENTION FOR CHILDREN WITH AUTISM AND DEVELOPMENT DELAYS. COLLABORATE WITH COMMUNITY PARTNERS, AS REQUIRED, TO DEFINE AN EFFECTIVE MEDICAL HOME MODEL THAT MAY BE TESTED FOR IMPROVED HEALTH QUALITY AND COST EFFECTIVENESS.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN. PART V, SECTION B, LINE 13B: HSC HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO INDIVIDUALS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE LEVEL OF FINANCIAL ASSISTANCE IS DETERMINED BY SEVERAL FACTORS, INCLUDING: THE INDIVIDUAL'S ANNUAL INCOME, FAMILY SIZE, AND LIQUID ASSETS, AS WELL AS WHETHER THE INDIVIDUAL IS COVERED BY GOVERNMENTAL OR OTHER INSURANCE. FREE CARE IS PROVIDED TO PATIENTS WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE, AND WHOSE FAMILY INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES. DISCOUNTED CARE IS BASED ON A SLIDING DISCOUNTED SCALE OF GROSS CHARGES AND IS PROVIDED TO PATIENTS WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE AND WHOSE FAMILY INCOME IS BETWEEN 200% AND 500% OF THE POVERTY GUIDELINES. WHEN POSSIBLE, THE ORGANIZATION MAY MAKE A PROSPECTIVE DETERMINATION THAT CERTAIN PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE, ALTHOUGH THE PATIENT HAS NOT SUBMITTED A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PRESUMPTIVE CHARITY CARE IS DETERMINED BASED ON DEFINED CRITERIA FOR DESTITUTE STATUS (HOMELESS, ILLEGAL ALIEN, INCARCERATED, ETC.). PATIENTS WITH SUFFICIENT ASSETS TO PAY FOR CARE WITHOUT BECOMING MEDICALLY INDIGENT, MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. HOWEVER, THE RESIDENCE WHERE A PATIENT AND/OR THE PATIENT'S FAMILY RESIDES, AUTOMOBILES NEEDED TO TRANSPORT ALL WORKING PARTIES TO AND FROM WORK, SAVINGS ACCOUNTS WITH LESS THAN TWO MONTHS OF INCOME AND RETIREMENT ACCOUNTS WITH LESS THAN $50,000 ARE ALWAYS EXEMPTED FROM CONSIDERATION AS ASSETS IN CONSIDERING WHETHER THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. ONCE CHARITY CARE ELIGIBILITY HAS BEEN ESTABLISHED, THE PATIENT ACCOUNT IN WHOLE OR IN PART, IS WRITTEN-OFF AND ALL COLLECTION EFFORTS ON THE WRITTEN OFF PORTION OF THE ACCOUNT CEASE. IF THE PATIENT RECEIVES PARTIAL CHARITY CARE, ALL EFFORTS WILL BE MADE TO PLACE THAT PATIENT ON AN EXTENDED PAYMENT PLAN. FURTHERMORE, HSC HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO THE MEDICALLY INDIGENT, WHICH IS A SEPARATE, SUPPLEMENTAL DETERMINATION OF FINANCIAL ASSISTANCE FOR PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PRIMARY SECTION OF THE FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM THE RESULTING FINANCIAL LIABILITY FOR MEDICAL TREATMENT REPRESENTS A CATASTROPHIC LOSS. "CATASTROPHIC" IS DEFINED AS A SITUATION IN WHICH THE SELF-PAY PORTION OF THE HSC MEDICAL BILL IS GREATER THAN THE PATIENT'S ABILITY TO REPAY WITH CURRENT INCOME AND LIQUID ASSETS IN 18 MONTHS OR LESS. THE FACTORS TAKEN INTO CONSIDERATION WHEN EVALUATING A CATASTROPHIC ASSISTANCE APPLICATION ARE THE FOLLOWING: CURRENT MEDICAL DEBT, LIQUID ASSETS, LIVING EXPENSES, PROJECTED MEDICAL EXPENSES, ANNUAL INCOME, FAMILY SIZE, AND SPELL OF ILLNESS.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN. PART V, SECTION B, LINE 16I: HSC PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY IN MANY DIFFERENT WAYS. FIRST, IT POSTS NOTICES REGARDING THE AVAILABILITY OF CHARITY CARE IN ADMISSIONS, PATIENT REGISTRATION, AND THE BUSINESS OFFICE. THE INFORMATION ON THE SIGNS IS IN BOTH ENGLISH AND SPANISH. IN ADDITION, THE POLICY IS DISTRIBUTED TO PATIENTS ON ADMISSION AND UPON REQUEST, AND IS AVAILABLE AT ALL PATIENT REGISTRATION DESKS AND IN ALL WAITING AREAS. FURTHERMORE, HSC, AS MANDATED BY ITS FINANCIAL ASSISTANCE POLICY, PUBLISHES A SUMMARY OF ITS FINANCIAL ASSISTANCE POLICY, ON AN ANNUAL BASIS, IN A NEWSPAPER OF GENERAL CIRCULATION IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS.
Schedule H, Part V, Section B, Line 21 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN. PART V, SECTION B, LINE 21D: THE HSC PEDIATRIC CENTER IS A LONG-TERM PEDIATRIC HOSPITAL FACILITY, WHICH DOES NOT PROVIDE EMERGENCY MEDICAL CARE. HOWEVER, THE HSC PEDIATRIC CENTER HAS ADOPTED A TRANSFER POLICY PURSUANT TO WHICH THE HOSPITAL WILL HELP TO TRANSFER, AS APPROPRIATE, ANY PATIENTS SHOWING SYMPTOMS OF AN EMERGENCY TO AN ACUTE CARE HOSPITAL.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - THE HOSPITAL FOR SICK CHILDREN. PART V, SECTION B, LINE 22D: THE HSC PEDIATRIC CENTER DETERMINED MAXIMUM AMOUNTS TO BE CHARGED TO FAP ELIGIBLE INDIVIDUALS IS NOT MORE THAN AMOUNTS GENERALLY BILLED TO INSURED PATIENTS. THE PROSPECTIVE MEDICAID METHOD WAS USED.
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Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HSC OUTPATIENT CENTERBusinessNameLine1Txt

US Address USAddress

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Address Line14500 FORBES BLVDAddressLine1Txt
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FacilityPROVIDES OUTPATIENT REHAB SERVICES TO THE SPECIAL NEEDS COMMUNITYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 4HSC HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO THE MEDICALLY INDIGENT, WHICH IS A SEPARATE, SUPPLEMENTAL DETERMINATION OF FINANCIAL ASSISTANCE FOR PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PRIMARY SECTION OF THE FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM THE RESULTING FINANCIAL LIABILITY FOR MEDICAL TREATMENT REPRESENTS A CATASTROPHIC LOSS. "CATASTROPHIC" IS DEFINED AS A SITUATION IN WHICH THE SELF-PAY PORTION OF THE HSC MEDICAL BILL IS GREATER THAN THE PATIENT'S ABILITY TO REPAY WITH CURRENT INCOME AND LIQUID ASSETS IN 18 MONTHS OR LESS. THE FACTORS TAKEN INTO CONSIDERATION WHEN EVALUATING A CATASTROPHIC ASSISTANCE APPLICATION ARE THE FOLLOWING: CURRENT MEDICAL DEBT, LIQUID ASSETS, LIVING EXPENSES, PROJECTED MEDICAL EXPENSES, ANNUAL INCOME, FAMILY SIZE, AND SPELL OF ILLNESS.
Schedule H, Part I, Line 3cTHE HOSPITAL FOR SICK CHILDREN DBA THE HSC PEDIATRIC CENTER ("HSC") HAS A FINANCIAL ASSISTANCE POLICY THAT PROVIDES FOR FREE OR DISCOUNTED CARE TO INDIVIDUALS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE LEVEL OF FINANCIAL ASSISTANCE IS DETERMINED BY SEVERAL FACTORS, INCLUDING: THE INDIVIDUAL'S ANNUAL INCOME, FAMILY SIZE, AND LIQUID ASSETS, AS WELL AS WHETHER THE INDIVIDUAL IS COVERED BY GOVERNMENTAL OR OTHER INSURANCE. FREE CARE IS PROVIDED TO PATIENTS WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE, AND WHOSE FAMILY INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES. DISCOUNTED CARE IS BASED ON A SLIDING DISCOUNTED SCALE OF GROSS CHARGES AND IS PROVIDED TO PATIENTS WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE AND WHOSE FAMILY INCOME IS BETWEEN 200% AND 500% OF THE POVERTY GUIDELINES. WHEN POSSIBLE, THE ORGANIZATION MAY MAKE A PROSPECTIVE DETERMINATION THAT CERTAIN PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE, ALTHOUGH THE PATIENT HAS NOT SUBMITTED A COMPLETED FINANCIAL ASSISTANCE FORM. PRESUMPTIVE CHARITY CARE IS DETERMINED BASED ON DEFINED CRITERIA FOR DESTITUTE STATUS (HOMELESS, ILLEGAL ALIEN, INCARCERATED, ETC.). ONCE CHARITY CARE ELIGIBILITY HAS BEEN ESTABLISHED, THE PATIENT ACCOUNT IN WHOLE, OR IN PART, IS WRITTEN-OFF AND ALL COLLECTION EFFORTS ON THE WRITTEN OFF PORTION OF THE ACCOUNT CEASE. IF THE PATIENT RECEIVES PARTIAL CHARITY CARE, ALL EFFORTS WILL BE MADE TO PLACE THAT PATIENT ON AN EXTENDED PAYMENT PLAN. IN ADDITION, INDIVIDUALS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY MAY STILL BE PROVIDED UP TO A 25% DISCOUNT ON BILLED SERVICES IN CERTAIN CIRCUMSTANCES.
Schedule H, Part III, Line 8HSC DOES NOT PARTICIPATE IN THE MEDICARE PROGRAM.
Schedule H, Part V, Section BTHE HOSPITAL FACILITY DOES NOT CHARGE ANY INDIVIDUALS THAT IT KNOWS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE AN AMOUNT EQUAL TO THE GROSS CHARGE FOR ANY SERVICE. THE HOSPITAL USES THE CHARGE MASTER RATES FOR A SERVICE AS A STARTING POINT AGAINST WHICH THE DISCOUNTS MANDATED IN THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY ARE APPLIED TO DETERMINE THE AMOUNT ACTUALLY BILLED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FACILITY WILL NOT COLLECT PAYMENT FROM ANY PATIENT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IN EXCESS OF THE REDUCED AMOUNT THAT IS ACTUALLY. BILLED TO SUCH FINANCIAL ASSISTANCE PATIENT.
Schedule H, Part V, Section ATHE HOSPITAL FOR SICK CHILDREN D/B/A, THE HSC PEDIATRIC CENTER IS A SELF-CONTAINED LONG-TERM PEDIATRIC SPECIALTY HOSPITAL.
Schedule H, Part I, Line 7g Subsidized Health ServicesN/A
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation169216
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE COST OF CHARITY CARE WAS DETERMINED BY UTILIZING THE RATIO OF COST TO CHARGES CALCULATED ON WORKSHEET 1 APPLIED TO THE CHARGES WRITTEN OFF FOR PATIENTS QUALIFYING FOR CHARITY CARE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
Schedule H, Part II Community Building ActivitiesN/A
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS DETERMINED BY ANALYZING PAST HISTORY AND IDENTIFYING TRENDS FOR EACH MAJOR PAYER SOURCE OF REVENUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND BAD DEBT EXPENSE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT BAD DEBT EXPENSE IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE HOSPITAL REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologySCHEDULE H, PART III, LINE 3 THE HOSPITAL DOES NOT REPORT AN ESTIMATE FOR THE PORTION OF BAD DEBT EXPENSE THAT MAY HAVE BEEN LIKELY TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. HSC TAKES THE POSITION THAT AMPLE OPPORTUNITY AND ASSISTANCE IS PROVIDED TO THE PATIENT TO QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. IF SUFFICIENT INFORMATION IS NOT PROVIDED THE HOSPITAL MUST ASSUME THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS (NOTE 2) THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: PROVISIONS FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE, THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CENTER RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE CENTER REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE DETERMINATION OF A PATIENT'S QUALIFICATION UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ATTEMPTED PRIOR TO THE PATIENT BEING DISCHARGED FROM THE HOSPITAL. THIS MAY INCLUDE A PROSPECTIVE DETERMINATION THAT CERTAIN PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALTHOUGH THE PATIENT HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE POLICY. AS SOON AS THE PATIENT'S FINANCIAL ASSISTANCE ELIGIBILITY HAS BEEN ESTABLISHED, THE PATIENT'S ACCOUNT IN WHOLE OR IN PART, IS WRITTEN-OFF AND ALL COLLECTION EFFORTS CEASE ON THE PORTION OF THE ACCOUNT THAT HAS BEEN WRITTEN-OFF. IF THE PATIENT RECEIVES DISCOUNTED CARE, ALL EFFORTS WILL BE MADE TO PLACE THAT PATIENT ON AN EXTENDED PAYMENT PLAN. FOR THOSE PATIENTS THAT DO NOT INITIALLY APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION CONTINUES TO MONITOR WHETHER THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS. IF THE PATIENT IS FOUND TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY POINT (INCLUDING ONCE COLLECTION EFFORTS HAVE BEGUN), THE ORGANIZATION WILL APPROVE THE PATIENT FOR FINANCIAL ASSISTANCE IMMEDIATELY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceTHE DETERMINATION OF A PATIENT'S QUALIFICATION UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ATTEMPTED PRIOR TO THE PATIENT BEING DISCHARGED FROM THE HOSPITAL. THIS MAY INCLUDE A PROSPECTIVE DETERMINATION THAT CERTAIN PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALTHOUGH THE PATIENT HAS NOT SUBMITTED A COMPLETE FINANCIAL ASSISTANCE POLICY. AS SOON AS THE PATIENT'S FINANCIAL ASSISTANCE ELIGIBILITY HAS BEEN ESTABLISHED, THE PATIENT ACCOUNT IN WHOLE OR IN PART, IS WRITTEN-OFF AND ALL COLLECTION EFFORTS CEASE ON THE PORTION OF THE ACCOUNT THAT HAS BEEN WRITTEN-OFF. IF THE PATIENT RECEIVES DISCOUNTED CARE, ALL EFFORTS WILL BE MADE TO PLACE THAT PATIENT ON AN EXTENDED PAYMENT PLAN. FOR THOSE PATIENTS THAT DO NOT INITIALLY APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION CONTINUES TO MONITOR WHETHER THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE THROUGHOUT THE COLLECTION PROCESS. IF THE PATIENT IS FOUND TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY POINT (INCLUDING ONCE COLLECTION EFFORTS HAVE BEGUN), THE ORGANIZATION WILL APPROVE THE PATIENT FOR FINANCIAL ASSISTANCE IMMEDIATELY.
Schedule H, Part V, Section B, Line 16a FAP website- THE HOSPITAL FOR SICK CHILDREN: Line 16a URL: www.hschealth.org;
Schedule H, Part V, Section B, Line 16b FAP Application website- THE HOSPITAL FOR SICK CHILDREN: Line 16b URL: www.hschealth.org;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- THE HOSPITAL FOR SICK CHILDREN: Line 16c URL: www.hschealth.org;
Schedule H, Part VI, Line 2 Needs assessmentHSC PEDIATRIC CENTER USES A VARIETY OF METHODS TO ASSESS HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. NEEDS ARE IDENTIFIED THROUGHT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARTNERSHIPS AND COLLABORATIONS WITH OTHER MEDICAL, NON-PROFIT AND PUBLIC HEALTH AGENCIES. HSC PEDIATRIC CENTER ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF CHRONIC CARE FOR PEDIATRIC PATIENTS AND IS TRUSTED THROUGHOUT ITS COMMUNITY AS A RESOURCE READY AND WILLING TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. HSC PEDIATRIC CENTER'S CURRENT COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT WWW.HSCHEALTH.ORG/FOUNDATION/PUBLICATIONS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceTHE 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. IF PATIENTS ARE NOT ELIGIBLE FOR MEDICAID AND OTHER GOVERNMENTAL PROGRAMS SUBSEQUENT TO DISCHARGE, HSC BOTH INFORMS AND ATTEMPTS TO QUALIFY THEM PROSPECTIVELY FOR THE CHARITY CARE SERVICES PROVIDED BY HSC.
Schedule H, Part VI, Line 4 Community informationTHE HSC PEDIATRIC CENTER SERVES CHILDREN AND YOUNG ADULTS UP TO THE AGE OF 21 IN THE WASHINGTON DC METRO AREA 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 59,000 SSI AND SPECIAL NEEDS CHILDREN UNDER THE AGE OF 18 IN THE WASHINGTON, DC METRO AREA. 2. OF THOSE 59,000 CHILDREN, 6,065 WERE DISTRICT OF COLUMBIA SPECIAL NEEDS CHILDREN. OF THE DC SPECIAL NEEDS CHILDREN APPROXIMATELY OVER 5,000 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. MARYLAND HAS A HIGHER PREVALENCE OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS (CYSHCN) THAN DOES THE NATION AS A WHOLE. ACCORDING TO 2010 US CENSUS DATA AND ESTIMATES FOR 2014, MORE FAMILIES OF CYSHCN IN MARYLAND ARE LIVING IN POVERTY THAN IN THE FIVE PREVIOUS YEARS. 4. PRINCE GEORGES COUNTY IN MARYLAND, A COUNTY BORDERING WASHINGTON, DC IS AN ETHNICALLY AND SOCIOECONOMICALLY DIVERSE POPULATION WITH A HIGHER RATE OF BEING UNINSURED THAN SURROUNDING MD COUNTIES. THERE ARE 12,381 SPECIAL NEEDS CHILDREN IN PRINCE GEORGES COUNTY MARYLAND. 5. OF THE 59,119 CHILDREN WITH SPECIAL HEALTH CARE NEEDS 34,880 HAVE BEHAVIORAL HEALTH DIAGNOSES, 4,138 HAVE CEREBRAL PALSY, DEVELOPMENTAL DELAYS, OR FAILURE TO THRIVE. THE OTHER 20,100 CHILDREN HAVE VARIOUS OTHER MEDICAL CONDITIONS. THE PRIMARY CSHCN CONDITIONS TREATED AT THE HSCPC ARE CONDITIONS REQUIRING LONGER TERM TRANSITIONAL CARE AND/OR SPECIALTY REHABILITATION CARE PRIOR TO THEIR DISCHARGE TO HOME OR NURSING/GROUP HOME. THESE CONDITIONS INCLUDE CEREBRAL PALSY, ANOXIC BRAIN DAMAGE SPINA BIFIDA, FAILURE TO THRIVE RELATED TO PREMATURITY, CHRONIC LUNG DISEASE AND INTESTINAL OR OTHER FEEDING DISORDERS. 6. IN 2015, 85% OF HSC'S PATIENTS WERE COVERED BY MEDICAID. (I.E. DC, MD OR VA MEDICAID). 7. 229 CHILDREN WERE ADMITTED TO HSC IN 2015. 10,022 DAYS OF CARE WERE PROVIDED TO THOSE CHILDREN.
Schedule H, Part VI, Line 5 Promotion of community healthTHE HSC PEDIATRIC CENTER'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALITIES. THE ORGANIZATIONS SURPLUS FUNDS ARE USED TO FURTHER ITS EXEMPT PURPOSE, MEDICAL EDUCATION AND COMMUNITY PROGRAMS.
Schedule H, Part VI, Line 6 Affiliated health care systemHSC IS PART OF THE HSC HEALTHCARE SYSTEM WHICH CONSISTS OF SIX SEPARATE LEGAL ENTITIES: THE HSC FOUNDATION (HSCF), THE HSC PEDIATRIC CENTER (HSC), THE HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS, INC. (HSCSN), THE HSC HOME CARE, LLC. (HSCHC), 2013 HOLDINGS, AND SPECIAL NEEDS CONSULTING SERVICES, INC (SNCS). THE HSC HEALTH CARE SYSTEM IS DESIGNED AND DEDICATED TO PROVIDING QUALITY MEDICAL CARE SERVICES, INNOVATIVE CARE MANAGEMENT, HOME CARE AND OTHER RELATED SERVICES TAILORED TO THE NEEDS OF INFANTS, CHILDREN AND ADOLESCENTS WITH DISABILITIES AND CHRONIC MEDICAL CONDITIONS AND THEIR FAMILIES. IN ADDITION, THE HSC HEALTH CARE SYSTEM STRIVES 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. HSCF: 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 AS STATED ABOVE AND IT ALSO OPERATES A YOUTH TRANSITION INITIATIVE. HSCF IS A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HSC: HSC IS A HOSPITAL FACILITY THAT PROVIDES REHABILITATION AND TRANSITIONAL CARE FOR CHILDREN AND ADOLESCENTS WITH DISABILITIES AND CHRONIC ILLNESS . FURTHER, HSC PROVIDES ASSISTANCE WITH ACCESSING RELATED CARE SERVICES FOR ALL PATIENTS AND THEIR FAMILIES IN A NURTURING ENVIRONMENT OF FAMILY-CENTERED CARE WITHIN THE WASHINGTON METROPOLITAN AREA. HSCSN: HSCSN IS AN INNOVATIVE CARE MANAGEMENT ORGANIZATION THAT COORDINATES HEALTH, SOCIAL, AND EDUCATION SERVICES FOR THE PEDIATRIC SUPPLEMENTAL SECURITY INCOME (SSI) AND SSI ELIGIBLE POPULATIONS IN THE WASHINGTON, DC AREA. BENEFITS PROVIDED TO MEMBERS 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. HSCSN IS A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HSC HOME CARE, LLC: HSC HOME CARE, LLC'S MISSION IS TO PROVIDE ACCESS TO QUALITY REHABILITAT IVE 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. HSC HOME CARE, LLC IS WHOLLY OWNED BY HSCF. 2013 HOLDINGS: IS A TITLE-HOLDING COMPANY, WHICH HOLDS TITLE TO THE REAL PROPERTY LOCATED AT 2013 H STREET, NW, WASHINGTON, DC 20006, COLLECTS INCOME FROM SUCH PROPERTY, AND REMITS THE ENTIRE AMOUNT OF INCOME FROM SUCH PROPERTY, LESS EXPENSES, TO HSCF. 2013 HOLDINGS IS A SECTION 501(C)(2) TAX-EXEMPT ORGANIZATION. SPECIALS NEEDS CONSULTING SERVICES (SNCS) : COMMENCED OPERATIONS IN APRIL, 2011. ITS MISSION IS TO PROVIDE CONSULTING SERVICES TO IMPROVE ACCESS TO MEDICAL CARE AND TO IMPROVE THE HEALTHCARE STATUS OF THE SPECIAL NEEDS POPULATION BY ASSISTING TO TRANSITION COVERAGE FOR THIS HIGH NEED POPULATION FROM A TRADITIONAL FEE-FOR-SERVICE SETTING INTO COORDINATED CARE THAT IS USED EFFECTIVELY WITHIN THESE HIGH-COST SUBGROUPS. SNCS WAS FORMED TO OFFER HEALTHCARE CONSULTING SERVICES ON A NATION-WIDE PLATFORM TO ASSIST OTHER HEALTHCARE PROVIDERS IN A VARIETY OF HEALTHCARE RELATED PROJECTS. HOWEVER, THE CONSULTING WORK DONE BY SNCS STRENGTHENS THE COST-EFFECTIVENESS OF THE COORDINATED CARE PROGRAMS PROVIDED BY THE HSC HEALTHCARE SYSTEM ITSELF.
Schedule H, Part VI, Line 7 State filing of community benefit reportDC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas W Chapman
President & CEO HSCF, Board Member$0$760,408$0$0$0$0$0$24,000$0$12,552$0$796,960$0$0
John Mathewson
Executive Vice President$0$362,925$0$0$0$0$0$18,772$0$1,803$0$383,500$0$0
Khalil Bouharoun
CIO$0$207,432$0$0$0$0$0$24,000$0$0$0$231,432$0$0
Raymond Vicks Jr
Chief Financial Officer$0$280,397$0$0$0$0$0$0$0$0$0$280,397$0$0
Frances P Christmon
VP FINANCE, FINANCIAL PLANNING & ANALYSIS$0$192,935$0$0$0$0$0$9,329$0$6,768$0$209,033$0$0
Lynne Hostetter Piper
VP, Human Resources$0$299,245$0$0$0$0$0$18,000$0$4,089$0$321,334$0$0
Gene Greer
FORMER CIO$0$0$0$0$0$147,373$0$0$0$0$0$147,373$0$0
SAMAR AFLAR HUSSEIN MAAMOUN
PEDIATRICIAN$223,174$0$0$0$0$0$18,000$0$0$0$241,174$0$0$0
DR Robert A Blake
VP MEDICAL STRATEGIES$216,093$0$0$0$0$0$8,604$0$0$0$224,697$0$0$0
ROBERT D COOK
VP SUPPORT AND ANCILLARY SERVICES$205,923$0$0$0$0$0$24,000$0$0$0$229,923$0$0$0
Erlinda S Austria
Dir, Reimbursement and Business Analytics$165,793$0$0$0$0$0$3,280$0$0$0$169,073$0$0$0
ANTHONY A QUANDER
VP, PROVIDER FINANCIAL SERVICES$162,227$0$0$0$0$0$10,278$0$0$0$172,505$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE CEO/PRESIDENT'S COMPENSATION: 1) INDEPENDENT COMPENSATION CONSULTANT; 2) WRITTEN EMPLOYMENT CONTRACT; 3) COMPENSATION SURVEY OR STUDY; AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentGENE GREER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF 147,373 AS A RESULT OF A SEPARATION OF SERVICE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planA 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. NO SERP DISTRIBUTIONS WERE MADE IN 2015.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DISTRICT OF COLUMBIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN536001131BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2010-12-17BondIssuedDt
Issue Price$11,525,000IssuePriceAmt
PurposeREFUND SERIES 2005 BONDPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,050,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$11,525,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$11,525,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion1992SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Regulatory Safe Harbor StsfdfalseRegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part III, Line 7ALL COSTS OF ISSUANCE WITH RESPECT TO THE BONDS WERE PAID FROM FUNDS OTHER THAN PROCEEDS OF THE BONDS.
Schedule K, Part IV, Line 7THE TAX-EXEMPT BOND ISSUANCE UNDERTAKEN BY THE ORGANIZATION IN 2010 CURRENTLY REFUNDED A PRIOR TAX-EXEMPT BOND ISSUANCE FROM 2005, WHICH 2005 BOND ISSUANCE HAD CURRENTLY REFUNDED THE HOSPITAL REVENUE BONDS SERIES 1991A, ISSUED BY THE ORGANIZATION ON JUNE 12, 1991 TO FINANCE THE CONSTRUCTION OF A HOSPITAL FACILITY. ALL OF THE PROCEEDS OF THE 2010 TAX-EXEMPT BOND ISSUANCE WERE SPENT IMMEDIATELY UPON RECEIPT TO CURRENTLY REFUND THE 2005 BOND ISSUANCE. AS OF THE ISSUANCE DATE OF THE 2010 TAX-EXEMPT BONDS, THERE WERE NO UNEXPENDED PROCEEDS OF THE 2005 BONDS, AND THERE WERE NO TRANSFERRED PROCEEDS TO THE 2010 TAX-EXEMPT BOND ISSUANCE FROM PRIOR BOND ISSUANCES. AS A RESULT OF THE FOREGOING, NONE OF THE PROCEEDS OF THE TAX-EXEMPT BOND ISSUANCE WERE USED TO MAKE ANY HIGHER YIELDING INVESTMENTS OR NONPURPOSE INVESTMENTS, WHICH ARE REGULATE DUNDER SECTION 148 OF THE INTERNAL REVENUE CODE. SINCE THE ORGANIZATION HAS NOT USED THE PROCEEDS FROM THE BOND ISSUANCE TO MAKE ANY HIGHER YIELDING INVESTMENTS OR NONPURPOSE INVESTMENTS, THE ORGANIZATION HAS NOT YET ESTABLISHED WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148. IT IS THE ORGANIZATION'S INVENTION TO ADOPT SUCH A POLICY AT SUCH TIME AS ANOTHER TAX-EXEMPT BOND ISSUANCE IS UNDERTAKEN BY THE ORGANIZATION, PURSUANT TO WHICH THE PROCEEDS OF THE TAX-EXEMPT BOND ISSUANCE WILL NOT BE SPENT IMMEDIATELY UPON PURPOSE INVESTMENTS.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: DISTRICT OF COLUMBIA The calculation for computing no rebate due was performed on 07/27/2015

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEESTHE 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 APPROVAL.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe Executive Committee of the HSC Foundation, the sole corporate member of the organization, has 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 HSC Foundation 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.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM AND THEN REVIEWED BY THE VP'S FINANCE. ONCE COMMENTS FROM VP'S FINANCE 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 PROVIDED TO ANY OTHER BOARD MEMBERS UPON REQUEST.
Form 990, Part VI, Line 12c Conflict of interest policyTHE HSC FOUNDATION HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT COVERS ITSELF AND ALL OF ITS DIRECT AND INDIRECT SUBSIDIARIES (INCLUDING THE HOSPITAL FOR SICK CHILDREN). UNDER THAT POLICY, 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 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, 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.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service RevenueOTHER - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesCONTRACT SERVICES - Total Expense: 3957119, Program Service Expense: 3477124, Management and General Expenses: 479995, Fundraising Expenses: ; CONSULTING - Total Expense: 487073, Program Service Expense: 459135, Management and General Expenses: 27938, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesUNREALIZED LOSS ON INTEREST RATE SWAP - -91614;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE HSC FOUNDATION
2013 H STREET NW SUITE 300WASHINGTONDC20006521346603FACILITATE ACCESS TO HEALTH CARE SERVICESDC501(c)(3Type III-FINAfalse
HEALTH SERVICES FOR CHILDREN WITH SPECIAL NEEDS INC
1101 VERMONT AVE NWWASHINGTONDC20005521862406HEALTHCAREDC501(c)(39THE HSC FOUNDATIONfalse
2013 HOLDINGS INC
2013 H STREET NWWASHINGTONDC20006272882469HOLDING COMPANYDC501(c)(2THE HSC FOUNDATIONfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line12013 HOLDINGS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$85,347InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt