CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS NATIONAL REHABILITATION AND SPECIALIZED CARE (EIN 53-0204670)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-14
IRS object ID: 201403189349305515
Schema version: 2013v3.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-14T13:56:41-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 ROCKVILLE PIKE	AddressLine1
City	ROCKVILLE	City
State	MD	State
ZIP Code	20852	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	530204670	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE HOSPITAL FOR SICK CHILDREN	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% NANCY SOUTHERS	InCareOfNm
Business Name Control	HOSP	BusinessNameControlTxt
Phone	2028324400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1731 BUNKER HILL ROAD NE	AddressLine1
Address Line2	Suite	AddressLine2
City	WASHINGTON	City
State	DC	State
ZIP Code	200173096	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS CHAPMAN	PersonNm
Person Title	CEO/PRESIDENT	PersonTitleTxt
Phone	2028324400	PhoneNum
Signature	2014-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aaron D Cohen	PreparerPersonNm
PTIN	P01782580	PTIN
Phone	2028324400	PhoneNum
Preparation	2014-11-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS CHAPMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1731 BUNKER HILL RD NE	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20017	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$47,896,465	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	hscpediatriccenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	DC	LegalDomicileStateCd
Activity Or Mission	THE HOSPITAL FOR SICK CHILDREN PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE IN THE WASHINGTON, DC AND BALTIMORE AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	382	TotalEmployeeCnt
Total Volunteers	148	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$116,838	PYContributionsGrantsAmt
CY Contributions Grants	$149,572	CYContributionsGrantsAmt
PY Program Service Revenue	$45,092,366	PYProgramServiceRevenueAmt
CY Program Service Revenue	$41,379,557	CYProgramServiceRevenueAmt
PY Investment Income	$115,421	PYInvestmentIncomeAmt
CY Investment Income	$96,380	CYInvestmentIncomeAmt
PY Other Revenue	$56,632	PYOtherRevenueAmt
CY Other Revenue	$6,239,984	CYOtherRevenueAmt
PY Total Revenue	$45,381,257	PYTotalRevenueAmt
CY Total Revenue	$47,865,493	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$23,526,096	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,985,868	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$41,196	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,021,591	PYOtherExpensesAmt
CY Other Expenses	$17,441,884	CYOtherExpensesAmt
PY Total Expenses	$42,547,687	PYTotalExpensesAmt
CY Total Expenses	$40,427,752	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,833,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,437,741	CYRevenuesLessExpensesAmt
Total Assets BOY	$27,835,325	TotalAssetsBOYAmt
Total Assets EOY	$34,043,912	TotalAssetsEOYAmt
Total Liabilities BOY	$24,770,248	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,829,823	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,065,077	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$14,214,089	NetAssetsOrFundBalancesEOYAmt
Mission	THE 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$31,937,401	ExpenseAmt
Revenue	$41,379,557	RevenueAmt
Desc	To provide quality rehabilitative and transitional care for infants, children, adolescents and young adults with special health 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 2013, HSC provided 16,729 days of care, and approximately 91% of the services rendered in 2013 were provided to Medicaid Patients. HSC also provided on an Outpatient basis Medical Care, approximately 9,585 visits in 2013.	Desc
Total Program Service Expenses	$31,937,401	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	59	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	382	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	DC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NANCY SOUTHERS	PersonNm
Phone	2028324400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1731 BUNKER HILL ROAD NE	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	200173026	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS W CHAPMAN
CEO/PRES/SEC/TREASURER	4.0	36.0	Yes (X)	Yes (X)	$0	$655,163	$141,249
JOHN MATHEWSON
EXECUTIVE VP	9.0	31.0	Yes (X)	Yes (X)	$0	$303,319	$42,223
MARGARET O'BRYON
board member	1.0	1.0	Yes (X)		$0	$0	$0
MIATTA TUCKER
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
DIANNE REYNOLDS MD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
CHARLOTTE COLLINS JD
CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SUZANNE RANDOLPH PHD
BOARD MEMBER	1.0	0.0	Yes (X)		$0	$0	$0
BRUCE GOLDMAN
CHIEF OPERATING OFFICER	37.0	3.0		Yes (X)	$0	$284,228	$36,923
NANCY SOUTHERS
VP FINANCE	6.0	34.0		Yes (X)	$0	$301,234	$41,189
GENE GREER
CHIEF INFORMATION OFFICER	16.0	24.0			$0	$222,451	$35,457	Yes (X)
LYNNE HOSTETTER
VP HUMAN RESOURCES	6.0	34.0			$0	$177,059	$30,971	Yes (X)
KIMBERLY SMITH
VP COMPLIANCE	10.0	30.0			$0	$137,522	$13,529	Yes (X)
DEBBIE HOLSON
VP PATIENT CARE SERVICES	40.0	0.0			$200,801	$0	$21,144		Yes (X)
ROBERT COOK
VP SUPPORT AND ANCILLARY SERVI	40.0	0.0			$188,665	$0	$11,864		Yes (X)
ANTHONY QUANDER
AVP, PROVIDER FINANCIAL SERV	40.0	0.0			$142,579	$0	$21,712		Yes (X)
SHIFERAW WONDWOSSEN
PHARMACIST	40.0	0.0			$122,517	$0	$17,926		Yes (X)
ERLINDA AUSTRIA
DIRECTOR BUDGET REIMBURSEMENT	40.0	0.0			$148,954	$0	$16,741		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$803,516	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,080,976	TotReportableCompRltdOrgAmt
Total Other Compensation	$430,928	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ADEX MEDICAL STAFFING LLC
13083 TELECOM PARKWAY NORTH	TEMPLE TERRACE	FL	33637	MEDICAL STAFFING	$188,514
DELL MARKETING LP
PO BOX 643561	PITTSBURGH	PA	15264	IT EQUIPMENT SOFTWAR	$179,590
COMM-WORKS FORTRAN LLC
1405 XENIUM LANE N SUITE 120	MINNEAPOLIS	MN	55441	TELEPHONE INSTALL	$109,174
BEACON MEDICAL LEGAL CONSULTING LLC
21800 TOWNCENTER PLAZA SUITE 266A	STERLING	VA	20164	RISK MGMT CONSULTING	$103,502

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$149,572	AllOtherContributionsAmt
Total Contributions	$149,572	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAREFIRST	$1,474,737	$1,474,737
COMMERCIAL	$21,546	$21,546
OTHER	$3,272,385	$3,272,385
MANAGED CARE	$1,655,276	$1,655,276
MEDICAID	$34,955,613	$34,955,613

Field	Value	IRS element (for citing)
Total Program Service Revenue	$41,379,557	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,380	TotalRevenueColumnAmt
Exclusion	$96,380	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$13,896	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$30,972	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$17,076	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$17,076	TotalRevenueColumnAmt
Exclusion	-$17,076	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETRIA SALES	$93,042	$93,042
EHR INCENTIVE PAYMENT	$6,161,843	$6,161,843
MED TRANSCRIPTS	$2,175	$2,175

Field	Value	IRS element (for citing)
Other Revenue Total	$6,257,060	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,865,493	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,636,617	RelatedOrExemptFuncIncomeAmt
Exclusion	$79,304	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$16,441,096	TotalAmt
Program Services	$12,996,817	ProgramServicesAmt
Management And General	$3,444,279	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$861,087	TotalAmt
Program Services	$680,696	ProgramServicesAmt
Management And General	$180,391	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,317,829	TotalAmt
Program Services	$3,413,278	ProgramServicesAmt
Management And General	$904,551	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,365,856	TotalAmt
Program Services	$1,079,720	ProgramServicesAmt
Management And General	$286,136	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$102,784	TotalAmt
Program Services	$81,252	ProgramServicesAmt
Management And General	$21,532	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,130	TotalAmt
Program Services	$22,237	ProgramServicesAmt
Management And General	$5,893	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$156,913	TotalAmt
Program Services	$124,041	ProgramServicesAmt
Management And General	$32,872	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,122,579	TotalAmt
Program Services	$1,675,769	ProgramServicesAmt
Management And General	$444,095	ManagementAndGeneralAmt
Fundraising	$2,715	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,091,613	TotalAmt
Program Services	$2,443,945	ProgramServicesAmt
Management And General	$647,668	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$712,924	TotalAmt
Program Services	$563,572	ProgramServicesAmt
Management And General	$149,352	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,948	TotalAmt
Program Services	$22,884	ProgramServicesAmt
Management And General	$6,064	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$57,553	TotalAmt
Program Services	$45,496	ProgramServicesAmt
Management And General	$12,057	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$276,235	TotalAmt
Program Services	$218,366	ProgramServicesAmt
Management And General	$57,869	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,883,141	TotalAmt
Program Services	$1,488,638	ProgramServicesAmt
Management And General	$394,503	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$448,804	TotalAmt
Program Services	$354,783	ProgramServicesAmt
Management And General	$94,021	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONTRACT SERVICES	$4,914,065	$3,884,607	$1,029,458
GENERAL AND ADMINISTRATIVE	$2,399,314	$1,896,677	$464,156	$38,481
TEMPORARY LABOR	$253,835	$200,659	$53,176
PURCHASED SERVICES	$689,657	$545,179	$144,478

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$275,389	TotalAmt
Program Services	$198,785	ProgramServicesAmt
Management And General	$76,604	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,427,752	TotalAmt
Program Services	$31,937,401	ProgramServicesAmt
Management And General	$8,449,155	ManagementAndGeneralAmt
Fundraising	$41,196	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,241	BOYAmt
EOY	$4,241	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,035,948	BOYAmt
EOY	$4,157,072	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$220,296	BOYAmt
EOY	$181,765	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$157,363	BOYAmt
EOY	$154,422	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,800,987	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$35,907,183	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$15,575,002	BOYAmt
EOY	$13,893,804	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,849,978	BOYAmt
EOY	$3,090,786	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,992,497	BOYAmt
EOY	$12,561,822	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,835,325	BOYAmt
EOY	$34,043,912	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,882,696	BOYAmt
EOY	$5,963,752	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,025,000	BOYAmt
EOY	$10,750,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,862,552	BOYAmt
EOY	$3,116,071	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,770,248	BOYAmt
EOY	$19,829,823	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,407,727	BOYAmt
EOY	$13,553,512	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$634,535	BOYAmt
EOY	$637,762	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,815	BOYAmt
EOY	$22,815	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,065,077	BOYAmt
EOY	$14,214,089	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,835,325	BOYAmt
EOY	$34,043,912	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,437,741	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$144,428	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,566,843	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,546	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,251	InvestmentEarningsOrLossesAmt
End Year Balance	$28,295	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,426	BeginningYearBalanceAmt
Investment Earnings Or Losses	$120	InvestmentEarningsOrLossesAmt
End Year Balance	$30,546	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,869	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,557	InvestmentEarningsOrLossesAmt
End Year Balance	$30,426	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,720,532	OtherCostOrOtherBasisAmt
Depreciation	$16,360,809	DepreciationAmt
Book Value	$5,359,723	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,880,455	OtherCostOrOtherBasisAmt
Depreciation	$19,546,374	DepreciationAmt
Book Value	$8,334,081	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$13,893,804	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVS- ENDOWMENT	$33,921	F
SUNTRUST SELF INSURANCE TRUST	$2,826,936	F
RESTRICTED CASH	$229,929	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,090,786	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM 3RD PARTY PAYERS	$1,918,077
DEFERRED BOND ISSUANCE COST, N	$82,101
CONSTRUCTION IN PROGRESS	$335,790
OTHER ACCOUNTS RECEIVABLE	$1,446
DUE FROM AFFILIATES	$10,224,408

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,561,822	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
UNFUNDED ACCUM BENEFIT OBLIGAT	$1,328,050
ESTIMATED SELF INS PRO LIABILI	$1,392,339
INTEREST RATE SWAP LIABILITY	$395,682

Field	Value	IRS element (for citing)
Total Liability	$3,116,071	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$48,344,385	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$451,147	NetUnrealizedGainsInvstAmt
Other Revenue	$60,487	OtherRevenueAmt
Revenue Not Reported	$511,634	RevenueNotReportedAmt
Revenue Subtotal	$47,832,751	RevenueSubtotalAmt
Other Revenues Not Included	$32,742	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$32,742	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$47,865,493	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$40,458,724	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$30,972	OtherExpensesIncludedAmt
Expenses Not Reported	$30,972	ExpensesNotReportedAmt
Expenses Subtotal	$40,427,752	ExpensesSubtotalAmt
Total Expenses Per Form990	$40,427,752	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XIII line 2d	Rental Expenses $ 30,972
Part XII Line 2d	net assets released from restriction 29,515 Rental expenses 30,972 -------- Total $ 60,487 RESTRICTED CONTRIBUTIONS $32,742
PART V, LINE 4	TO THE ORGANIZATION'S KNOWLEDGE, NO FINAL PURPOSE WAS ESTABLISHED.
Part X, line 2	THE FIN 48 FOOTNOTE IN THE AFS READS AS FOLLOWS: The 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, 2013 were due on May 15, 2014 and have been extended to August 15, 2014. The Center has filed information returns and tax returns for the tax year 2012. Current accounting standards address uncertain income tax positions in financial statements by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Management believes there is no impact on the Center's accompanying financial statements related to uncertain income tax positions. IN ADDITION, SUBSEQUENT TO THE COMPILATION OF THE AFS, THE ORGANIZATION FURTHER EXTENDED THE FORM 990 AND FORM 990-T TO NOVEMBER 15, 2014

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,914	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,914	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,888	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,888	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,194	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,082	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,082	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,996	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,996	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,850	BadDebtExpenseAmt
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Hospital For Sick Children	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1731 Bunker Hill Road NE	AddressLine1
City	Washington	City
State	DC	State
ZIP Code	20017	ZIPCode

Field	Value	IRS element (for citing)
Website Address	hscpediatriccenter.org	WebsiteAddressTxt
State License	HFD01-0216	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	The Hospital For Sick Children	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	hscpediatriccenter.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	hscfoundation.org	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The HSC Outpatient Center	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4500 Forbes Blvd Suite 100	AddressLine1
City	Lanham	City
State	MD	State
ZIP Code	20706	ZIPCode

Field	Value	IRS element (for citing)
Facility	the facility provides outpatient rehab services to special needs community	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	The 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 policy. 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.
Part I, Line 4	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.
Part I, Line 5	HSC does not deny financial assistance to any patient eligible for free or discounted care under its financial assistance policy, regardless of whether or not the financial assistance budget was exceeded.
Part I, Line 7, column (f)	Bad debt expense was excluded when determining the percentage of total expense in column (f).
Part I, Line 7(a)	HSC experiences very low volumes of charity care for several reasons. First, approximately 91% of the hospital's patient population is composed of Medicaid patients. HSC is a long-term pediatric specialty hospital that provides specialized care to chronically ill children and young adults, which care is not currently provided by other providers in HSC's service area. Second, less than 1% of the hospital's patient population is self-pay and many of theose patients qualify for Medicaid after being admitted to the hospital facility. Third, HSC does not operate an emergency room or provide emergency medical care. In determining the cost of charity care, HSC did not use worksheet 1 to calculate cost reported in Part I, line 7(a) but rather, it used the cost-to-charge ratio calculation of total cost divided by total charges per the 2013 DC Medicaid cost report. The amount of charity care was reported in accordance with the District of Columbia's State Health Planning and Development Agency (SHPDA) requirements that specified health care facilities within the District provide a reasonable volume of uncompensated care through the year. This level was set at 3% of the organizations total operating costs per its audited financial statements, minus the amount of reimbursement under XVIII and XIX of the Social Security Act (i.e., medical revenue). HSC was in full compliance with the SHPDA regulations in 2013.
Part III, Line 4	N/A - Due to the composition of its patient population (91% Medicaid), HSC incurred an immaterial amount of bad debt expense during its 2013 tax year. As a result, the organization does not believe that any of its bad debt expense is attributable to patients eligible under the organization's financial assistance policy. The footnote from HSC's financial statements related to bad debt expense reads as follows, "THe center reports net patient service revenue at the estimated net realizable amounts from patients, third party payers, and others for services rendered. Allowances for the excess of charges over anticipated patient or third party payer payments are included in the determination of net patient service revenue as reported in the statements of operations, whereas net uncollectible self-pay amounts are reported as an operating expense. Patient accounts receivable include charges for accounts due from the Maryland, Virginia, and District of Columbia Medical Assistance (Medicaid) programs, Tricare, CareFirst, other commercial and managed care insurers, and self-paying patients. Deducted from patient accounts receivable are estimates of uncollectible accounts related to self-paying patients, and allowances for the excess of charges over the payments to be received from third party payers that pay at less than full charges."
Part III, Section B, Line 8	HSC does not participate in the Medicare program.
Part III, Line 9(b)	The 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 completed 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 .
Part V	HSC is a long-term pediatric specialty hospital.
Part V, Line 3	The Community Health Needs Assessment (CHNA) took into account input from representatives of the community served by the hospital facility, including persons with special knowledge of or expertise in public health, as well as leaders and representatives of medically underserved, low-income and minority populations. In particular, representatives from the DC Health Department and Prince George's County Health Department were interviewed, as well as individuals from community groups, such as Family Voices, and an array of physicians and other leaders in the disability and pediatric fields.
Part V, Line 6	During the 2013 tax year, HSC adopted an implementation strategy that addresses community health needs identified in the CHNA written report. HSC began to execute the implementation strategy during 2013, including by undertaking the following actions: * After completion of a thorough business needs analysis, an outpatient rehabilitation clinic was opened in Prince George's County, Maryland to provide an improved outpatient delivery setting for patients needing therapy services in Maryland. * The Behavioral Health Center, located in Congress Heights, was further developed by bringing in a number of relevant practitioners, including child psychiatrists and non-physician behavioral rehabilitation specialists. The Center provides needed behavioral health services in an area that is more geographically accessible to a substantial number of our community's special needs children. * Conducted meetings with DC Public Schools ("DCPS") and Adventist Healthcare to begin collaboration efforts to start an early intervention plan at HSC, as well as meetings with autism service providers and DCPS to discuss collaborative efforts and programs for autistic individuals. Thus far, these efforts have not come to fruition due to lack of public funding for autism or early intervention outside of the DCPS school program. * Expanded the June Fair to include more community resources, provide trainings, and provide other information benefitting the special needs populations. * Enhanced the hospital's website to assist parents in becoming more knowledgeable about services provided and community resources available to them, including caregiver education and health management at home. * Met with DC Primary Care Association to help identify approaches to medical home and wrap around services. Volunteered to participate in both the DC and Maryland health information exchange efforts to be able to receive and share data relevant to integrated or coordinated care management.
Part V, Line 7	In conducting the CHNA, the hospital determined that there were a number of unmet community health needs affecting improved health outcomes and experiences for our community population that we could not address for reasons given below. * HSCPC cannot directly affect the shortage of specific specialty physicians and other behavioral health providers, and in particular, child psychiatrists, in the community. * Despite successful efforts to overcome unmet need because of insurance coverage, CSHCNs often go without needed services because there are simply not enough providers within close proximity Appropriate institutional care for children age 22 and beyond. * Therapeutic Day Care for children under age 5 is the primary domain of social service and or educational agencies. While HSCPC cannot operate within these constraints currently, we do lend collaboration and expertise at various levels. The establishment of the National Youth Transitions system by the HSC Foundation is intended to address these realities. * The Hospital has limited capacity to implement a Medical Home model given its delivery model. It would also be difficult to facilitate coordinated care beyond what hospital patients needed during admissions/registrations or discharge planning. These issues are better handled by sister organizations HSCSN and the HSC Foundation whose missions more easily encompass these initiatives and stated challenges.
Part V, Section B, Line 12	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 policy. 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.
Part V, Section B, Line 14	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.
Part V, Section B, Line 16	HSC does not conduct any collection action(s) as specified in this section, until all reasonable efforts to determine a patient(s) eligibility are exhausted.
Part V, Section B, Line 18	THE HOSPITAL FACILITY OR AN AUTHORIZED THIRD PARTY DID NOT UNDERTAKE ANY OF THE COLLECTION ACTIONS NOTED IN PART V, SECTION B, LINE 17 BEFORE MAKING REASONABLE EFFORTS TO DETERMINE ANY PATIENTS ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. IN ORDER TO HELP DETERMINE PATIENTS' ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL UNDERTAKES A NUMBER OF ACTIONS, INCLUDING NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND UPON REQUEST. IN ADDITION, THE HOSPITAL DOCUMENTS ITS DETERMINATION OF WHETHER A PATIENT IS EILIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
Part V, Section B, Line 19d	HSC is a long-term pediatric specialty hospital. As a result HSC does not operate an emergency room or provide emergency medical care. During 2013, there were not any patients that presented at HSC with symptoms or conditions requiring emergency care.
Part V, Line 20d	HSC is a long-term pediatric specialty hospital with a payor mix that is approximately 91% Medicaid and less than 1% self-pay. Furthermore, HSC does not operate an emergency room or provide emergency medical care, so there are almost never walk-in patients to the hospital facility. During HSC's 2013 tax year, the hospital facility did not have any self-pay patients that qualified for discounted care under the hospital facility's financial assistance policy. As a result, the hospital facility was able to confirm that it did not charge any patients that qualified for financial assistance under the organization's financial assistance policy more than the amounts generally billed to individuals who had insurance covering such care, since the only patients that received financial assistance during the year received free care. In the process of preparing HSC's 2013 Form 990, the organization closely reviewed the hospital facility's financial assistance policy and determined that the financial assistance policy should be revised to ensure that, in the future, if there are patients qualifying for discounted care at the hospital facility, they are not charged more than the amounts generally billed to individuals who had insurance covering such care.
Part V, Line 22	THE 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.
Part VI, Line 2, Needs Assessment	HSC CONDUCTED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN ACCORDANCE WITH SECTION 501(R) DURING THE 2013 TAX YEAR.
Part VI, Line 3, Patient education of eligibility for assistance	HSC has maintained a strong commitment to providing services to patients at no cost to them, if at all possible. Many of the patients 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 patient arrives at HSC without Medicaid coverage, HSC will help to refer the patient to the appropriate contractors to help qualify the patient for Medicaid. Often times the patient will qualify for Medicaid by the time they are discharged to care at home. HSC attempts to inform patients and persons who are billed for patient care about its financial assistance policy in many different ways. First, it posts the policy within several areas of the Hospital that are generally frequented by patients and patient guarantors, including at patient registration sites and in waiting rooms. In addition, the policy is distributed to patients at the time of their admission. Also, upon request at any point, the financial assistance policy will be distributed to patients. If a patient or the person who is billed for patient care believes they may be in need of financial assistance, a financial assistance application is filled out at the time of admission. When possible, HSC may attempt to qualify the patient prospectively for financial assistance.
Part VI, Line 4, Community information	The 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 59,119 SSI and special needs children under the age of 18 in the Washington, DC metro area. 2. Of those 59,119 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 (CWSHCN) than does the nation as a whole. In 2010, 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 about 12,000 special needs children in Prince Georges County, Maryland. 5. Of the approximate 59,000 children with special health care needs, approximately 32,000 have behavioral health diagnoses, and approximately 11,000 have cerebral palsy, developmental delays, or failure to thrive conditions. Approximately 16,00 children have various other medical conditions. The primary CWSHCN conditions treated at the HSC hospital facility 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 2013, 91% of HSC's patients were covered by Medicaid or Medicaid Managed Care. 35% were MD Medicaid or MD Medicaid MC, 42% DC Medicaid/MC, and 14% Virginia Medicaid. 7. 305 children were admitted to HSC in 2013. 16,729 days of care were provided to those children.
Part VI, Line 5, Promotion of community heatlh	While HSC has generally not directly participated in community building activities its parent company, the HSC Foundation, a section 501(c) (3) organization that is a supporting organization of HSC, participated, funded, or led activities related to community building and community health improvement activities in 2013. Examples of those activities included: * Developed "Making My Mark" curriculum created by and for young people with disabilities, with support from the National youth transitions center and the Youth transitions collaborative. This curriculum is designed to provide young people with disabilities the tools to make their mark in their journey of independent living. * Worked with a polling firm to create and then promote the results of the first survey of its kind to study the political impact of people with disabilities. Called Power in Numbers, the survey created a new tool that youth with disabilities can use in their self-advocacy efforts. The survey was covered by CBS radio and was featured on morning and afternoon programs of approximately 20 affiliates nationwide, as well as numerous disability publications. * Hosted an informal after-work intern event held at National Youth Transition Center. The event was open to interns with disabilities in the Washington DC metro area as well as career professionals interested in mentoring and/or sharing their perspective with interns. The event provided opportunities to network, practice essential soft skills and receive information on workplace accomodations. It was well-received, and efforts are now underway to replicate the event on a continuous basis. * Partnered with the Institute for Community Inclusion to host the "High Expectations" meeting at the National Youth Transitions Center, which resulted in the publication, Community Health Worker Report. * Hosted the DC Disability Mayoral Forum, which brought in candidates so District residents could learn their views on disability-related issues. * Sponsored the Autism Campus Inclusion Leadership Academy, which brought students from across the country to the National Youth Transitions Center to work on leadership and advocacy skills. * Grew the Youth Transitions Collaborative to 47 local, regional and national organizations. * Provided over 10 sponsorships for disability events, garnering local, regional and national acknowledgement.
Part VI, Line 6, Affiliated health care system	HSC 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 SERVES 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: HSCF IS A SECTION 501(C)(3)TAX-EXEMPT ORGANIZATION THAT STRIVES TO FACILITATE ACCESS TO SERVICES FOR INDIVIDUALS WITH SPECIAL NEEDS AND THEIR FAMILIES IN THE WASHINGTON DC METROPOLITAN AREA. HSCF IS A SUPPORTING ORGANIZATION FOR HSC AND HSCSN AND THE PARENT ORGANIZATION OF THE HSC HEALTHCARE SYSTEM. IN ADDITION, HSCF CONDUCTS REGIONAL AND NATIONAL PROJECTS WITH GOVERNMENT AND PHILANTHROPIC ORGANIZATIONS AND OPERATES A YOUTH TRANSITION INITIATIVE. AS NOTED ABOVE, HSCF UNDERTAKES COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BUILDING ACTIVITIES. 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 SERVES 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 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. 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS W CHAPMAN
CEO/PRES/SEC/TREASURER	$0	$648,562	$0	$1,750	$0	$4,851	$0	$128,502	$0	$12,747	$0	$796,412	$0	$0
BRUCE GOLDMAN
CHIEF OPERATING OFFICER	$0	$278,978	$0	$5,250	$0	$0	$0	$28,912	$0	$8,011	$0	$321,151	$0	$0
NANCY SOUTHERS
VP FINANCE	$0	$299,484	$0	$1,750	$0	$0	$0	$29,725	$0	$11,464	$0	$342,423	$0	$0
JOHN MATHEWSON
EXECUTIVE VP	$0	$303,069	$0	$250	$0	$0	$0	$30,021	$0	$12,202	$0	$345,542	$0	$0
GENE GREER
CHIEF INFORMATION OFFICER	$0	$218,201	$0	$4,250	$0	$0	$0	$27,373	$0	$8,084	$0	$257,908	$0	$0
LYNNE HOSTETTER
VP HUMAN RESOURCES	$0	$171,809	$0	$5,250	$0	$0	$0	$24,531	$0	$6,440	$0	$208,030	$0	$0
DEBBIE HOLSON
VP PATIENT CARE SERVICES	$198,551	$0	$2,250	$0	$0	$0	$10,347	$0	$10,797	$0	$221,945	$0	$0	$0
ROBERT COOK
VP SUPPORT AND ANCILLARY SERVI	$188,415	$0	$250	$0	$0	$0	$9,415	$0	$2,449	$0	$200,529	$0	$0	$0
ANTHONY QUANDER
AVP, PROVIDER FINANCIAL SERV	$142,329	$0	$250	$0	$0	$0	$7,710	$0	$14,002	$0	$164,291	$0	$0	$0
ERLINDA AUSTRIA
DIRECTOR BUDGET REIMBURSEMENT	$148,704	$0	$250	$0	$0	$0	$7,707	$0	$9,034	$0	$165,695	$0	$0	$0
KIMBERLY SMITH
VP COMPLIANCE	$0	$137,272	$0	$250	$0	$0	$0	$6,685	$0	$6,844	$0	$151,051	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1-3

THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL COMPENSATION: 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) COMPENSATION SURVEY OR STUDY 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

SCHEDULE J, PART I, LINE 4B

A RELATED ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AS PART OF THE TOTAL COMPENSATION ARRANGEMENT FOR THE ORGANIZATION'S CEO, THOMAS CHAPMAN. THE SERP PLAN IS MEANT TO PROVIDE THOMAS CHAPMAN WITH A RETIREMENT BENEFIT FOR OVER 15 YEARS OF SERVICE PROVIDED TO THE RELATED ORGANIZATION. THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE HAS CAREFULLY REVIEWED AND APPROVED THE SERP PLAN FOR THOMAS CHAPMAN AND CONCLUDED THAT THOMAS CHAPMAN'S ENTIRE COMPENSATION PACKAGE, INCLUDING THE BENEFITS PROVIDED BY THE SERP PLAN, IS REASONABLE WHEN COMPARED TO MARKET DATA. THE AMOUNT OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BENEFIT DURING THE 2013 TAX YEAR WAS $103,704.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	hospital for sick children	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	530204670	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2010-12-17	BondIssuedDt
Issue Price	$11,525,000	IssuePriceAmt
Purpose	refund 2005 bonds	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$775,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$11,525,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$11,525,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	1992	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART II, LINE 7

All costs of issuance with respect to the Bonds were paid from funds other than proceeds of the Bonds.

Part IV, Line 7

The 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 regulated under 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 intention 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part VI Section B Line 11	The Form 990 is prepared by an accounting firm and then reviewed by the ASSISTANT VP FINANCE AND VP FINANCE. Once comments from the ASSISTANT VP FINANCE AND VP FINANCE have been incorporated into the Form 990, the Form 990 is made available to the Finance Committee of its parent organization, HSC Foundation, for their review, followed by a meeting of the HSC Foundation Finance Committee in which the Form 990 is presented and any questions are answered. After the Finance Committee meeting, the Form 990 is made available to all members of the organization's Board of Directors for their review and comments. ANY COMMENTS OR QUESTIONS FROM BOARD MEMBERS ARE INCORPORATED INTO THE FORM 990 PRIOR TO FILING. ARE INCORPORATED INTO THE FORM 990 PRIOR TO FILING.
Part VI Section B, Question 12c	The 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.
PART VI, Line 15, SECTION B	The organization relied on a related organization, HSC Foundation, to determine executive compensation of the organization's CEO. In addition, the organization determines the compensation of the officers and key employees of the organization, as discussed below. The organization and the HSC Foundation both use a four step approach to determine the 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.
PART XI, LINE 9	CHANGE IN MINIMUM PENSION LIABILITY $3,260,124 UNREALIZED GAIN ON INTEREST RATE SWAP 306,719 --------------- TOTAL $3,566,843
PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
THE HSC FOUNDATION
2013 H Street NW Suite 300	WASHINGTON	DC	20006	521346603	ACCESS TO HEA	DC	501(c)(3)	line 11	NA	false
HEALTH SERVICES FOR CHILDREN SPECIALNEED
1101 VERMONT AVE NW	WASHINGTON	DC	20005	521862406	HEALTHCARE	DC	501(c)(3)	line 9	HSC FOUNDTN	Yes (true)
2013 HOLDINGS INC
2013 H STREET NW	WASHINGTON	DC	20006	272882469	HOLDING	DC	501(c)(2)	N/A	HSC FOUNDTN	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SPECIAL NEEDS CONSULTING SERVICES INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1150 18TH STREET NW STE 775	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20036	ZIPCode

Field	Value	IRS element (for citing)
EIN	451143185	EIN
Primary Activities	CONSULTING	PrimaryActivitiesTxt
Legal Domicile State	DC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HSC FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH SERVICES FOR CHILDREN WITH SPEC NEEDS
p	$1,631,411	COST
THE HSC FOUNDATION
p	$5,890,347	COST
SPECIAL NEEDS CONSULTING SERVICES
p	$137,833	cost
2013 HOLDINGS INC
p	$59,991	COST
HEALTH SERVICES FOR CHILDREN W SPEC NEEDS
q	$213,528	COST
HSC HOME CARE
P	$578,632	COST