2012-11-14T11:40:50-06:00 2011-12-31 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2011-01-01 530204670 THE HOSPITAL FOR SICK CHILDREN % NANCY SOUTHERS HOSP 2028324400 1731 BUNKER HILL ROAD NE WASHINGTON DC 200173096 THOMAS CHAPMAN 2012-11-13 TINA C ECKLOFF 3018281008 2011 2016-02-24 21:20:13Z THE HSC PEDIATRIC CENTER THOMAS CHAPMAN 1731 BUNKER HILL RD NE WASHINGTON DC 20017 38726347 false X hscpediatriccenter.org X 1997 DC THE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES QUALITY REHABILITATIVE TRANSITIONAL, AND SPECIALTY CARE IN THE WASHINGTON, DC AND BALTIMORE AREAS. 7 5 413 75 0 0 197956 145527 38331585 38418569 48430 59317 4159 55547 38582130 38678960 0 0 0 0 23170831 23273450 0 0 86496 17214536 15950877 40385367 39224327 -1803237 -545367 29161042 27749330 25927718 29046963 3233324 -1297633 THE HOSPITAL FOR SICK CHILDREN (HSC) PROVIDES QUALITY REHABILITATIVE, TRANSITIONAL, AND SPECIALTY CARE IN THE WASHINGTON, DC AND BALTIMORE AREAS. false false 32307585 38507603 To provide quality rehabilitative and transitional care for infants, children, adolescents and young adults with special healht care needs in a supportive, culturally compentent, respectful environment, and to participate in related local, regional and national projects with government, private and philanthropic organizations. In 2011, HSC expended $39.2 million in operating expenses, of which $32.3 million was used for program related expenses. HSC provided 20,385 days of care, and approximately 90% of the services rendered in 2011 were provided to Medicaid Patients. HSC also provided on an Outpatient basis Medical Care, approximately 8,404 visits in 2011. 32307585 true true false false false false false false true true true false true true false true true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true false false false true 78 0 true 413 true false false false false false false false false false false false false false X 7 5 false false false false false false false true true false false true true true true true true false true false DC X NANCY SOUTHERS 2028324400 1731 BUNKER HILL ROAD NE WASHINGTON DC 200173026 X THOMAS W CHAPMAN 7.0 X X 0 558034 162727 JOHN MATHEWSON 6.0 X X 0 290971 62053 JACK KASTEN 1.0 X 0 0 0 MARIA GOMEZ 1.0 X 0 0 0 ROGER MEYER MD 1.0 X 0 0 0 ROBERT G ROSENBURG MD 1.0 X 0 0 0 CHARLOTTE COLLINS JD 2.0 X X 0 0 0 BRUCE GOLDMAN 36.0 X 0 255086 44846 NANCY SOUTHERS 5.0 X 0 280739 60351 NANCY DOELLGAST 3.0 X 0 214143 175328 GENE GREER 17.0 X 0 212104 56776 LYNNE HOSTETTER 10.0 X 0 176914 36667 JESSIE MACKINNON 0.0 X 0 227186 50516 DEBBIE HOLSON 40.0 X 198245 0 16067 ROBERT COOK 40.0 X 182468 0 9909 BONNETTA WILSON 40.0 X 135401 0 14748 JESSAMINE GAYTANO 40.0 X 117705 0 14436 ERLINDA AUSTRIA 40.0 X 133069 0 12902 766888 2215177 717326 27 false true false ADEX MEDICAL STAFFING LLC 1035 WINDWARD RIDGE PARKWAY SUITE ALPHARETTA GA 30005 MEDICAL STAFFING 642439 ALLSCRIPTS MISYS LLC 24630 NETWORK PLACE CHICAGO IL 60673 CONSULTANTS 106428 DELL MARKETING LP PO BOX 643561 PITTSBURGH PA 15264 IT EQUIPMENT SOFTWAR 475273 3 11463 134064 145527 CAREFIRST 2419142 2419142 0 COMMERCIAL 1945 1945 OTHER 1102044 1102044 MANAGED CARE 1832172 1832172 MEDICAID 33063266 33063266 38418569 59317 59317 0 0 13900 16894 -2994 -2994 -2994 0 11463 30493 -30493 -30493 0 0 CAFETRIA SALES 78016 78016 TRANSPORTATION 2899 2899 MISC REVENUE 8119 8119 89034 38678960 38507603 0 25830 0 0 0 0 0 0 16525986 13615540 2875616 34830 824286 680553 143733 0 4571315 3763960 794952 12403 1351863 1116134 235729 0 0 0 0 0 114696 94696 20000 0 61560 50826 10734 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 156193 128957 27236 0 2079666 1711509 361473 6684 2631933 2172994 458939 0 0 0 0 0 880010 726545 153447 18 0 0 0 0 0 0 0 0 0 0 0 0 150758 124470 26288 0 0 2140202 1767008 373194 0 465192 383681 81146 365 CONTRACT SERVICES 4617353 3812210 805143 0 GENERAL AND ADMINISTRATIVE 1307587 1048994 226603 31990 TEMPORARY LABOR 729373 602190 127183 0 PURCHASED SERVICES 436236 359117 77119 0 180118 148201 31711 206 39224327 32307585 6830246 86496 261464 4241 0 0 0 0 4608008 5082995 0 0 0 0 0 0 190069 198296 176813 146103 48786720 31917556 17091779 16869164 0 0 2446630 2647299 0 0 0 0 4386279 2801232 29161042 27749330 6411082 5964784 0 0 0 0 11525000 11275000 0 0 0 0 0 0 0 0 7991636 11807179 25927718 29046963 X 2618248 -1947691 592261 627243 22815 22815 3233324 -1297633 29161042 27749330 X -545367 -3985590 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30546 -2251 28295 30426 120 30546 26869 3557 30426 35104 -8235 26869 1.00000 false false 200000 200000 21720532 15431206 6289326 26866188 16486350 10379838 16869164 INVS- ENDOWMENT 28295 F SUNTRUST SELF INSURANCE TRUST 2386460 F RESTRICTED CASH 229929 F ENDOWMENT INT 2615 F 2647299 DUE FROM 3RD PARTY PAYERS 2568278 DEFERRED BOND ISSUANCE COST, N 89925 CONSTRUCTION IN PROGRESS 143029 2801232 0 UNFUNDED ACCUM BENEFIT OBLIGAT 5331094 ESTIMATED SELF INS PRO LIABILI 1369210 AMOUNT DUE TO AFFILIATES NET 4465314 INTEREST RATE SWAP LIABILITY 641561 11807179 38678960 39224327 -545367 -3985590 -3985590 -4530957 38691365 66801 66801 38624564 54396 54396 38678960 39271303 47387 47387 39223916 411 411 39224327 Expense Reconciliation Part XIII line 2d Rental Expenses $ 16,894 Special Event Expenses 30,493-------------------------------------------------------------------- - TOTAL $ 47,387 LOSS ON DISPOSAL OF ASSET $ 411 Revenue Reconciliation Part XII Line 2d net assets released from restriction 19,414 Rental expenses 16,894 Special events expenses 30,493-------------------------------------------------------------------- Total $ 66,801 RESTRICTED CONTRIBUTIONS $54,396 Net Asset Reconciliation Part XI Line 8 CHANGE IN MINIMUM PENSION LIABILITY $(3,233,425) UNREALIZED LOSS ON INVESTMENTS ( 91,190) UNREALIZED LOSS ON INTEREST RATE SWAP ( 641,561) NET ASSETS RELEASED ( 19,414) --------------- TOTAL $(3,985,590) endowments PART V, LINE 4 TO THE ORGANIZATION'S KNOWLEDGE, NO FINAL PURPOSE WAS ESTABLISHED. true true true X true X 500. true true true false false 19816 19816 0.00060 735838 735838 0.02280 755654 755654 0.02340 20000 20000 0.00060 2072 2072 0.00010 22072 22072 0.00070 777726 777726 0.02410 true 3821 0 true true 1 1 The Hospital For Sick Children

1731 Bunker Hill Rd NE Washington DC 20017

X X The Hospital For Sick Children 1 true true 200. true 500. true X X X X X X true true X X X X true false X X X X false X X false false Part I, Line 3(c) HSC had in 2011 a financial assistance policy that provides for free or discounted care. The level of Charity Care is determined by several factors such as family size, income level, and net personal assets. 100% charity 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. Partial Charity Care is based on a sliding discounted scale of gross charges based on the factors mentioned above and is available for patients who are ineligible for governmental or other insurance coverage and whose family income was between 200% but does not exceeded 500% of the poverty guidelines. In addition, the financial assistance policy covers uninsured patients who had sufficient assets to pay for medical services but whose medical costs during the year were catastrophic. Finally, 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 had in 2011 a financial assistance policy that provides for free or discounted care. The level of Charity Care is determined by several factors such as family size, income level, and net personal assets. 100% charity 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. Partial Charity Care is based on a sliding discounted scale of gross charges based on the factors mentioned above and is available for patients who are ineligible for governmental or other insurance coverage and whose family income was between 200% but does not exceeded 500% of the poverty guidelines. In addition, the financial assistance policy covers uninsured patients who had sufficient assets to pay for medical services but whose medical costs during the year were catastrophic. Finally, 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 5 The Hospital for Sick Children d/b/a The HSC Pediatric Center 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 6(a) The Hospital for Sick Children d/b/a The HSC Pediatric Center has not prepared an annual community benefit report in 2011 but will conduct a community needs assessment in 2012. Once completed and based on the report's findings, HSC will formalize selective programs and/or services designed to meet the community needs identified in the report and to address the needs of the community that it serves, based on the organization's mission. The HSC Pediatric Center was not required to file a community benefit report with the District of Columbia government in 2011. Part I, Line 7, column (f) Due to the composition of its patient population (90% Medicaid reimbursed), the organization incurred very little bad debt expense during the 2011 tax year. However, the bad debt expense, $3,821, was excluded when determining the percent of total expense in column (f). Part I, Line 7(a) HSC experiences very low volumes of charity care because approximately 90% of its patient population is composed of Medicaid patients. Only 2% of its patient population is self-pay and many of those patients qualify for Medicaid shortly after being admitted. In determining the cost of charity care, Hospital for Sick Children d/b/a The HSC Pediatric Center (HSC) did not use worksheet 2 to calculate cost reported in Part I, line 7(a) but, rather, it used the cost-to-charge ratio calculation of total cost divided by total charges per the 2011 DC Medicaid cost report. The amount of charity care is 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. Further, the SHPDA regulations permit the carry forward of any excess amounts in any preceding years, HSC had an excess of uncompensated care in 2010, which allowed it to meet the requirements in 2011, thus HSC was in full compliance with SHPDA's regulations in 2011. Part I, Line 7(b) The Hospital for Sick Children d/b/a The HSC Pediatric Center (HSC) provided medical care to a patient population that is approximately 90% Medicaid. In 2011 HSC incurred a loss of approximately $1.2 million. A significant portion of this loss was driven by reimbursement from Medicaid being less than the actual cost of providing patient care services to Medicaid patients. The following schedule details these costs not reimbursed by Medicaid: Schedule of Non-Allowable Costs from Medicaid Cost Reports 12/31/11 - DC Bed Tax assessment ($382,212.50) - DC Medicaid provider tax assessed against each licensed bed. - Tax-exempt bond interest expense ($151,132.82) - The Interest expense on HSC's Hospital Revenue Bonds, which are refunding bonds of an initial tax-exempt bond issuance to demolish and reconstruct a portion of the facilities owned by HSC. - Other ($202,492.80) - non-allowable contract services, catering, website design, etc. - Total non-allowable costs = $735,838.12 These unreimbursed costs are necessary to provide adequate medical care to the patient population that HSC serves. The total unreimbursed costs are reported on Part I, Line 7(b) as unreimbursed Medicaid. Part III, Line 4 N/A - Due to the composition of its patient population (90% Medicaid reimbursed), the organization incurred very little bad debt expense during the 2011 tax year. Part III, Section B, Line 8 N/A, HSC does not participate in the Medicare program. Part III, Line 9(b) HSC patients who are uninsured for the relevant services, who are ineligible for government or other insurance coverage, and who have family income not in excess of 200% of the Federal Poverty Guidelines or between 200% but not exceeding 500% of the Federal Poverty Guideline will be eligible to receive 100% or partial charity care, respectively. The determination of Charity Care should be made before providing services when possible but all efforts will be made to establish whether the patient is eligible for Charity Care before leaving the hospital and after the patient has been discharged. Also, when possible the organization makes a prospective determination that certain patients qualify for Charity Care during the collection process, although the patient has not submitted a completed financial assistance policy. Once charity care eligibility has been established, the patient's account in whole or in part, is written-off to Charity Care and all collection efforts cease. If the patient receives partial Charity Care, all efforts will be made to place that patient on an extended payment plan. For those patients that do not initially apply or qualify for Charity Care, the organization continues to monitor whether the patient may qualify for Charity Care. 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 Charity Care. Part V The Hospital for Sick Children d/b/a, The HSC Pediatric Center is a self -contained sub acute, specialty children's hospital. Part V, Section B, Line 13g HSC publicizes its financial assistance policy in many ways. It posted the policy within several areas of the Hospital generally frequented by patients, guarantors, etc. The policy is distributed to patients on admission, upon request and could be disseminated during any phase of the collection process. Also, HSC as mandated by its Charity Care policy publishes, on an annual basis in a local newspaper the availability of Charity Care services. Part V, Section B, Line 15e 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 V, Line 16e HSC does not contract with any 3rd party to take collection action(s) until all reasonable efforts to determine a patient(s) eligibility are exhausted. Part V, Section B, Line 18d HSC is a long-term sub-acute care specialty hospital; it does not operate an emergency room or provide emergency medical care. Part V, Line 19d HSC experiences a very low number of financial assistance eligible patients because its payor mix is approximately 90% Medicaid, 8% managed care or third party insurer, and only 2% self-pay. Many of those patients that are classified as self-pay qualify for Medicaid shortly after being admitted. As a result, HSC's cost of charity care in 2011 was only $19,816. The Hospital's financial assistance policy provides for: (i) 100% Charity Care to HSC's patients who are uninsured for the relevant service(s), who are ineligible for government or other insurance coverage, and who have family incomes not in excess of 200% of the Federal Poverty Guidelines, (ii) Partial Charity Care to HSC's patients who are uninsured for the relevant service(s), who are ineligible for governmental or other insurance coverage, and who have family income in excess of 200% but not exceeding 500% of the poverty guidelines, and (iii) financial assistance to uninsured patients who had sufficient assets to pay for medical services but whose medical costs during the year were catastrophic. In no circumstances does any such individual that qualifies for financial assistance under the Hospital's financial assistance policy pay more than the amount generally billed to commercial insurers for such services. Part VI, Line 2 The Hospital for Sick Children d/b/a The HSC Pediatric Center has not prepared an annual community benefit report in 2011 but will conduct a community health needs assessment in 2012. Once completed and based on the report's findings, HSC will formalize selected programs and/or services designed to meet the community needs identified in the report and to address the needs of the community that it serves, based on HSC's mission. Part VI, Line 3 The HSC Pediatric Center has a strong commitment to providing services to families at no cost to them if at all possible. Many of the families who receive services from HSC have already qualified for Medicaid by the time of their arrival at HSC due to prior services at other facilities. If a family arrives at HSC with private insurance, often times they qualify for Medicaid by the time they are discharged to care at home. Families are informed of the availability of financial assistance at the time of their admission to HSC. They are given written copies of the statement: "Notice of Availability of Uncompensated Services" in the appropriate language. If they believe they may be in need of the services, an application is filled out at the time of admission. If a family does not qualify for Medicaid they would be eligible to pursue the available uncompensated services. 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. Part VI, Line 4 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 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 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. 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 12,381 special needs children in Prince Georges County Maryland. 5.Of the 59,119 children with special health care needs 32,262 have behavioral health diagnoses, 10,719 have cerebral palsy, developmental delays, or failure to thrive. The other 16,137 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 2011, 89% of HSC's patients were covered by Medicaid or Medicaid Managed Care. 38% were MD Medicaid or MD Medicaid MC, 53% DC Medicaid/MC, and 9% Virginia Medicaid. 7.365 children were admitted to HSC in 2011. 20,385 days of care were provided to those children. Part VI, Line 5 While HSC has not directly participated in community building activities, its parent company, the HSC Foundation a section 501 (3) organization that is a supporting organization of HSC participated, funded, or led activities related to community building and community health improvement activities in 2011. Examples of those activities included: - Opened the National Youth Transitions Center, a new, state-of-the art building that serves as a unique place for national collaboration, active learning, and capacity building focused on youth transitions issues - Created the National Youth Transitions Collaborative with an initial membership of 37 local, regional and national organizations, and established a Leadership Council to provide Collaborative oversight - Established the National Veterans Center within the National Youth Transitions Center - Leveraged the National Youth Transitions Center to obtain a grant in support of a California-based convening on healthy development among minority youth - Partnered with Congressional offices and George Mason University's LIFE Program to expand the Congressional Internship Program - Created The HSC Foundation Youth Transitions Fellowship in partnership with American Association of People with Disabilities and selected the first Fellow from a national pool of applicants - Hosted a briefing on Capitol Hill to educate Congressional members and staffers on the critical issues facing returning wounded veterans - Funded seven internship programs for youth with disabilities - Provided over 15 sponsorships for disability events, garnering local, regional and national acknowledgment Part VI, Line 6 The HSC Pediatric Center (formerly The Hospital for Sick Children) is part of The HSC Healthcare System which consists of six distinct entities: The HSC Foundation (HSCF), The HSC Pediatric Center (HSC), the Health Services for Children with Special Needs, Inc. (HSCSN) and the HSC Home Care, LLC. (HSCHC), 2013 Holdings, and Special Needs Consulting Services, Inc (SNCS). - 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(3) tax-exempt organization. - HSC provides rehabilitation and transitional care for children and adolescents with disabilities and chronic illness and operates a sub-acute children's hospital facility. Further, it 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 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 Washington, DC. Benefits to member and their families, and communities include all traditional Medicaid benefits, plus individualized care management services, 24 hour access to care coordination, outreach, and respite care services for its members and their families. HSCSN is a Section 501(c)(3) tax-exempt organization. - HSC Home Care, LLC, located in the District of Columbia, mission is to provide access to quality rehabilitative and specialty services for infants, children and adolescents with special needs and their families in a manner that is culturally and linguistically appropriate through the offering of a vast array of rehabilitative, medical, social, and educational services. The organization recognizes the value of care in the home and reconnecting patients back into their community. HSC Home Care, LLC is wholly owned by the 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. - The HSC Health Care System is designed and dedicated to provide quality medical care services, innovative care management, home care and other related serves tailored to the needs of infants, children and adolescents with disabilities and chronic medical conditions and their 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. Part VI, Line 7 N/A true false false false false false false false false THOMAS W CHAPMAN 0 557784 0 250 0 0 0 130103 0 32624 0 720761 BRUCE GOLDMAN 0 246836 0 8250 0 0 0 29383 0 15463 0 299932 NANCY SOUTHERS 0 280489 0 250 0 0 0 30519 0 29832 0 341090 NANCY DOELLGAST 0 206143 0 8000 0 0 0 159021 0 16307 0 389471 JOHN MATHEWSON 0 278721 0 12250 0 0 0 29964 0 32089 0 353024 GENE GREER 0 203854 0 8250 0 0 0 26985 0 29791 0 268880 LYNNE HOSTETTER 0 161664 0 15250 0 0 0 24995 0 11672 0 213581 DEBBIE HOLSON 187995 0 10250 0 0 0 10085 0 5982 0 214312 0 ROBERT COOK 172218 0 10250 0 0 0 9240 0 669 0 192377 0 BONNETTA WILSON 131881 0 3520 0 0 0 8976 0 5772 0 150149 0 JESSIE MACKINNON 0 206936 0 20250 0 0 0 26478 0 24038 0 277702 CEO'S COMPENSATION PART I, LINE 1-3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL COMPENSATION: 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) COMPENSATION SURVEY OR STUDY 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SEVERANCE PAYMENT PART I, LINE 4A ONE EMPLOYEE RECEIVED SEVERANCE PAYMENT FROM A RELATED ORGANIZATION IN 2011. NANCY DOELLGAST RECEIVED $80,417. hospital for sick children 530204670 000000000 2010-12-17 11525000 refund 2005 bonds false false false 250000 0 11525000 0 0 0 0 0 0 0 11525000 0 1992 true false true true false false false false 0.00000 0.00000 0.00000 true false true false 0 false 0 false false Process of reviewing return Part VI Section B Line 11 The Form 990 is prepared by an accounting firm and then reviewed by the controller and vp of finance. Once comments from the controller and vp of finance have been incorporated into the Form 990, the Form 990 is made available to the Finance Committee 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. Conflict of interest Part VI Section B, Question 12c HSC falls underneath the HSC Foundation Conflict of Interest Policy. 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 The HSC Pediatric Center Board of Directors regarding the nature of the conflict and that person is thereafter recused from any discussion and vote regarding the matter. Whenever a potential conflict arises for employees of The HSC Pediatric Center management team and of the Company, it will be brought to the Board Chair by the President which analyzes the situation and makes a determination of whether or not an actual conflict exists. If it is determined that an actual conflict exists, steps will be taken to eliminate the conflict and communicated to the employee involved. The Board Chair and President will report all COI to the Executive Committee Foundation. DETERMINING EXECUTIVE COMPENSATION PART VI, Line 15, SECTION B The organization relied on a related organization, HSC Foundation, to determine executive compensation. HSC Foundation has adopted an executive compensation policy. under that policy, the Organization uses a four step approach to executive compensation: 1. The executive committee is made up of independent Board members without a conflict of interest, to establish and determine the reasonableness of total compensation for the System's disqualified executives and forwards to the full board for approval. 2. Periodically, the Executive Committee will engage an independent consultant to prepare a detailed written report on appropriate comparability data for comparable positions. 3. The Executive Committee reviews and relies upon the report of the independent consultant, along with other individual and market data, then debates and fully documents its decision about what is reasonable compensation for disqualified executives 4. Once the Executive Committee develops executive compensation recommendations, they are presented to the System's full board for ratification. CHANGE IN NET ASSETS PART XI, LINE 5 CHANGE IN MINIMUM PENSION LIABILITY $(3,233,425) UNREALIZED LOSS ON INVESTMENTS ( 91,190) UNREALIZED LOSS ON INTEREST RATE SWAP ( 641,561) NET ASSETS RELEASED ( 19,414) --------------- TOTAL $(3,985,590) DOCUMENT AVAILABILITY PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS W CHAPMAN TITLE:CEO/PRES/SEC/TREASURER HOURS:33 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN MATHEWSON TITLE:EXECUTIVE VP HOURS:34 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JACK KASTEN TITLE:board member HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARIA GOMEZ TITLE:BOARD MEMBER HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER MEYER MD TITLE:BOARD MEMBER HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT G ROSENBURG MD TITLE:BOARD MEMBER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLOTTE COLLINS JD TITLE:CHAIRMAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRUCE GOLDMAN TITLE:CHIEF OPERATING OFFICER HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY SOUTHERS TITLE:VP FINANCE HOURS:35 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NANCY DOELLGAST TITLE:VP COMPLIANCE HOURS:37 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GENE GREER TITLE:CHIEF INFORMATION OFFICER HOURS:23 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LYNNE HOSTETTER TITLE:VP HUMAN RESOURCES HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JESSIE MACKINNON TITLE:VP COMMUNICATIONS MARKETING HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBBIE HOLSON TITLE:VP PATIENT CARE SERVICES HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT COOK TITLE:VP SUPPORT AND ANCILLARY SERVI HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BONNETTA WILSON TITLE:REGISTERED NURSE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JESSAMINE GAYTANO TITLE:REGISTERED NURSE HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ERLINDA AUSTRIA TITLE:DIRECTOR BUDGET REIMBURSEMENT HOURS: THE HSC FOUNDATION 2013 H Street NW Suite 300 WASHINGTON DC 20006 521346603 ACCESS TO HEA DC 509(a)(3) 501(c)(3) NA false HEALTH SERVICES FOR CHILDREN SPECIALNEED 1101 VERMONT AVE NW WASHINGTON DC 20005 521862406 HEALTHCARE DC 509(a)(2) 501(c)(3) HSC FOUNDTN true 2013 HOLDINGS INC 1808 EYE STREET NW SUITE 600 WASHINGTON DC 20006 272882469 HOLDING DC 501(C)(2) HSC FOUNDTN true SPECIAL NEEDS CONSULTING SERVICES INC 1808 EYE STREET NW WASHINGTON DC 20006 451143185 CONSULTING DC HSC FOUNDATION C CORP 0 0 0.00000 false false false false false false false false false false false false false true true true false false