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      <Name>TINA C ECKLOFF</Name>
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        <RelatedOrExemptFunctionIncome>117657391</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
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      <RoyaltiesRevenue>
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      <GrossRents>
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      <NetGainOrLossInvestments>
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      <NetIncomeFromFundraisingEvents>
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      <NetIncomeOrLoss>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
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        <ProgramServices>93711883</ProgramServices>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>254184</ProgramServices>
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      <CompDisqualPersons>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherSalariesAndWages>
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        <ManagementAndGeneral>341151</ManagementAndGeneral>
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        <ManagementAndGeneral>1059620</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>716147</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ProgramServices>0</ProgramServices>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>0</ProgramServices>
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      <FeesForServicesLobbying>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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        <ManagementAndGeneral>448749</ManagementAndGeneral>
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      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>190919</ManagementAndGeneral>
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      </Insurance>
      <OtherExpenses>
        <Description>PREMIUM TAXES</Description>
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        <ProgramServices>2867983</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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      </OtherExpenses>
      <OtherExpenses>
        <Description>GENERAL &amp; ADMINISTRATIVE</Description>
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      <TotalFunctionalExpenses>
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        <NamePerson>JOHN MATHEWSON</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>CYD CAMPBELL</NamePerson>
        <BaseCompensationFilingOrg>248934</BaseCompensationFilingOrg>
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        <BonusFilingOrg>5250</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>ROBIN PIRTLE</NamePerson>
        <BaseCompensationFilingOrg>135762</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5250</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>LYNNE HOSTETTER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>161664</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>JESSIE MACKINNON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>206936</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>20250</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>CEO'S COMPENSATION</Identifier>
        <ReturnReference>PART I, LINE 1 - 3</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>ONE EMPLOYEE RECEIVED SEVERANCE PAYMENT FROM A RELATED ORGANIZATION IN 2011. NANCY DOELLGAST RECEIVED $80,417.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>MONITORING CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>Part VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>The organization falls underneath the HSC Foundation 's Conflict of Interest Policy. Under that policy, whenever a potential conflict arises for Health Services for Children with Special Needs, Inc. board of directors and officers, it is brought to the attention of the President and Executive Committee of the HSC Foundation Board, which analyzes the situation and makes a determination of whether or not an actual conflict exists. If it is determined that an actual conflict exists, the President and Executive Committee reports to the Health Services for Children with Special Needs, Inc. Board of Directors regarding the nature of the conflict and that person is thereafter recused from any discussion and vote regarding the matter. Whenever a potential conflict arises for employees of Heath Services for Children with Special Needs, Inc. management team and of the Company, it will be brought to the Board Chair by the President which analyzes the situation and makes a determination of whether or not an actual conflict exists. If it is determined that an actual conflict exists, steps will be taken to eliminate the conflict and communicated to the employee involved. The Board Chair and President will report all COI to the Executive Committee Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINING EXECUTIVE COMPENSATION</Identifier>
        <ReturnReference>Part VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>The organization relied on a related organization, HSC Foundation, to determine compensation of the organization's CEO. In addition, the organization determines the compensation of other officers and key employees of the organization, as discussed below. The Organization and HSC Foundation both use a four step approach to executive compensation: 1. The executive committee is made up of independent board members without a conflict of interest, to establish and determine the reasonableness of total compensation for the system's disqualified executives and forwards to the full board for approval. 2. Periodically, the Executive Committee will engage an independent consultant to prepare a detailed written report on appropriate comparability data for comparable positions. 3. The Executive Committee reviews and relies upon the report of the independent consultant, along with other individual and market data, then debates and fully documents its decision about what is reasonable compensation for disqualified executives 4. Once the Executive Committee develops executive compensation recommendations, they are presented to the System's full board for ratification.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEWING THE 990</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MAKING DOCUMENTS AVAILABLE</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THIS ORGANIZATION MAKES THEIR CONFLICT OF INTEREST POLICY, FINANCIAL Statements AND ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>PART XI, LINE 5</ReturnReference>
        <Explanation>RELEASED FROM TEMP RESTRICTED NET ASSET (11,333) UNREALIZED LOSS (587) -------------- TOTAL (11,920)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:THOMAS CHAPMAN TITLE:PRESIDENT/CEO HOURS:33</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN MATHEWSON TITLE:EXECUTIVE VP HOURS:33</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:VERONICA FEEG PHD TITLE:BOARD MEMBER HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DOROTHY MANN PHD TITLE:BOARD MEMBER HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MARIA IVONNE RIVERA TITLE:SECRETARY HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ELAINE CRIDER PHD TITLE:CHAIRPERSON HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:THOMAS WALSH TITLE:BOARD MEMBER HOURS:1</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CAROLYN JACKSON TITLE:BOARD MEMBER HOURS:</Explanation>
      </GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:NANCY SOUTHERS TITLE:VP FINANCE HOURS:32</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DANNY BELLAMY TITLE:COO HSCSN HOURS:4</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:NANCY DOELLGAST TITLE:VP COMPLIANCE HOURS:20</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GENE GREER TITLE:CIO HOURS:23</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CYD CAMPBELL TITLE:MEDICAL DIRECTOR HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LYNNE HOSTETTER TITLE:VP HUMAN RESOURCES HOURS:30</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JESSIE MACKINNON TITLE:VP COMMUNICATIONS AND MARKETIN HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBIN PIRTLE TITLE:DIRECTOR OF CARE MANAGEMENT HOURS:</Explanation>
      </GeneralExplanation>
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        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT LARONDE TITLE:CONTROLLER HOURS:</Explanation>
      </GeneralExplanation>
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        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CECIL DOGGETTE TITLE:DIRECTOR,FAMILY &amp; COMMUNITY HOURS:</Explanation>
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        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:CONSTANCE YANCY TITLE:DIRECTOR OF QUALITY HOURS:</Explanation>
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          <State>DC</State>
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        <EIN>521346603</EIN>
        <PrimaryActivities>ACCESS TO HEA</PrimaryActivities>
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          <City>WASHINGTON</City>
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          <BusinessNameLine1>HSC PEDIATRIC CENTER</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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          <BusinessNameLine1>HSC PEDIATRIC CENTER</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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          <BusinessNameLine1>HSC PEDIATRIC CENTER</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HSC PEDIATRIC CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>167531</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>THE HSC FOUNDATION</BusinessNameLine1>
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        <AmountInvolved>52400</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <TransactionType>L</TransactionType>
        <AmountInvolved>4025529</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>