2018-05-14T08:13:46-05:00 2017-06-30 251408703 SCHNEIDER DOWNS & CO INC ONE PPG PLACE SUITE 1700 PITTSBURGH PA 15222 990 2016-07-01 232935278 CHILDRENS INSTITUTE OF PITTSBURGH CHIL 4124202400 1405 SHADY AVENUE PITTSBURGH PA 152171360 WENDY PARDEE PHD CHIEF EXECUTIVE OFFICER 4124202400 2018-05-01 1 SUSAN M KIRSCH P00341397 4122613644 2016 2022-09-23 18:48:47Z WENDY PARDEE PHD 1405 SHADY AVENUE PITTSBURGH PA 152171360 72527806 0 X WWW.AMAZINGKIDS.ORG X 1998 PA POST-ACUTE CARE PEDIATRIC SPECIALTY INPATIENT AND OUTPATIENT HOSPITAL SERVICES, APPROVED PRIVATE SCHOOL GRADES K-12 AND A SOCIAL SERVICE AGENCY PROVIDING INTENSIVE FAMILY SUPPORT, FOSTER CARE AND ADOPTION SERVICES. 23 22 728 168 50134 -64754 4168580 2314022 37391680 37597598 4416752 2118176 0 0 45977012 42029796 0 0 0 0 33572464 33825238 0 0 906016 14986617 15539239 48559081 49364477 -2582069 -7334681 154824886 160369057 52823108 45329434 102001778 115039623 X THE CHILDREN'S INSTITUTE OF PITTSBURGH IS DEDICATED TO IMPROVING QUALITY OF LIFE FOR CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING A SPECIALIZED CONTINUUM OF SERVICES THAT ENABLES THEM TO REACH THEIR POTENTIAL. 0 1 42447694 0 37597598 THE CHILDREN'S INSTITUTE OF PITTSBURGH IS A LEADING CENTER FOR PEDIATRIC REHABILITATION, COMPLEX MEDICAL CARE, EDUCATION FOR CHILDREN WITH SPECIAL NEEDS, AND FAMILY PLACEMENT, PRESERVATION, REUNIFICATION AND ENRICHMENT SERVICES. ESTABLISHED IN 1902, THE CHILDREN'S INSTITUTE IS AN INDEPENDENT, NONPROFIT, LICENSED ORGANIZATION IN PITTSBURGH DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES BY PROVIDING A SPECIALIZED CONTINUUM OF SERVICES THAT ENABLES THEM TO REACH THEIR POTENTIAL. IT IS THE ONLY ORGANIZATION IN PENNSYLVANIA OFFERING A HOSPITAL, A SCHOOL AND A SOCIAL SERVICES AGENCY. THIS UNIQUE, COMPREHENSIVE APPROACH SETS THE ORGANIZATION APART. THE CHILDREN'S INSTITUTE PROVIDES PEDIATRIC REHABILITATION THROUGH THE HOSPITAL; EDUCATIONAL PROGRAMMING THROUGH THE DAY SCHOOL; AND ADOPTION AND FAMILY ENRICHMENT SERVICES THROUGH PROJECT STAR. IN FISCAL YEAR 2017, WE SERVED 9,136 CHILDREN AND THEIR FAMILIES AND PROVIDED $4,419,918 IN UNCOMPENSATED CARE. THE HOSPITAL AT THE CHILDREN'S INSTITUTE IS A PREMIER PEDIATRIC REHABILITATION SPECIALTY HOSPITAL ATTRACTING PATIENTS FROM ACROSS THE COUNTRY AND OCCASIONALLY FROM AROUND THE WORLD. IT IS ACCREDITED BY THE COMMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES (CARF) AND LICENSED BY THE PENNSYLVANIA DEPARTMENT OF HEALTH. THE HOSPITAL IS THE ONLY CARF-ACCREDITED FREESTANDING PEDIATRIC SPECIALTY REHABILITATION HOSPITAL IN PENNSYLVANIA AND ONE OF ONLY FIVE IN THE NATION. IT IS ONE OF ONLY EIGHT FACILITIES IN THE COUNTRY WITH A CARF-ACCREDITED PEDIATRIC BRAIN INJURY PROGRAM. IN FISCAL YEAR 2017, THE HOSPITAL PROVIDED BOTH PHYSICAL AND BEHAVIORAL HEALTH SERVICES FOR 6,364 CHILDREN AND YOUNG ADULTS THROUGH INPATIENT AND OUTPATIENT CARE. THE 62-BED INPATIENT UNIT AND OUTPATIENT PHYSICIAN AND THERAPY CLINIC PROVIDE THE MOST COMPREHENSIVE CARE IN THE REGION TO CHILDREN AND ADOLESCENTS WITH SPECIAL AND ORTHOPEDIC NEEDS INCLUDING BRAIN AND SPINAL INJURIES, FEEDING AND SWALLOWING DISORDERS, AND CONGENITAL ABNORMALITIES. OUR CARE COORDINATION PROGRAM MOVED FROM A DEMONSTRATION PROJECT TO A FEE-FOR-SERVICE MODEL WITH CONTRACTS WITH BOTH ALLEGHENY AND WASHINGTON COUNTIES. THE CHILDREN'S INSTITUTE EXTENDED CARE COORDINATION TO OUR PATIENTS WITH PRADER-WILLI SYNDROME IN FISCAL YEAR 2017, AFTER THE DISCONTINUATION OF INPATIENT SERVICES FOR THIS POPULATION.THE DAY SCHOOL, LONG REGARDED AS A NATIONAL LEADER IN THE EDUCATION OF CHILDREN WITH DISABILITIES, IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF EDUCATION AS AN APPROVED PRIVATE SCHOOL AND SERVES STUDENTS AGES FIVE TO 21 WHO ARE CHALLENGED BY COMPLEX NEUROLOGICAL DISABILITIES, INCLUDING AUTISM SPECTRUM DISORDERS. THE DAY SCHOOL IS ONE OF ONLY 26 SCHOOLS IN THE COUNTRY RECOGNIZED BY THE NATIONAL COMMISSION FOR ACCREDITATION OF SPECIAL EDUCATION SERVICES. IN FISCAL YEAR 2017, 197 CHILDREN FROM 60 SCHOOL DISTRICTS IN EIGHT COUNTIES IN WESTERN PENNSYLVANIA WERE ENROLLED IN THE DAY SCHOOL.PROJECT STAR IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS AN ADOPTION, FOSTER CARE AND PRIVATE CHILDREN AND YOUTH SOCIAL SERVICE AGENCY. PROJECT STAR WORKS TO HELP CHILDREN, PARTICULARLY THOSE WITH SPECIAL NEEDS, LIVE IN SAFE, NURTURING "FOREVER" FAMILIES. IN FISCAL YEAR 2017, 2,575 CLIENTS WERE SERVED THROUGH INTENSIVE FAMILY SUPPORT, FAMILY VISITATION AND REUNIFICATION, FAMILY RECRUITMENT, CHILD PLACEMENT THROUGH ADOPTION AND FOSTER CARE, MEDICAL FOSTER CARE AND ENRICHMENT PROGRAMMING. AS AN AFFILIATE MEMBER OF THE STATEWIDE ADOPTION NETWORK (SWAN), PROJECT STAR MAINTAINS CONTRACTS WITH LOCAL, STATEWIDE, AND OUT-OF-STATE COUNTIES IN THE AREAS OF PLACEMENT SERVICES AND FAMILY PRESERVATION/REUNIFICATION SERVICES.THE WORKPLACE AT THE CHILDREN'S INSTITUTE IS A COMMUNITY OF OVER 600 DEDICATED STAFF MEMBERS. OUR EMPLOYEES TAKE PRIDE IN THEIR JOB, THEIR TEAM AND THEIR ORGANIZATION. AS OF FISCAL YEAR 2017, 180 OF OUR STAFF MEMBERS HAVE BEEN EMPLOYED AT THE CHILDREN'S INSTITUTE 10 YEARS OR MORE, AND 76 OF THOSE FOR 20 YEARS OR MORE. IN 2017, THE CHILDREN'S INSTITUTE WAS NAMED ONE OF THE BEST PLACES TO WORK IN WESTERN PENNSYLVANIA BY THE PITTSBURGH BUSINESS TIMES FOR THE FIFTH YEAR IN A ROW. THE CHILDREN'S INSTITUTE'S STAFF MEMBERS CONTINUALLY SHARE THEIR PROFESSIONAL EXPERTISE WITH COLLEAGUES IN THE REGION AND ACROSS THE COUNTRY, INCLUDING AT THE FOLLOWING CONFERENCES AND EVENTS: INTERNATIONAL MEDICAL CONFERENCE FOR AUTISM RESEARCH; NATIONAL ASSOCIATION OF LONG TERM HOSPITALS, PHYSICIAN TRAINING CONFERENCE; CHILDREN'S HOSPITAL ASSOCIATION LEADERSHIP CONFERENCE; PA COMMUNITY ON TRANSITION CONFERENCE; AND HOSPITAL ASSOCIATION OF PENNSYLVANIA, AMONG OTHERS. PRESENTATIONS AT CONFERENCES AND MEETINGS, LEADERSHIP IN ORGANIZATIONS THAT ADVOCATE AND INFORM, AND TEACHING TOMORROW'S PROFESSIONALS ARE ALL ACTIVITIES THAT ULTIMATELY BENEFIT KIDS AND FAMILIES EVERYWHERE. FOR THOSE IN THE PITTSBURGH AREA, THERE ALSO IS THE OPPORTUNITY TO ATTEND GRAND ROUNDS, A MONTHLY CONTINUING EDUCATION PROGRAM. SIGNIFICANT BOARD PLACEMENTS INCLUDE:- INSTITUTE OF MEDICINE'S (IOM'S) COMMITTEE ON THE BIOLOGICAL AND PSYCHOSOCIAL EFFECTS OF PEER VICTIMIZATION: LESSONS FOR BULLYING PREVENTION, CHAIR- AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD, SPECIAL CONSTITUENCY SECTION FOR MATERNAL AND CHILD HEALTH, DELEGATE- CHILDREN'S HOSPITAL ASSOCIATION-HOSPITAL COUNCIL OF WESTERN PA- ABOARD'S AUTISM CONNECTION OF PA, PROFESSIONAL ADVISORY COUNCIL- AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, WESTERN PA CHAPTER, CHAIR- PA EHEALTH INITIATIVE ORGANIZATION, BOARD SECRETARY- THE INTERNATIONAL PEDIATRIC REHABILITATION COLLABORATIVE, VICE CHAIR- MEDICAL LIBRARY ASSOCIATION, SPECIAL LIBRARIES ASSOCIATION- PITTSBURGH CHAPTER, PROFESSIONAL RECRUITMENT AND RETENTION COMMITTEETHE CHILDREN'S INSTITUTE HOSTS AND SPONSORS A NUMBER OF PROGRAMS FOR THE COMMUNITY. BECAUSE THE CHILDREN AND FAMILIES WE SERVE HAVE SPECIAL NEEDS, WE TAKE EXTRA CARE TO HELP THEM THROUGH CHALLENGING TIMES. THE FAMILY ADVISORY COMMITTEE, WHICH IS COMPRISED OF PARENTS AND CAREGIVERS OF PATIENTS, STUDENTS AND PROJECT STAR CLIENTS, CONTINUES TO OFFER ESSENTIAL CAREGIVER INPUT TO INFORM OUR PROGRAMS AND SERVICES. ADDITIONALLY, WE OFFER SUMMER PROGRAMS FOR CHILDREN WITH SPECIAL NEEDS. OUR MOST NOTABLE SUMMER PROGRAM IS CAMP SUCCESS, WHICH IS DESIGNED TO HELP AT-RISK CHILDREN FACING HUGE BARRIERS INCLUDING NEURODEVELOPMENTAL DISABILITIES, ECONOMIC CHALLENGES, FOSTER CARE SITUATIONS AND HOMELESSNESS. CHILDREN CAN ATTEND THE CAMP WITH THEIR SIBLINGS AT NO COST. THE REACH OF THE CHILDREN'S INSTITUTE GOES FAR BEYOND ITS OWN WORK BY PROVIDING SUPPORT FOR OTHER LIKE-MINDED ORGANIZATIONS SEEKING TO IMPROVE OUR COMMUNITY. FOR EXAMPLE, THE CHILDREN'S INSTITUTE ALLOWS A NUMBER OF OTHER COMMUNITY ORGANIZATIONS TO USE OUR FACILITY SPACE FOR MEETINGS AND ACTIVITIES AT NO CHARGE. THE CHILDREN'S INSTITUTE'S RELATIVELY SMALL SIZE BELIES THE SCOPE AND IMPACT OF OUR WORK. OUR CLINICAL, EDUCATION AND FAMILY SUPPORT COMPONENTS ARE INEXTRICABLY RELATED, THEREBY PROVIDING AN UNDUPLICATED, COMPREHENSIVE NETWORK OF SERVICES UNLIKE ANY OTHER PROVIDER. FOR MORE THAN A CENTURY, WE HAVE CONTINUOUSLY EVOLVED TO MEET THE NEEDS OF CHILDREN AND YOUTH WITH SPECIAL NEEDS AND THEIR FAMILIES. BASED ON OUR UNWAVERING COMMITMENT TO THE CHILDREN WE SERVE, WE CONTINUE TO RESPOND NIMBLY TO EMERGING NEEDS - DEVELOPING NEW TREATMENTS, CREATING SOLUTIONS, PUBLISHING AND SHARING OUR KNOWLEDGE AND EXPERTISE IN ORDER TO MEET THE NEEDS IN THE COMMUNITY. 42447694 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 728 1 1 1 0 0 0 0 0 0 0 0 0 X 23 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA X X JOHN JUBAS 4122443053 1405 SHADY AVENUE PITTSBURGH PA 152171350 MARSHALL L BALK MD BOARD MEMBER 1.00 X 0 0 0 GREGORY B BENCKART BOARD MEMBER 1.00 X 0 0 0 ROMAYNE L BOTTI BOARD MEMBER 1.00 X 0 0 0 SUSAN L BOYLE BOARD MEMBER 1.00 X 0 0 0 F DANIEL CASTE BOARD MEMBER 1.00 X 0 0 0 ROLAND J CRISWELL BOARD MEMBER 1.00 X 0 0 0 CHRISTINA DECKER BOARD MEMBER 1.00 X 0 0 0 ROBERT I GLIMCHER BOARD MEMBER 1.00 X 0 0 0 MARY J HACKETT BOARD MEMBER 1.00 X 0 0 0 MICHAEL J HANNON BOARD MEMBER 2.00 X 0 0 0 BRIAN HOLZER MD BOARD MEMBER 1.00 X 0 0 0 JAY KATARINCIC BOARD MEMBER 1.00 X 0 0 0 ALLAN MACDOUGALL III BOARD MEMBER 1.00 X 0 0 0 BRIAN M MCINERNEY BOARD MEMBER 1.00 X 0 0 0 F BROOKS ROBINSON JR BOARD MEMBER 1.00 X 0 0 0 HENRY STAFFORD BOARD MEMBER 1.00 X 0 0 0 JASON WILBURN BOARD MEMBER 1.00 X 0 0 0 JOHN K THORNBURGH CHAIRMAN 2.00 X X 0 0 0 J KEEFE ELLIS JR VICE CHAIRMAN (DECEASED 6/17) 1.00 X X 0 0 0 LISA C FAGAN VICE CHAIRMAN 1.00 X X 0 0 0 PAMELA W GOLDEN VICE CHAIRMAN 1.00 X X 0 0 0 JONATHAN M KAMIN SECRETARY 1.00 X X 0 0 0 MERRILL P STABILE TREASURER 1.00 X X 0 0 0 DAVID K MILES PRESIDENT AND CEO 50.00 X X 277431 0 38804 JOHN JUBAS VICE PRESIDENT OF FINANCE 50.00 X 161720 0 39725 STACEY VACCARO CHIEF OPERATING OFFICER 50.00 X 206611 0 38792 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIONS 40.00 X 188408 0 40702 CHERYL A FOGARTY CHIEF SCHOOL ADMIN. (EXITED 12/16) 40.00 X 204154 0 27991 MATTHEW MASIELLO CHIEF MEDICAL OFFICER (EXITED 11/16) 40.00 X 290870 0 29481 SHARON DOROGY CHIEF INFORMATION OFFICER 40.00 X 189845 0 37084 SCOTT FABER MD PHYSICIAN 40.00 X 195070 0 42367 HOWARD FREMIER MD PHYSICIAN 40.00 X 209315 0 13082 HELENE CONWAY-LONG VICE PRESIDENT 40.00 X 185662 0 12728 SIMA SULER PHYSICIAN 40.00 X 206223 0 25986 ALLEEN OANDASAN MD PHYSICIAN 40.00 X 221585 0 19385 2536894 0 366127 19 0 1 0 MORRISON'S MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 896122 GARRISON HUGHES 100 FIRST AVENUE SUITE 200 PITTSBURGH PA 15222 MARKETING SERVICES 879982 CROTHALL 955 CHESTERBROOK BLVDSUITE 300 WAYNE PA 19087 ENVIRONMENTAL SERVICES 839598 MBM CONTRACTING INC 4999 OLD CLAIRTON ROAD PITTSBURGH PA 15236 BLDG AND ARCHITECTURAL SERVICES 406440 CERNER HEALTH SERVICES INC PO BOX 959167 ST LOUIS MO 63195 PROFESSIONAL IT SERVICES 404015 14 78787 87598 2147637 17144 2314022 DAY SCHOOL 900099 13673321 13673321 PATIENT CARE 900099 13344181 13344181 MEDICARE/MEDICAID PMTS 900099 5826149 5826149 PROJECT STAR 900099 4307603 4307603 DEPARTMENTAL ACTIVITIES 900099 412901 412901 33443 33443 37597598 344627 50134 294493 32271559 30492620 5390 1778939 -5390 1773549 1773549 42029796 37597598 50134 2068042 1681750 1129719 448177 103854 24286755 22504559 1416962 365234 2346415 2154847 152610 38958 3674363 3353610 255774 64979 1835955 1673389 129854 32712 219351 219351 129996 1800 128196 60300 60300 574335 574335 4085743 3439699 547809 98235 551330 30 509802 41498 1760988 1660785 91328 8875 1021171 823539 183009 14623 760924 653860 99877 7187 281226 279662 942 622 108121 101688 5388 1045 232987 135303 97684 3880335 3344586 506675 29074 496781 496781 MEDICAL/PATIENT RELATED 1116712 1096380 18172 2160 PROFESSIONAL DEVELOPMEN 187694 74921 22348 90425 MEMBERSHIP DUES 71245 19317 45393 6535 49364477 42447694 6010767 906016 12651923 14370086 1380146 704916 3642446 4546975 35051 31562 472304 554111 56978570 34266553 25493202 22712017 86360097 88171806 24671049 29170083 118668 107501 154824886 160369057 5378288 5668506 24746 32992 19445000 18680000 3225000 5975000 24750074 14972936 52823108 45329434 X 97284800 111286880 3455582 2490947 1261396 1261796 102001778 115039623 154824886 160369057 X -7334681 11022864 9349662 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 60300 60300 49304177 49364477 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 73547 60300 60000 60300 254147 250000 250000 250000 250000 1000000 1500000 1261396 400 1261796 1260916 480 1261396 1211413 49503 1260916 1021874 189539 1211413 950194 71680 1021874 0.00000 1.00000 0.00000 0 0 1726863 1726863 36262835 20630089 15632746 1606666 812278 794388 15164440 11856893 3307547 2217766 967293 1250473 22712017 OTHER, PRIMARILY LIMITED PARTNERSHIPS 29170083 F 29170083 ANNUITY FUNDS PAYABLE 205410 PENSION RELATED LIABILITY 14512303 CAPITAL LEASE OBLIGATION 255223 14972936 X 61785732 11022864 9349662 20372526 41413206 616590 616590 42029796 48747887 0 48747887 616590 616590 49364477 PART X, LINE 2: INCOME TAXES - CI IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. ACCORDINGLY, NO PROVISION FOR TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. CI IS ALSO EXEMPT FROM STATE INCOME TAX UNDER APPLICABLE STATE STATUTE. CI FOLLOWS THE CODIFICATION TOPIC ON INCOME TAXES. THE TOPIC PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN FINANCIAL STATEMENTS. CI'S STATEMENTS OF FINANCIAL POSITION AT JUNE 30, 2017 AND 2016 DO NOT INCLUDE ANY LIABILITIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS; FURTHER, CI HAS NO UNRECOGNIZED TAX BENEFITS. CI IS NO LONGER SUBJECT TO EXAMINATION OF ITS TAX RETURNS FOR YEARS BEFORE 2014. NO INTEREST AND PENALTIES WERE RECORDED IN OPERATING EXPENSES WITHIN THE STATEMENT OF OPERATIONS DURING THE YEARS ENDED JUNE 30, 2017 AND 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED APPRECIATION ON PENSION BENEFIT PLAN COSTS 9,349,662. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 616,590. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 616,590. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 FOREIGN INVESTMENTS N/A 76473727 0 0 0 0 0 0 76473727 0 76473727 1 0 1 1 1 0 1 1 1 X 1 X 201.000000000000 1 1 0 1 1 80390 80390 0.00160 12703519 5226902 7476617 0.15150 12783909 5226902 7557007 0.15310 20159890 18021762 2138128 0.04330 1311864 398490 913374 0.01850 58383 58383 0.00120 12674 12674 0.00030 21542811 18420252 3122559 0.06330 34326720 23647154 10679566 0.21640 0 55141 599247 584288 14959 X 1 1 1 1 THE CHILDREN'S INSTITUTE OF PITTSBURGH 1405 SHADY AVENUE PITTSBURGH PA 15217 X X X THE CHILDREN'S INSTITUTE OF PITTSBURGH 1 0 0 1 X X X X X X X X X X 14 1 0 0 1 X WWW.AMAZINGKIDS.ORG X 1 14 0 1 0 1 X 200.000000000000 201.000000000000 X X X X X 1 1 X X X 1 X WWW.AMAZINGKIDS.ORG X WWW.AMAZINGKIDS.ORG X WWW.AMAZINGKIDS.ORG X X X X 1 X 0 X X X 0 X X 0 0 THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 3J: THE CHILDRENS INSTITUTE OF PITTSBURGH EVALUATED THE IMPACT OF THEIR ACTIONS TAKEN SINCE PRIOR (2014) CHNA. THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 5: THE CHILDREN'S INSTITUTE'S LEADERS TOOK EVERY OPPORTUNITY TO ENGAGE WITH PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY TO SOLICIT INPUT IN PRIORITIZING THE NEEDS AND IN IDENTIFYING POTENTIAL RESOURCES TO SUPPORT OUR EFFORTS TO ADDRESS THE NEEDS. WE SOLICITED AND INCORPORATED FEEDBACK FROM FAMILIES, LEGISLATORS, PHYSICIANS, PUBLIC OFFICIALS AND OTHER COMMUNITY STAKEHOLDERS AS WELL AS SUBJECT MATTER EXPERTS AT LEADING FACILITIES WITHIN AND OUTSIDE THE IMMEDIATE COMMUNITY. INCLUDED WERE GOVERNMENT HEALTH DEPARTMENTS, MEDICALLY UNDERSERVED AND LOW INCOME AND MINORITY POPULATIONS. SEE THE IMPLEMENTATION STRATEGY ATTACHED FOR A DETAILED LIST. THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 11: THERE WERE FOUR SIGNIFICANT NEEDS IDENTIFIED IN THE CHILDREN'S INSTITUTE OF PITTSBURGH'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PUBLISHED BY THE ORGANIZATION ON JUNE 30, 2015. SEE PAGES 16-18, EVALUATION OF IMPACT, IN CHNA.CARE COORDINATION: SUPPORT AND COORDINATION OF MEDICAL AND SOCIAL SERVICES FOR CHILDREN AND YOUTH WITH MULTIPLE ONGOING MEDICALLY COMPLEX CONDITIONS. -HOW NEED WILL BE ADDRESSED: -PURSUE NCQA (NATIONAL COMMITTEE FOR QUALITY ASSURANCE) ACCREDITATION FOR CARE COORDINATION. -CONDUCT OUTREACH TO PHYSICIAN COMMUNITY TO RAISE AWARENESS AND ELICIT REFERRALS TO THE PROGRAM. -EXPAND PROGRAM TO INCLUDE NEONATAL ABSTINENCE SYNDROME AND INPATIENT PEDIATRIC BEHAVIORAL HEALTH COMPONENTS.BEHAVIORAL HEALTH: SPECIALIZED BEHAVIORAL HEALTH SERVICES FOR PATIENTS, STUDENTS, CHILD WELFARE SERVICE CLIENTS AND OTHER CHILDREN WITH SPECIAL HEALTH CARE NEEDS. -HOW NEED WILL BE ADDRESSED: -CONTINUE TO EXPAND ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES. -ESTABLISH AN INPATIENT PEDIATRIC BEHAVIORAL HEALTH PROGRAM WITHIN EXISTING HOSPITAL.TRANSITION SERVICES: COMPREHENSIVE DAY PROGRAMS AND SERVICES TO ASSIST YOUNG ADULTS WITH SPECIAL NEEDS TRANSITION FROM SCHOOL TO ADULTHOOD AT AGE OF 21. -HOW NEED WILL BE ADDRESSED: -ESTABLISH AN ADULT TRAINING FACILITY TO BE OPERATED AS AN EXTENSION OF THE DAY SCHOOL AT THE CHILDREN'S INSTITUTE. -RESEARCH AND IDENTIFY THE BEST LOCATION AND BUILDING TO ACCOMMODATE AN ADULT TRAINING FACILITY. -OBTAIN NECESSARY LICENSES FOR OPERATION OF AN ADULT TRAINING FACILITY. -IDENTIFY REQUIRED STAFFING LEVELS, RECRUIT AND HIRE. -DEVELOP PROGRAM OF ACTIVITIES, CURRICULUM AND SERVICES.TELEPRESENCE: INCREASED VIRTUAL ACCESS TO MEDICAL AND OTHER SERVICES THROUGH TECHNOLOGY FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES ESPECIALLY THOSE LIVING IN REMOTE, RURAL AND UNDERSERVED AREAS. -NEED TO BE ADDRESSED IN A MODIFIED FASHION DUE TO ENVIRONMENTAL LIMITATIONS: -THE UTILIZATION OF TELEPRESENCE IN HEALTHCARE DELIVERY IS EXPECTED TO INCREASE IN THE FUTURE. HOWEVER, DUE TO THE LACK OF IMMEDIATE NEED AND VARIOUS CHALLENGES ASSOCIATED WITH DELIVERING CARE IN THIS WAY, THIS INITIATIVE WAS GIVEN A LOWER PRIORITY DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ALTHOUGH A TECHNOLOGICAL SOLUTION IN THE FORM OF TELEPRESENCE IS EXPECTED TO REDUCE COSTS AND IMPROVE THE QUALITY OF DELIVERED SERVICES, PENNSYLVANIA DOES NOT HAVE A TELEMEDICINE PARITY LAW THAT REQUIRES HEALTHCARE INSURERS TO REIMBURSE "VIRTUAL" MEDICAL VISITS IN THE SAME WAY IN-PERSON VISITS ARE REIMBURSED. IN THE ABSENCE OF A TELEMEDICINE PARITY LAW IN PENNSYLVANIA, OUR LEADERSHIP HAS COMMITTED TO EXPLORE THE USE OF OUR TELEMEDICINE PLATFORM AND EQUIPMENT TO BENEFIT OUR PATIENTS, FAMILIES AND COMMUNITY IN NEW AND INNOVATIVE WAYS UNRELATED TO THE DELIVERY OF HEALTHCARE.PART V, SECTION B, LINE 16A: THE UPDATED POLICY WAS PUBLISHED ON THE WEBSITE IN JANUARY 2018. PART I, LINE 3C: MEDICAL BENEFITS EXHAUSTEDPART I, LINE 3B AND PART V, LINE 13: IN DETERMINING FINANCIAL ASSISTANCE CHILDREN'S INSTITUTE APPLIES A SLIDING FPG SCALE IN CONNECTION WITH THE PROVISION OF DISCOUNTED CARE. THE SCALE BEGINS AT 201% OF THE FEDERAL POVERTY GUIDELINES AND EXTENDS TO 350% OF FEDERAL POVERTY GUIDELINES. IF THE PATIENT'S HOUSEHOLD DOES NOT MEET THE ELIGIBILITY GUIDELINES, THE PATIENT MAY QUALIFY BY DEMONSTRATING THAT MEDICAL EXPENSES AND/OR RELATED CATASTROPHIC EVENTS HAVE RESULTED IN A FINANCIAL BURDEN THAT THREATENS THE FINANCIAL WELL BEING OF THE PATIENT AND HIS/HER FAMILY. THE CHILDREN'S INSTITUTE MUST HAVE THE ABILITY TO VALIDATE THESE EXPENSES. PART III, LINE 2: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. CI RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS, INCLUDING BOTH UNINSURED PATIENTS AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THEIR BALANCE. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN-OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH INTERNAL POLICIES. PART III, LINE 4: SEE PAGE 10, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES IN ATTACHED COPY OF AUDITED FINANCIAL STATEMENTS. PART III, LINE 9B: ONCE THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED, ALL APPLICABLE DISCOUNTS AND/OR FINANCIAL ASSISTANCE REDUCTIONS ARE POSTED IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE AUTHORIZATION AND LIMITATION ON CHARGES PROCEDURE PRIOR TO SENDING AN INVOICE TO THE FAMILY FOR ANY REMAINING BALANCE. PART VI, LINE 2: IN ORDER TO UNDERSTAND THE NEEDS OF THE COMMUNITY WE SERVE AND HOW TO BEST MEET THOSE NEEDS, THE BOARD, LEADERSHIP AND STAFF OF THE CHILDREN'S INSTITUTE ENGAGED IN A RIGOROUS STRATEGIC PLANNING PROCESS THAT INCLUDED INTERNAL AND EXTERNAL STAKEHOLDER INTERVIEWS, FOCUS GROUPS, SURVEYS AND MARKET ANALYSIS. THIS PROCESS THAT BEGAN IN 2011 CULMINATED IN THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IDENTIFIED FOUR SIGNIFICANT HEALTH, SOCIAL, BEHAVIORAL AND ENVIRONMENTAL NEEDS OF THE UNDERSERVED POPULATION OF CHILDREN AND YOUTH WITH SPECIAL NEEDS IN OUR COMMUNITY. WHILE CONDUCTING OUR 2015 NEEDS ASSESSMENT, WE FOUND THAT THESE FOUR NEEDS CONTINUE TO BE PREVALENT. WE THEREFORE MAINTAINED A FOCUS ON THESE SAME NEEDS, AND WILL WORK TOWARD ENHANCEMENTS TO THE PROGRAMS AND SERVICES THAT HAVE BEEN ESTABLISHED. THE FOUR SIGNIFICANT HEALTH NEEDS ARE: -CARE COORDINATION FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS -BEHAVIORAL HEALTH SERVICES FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES -TRANSITION SERVICES FOR YOUNG ADULTS AGING OUT OF SPECIAL EDUCATION -TELEPRESENCE DELIVERY OF HEALTH, EDUCATION, AND OTHER SERVICESONCE THE LEADERSHIP TEAM DETERMINED THAT THE NEEDS IDENTIFIED IN 2012 WERE STILL PREVALENT WITHIN OUR COMMUNITY, MULTIDISCIPLINARY WORKGROUPS WERE FORMED TO CONTINUE TO EXPLORE AND ENHANCE PROGRAMMING FOR EACH NEED. THESE WORKGROUPS CONSISTED OF STAFF RESPONSIBLE FOR BUSINESS DEVELOPMENT, CLINICAL, EDUCATIONAL, AND TECHNICAL DUTIES. THE MULTIDISCIPLINARY COMPOSITION OF THE GROUPS ENSURED THAT ALL FACETS OF THE PROJECT WERE EXAMINED. IN THIS WAY ANY POTENTIAL OBSTACLES WERE MINIMIZED OR ELIMINATED. EACH INITIATIVE WAS OUTLINED AND DOCUMENTED IN THE VISION 2018 STRATEGIC INITIATIVE DASHBOARD ALONG WITH OTHER ORGANIZATIONAL INITIATIVES. THE WORKGROUPS UTILIZED QUANTITATIVE DATA SUCH AS INTERNAL REPORTS AND GOVERNMENT AND INDUSTRY RESOURCES TO ANALYZE THE MARKET. THIS ANALYSIS WAS NECESSARY TO DETERMINE THE ESTIMATED NUMBER AND CHARACTERISTICS OF CHILDREN AND YOUTH WHO COULD BE SUPPORTED THROUGH EACH INITIATIVE. IT ALSO PROVIDED INSIGHT INTO OTHER POTENTIAL RESOURCES AVAILABLE (OR LACKING) TO MEET THE SIGNIFICANT HEALTH NEEDS.THE GROUPS ALSO TOOK INTO ACCOUNT QUALITATIVE DATA RECEIVED THROUGH THE CHILDREN'S INSTITUTE'S FAMILY ADVISORY COUNCIL, RESULTS FROM A SURVEY OF PARENTS OF SPECIAL NEEDS CHILDREN ATTENDING THE DAY SCHOOL, AND THE PLETHORA OF INPUT THE LEADERSHIP TEAM RECEIVED THROUGH THEIR COMMUNICATIONS WITH GOVERNMENT HEALTH OFFICIALS AND OTHER PARTIES WITH EXPERTISE IN CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THIS QUALITATIVE DATA WAS INDISPENSABLE IN SHAPING THE VISION 2018 INITIATIVES.THE ANALYSIS AND PLANS DEVELOPED BY THE WORKGROUPS WERE REPORTED TO ORGANIZATIONAL LEADERSHIP MONTHLY FOR REVIEW AND FEEDBACK. THE GROUPS INCORPORATED THIS FEEDBACK INTO PLANNING DISCUSSIONS. EACH OF THE GROUPS ALSO CONSIDERED THE NECESSARY FINANCIAL AND STAFFING RESOURCES, LICENSING AND OTHER REGULATORY REQUIREMENTS, AND URGENCY OF THE TARGET POPULATION'S NEED TO DETERMINE THE ESTIMATED FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS. THE AUDIT COMMITTEE AND THE PLANNING COMMITTEE EACH MET TWICE A YEAR AND CARRIED GREATER RESPONSIBILITY FOR REVIEWING THE VISION 2018 STRATEGIC INITIATIVE DASHBOARD AND DETERMINING NEXT STEPS FOR THE PROJECTS.EACH QUARTER THE WORKGROUPS UPDATED THE STRATEGIC INITIATIVES DASHBOARD DOCUMENT TO INDICATE ALL ACTIVITIES AND PLANNED TASKS. THIS DOCUMENT WAS MADE AVAILABLE TO THE BOARD QUARTERLY, AND WAS OFFICIALLY PRESENTED AND REVIEWED TO THEM EACH MAY.CURRENTLY, THE CHILDREN'S INSTITUTE CONTINUES TO ADDRESS THE NEEDS IDENTIFIED IN THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH CARE COORDINATION, BEHAVIORAL HEALTH SERVICES AND TRANSITION CURRICULUM. WE LAUNCHED A PROOF-OF-CONCEPT CARE COORDINATION PROGRAM THROUGH WHICH CARE COORDINATORS MANAGE THE MYRIAD TASKS INVOLVING HEALTH CARE, SCHOOL AND COMMUNITY SERVICES FOR FAMILIES OF CHILDREN WITH COMPLEX MEDICAL CONDITIONS AND DRUG EXPOSED INFANTS. DURING THE PROOF-OF-CONCEPT PHASE, WE ENROLLED 364 CHILDREN. THE PROGRAM IS NOW OPERATIONAL THROUGH CONTRACTS WITH ALLEGHENY COUNTY TO SERVE DRUG EXPOSED INFANTS AND CHILDREN AND YOUTH WITH MEDICALLY COMPLEX CONDITIONS, AND WITH WASHINGTON COUNTY TO SERVE DRUG EXPOSED INFANTS. WE CONTINUE DISCUSSIONS WITH OTHER COUNTIES TO PROVIDE SIMILAR SERVICES. IN 2016, THE CHILDREN'S INSTITUTE OPENED A 16-BED BEHAVIORAL HEALTH INPATIENT UNIT FOR CHILDREN AND ADOLESCENTS AGES 4-17 WITH URGENT BEHAVIORAL HEALTH NEEDS WHO ALSO HAVE PRE-EXISTING COMPLEX MEDICAL CONDITIONS AND/OR DEVELOPMENTAL DISABILITIES. OUR MEDICAL PROFESSIONALS WITH EXPERTISE IN BOTH PHYSICAL AND BEHAVIORAL HEALTH MEET THE NEEDS OF CHILDREN IN OUR REGION THROUGH THIS INTEGRATED, ACCESSIBLE AND CHILD/FAMILY CENTERED CONTINUUM OF SERVICE. WE ALSO CONTINUE TO EXPAND OUTPATIENT BEHAVIORAL HEALTH SERVICES AND PROVIDE TELEPSYCHIATRY TO PATIENTS WHO ARE UNABLE TO TRAVEL TO OUR CAMPUS. THROUGH THE TRANSITION PROGRAM CURRICULUM AND SERVICES, WE BEGIN EXPOSING CHILDREN IN THE DAY SCHOOL TO SKILLS NEEDED TO ENGAGE IN THE COMMUNITY AT AGE FIVE, HELPING THEM TURN CLASSROOM EXPERIENCES INTO LIFE SKILLS. ALL 197 STUDENTS IN THE DAY SCHOOL PARTICIPATE IN THIS PROGRAM. PART VI, LINE 3: THE FAP INFORMATION AND THE APPLICATION ARE AVAILABLE ON THE INSTITUTE'S WEBSITE AND IS POSTED IN THE WAITING ROOMS OF ALL LOCATIONS. THE INSTITUTE'S FAP PROCEDURE INFORMATION IS CLEARLY MARKED AND EASY TO FIND. THE PLAIN LANGUAGE SUMMARY OF THE FAP INCLUDES THE SLIDING SCALE USED TO DETERMINE FINANCIAL ASSISTANCE. THE DOCUMENT CHECKLIST AND PLAIN LANGUAGE SUMMARY CLEARLY IDENTIFIES THE PROCESS IN WHICH A PATIENT MUST USE TO APPLY FOR FINANCIAL ASSISTANCE AND/OR DISCOUNTED CARE. PART VI, LINE 4: THE CHILDREN'S INSTITUTE SERVES PATIENTS AND FAMILIES FROM MANY COMMUNITIES ACROSS PENNSYLVANIA AND THE COUNTRY. FROM FISCAL YEAR 2015 THROUGH 2017 AN AVERAGE OF 27% OF ALL INPATIENTS RESIDED IN ALLEGHENY COUNTY, 77% RESIDED IN WESTERN PENNSYLVANIA (INCLUDING ALLEGHENY COUNTY), AND 81% IN PENNSYLVANIA. A SIGNIFICANT PORTION (19%) CAME FROM OUTSIDE OF PENNSYLVANIA TO BE TREATED AT THE CHILDREN'S INSTITUTE. THE RATE OF OUTPATIENT RESIDENTS OF ALLEGHENY COUNTY IS EVEN HIGHER, WITH A THREE-YEAR AVERAGE OF 62%.THERE ARE OVER 232,000 CHILDREN UNDER AGE 18 IN ALLEGHENY COUNTY, REPRESENTING NEARLY 19% OF THE TOTAL POPULATION, AND A QUARTER OF ALL HOUSEHOLDS HAVE DEPENDENT CHILDREN. THE MEDIAN HOUSEHOLD INCOME IN ALLEGHENY COUNTY IS $54,357. NEARLY 11.5% OF THE POPULATION LIVES BELOW THE POVERTY LEVEL. WHILE CHILDREN UNDER 18 MAKE UP 19% OF THE POPULATION IN ALLEGHENY COUNTY, SENIORS AGE 65+ MAKE UP NEARLY THE SAME PORTION AT 18%. ALLEGHENY COUNTY IS PREDOMINANTLY CAUCASIAN, WITH WHITES COMPRISING 80% OF THE POPULATION. THE 20% MINORITY POPULATION IS REPRESENTED MAINLY BY AFRICAN AMERICANS AT 13%.HIGH SCHOOL IS THE HIGHEST EDUCATION LEVEL ATTAINED BY THE LARGEST PORTION OF THE POPULATION REPRESENTED BY 671,500 RESIDENTS OR 54.8%. A SIGNIFICANT NUMBER HAVE ATTAINED A BACHELOR'S DEGREE OR HIGHER (39%) PRIMARILY DUE TO PITTSBURGH BEING THE SEAT OF MANY DISTINGUISHED INSTITUTES OF HIGHER LEARNING INCLUDING THE UNIVERSITY OF PITTSBURGH, CARNEGIE MELLON UNIVERSITY, AND DUQUESNE UNIVERSITY.IN 2016, 53% OF THE PEDIATRIC POPULATION IN ALLEGHENY COUNTY IS COVERED BY PRIVATE INSURANCE, 96,487 (41.5%) ARE COVERED BY MEDICAID AND 12,988 (5.5%) BY CHIP. THESE CHILDREN WHO ARE COVERED BY GOVERNMENT FUNDED OR SUBSIDIZED INSURANCE REPRESENT A LARGE PORTION OF OUR PATIENTS.THE SPECIAL NEEDS PEDIATRIC POPULATION THAT THE CHILDREN'S INSTITUTE SERVES INCLUDES A VARIETY OF FUNCTIONAL LIMITATIONS, DISABILITIES AND CONGENITAL CONDITIONS INCLUDING AUTISM, NEUROLOGICAL IMPAIRMENT, AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. ACCORDING TO DATA COLLECTED IN 2017, THERE ARE OVER 25,000 STUDENTS ENROLLED IN SPECIAL EDUCATION IN ALLEGHENY COUNTY, 8,000 OF THEM ( 32%) WITH SPECIFIC LEARNING DISABILITIES. 1,464 CHILDREN ( 5.7%) HAVE AN INTELLECTUAL DISABILITY AND 3,900 (15.6%) HAVE SPEECH OR LANGUAGE IMPAIRMENT.OVER 3,500 SPECIAL EDUCATION STUDENTS IN ALLEGHENY COUNTY ARE CATEGORIZED AS "OTHER HEALTH IMPAIRMENT" WHICH IS DEFINED AS HAVING LIMITED STRENGTH OR ALERTNESS DUE TO CHRONIC OR ACUTE HEALTH PROBLEMS THAT LIMIT THEIR ABILITY TO LEARN. OVER 2,900 WITHIN THE SPECIAL EDUCATION SYSTEM ARE DIAGNOSED WITH AUTISM.ANOTHER 2,255 SPECIAL EDUCATION STUDENTS IN ALLEGHENY COUNTY SUFFER FROM EMOTIONAL DISTURBANCES.AS THIS POPULATION AGES OUT OF THE SPECIAL EDUCATION SYSTEM AT AGE 21, THEIR FAMILIES ARE FACED WITH LIMITED CHOICES DUE TO THEIR SIGNIFICANT NEEDS SUCH AS INABILITY TO MANAGE ACTIVITIES OF DAILY LIVING AND NEEDING CONSTANT SUPERVISION. PART VI, LINE 5: THE ORGANIZATION'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO REPRESENT THE COMMUNITY. IN ACCORDANCE WITH THE ORGANIZATION'S ARTICLES OF INCORPORATION, ANY SURPLUS FUNDS ARE REINVESTED TO SUPPORT THE OPERATIONS OF THE ORGANIZATION. X 1 1 X X X X 1 0 0 0 0 0 0 1 0 DAVID K MILES PRESIDENT AND CEO 222739 0 40765 0 13927 0 11511 0 27293 0 316235 0 0 0 JOHN JUBAS VICE PRESIDENT OF FINANCE 137277 0 23800 0 643 0 8618 0 31107 0 201445 0 0 0 STACEY VACCARO CHIEF OPERATING OFFICER 177472 0 28800 0 339 0 10712 0 28080 0 245403 0 0 0 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIONS 158156 0 28080 0 2172 0 9712 0 30990 0 229110 0 0 0 CHERYL A FOGARTY CHIEF SCHOOL ADMIN. (EXITED 12/16) 155672 0 44393 0 4089 0 1007 0 26984 0 232145 0 0 0 MATTHEW MASIELLO CHIEF MEDICAL OFFICER (EXITED 11/16) 200328 0 28698 0 61844 0 0 0 29481 0 320351 0 0 0 SHARON DOROGY CHIEF INFORMATION OFFICER 166495 0 21857 0 1493 0 10006 0 27078 0 226929 0 0 0 SCOTT FABER MD PHYSICIAN 193288 0 0 0 1782 0 10051 0 32316 0 237437 0 0 0 HOWARD FREMIER MD PHYSICIAN 206438 0 0 0 2877 0 10504 0 2578 0 222397 0 0 0 HELENE CONWAY-LONG VICE PRESIDENT 159061 0 25216 0 1385 0 9541 0 3187 0 198390 0 0 0 SIMA SULER PHYSICIAN 206223 0 0 0 0 0 0 0 25986 0 232209 0 0 0 ALLEEN OANDASAN MD PHYSICIAN 221585 0 0 0 0 0 12730 0 6655 0 240970 0 0 0 PART I, LINE 1A THE CHIEF EXECUTIVE OFFICER HAS A MEMBERSHIP TO A SOCIAL CLUB IN THE REGION FOR WHICH THE ORGANIZATION PAYS DUES ON HIS BEHALF. BUSINESS AND PERSONAL USE ARE ACCOUNTED FOR IN ACCORDANCE WITH THE ORGANIZATION'S EXPENSE REIMBURSEMENT POLICY. THE VALUE OF ANY PERSONAL USE IS REPORTED AS COMPENSATION AND INCLUDED ON HIS FORM W-2. PART I, LINE 4A MATTHEW MASIELLO RECEIVED SEVERANCE IN THE AMOUNT OF $28,146 IN CALENDAR YEAR 2016 THAT IS REPORTED IN COLUMN B(III). PART I, LINE 7 BONUS PAYMENTS WERE AWARDED DURING THE CALENDAR YEAR 2016. FORM 990, SCHEDULE J, PART II: CERTAIN INDIVIDUALS LISTED IN PART II ARE PARTICIPANTS IN THE ORGANIZATION'S DEFINED BENEFIT PLAN. THE ESTIMATED INCREASE/DECREASE IN VALUE FOR EACH INDIVIDUAL IS NOT AVAILABLE DUE TO THE FACT THAT THE ACTUARIAL VALUE IS CALCULATED ON A PLAN LEVEL AND NOT AN INDIVIDUAL PARTICIPANT BASIS. A ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AB96 2005-06-22 15155000 FACILITY PURCHASE AND RENOVATION 0 0 0 B ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AC20 2005-06-22 10105000 FACILITY PURCHASE AND RENOVATION 0 0 0 A 3860000 15155000 144264 15010736 2008 0 0 1 1 B 2720000 10105000 96192 10008808 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 1 0 0 0 0 B 1 1 0 0 0 0 A 0 B 0 SCHEDULE K SUPPLENTAL INFORMATION PLEASE NOTE FORM 8038 THAT WAS FILED IN CONNECTION WITH THIS TAX EXEMPT BOND FINANCING IMPROPERLY REPORTED THIS TRANSACTION AS A SINGLE ISSUANCE. THE INFORMATION SET FORTH ON SCHEDULE K CORRECTLY REFLECTS THE FINANCING TRANSACTIONS. FORM 990, PART III, LINE 3 THE CHILDREN'S INSTITUTE DISCONTINUED INPATIENT PRADER-WILLI SERVICES IN FISCAL YEAR 2017. HOWEVER, WE CONTINUE TO CARE FOR CHILDREN AND ADULTS WHO NEED THESE SERVICES THROUGH OUR PWS CARE COORDINATION PROGRAM. PWS CARE COORDINATION IS PROVIDED BY A TEAM OF PROFESSIONALS WHO CAN SUPPORT FAMILIES IN THE FOLLOWING WAYS: IDENTIFYING COMMUNITY AND OTHER SUPPORTS, PROVIDING PWS SPECIFIC EDUCATION AND RESOURCES TO THE FAMILY, AS WELL AS THEIR MEDICAL TEAM AND COMMUNITY PROVIDERS, SCHEDULING OF WELLNESS AND OTHER MEDICAL APPOINTMENTS, IDENTIFICATION OF RESOURCES, FOLLOW THROUGH ON RECOMMENDATIONS FROM MEDICAL AND OTHER PROVIDERS, SCHOOL STAFF TRAINING AND THE CREATION OF A CARE PLAN TO SUPPORT OVERALL HEALTH AND WELLNESS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS FOR APPROVAL. MINUTES OF THE EXECUTIVE COMMITTEE MEETINGS AND REPORTS OF ITS ACTIONS SHALL BE SUBMITTED TO THE BOARD OF DIRECTORS AND ITS ACTIONS SHALL BE SUBJECT TO APPROVAL OR DISAPPROVAL AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 2 ROBERT I. GLIMCHER AND JONATHAN K. KAMIN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE CHILDREN'S INSTITUTE RECOGNIZES THAT AS PART OF THE BOARD OF DIRECTORS' GOVERNANCE ROLE, THEY SHOULD REVIEW THE IRS FORM 990. THE AFOREMENTIONED REVIEW HAS BEEN DELEGATED BY THE BOARD TO THE AUDIT COMMITTEE. THE CHILDREN'S INSTITUTE (CI) ALONG WITH CI'S CERTIFIED PUBLIC ACCOUNTING FIRM ARE RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE COMPLETED FORM 990 IN ADVANCE OF AN AUDIT COMMITTEE MEETING TO ENABLE A DETAILED CONSCIENTIOUS REVIEW BY COMMITTEE MEMBERS. THE APPROPRIATE REPRESENTATIVES OF THE CERTIFIED PUBLIC ACCOUNTING FIRM AND CI'S VICE PRESIDENT OF FINANCE ADDRESSED QUESTIONS AND CONCERNS OF THE AUDIT COMMITTEE. AFTER INPUT FROM THE AUDIT COMMITTEE WAS APPROPRIATELY ADDRESSED, A COMPLETE COPY OF THE RETURN WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CHILDREN'S INSTITUTE HAS A CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE CODE OF CONDUCT. THIS POLICY PROVIDES INFORMATION TO ALL DIRECTORS, OFFICERS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS REGARDING REQUIREMENTS FOR DISCLOSURE AND THE SUBSEQUENT CORPORATE ACTION REQUIRED REGARDING SUCH TRANSACTIONS. CI, THROUGH ITS BOARD OF DIRECTORS, BELIEVES IT IS ESSENTIAL THAT ALL SUCH INDIVIDUALS FULLY AND COMPLETELY UNDERSTAND THE RESPONSIBILITIES THE INDIVIDUAL HAS REGARDING POTENTIAL CONFLICTS OF INTEREST. CI ALSO BELIEVES THAT IT IS VERY IMPORTANT THAT ALL SUCH INDIVIDUALS UNDERSTAND THE PROCEDURES UTILIZED BY CI IN DEALING WITH POTENTIAL CONFLICTS OF INTEREST. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE PENNSYLVANIA STATE LAW GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. TO THE EXTENT THAT THIS POLICY CONFLICTS WITH THE PROVISIONS OF APPLICABLE PENNSYLVANIA LAW GOVERNING CONFLICTS OF INTERESTS, THE APPLICABLE PROVISIONS OF PENNSYLVANIA LAW SHALL GOVERN AND CONTROL. EACH MEMBER OF THE GOVERNING BODY, EMPLOYEE AND VOLUNTEER HAS AN OBLIGATION TO EARN THE TRUST AND CONFIDENCE OF THE ORGANIZATION'S CLIENTS, THE COMMUNITY AND COLLEAGUES. ADHERENCE TO THE PRINCIPLES SET FORTH IN THIS POLICY AND THE RELATED DOCUMENTS REFERENCED HEREIN SHALL ASSIST EACH IN DOING SO. MEMBERS OF THE GOVERNING BODY, EMPLOYEES, AND VOLUNTEERS SHALL AVOID ALL CONFLICTS OF INTEREST AND THE APPEARANCE OF ANY CONFLICT OF INTEREST. A CONFLICT OF INTEREST OCCURS IN ANY SITUATION IN WHICH ONE IS POTENTIALLY NOT ABLE TO REMAIN IMPARTIAL OR MAINTAIN OBJECTIVITY IN CHOOSING BETWEEN THE INTERESTS OF THE ORGANIZATION AND ONE'S PERSONAL INTERESTS OR THE INTERESTS OF THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 15A THE CEO EVALUATION COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPRISED OF TWO INDEPENDENT BOARD OFFICERS AND THREE INDEPENDENT BOARD MEMBERS AT LARGE, MEETS ANNUALLY IN JUNE TO REVIEW THE CEO'S PERFORMANCE. DURING THE COURSE OF THE MEETING, THE CEO'S BASE AND INCENTIVE COMPENSATION AWARDS ARE EVALUATED. A COST OF LIVING ADJUSTMENT MAY BE APPLIED TO THE BASE COMPENSATION. THE INCENTIVE COMPENSATION IS BASED ON THE GOALS THE CEO EVALUATION COMMITTEE HAS SET IN CONJUNCTION WITH THE BOARD OF DIRECTORS. PRIOR TO THE START OF THE NEXT FISCAL YEAR, THE CEO EVALUATION COMMITTEE MEETS WITH THE CEO TO REVIEW CURRENT YEAR PERFORMANCE AND TO ESTABLISH GOALS AND COMPENSATION FOR THE NEXT FISCAL YEAR. IN ADDITION, AN INDEPENDENT THIRD PARTY CONDUCTED A COMPENSATION STUDY UTILIZING COMPARABLES AND FORMS 990 TO ESTABLISH THE CEO'S SALARY. THE CEO IN CONJUNCTION WITH THE VICE PRESIDENT OF HUMAN RESOURCES UTILIZES ANNUAL SALARY SURVEY DATA TO ESTABLISH THE BASE AND INCENTIVE COMPENSATION OF THE VICE PRESIDENT OF FINANCE. THE CEO REVIEWS BASE AND INCENTIVE COMPENSATION WITH THE CEO EVALUATION COMMITTEE AT THE ANNUAL JUNE MEETING. PRIOR TO THE START OF THE NEXT FISCAL YEAR, THE CEO MEETS WITH THE VICE PRESIDENT OF FINANCE TO REVIEW CURRENT YEAR PERFORMANCE AND TO ESTABLISH GOALS AND COMPENSATION FOR THE NEXT FISCAL YEAR. THIS PROCESS ALSO APPLIES TO KEY EMPLOYEES OF THE ORGANIZATION. INDUSTRY SALARY AND SURVEY DATA IS EVALUATED ANNUALLY BY THE VICE PRESIDENT OF HUMAN RESOURCES AND THE CHIEF EXECUTIVE OFFICER TO ESTABLISH AND EVALUATE SALARY LEVELS OF OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION, IRS DETERMINATION LETTER AND FORMS 990 AND 990-T ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CHILDREN'S INSTITUTE PREPARES AN ANNUAL REPORT THAT CONTAINS ITS SUMMARY FINANCIALS FOR PUBLIC DISTRIBUTION. THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION WILL BE PROVIDED UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING THE BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICIES, ARE NOT PUBLICLY AVAILABLE BUT ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGES IN UNREALIZED PENSION BENEFIT PLAN COSTS 9,349,662. FORM 990 PART XII, FINANCIAL STATEMENTS AND REPORTING: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND ITS SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.