2016-05-11T14:48:10-05:00 2015-06-30 251408703 SCHNEIDER DOWNS & CO INC ONE PPG PLACE SUITE 1700 PITTSBURGH PA 15222 990 2014-07-01 232935278 CHILDRENS INSTITUTE OF PITTSBURGH CHIL 4124202400 1405 SHADY AVENUE PITTSBURGH PA 152171360 DAVID K MILES CHIEF EXECUTIVE OFFICER 4124202400 2016-05-09 1 SUSAN M KIRSCH P00341397 4122613644 2014 2016-08-17 19:52:53Z DAVID K MILES 1405 SHADY AVENUE PITTSBURGH PA 152171360 100878348 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. 24 23 707 213 10994 -71567 4548837 3894989 36436666 36049123 12994224 4784045 0 0 53979727 44728157 0 0 0 0 30329373 30368641 0 0 1233338 13717763 15067279 44047136 45435920 9932591 -707763 167703028 164634178 39894454 40735363 127808574 123898815 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 0 39258922 36049123 THE CHILDREN'S INSTITUTE 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 MEET 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 2015, WE SERVED 8,362 CHILDREN AND THEIR FAMILIES AND PROVIDED $3,394,591 IN UNCOMPENSATED CARE. THE HOSPITAL AT THE CHILDREN'S INSTITUTE OF PITTSBURGH IS ONE OF THE NATION'S PREMIER PEDIATRIC REHABILITATION SPECIALTY HOSPITALS 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 THE REGION 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 2015, THE HOSPITAL PROVIDED INPATIENT AND OUTPATIENT SERVICES FOR 4,558 CHILDREN AND YOUNG ADULTS THROUGH COMPREHENSIVE, STATE-OF-THE-SCIENCE CARE. THE 62-BED INPATIENT UNIT AND OUTPATIENT PHYSICIAN AND THERAPY SERVICES 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, PAIN DISORDERS AND CONGENITAL ABNORMALITIES. THE CENTER FOR PRADER-WILLI SYNDROME IS ONE OF ONLY TWO INPATIENT PROGRAMS IN THE COUNTRY PROVIDING TREATMENT FOR THIS RARE GENETIC CONDITION. A CARE COORDINATION DEMONSTRATION PROJECT WAS LAUNCHED IN 2014 TO ASSIST FAMILIES IN COORDINATING HEALTH AND RELATED SERVICES FOR CHILDREN WITH COMPLEX MEDICAL CONDITIONS. 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 23 SCHOOLS IN THE COUNTRY RECOGNIZED BY THE NATIONAL COMMISSION FOR ACCREDITATION OF SPECIAL EDUCATION SERVICES. IN FISCAL YEAR 2015, 191 CHILDREN FROM 63 SCHOOL DISTRICTS FROM 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 2015, 3,804 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.AT THE CHILDREN'S INSTITUTE, WE ENGAGE IN TRANSLATIONAL AND OUTCOMES RESEARCH. CURRENTLY THERE ARE NEARLY A DOZEN STUDIES IN THE PIPELINE FROM DESIGN, TO DATA COLLECTION, ANALYSIS AND COMPLETION. PRINCIPAL INVESTIGATORS ARE STAFF PROFESSIONALS COLLABORATING ACROSS A WIDE RANGE OF DISCIPLINES. THE STUDIES, WHICH INVOLVE NOT ONLY THE HOSPITAL, BUT THE DAY SCHOOL AND PROJECT STAR, INCLUDE: EXAMINING THE SWALLOWING FUNCTION IN PATIENTS WITH PRADER-WILLI SYNDROME; A COMPARISON OF FOOD AVERSIONS BETWEEN MALE AND FEMALE ADOLESCENTS WITH AUTISM SPECTRUM DISORDER; A RETROSPECTIVE STUDY TO ASSESS THE EFFECT OF INTENSIVE INTERACTIVE METRONOME (IM) TREATMENT ON GROSS MOTOR COORDINATION, MOTOR PLANNING, RHYTHM AND TIMING AND DETERMINING WHETHER, AND TO WHAT DEGREE, FAMILY VISITATION IS MORE PRODUCTIVE IN A HOMELIKE SETTING.BEYOND RESEARCH, MEMBERS OF THE STAFF OF THE CHILDREN'S INSTITUTE CONTINUALLY SHARE THEIR PROFESSIONAL EXPERTISE WITH COLLEAGUES IN THE REGION AND ACROSS THE COUNTRY, INCLUDING AT THE FOLLOWING CONFERENCES AND EVENTS: CLINICAL CARE PERSPECTIVES ON PRADER-WILLI SYNDROME, PWSA, INTERNATIONAL SOCIETY FOR TECHNOLOGY IN EDUCATION ANNUAL CONFERENCE; INTERNATIONAL MEDICAL CONFERENCE FOR AUTISM RESEARCH; NATIONAL ASSOCIATION FOR SCHOOL PSYCHOLOGISTS, NATIONAL CONVENTION; NATIONAL ASSOCIATION OF LONG TERM HOSPITALS, PHYSICIAN TRAINING CONFERENCE; CHILDREN'S HOSPITAL ASSOCIATION LEADERSHIP 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, EDUCATION COUNCIL -HEALTHCARE COUNCIL OF WESTERN PA, PRESIDENT -ABOARD'S AUTISM CONNECTION OF PA, PROFESSIONAL ADVISORY COUNCIL -AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, FELLOW -ASSOCIATION OF FUNDRAISING PROFESSIONALS, WESTERN PA CHAPTER PRESIDENT -HAP, BOARD MEMBER -PA EHEALTH INITIATIVE ORGANIZATION -MEDICAL LIBRARY ASSOCIATION, SPECIAL LIBRARIES ASSOCIATION- PITTSBURGH CHAPTER, PROFESSIONALRECRUITMENT 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. ONE OF OUR MOST NOTABLE SUMMER PROGRAMS 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. ANOTHER SUCCESSFUL SUMMER PROGRAM IS THE AMAZING BIKE CAMP, A PROGRAM OF "I CAN SHINE" THAT TEACHES CHILDREN WITH SPECIAL NEEDS HOW TO RIDE A BIKE WITHOUT TRAINING WHEELS.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. MOST SIGNIFICANTLY, THE CHILDREN'S INSTITUTE SERVES AS THE HOST AND FIDUCIARY AGENT FOR WOMEN FOR A HEALTHY ENVIRONMENT. THIS ORGANIZATION EDUCATES AND EMPOWERS WOMEN TO BE AMBASSADORS ABOUT ENVIRONMENTAL RISKS SO THAT THEY CAN MAKE HEALTHY CHOICES FOR THEMSELVES AND THEIR FAMILIES AND ADVOCATE FOR CHANGE FOR A BETTER TOMORROW FOR ALL.THE CHILDREN'S INSTITUTE'S RELATIVELY SMALL SIZE BELIES THE SCOPE AND IMPACT OF OUR WORK ON A REGIONAL, NATIONAL AND INTERNATIONAL LEVEL. 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. 39258922 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 1 0 0 0 0 0 0 0 0 1 49 0 1 707 1 1 1 0 0 0 0 0 0 0 0 0 X 24 23 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 CHRISTINA CARDOSO BOARD MEMBER 1.00 X 0 0 0 JOHN R DENNY BOARD MEMBER 2.00 X 0 0 0 SHAWN FOX BOARD MEMBER 1.00 X 0 0 0 BRIAN HOLZER MD BOARD MEMBER 1.00 X 0 0 0 JOSEPH E IMBRIGLIA MD BOARD MEMBER 1.00 X 0 0 0 JONATHAN M KAMIN BOARD MEMBER 1.00 X 0 0 0 JAY KATARINCIC BOARD MEMBER 1.00 X 0 0 0 ELLEN P KESSLER BOARD MEMBER 1.00 X 0 0 0 JAMES MARCZAK BOARD MEMBER (EXITED 12/2014) 1.00 X 0 0 0 ALLAN MACDOUGALL III BOARD MEMBER 1.00 X 0 0 0 F BROOKS ROBINSON JR BOARD MEMBER 1.00 X 0 0 0 SUSAN BAKER SHIPLEY BOARD MEMBER 1.00 X 0 0 0 HENRY STAFFORD BOARD MEMBER 1.00 X 0 0 0 JOHN THORNBURGH BOARD MEMBER 1.00 X 0 0 0 NITA WADHWANI BOARD MEMBER 1.00 X 0 0 0 MICHAEL J HANNON CHAIRMAN 2.00 X X 0 0 0 J KEEFE ELLIS JR VICE CHAIRMAN 2.00 X X 0 0 0 PAMELA W GOLDEN VICE CHAIRMAN 2.00 X X 0 0 0 LISA C FAGAN 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 278206 0 38499 JODY MULVIHILL VICE PRESIDENT OF FINANCE 45.00 X 154912 0 17545 STACEY VACCARO CHIEF OPERATING OFFICER 40.00 X 161731 0 32657 MARYANNE HENDERSON MD CHIEF MEDICAL OFFICER 40.00 X 163996 0 14196 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIO 40.00 X 166205 0 36328 CHERYL A FOGARTY CHIEF SCHOOL ADMINISTRATOR 40.00 X 163592 0 32578 BEVERLY FARINELLI CHIEF NURSING OFFICER 40.00 X 163622 0 18613 SHARON DOROGY CHIEF INFORMATION OFFICER 40.00 X 158136 0 32402 SCOTT FABER MD PHYSICIAN 40.00 X 184595 0 37458 GREGORY CHERPES MD PHYSICIAN 40.00 X 157937 0 18059 HOWARD FREMIER MD PHYSICIAN 40.00 X 196474 0 12116 HELENE CONWAY-LONG VICE PRESIDENT 40.00 X 167821 0 10454 RACHNA KAPOOR MD PHYSICIAN 40.00 X 147203 0 17863 2264430 0 318768 13 0 1 0 GARRISON HUGHES 100 FIRST AVENUE SUITE 200 PITTSBURGH PA 15222 MARKETING SERVICES 1048248 CROTHALL 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING SERVICES 900296 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 861245 ASTORINO DEVELOPMENT 235 FORT PITT BLVD PITTSBURGH PA 15222 BLDG AND ARCHITECTURAL SERVICES 604146 CURTIS PHARMACEUTICAL 1100 W CHESTNUT STREET WASHINGTON PA 15201 PHARMACY SERVICES 343760 16 107649 89555 3697785 521097 3894989 DAY SCHOOL 900099 12945542 12945542 PATIENT CARE 900099 12239297 12239297 MEDICARE/MEDICAID PMTS 900099 7396743 7396743 PROJECT STAR 900099 3266960 3266960 DEPARTMENTAL ACTIVITIES 900099 200581 200581 36049123 777769 10994 766775 60155267 1200 56120131 30060 4035136 -28860 4006276 4006276 44728157 36049123 10994 4773051 X 1515950 1063381 352503 100066 23062834 22037222 549297 476315 820625 789266 16558 14801 3204169 3023323 111503 69343 1765063 1662635 63854 38574 203706 203706 126000 4500 121500 60300 60300 577300 577300 5776370 4224697 1203313 348360 395750 3288 301608 90854 1421169 1325701 81643 13825 905571 783649 98476 23446 750745 622723 120979 7043 252282 249160 1641 1481 166538 147827 14243 4468 55937 11394 44543 3527318 3044840 444199 38279 478212 478212 BANK FEES 239670 224145 15525 MEMBERSHIP DUES 114704 25464 82757 6483 15707 15707 45435920 39258922 4943660 1233338 5644475 2731573 838455 452119 1187149 1428141 3026157 4056046 45259 37590 416841 506414 56316181 31546059 25158418 24770122 119023113 111503859 12220053 19017656 143108 130658 167703028 164634178 6133380 6618056 62618 23876 20900000 20180000 2275000 1575000 10523456 12338431 39894454 40735363 X 123036873 119073908 3560288 3563991 1211413 1260916 127808574 123898815 167703028 164634178 X -707763 -2152 -3199844 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60300 60300 45375620 45435920 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 121319 112377 73547 60300 367543 250000 250000 250000 250000 1000000 1500000 1211413 49503 1260916 1021874 189539 1211413 950194 71680 1021874 950194 950194 950194 950194 0.00000 1.00000 0.00000 0 0 1726863 1726863 32770477 16864851 15905626 1379681 560406 819275 18463477 13343023 5120454 1975683 777779 1197904 24770122 OTHER, PRIMARILY LIMITED PARTNERSHIPS 19017656 F 19017656 ANNUITY FUNDS PAYABLE 201538 PENSION RELATED LIABILITY 11348338 CAPITAL LEASE OBLIGATION 788555 12338431 X 40045319 -2152 -3177904 -3180056 43225375 577300 925482 1502782 44728157 43955078 0 43955078 577300 903542 1480842 45435920 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, 2015 AND 2014 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 2012. NO INTEREST AND PENALTIES WERE RECORDED IN OPERATING EXPENSES WITHIN THE STATEMENT OF OPERATIONS DURING THE YEARS ENDED JUNE 30, 2015 AND 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON PENSION BENEFIT PLAN COSTS -3,177,904. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 903,542. NONCASH DONATIONS NOT RECORDED IN FINANCIAL STATEMENTS 21,940. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 903,542. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 FOREIGN INVESTMENTS N/A 47045753 0 0 0 0 0 0 47045753 0 47045753 1 0 1 1 1 0 1 1 1 X 1 X 201.000000000000 1 1 0 1 1 7417 7417 0.00020 11441268 6443726 4997542 0.11000 910786 910786 12359471 7354512 5004959 0.11020 19232152 16272607 2959545 0.06510 793347 298547 494800 0.01090 359098 3098 356000 0.00780 55912 55912 0.00120 20440509 16574252 3866257 0.08500 32799980 23928764 8871216 0.19520 0 57063 935631 910786 24845 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 X 0 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 (2012) 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 IMPATIENT 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 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 16A WEBSITE: WWW.AMAZINGKIDS.ORG THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 16B WEBSITE: WWW.AMAZINGKIDS.ORG THE CHILDREN'S INSTITUTE OF PITTSBURGH PART V, SECTION B, LINE 16C WEBSITE: WWW.AMAZINGKIDS.ORG PART I, LINE 3C: MEDICAL BENEFITS EXHAUSTEDPART I, LINE 3B AND PART V, LINE 11: 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 4: SEE PAGE 10, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES IN ATTACHED COPY OF AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THERE WAS NOT A SHORTFALL IN THE CURRENT YEAR. 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 CURRENT 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 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 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 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. 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, THE COUNTRY AND THE WORLD. FROM FISCAL YEAR 2012 THROUGH 2014 AN AVERAGE OF 30% OF ALL INPATIENTS RESIDED IN ALLEGHENY COUNTY, 65% RESIDED IN WESTERN PENNSYLVANIA (INCLUDING ALLEGHENY COUNTY), AND 71% IN PENNSYLVANIA. A SIGNIFICANT PORTION (28%) 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 60%.THERE ARE OVER 235,000 CHILDREN UNDER AGE 18 IN ALLEGHENY COUNTY, REPRESENTING NEARLY 20% OF THE TOTAL POPULATION, AND A QUARTER OF ALL HOUSEHOLDS HAVE DEPENDENT CHILDREN. THE MEDIAN HOUSEHOLD INCOME IN ALLEGHENY COUNTY IS $51,366. SIXTY-FIVE PERCENT OF THE POPULATION ARE HOME OWNERS, AND THE MEDIAN VALUE OF OWNER-OCCUPIED HOUSING UNITS IS $122,400. NEARLY 13% 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 269,596 RESIDENTS OR 30%. A SIGNIFICANT NUMBER HAVE ATTAINED A BACHELOR'S DEGREE (21%) OR A GRADUATE DEGREE (15%) 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.FIFTY-SEVEN PERCENT OF THE PEDIATRIC POPULATION IN ALLEGHENY COUNTY IS COVERED BY PRIVATE INSURANCE, 89,060 (38%) ARE COVERED BY MEDICAID AND 11,440 (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. THERE ARE OVER 21,000 STUDENTS ENROLLED IN SPECIAL EDUCATION IN ALLEGHENY COUNTY, 8,500 OF THEM (0.4%) WITH MULTIPLE DISABILITIES. 3,288 CHILDREN (1.4%) HAVE AN INTELLECTUAL DISABILITY AND 7,986 (3.4%) HAVE DIFFICULTY WITH SELF-CARE ACTIVITIES SUCH AS EATING, BATHING AND TOILETING.OVER 2,800 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 4,200 CHILDREN OF ALL AGES AND OVER 3,400 WITHIN THE SPECIAL EDUCATION SYSTEM ARE DIAGNOSED WITH AUTISM.ANOTHER 2,000 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 0 0 0 0 0 0 0 1 0 DAVID K MILES PRESIDENT AND CEO 220332 0 44291 0 13583 0 13625 0 24874 0 316705 0 0 0 JODY MULVIHILL VICE PRESIDENT OF FINANCE 139922 0 13144 0 1846 0 7733 0 9812 0 172457 0 0 0 STACEY VACCARO CHIEF OPERATING OFFICER 147958 0 13500 0 273 0 8255 0 24402 0 194388 0 0 0 MARYANNE HENDERSON MD CHIEF MEDICAL OFFICER 147948 0 14753 0 1295 0 0 0 14196 0 178192 0 0 0 TIMOTHY J BITTNER VICE PRESIDENT OF OPERATIO 150412 0 13744 0 2049 0 8403 0 27925 0 202533 0 0 0 CHERYL A FOGARTY CHIEF SCHOOL ADMINISTRATOR 148093 0 13495 0 2004 0 8251 0 24327 0 196170 0 0 0 BEVERLY FARINELLI CHIEF NURSING OFFICER 150366 0 11251 0 2005 0 8142 0 10471 0 182235 0 0 0 SHARON DOROGY CHIEF INFORMATION OFFICER 157386 0 0 0 750 0 8041 0 24361 0 190538 0 0 0 SCOTT FABER MD PHYSICIAN 182925 0 0 0 1670 0 9342 0 28116 0 222053 0 0 0 GREGORY CHERPES MD PHYSICIAN 157421 0 0 0 516 0 7985 0 10074 0 175996 0 0 0 HOWARD FREMIER MD PHYSICIAN 194722 0 0 0 1752 0 9736 0 2380 0 208590 0 0 0 HELENE CONWAY-LONG VICE PRESIDENT 151599 0 15000 0 1222 0 8330 0 2124 0 178275 0 0 0 RACHNA KAPOOR MD PHYSICIAN 146907 0 0 0 296 0 7409 0 10454 0 165066 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 7 BONUS PAYMENTS WERE AWARDED DURING THE CALENDAR YEAR 2014. 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 15155000 144264 15010736 2008 0 0 1 1 B 10105000 96192 10008808 2008 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 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. X 12 499157 FAIR MARKET VALUE X GIFT CARDS 68 21940 FAIR MARKET VALUE X GAMES/TOYS 21 0 X HOSPITAL SUPPLIES 12 0 X MISCELLANEOUS 5 0 X SCHOOL SUPPLIES 3 0 0 0 1 0 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 MARSHALL L. BALK, M.D., AND JOSEPH E. IMBRIGLIA, M.D., HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 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 MR. MILES PERFORMANCE. DURING THE COURSE OF THE MEETING MR. MILES' 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 MR. MILES TO REVIEW HIS CURRENT YEAR PERFORMANCE AND TO ESTABLISH HIS 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 MR. MILES' SALARY. MR. MILES IN CONJUNCTION WITH THE HUMAN RESOURCE DIRECTOR UTILIZES ANNUAL SALARY SURVEY DATA TO ESTABLISH THE BASE AND INCENTIVE COMPENSATION OF MS. MULVIHILL. MR. MILES REVIEWS BASE AND INCENTIVE COMPENSATION WITH THE CEO EVALUATION COMMITTEE AT THE ANNUAL JUNE MEETING. PRIOR TO THE START OF THE NEXT FISCAL YEAR, MR. MILES MEETS WITH MS. MULVIHILL TO REVIEW HER CURRENT YEAR PERFORMANCE AND TO ESTABLISH HER 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 IX, LINE 11G MISCELLANEOUS: PROGRAM SERVICE EXPENSES 110,008. MANAGEMENT AND GENERAL EXPENSES 2,061. FUNDRAISING EXPENSES 122,794. TOTAL EXPENSES 234,863. MEDICAL/PATIENT RELATED : PROGRAM SERVICE EXPENSES 1,093,298. MANAGEMENT AND GENERAL EXPENSES 34,924. FUNDRAISING EXPENSES 674. TOTAL EXPENSES 1,128,896. FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 874,885. MANAGEMENT AND GENERAL EXPENSES 993,127. FUNDRAISING EXPENSES 207,868. TOTAL EXPENSES 2,075,880. CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 547,580. MANAGEMENT AND GENERAL EXPENSES 1,855. FUNDRAISING EXPENSES 103. TOTAL EXPENSES 549,538. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 103,320. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,320. HOUSE KEEPING AND DIETARY SERVICES: PROGRAM SERVICE EXPENSES 1,495,606. MANAGEMENT AND GENERAL EXPENSES 171,346. FUNDRAISING EXPENSES 16,921. TOTAL EXPENSES 1,683,873. FORM 990, PART XI, LINE 9: CHANGES IN UNRECOGNIZED PENSION BENEFIT PLAN COSTS -3,177,904. NONCASH DONATIONS NOT RECORDED IN FINANCIAL STATEMENTS -21,940. 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.