2015-05-14T15:43:59-05:00 2014-06-30 205991824 SC&H TAX & ADVISORY SERVICES LLC 910 RIDGEBROOK ROAD SPARKS MD 21152 990 2013-07-01 520607971 KENNEDY KRIEGER CHILDREN'S HOSPITAL INC KENN 4439231810 707 NORTH BROADWAY BALTIMORE MD 21205 MICHAEL J NEUMAN SVP OF FINANCE 4439231810 2015-05-14 1 LORI S BURGHAUSER P00370694 4104031500 2015-05-14 2013 2016-03-07 17:11:31Z MICHAEL J NEUMAN 2931 E BIDDLE STREET BALTIMORE MD 21213 132359067 0 X WWW.KENNEDYKRIEGER.ORG X 1937 MD TO IMPROVE THE LIVES OF CHILDREN AND ADOLESCENTS WITH PEDIATRIC DEVELOPMENTAL DISABILITIES AND OTHER NEUROLOGICAL ISSUES. 11 10 1592 250 0 0 5030597 4543942 121256373 127017102 0 0 775044 798023 127062014 132359067 0 0 0 0 91283571 97030935 0 0 0 32663623 34470539 123947194 131501474 3114820 857593 110974608 126227120 38335602 53349778 72639006 72877342 X KENNEDY KRIEGER CHILDREN'S HOSPITAL (KKCH) OFFERS CLINICAL PROGRAMS TO MEET THE SPECIALIZED NEEDS OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES. MORE THAN 35 DIFFERENT OUTPATIENT PROGRAMS AND FOUR INPATIENT UNITS ADDRESS THE SPECIFIC CONDITIONS OF CHILDREN WITH A WIDE RANGE OF DISORDERS. KKCH IS RECOGNIZED FOR THE RANGE OF SERVICES IN AREAS INCLUDING AUTISM, CEREBRAL PALSY, SPINA BIFIDA, NEUROREHABILITATION, SPINAL CORD INJURY AND FEEDING DISORDERS. AS A PROVIDER OF SPECIALTY PEDIATRIC HEALTHCARE SERVICES, KKCH IS VIEWED AS A "NICHE" PROVIDER. MANY SERVICES PROVIDED AT KKCH ARE NOT DUPLICATED THROUGHOUT THE GENERAL HEALTHCARE SYSTEM IN THE CITY, REGION OR WORLD. 0 0 78077565 0 85696721 OUTPATIENT PROGRAMSPATIENTS ARE SEEN ON AN OUTPATIENT BASIS IN ONE OF MORE THAN 35 DIFFERENT CLINICS. A CHILD MAY BE SEEN BY A SINGLE PROFESSIONAL OR AN INTERDISCIPLINARY TEAM DEPENDING UPON THE NATURE OF THE CHILD'S NEEDS. CLINICS PROVIDE DIAGNOSTIC AND TREATMENT SERVICES IN THE FOLLOWING AREAS: ASSISTIVE TECHNOLOGY, ATAXIA TELAGIECTASIA, AUDIOLOGY,BEHAVIOR MANAGEMENT, BOTULINUM TOXIN TREATMENT, AUTISM AND RELATED DISORDERS, DEVELOPMENT AND LEARNING PROBLEMS, GENETIC MUSCLE DISORDERS, CEREBRAL PALSY, FEEDING DISORDERS, DEVELOPMENTAL COGNITIVE NEUROLOGY, DOWN SYNDROME, ENVIRONMENT HEALTH PROBLEMS, FRAGILE X, HOLOPROSENCEPHALY, SPINAL CORD INJURIES, MOVEMENT DISORDERS, NICU FOLLOW-UP, NEUROGENETICS, NEUROPHYSIOLOGY, NUTRITION, OCCUPATIONAL THERAPY, ORTHOPEDICS, OSTEOGENESIS IMPERFECT, CHILD PSYCHIATRY, REHABILITATION, PHYSICAL THERAPY, SOCIAL WORK AND SPEECH AND LANGUAGE. 36908662 0 41320381 INPATIENT PROGRAMS ARE MADE UP OF 3 UNITS:THE NEUROBEHAVIORAL UNIT (NBU) PROVIDES SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES WHO ARE SELF-INJURIOUS, AGGRESSIVE AND DISPLAY OTHER SEVERE BEHAVIORS.THE PEDIATRIC FEEDING DISORDERS UNIT (PFDU) SERVES CHILDREN WITH SEVERE FEEDING PROBLEMS. MEDICAL ASSESSMENTS, NUTRITIONAL MONITORING, ORAL MOTOR ASSESSMENTS AND INTENSE BEHAVIORAL INTERVENTIONS CAN BE CONDUCTED.THE PEDIATRIC REHABILITATION UNIT (PRU) OPERATES ONE OF THE MOST SUCCESSFUL NEUROREHABILITATION PROGRAMS IN THE WORLD AND INCLUDES THE BRAIN INJURY PROGRAM AND THE COMPREHENSIVE INPATIENT REHABILITATION PROGRAM. 2215382 0 0 PROFESSIONAL TRAINING PROGRAMSAS ONE OF THE LEADING FACILITIES IN THE COUNTRY THAT PROVIDES EVALUATIONS AND REHABILITATION SERVICES TO CHILDREN WITH BRAIN-RELATED INJURIES, KENNEDY KRIEGER CHILDREN'S HOSPITAL IS DEDICATED TO USING ITS RESOURCES TO HELP INCREASE THE NUMBER OF QUALIFIED SPECIALISTS IN THE UNITED STATES AND ABROAD. EVERY YEAR, MORE THAN 400 PEOPLE, FROM ALL ACADEMIC LEVELS, COME TO TRAIN WITH RENOWNED EXPERTS FROM A WIDE VARIETY OF DISCIPLINES INCLUDING AUDIOLOGY, EDUCATION, GENETICS, HEALTH ADMINISTRATION, NURSING, NUTRITION, OCCUPATIONAL AND PHYSICAL THERAPY, PEDIATRIC REHABILITATION MEDICINE, PEDIATRICS, PSYCHIATRY, PSYCHOLOGY (BEHAVIORAL AND NEUROPSYCHOLOGY), SOCIAL WORK, SPEECH LANGUAGE PATHOLOGY AND SPINAL CORD INJURY. THE GOALS OF THE CLINICAL TRAINING PROGRAMS ARE TWOFOLD: 1) TO TRAIN LEADERS IN THE FIELD OF NEURODEVELOPMENTAL DISABILITIES AND 2) TO HELP ENSURE THAT THERE IS A SUFFICIENT NUMBER OF QUALIFIED PROFESSIONALS TO MEET THE NEEDS OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. 1849084 0 758843 OTHER PROGRAM SERVICES THAT FURTHER AND SUPPORT THE HOSPITAL'S MISSION STATEMENT. 1849084 0 758843 119050693 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 60 0 1592 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X MICHAEL J NEUMAN 4439231810 2931 E BIDDLE STREET BALTIMORE MD 21213 ATWOOD COLLINS III CHAIRMAN 1.00 0.00 X 0 0 0 HOWARD MILLER ESQ VICE CHAIRMAN 1.00 0.00 X 0 0 0 RICHARD W CASS DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH J ENSOR DIRECTOR 1.00 0.00 X 0 0 0 DAVID J GARBARINO DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN M KEELTY DIRECTOR 1.00 0.00 X 0 0 0 GAYLE KELLY DIRECTOR 1.00 0.00 X 0 0 0 BLAKE M PATERSON MD DIRECTOR 1.00 0.00 X 0 0 0 KENNETH SCHUBERTH MD DIRECTOR 1.00 0.00 X 0 0 0 VICTORIA SULERZYSKI ESQ DIRECTOR 1.00 0.00 X 0 0 0 GARY W GOLDSTEIN MD PRESIDENT & CEO 21.00 19.00 X X 556354 496255 23039 JAMES M ANDERS JR COO & TREASURER 21.00 19.00 X 384470 342936 21139 MICHAEL VD JOHNSTON MD CMO & SECRETARY 20.00 20.00 X 326257 326257 23038 MICHAEL J NEUMAN SVP OF FINANCE 21.00 19.00 X 154489 137802 21539 MARY L LEPPERT MD CHIEF OF MEDICAL STAFF 40.00 0.00 X 165667 0 16321 MICHAEL F CATALDO PHD SVP & PROGRAM DIRECTOR 30.00 10.00 X 301733 100578 23043 LAINY LEBOW-SACHS DIR OF EXTERNAL RELATIONS 6.00 34.00 X 63407 359308 23040 LANA R WARREN PHD SVP OF CLINICAL SERVICES 40.00 0.00 X 218992 0 19710 TAMI W SWEARINGEN RN SVP OF NURSING 40.00 0.00 X 228034 0 19160 RAYMOND SHORT SVP OF HUMAN RESOURCES 21.00 19.00 X 94082 83919 23455 FRANK PIDCOCK MD PROGRAM DIRECTOR 40.00 0.00 X 255000 0 19334 RICHARD KELLEY MD PROGRAM DIRECTOR 40.00 0.00 X 225268 0 18892 BRUCE SHAPIRO MD PROGRAM DIRECTOR 40.00 0.00 X 218983 0 21234 JAMES RUBENSTEIN MD PROGRAM DIRECTOR 40.00 0.00 X 218332 0 18625 ELAINE TIERNEY MD PROGRAM DIRECTOR 40.00 0.00 X 208507 0 20892 3619575 1847055 312461 81 0 1 0 CORE SOURCE 100 WEST 33RD STREET NEW YORK NY 10001 PROF. SERVICES 13261752 JOHNS HOPKINS UNIVERSITY 3400 N CHARLES STREET BALTIMORE MD 21218 MEDICAL SERVICE 5100527 INFOR (US) INC NW 7418 PO BOX 1450 MINNEAPOLIS MN 55485 CONSULTANT 1558820 RCC&S INC 47 LOVETON CIRCLE HUNT VALLEY MD 21152 PROF. SERVICES 1049613 YELLOW CAB COMPANY 32245 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PROF. SERVICES 971949 73 2023443 2462012 58487 4543942 OUTPATIENT SERVICES 624100 85696721 85696721 INTPATIENT SERVICES 624100 41320381 41320381 127017102 REIMBURSABLE COSTS REVENUE 900099 661092 661092 MEDICAL RECORD ABSTRACT FEES 900099 52121 52121 TUITION REVENUE 900099 45630 45630 39180 39180 798023 132359067 127775945 0 39180 2628064 181988 2446076 74136065 70304741 3831324 3749359 3423080 326279 11488221 10315191 1173030 5029226 4764865 264361 229983 229983 105072 105072 122623 122623 9441281 8822140 619141 168157 141356 26801 10150533 7606546 2543987 11665154 11665154 1303348 1199166 104182 6250 6250 41774 41774 456682 472 456210 NON-CAPITAL EQUIPMENT 533302 460942 72360 PERMITS, LICENSES AND D 246380 158802 87578 131501474 119050693 12450781 0 1865852 1853057 586135 295136 15961734 19387946 1502848 1230727 91058039 103460254 110974608 126227120 21071506 23319430 39804 7601 0 750000 17224292 29272747 38335602 53349778 X 67804746 67946557 4834260 4930785 72639006 72877342 110974608 126227120 X 857593 -619257 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 115662 0 1 6961 122623 0 PART II-B, LINE 1: THE ORGANIZATION PAYS $115,662 TO ITS LOBBYIST, FABIANI & COMPANY, ALEXANDER & CLEAVER, OAKLEY CAPITAL CONSULTING AND POTOMAC STRATEGIC DEVELOPMENT, TO DIRECTLY CONTACT LEGISLATORS ON MATTERS AFFECTING HEALTH CARE, EDUCATION, COMMUNITY SERVICES AND RESEARCH PROGRAMS. A PORTION OF THE TOTAL EXPENSE HAS BEEN ALLOCATED TO THIS ENTITY. THE ORGANIZATION PAYS DUES TO MHA AND NCAH. A PORTION OF THESE DUES ($6,961) ARE USED FOR LOBBYING ACTIVITIES. 0 DUE FROM AFFILIATES 98211943 RESTRICTED ASSETS 5248311 103460254 ACCRUED PENSION PAYABLE 13509653 ACCRUED WORKERS COMPENSATION 1543969 CAPITAL LEASE OBLIGATION 248000 DUE TO AFFILIATE 13971125 29272747 1 1 1 X 1 X 1 1 0 0 824346 824346 0.00630 55665122 52800242 2864880 0.02180 4136240 2194498 1941742 0.01480 60625708 54994740 5630968 0.04290 4253511 868737 3384774 0.02570 3455350 1576294 1879056 0.01430 419842 419842 0.00320 473065 473065 0.00360 8601768 2445031 6156737 0.04680 69227476 57439771 11787705 0.08970 59307 59307 0.00050 21388 21388 0.00020 3963 3963 0.00000 27001 27001 0.00020 111659 111659 0.00090 1 2922047 1110378 1501448 3324758 -1823310 X 1 1 1 1 KENNEDY KRIEGER CHILDREN'S HOSPITAL INC 707 N BROADWAY BALTIMORE MD 21205 WWW.KENNEDYKRIEGER.ORG 30-036 X KENNEDY KRIEGER CHILDREN'S HOSPITAL INC 1 1 X X X X X X 12 1 0 1 X WWW.KENNEDYKRIEGER.ORG X X X X X X X X 1 0 1 1 100.000000000000 1 250.000000000000 1 X X X 1 1 X X X X X X X 1 X 1 X X X X 0 X X 0 0 KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 3: IN ORDER TO SERVE THE COMMUNITY MOST EFFECTIVELY AND TO LEVERAGE OUR RESOURCES, KKCH, THROUGH ITS FOCAL COMMUNITY ARM, THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS PART OF ITS ONGOING NEEDS ASSESSMENT AND PLANNING PROCESS. THE MCDD, PART OF A NATIONAL NETWORK, IS LOCATED WITHIN KKCH AND SERVES AS THE STATEWIDE COMMUNITY AGENT TO PROVIDE PRE-SERVICE AND CONTINUING EDUCATION/TRAINING, COMMUNITY SERVICE/TECHNICAL ASSISTANCE, RESEARCH AND EVALUATION, AND INFORMATION DISSEMINATION TO THE COMMUNITY. SINCE 85 PERCENT OF THE HOSPITAL'S PATIENTS ARE MARYLAND RESIDENTS, REPRESENTING EVERY COUNTY IN THE STATE, THIS ASSESSMENT TARGETED CHILDREN AND YOUNG ADULTS WITH DEVELOPMENTAL DISABILITIES AND OTHER DISORDERS IN MARYLAND. THE ASSESSMENT INCLUDED A SERIES OF 18 PUBLIC FORUMS HELD ACROSS THE STATE, AND AN ONLINE SURVEY THAT WAS OPEN FROM JUNE 2011 TO APRIL 2012 TO GATHER INPUT FROM COMMUNITY MEMBERS AND STAKEHOLDERS. THE MCDD PARTICIPATED IN ALL OF THE MARYLAND'S TITLE V REGIONAL MEETINGS IN YEAR ONE FOR DATA COLLECTION 2011-2012 AND SUBSEQUENT VALIDATION REGIONAL MEETINGS FROM 2012-2013. THIS PARTICIPATION AIDED IN RE-CONFIRMING THE NEEDS ASSESSMENT DONE BY KKCH AND OFFERED AN ADDITIONAL OPPORTUNITY TO OBTAIN INPUT FROM THE COMMUNITY IN COLLABORATION WITH OTHER PARTNERS. OTHER DEMOGRAPHIC, QUANTITATIVE, AND QUALITATIVE DATA AT REGIONAL, STATE, AND NATIONAL LEVELS WERE COLLECTED FROM OTHER NEEDS ASSESSMENT REPORTS FROM STATE AGENCIES AND AVAILABLE PRIVATE, FEDERAL, AND STATE DATABASES. PLEASE SEE ADDITIONAL INFORMATION NOTED IN NARRATIVES BELOW. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 5D: THE CHNA WAS ALSO SHARED WITH THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE ALONG WITH THE TITLE V OFFICE. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC PART V, SECTION B, LINE 14G: DURING INTAKE, ALL SELF-PAY PATIENTS ARE INFORMED THAT KENNEDY KRIEGER HAS A FINANCIAL ASSISTANCE POLICY. IN ADDITION, THEY ARE INFORMED OF THE POLICY AT APPOINTMENT, REGISTRATION, AND DURING THE BILLING PROCESS. PART I, LINE 7: LINE A - CHARITY CARE AND UNREIMBURSED MEDICAID WERE DETERMINED BY USING A COST TO CHARGE RATIO. THIS COST TO CHARGE RATIO WAS DETERMINED BASED UPON THE HOSPITAL'S COSTS AND CHARGES FROM ITS MEDICAID COST REPORT AND FURTHER DOCUMENTED THROUGH THE MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE AGREEMENT WITH THE ORGANIZATION. ALL OF THE OTHER AMOUNTS WERE REPORTED AT COST UTILIZING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. CHARITY CARE IS DETERMINED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND IS BASED UPON COST. THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES IN DETERMINING FREE AND DISCOUNTED CARE. IN ADDITION, THE HOSPITAL CONSIDERS FREE OR DISCOUNTED CARE FOR THE MEDICALLY INDIGENT.LINE B - THE NET COMMUNITY BENEFIT FOR MEDICAID IS BASED UPON MEDICAID COSTS NET OF MEDICAID REIMBURSEMENT AND DISPROPORTIONATE SHARE REVENUE.LINE C - THE NET COMMUNITY BENEFIT FOR OTHER MEANS-TESTED PROGRAMS IS BASED UPON MEDICARE COSTS NET OF MEDICARE REIMBURSEMENT FROM THE FY 2014 MEDICARE COST REPORT. LINE E - COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDE GRANTS, THE COST OF PATIENT PARKING AND TRANSPORTATION, AND THE COSTS OF PROVIDING GUEST RELATIONS AND TRAINING SERVICES.LINE F - HEALTH PROFESSIONS EDUCATION INCLUDES THE COSTS (BOTH DIRECT AND INDIRECT) OF INTERNS, RESIDENTS ALONG WITH OTHER ALLIED HEALTH PROFESSIONALS. THE ORGANIZATION CURRENTLY TRAINS OVER 400 PEOPLE IN A WIDE VARIETY OF DISCIPLINES FROM ALL ACADEMIC LEVELS. LINE H - THE HOSPITAL HAS REPORTED $419,842 IN THE CATEGORY OF RESEARCH THAT IS FUNDED BY THE HOSPITAL.LINE I - CASH AND IN-KIND CONTRIBUTIONS FROM THE HOSPITAL PROVIDE FUNDING FOR ACTIVITIES TO ACHIEVE THE MISSION OF THE HOSPITAL.SEE ADDITIONAL INFORMATION REGARDING THESE BENEFITS PROVIDED TO THE COMMUNITY UNDER PART VI, LINE 5 BEGINNING ON PAGE 52. PART II, COMMUNITY BUILDING ACTIVITIES: ACCORDING TO THE INSTITUTE OF MEDICINE'S REPORT ON THE ROLE AND POTENTIAL OF COMMUNITIES IN POPULATION HEALTH (2015), COMMUNITY ORGANIZING IS A KEY INSTRUMENT FOR ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. KKCH WORKS IN CONCERT WITH OUR COMMUNITIES TO DISSEMINATE AND INTEGRATE OUR KNOWLEDGE THROUGH COMMUNITY-BENEFIT ACTIVITIES,SO THAT WE MEET THE NEEDS OF THE COMMUNITY AND LEVERAGE THE WORK WE DO OUTSIDE OF OUR ORGANIZATION. THIS IS ACCOMPLISHED THROUGH TRAINING, I.E., HELPING TO EDUCATE PROVIDERS OF VARIOUS DISCIPLINES ACROSS MARYLAND ON DIFFERENT ASPECTS OF DEVELOPMENTAL DISABILITIES AND COLLABORATING WITH THE EDUCATIONAL SECTOR TO BUILD THE NEXT GENERATION OF TEACHERS. COMMUNITY BUILDING ACTIVITIES INCLUDE THE FOLLOWING:1. HISTORIC EAST BALTIMORE COMMUNITY ACTION COALITION, INC., (HEBCAC): THE HISTORIC EAST BALTIMORE COMMUNITY ACTION COALITION, INC., (HEBCAC) IS A NONPROFIT COMMUNITY DEVELOPMENT ORGANIZATION FOUNDED IN 1994 BY JOHNS HOPKINS UNIVERSITY, CITY AND STATE OFFICIALS AND AREA RESIDENTS. ITS MISSION IS TO WORK WITH RESIDENTS AND OTHER STAKEHOLDERS TO IMPROVE NEIGHBORHOODS IN THE 220-BLOCK AREA BOUNDED BY EDISON HIGHWAY, AISQUITH STREET, NORTH AVENUE, AND FAYETTE STREET. THIS 220-BLOCK INCLUDES THE FOLLOWING FACILITY LOCATIONS OF KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. 707 N. BROADWAY, 716 N. BROADWAY, 801 N. BROADWAY, AND 2901-3001 E. BIDDLE STREET. KENNEDY KRIEGER HOLDS A BOARD SEAT AND PARTICIPATES ON HEBCAC'S STRATEGIC PLANNING COMMITTEE.2. NEW HOTEL COMMITTEE: A FEW BLOCKS EAST OF THE MD PUBLIC HEALTH LABORATORY, WILL BE THE SITE OF THE NEW GATEWAY PROJECT WHICH INCLUDES A 182-ROOM EXTENDED-STAY HOTEL. KENNEDY KRIEGER STAFF IS PARTICIPATING ON THE COMMITTEE TO DETERMINE COMPANIES AND ACCESSIBILITY FOR PATRONS. PATRONS WILL INCLUDE PROFESSIONALS AND PATIENTS FROM BOTH HEALTH CARE ORGANIZATIONS. THIS COLLABORATIVE PROJECT WILL ENSURE ACCESS TO CARE, AND TRAINING OF COMMUNITY MEDICAL PROFESSIONALS ACROSS THE MARYLAND AND BEYOND.3. ALLIANCE, INC.: KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. HOLDS A SEAT ON THE BOARD OF DIRECTORS. ALLIANCE, INC. ADDRESSES COMMUNITY SUPPORTS AND SERVICES FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES AND MENTAL HEALTH DISORDERS TO INCLUDE HOUSING/INDEPENDENT LIVING AND WORKFORCE DEVELOPMENT.4. CAMP SOAR:CAMP SOAR IS A WEEKEND RETREAT IN WHICH NEARLY 40 CAMPERS ATTEND UNDER THE SUPERVISION OF COUNSELORS, APPROXIMATELY 60 VOLUNTEERS, MOST OF THEM ON STAFF AT THE INSTITUTE. HALF OF THE CAMPERS ARE CLIENTS OF THE ORGANIZATION, DEALING WITH VARIOUS DISABILITIES AND THE OTHER CAMPERS ARE THEIR SIBLINGS. THERE ARE ORGANIZED ACTIVITIES, CAMPFIRE GATHERINGS AND GAMES ALL WHILE ATTENDING TO THE NEEDS OF CHILDREN WITH TRAUMATIC BRAIN INJURIES, CEREBRAL PALSY, DOWN SYNDROME AND PARALYSIS. THE PROGRAM IS DESIGNED TO STRENGTHEN THE BONDS BETWEEN SIBLINGS AS THEY LEARN TO ACCEPT EACH OTHER'S DIFFERENCES, LIMITATIONS AND STRENGTHS. PARTICIPATION IN TYPICAL COMMUNITY ACTIVITIES FOR CHILDREN AND YOUTH WITH DISABILITIES IS A BARRIER; JOINT SIBLING PROGRAMS ARE LIMITED, I.E., PARENTS CANNOT DROP OFF THEIR CHILDREN (ONE WITH A DISABILITY AND A TYPICALLY DEVELOPING CHILD) AT ANY DAYCARE, CAMP, RECREATIONAL SESSION, ETC. CAMP SOAR ADDRESSES THIS ACCESS BARRIER FOR CHILDREN.5. LACROSSE: KKCH INTRODUCES ONE OF THE FASTEST GROWING SPORTS IN THE COUNTRY. LACROSSE IS A COMBINATION OF BASKETBALL, HOCKEY, SOCCER AND FOOTBALL. THE LACROSSE CLINIC IS OPEN TO ALL LEVELS OF EXPERIENCE-NO PREVIOUS LACROSSE EXPERIENCE NECESSARY. THE INTERNATIONAL CENTER FOR SPINAL CORD INJURY AT KKCH ORGANIZES THIS COMMUNITY CLINIC IN PARTNERSHIP WITH BALTIMORE CITY RECREATION & PARKS AND JOHNS HOPKINS UNIVERSITY. THIS COMMUNITY-BENEFIT ACTIVITY ADDRESSES ACCESS TO CARE AND SERVICES IDENTIFIED AS A NEED IN OUR CHNA. GIVEN THE PHYSICAL ACTIVITY INVOLVED IN THE SPORT THIS CLINIC CONTRIBUTES TO THE HEALTHY PEOPLE 2020 TOPIC AND OBJECTIVE DH-8: REDUCE THE PROPORTION OF PEOPLE WITH DISABILITIES WHO REPORT PHYSICAL OR PROGRAM BARRIERS TO LOCAL HEALTH AND WELLNESS PROGRAMS AND ADDRESSES ONE OF THE CDC WINNABLE BATTLES OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY.6. SUMMER WORKS:FOR WORKFORCE DEVELOPMENT THE HOPSITAL OPERATES A SUMMER WORKS PROGRAM FOR AREA TEENAGERS. THIS PROGRAM ALLOWS YOUNG PEOPLE TO GAIN EXPERIENCE IN THE HEALTH CARE INDUSTRY AND SERVES AS A REAL-LIFE WORK EXPERIENCE. THIS PROGRAM PROVIDES SUMMER JOBS FOR THOSE IN NEED AND TEACHES THEM SKILLS FOR THE FUTURE. 7. ENVIRONMENTAL IMPROVEMENTS:THE HOSPITAL PROMOTES AND MAINTAINS A GO-GREEN CAMPAIGN THROUGH THE DISSEMINATION OF INFORMATION AND PRODUCTS TO REDUCE WASTE. IN ADDITION, THE HOSPITAL PROVIDES VOLUNTEERS DURING THE WORKWEEK TO STAFF THE NEIGHBORHOOD FARMER'S MARKET. PART III, LINE 2: SEE NARRATIVE FOR PART III, LINE 4 PART III, LINE 3: SEE NARRATIVE FOR PART III, LINE 4 PART III, LINE 4: BASED UPON THE HOSPITAL'S BILLING AND COLLECTION POLICY, BAD DEBT EXPENSE IS RECORDED AT COST. AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED FOR RECEIVABLES WHICH ARE ANTICIPATED TO BECOME UNCOLLECTIBLE IN FUTURE PERIODS. THE $1,110,378 OF BAD DEBT EXPENSE, VALUED AT COST, REPRESENTS THOSE ACCOUNTS WRITTEN OFF IN WHICH THE PATIENT WOULD HAVE QUALIFIED FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY DUE TO THEIR INCOME LEVEL. PLEASE SEE PAGES 12 THROUGH 14 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE CURRENT MEDICARE REIMBURSEMENT METHODOLOGY DOES NOT ADEQUATELY REIMBURSE THE ORGANIZATION FOR THE SERVICES IT PROVIDES AND THEREFORE THE ENTIRE AMOUNT OF THE SHORTFALL IS CONSIDERED AS A COMMUNITY BENEFIT. THESE AMOUNTS WERE OBTAINED FROM THE FISCAL YEAR 2014 MEDICARE COST REPORT AND THE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM REPORT. PART III, LINE 9B: THE ORGANIZATION'S DEBT COLLECTION POLICY SPECIFICALLY ADDRESSES PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR FINANCIAL NEED, THEIR FINANCIAL OBLIGATION IS REDUCED OR WRITTEN OFF BASED UPON THE FINANCIAL ASSISTANCE POLICY GUIDELINES. A SEPARATE FINANCIAL CLASS IS UTILIZED IN WHICH BILLS ARE NOT GENERATED. THESE ACCOUNTS ARE NOT PLACED WITH COLLECTION AND NO FURTHER DEBT COLLECTION EFFORTS ARE PURSUED. ADDITIONALLY, THE HOSPITAL DOES NOT CHARGE INTEREST, LATE FEES OR PENALTIES. PART VI, LINE 2: THE HOSPITAL WAS AMONG THE FIRST ORGANIZATIONS IN THE U.S. TO CREATE A UNIVERSITY CENTER OF EXCELLENCE IN DEVELOPMENTAL DISABILITIES (UCEDD) UNDER FEDERAL LEGISLATION IN THE MID-1960'S. UCEDDS SERVE STATES TO ENSURE THE QUALITY OF LIFE FOR PERSONS WITH DISABILITIES. THE UCEDD AT KENNEDY KRIEGER IS THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD). IT IS THE FOUNDATION OF THE INSTITUTE'S COMMUNITY PROGRAMS. THE MISSION OF THE MCDD COMPLEMENTS THAT OF THE HOSPITAL, IN THAT IT ENVISIONS THAT ALL PERSONS WITH DEVELOPMENTAL DISABILITIES LEAD FULLY INCLUSIVE AND MEANINGFUL LIVES. A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED BY THE MCDD TO DIRECT THE GOALS OF IT'S FIVE-YEAR PLAN AND TO INFORM KENNEDY KRIEGER CHILDREN'S HOSPITAL OF THE VOICE OF THE COMMUNITY SERVED. ADDITIONALLY, OTHER NEEDS ASSESSMENT REPORTS FROM STATE AGENCIES, PRIVATE ORGANIZATIONS, AND FEDERAL DATABASES WERE COLLECTED AND ANALYZED TO ASSESS THE NEEDS OF THE POPULATION SERVED BY KKCH ACROSS THE STATE. A PLAN WAS GENERATED TO ADDRESS SEVERAL OF THE COMMUNITY NEEDS.AS PART OF THE MCDD'S WORK TO ASSESS STATEWIDE NEEDS IN THE AREA OF DEVELOPMENTAL DISABILITIES (DD), THE MCDD INITIATED A SERIES OF FOCUS GROUPS BEGINNING JUNE 2011 THROUGH APRIL 2012. THESE ACTIVITIES INCLUDED 18 COMMUNITY FORUMS HELD IN EVERY REGION OF THE STATE, AN ONLINE SURVEY, ANALYSIS OF A NUMBER OF PUBLICLY AVAILABLE DATA SETS FOR EACH JURISDICTION IN THE STATE, AND A SERIES OF FOLLOW-UP MEETINGS WITH CONSUMERS, FAMILY MEMBERS, SELF-ADVOCATES, AND AGENCY PARTNERS. IN ADDITION, KKCH HAS ACCESSED MANY ASSESSMENTS AND DATA FROM THE FOLLOWING ENTITIES TO EVALUATE THE MARYLAND COMMUNITY TO OBTAIN A HOLISTIC VIEW OF THE NEEDS OF THE POPULATION SERVED ACROSS THE STATE. IN ADDITION, BECAUSE A PERCENTAGE OF OUR POPULATION SERVED COME FROM ACROSS THE UNITED STATES AND INTERNATIONALLY, SEVERAL OF THE SOURCES UTILIZED PRESENT NATIONAL DATA. 1. MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES AT KKI (PRIMARY SOURCE DATA) 2. DHMH-OFFICE FOR GENETICS AND PEOPLE WITH SPECIAL HEALTH CARE NEEDS 3. NATIONAL SURVEY FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 4. MARYLAND AUTISM COMMISSION REPORT 5. HOSPITAL INTERDISCIPLINARY ADVISORY GROUP, KKCH 6. DHMH-OFFICE FOR GENETICS AND PEOPLE WITH SPECIAL HEALTH CARE NEEDS 7. HEALTHY PEOPLE 2020 8. CEREBRAL PALSY KINETIC CONNECTIONS 9. PARENTS' PLACE OF MD, MARYLAND PARENT SURVEY 10.IAN COMMUNITY (INTERACTIVE AUTISM NETWORK) THE NEEDS ASSESSMENT AND DATA (1,2,6,8,9 LISTED ABOVE) IDENTIFIED THE NEEDS OF THE COMMUNITIES, FROM A REGIONAL PERSPECTIVE. THIS REFLECTS THE NEEDS OF THE COMMUNITY SPECIFIC TO THE POPULATION SERVED AT KKCH. IN ADDITION, THE ANALYSIS OF THE COMMUNITY RESOURCE MAPPING PROJECT PROVIDES INSIGHT INTO THE TYPES OF SERVICES THAT ARE MORE AND LESS PREVALENT THAN OTHERS IN EACH REGION. THE NEEDS ASSESSMENTS AND GROUP MEETINGS (1,4,5,6,8,9 LISTED ABOVE) HAD REPRESENTATION FROM KKCH/MCDD. THE PROCESS IN WHICH THE DATA WAS DETERMINED AND PRIORITIZED WAS SYSTEMATIC AND CONSISTENT WITHIN EACH GROUP, ALTHOUGH NOT THE SAME ACROSS EACH GROUP. THE FORUMS (1 AND 6 LISTED ABOVE) REPRESENTED THE REGIONAL AND/OR COUNTY COMMUNITIES ACROSS MARYLAND. EACH GROUP UTILIZED A UNIQUE PROCESS TO ANALYZE, INTERPRET, AND PRIORITIZE THE DATA COLLECTED. FINDINGS FROM THE COMMUNITY FORUMS, THE STATE AND NATIONAL SURVEYS, AND SMALLER INTERNAL WORK GROUPS ARE REVIEWED AND ANALYZED WITHIN THE HOSPITAL INTERDISCIPLINARY ADVISORY GROUP. WHEN SERVICES ARE NOT AVAILABLE TO A PATIENT DUE TO GEOGRAPHIC, INSURANCE, AVAILABILITY BARRIERS KKCH PROVIDES ACCESS TO THE RESOURCE FINDER; ASSISTANCE IS PROVIDED IN IDENTIFYING RESOURCES FOR THE CLIENT AND FAMILY. THE MCDD HAS A COMMUNITY ADVISORY COUNCIL (CAC) THAT MEETS QUARTERLY TO ADVISE THE MCDD ON ACTIVITIES AND PROVIDES OVERSIGHT ON THE IMPLEMENTATION PLAN FOR THE STATE. THE CAC IS DIVERSE IN ABILITY, ETHNICITY, GENDER, AND GEOGRAPHY. IN ADDITION, THROUGH THE CRM PROJECT, THE MCDD ENGAGES WITH STAKEHOLDERS ACROSS THE STATE, FROM VARIOUS COMMUNITIES, TO RECEIVE INPUT AS THEY REPRESENT THE COMMUNITY'S NEEDS AND INTEREST. THE MARYLAND COMMUNITY OF CARE CONSORTIUM AND THE MID-SHORE COMMUNITY OF CARE CONSORTIUM ARE TWO GROUPS THAT BRING THE IMMEDIATE COMMUNITY TOGETHER TO IDENTIFY, PLAN AND IMPLEMENT ACTIVITIES TO INCREASE THE HEALTH OF ITS COMMUNITIES, SPECIFIC TO PEOPLE WITH SPECIAL HEALTH CARE NEEDS. THE MCDD IS REPRESENTED AT ALL CONSORTIUM MEETINGS. KKCH HAS COLLABORATED OVER A 10-YEAR PERIOD WITH VARIOUS ORGANIZATIONS ADDRESSING THE NEEDS AND INCLUSION OF PERSONS WITH DISABILITIES AND SPECIAL HEALTH CARE NEEDS INTO EMERGENCY PREPAREDNESS OPERATIONS AND ACTIVITIES ACROSS THE STATE OF MARYLAND. KKCH'S MANAGER OF SAFETY/ENVIRONMENT OF CARE SERVES ON THE FOLLOWING COMMITTEES AND GROUPS: - BALTIMORE CITY HOSPITAL CONSORTIUM - LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) - JOHNS HOPKINS OFFICE OF CRITICAL EVENT PREPAREDNESS AND RESPONSE (CEPAR) - EAST BALTIMORE UNIFIED COMMAND SYSTEM KKCH'S DIRECTOR OF TRAINING AND THE MANAGER, SAFETY/ENVIRONMENT OF CARE BOTH ATTENDED AND PARTICIPATED IN A SPECIAL COMMUNITY PLANNING MEETING FOCUSED ON ENSURING PEOPLE WITH DISABILITIES IN THE REGIONAL COMMUNITIES ARE INCLUDED IN ALL STATE AND COUNTY EMERGENCY PREPAREDNESS PLANS: COMMUNITY MEETING WITH THE MAYOR'S COMMISSION/MD DHMH DEVELOPMENTAL DISABILITIES ADMINISTRATION. AS RELATED TO EMERGENCY PREPAREDNESS IN THE COMMUNITY, THE DIRECTOR OF INFORMATION DISSEMINATION FOR THE MCDD IS REGULAR PARTICIPANT OF THE BALTIMORE CITY MAYOR'S COMMISSION ON DISABILITY. THE MCDD PROVIDES TECHNICAL ASSISTANCE TO PARTICIPANTS', SUCH AS LOCAL EMERGENCY MANAGERS, DURING STRATEGY SESSIONS, FACILITATES INVOLVEMENT OF SELF-ADVOCATES FROM THE COMMUNITY AT THE TABLE, AND PROVIDES EXPERTISE IN THE FIELD OF DISABILITY. IN ADDITION, THE DIRECTOR OF INFORMATION DISSEMINATION FOR THE MCDD IS THE LIAISON TO THE BALTIMORE URBAN AREA SECURITY INITIATIVE. BALTIMORE IS THE CORE CITY OF THE FEDERALLY DESIGNATED BALTIMORE URBAN AREA SECURITY INITIATIVE, WHICH IS COMPRISED OF THE CITIES OF BALTIMORE AND ANNAPOLIS AND THE COUNTIES OF ANNE ARUNDEL, BALTIMORE, CARROLL, HARFORD, AND HOWARD. REPRESENTATIVES FROM EACH JURISDICTION COMPRISE THE BALTIMORE URBAN AREA HOMELAND SECURITY WORK GROUP (UAWG). KKCH AND ITS UCEDD (MCDD) ASSIST BY PARTICIPATING IN FUNCTIONAL AND ACCESS NEEDS IN TRAINING AND EXERCISES BY FACILITATING RECRUITMENT FROM THE DISABILITY COMMUNITY. THE MCDD THROUGH ITS RESOURCE FINDER PROVIDES THE DISABILITY COMMUNITY AND ASSOCIATED CAREGIVERS/PARENTS INFORMATION ON EMERGENCY PREPAREDNESS,SAMPLE PLANS,PRINTED MATERIALS, AND A HOST OF ONLINE INFORMATION (PRINT AND VIDEO). ALL NEEDS IDENTIFIED WILL NOT BE ADDRESSED SOLELY BY KKCH. THE NEEDS HAVE BEEN IDENTIFIED ACROSS ALL COMMUNITIES AND IN PARTNERSHIP WITH A VARIETY OF GROUPS. KKCH WILL COLLABORATE TO ADDRESS AREAS THAT WE ARE MOST QUALIFIED AS AN INSTITUTION TO ADDRESS. AS DESCRIBED, KKCH IS A SPECIALTY HOSPITAL, ADDRESSING NEEDS RELATED TO DEVELOPMENTAL DISABILITIES. OUR AREA OF EXPERTISE IN HELPING THE COMMUNITY INCLUDES TRAINING RELATED TO DISABILITY, ADVOCACY-ASSISTING THE POPULATION SERVED TO MOVE TOWARD THEIR HIGHEST LEVEL OF INDEPENDENCE IN ALL SITUATIONS, YOUTH TRANSITION-WORKING WITH OTHER ORGANIZATIONS TO COORDINATE SYSTEMS, WHILE PROVIDING GUIDANCE AND RESOURCES TO FAMILIES TO MOVE FROM THE ENTITLEMENT WORLD (<18 YEARS) TO THE ELIGIBILITY WORLD (> 18 YEARS). THE IMPLEMENTATION ACTION PLAN DEVELOPED IN JUNE 2013, IS A THREE YEAR PLAN TO ADDRESS THE NEEDS OF THE COMMUNITY FOCUSED ON MAJOR SOCIAL DETERMINANTS OF HEALTH FOR THIS MARYLAND-TARGETED POPULATION. HEALTH STARTS IN OUR HOMES, SCHOOLS, WORKPLACES, NEIGHBORHOODS, AND COMMUNITIES. OUR HEALTH IS ALSO DETERMINED IN PART BY ACCESS TO SOCIAL AND ECONOMIC OPPORTUNITIES; THE QUALITY OF OUR SCHOOLING; THE SAFETY OF OUR WORKPLACES; AND THE NATURE OF OUR SOCIAL INTERACTIONS AND RELATIONSHIPS, TO NAME A FEW (SECRETARY'S ADVISORY COMMITTEE ON HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES FOR 2020).HTTP://WWW.HEALTHY PEOPLE.GOV/2010/HP2020/ADVISORY/SOCIETALDETERMINANTSHEALTH.HTM). THE PLAN INITIATED IN FY 2013 WILL CONTINUE OVER THE NEXT TWO YEARS THROUGH FISCAL YEAR ENDING JUNE 30, 2016. PART VI, LINE 3: ALL PATIENTS ARE INFORMED OF THEIR FINANCIAL RESPONSIBILITY PRIOR TO THEIR APPOINTMENT OR ADMISSION. IF THEY CANNOT MEET THIS RESPONSIBILITY, THEY ARE INFORMED OF THE FINANCIAL ASSISTANCE POLICY DURING PRE-ADMISSION, AT THE TIME OF THE APPOINTMENT, AT REGISTRATION AND BY PATIENT ACCOUNTING DURING THE BILLING AND COLLECTION PROCESS. THE FINANCIAL ASSISTANCE POLICY AND BILLING AND COLLECTION POLICIES ARE POSTED ON THE HOSPITAL'S WEBSITE. THE HOSPITAL ALSO WORKS WITH FAMILIES TO EXPLORE QUALIFICATION FOR GOVERNMENT PROGRAMS OR OTHER FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL HAS DEDICATED PATIENT FINANCIAL ASSISTANCE STAFF WHO WORK WITH PATIENTS WHO REQUIRE FINANCIAL ASSISTANCE. PART VI, LINE 4: KKCH SERVES CHILDREN, ADOLESCENTS AND ADULTS FROM MARYLAND, ACROSS THE UNITED STATES AND INTERNATIONALLY. COLLECTIVELY, FOR ALL INPATIENT AND OUTPATIENT PROGRAMS, 84% OF OUR PATIENTS ARE FROM MARYLAND, ALTHOUGH GEOGRAPHIC DEMOGRAPHICS VARY SIGNIFICANTLY BY PROGRAM. MARYLAND'S POPULATION IS ESTIMATED AT 5,699,478 AND IS RANKED AS THE 19TH LARGEST STATE POPULATION IN THE NATION. THE STATE COVERS 9,774 SQUARE MILES AND IS THE 5TH MOST DENSELY POPULATED STATE IN THE NATION, WITH 595 PERSONS PER SQUARE MILE, YET THE STATE ALSO HAS RURAL, LESS DENSELY POPULATED AREAS IN THE SOUTHERN, WESTERN, AND EASTERN SHORE AREAS. MARYLAND HAS 24 COUNTIES/COUNTY-EQUIVALENTS DIVIDED INTO FIVE REGIONS. EACH REGION IS DISTINCT AND COMPRISES POPULATIONS THAT HAVE FOCUSED NEEDS AND RESOURCES. KKCH IS LOCATED IN THE CENTRAL REGION, THUS ACCESS FROM PARTICULARLY SOUTHERN, WESTERN, AND EASTERN SHORE REGIONS PRESENTS AS A BARRIER. WITHIN MARYLAND COMMUNITIES, OVER 550,000 RESIDENTS HAVE A REPORTED DISABILITY (2008, CENSUS BUREAU). KKCH SERVES THE DEVELOPMENTALLY DISABLED POPULATION AND OTHERS WITH RELATED DISABILITIES SUCH AS SPINAL CORD INJURY. PERSONS WITH DEVELOPMENTAL DISABILITIES USE INDIVIDUALLY PLANNED AND COORDINATED SERVICES AND SUPPORTS OF THEIR CHOOSING (E.G., HOUSING, EMPLOYMENT, EDUCATION, CIVIL AND HUMAN RIGHTS PROTECTION, HEALTH CARE) TO LIVE IN AND TO PARTICIPATE IN ACTIVITIES IN THE COMMUNITY.KKCH SITS IN THE EAST BALTIMORE COMMUNITY. THE DISABILITY RATE OF SCHOOL-AGED CHILDREN ENROLLED IN PUBLIC SCHOOLS (US CENSUS, 2010) THAT HAVE A COGNITIVE DISABILITY (I.E., LEARNING DISABILITY, ADHD, ETC.) FOR THE BALTIMORE METROPOLITAN AREA IS 4.0% AND WITH A GENERAL DISABILITY RATE OF 5.3%. THE DIFFERENCE BETWEEN THE DISABILITY RATES FOR ALL CHILDREN AND PUBLIC SCHOOL CHILDREN IS STATISTICALLY DIFFERENT FROM ZERO. OUR OUTPATIENT POPULATION COMES FROM PREDOMINATELY MARYLAND. OUR CONTRIBUTIONS TO THE COMMUNITY TARGET A WIDE GEOGRAPHIC REACH MIRRORING OUR MARYLAND PATIENT POPULATION. IN 2012, KKCH SERVED PERSONS RANGING FROM LESS THAN ONE YEAR TO OVER 75 YEARS OF AGE. APPROXIMATELY 45% OF THE POPULATION SERVED ARE 11 YEARS AND OLDER. GENERALLY, KKCH SERVES ALMOST TWICE AS MANY MALES AS FEMALES. PART VI, LINE 5: THE HOSPITAL CURRENTLY OPERATES NUMEROUS PROGRAMS TO ADDRESS SOME OF THE PRESSING NEEDS IN THE COMMUNITY FOR PERSONS WITH DEVELOPMENTAL DISABILITIES. THE HOSPITAL PROMOTES AND HOSTS SEVERAL LECTURE SERIES, ONE OF WHICH IS TO ASSIST PARENTS OF CHILDREN WITH SPECIAL NEEDS IN IDENTIFYING AVAILABLE RESOURCES, RESPITE CARE, COLLEGE AND SUPPORT SERVICES, ETC. THE HOSPITAL'S MISSION IS TO DEDICATE ITSELF TO HELPING CHILDREN AND ADOLESCENTS WITH DISABILITIES OF THE BRAIN, SPINAL CORD AND MUSCULOSKELETAL SYSTEM ACHIEVE THEIR POTENTIAL AND PARTICIPATE AS FULLY AS POSSIBLE IN FAMILY, SCHOOL AND COMMUNITY LIFE. THIS IS ACHIEVED THROUGH THE CLINICAL PROGRAMS, RESEARCH, EDUCATION AND TRAINING IT PROVIDES. A. RESOURCE FINDER (RF): RF FUNCTIONS TO PROVIDE RESOURCES ON VARIOUS DEVELOPMENTAL DISABILITIES AND RELATED DISORDERS TO CONSUMERS WITH DISABILITIES, PARENTS/CAREGIVERS, KKI STAFF AND COMMUNITY PROFESSIONALS. THE RF CAN BE ACCESSED BY ANYONE THROUGH AN 800 TELEPHONE NUMBER, EMAIL, A WEBSITE, AND A WALK-IN CENTER LOCATED IN THE KENNEDY KRIEGER CHILDREN'S HOSPITAL (KKCH) OUTPATIENT CENTER. A RESOURCE COORDINATOR RESPONDS TO ALL INQUIRIES BY ASSISTING IN FINDING RESOURCES SUCH AS SERVICE PROVIDERS,DIAGNOSTIC INFORMATION, AND PROGRAM INFORMATION. THE WEBSITE LINKS VISITORS TO RESOURCES SUCH AS EDUCATIONAL SITES, NATIONAL ADVOCACY GROUPS, CHILDCARE SITES, RECREATIONAL INFORMATION AND BRIEFS ON A HOST OF DIAGNOSES. THE COMMUNITY RESOURCE CALENDAR REFLECTS A WIDER SCOPE OF ACTIVITIES FOR CONSUMERS,FAMILIES AND SERVICE PROVIDERS TO HELP IN ENHANCING KNOWLEDGE ABOUT VARIOUS TYPES OF DISABILITIES AND COMMUNITY SERVICES/EVENTS. FROM 7/1/2013 THROUGH 6/30/2014, THE RESOURCE FINDER PROGRAM RESPONDED TO 1,131 INQUIRES (CALLS, EMAILS, AND WALK-INS) FROM 661 CAREGIVERS, 62 CONSUMERS, 330 PROVIDERS, AND 78 OTHERS/UNIDENTIFIED. SEVENTY-FIVE PERCENT OF THE INQUIRIES WERE FROM ACROSS THE STATE OF MARYLAND. THIS SERVICE IS FREE FOR ANY PERSON NEEDING ADDITIONAL INFORMATION ABOUT ISSUES RELATED TO DEVELOPMENTAL DISABILITIES AND RELATED DISORDERS. DURING THE SAME PERIOD, THE RESOURCE FINDER WEBSITE HAD 25,362 VIEWS. B. PROJECT HEAL: PROJECT HEAL IS MARYLAND'S ONLY COMPREHENSIVE MEDICAL-LEGAL PARTNERSHIP. A COMMUNITY-BASED PROGRAM OF THE MARYLAND CENTER FOR DEVELOPMENTAL DISABILITIES (MCDD) AT KENNEDY KRIEGER INSTITUTE, PROJECT HEAL PROVIDES COMPREHENSIVE ADVOCACY AND LEGAL SERVICES FOR CHILDREN WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES. PROJECT HEAL ATTORNEYS COLLABORATE WITH KENNEDY KRIEGER HEALTH CARE PROFESSIONALS AND TRAINEES TO ENSURE THAT PATIENTS FROM ACROSS THE STATE OF MARYLAND RECEIVE THE SPECIAL EDUCATION LEGAL RESOURCES THEY NEED. ADVOCACY, A COMPONENT OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION PLAN, SERVES TO FACILITATE POLICIES, RIGHTS AND PRACTICES SO THAT PEOPLE WITH DISABILITIES CAN PARTICIPATE FULLY IN THE COMMUNITY. COMMUNITY PARTICIPATION INCLUDES ALL ASPECTS OF LIFE UPON WHICH IMPACT HEALTH. PROJECT HEAL INTAKE RECEIVED 272 CASES DURING FISCAL YEAR 2014 FOR SPECIAL EDUCATION RESOURCES. THE PRIMARY DIAGNOSES SERVED INCLUDED AUTISM SPECTRUM DISORDERS, ATTENTION DEFICIT HYPERACTIVITY DISORDER, AND ANXIETY DISORDER. THE SERVICES PROVIDED RANGED FROM RESOURCE SHARING TO ENHANCE THE KNOWLEDGE OF PERSONS AND FAMILIES ABOUT THE EDUCATIONAL PROCESS TO LEGAL REPRESENTATION. IN ADDITION, PROJECT HEAL CONDUCTED 17 COMMUNITY-BASED TRAININGS ACROSS MARYLAND ON SPECIAL EDUCATION RIGHTS, LAW, ADVOCACY AND HEALTH CARE TRANSITION IN SCHOOL SETTINGS. C. CEREBRAL PALSY KINETIC CONNECTIONS (CPKC): CPKC IS AN ORGANIZATION OF INDIVIDUALS WITH CEREBRAL PALSY, THEIR FAMILY MEMBERS, AND INTERESTED HEALTHCARE PROFESSIONALS. THE MISSION IS TO PROVIDE THE CEREBRAL PALSY COMMUNITY WITH A MEANS OF CONNECTING WITH ONE ANOTHER FOR DEVELOPING AND PROMOTING INFORMATION EXCHANGE, EDUCATION PROGRAMS, A FORUM TO PROMOTE CEREBRAL PALSY RESEARCH, AND MUTUAL SUPPORT. CPKC CONSISTS OF 21 VOLUNTEER MEMBERS AND 165 E-GROUP MEMBERS ACROSS MARYLAND. KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. CURRENTLY SUPPORTS CPKC. CPKC RESPONDS TO THE ADVOCACY COMPONENT OF THE CHNA IMPLEMENTATION PLAN AS A COMMUNITY HEALTH IMPROVEMENT SERVICE AND CONTRIBUTES AS AN ACTIVITY ASSOCIATED WITH CONDUCTING THE CHNA. INFORMATION PROVIDED BY CONSUMERS AND FAMILY MEMBERS CONTRIBUTE TO NEW PARTNERSHIPS AND PARTICIPATION IN ACTIVITIES TO SUPPORT COLLECTION OF DATA WHICH ASSISTS IN IDENTIFYING NEEDS ACROSS MARYLAND FOR OUR TARGETED POPULATION. THE GROUP DISSEMINATES PRACTICES AND RESOURCES THAT SUPPORT THOSE WITH CEREBRAL PALSY, I.E., CLINICAL TRIALS, SERVICES, AND TRAININGS ACROSS MARYLAND. D. WELLNESS GYM: MOST PEOPLE CAN SIMPLY WALK INTO A GYM, PAY A FEE, AND BEGIN USING THE EQUIPMENT. FOR INDIVIDUALS WITH DISABILITIES, EXERCISE IS NOT THAT SIMPLE. THEY REQUIRE SPECIAL ADAPTIVE EQUIPMENT AND PERSONNEL TRAINED TO ACCOMMODATE THEIR INDIVIDUAL NEEDS. THE WELLNESS CENTER IN KENNEDY KRIEGER'S INTERNATIONAL CENTER FOR SPINAL CORD INJURY AIMS TO REMOVE THESE BARRIERS TO EXERCISE. CURRENTLY WE ARE UTILIZING THE LOBBY ON THE SIXTH FLOOR OF OUR OUTPATIENT CENTER FOR WELLNESS AND PERSONAL TRAINING. WE HAVE 90 WELLNESS PARTICIPANTS AND 20 PEOPLE CURRENTLY PARTICIPATING IN PERSONAL TRAINING. WE HAVE A SMALL SPACE IN THE CORNER OF THE POOL AREA SET UP FOR PERSONAL TRAINING AS WELL. PARTICIPANTS PAY A NOMINAL MONTHLY FEE. AN INDIVIDUAL MAY HAVE THE BENEFIT OF A PERSONAL TRAINER, WELLNESS COORDINATOR, OR AN AQUATIC WELLNESS STAFF PERSON AVAILABLE FOR CONSULTATION. IN ADDITION, MEMBERS HAVE ACCESS TO OUR STATE-OF-THE-ART ACCESSIBLE LOCKER ROOMS. E. REGENERATION GENERATION PATIENT NETWORKING AND EDUCATIONAL GROUP: THE REGENERATION GENERATION PATIENT NETWORKING AND EDUCATIONAL GROUP SERVES 15-20 PATIENTS AT EACH GROUP AND MEETS MONTHLY FOR 2 HOURS. THE GROUP IS OPEN TO THE COMMUNITY. THE SESSIONS INCLUDE SPEAKERS FROM KKCH WHO SPECIALIZE IN CERTAIN AREAS, PATIENTS WHO HAVE TOPICS THAT ARE EDUCATIONAL AND INFORMATIVE, AND OUTSIDE SPEAKERS WHO COME TO TALK ON TOPICS SELECTED IN COLLABORATION WITH PATIENTS THAT ATTEND THE GROUP AND PARTICIPATING STAFF SERVING ON THE SUPPORT GROUP COMMITTEE. SESSION TOPICS FOR 2014 INCLUDED FITNESS & EXERCISE,COMPLEMENTARY APPROACHES TO MEDICINE AND PAIN MANAGEMENT, ADAPTIVE SPORTS PANEL, DRIVING REHABILITATION, PSYCHOLOGIST; COPING AND RELATIONSHIPS WITH CAREGIVERS, MOTIVATIONAL GUEST SPEAKER, BACK TO SCHOOL AND WORK, SLEEP AND SPINAL CORD INJURY, SERVICE ANIMALS, AND SEXUALITY AFTER INJURY- ALL SESSIONS FOCUSED ON ENHANCING THE HEALTH OF THE INDIVIDUALS WITH SPINAL CORD INJURY. THIS SUPPORT GROUP RESPONDS TO THE ADVOCACY AND TRAINING COMMUNITY NEEDS IDENTIFIED IN THE HOSPITAL'S 2013 CHNA. F. I-SKATE: THE ADAPTIVE SKATING PROGRAM WAS ESTABLISHED IN NOVEMBER 2009 SO THAT CHILDREN WITH PHYSICAL DISABILITIES COULD ENJOY RECREATIONAL ICE SKATING. PART OF THE PHYSICALLY CHALLENGED SPORTS PROGRAMS AT THE ORGANIZATION, I-SKATE PROVIDES THESE CHILDREN A UNIQUE OPPORTUNITY TO GET INVOLVED WITH PHYSICAL ACTIVITY, WHICH IMPROVES THEIR HEALTH, AS WELL AS PROVIDING A CHANCE FOR IMPORTANT SOCIAL INTERACTION WITH THEIR PEERS. IT ALSO HELPS PARTICIPANTS LEARN AN ACTIVITY THEY CAN ENJOY FOR THE REST OF THEIR LIVES. PARTICIPANTS RANGE FROM CHILDREN WHO MAY EVENTUALLY BECOME INDEPENDENT SKATERS TO THOSE WHO MAY ALWAYS USE A WALKER FOR SUPPORT. CURRENTLY, THE PROGRAM CAN SERVE UP TO 15 CHILDREN IN EACH HOUR LONG SESSION. REORGANIZATION IS UNDERDEVELOPMENT TO SERVE 30 CHILDREN WITH SHORTER SESSIONS (HTTP://ISKATE.KENNEDYKRIEGER.ORG/). G. RUN FOR THEIR LIVES: KKCH IS THE NATIONAL PARTNER OF THE ZOMBIE RUN-A SERIES OF UNIQUE 5K OBSTACLE COURSE RACES AROUND THE COUNTRY. AS PART OF THIS NATIONWIDE EFFORT, PARTICIPANTS ARE ASKED TO RUN FOR THEIR LIVES FOR KIDS BATTLING BRAIN INJURIES & DISORDERS. ALTHOUGH THIS EVENT SUPPORTS KENNEDY KRIEGER CHILDREN'S HOSPITAL PROGRAMS FOCUSED ON BRAIN DISORDERS, MORE IMPORTANTLY IT SERVES AS A NATIONAL EVENT BRINGING AWARENESS TO THOSE EXPERIENCING BRAIN INJURIES AND DISORDERS. A PROFESSIONAL AT KKCH WHO HAD A VERY PERSONAL EXPERIENCE WITH A BRAIN DISORDER INITIATED OUR INVOLVEMENT IN THIS EVENT. ALTHOUGH BRAIN INJURY AND DISORDERS WAS NOT NEW FOR THE FACILITY, THE HOSPITAL HAD NEVER TAKEN ON A NATIONAL CAMPAIGN ROLE TO INCREASE AWARENESS AND DISSEMINATING PREVENTION ACTIVITIES FOR CHILDREN AND YOUTH TO PREVENT SOME INJURIES OF THE BRAIN. PREVENTION ACTIVITIES INCLUDE WEARING SEAT BELTS OR HELMETS; FOR THOSE EXPERIENCING BRAIN DISORDERS INFORMATION INCLUDES HOW TO MAXIMIZE FUNCTION TO LIVE A QUALITY LIFE IN THEIR COMMUNITY. THESE EVENTS SUPPORT THE ADVOCACY COMPONENT OF OUR CHNA BY INCREASING THE AWARENESS OF DISABILITIES WITHIN THE COMMUNITY AND HOPEFULLY ACKNOWLEDGING ATTITUDINAL BEHAVIORS TOWARDS PEOPLE WITH DISABILITIES. SEE PAGE 58 FOR CONTINUATION. PART VI, LINE 6: KKCH IS AN INTERNATIONALLY RECOGNIZED INSTITUTION LOCATED IN BALTIMORE, MARYLAND DEDICATED TO IMPROVING THE LIVES OF CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES THROUGH PATIENT CARE, SPECIAL EDUCATION, RESEARCH, AND PROFESSIONAL TRAINING. KKCH'S CLINICAL PROGRAMS OFFER AN INTERDISCIPLINARY APPROACH IN TREATMENT TAILORED TO THE INDIVIDUAL NEEDS OF EACH CHILD. SERVICES INCLUDE OVER 40 OUTPATIENT CLINICS; NEUROBEHAVIORAL, REHABILITATION, AND PEDIATRIC FEEDING DISORDERS INPATIENT UNITS; PLUS SEVERAL HOME AND COMMUNITY PROGRAMS PROVIDING SERVICES TO ASSIST FAMILIES. IN ADDITION TO PROVIDING EVALUATION, REHABILITATION, EDUCATIONAL SERVICES AND CUTTING EDGE RESEARCH ON BEHALF OF CHILDREN WITH BRAIN, SPINAL CORD AND MUSCULOSKELETAL RELATED DISORDERS, THE HOSPITAL ALSO PROVIDES PROFESSIONAL TRAINING INCREASING THE NUMBER OF QUALIFIED SPECIALISTS IN THE UNITED STATES AND ABROAD. THE FOLLOWING ARE SOME OF THE AFFILIATES OF KENNEDY KRIEGER AND A SUMMARY OF THEIR RESPECTIVE ROLES:KENNEDY KRIEGER FOUNDATION, INC. - THE ORGANIZATION SUPPORTS THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES OF THE KENNEDY KRIEGER GROUP BY CONDUCTING FUNDRAISING, MANAGING ENDOWMENT FUNDS, AND DISTRIBUTING THE FUNDS RAISED TO KENNEDY KRIEGER INSTITUTE AFFILIATES.HUGO W. MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER, INC. - THE RESEARCH INSTITUTE IS AN INTERNATIONALLY RECOGNIZED RESEARCH FACILITY FINDING ANSWERS TO PROBLEMS AND INJURIES THAT AFFECT A CHILD'S DEVELOPING BRAIN. RESEARCHERS HAVE MADE MEDICAL DISCOVERIES ABOUT THE HUMAN BRAIN AND HAVE INFLUENCED TREATMENT PROGRAMS FOR THOUSANDS OF INDIVIDUALS WITH DISABILITIES. THE MANY STUDIES CURRENTLY BEING CONDUCTED IN AREAS SUCH AS LEARNING DISABILITIES, DOWN SYNDROME, ADRENOLEUKODYSTROPHY, CEREBRAL PALSY AND AUTISM WILL AFFECT AN ENTIRELY NEW GENERATION.KENNEDY KRIEGER EDUCATION & COMMUNITY SERVICES, INC. - THIS AFFILIATE OPERATES SPECIAL EDUCATION SCHOOLS FOR CHILDREN WITH SPECIAL EDUCATION NEEDS, AS WELL AS PROVIDES COMMUNITY OUTREACH PROGRAMS FOR FAMILIES WITH CHILDREN WITH SPECIAL NEEDS.PACT: HELPING CHILDREN WITH SPECIAL NEEDS, INC. - PACT PROMOTES THE DEVELOPMENT OF CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES THROUGH COMPREHENSIVE ASSESSMENTS, EARLY INTERVENTION SERVICES, FAMILY SUPPORT SERVICES, PARENT EDUCATION, COUNSELING, SPECIALIZED CHILD CARE AND PROFESSIONAL TRAINING. PART VI, LINE 7, REPORTS FILED WITH STATES MD PART VI, LINE 5 CONTINUATION: WE ARE ABLE TO CONNECT WITH THOUSANDS OF INDIVIDUALS' FACE-TO-FACE AND ONLINE ALLOWING PARTICIPANTS TO SHARE THEIR EXPERIENCES, AND LEARN MORE ABOUT HOW THEY CAN FURTHER HELP RAISE AWARENESS FOR BRAIN INJURY AND DISORDERS.H.SHINE A LIGHT HEALTH FAIR AT THE CARMELO ANTHONY YOUTH DEVELOPMENT CENTER CAME TO BALTIMORE CITY. TWO KKCH EMPLOYEES PARTICIPATED IN THE EXPO TO PROMOTE HEALTHY LIVING AND EARLY SCREENINGS. PEOPLE WITH DISABILITIES EXPERIENCE GREATER HEALTH DISPARITIES THAN THE TYPICAL POPULATION. PARTICIPATION IN A PUBLIC HEALTH AWARENESS EVENT SUPPORTS THE CHNA COMPONENT OF TRAINING AND EDUCATION FOR PROFESSIONALS, CONSUMERS WITH DISABILITIES AND THEIR CAREGIVERS. I. BALTIMORE RUNNING FESTIVAL: TEAM KENNEDY KRIEGER PARTICIPATED IN THE BALTIMORE RUNNING FESTIVAL WITH THE GOALS OF INCREASING PATIENT PARTICIPATION IN THE EVENT EACH YEAR, COMMUNITY OUTREACH, AND OPENING THE DOOR TO IMPROVED PHYSICAL FITNESS FOR THOSE WITH DISABILITIES. THE TEAM CONSISTS NOT ONLY OF PATIENTS, BUT ALSO OF KENNEDY KRIEGER STAFF MEMBERS, EXTERNAL STAKEHOLDERS, AND PATIENT FRIENDS/FAMILY MEMBERS. RECREATIONAL ACTIVITIES ARE OFTEN OVERLOOKED FOR INDIVIDUALS WITH DISABILITIES, BUT KKCH RECOGNIZES THE IMPORTANT BENEFITS OF EXERCISE FOR OUR PATIENTS, INCLUDING IMPROVED HEALTH, SELF-ESTEEM, SOCIAL CONNECTIONS, AND COMMUNITY REINTEGRATION. A VOLUNTEER COMMITTEE OF 12 FROM MULTIPLE DEPARTMENTS ACROSS THE INSTITUTE MANAGES THE EVENT. THE COMMITTEE HOLDS MONTHLY MEETINGS TO PLAN,ORGANIZE, AND RECRUIT PARTICIPANTS FROM THE DISABILITY COMMUNITY FOR THE EVENT. J. REACH OUT AND READ: THE CENTER FOR DEVELOPMENT AND LEARNING AT KKCH HAS BEEN AN APPROVED SITE OF THE NATIONAL REACH OUT AND READ PROJECT ON EARLY LITERACY WITH FOCUS ON CHILDREN 6 MONTHS THROUGH 5 YEARS OF AGE. THIS EVENT IS ORGANIZED BY ONE EMPLOYEE WHO VOLUNTEERS HER TIME TO ORGANIZE AND RUN THE EVENT IN THE KENNEDY KRIEGER OUTPATIENT CENTER. REACH OUT AND READ PROJECT SERVES THE KENNEDY KRIEGER PATIENT POPULATION--INPATIENT AND OUTPATIENT CLIENTS, SIBLINGS, CAREGIVERS, FRIENDS AND OTHER COMMUNITY MEMBERS. OUR PATIENT POPULATION, AS DEFINED IN THE CHNA, IS REPRESENTATIVE OF EACH COUNTY JURISDICTION ACROSS MARYLAND, OUR DEFINED COMMUNITY. REACH OUT AND READ ADDRESSES A COMMUNITY BENEFIT AS IDENTIFIED BY BALTIMORE CITY AND THE STATE OF MARYLAND RELATED TO LOW LITERACY RATES AND EDUCATIONAL ACHIEVEMENT LEVELS. THE MORE EDUCATION PEOPLE HAVE, THE MORE LIKELY THEY ARE TO REPORT BETTER HEALTH, REGARDLESS OF THEIR RACE OR ETHNICITY. EDUCATIONAL LEVEL NOT ONLY AFFECTS HEALTH BUT ALSO SOCIO-ECONOMIC LEVEL. ADVOCATING FOR ENHANCED EDUCATION, LITERACY, SUPPORTS OVERALL HEALTH AND WELLNESS. THE MATERIALS OFFERED THROUGH THIS PROJECT ARE OFFERED IN MULTIPLE FORMATS--PRINT, PICTORIAL, AUDIO, BRAILLE, AND OTHER TEXTURES. ALTHOUGH THE NATIONAL FOCUS FOR LITERACY IS ON CHILDREN 6 MONTHS THROUGH 5 YEARS OF AGE, OUR PROGRAM CATERS TO ALL AGES AND ABILITIES ACROSS THE LIFESPAN. K. REC FEST: THE REC FEST MISSION IS TO 1) HELP PERSONS OF ALL AGES AND ABILITIES GET FIT AND GET ACTIVE; 2)EDUCATE THE PUBLIC ABOUT DISABILITY AWARENESS; AND 3) INCREASE COLLABORATIONS BETWEEN SEPARATE ORGANIZATIONS THAT PROVIDE DISABILITY RESOURCES AND SERVICES. IN THE BALTIMORE REGION ALONE, OVER 504,000 INDIVIDUALS HAVE A PHYSICAL DISABILITY, DEVELOPMENTAL DISABILITY, OR SENSORY (HEARING OR SIGHT) IMPAIRMENT. IN ADDITION TO PHYSICAL CHALLENGES, MANY PERSONS WITH DISABILITIES ALSO HAVE SECONDARY COMPLICATIONS SUCH AS SOCIAL ISOLATION, LOW SELF-ESTEEM, AND DEPRESSION. RECREATION IS AN IMPORTANT ELEMENT OF THE PHYSICAL AND MENTAL WELL-BEING OF ALL OF US, BUT PERSONS WITH DISABILITIES DO NOT HAVE THE SAME ACCESS TO RECREATION AS DO THEIR ABLE-BODIED COUNTERPARTS. KKCH STAFF COLLABORATED WITH THE GLOBAL ABILITIES, BALTIMORE CITY'S DEPARTMENT OF RECREATION & PARKS, AND THE MAYOR'S COMMISSION ON DISABILITIES TO ORGANIZE AND LAUNCH THE FIRST REC FEST IN BALTIMORE CITY. THE FOLLOWING DEPARTMENTS DONATED TIME AND RESOURCES: BENNETT INSTITUTE (PROVIDED EQUIPMENT AND VOLUNTEERS): -POWER SOCCER -SLED HOCKEY -WHEELCHAIR BASKETBALL -WHEELCHAIR TENNIS -WHEELCHAIR SOFTBALL -CYCLING THERAPEUTIC RECREATION DEPARTMENT - CONDUCTED A CHILDREN'S FOCUSED AREA WITH WAYS AND TOOLS TO ADAPT -ARTS AND CRAFTS AND -VARIOUS GAMES INTERNATIONAL CENTER FOR SPINAL CORD INJURY - ORGANIZED AND HELD ADULT FOCUSED ACTIVITIES: -WHEELCHAIR RUGBY -WHEELCHAIR LACROSSE -HAND CYCLES RESOURCE FINDER DISSEMINATED COMMUNITY ACTIVITY INFORMATION ON RECREATION AND RESOURCESCENTER FOR AUTISM AND RELATED DISORDERS -ORGANIZED ACTIVITIES WITH A FOCUS ON PATIENTS WITH AUTISM AND DEVELOPMENTAL DISABILITIES. L. HEART GALLERY: KKCH SPONSORED THE HEART GALLERY, PRESENTED BY ADOPTIONS TOGETHER IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO BUILD HEALTHY LIFELONG FAMILY CONNECTIONS FOR EVERY CHILD AND ADVOCATES FOR CONTINUOUS IMPROVEMENT OF SYSTEMS THAT PROMOTE THE WELL-BEING OF CHILDREN. THE HEART GALLERY PORTRAIT EXHIBIT DISPLAYED PORTRAITS OF CHILDREN IN NEED OF ADOPTION OVER A TWO WEEK PERIOD AT THE KKCH OUTPATIENT CENTER. THE CHILDREN IN NEED OF ADOPTION WITH SPECIAL NEEDS RESIDE IN DISTRICT OF COLUMBIA, MARYLAND AND VIRGINIA. KENNEDY KRIEGER STAFF PARTICIPATED IN HOSTING THE EXHIBIT; FOOD AND REFRESHMENTS WERE PROVIDED DURING THE EXHIBIT PERIOD. M. TELEMEDICINE CLINIC: KENNEDY KRIEGER CHILDREN'S HOSPITAL LAUNCHED IT'S FIRST TELEMEDICINE PROJECT IN PARTNERSHIP WITH ATLANTIC GENERAL HOSPITAL (AGH), WORCESTER COUNTY, MARYLAND. TELEMEDICINE SERVICES TO CHILDREN WITH AUTISM, ADD/ADHD, INTELLECTUAL DISABILITIES, AND OTHER DEVELOPMENTAL DISORDERS LIVING FAR FROM SPECIALTY CARE. SERVICES ARE PROVIDED BY KENNEDY KRIEGER PHYSICIANS IN COLLABORATION WITH A PSYCHIATRIST AND SOCIAL WORKER ONSITE AT AGH. A CRITICAL NEED IDENTIFIED IN THE CHNA WAS ACCESS TO CARE. THIS PROJECT, WHICH NOT ELIMINATING THE STATE'S GEOGRAPHIC DISPARITY DOES CERTAINLY CONTRIBUTE TO GREATER HEALTH EQUITY FOR THIS VULNERABLE POPULATION. PRIOR TO THIS PROJECT BEING INITIATED, A REFERRAL FOR DEVELOPMENTAL EVALUATIONS FROM WORCESTER COUNTY (MARYLAND'S EASTERN SHORE) MEANT A SIX-HOUR ROUNDTRIP DRIVE TO BALTIMORE WITH ADDITIONAL EXPENSES FOR GAS, FOOD, TOLLS, AND TIME AWAY FROM WORK. THIS PROJECT HAS IMPROVED THE QUALITY OF LIFE FOR THOSE WHO HAVE PARTICIPATED TO DATE. N.RONALD MACDONALD HOUSE (RMH): THE RMH PROVIDES AFFORDABLE AND SAFE LODGING TO FAMILIES AWAY FROM THEIR HOMES TO ALLOW THEM TO BE PRESENT DURING HOSPITALIZATIONS (INPATIENT AND OUTPATIENT) FOR HOSPITALS IN THE BALTIMORE METROPOLITAN REGION. THE SAFETY MANAGER AT KKCH PROVIDED A DAY OF EMERGENCY PLANNING PREPARATION TO THE RONALD MACDONALD HOUSE. KENNEDY KRIEGER HAS A REPRESENTATIVE WHO SERVES ON THE BOARD OF DIRECTORS. INDIRECTLY THIS ACTIVITY SUPPORTS THE COMMUNITY NEED OF ACCESS TO CARE. O. ODENTON & COLUMBIA, MD OUTPATIENT SITES: THE PHYSICAL THERAPY (PT), OCCUPATIONAL THERAPY (OT),SPEECH AND LANGUAGE THERAPY (ST) DEPARTMENTS AND THE CONCUSSION CLINIC OPENED IN AN ADDITIONAL COLUMBIA, MD SATELLITE LOCATION; THE ACHIEVEMENTS THERAPEUTIC DAY PROGRAM AT THE CENTER FOR AUTISM AND RELATED DISORDERS (CARD) SATELLITE LOCATION IS IN ANNE ARUNDEL COUNTY AT 1130 ANNAPOLIS ROAD,ODENTON, MARYLAND 21113. THE CARD PROGRAM LOCATION IS APPROXIMATELY 25 MILES SOUTH OF THE GREENSPRING CAMPUS AND THE NEW EXPANDED PT, OT, SLP LOCATION IS APPROXIMATELY 20 MILES SOUTH OF THE DOWNTOWN LOCATION. THESE NEW LOCATIONS ARE CRITICAL TO ADDRESSING THE COMMUNITY HEALTH NEED OF ACCESS OF CARE. BOTH LOCATIONS ARE APPROXIMATELY 20-25 MILES CLOSER FOR THOSE LIVING ON THE EASTERN SHORE OR SOUTHERN MD, WHICH EQUATES TO EVEN GREATER TRAVEL TIME WHEN CONSIDERING THE TRAFFIC. TRAVEL TIME SAVED RANGES FROM 45 TO 60 MINUTES; THIS TIME SAVING IS SIGNIFICANT ESPECIALLY WHEN CONSIDERING TRAVEL FOR A CHILD WHO PRESENTS WITH BEHAVIORAL CHALLENGES.P. PATIENT PARKING KKCH PROVIDES VALET PARKING AT NO COST TO PATIENTS AND THEIR FAMILIES OR CAREGIVERS WHEN COMING FOR OUTPATIENT APPOINTMENTS OR VISITING INPATIENTS. THE VALET PARKING SERVICE PROVIDES SIGNIFICANT ASSISTANCE TO CLIENTS BY HELPING TO EXIT AND ENTER THEIR VEHICLES, REMOVING EQUIPMENT FROM THE VEHICLES, AND ENSURING SAFETY. Q. TRANSPORTATION: A PRIORITY AREA IDENTIFIED ON THE KKCH CHNA IN 2013 IS TRANSPORTATION. TRANSPORTATION IS AN ITEM THAT PRESENTS BARRIERS TO ACCESS TO CARE, EDUCATION AND EMPLOYMENT, ESPECIALLY FOR THOSE WITH DISABILITIES AND OTHER UNDERREPRESENTED GROUPS. KKCH CLINICAL PROGRAMS PROVIDE TRANSPORTATION FOR THOSE WHO HAVE NO OTHER RESOURCES TO GET TO AND FROM THEIR HEALTHCARE APPOINTMENTS AT THE FACILITY. PART VI, LINE 5 CONTINUATION: R. IIAM (IIAM (IMPORTANT INFORMATION ABOUT ME): IIAM IS AN INNOVATIVE AND COMPREHENSIVE PATIENT PORTABILITY PROFILE EMPOWERING CHILDREN WITH DEVELOPMENTAL DISABILITIES. IIAMS IS A "VOICE" FOR THOSE WHO CANNOT "SPEAK". IIAMS, INITIALLY DEVELOPED AS A PAPER BOOKLET, IIAMS IS CURRENTLY OFFERED IN AN ELECTRONIC IPAD PROTOTYPE. IIAM INCLUDES NONMEDICAL TOPICS IN THE TEMPLATE, SUCH AS COPING MECHANISMS AND WISHES FOR THE FUTURE A UNIQUE CHARACTERISTIC OF THIS PHR. MICROSOFT WORD IS THE ELECTRONIC RECORD BECAUSE IT IS THE MOST WIDELY USED AND USER-FRIENDLY PROGRAM. IN HARD COPY FORM, IIAM IS 2.4X5.1 INCHES AND PROTECTED BY INDEX-CARD-SIZED. THIS TOOL IS WIDELY DISSEMINATED FOR FAMILIES AND CONSUMERS TO UTILIZE TO STORE AND ORGANIZE HEALTH INFORMATION. S. CARD STAR TRAINING: ALTHOUGH THE CARD STAR PROGRAM IS FUNDED BY OTHER SOURCES THE OUTCOMES INCLUDE NUMEROUS FREE TRAININGS THAT ARE OPEN TO FAMILIES OUTSIDE OF KKCH:FEBRUARY 12TH, 2014 SELF-CARE FOR CAREGIVERS AND PROFESSIONAL HELPERS MARCH 13TH, 2014 AUTISM SPECTRUM DISORDER: A SIBLING'S PERSPECTIVE MARCH 17TH, 2014 GETTING A DIAGNOSIS & TRANSITION APRIL 9TH, 2014 SENSORY PROCESSING: MAKING SENSE OF SENSORY INTEGRATIONAPRIL 16TH, 2014 SLEEP ISSUES IN CHILDREN WITH ASDS APRIL 23RD, 2014 ADHD SYMPTOMS IN ASD - SYMPTOM EVALUATION AND MEDICATION CHOICE APRIL 28TH, 2014 INTRODUCTION TO THE COMMON CORE STATE STANDARDSAPRIL 30TH, 2014 GASTROINTESTINAL (GI) PROBLEMS IN CHILDREN WITH ASDMAY 14TH, 2014 UNDERSTANDING THE PARENT-CHILD FEEDING RELATIONSHIP THESE TRAININGS CONTRIBUTE TO THE CHNA IMPLEMENTATION PLAN TARGETING TRAINING, ADVOCACY AND HEALTHCARE TRANSITION. THE TRAININGS FACILITATE NETWORKING BETWEEN FAMILIES. T. HONESTLY AUTISM 2014: HONESTLY AUTISM DAY IS AN ALL-DAY EVENT DEVOTED TO UNDERSTANDING AUTISM FROM UNIQUE PERSPECTIVES. PARENTS, FAMILY MEMBERS, PROFESSIONALS AND PEOPLE WITH AUTISM COME TOGETHER TO LISTEN, ASK QUESTIONS AND LEARN FROM EACH OTHER. THE KKCH PARTICIPATED TO SHARE KNOWLEDGE AND RESEARCH FINDINGS TO ATTENDEES TO ENHANCE THE KNOWLEDGE ABOUT AUTISM. PART VI, LINE 5 AND PART I LINE 7F CONTINUATION: HEALTH PROFESSIONS EDUCATION:A. CEREBRAL PALSY KINETIC CONNECTIONS (CPKC): IN FISCAL YEAR 2014, CPKC HELD 3 TRAINING EVENTS FOR COMMUNITY CAREGIVERS, CONSUMERS, AND PROFESSIONALS. EACH EVENT CHARGED A FEE FOR REGISTRATION TO COVER THE COST OF THE SPEAKERS, FOOD, AND AWARDED CONTINUING EDUCATION UNITS FOR PROFESSIONALS: - AN INTERDISCIPLINARY APPROACH TO FEEDING ISSUES IN PEOPLE WITH CEREBRAL PALSY, 10/1/2013 - CORTICAL VISION IMPAIRMENT IN CHILDREN WITH CEREBRAL PALSY, 11/18/2013- INTEGRATIVE THERAPIES FOR INDIVIDUALS WITH CEREBRAL PALSY, 6/23/2014 B. SOCIAL WORK AT KENNEDY KRIEGER INSTITUTE PRESENTS AN ANNUAL JUDY LEVY ETHICS WORKSHOP WHICH IS OPEN TO THE PUBLIC AND PROVIDES CONTINUING EDUCATION UNITS FOR LICENSED SOCIAL WORKERS. -ETHICS AND THE AFFORDABLE CARE ACT: WHAT IT MEANS FOR YOU, YOUR PATIENTS, AND SOCIETY 6/20/2014 C. PHYSICAL THERAPY DEPARTMENT: INCORPORATING EQUINE ASSISTED PSYCHOTHERAPY AS A 'STRENGTH BASED' PERSPECTIVE IN THE TREATMENT OF TRAUMATIZED CLIENTS, 3/11/2014. D. INTERNATIONAL CENTER FOR SPINAL CORD INJURY: "CONTEMPORARY TRENDS IN SPINAL CORD INJURY MANAGEMENT," 6/16/2014. E. BEHAVIOR PSYCHOLOGY DEPARTMENT: "16TH ANNUAL MEETING OF THE MARYLAND ASSOCIATION FOR BEHAVIOR ANALYSIS," 11/22/2013. F. OCCUPATIONAL THERAPY: "MOTOR PRAXIS IN PRESCHOOLERS: PERFORMANCE OF TYPICAL CHILDREN," 4/1/2014. G. PHYSICAL THERAPY DEPARTMENT: "MANAGEMENT OF SPASTIC CEREBRAL PALSY: FROM A HISTORICAL PERSPECTIVE TO PRESENT DAY," 11/7/2013. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 GARY W GOLDSTEIN MD PRESIDENT & CEO 254095 226647 132137 117863 170122 151745 6739 6011 5438 4851 568531 507117 0 0 JAMES M ANDERS JR COO & TREASURER 183362 163554 95139 84861 105969 94521 6739 6011 4434 3955 395643 352902 0 0 MICHAEL VD JOHNSTON MD CMO & SECRETARY 169034 169034 62500 62500 94723 94723 6375 6375 5144 5144 337776 337776 0 0 MICHAEL J NEUMAN SVP OF FINANCE 107179 95602 18499 16501 28811 25699 6739 6011 4645 4144 165873 147957 0 0 MARY L LEPPERT MD CHIEF OF MEDICAL STAFF 135729 0 0 0 29938 0 7737 0 8584 0 181988 0 0 0 MICHAEL F CATALDO PHD SVP & PROGRAM DIRECTOR 183114 61038 69231 23077 49388 16463 9563 3188 7719 2573 319015 106339 0 0 LAINY LEBOW-SACHS DIR OF EXTERNAL RELATIONS 35102 198914 12000 68000 16305 92394 1913 10838 1543 8746 66863 378892 0 0 LANA R WARREN PHD SVP OF CLINICAL SERVICES 161428 0 20000 0 37564 0 10361 0 9349 0 238702 0 0 0 TAMI W SWEARINGEN RN SVP OF NURSING 162309 0 20654 0 45071 0 10371 0 8789 0 247194 0 0 0 RAYMOND SHORT SVP OF HUMAN RESOURCES 74064 66064 5459 4869 14559 12986 4845 4321 7552 6737 106479 94977 0 0 FRANK PIDCOCK MD PROGRAM DIRECTOR 215138 0 0 0 39862 0 11545 0 7789 0 274334 0 0 0 RICHARD KELLEY MD PROGRAM DIRECTOR 207598 0 0 0 17670 0 11103 0 7789 0 244160 0 0 0 BRUCE SHAPIRO MD PROGRAM DIRECTOR 202412 0 0 0 16571 0 10942 0 10292 0 240217 0 0 0 JAMES RUBENSTEIN MD PROGRAM DIRECTOR 183214 0 22507 0 12611 0 10836 0 7789 0 236957 0 0 0 ELAINE TIERNEY MD PROGRAM DIRECTOR 197703 0 0 0 10804 0 10600 0 10292 0 229399 0 0 0 PART I, LINE 1A CERTAIN OFFICERS AND KEY EMPLOYEES WERE PROVIDED ADDITIONAL COMPENSATION TO OFFSET THE TAX IMPACT OF EXECUTIVE LIFE INSURANCE AND LONG TERM DISABILITY PREMIUMS MADE ON THEIR BEHALF. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION TO THESE INDIVIDUALS. THESE INDIVIDUALS ARE: GARY W. GOLDSTEIN, M.D. JAMES M. ANDERS, JR. MICHAEL V.D. JOHNSTON, M.D. MICHAEL F. CATALDO, PHD MICHAEL J. NEUMAN LAINY LEBOW-SACHS LANA R. WARREN, PHD TAMI W. SWEARINGEN, RN RAYMOND SHORT FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. (THE "INSTITUTE"), A SECTION 501(C)(3) ENTITY THAT SERVES AS THE PARENT CORPORATION OF THE INTEGRATED INSTITUTION. THE INSTITUTE HAS THE POWER TO ELECT AND REMOVE BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC. IS THE KENNEDY KRIEGER INSTITUTE, INC. THE KENNEDY KRIEGER INSTITUTE, INC. HAS THE POWER AND RESPONSIBILITY TO APPROVE DECISIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE IRS FORM 990 WAS DIRECTLY REVIEWED BY THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE FORM 990 WAS ALSO EMAILED TO THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST DECLARATION OF OUTSIDE EMPLOYMENT UPON HIRE, ANNUALLY THEREAFTER, OR AT SUCH TIME DURING THE COURSE OF EMPLOYMENT WHEN THE EMPLOYEE ENTERS A BUSINESS, CLINICAL, OR PERSONAL RELATIONSHIP THAT MAY APPEAR TO BE A CONFLICT OR IS IN FACT A CONFLICT OF INTEREST. SENIOR MANAGEMENT WILL REVIEW EACH CONFLICT OF INTEREST DISCLOSURE FORM TO DETERMINE WHETHER A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. IF THE DETERMINATION IS MADE THAT A CONFLICT OF INTEREST DOES EXIST, THEN APPROPRIATE MEASURES ARE TAKEN TO RECTIFY THE CONFLICT. BOARD MEMBERS AND SENIOR MANAGEMENT SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS THAT MAY RELATE TO FUTURE DECISION MAKING. WHEN AN ACTUAL CONFLICT INVOLVING A BOARD MEMBER IS IDENTIFIED, THE DIRECTOR WILL ABSTAIN FROM VOTING AND NOT USE HIS/HER PERSONAL INFLUENCE ON THE MATTER. SITUATIONS INVOLVING SENIOR MANAGEMENT MAY BE HANDLED THROUGH THE HUMAN RESOURCES PROCESS OR CONSIDERED BY THE BOARD OF DIRECTORS. RELATIONSHIPS WITH OTHER PROVIDERS, EDUCATIONAL INSTITUTIONS, MANUFACTURERS AND PAYORS ARE REVIEWED TO DETERMINE WHETHER CONFLICTS OF INTEREST EXIST. ANY CONFLICTS ARE ADDRESSED WHEN THEY ARISE. POLICIES DESIGNED TO IDENTIFY AND PREVENT POTENTIAL CONFLICTS OF INTEREST PERTAINING TO CONTRACTUAL BUSINESS RELATIONSHIPS ARE ADDRESSED THROUGH THE POLICY ON FAIR BUSINESS PRACTICES. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT/CEO AND OTHER SENIOR EXECUTIVES COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. INDEPENDENTLY DEVELOPED EXECUTIVE COMPENSATION SURVEYS ARE USED TO DETERMINE REASONABLENESS OF COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 KKCH'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, CERTAIN FINANCIAL DOCUMENTS ARE AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE. ALSO, A COPY OF THE FORM 990 IS AVAILABLE VIA WWW.GUIDESTAR.ORG. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN -541,404. NET ASSET RECLASSIFICATION FROM KENNEDY KRIEGER ED. & COMMUNITY SERVICES -77,834. INTERCOMPANY TRANSFER -19. FORM 990, PAGE 12, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 - INFORMATION REGARDING TAX-EXEMPT BOND ISSUE THE ORGANIZATION IS PART OF AN OBLIGATED GROUP UNDER CERTAIN TAX-EXEMPT BOND ISSUES. SCHEDULE K HAS BEEN COMPLETED IN ITS ENTIRETY FOR MADISON STREET PROPERTIES, INC. KENNEDY KRIEGER INSTITUTE INC 707 N BROADWAY BALTIMORE MD 21205 521524965 PARENT ORGANIZATION TO RELATED ENTITIES; SUPPORTS HEALTHCARE MD 501(C)(3) 11B TYPE II N/A 0 HUGO W MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER INC 707 N BROADWAY BALTIMORE MD 21205 521524967 BIO-MEDICAL RESEARCH MD 501(C)(3) 4 KENNEDY KRIEGER INSTITUTE INC 0 KENNEDY KRIEGER EDUCATION & COMMUNITY SERVICES INC 707 N BROADWAY BALTIMORE MD 21205 521753040 SPECIAL EDUCATION SCHOOLS AND COMMUNITY SUPPORT PROGRAMS MD 501(C)(3) 7 KENNEDY KRIEGER INSTITUTE INC 0 KENNEDY KRIEGER ASSOCIATES INC 707 N BROADWAY BALTIMORE MD 21205 521633229 SUPPORTS KENNEDY KRIEGER INSTITUTE AND ITS AFFILIATES MD 501(C)(3) 11A TYPE I KENNEDY KRIEGER INSTITUTE INC 0 MADISON STREET PROPERTIES INC 707 N BROADWAY BALTIMORE MD 21205 521949813 PROPERTY HOLDING COMPANY MD 501(C)(3) 11A TYPE I KENNEDY KRIEGER FOUNDATION INC 0 NATIONAL CENTER FOR LEARNING & DEVELOPMENT INC 707 N BROADWAY BALTIMORE MD 21205 582327952 MEDICAL AND EDUCATIONAL SERVICES TO CHILDREN WITH SPECIAL NEEDS GA 501(C)(3) 9 KENNEDY KRIEGER INSTITUTE INC 0 PACT HELPING CHILDREN WITH SPECIAL NEEDS INC 7000 TUDSBURY ROAD BALTIMORE MD 21244 521230183 MEDICAL DAY CARE & OTHER SERVICES FOR CHILDREN WITH SPECIAL NEEDS MD 501(C)(3) 7 KENNEDY KRIEGER INSTITUTE INC 0 MADISON GROUP VENTURES 707 N BROADWAY BALTIMORE MD 21205 900743111 RESEARCH & DEVELOPMENT MD N/A C 0 CHARITABLE REMAINDER TRUSTS (3) CHARITABLE REMAINDER TRUSTS MD N/A T 0 0 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 1 1 1 MADISON STREET PROPERTIES K 14920315 FMV KENNEDY KRIEGER FOUNDATION C 2023443 FMV KENNEDY KRIEGER EDUCATION AND COMMUNITY SERVICES R 77834 FMV