2012-05-11T09:04:25-05:00 2011-06-30 SCHNEIDER DOWNS & CO INC 1133 PENN AVENUE PITTSBURGH PA 15222 990 2010-07-01 232935278 CHILDRENS INSTITUTE OF PITTSBURGH CHIL 4124202400 1405 SHADY AVENUE PITTSBURGH PA 152171360 DAVID K MILES 4124202400 2012-05-10 1 SUSAN M KIRSCH 4122613644 2010 2016-02-24 21:20:13Z DAVID K MILES 1405 SHADY AVENUE PITTSBURGH PA 152171360 41926027 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. 26 24 638 375 40675 -10326 5070373 1321488 33756236 36673044 8810303 3915226 0 0 47636912 41909758 0 0 0 0 28257995 28868394 52000 82500 1128177 14799656 13157498 43109651 42108392 4527261 -198634 139867766 155600600 49308145 43547824 90559621 112052776 X 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. 0 0 37576208 36673044 ESTABLISHED IN 1902, THE CHILDREN'S INSTITUTE OF PITTSBURGH IS AN INDEPENDENT, NONPROFIT, LICENSED ORGANIZATION IN PITTSBURGH DEDICATED TO PROMOTING THE WELL-BEING OF CHILDREN, YOUNG PEOPLE AND THEIR FAMILIES AND TO PROVIDING SERVICES THAT MEET THEIR SPECIAL NEEDS. THE CHILDREN'S INSTITUTE HAS EVOLVED OVER TIME TO MEET THE NEEDS OF THE COMMUNITY, ALONG WITH A REHABILITATION SPECIALTY HOSPITAL. TODAY IT ALSO OFFERS AN APPROVED PRIVATE SCHOOL AND SOCIAL SERVICE AGENCY. THE CHILDREN'S INSTITUTE IS ONE OF THE NATION'S LEADING CENTERS FOR PEDIATRIC REHABILITATION, COMPLEX MEDICAL CARE, EDUCATION FOR CHILDREN WITH SPECIAL NEEDS, AND FAMILY PLACEMENT, PRESERVATION, REUNIFICATION AND ENRICHMENT SERVICES. IN FISCAL YEAR 2011, WE SERVED 5,408 CHILDREN AND THEIR FAMILIES AND PROVIDED $2,664,826 IN UNCOMPENSATED CARE. AS A RESULT, THE AUDITED FINANCIAL STATEMENTS REFLECT AN OPERATIONAL LOSS OF $2,780,000. FROM OUR SQUIRREL HILL CAMPUS IN PITTSBURGH, PENNSYLVANIA, THE CHILDREN'S INSTITUTE OPERATES A 72-BED LICENSED HOSPITAL THAT PROVIDES INPATIENT PEDIATRIC COMPREHENSIVE MEDICAL REHABILITATION AND A SPECIALTY INPATIENT UNIT FOR OUR PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS PROGRAM. THIS HIGHLY SPECIALIZED INPATIENT PROGRAM IS THE ONLY ONE OF ITS KIND IN THE WORLD. OTHER SERVICES PROVIDED AT THIS LOCATION INCLUDE MEDICAL REHABILITATION OUTPATIENT PROGRAMS; SPECIALTY PHYSICIAN CLINICS; THE DAY SCHOOL, AN APPROVED PRIVATE SCHOOL FOR CHILDREN WITH SPECIAL NEEDS; AND THE MARIE REINHARDT HEASLEY HOUSE, A GUEST HOUSE THAT PROVIDES OVERNIGHT ACCOMMODATIONS FOR FAMILIES OF INPATIENTS WHO LIVE MORE THAN 50 MILES AWAY FROM THE CHILDREN'S INSTITUTE. PROJECT STAR, THE SOCIAL SERVICE COMPONENT OF THE CHILDREN'S INSTITUTE, IS LOCATED IN WILKINSBURG (ALLEGHENY COUNTY), WITH SATELLITE LOCATIONS IN MONACA (BEAVER COUNTY) AND NORWIN HILLS (WESTMORELAND COUNTY). IN AN EFFORT TO BEST MEET THE NEEDS OF THE CHILDREN AND FAMILIES WE SERVE, THE HOSPITAL AT THE CHILDREN'S INSTITUTE ESTABLISHED COMMUNITY SATELLITE LOCATIONS, WHERE STAFF PROVIDE OUTPATIENT REHABILITATION SERVICES. ORIGINALLY OPENED IN 1998 AND 2000, SATELLITE OFFICES ARE NOW LOCATED IN BRIDGEVILLE, NORWIN HILLS AND WEXFORD. THE CHILDREN'S INSTITUTE MAINTAINS LICENSES WITH THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE DEPARTMENT OF EDUCATION AND THE DEPARTMENT OF PUBLIC WELFARE. ITS HEALTHCARE SERVICES HOLD CERTIFICATIONS WITH MEDICARE; A NUMBER OF STATE MEDICAID PROGRAMS; CARF, THE REHABILITATION ACCREDITATION COMMISSION; AND THE ALLEGHENY COUNTY MENTAL HEALTH/MENTAL RETARDATION PROGRAM. THE NATIONAL COMMISSION ON ACCREDITATION OF SPECIAL EDUCATION SERVICES (NCASES) ACCREDITS THE DAY SCHOOL. PROJECT STAR HOLDS LICENSES THROUGH THE PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE AS AN ADOPTION AGENCY, A FOSTER CARE AGENCY AND A PRIVATE CHILDREN AND YOUTH SOCIAL SERVICES AGENCY.THE CHILDREN'S INSTITUTE IS CONTINUALLY EVOLVING TO MEET THE CHANGING NEEDS OF THE COMMUNITY WE SERVE. IN PREVIOUS YEARS, THE ORGANIZATION EVEN OFFERED ADULT REHABILITATION SERVICES. IN 1998, HOWEVER, WE RETURNED TO OUR CORE MISSION OF PROVIDING SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND REORGANIZED AND INCORPORATED, WITH 1999 MARKING OUR FIRST FULL FISCAL YEAR AS THE CHILDREN'S INSTITUTE OF PITTSBURGH. SINCE THAT TIME, THE OPERATIONAL ENVIRONMENT OF THE CHILDREN'S INSTITUTE HAS BEEN VERY DYNAMIC AND THERE HAS BEEN A SIGNIFICANT EVOLUTION IN THE SERVICES OFFERED BY THE THREE COMPONENTS. -THE HOSPITAL: INPATIENT SERVICES HAVE TRANSITIONED TO MORE MEDICALLY COMPLEX REHABILITATION SERVICES FOLLOWING TRAUMA OR ILLNESS. WE NOW OFFER SUBSTANTIAL SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS, WHICH EXTEND MEDICAL MANAGEMENT, INCLUDING ONCOLOGY, POST-ORGAN TRANSPLANTATION, CARDIAC/VENT-DEPENDENT AND WOUND MANAGEMENT. ADDITIONALLY, THERE HAS BEEN A SIGNIFICANT INCREASE IN THE DELIVERY OF OUTPATIENT SERVICES TO CHILDREN WITH AUTISM. INPATIENT ADMISSIONS: 1999: 268; 2011: 430; +60% CHANGEINPATIENT DAYS: 1999: 8,274; 2011: 12,469; +51% CHANGENUMBER OF OUTPATIENTS: 1999: 964; 2011: 2,255; +134% CHANGENUMBER OF OUTPATIENT UNITS: 1999: 85,408; 2011: 112,045; +31% CHANGE-THE DAY SCHOOL: IN THE 2010-2011 SCHOOL YEAR, THE DAY SCHOOL SERVED 186 STUDENTS FROM MORE THAN 67 SCHOOL DISTRICTS. THE CURRENT AND PREDICTED FUTURE TREND IN ENROLLMENT FOR STUDENTS WITH MULTIPLE DISABILITIES IS EXPECTED TO REMAIN STATIC OR DECREASING WHILE THE NUMBER OF REFERRALS OF STUDENTS WITH AUTISM IS EXPECTED TO INCREASE. OF OUR 26 CLASSROOMS, 9 ARE SPECIFICALLY DESIGNED TO MEET THE EDUCATIONAL NEEDS OF STUDENTS WITH AUTISM. THE MEDICAL ACUITY OF STUDENTS WITH MULTIPLE DISABILITIES IS NOW MUCH HIGHER AND STUDENTS ARE MORE MEDICALLY FRAGILE AND FAR LESS INDEPENDENT. -PROJECT STAR: PROJECT STAR'S MISSION IS TO PROMOTE THE RIGHT OF ALL CHILDREN TO GROW IN SAFE, NURTURING, LASTING FAMILIES. FOUNDED IN 1985, PROJECT STAR PROVIDED FAMILY PLACEMENT, PRESERVATION/REUNIFICATION OR ENRICHMENT SERVICES FOR 1,330 CLIENTS IN FISCAL YEAR 2011. PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION, QUESTION 6 FOR INFORMATION ON RESEARCH AND BENEFITS TO THE COMMUNITY. 37576208 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 1 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 50 0 1 638 1 1 1 0 0 0 0 0 0 0 0 0 X 26 24 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X JODY MULVIHILL 4124202308 1405 SHADY AVENUE PITTSBURGH PA 152171350 GREG BENCKART 1.00 X 0 0 0 PATRICIA S CHESKO 1.00 X 0 0 0 N JOHN COOPER 1.00 X 0 0 0 JOHN R DENNY 2.00 X 0 0 0 CAROLYN D DURONIO 1.00 X 0 0 0 SHAWN FOX 1.00 X 0 0 0 HOLLY HATCHER-FRAZIER 1.00 X 0 0 0 JOSEPH E IMBRIGLIA MD 1.00 X 0 0 0 JAY KATARINCIC 1.00 X 0 0 0 ELLEN P KESSLER 1.00 X 0 0 0 PRADEEP K KHOSLA PHD 1.00 X 0 0 0 JAMES MARCZAK 1.00 X 0 0 0 ALLAN MACDOUGALL III 1.00 X 0 0 0 B GORDON NELSON III 1.00 X 0 0 0 MORGAN K O'BRIEN 1.00 X 0 0 0 F BROOKS ROBINSON JR 1.00 X 0 0 0 SUSAN BAKER SHIPLEY 1.00 X 0 0 0 MERRILL P STABILE 1.00 X 0 0 0 NITA WADHWANI 1.00 X 0 0 0 ANN M MCGUINN 1.00 X 0 0 0 CYNTHIA D SHAPIRA 1.00 X 0 0 0 MICHAEL J HANNON 2.00 X X 0 0 0 J KEEFE ELLIS JR 2.00 X X 0 0 0 PAMELA W GOLDEN 2.00 X X 0 0 0 JOHN K THORNBURGH 1.00 X X 0 0 0 LISA C FAGAN 1.00 X X 0 0 0 MICHELE M MCKENNEY 1.00 X X 0 0 0 DAVID K MILES 50.00 X X 264066 0 16159 JODY MULVIHILL 45.00 X 152776 0 8370 JANE TEITZ-KEIM 45.00 X 191230 0 15818 MARYANNE HENDERSON 40.00 X 214635 0 30273 TIMOTHY J BITTNER 40.00 X 175086 0 17855 CYNTHIA SMITH MD 40.00 X 180638 0 3370 EWA BRANDYS MD 40.00 X 175027 0 19400 SCOTT FABER MD 40.00 X 167180 0 17994 GREGORY CHERPES MD 40.00 X 167818 0 8615 ANDREW DRAZDIK 40.00 X 134305 0 17596 1822761 0 155450 16 0 1 0 SIEMANS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 ELECTRONIC HEALTH RECORD 1402167 ASTORINO DEVELOPMENT CO 235 FORT PITT BLVD PITTSBURGH PA 15222 CONSTRUCTION 1120462 MORRISON MANAGEMENT PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 916663 CROTHALL 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING/ ENGINEERING 714941 ENGAUGE MARKETING ONE GATEWAY CTR 420 FT DUQUESNE B PITTSBURGH PA 15222 ADVERTISING 651033 18 68103 127996 1125389 6191 1321488 PATIENT CARE 900099 14317784 14317784 DAY SCHOOL 900099 11151729 11151729 MEDICARE/MEDICAID PMTS 900099 8419655 8419655 PROJECT STAR 900099 2647850 2647850 DEPARTMENTAL ACTIVITIE 900099 136026 136026 36673044 2179457 40675 2138782 1752038 16269 1752038 -16269 1735769 1735769 41909758 36673044 40675 3874551 879059 553958 225411 99690 19829720 19145788 340041 343891 288774 267319 16684 4771 6368389 5895230 367933 105226 1502452 1390823 86804 24825 199782 199782 113014 7027 105979 8 122431 122431 82500 82500 610832 610832 5199703 4881572 161445 156686 200809 1040 169669 30100 2695351 2618190 -20616 97777 657449 572279 72075 13095 742698 615859 119829 7010 172522 169915 1883 724 96117 81515 9570 5032 291912 277766 14146 2412914 2058626 334360 19928 406296 406296 MEMBERSHIP DUES 145618 19983 59453 66182 FUNDRAISING EXPENSES 70732 70732 BAD DEBT EXPENSE 21279 21279 MISC NON-OPERATING EXPS 17022 17022 TERM. OF FA RATE OPTION -1018983 -1018983 42108392 37576208 3404007 1128177 2480 2030 6810630 3558040 3205962 1425734 4601183 4897756 33263 46709 408751 467064 48044521 19741930 25879390 28302591 83272611 98539295 15456298 18178329 197198 183052 139867766 155600600 3766178 4290446 7693 12434 23550000 22920000 1350000 21984274 14974944 49308145 43547824 X 84124242 108446502 5485185 2656080 950194 950194 90559621 112052776 139867766 155600600 X -198634 21691789 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 122431 122431 41986022 42108453 1000000 250000 0 0 1000000 1000000 1000000 3000000 4500000 121993 121404 122431 365828 250000 250000 250000 750000 1125000 950194 950194 950194 950194 950194 950194 0.00000 1.00000 0.00000 0 0 1726863 1726863 29393334 9789568 19603766 1178866 240647 938219 11746558 9289654 2456904 3998900 422061 3576839 28302591 OTHER, PRIMARILY LIMITED PARTNERSHIPS 7975709 F HEDGE FUNDS 10202620 F 18178329 FISCHER FUND PAYABLE 56033 PENSION RELATED LIABILITY 14918911 14974944 41909758 42108392 -198634 15567242 6124547 21691789 21493155 62829352 15567242 5352352 20919594 41909758 0 41909758 41336197 0 41336197 772195 772195 42108392 PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED GAIN ON PENSION BENEFIT PLAN COSTS 6,124,547. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE -772,195. UNREALIZED GAIN ON PENSION BENEFIT PLAN COSTS 6,124,547. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASSED FUNDRAISING EXPENSE 772,195. CENTRAL AMERICA AND THE CARIBBEAN 0 0 FOREIGN INVESTMENTS N/A 22272664 0 0 0 0 0 0 22272664 0 22272664 1 0 0 1 0 0 X X X X X 1 AL BROURMAN ASSOCIATES INC 555 GRANT STREET SUITE 337 PITTSBURGH PA 15219 CAPITAL CAMPAIGN 0 0 82500 -82500 82500 -82500 PA 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 307016 307016 0.00730 10734929 9141309 1593620 0.03780 11041945 9141309 1900636 0.04510 14868311 13641838 1226473 0.02910 307967 173081 134886 0.00320 1328746 0 1328746 0.03160 10000 10000 0.00020 16515024 13814919 2700105 0.06410 27556969 22956228 4600741 0.10920 1 12472 0 1684192 1830901 -146709 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 PART III, LINE 4: BAD DEBT EXPENSE IS CALCULATED BY APPLYING THE INSTITUTE'S COST TO CHARGE RATIO PER THE MEDICARE COST REPORT TO THE ACTUAL CHARGES INCURRED IN CONNECTION WITH THE DELIVERY OF PATIENT CARE. FOR THE FISCAL YEAR ENDED JUNE 30, 2011 BAD DEBT WAS NOT TREATED AS A COMMUNITY BENEFIT. PART III, LINE 8: THE MEDICARE SHORTFALL REPORTED IN SECTION B LINE 7 WAS NOT TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: ALL PATIENTS WITHOUT THE FINANCIAL RESOURCES TO PAY FOR SERVICES MAY APPLY FOR THE CHILDREN'S INSTITUTE OF PITTSBURGH'S (CI'S) FINANCIAL ASSISTANCE PROGRAM. APPLICATIONS MAY BE OFFERED/SUBMITTED PRIOR TO ADMISSION, AT THE TIME OF ADMISSION, DURING THE PATIENT'S STAY, AT THE TIME OF DISCHARGE, AND POST-DISCHARGE BY THE ADMISSIONS/AUTHORIZATION DEPARTMENT, PATIENT CARE MANAGERS OR PATIENT ACCOUNTING. TO APPLY, THE PATIENT MUST COMPLETE A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE FORM. FINANCIAL ELIGIBILITY IS BASED ON A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, INCOME AND FAMILY SIZE. THE RECOMMENDATION FOR APPROVAL FOR FINANCIAL ASSISTANCE CARE WILL BE BASED ON MEDICAL ASSISTANCE RECIPIENT STATUS AND CATASTROPHIC MEDICAL EXPENSES. THE PATIENT MAY ALSO 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 PATIENT ACCESS EMPLOYEE REVIEWS THE INSURANCE BENEFITS AND CALLS THE FAMILY AND EXPLAINS POTENTIAL ELIGIBILITY FOR MEDICAL ASSISTANCE OR CHARITY CARE. AS PART OF THE BILLING PROCESS, A CHARITY CARE FORM IS SENT TO THE PATIENT'S FAMILY/REPRESENTATIVE ON THE FIRST, SECOND AND FOURTH BILL. ABSENT A RESPONSE FROM A PATIENT'S FAMILY REGARDING THEIR ELIGIBILITY FOR CHARITY CARE, DELINQUENT ACCOUNTS ARE FORWARDED TO A COLLECTION AGENCY. IF AT ANY POINT IN THE PROCESS THE FAMILY PROVIDES INFORMATION REGARDING THEIR FINANCIAL INABILITY TO PAY, THE ACCOUNT IS EVALUATED FOR CHARITY CARE AND FINANCIAL ASSISTANCE. PART VI, LINE 2: DURING THE STRATEGIC PLANNING PROCESS, THE MANAGEMENT TEAM OF THE CHILDREN'S INSTITUTE IDENTIFIES COMMUNITY NEEDS. THE SERVICE NUMBERS, NUMBER OF REFERRALS AND WAIT LISTS FOR EACH PROGRAM ARE EVALUATED TO DETERMINE IF THERE IS A DEMAND FOR THE SERVICES AND WHETHER OR NOT WE ARE SUFFICIENTLY MEETING THAT DEMAND. A CONSUMER ASSESSMENT ALSO IS CONDUCTED, WHICH PROVIDES INSIGHT INTO WHO IS CURRENTLY USING THE CHILDREN'S INSTITUTE'S SERVICES AND THE NEEDS OF THOSE CONSUMERS. EXTERNALLY, THE MANAGEMENT TEAM EVALUATES COMMUNITY NEEDS ASSESSMENT REPORTS COMPLETED BY OTHER ORGANIZATIONS AT BOTH THE LOCAL AND REGIONAL LEVEL TO GLEAN ADDITIONAL INSIGHT.TO FURTHER UNDERSTAND THE COMMUNITY'S RELATIONSHIP WITH THE CHILDREN'S INSTITUTE, AN AWARENESS STUDY WAS CONDUCTED IN AUGUST 2010. AN ONLINE SURVEY WAS SENT TO 3,131 INDIVIDUALS ASSOCIATED WITH THE ORGANIZATION AND 407 ONLINE SURVEYS WERE SENT TO MEMBERS OF A MAJOR ONLINE RESEARCH PANEL TARGETED BY ZIP CODE. WITH A 9.3 PERCENT RETURN, THERE WERE 331 SURVEYS COMPLETED. THE SURVEY RESPONSES PROVIDED INSIGHT INTO THE COMMUNITY'S PERCEPTIONS OF THE CHILDREN'S INSTITUTE AND THE SERVICES WE PROVIDE. THE NEEDS OF OUR CLIENT POPULATION AND REFERRAL SOURCES ARE RAPIDLY CHANGING. IN ORDER TO BETTER UNDERSTAND THIS EVOLUTION, OUR 2012 NEEDS ASSESSMENT PROCESS WILL EXPAND TO INCLUDE A MORE THOROUGH COMMUNITY SURVEY THAT REACHES A BROADER AUDIENCE AND ASKS MORE IN-DEPTH QUESTIONS ABOUT SERVICE UTILIZATION AND NEEDS. PART VI, LINE 4: THE CHILDREN'S INSTITUTE SERVES CHILDREN WITH SPECIAL NEEDS AND THEIR FAMILIES. IN 2011, THE CHILDREN'S INSTITUTE SERVED 5,408 CHILDREN AND THEIR FAMILIES FROM WESTERN PENNSYLVANIA AND BEYOND. DEMOGRAPHICS OF CLIENTS SERVED INCLUDE: -GENDER: 60 PERCENT MALE AND 40 PERCENT FEMALE -AGE: RANGE WAS LESS THAN 1 YEAR THROUGH AGE 21, WITH AVERAGE AGE OF 7 YEARS (EXCEPTION IS PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS PROGRAM WHICH SERVES BOTH CHILDREN AND ADULTS)-96 PERCENT OF PROGRAM PARTICIPANTS WERE PENNSYLVANIA RESIDENTS, WITH THE REMAINING 4% COMING FROM 32 STATES AND CANADA; -53 PERCENT WERE ALLEGHENY COUNTY RESIDENTS, WITH WESTMORELAND, BEAVER, BUTLER AND WASHINGTON REPRESENTING THE MOST COMMON COUNTY OF RESIDENCE OF THE BALANCE.-30 PERCENT WERE RESIDENTS OF THE CITY OF PITTSBURGH.AT THE MAIN CAMPUS IN THE SQUIRREL HILL NEIGHBORHOOD OF PITTSBURGH, PENNSYLVANIA, THE CHILDREN'S INSTITUTE OPERATES A 72-BED LICENSED HOSPITAL THAT PROVIDES INPATIENT PEDIATRIC COMPREHENSIVE MEDICAL REHABILITATION AND A SPECIALTY INPATIENT UNIT FOR OUR PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS PROGRAM. THIS HIGHLY SPECIALIZED INPATIENT PROGRAM IS THE ONLY ONE OF ITS KIND IN THE WORLD. OTHER SERVICES PROVIDED AT THIS LOCATION INCLUDE MEDICAL REHABILITATION OUTPATIENT PROGRAMS; SPECIALTY PHYSICIAN CLINICS; AND THE DAY SCHOOL, AN APPROVED PRIVATE SCHOOL FOR CHILDREN WITH SPECIAL NEEDS. THE HOSPITAL AT THE CHILDREN'S INSTITUTE CATERS TO CHILDREN WITH A VARIETY OF DISORDERS, RANGING FROM THE NEWBORN WITH CONGENITAL ANOMALIES TO THE ADOLESCENT WITH A BRAIN INJURY. PHYSICIANS, NURSES AND CLINICIANS WORK AS A TEAM TO PROVIDE INDIVIDUALIZED, COMPREHENSIVE CARE TO EACH PATIENT. MEDICAL SPECIALISTS ON STAFF INCLUDE PEDIATRICIANS, PHYSIATRISTS AND DEVELOPMENTAL PEDIATRICIANS WHO ARE AN INTEGRAL PART OF THE CARE TEAM. IN FISCAL YEAR 2011, WE SERVED 419 INPATIENTS. THE CHILDREN'S INSTITUTE TEAM ALSO PROVIDES OUTPATIENT TREATMENT FOR A WIDE RANGE OF DIAGNOSES RESULTING FROM INJURY, ILLNESS AND DEVELOPMENTAL DISABILITY. DEPENDING ON THE CHILD'S NEEDS, THERAPY MAY INVOLVE A SINGLE SERVICE OR IT MAY INVOLVE MULTIPLE DISCIPLINES. WITH FOUR LOCATIONS OFFERING THESE SERVICES IN THE GREATER PITTSBURGH AREA, WE PROVIDED CARE TO 2,255 OUTPATIENTS IN FISCAL YEAR 2011. BECAUSE OF THE COMPLEX NEEDS OF THE CHILDREN WE SERVE, THE CHILDREN'S INSTITUTE OFFERS A WIDE VARIETY OF THERAPIES AND TREATMENTS FOR BOTH INPATIENTS AND OUTPATIENTS. MANY OF THE PROGRAMS AND SERVICES WE PROVIDE ARE HIGHLY SPECIALIZED, AND THE NEEDS OF THE CHILDREN AND FAMILIES WE SERVE WOULD BE UNMET IF IT WEREN'T FOR THE CHILDREN'S INSTITUTE. PROGRAMS AND SERVICES AT THE HOSPITAL AT THE CHILDREN'S INSTITUTE INCLUDE:-PHYSICAL THERAPY-OCCUPATIONAL THERAPY-SPEECH/LANGUAGE THERAPY AND AUDIOLOGY SERVICES, INCLUDING THE USE OF AUGMENTATIVE COMMUNICATION DEVICES-AUTISM TREATMENT-SPINAL CORD INJURY REHABILITATION-BRAIN INJURY REHABILITATION-ADAPTIVE TECHNOLOGY/WHEELCHAIR EVALUATIONS AND TRAINING-AQUATIC THERAPY-NEUROPSYCHOLOGY EVALUATIONS-FEEDING DISORDER MANAGEMENT-CHRONIC PAIN MANAGEMENT-REFLEX NEUROVASCULAR DYSTROPHY (RND)-PEDIATRIC CARDIAC RECOVERY-PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS -PSYCHOLOGICAL SERVICES-RECREATION THERAPY-RESPITE CARE-NUTRITION SERVICES-PALLIATIVE CARETHE PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS PROGRAM IS A PRIME EXAMPLE OF WHY THE CHILDREN'S INSTITUTE OF PITTSBURGH HAS EARNED AN INTERNATIONAL REPUTATION FOR OUR SUCCESS IN REHABILITATION. THE CHILDREN'S INSTITUTE HAS THE ONLY HOSPITAL-BASED PROGRAM OF ITS KIND IN THE WORLD FOR PATIENTS WITH PRADER-WILLI SYNDROME (PWS). BECAUSE THERE ARE NO COMPARABLE TREATMENT FACILITIES AND THE NEED FOR SERVICES IS GREAT, THIS IS THE ONLY PROGRAM IN WHICH WE TREAT BOTH CHILDREN AND ADULTS. SINCE 1981, MORE THAN 1,000 CHILDREN AND ADULTS WITH PWS HAVE BEEN ADMITTED TO OUR INPATIENT PROGRAM, INCLUDING A NUMBER OF INTERNATIONAL PATIENTS. IN RESPONSE TO THE DEMANDS FOR SERVICE, WE DOUBLED THE CAPACITY OF THE PROGRAM OPENING UP A NEW UNIT FOR PATIENTS WITH PRADER-WILLI SYNDROME IN LATE MAY, 2011. PRADER-WILLI SYNDROME IS A GENETICALLY CAUSED CONDITION THAT OCCURS ONCE IN EVERY 12,000-15,000 BIRTHS. ITS EFFECTS CAN INCLUDE DEVELOPMENTAL DELAYS, SHORT STATURE, LOW MUSCLE TONE, BEHAVIORAL ISSUES, OBESITY AND INSATIABLE HUNGER. PEOPLE WITH SEVERE PRADER-WILLI SYNDROME NEVER FEEL FULL, AND UNLESS FOOD AVAILABILITY AND INTAKE ARE CLOSELY MONITORED, THEY CAN LITERALLY EAT THEMSELVES TO DEATH, EITHER THROUGH SUDDEN STOMACH RUPTURE OR THROUGH OBESITY-RELATED MEDICAL COMPLICATIONS.WITH EARLY DIAGNOSIS AND EXPERT TREATMENT, THE EFFECTS OF PRADER-WILLI SYNDROME CAN BE LESSENED. BUT WHEN THAT DOESN'T HAPPEN, PATIENTS CAN END UP IN CRISIS - BEHAVIORAL AND/OR MEDICAL. AT THAT POINT, THEY OFTEN TURN TO THE CHILDREN'S INSTITUTE.THE CHILDREN'S INSTITUTE OFFERS ONE OF THE COUNTRY'S FEW INTENSIVE REFLEX NEUROVASCULAR DYSTROPHY (RND) TREATMENT PROGRAMS. PREVIOUSLY AVAILABLE ONLY ON AN INPATIENT BASIS, THE PROGRAM HAS BEEN PILOTED FOR OUTPATIENTS. EARLY INDICATIONS ARE THAT IT IS EFFECTIVE AND LOCAL PATIENTS ARE PLEASED TO BE ABLE TO LIVE AT HOME WHILE IN TREATMENT.REFLEX NEUROVASCULAR DYSTROPHY (RND) IS A CHRONIC PAIN CONDITION ALSO KNOWN AS AMPLIFIED MUSCULOSKELETAL PAIN SYNDROME (AMPS), REFLEX SYMPATHETIC DYSTROPHY (RSD), PEDIATRIC FIBROMYALGIA AND COMPLEX REGIONAL PAIN SYNDROME (CRPS). RND IS AN EXTREMELY PAINFUL AND AN OFTEN DIFFICULT CONDITION TO DIAGNOSE. SOMETIMES PARENTS AND DOCTORS ATTRIBUTE IT TO GROWING PAINS AND IN SOME CASES THINK THE PAIN IS ALL IN THE CHILD'S HEAD. BUT RND PAIN IS VERY INTENSE AND VERY REAL. AT TIMES, THE PAIN CAN BE SO EXCRUCIATING THAT CHILDREN STOP THEIR NORMAL ACTIVITIES. IMMOBILITY LEADS TO MORE PAIN AND SOMETIMES DEPRESSION.THE REFLEX NEUROVASCULAR DYSTROPHY REHABILITATION PROGRAM AT THE HOSPITAL AT THE CHILDREN'S INSTITUTE PROVIDES COMPREHENSIVE EVALUATION AND TREATMENT FOR THOSE CHILDREN DIAGNOSED WITH RND. THE PURPOSE OF THE PROGRAM IS TO HELP THE CHILD RETURN TO HIS OR HER DAILY ACTIVITIES AND TO EDUCATE THE CHILD AND HIS OR HER FAMILY ON LONG-TERM MANAGEMENT OF RND. THE RND REHABILITATION PROGRAM AT THE CHILDREN'S INSTITUTE PROVIDES A WHOLE-CHILD APPROACH TO TREATMENT BY INCORPORATING PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND PSYCHOLOGICAL COUNSELING. THIS COMBINED TREATMENT REGIMEN HELPS TO ADDRESS THE MIND-BODY CONNECTION AND TEACHES THE CHILD HOW RELAXATION AND STRESS MANAGEMENT CAN HELP WITH LONG-TERM PAIN MANAGEMENT. MEDICAL CARE FOCUSES ON REDUCING AND ULTIMATELY ELIMINATING PAIN MEDICATIONS. TREATMENT INCLUDES INTENSE EXERCISE THERAPY TO THE AREA(S) AFFECTED BY THE PAIN SYNDROME. THIS TREATMENT HELPS TO BREAK THE CYCLE OF PAIN AND DESENSITIZES THE NERVES. IT PROMOTES INCREASED STRENGTH, ENDURANCE AND AGILITY, AND REDUCES HYPERSENSITIVITY. TREATMENT SESSIONS ARE INDIVIDUALIZED, AND EACH CHILD IS EDUCATED ON HOW TO PROGRESS HIS OR HER ACTIVITIES AND HOME EXERCISE PROGRAM ONCE DISCHARGED FROM THE PROGRAM.THE FUNCTIONAL FEEDING PROGRAM AT THE CHILDREN'S INSTITUTE ALSO GARNERS NATIONAL ATTENTION AS ONE OF OUR SPECIALTY REHABILITATION PROGRAMS. IT PROVIDES INPATIENT AND OUTPATIENT EVALUATION AND TREATMENT FOR CHILDREN WITH MILD TO SEVERE FEEDING CONCERNS. MANY OF OUR FUNCTIONAL FEEDING PATIENTS ARE TODDLERS IN REHABILITATION FOLLOWING SMALL BOWEL AND MULTIVISCERAL TRANSPLANTS. THE FUNCTIONAL FEEDING TEAM TEACHES FAMILIES A VARIETY OF TECHNIQUES AND SKILLS TO HELP THEM MANAGE THEIR CHILDREN'S EATING IN A STEP-BY-STEP PROCESS. FAMILY INVOLVEMENT AND TRAINING IS CRITICAL TO TREATMENT SUCCESS AND FAMILIES ARE ENCOURAGED TO ACTIVELY PARTICIPATE IN THEIR CHILDREN'S THERAPY SESSIONS. FAMILIES ALSO ARE TRAINED ON HOW TO CARRY ON THEIR CHILDREN'S FEEDING TREATMENT PROGRAM AT HOME. FOR NEARLY 50 YEARS, THE CHILDREN'S INSTITUTE HAS BEEN A PIONEER IN PEDIATRIC BRAIN INJURY REHABILITATION. SPECIAL REHABILITATION FOR CHILDREN WITH ACQUIRED BRAIN INJURIES IS ESSENTIAL BECAUSE OF THE VAST DIFFERENCES BETWEEN TREATMENT OF ADULTS AND CHILDREN. BECAUSE CHILDREN ARE STILL GROWING AND DEVELOPING, THE CHALLENGE IS TO MAINTAIN THE CHILD'S GROWTH AND DEVELOPMENT PATTERN, WHILE HELPING HIM OR HER REGAIN OPTIMAL FUNCTIONAL SKILLS. OUR BRAIN INJURY REHABILITATION PROGRAM RECENTLY EARNED DISTINCTION AS A COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) ACCREDITED PROGRAM. PART VI, LINE 6: FIRST, A HIGHLY-SKILLED, INTERDISCIPLINARY TEAM EVALUATES THE CHILD AND DEVELOPS AN INDIVIDUAL PATIENT TREATMENT PLAN. THE TEAM IS LED BY A CASE MANAGER WHO ENSURES THAT THE PROPER DISCIPLINES ARE INVOLVED. A TEAM TYPICALLY INCLUDES A PRIMARY CARE STAFF PHYSICIAN, A PHYSICAL THERAPIST, AN OCCUPATIONAL THERAPIST, A SPEECH-LANGUAGE THERAPIST, A COGNITIVE REHABILITATION THERAPIST, A NEUROPSYCHOLOGIST, A VOCATIONAL OR EDUCATIONAL THERAPIST, A SOCIAL WORKER, NURSES AND DIETITIAN. THE TEAM ALSO INCLUDES THE PATIENT'S FAMILY. THE FAMILY IS AN INTEGRAL PART OF THE CHILD'S RECOVERY PROCESS. ALL CLOSE FAMILY MEMBERS ARE ALLOWED - AND ENCOURAGED - TO PARTICIPATE IN ANY PHASE OF THE TREATMENT PLAN.OUR TEAM ALSO OFFERS EXPERT CARE IN SPINAL CORD INJURY REHABILITATION. INJURIES TO THE SPINAL CORD CAN PRODUCE RESULTS AFFECTING THE FUNCTION AND MOBILITY OF THE ENTIRE BODY AND RANGE FROM MILD AND TEMPORARY (LIKE NUMBNESS OR TINGLING) TO DISABLING AND PERMANENT (LIKE QUADRIPLEGIA). OUR SPINAL CORD INJURY REHABILITATION PROGRAM IS DESIGNED TO HELP OUR YOUNG PATIENTS REGAIN FUNCTION SO THAT THEY CAN BE AS INDEPENDENT AS POSSIBLE. AS WITH OUR OTHER PROGRAMS, A TRANSDISCIPLINARY APPROACH IS USED TO MOTIVATE AND ENGAGE BOTH THE PATIENT AND THE FAMILY.WHILE OUR REHABILITATION SERVICES ARE EXTENSIVE, SUPPLEMENTAL SERVICES ARE NECESSARY TO BEST MEET THE NEEDS OF THE CHILDREN AND FAMILIES WE SERVE. AS SUCH, THE CHILDREN'S INSTITUTE ALSO OFFERS EDUCATION AND SOCIAL SERVICES FOR CHILDREN WITH SPECIAL NEEDS. THE DAY SCHOOL AT THE CHILDREN'S INSTITUTE IS LICENSED BY THE PENNSYLVANIA DEPARTMENT OF EDUCATION AS AN APPROVED PRIVATE SCHOOL FOR CHILDREN AGES 2 THROUGH 21 WHO ARE CHALLENGED BY COMPLEX AND SEVERE DISABILITIES SUCH AS AUTISM, CEREBRAL PALSY AND/OR NEUROLOGICAL IMPAIRMENTS. IN FISCAL YEAR 2011, WE SERVED 186 STUDENTS FROM 67 SCHOOL DISTRICTS. PROJECT STAR, OUR SOCIAL SERVICE COMPONENT, PROVIDES FAMILY PLACEMENT, PRESERVATION/REUNIFICATION AND ENRICHMENT SERVICES TO CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2011, WE SERVED 1,330 CLIENTS THROUGH PROJECT STAR, MORE THAN EVER BEFORE. PART VI, LINE 5: AS THE ONLY FREE-STANDING, PEDIATRIC REHABILITATION HOSPITAL IN PENNSYLVANIA AND ONE OF ONLY 20 IN THE COUNTRY, THE HOSPITAL AT THE CHILDREN'S INSTITUTE OF PITTSBURGH IS ONE OF THE NATION'S PREMIER PEDIATRIC REHABILITATION SPECIALTY HOSPITALS. THE HOSPITAL PROVIDES COMPREHENSIVE, STATE-OF-THE-SCIENCE CARE ON AN INPATIENT AND OUTPATIENT BASIS FOR CHILDREN FROM BIRTH TO AGE 21, MANY OF WHOM HAVE NEEDS THAT CANNOT BE MET BY ANY OTHER AREA RESOURCE. ALTHOUGH THE NEEDS OF THE PATIENTS ARE VAST, THE STAFF HAS THE SAME GOAL FOR ALL-TO ENABLE EACH CHILD TO REALIZE HIS OR HER FULLEST POTENTIAL.THE CHILDREN'S INSTITUTE HAS EVOLVED OVER TIME TO MEET THE NEEDS OF THE COMMUNITY, AND ALONG WITH A REHABILITATION SPECIALTY HOSPITAL, TODAY IT ALSO OFFERS AN APPROVED PRIVATE SCHOOL AND SOCIAL SERVICE AGENCY. THE CHILDREN'S INSTITUTE IS ONE OF THE NATION'S LEADING CENTERS FOR PEDIATRIC REHABILITATION, COMPLEX MEDICAL CARE, EDUCATION FOR CHILDREN WITH SPECIAL NEEDS, AND FAMILY PLACEMENT, PRESERVATION, REUNIFICATION AND ENRICHMENT SERVICES. IN ADDITION TO PROVIDING DIRECT CARE SERVICES, ADVANCING KNOWLEDGE IN PEDIATRIC REHABILITATION, SPECIAL EDUCATION AND FAMILY PLACEMENT AND PRESERVATION IS A SIGNIFICANT ASPECT OF OUR MISSION. THAT'S WHY, UNLIKE MANY ORGANIZATIONS OF OUR SIZE, WE ENGAGE IN RESEARCH. IN JANUARY 2011, WE SHOWED AN INCREASED COMMITMENT TO THIS FIELD BY HIRING A FULL-TIME RESEARCH MANAGER. WITH GUIDANCE FROM THE RESEARCH MANAGER, STAFF FURTHERED THEIR ENGAGEMENT IN RESEARCH. RESEARCH TOPICS INCLUDED: -MOTIVATING THERAPY THROUGH TECHNOLOGY-QUANTIFICATION OF INORGANIC AND ORGANIC COMPOUNDS IN THE RED BLOOD CELLS OF CHILDREN WITH AUTISM AND CONTROLS ALONG WITH CORRELATION WITH AUTISM SEVERITY-THE EFFECTS OF RESISTANCE TRAINING PROGRAM ON METABOLIC PARAMETERS OF CHILDREN/ADOLESCENTS WITH PRADER-WILLI SYNDROME-A CLEAN SLEEPING UNIT FOR CHILDREN WITH AUTISMWE FURTHER DEMONSTRATED OUR INCREASED SUPPORT OF RESEARCH BY HOSTING THE ENVIRONMENTAL TOXICITY AND NEURODEVELOPMENTAL DISORDERS CONFERENCE IN PITTSBURGH IN JUNE 2011. THE DAY LONG RESEARCH CONFERENCE FEATURED NATIONAL EXPERTS AND PROVIDED AN OPPORTUNITY FOR PROFESSIONALS TO LEARN, NETWORK AND EARN VARIOUS CONTINUING EDUCATION CREDITS. BEYOND RESEARCH, STAFF MEMBERS HELP FURTHER THEIR FIELDS BY DONATING TIME, EXPERTISE AND RESOURCES TO SERVE IN BOARD LEADERSHIP POSITION WITH OTHER ORGANIZATIONS. SIGNIFICANT BOARD PLACEMENTS INCLUDE:-CO-CHAIR OF THE PRADER-WILLI SYNDROME ASSOCIATION (USA) BOARD-BOARD CHAIR OF THE BRAIN INJURY ASSOCIATION OF PENNSYLVANIA-BOARD CHAIR OF THE PA EHEALTH INITIATIVE (PAEHI)-EMPLOYMENT CHAIR/BOARD MEMBER OF THE SPECIAL LIBRARIES ASSOCIATION-BOARD MEMBER OF THE WESTERN PENNSYLVANIA HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION-BOARD MEMBER OF THE WESTERN PENNSYLVANIA HEALTH INFORMATION MANAGEMENT ASSOCIATIONWHILE WE OFFER SIGNIFICANT CONTRIBUTIONS TO PROFESSIONAL ORGANIZATIONS, WE ALSO PROVIDE RESOURCES FOR THE COMMUNITY AS A WHOLE. OUR EXPERT STAFF PRESENTS LECTURES AND WORKSHOPS LOCALLY, REGIONALLY AND NATIONALLY AT NO CHARGE. FOR THOSE IN THE PITTSBURGH AREA, THERE ALSO IS THE OPPORTUNITY TO ATTEND GRAND ROUNDS, A MONTHLY CONTINUING EDUCATION PROGRAM. THE CHILDREN'S INSTITUTE HOSTS AND SPONSORS A NUMBER OF PROGRAMS FOR THE COMMUNITY BEYOND THE AFOREMENTIONED SERIES. BECAUSE THE CHILDREN AND FAMILIES WE SERVE HAVE SPECIAL NEEDS, WE TAKE EXTRA CARE TO HELP THEM THROUGH CHALLENGING TIMES. FOR EXAMPLE, WE OFFER THE BRAIN INJURY SUPPORT GROUP, WHICH CREATES A NETWORK OF PEERS FOR OUR YOUNG PATIENTS RECOVERING FROM ACQUIRED BRAIN INJURY AND THEIR FAMILIES. WE ALSO HAVE SUMMER CAMPS EXCLUSIVELY DESIGNED TO MEET OUR KIDS' 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 LOSE THE TRAINING WHEELS PROGRAM THAT TEACHES CHILDREN WITH SPECIAL NEEDS HOW TO RIDE A BIKE WITHOUT TRAINING WHEELS.THE CHILDREN'S INSTITUTE ALSO ALLOWS A NUMBER OF OTHER COMMUNITY ORGANIZATIONS TO USE OUR FACILITY SPACE FOR MEETINGS AND ACTIVITIES AT NO CHARGE. GROUPS WHO HAVE TAKEN ADVANTAGE OF THIS SERVICE INCLUDE:-PRADER-WILLI SYNDROME ASSOCIATION (USA)-PITTSBURGH PALLIATIVE CARE COALITION-BEREAVEMENT SUPPORT GROUP-NATIONAL STUTTERING ASSOCIATION-MUSCULAR DYSTROPHY ASSOCIATION'S AMYOTROPIC LATERAL SCLEROSIS SUPPORT GROUP-NATIONAL ALLIANCE ON MENTAL HEATH FAMILY TO FAMILY CLASS-INSTITUTE OF PEER EDUCATION-SQUIRREL HILL URBAN COALITION-SQUIRREL HILL WRITERS GROUP-STEPS TO INDEPENDENCE CONDUCTIVE EDUCATION-ASPERGER'S TEEN SUPPORT GROUP-DUCHENNE MUSCULAR DYSTROPHY SUPPORT GROUP-FAMILY MEDIATION COUNCIL -GIRLS SCOUTS-LOSE THE TRAINING WHEELS-S.M.A.R.T. ADULT AUTISM SOCIAL GATHERING-CHILDREN'S SICKLE CELL FOUNDATION-SOUTHWEST PA SPEECH & HEARING ASSOCIATION THE REACH OF THE CHILDREN'S INSTITUTE GOES FAR BEYOND THE ORGANIZATION'S OWN WORK BY PROVIDING SUPPORT FOR OTHER LIKE-MINDED ORGANIZATIONS SEEKING TO IMPROVE OUR COMMUNITY. MOST SIGNIFICANTLY, THE CHILDREN'S INSTITUTE CURRENTLY SERVES AS THE HOST AND FIDUCIARY AGENT FOR WOMEN FOR A HEALTHY ENVIRONMENT. THE 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 EDUCATION, RESEARCH, OUTREACH AND SERVICES PROVIDED BY THE CHILDREN'S INSTITUTE ARE STRATEGICALLY DESIGNED TO BENEFIT THE COMMUNITY WE SERVE. IN FY 11, THE COST OF PROVIDING SUCH PROGRAMS AND SERVICES ACCOUNTED FOR APPROXIMATELY 11 PERCENT OF OUR OPERATING BUDGET.THE CHILDREN'S INSTITUTE OF PITTSBURGH IS, AND HAS BEEN, A SIGNIFICANT RESOURCE FOR CHILDREN, FAMILIES, CAREGIVERS, EDUCATORS AND PHYSICIANS. AS A TAX EXEMPT ORGANIZATION SUPPORTED OF PRIVATE AND GOVERNMENT FUNDING, THE CHILDREN'S INSTITUTE CONTINUES TO RESPOND TO THE EMERGING NEEDS OF THE COMMUNITY-AND OF CHILDREN. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 DAVID K MILES 219012 0 33217 0 11837 0 0 0 16159 0 280225 0 0 0 JODY MULVIHILL 131764 0 19892 0 1120 0 0 0 8370 0 161146 0 0 0 JANE TEITZ-KEIM 162592 0 27865 0 773 0 0 0 15818 0 207048 0 0 0 MARYANNE HENDERSON 189017 0 24700 0 918 0 14268 0 16005 0 244908 0 0 0 TIMOTHY J BITTNER 145782 0 28029 0 1275 0 0 0 17855 0 192941 0 0 0 CYNTHIA SMITH MD 179048 0 0 0 1590 0 0 0 3370 0 184008 0 0 0 EWA BRANDYS MD 174463 0 0 0 564 0 11761 0 7639 0 194427 0 0 0 SCOTT FABER MD 166384 0 0 0 796 0 0 0 17994 0 185174 0 0 0 GREGORY CHERPES MD 167299 0 0 0 519 0 0 0 8615 0 176433 0 0 0 ANDREW DRAZDIK 132611 0 0 0 1694 0 0 0 17596 0 151901 0 0 0 PART I, LINE 1A THE CHIEF EXECUTIVE OFFICER HAS A MEMBERSHIP TO A SOCIAL CLUB IN THE REGION FOR WHICH THE ORGANIZATIONS 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 FISCAL YEAR 2011. SUPPLEMENTAL INFORMATION PART III 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 AND NOT AN INDIVIDUAL PARTICIPANT BASIS. ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AB96 2005-06-22 15155000 FACILITY PURCHASE AND RENOVATION 0 0 0 ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AC20 2005-06-22 10105000 FACILITY PURCHASE AND RENOVATION 0 0 0 15155000 144264 15010736 2008 0 0 0 0 10105000 96192 10008808 2008 0 0 0 0 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 1 1 1 LEHMAN BROTHERS SPECIAL FINANCING 25.000000000000 0 0 0 0 0 1 1 1 PNC CAPITAL MARKETS 0 0 0 0 0 SCHEDULE K SUPPLENTAL INFORMATION CI HAS ENTERED INTO INTEREST RATE SWAP AGREEMENTS WITH NOTIONAL AMOUNTS TOTALING $14,130,000 AT JUNE 30, 2010. DURING THE TERM OF THESE TRANSACTIONS, THE FIXED-RATE SWAP CONVERTS DEBT FROM A WEEKLY SECURITIES INDUSTRY AND FINANCIAL MARKETS ASSOCIATION (SIFMA) VARIABLE RATE TO A FIXED RATE OF 4.005%. THE SWAP FOR THE SERIES B BOND EXPIRED ON JUNE 1, 2010 AND THE SWAP AGREEMENT FOR THE SERIES A BOND WAS TERMINATED DECEMBER 16, 2010. THE SETTLEMENT RESULTED IN APPROXIMATELY $1,020,000 GAIN SHOWN IN THE CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS ON THE STATEMENT OF OPERATIONS. 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. PNC BANK BOARD VICE CHAIRMAN 436544 SEE SCH O MICHAEL J. HANNON IS THE EXECUTIVE VICE PRESIDENT AND CHIEF CREDIT OFFICER OF PNC BANK. PNC BANK PROVIDES FINANCIAL SERVICES TO CHILDREN'S INSTITUTE. THIS TRANSACTION WAS REVIEWED IN ACCORDANCE WITH, AND COMPLIES WITH, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. IN ADDITION, THE TRANSACTION WAS CONDUCTED AT FAIR MARKET VALUE. 0 X 7 6192 FAIR MARKET VALUE X SUNDRY ITEMS 176 0 N/A 0 0 0 1 THIRD PARTY USE: PART I, LINE 32B: THE ORGANIZATION USES AN UNRELATED THIRD PARTY BROKERAGE FIRM TO SELL PUBLICLY TRADED SECURITIES. ALL OTHER NONCASH CONTRIBUTIONS ARE USED TO FULFILL THE ORGANIZATION'S EXEMPT MISSION. NON REPORTING OF REVENUE: PART I, LINE 33: VARIOUS GIFTS OF NONCASH PROPERTY WERE RECEIVED FROM THE COMMUNITY AT LARGE DURING THE FISCAL YEAR. THE VALUE OF THESE ITEMS WAS NOT MATERIAL TO THE FINANCIAL STATEMENTS AND THEREFORE WAS NOT INCLUDED IN REVENUE. ITEMS INCLUDED CHILDREN'S TOYS, BOOKS, CLOTHING, TICKETS AND MISCELLANEOUS EQUIPMENT. DURING THE YEAR, THE ORGANIZATION RECEIVED 9 CONTRIBUTIONS OF STOCK VALUED AT $239,152 IN SATISFACTION OF PRIOR YEAR PLEDGES THAT WERE RECORDED IN PRIOR YEAR FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 4 THE CHILDREN'S INSTITUTE OF PITTSBURGH AMENDED ITS ORGANIZATIONAL DOCUMENTS ON JANUARY 20, 2011. A SUMMARY OF THE CHANGES ARE AS FOLLOWS: -THE NUMBER OF YEARS WAS REDUCED FROM THREE TO ONE WHERE A MEMBER MUST ROTATE OFF THE BOARD BEFORE BEING INVITED TO REJOIN. -THE NUMBER OF MEETINGS HELD PER YEAR WAS CHANGED FROM NINE TO SIX. -THE COMMITTEE ON DIRECTORS WAS RENAMED THE GOVERNANCE COMMITTEE. -THE GOVERNANCE COMMITTEE MUST ANNUALLY REVIEW THE BYLAWS AND PROPOSE CHANGES AS NECESSARY. -THE QUARTERLY COMMITTEE MUST OVERSEE THE CORPORATE COMPLIANCE PROGRAM. -THE NAME OF THE GOVERNMENT/PAYOR RELATIONS COMMITEE WAS CHANGED TO GOVERNMENT RELATIONS COMMITTEE. 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 (CHAIRED BY AN EXEMPT ORGANIZATION EXPERT) 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, AND APPLIES TO ALL EMPLOYEES. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST BE PROMPTLY REPORTED TO THE EMPLOYEE'S SUPERVISOR OR THE COMPLIANCE OFFICER. EMPLOYEES SHALL NOT UNDERTAKE ANY ACTIVITY THAT IS AIMED AT, OR THAT COULD REASONABLY HAVE THE EFFECT OF, INTERFERING WITH THE FUNCTIONING OF THE CHILDREN'S INSTITUTE. ANY OUTSIDE ACTIVITY, SUCH AS A SECOND JOB OR SELF-EMPLOYMENT, MUST BE KEPT TOTALLY SEPARATE FROM EMPLOYMENT WITH THE CHILDREN'S INSTITUTE. THE CHILDREN'S INSTITUTE BOARD OF DIRECTORS HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL BOARD MEMBERS. IN ADDITION, ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. BOARD MEMBERS THAT HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT RELATED TO CERTAIN BUSINESS RELATIONSHIPS AND TRANSACTIONS TO ASSIST IN THE PREPARATION OF A COMPLETE AND ACCURATE FORM 990. FORM 990, PART VI, SECTION B, LINE 15 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 15,567,242. UNREALIZED GAIN ON PENSION BENEFIT PLAN COSTS 6,124,547. TOTAL TO FORM 990, PART XI, LINE 5: 21,691,789. 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.