2017-04-18T00:00:00-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-07-01 251865744 CHILDRENS HOSPITAL OF PITTSBURGH FOUNDATION CHIL 4126923900 4401 PENN AVE CENTRAL PLANT FLR 3 PITTSBURGH PA 15224 NICHOLAS J BARCELLONA TREASURER & CFO 4126923900 2017-04-19 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z J GREGORY BARRETT 4401 PENN AVE CENTRAL PLANT FLR 3 PITTSBURGH PA 15224 79802375 0 X WWW.GIVETOCHILDRENS.ORG X 2000 PA TO PROVIDE FINANCIAL SUPPORT TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC. 35 32 45 849 -183225 -183225 19113467 20610338 0 0 11649662 11600964 259612 -86743 31022741 32124559 18293619 19262878 0 0 4073620 4449854 0 408226 5525877 1873160 2140829 24240399 26261787 6782342 5862772 262668561 248962620 2497571 2497634 260170990 246464986 X TO PROVIDE FINANCIAL SUPPORT TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC. 0 0 17436063 17436063 ANNUAL FUNDING FOR CHP: CHILDREN'S HOSPITAL OF PITTSBURGH FOUNDATION (FOUNDATION) IS THE SOLE FUNDRAISING ARM OF CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC (CHILDREN'S). THROUGH TARGETED CAMPAIGNS, SPECIAL EVENTS, AND GRANTS, THE FOUNDATION RAISES MONEY TO SUPPORT THE HOSPITAL'S MISSION OF EXCELLENCE IN PATIENT CARE, TEACHING, AND RESEARCH. CHILDREN'S HAS BEEN A CHARITABLE INSTITUTION SINCE ITS INCEPTION AND REMAINS A NON-PROFIT ENTITY. TO ENSURE THE CONTINUATION OF ITS CHARITABLE MISSION, IN JULY 2000, THE FOUNDATION WAS ESTABLISHED AS A SUBSIDIARY OF CHILDREN'S. IT THEN BECAME AN INDEPENDENT ORGANIZATION WHEN THE HOSPITAL MERGED WITH UPMC IN OCTOBER 2001. THROUGH THE FOUNDATION, GENEROUS DONATIONS LARGE AND SMALL FROM INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND COMMUNITY PARTNERS HAVE A DIRECT AND IMMEDIATE IMPACT ON CHILDREN'S HOSPITAL'S ABILITY TO TRANSFORM YOUNG LIVES THROUGH UNPARALLELED CARE AND DEEP COMPASSION. ROOTED IN PHILANTHROPY, CHILDREN'S IS SUSTAINED BY GENEROUS COMMUNITY SUPPORT, SETTING THE STANDARDS OF EXCELLENCE IN PEDIATRIC CARE. IN FY 2016, THE FOUNDATION CONTRIBUTION IN EXCESS OF $19 MILLION TO THE HOSPITAL IN SUPPORT OF RESEARCH, CLINICAL PROGRAMS, MEDICAL EDUCATION AND FUNDS FOR FREE CARE.FOR MORE THAN 125 YEARS, CHILDREN'S HAS BEEN A FIXTURE IN PITTSBURGH AND THE SURROUNDING TRI-STATE REGION. WHAT BEGAN IN 1890 AS A SINGLE COT ENDOWED BY THE ENTREPRENEURIAL SON OF A LOCAL PEDIATRICIAN, HAS GROWN INTO A WORLD-RENOWNED CHILDREN'S HOSPITAL DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF ALL CHILDREN.TODAY, CHILDREN'S CARES FOR INFANTS, CHILDREN, AND ADOLESCENTS WHO MAKE MORE THAN 1 MILLION VISITS TO OUR HOSPITAL, ITS MANY NEIGHBORHOOD LOCATIONS, AND CHILDREN'S COMMUNITY CARE PEDIATRIC PRACTICES EACH YEAR. IN FY 2016, CHILDREN'S HAD 12,549 INPATIENT STAYS, 8,772 OBSERVATION STAYS, 76,217 EMERGENCY DEPARTMENT VISITS, 24,026 SURGERIES, AND MORE THAN 1 MILLION OUTPATIENT VISITS.WITH A MEDICAL STAFF OF OVER 700, CHILDREN'S PROVIDES CARE ALONG THE FULL SPECTRUM OF PEDIATRIC SUBSPECIALTIES FROM ALLERGIES TO WEIGHT MANAGEMENT AND WELLNESS. CHILDREN'S TODAY IS A LEADER ON A NATIONAL SCALE IN A MULTITUDE OF PEDIATRIC SUB-SPECIALTIES, INCLUDING CARDIOLOGY, CARDIOTHORACIC SURGERY, DIABETES AND ENDOCRINOLOGY, HEMATOLOGY/ONCOLOGY, HEMATOLOGY, NEUROLOGY, NEUROSURGERY, ORGAN AND TISSUE TRANSPLANTATION, OTOLARYNGOLOGY (ENT), PULMONOLOGY, AND SURGERY. OUR NETWORK OF NEIGHBORHOOD LOCATIONS, AMBULATORY CARE CENTERS, PRIMARY AND SPECIALTY CARE PRACTICES, AND EXPRESS CARE CENTERS COVERS A MULTI-COUNTY REGION.CHILDREN'S IS CONSISTENTLY RANKED AMONG THE BEST CHILDREN'S HOSPITALS AND IS ONE OF 10 PEDIATRIC HOSPITALS IN THE UNITED STATES NAMED TO U.S. NEWS & WORLD REPORT'S HONOR ROLL OF AMERICA'S "BEST CHILDREN'S HOSPITALS" FOR 2015-2016CHILDREN'S ALSO LEADS THE WAY IN ADVANCED TECHNOLOGY, WITH SEVERAL ACCOMPLISHMENTS BASED ON OUR ADOPTION OF A FULLY INTEGRATED ELECTRONIC MEDICAL RECORD. IN 2009, CHILDREN'S WAS RECOGNIZED AS THE FIRST PEDIATRIC HOSPITAL IN THIS COUNTRY TO ACHIEVE STAGE 7 RECOGNITION FROM HIMSS (HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY) ANALYTICS FOR ACHIEVING A VIRTUALLY PAPERLESS PATIENT RECORD ENVIRONMENT AND THE MOST COMPREHENSIVE USE OF ELECTRONIC MEDICAL RECORDS. ALL INPATIENT AND OUTPATIENT STAFF UTILIZES CHILDREN'S ERECORD FOR ORDER ENTRY, CLINICAL DECISION SUPPORT, MEDICATION BAR-CODING, CLINICIAN DOCUMENTATION AND RADIOLOGICAL IMAGES. STAGE 7 IS MEASURED BY CONFORMANCE OF THE ELECTRONIC HEALTH RECORD TO THE CONTINUITY OF CARE DOCUMENT, THE NEWLY ADOPTED INTERNATIONAL STANDARD FOR EXCHANGE OF CLINICAL INFORMATION.IN ADDITION CHILDREN'S HAS BEEN RECOGNIZED BY KLAS, AN INDEPENDENT HEALTH CARE RESEARCH ORGANIZATION, AS THE LEADER IN ITS USE OF HEALTH CARE INFORMATION TECHNOLOGY AMONG PEDIATRIC HOSPITALS IN THE UNITED STATES.IN JULY 2012, CHILDREN'S EARNED MAGNET RECOGNITION STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). MAGNET IS THE HIGHEST HONOR AN ORGANIZATION CAN RECEIVE FOR EXCELLENCE IN NURSING MAKING CHILDREN'S AMONG ONLY 6 PERCENT OF HOSPITALS NATIONWIDE TO HAVE ACHIEVED THIS PRESTIGIOUS DESIGNATION. ANCC'S MAGNET RECOGNITION PROGRAM RECOGNIZES HEALTH CARE ORGANIZATIONS FOR QUALITY PATIENT CARE, NURSING EXCELLENCE, AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE.CHILDREN'S HAS THE REGION'S ONLY STATE-ACCREDITED LEVEL I PEDIATRIC TRAUMA CENTER AND HAS ONE OF THE BUSIEST EMERGENCY DEPARTMENTS, TREATING MORE THAN 76,200 CHILDREN IN THE LAST FISCAL YEAR. SUBSPECIALISTS IN ALL PEDIATRIC MEDICAL AND SURGICAL DISCIPLINES PROVIDE THE HIGHEST LEVEL OF CARE TO EVERY PATIENT AND FAMILY.CHILDREN'S HAS ONE OF THE FASTEST GROWING, NATIONAL INSTITUTES OF HEALTH-FUNDED (NIH) PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. ACTIVE RESEARCH PROGRAMS RANGE FROM STEM CELL BIOLOGY AND REGENERATIVE MEDICINE TO NOVEL STRATEGIES FOR TREATING PEDIATRIC CANCER. THE JOHN G. RANGOS SR. RESEARCH CENTER, OPENED IN 2008, HOUSES A 10-STORY, 300,000-SQUARE-FOOT RESEARCH FACILITY. IN COLLABORATION WITH THE UNIVERSITY OF PITTSBURGH'S PETER M. WINTER INSTITUTE FOR SIMULATION, EDUCATION AND RESEARCH (WISER), CHILDREN'S STATE-OF-THE-ART PEDIATRIC SIMULATION CENTER INCORPORATES LIFE-LIKE SIMULATORS AND MULTI-TASK TRAINERS THAT ALLOW HEALTH CARE PROFESSIONALS TO RECOGNIZE AND MANAGE A WIDE ASSORTMENT OF PEDIATRIC-RELATED MEDICAL SITUATIONS. IT ALSO IS USED TO IMPART VITAL SKILLS SUCH AS INTUBATION, LUMBAR PUNCTURE, IV INSERTION, IV BLOOD DRAW, ARTERIAL BLOOD DRAW, AND BLADDER CATHETERIZATION.CHILDREN'S PEDIATRIC RESIDENCY PROGRAM IS AMONG THE MOST RESPECTED IN THE COUNTRY, WITH 88 CATEGORICAL RESIDENTS, 16 INTERNAL/MEDICINE RESIDENTS AND 9 TRIPLE BOARD RESIDENTS. CHILDREN'S HOSPITAL SERVES MORE THAN 29 COUNTIES IN WESTERN PENNSYLVANIA AND SEVERAL COUNTIES THROUGHOUT OHIO AND WEST VIRGINIA. IN ADDITION TO THE HOSPITAL, CHILDREN'S OFFERS THE FOLLOWING: -AMBULATORY CARE CENTERS- CHILDREN'S EAST (MONROEVILLE), CHILDREN'S NORTH (WEXFORD) SEWICKLEY, CHILDREN'S PINE CENTER, AND CHILDREN'S SOUTH (BRIDGEVILLE), FOR ROUTINE PROCEDURES AND DIAGNOSTICS-EXPRESS CARE CENTERS IN BRIDGEVILLE, LAWRENCEVILLE, MONROEVILLE, AND WEXFORD, WHICH OFFER FAMILIES ACCESS TO CONVENIENT AND IMMEDIATE CARE FOR INFANTS, CHILDREN, AND TEENS AFTER HOURS AND ON WEEKENDS FOR TREATMENT OF MINOR INJURIES AND ILLNESSES.-CHILDREN'S SOUTH - IN SEPTEMBER 2014, CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC OPENED AN OUTPATIENT SATELLITE LOCATION CALLED CHILDREN'S SOUTH. THE NEW LOCATION PROVIDES PEDIATRIC OUTPATIENT SERVICES, PRIMARY CARE, AND AFTER-HOURS CARE IN ONE HIGHLY VISIBLE, KID AND FAMILY-FRIENDLY, EASILY ACCESSIBLE 60,000 SQUARE FEET LEED CERTIFIED BUILDING ON 2.6 ACRES. -PRIMARY CARE CENTERS IN CHILDREN'S OAKLAND MEDICAL BUILDING AND TURTLE CREEK, WHICH PROVIDE COMPREHENSIVE HEALTH SERVICES, INCLUDING SICK VISITS AND WELL-CHILD VISITS, TO INFANTS, CHILDREN, AND ADOLESCENTS THROUGHOUT THE PITTSBURGH REGION-SPECIALTY CARE CENTERS WHICH PROVIDE THE EXPERTISE OF CHILDREN'S HOSPITAL'S RENOWNED EXPERTS IN CONVENIENT NEIGHBORHOOD LOCATIONS IN THE NOTED PEDIATRIC SPECIALTIES: -CHIPPEWA (CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, NEPHROLOGY, PULMONARY MEDICINE AND PFT TESTING), -HERMITAGE (CARDIOLOGY, GENERAL AND THORACIC SURGERY, ENDOCRINOLOGY, NEUROLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, DOWN SYNDROME CENTER, HEMATOLOGY/ONCOLOGY, AND PULMONARY MEDICINE), -ERIE (ENDOCRINOLOGY, GASTROENTEROLOGY, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, AND PULMONARY MEDICINE), -JOHNSTOWN (CARDIOLOGY, NEUROLOGY, GENERAL AND THORACIC SURGERY, ENDOCRINOLOGY, GASTROENTEROLOGY, OTOLARYNGOLOGY, NEPHROLOGY, AND PULMONARY MEDICINE) -WHEELING, WV (CARDIOLOGY, GASTROENTEROLOGY, GENERAL AND THORACIC SURGERY, HEMATOLOGY/ONCOLOGY, NEUROLOGY, OTOLARYNGOLOGY, UROLOGY, ORTHOPEDIC SURGERY-REMOTE CONSULTATION FOR PEDIATRIC PATIENTS IN CRITICAL CARE UNITS LOCATED AROUND THE WORLD IS OFFERED BY CHILDREN'S WORLD-CLASS INTENSIVISTS, WHEN COMPLEX CRITICAL CARE EXPERTISE IS NEEDED.-TWO CRITICAL CARE SPECIALTIES HAVE DEVELOPED INTERNATIONAL PROGRAMS IN SOUTH AMERICA AND ITALY.-CHILDREN'S COMMUNITY CARE PEDIATRIC (CCP) IS THE LARGEST PEDIATRIC AND ADOLESCENT PRIMARY CARE MEDICAL NETWORK IN WESTERN PENNSYLVANIA, WITH 40 PRACTICE LOCATIONS, 2 PEDIATRIC DERMATOLOGY LOCATIONS AND 7 EXPRESS CARE LOCATIONS IN 12 COUNTIES. CCP HAS MORE THAN 235,000 ACTIVE PATIENTS AND HAS OVER 660,000 VISITS ANNUALLY. CCP PROVIDES: -EASY ACCESS TO PRIMARY CARE AT CONVENIENT NEIGHBORHOOD LOCATIONS -MORE THAN 160 BOARD-CERTIFIED PHYSICIANS, PLUS DEDICATED PHYSICIANS' ASSISTANTS AND NURSE PRACTITIONERS -A WELL-CHILD CARE PHILOSOPHY FOR PREVENTION OF DISEASE AND INJURY -EXPERT TREATMENT FOR BOTH ACUTE AND CHRONIC PEDIATRIC CONDITIONS -SPECIALTY SERVICES INCLUDING BEHAVIORAL HEALTH, WEIGHT MANAGEMENT, AND LACTATION CONSULTANTS. -ACCESS TO WORLD-CLASS SPECIALISTS THROUGH ITS AFFILIATION WITH CHILDREN'S HOSPITAL 1826815 1826815 FREE CARE FUNDING: PARENTS FACE PLENTY OF WORRIES, BUT WHETHER OR NOT THEY CAN AFFORD THEIR CHILD'S HEALTH CARE SHOULD NEVER BE ONE OF THEM. CHILDREN'S PROVIDES CARE TO SICK CHILDREN IN OUR REGION, REGARDLESS OF THEIR FAMILIES' INSURANCE OR ABILITY TO PAY THROUGH THE GENEROUS DONATIONS MADE TO THE FREE CARE FUND.DURING THE FISCAL YEAR, WHICH ENDED JUNE 30, 2016 CHILDREN'S PROVIDED MORE THAN $20.8 MILLION IN FREE AND UNCOMPENSATED CARE. 19262878 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 1 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 45 1 1 1 0 0 0 0 1 1 0 0 0 0 X 35 32 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X NICHOLAS J BARCELLONA 4126923900 4401 PENN AVENUE CENTRAL PLANT FLR PITTSBURGH PA 15224 X JAY W CLEVELAND JR CHAIR 4.00 X X 0 0 0 CLIFFORD R ROWE JR VICE CHAIR 3.50 X X 0 0 0 J GREGORY BARRETT CHPF PRESIDENT 40.00 X X 440805 0 39539 MARY M BOLAND TRUSTEE (TERM 4/20/16) 1.00 X 0 0 0 RUSSELL L CERSOSIMO TRUSTEE 1.00 X 0 0 0 LALIT CHORDIA PHD TRUSTEE 1.00 X 0 0 0 RANDALL L CRAWFORD TRUSTEE 1.00 X 0 0 0 RONALD R DAVENPORT JR TRUSTEE 1.00 X 0 0 0 RANDALL S DEARTH TRUSTEE (BEGIN 10/28/15) 1.00 X 0 0 0 DOUGLAS P DICK TRUSTEE 1.00 X 0 0 0 MARY JO DIVELY ESQ TRUSTEE 1.00 X 0 0 0 LAWRENCE N GUMBERG TRUSTEE 2.50 X 0 0 0 JAMES L GUTTMAN TRUSTEE 2.50 X 0 0 0 HOWARD W HANNA III TRUSTEE 1.00 X 0 0 0 SYLVAN M HOLZER TRUSTEE 2.50 X 0 0 0 LAURA SHAPIRA KARET TRUSTEE (TERM 4/20/16) 1.00 X 0 0 0 B SCOTT KERN TRUSTEE 1.00 X 0 0 0 ARTHUR S LEVINE MD TRUSTEE 1.00 X 0 0 0 L DOUGLAS LIOON TRUSTEE 1.00 X 0 0 0 JOSEPH P LOHMAN TRUSTEE 1.00 X 0 0 0 RAMSEY LYONS TRUSTEE 1.00 X 0 0 0 GERALD F MACCLEARY TRUSTEE (BEGIN 7/29/15) 1.00 X 0 0 0 GEORGE V MAZARIEGOS MD FACS TRUSTEE 1.00 X 0 0 0 STEPHANIE MCMAHON TRUSTEE (BEGIN 7/29/15) 1.00 X 0 0 0 VANESSA OPPERMAN MOREHOUSE TRUSTEE 1.00 X 0 0 0 MARTHA H MUNSCH ESQ TRUSTEE 1.00 X 0 0 0 DENISE M PAMPENA TRUSTEE 2.50 X 0 0 0 DOROTHY J POLLON MBA JD TRUSTEE 2.50 X 0 0 0 JOHN G RANGOS SR TRUSTEE 1.00 X 0 0 0 C LANCE RUTTENBERG TRUSTEE 1.00 X 0 0 0 MARK G SCHOEPPNER TRUSTEE (BEGIN 7/29/15) 1.00 X 0 0 0 STEVE J SHANGOLD TRUSTEE 1.00 X 0 0 0 MARK A SNYDER TRUSTEE 1.00 X 0 0 0 REBECCA COST SNYDER TRUSTEE 1.00 X 0 0 0 JOHN A STALEY TRUSTEE 1.00 X 0 0 0 JOAN ROSSIN STEPHENS TRUSTEE 2.50 X 0 0 0 JOSEPH C WALTON TRUSTEE 1.00 X 0 0 0 RACHEL A PETRUCELLI SECRETARY/VP OF DEVELOPMENT 40.00 X 207129 0 30954 NICHOLAS J BARCELLONA TREASURER & CHIEF FINANCIAL OFFICER 20.00 X 0 0 0 647934 0 70493 2 0 1 0 SOMETHING NEW FLORIST INC 4500 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 CONSULTING SERVICES 412913 GRIZZARD COMMUNICATIONS GROUP INC 229 PEACHTREE STREET NE ATLANTA GA 30303 FUNDRAISING SERVICES 408226 GATESMAN AND DAVE INC 2730 SIDNEY STREET BLDG 2 PITTSBURGH PA 15203 ADVERTISING SERVICES 283424 CHEMISTRY COMMUNICATIONS INC HENRY W OLIVER BLDG SUITE 230 PITTSBURGH PA 15222 MEDIA SERVICES 244035 LEVY PREMIUM FOOD SERVICE 1000 FORT DUQUESNE BLVD PITTSBURGH PA 15222 CATERING SERVICES 190216 7 1519823 19090515 1159273 20610338 3535961 -183225 3719186 53967426 45902423 8065003 8065003 8065003 1610850 1519823 1756431 -145581 -145581 77800 18962 58838 58838 32124559 0 -183225 11697446 19262878 19262878 672034 108122 563912 2933599 472092 2461507 599979 95850 504129 244242 39305 204937 8206 8206 35785 35785 408226 408226 472390 472390 184697 82000 102697 137093 137093 130605 130605 29224 3635 25589 746 746 12635 12635 PRINTING & POSTAGE 381681 381681 DUES & LICENSES 299992 4539 295453 BAD DEBT EXPENSE 261537 261537 MEALS & ENTERTAINMENT 89999 89999 96239 634 95605 26261787 19262878 1473032 5525877 500 500 21842333 21026244 10363714 10751331 992960 992960 745 0 152325986 145628317 65558765 61000615 12576518 10555613 262668561 248962620 54100 38031 2443471 2459603 2497571 2497634 X 124293186 114005548 76605338 72294775 59272466 60164663 260170990 246464986 262668561 248962620 X 5862772 -18441566 -1127210 X 0 1 X 1 0 X 14835131 13621387 18337278 19113467 20610338 86517601 14835131 13621387 18337278 19113467 20610338 86517601 2278052 84239549 4346875 3577578 3341463 3195980 3719186 18181082 -67986 -183225 -251211 104447472 0.80650 0.80470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 234079540 7929101 -7174633 10260293 481754 224091961 245097836 4707709 -86155 15123970 515880 234079540 211525864 5493102 42891580 14413001 399709 245097836 208269324 7981537 28244322 32525756 443563 211525864 242591022 7023193 -11352852 29280803 711236 208269324 0.53000 0.23000 0.24000 0 0 537114 537114 0 435 435 0 455411 455411 0 0 PRIVATE EQUITY PARTNERSHIP 24473300 F UPMC LONG-SHORT STRATEGY 30717815 F DISTRESSED DEBT SECURITIES 5809500 F 61000615 ANNUITIES-OTHER LT LIABILITIES 16630 ACCRUAL FUNDING EXPENSE 1937958 ACCRUAL OPERATING EXPENSE 505015 2459603 X 13851993 -18441566 -1606394 -20047960 33899953 -1775393 -1775393 32124560 27564790 1775393 1775393 25789397 472390 472390 26261787 PART V, LINE 4: PROVIDE SUPPORT FOR CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT JUNE 30, 2016 AND 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -10,007. INVESTMENT MANAGEMENT FEES -472,390. VALUATION (LOSS) GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,083,898. OTHER TRANSFER OF NET ASSETS -40,099. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE -1,756,431. GAMING EXPENSES -18,962. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 1,756,431. GAMING EXPENSES 18,962. CARIBBEAN - GRAND CAYMAN 0 0 PORTFOLIO INVESTMENT 5809501 0 0 0 0 0 0 5809501 0 5809501 1 0 0 1 1 0 X X X X X X 1 GRIZZARD COMMUNICATIONS GROUP INC 229 PEACHTREE STREET NE ATLANTA GA 30303 SOLICITATION OF FUNDRAISING CONTRIBUTIONS 0 546942 408226 138716 546942 408226 138716 CHP 125TH CELEBRATION 1312777 409535 903242 6199 89772 199247 72018 850818 WALK 2016 498008 283208 214800 79241 12320 3556 69716 20 1319888 827080 492808 208648 69568 6650 88678 3130673 1519823 1610850 6199 377661 281135 82224 1009212 1756431 -145581 77800 14411 4551 0 77800 14411 4551 18962 58838 PA 0 HELD AT RIVERS CASINO 0 0 0 1.00000 BRIAN HARMAN 4401 PENN AVENUE CENTRAL PLANT FLR PITTSBURGH PA 15224 0 NA 0 1 CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC 3705 FIFTH AVENUE PITTSBURGH PA 15213 250402510 501(C)(3) 18849473 378435 BOOK AND ESTIMATED NOMINAL COST TOYS, BOOKS, COMFORT ITEMS, OTHER ANNUAL FUNDRAISING SUPPORT, FREE CARE EPILEPSY FOUNDATION WESTERN PENNSYLVANIA 1323 FORBES AVENUE SUITE 102 PITTSBURGH PA 15219 237241930 501(C)(3) 5000 0 FMV N/A MARDI GRAS GALA EVENT SPONSORSHIP PITTSBURGH MIDDLE EAST INSTITUTE 5 VON LENT PLACE PITTSBURGH PA 15232 263562819 501(C)(3) 6000 0 FMV N/A SPONSORSHIP FOR 8TH CONFERENCE CHILDREN'S BRAIN TUMOR FOUNDATION 1460 BROADWAY NEW YORK NY 10036 133512123 501(C)(3) 5000 0 FMV N/A DREAM AND PROMISE GALA SPONSORSHIP ELLY ROSE PRODUCTIONS 929 OSAGE ROAD PITTSBURGH PA 15243 465281145 5000 0 FMV N/A SPONSORING SHOW AND LUNCHEON TICKETS 4 1 PART I, LINE 2: THE HOSPITAL HAS MANAGERS/DIRECTORS WHO HAVE SIGNING AUTHORITY TO SPEND FOR THE SPECIFIC PURPOSE THAT THE FUNDS ARE INTENDED. THE HOSPITAL DOES SOX TESTING ON A QUARTERLY BASIS TO INSURE THAT THE SPENDING WAS APPROVED AND MEETS THE INTENDED PURPOSE OF THE FUNDS. ONCE THE EXPENDITURES ARE RECORDED ON THE HOSPITAL BOOKS, THE HOSPITAL REQUESTS FOR REIMBURSEMENT FROM THE FOUNDATION. THE FOUNDATION MONITORS THE BALANCES OF THE FUNDS SO THERE ARE NO DEFICITS IN ANY OF THE SPECIFIC PURPOSE FUNDS ON A MONTHLY BASIS. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 J GREGORY BARRETT CHPF PRESIDENT 277882 0 150000 0 12923 0 30188 0 9351 0 480344 0 9800 0 RACHEL A PETRUCELLI SECRETARY/VP OF DEVELOPMENT 176978 0 30000 0 151 0 13622 0 17332 0 238083 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS CLUB DUES ON BEHALF OF CERTAIN OFFICERS. THE CLUB MEMBERSHIPS ARE USED FOR FUNDRAISING PURPOSES AND MEETINGS WITH DONORS, THEREFORE WE CONCLUDE CLUB DUES PAID ARE CONSIDERED NOT TAXABLE. PART I, LINE 4B J. GREGORY BARRETT PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN. HE RECEIVED A DISTRIBUTION OF $9,800 FROM THE PLAN IN CALENDAR YEAR 2015. PART I, LINE 7 CHILDREN'S HOSPITAL OF PITTSBURGH FOUNDATION PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA. THESE CRITERIA DIRECTLY SUPPORT CHPF'S MISSION AND INCLUDE: COMMUNITY BENEFITS, OPERATION AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT AND STRATEGIC BUSINESS INITIATIVES AMONG OTHER THINGS. X 25 623994 STOCK MARKET VALUE X AMENITIES 827 378543 ESTIMATED NOMINAL CO X CONTRIBUTED SERVICES 1 156736 ESTIMATED NOMINAL CO 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS LISTED IN PART I, COLUMN (B) IS REPRESENTATIVE OF THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11 THE TREASURER/CFO PRESENTS THE COMPLETED FORM 990 TO THE FINANCE AND INVESTMENT COMMITTEE OF THE BOARD FOR THEIR REVIEW AND DISCUSSION. ONCE APPROVED BY THIS COMMITTEE, THE 990 IS MADE AVAILABLE TO THE OTHER BOARD MEMBERS VIA THE FOUNDATION'S WEBSITE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. ALL FORMS ARE SUBMITTED TO THE EXECUTIVE ASSISTANT OF THE PRESIDENT. IF NECESSARY FURTHER REVIEW IS PERFORMED BY LEGAL COUNSEL WHO WILL FOLLOW UP WITH BOARD MEMBERS AS NECESSARY TO RESOLVE POTENTIAL CONFLICTS. FOR ALL CONFLICTS IDENTIFIED, THE INTERESTED PERSONS ABSTAIN FROM DISCUSSION OF AND VOTE ON THE RELATED MATTER. ALL UPMC EMPLOYEES SIGN A CONFLICT OF INTEREST FORM. THE FORM IS SIGNED ELECTRONICALLY BY EACH EMPLOYEE IN THEIR MYHUB SCREENS. ALL INDIVIDUAL INTERESTS DISCLOSED PURSUANT TO THIS POLICY WILL BE INPUT INTO OR MAPPED TO THE ELECTRONIC WATCHLIST BY THE UPMC ETHICS AND COMPLIANCE DEPARTMENT. THE WATCHLIST WILL BE THE PRIMARY TOOL USED TO TRACK AND CROSS-CHECK ALL TYPES OF INTERESTS FOR PURPOSES OF IDENTIFYING, ASSESSING AND MANAGING POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED BY INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE EVALUATES INDIVIDUAL PERFORMANCE AND COMPARABLE INDUSTRY BENCHMARKS THROUGH WOODMARK TO ENSURE COMPENSATION IS WITHIN FMV RANGE FOR THE POSITION. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE PERSONNEL FILES. SALARY EVALUATIONS ARE DONE ANNUALLY BY CORPORATE HUMAN RESOURCE DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII: AS DESCRIBED IN PART III, LINE 4A WHEN THE HOSPITAL MERGED WITH UPMC THE FOUNDATION BECAME AN INDEPENDENT ORGANIZATION. HOWEVER THE FOUNDATION'S CORE MISSION IS TO SUPPORT THE HOSPITAL, SO THERE IS A STRONG RELATIONSHIP BETWEEN THE HOSPITAL AND THE FOUNDATION. THE FOUNDATION STAFF ARE PAID BY THE HOSPITAL AND THE HOSPITAL IS SUBSEQUENTLY REIMBURSED. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -10,007. VALUATION (LOSS) GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,083,898. OTHER CHANGES IN NET ASSETS PER FINANCIAL STATEMENTS -40,099. ROUNDING DIFFERENCE ON BEGINING NET ASSETS FOR RETURN 6,794.