2016-04-18T08:38:18-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 251865744 CHILDRENS HOSPITAL OF PITTSBURGH FOUNDATION CHIL 4126923900 4401 PENN AVE CENTRAL PLANT FLR 3 PITTSBURGH PA 15224 NICHOLAS J BARCELLONA TREASURER/CFO 4126923900 2016-04-14 1 JULIUS GREEN CPA P00350393 2159720701 2014 2016-08-17 19:52:53Z J GREGORY BARRETT 4401 PENN AVE CENTRAL PLANT FLR 3 PITTSBURGH PA 15224 84530183 0 X WWW.GIVETOCHILDRENS.ORG X 2000 PA TO PROVIDE FINANCIAL SUPPORT TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC. 34 32 48 658 -67986 -67986 18337278 19113467 0 0 16244981 11649662 180101 259612 34762360 31022741 18855553 18293619 0 0 3249849 4073620 0 0 4073822 2377428 1873160 24482830 24240399 10279530 6782342 269270285 262668561 2287500 2497571 266982785 260170990 X TO PROVIDE FINANCIAL SUPPORT TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC. 0 0 16538339 16538339 ANNUAL FUNDING FOR CHP: CHILDRENS HOSPITAL OF PITTSBURGH FOUNDATION (FOUNDATION) IS THE SOLE FUNDRAISING ARM OF CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC (CHILDRENS). 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. CHILDRENS 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 CHILDRENS. 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 CHILDRENS HOSPITAL'S ABILITY TO TRANSFORM YOUNG LIVES THROUGH UNPARALLELED CARE AND DEEP COMPASSION. ROOTED IN PHILANTHROPY, CHILDRENS IS SUSTAINED BY GENEROUS COMMUNITY SUPPORT, SETTING THE STANDARDS OF EXCELLENCE IN PEDIATRIC CARE. IN FY 2015, THE FOUNDATION CONTRIBUTION IN EXCESS OF $18 MILLION TO THE HOSPITAL IN SUPPORT OF RESEARCH, CLINICAL PROGRAMS, MEDICAL EDUCATION AND FUNDS FOR FREE CARE.FOR MORE THAN 120 YEARS, CHILDRENS 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, CHILDRENS CARES FOR INFANTS, CHILDREN, AND ADOLESCENTS WHO MAKE MORE THAN 1 MILLION VISITS TO OUR HOSPITAL, ITS MANY NEIGHBORHOOD LOCATIONS, AND CHILDRENS COMMUNITY CARE PEDIATRIC PRACTICES EACH YEAR. IN FY 2015, CHILDRENS HAD 12,432 INPATIENT STAYS, 8,293 OBSERVATION STAYS, 79,980 EMERGENCY DEPARTMENT VISITS, 23,534 SURGERIES, AND MORE THAN 1 MILLION OUTPATIENT VISITS.WITH A MEDICAL STAFF OF OVER 700, CHILDRENS PROVIDES CARE ALONG THE FULL SPECTRUM OF PEDIATRIC SUBSPECIALTIES FROM ALLERGIES TO WEIGHT MANAGEMENT AND WELLNESS. CHILDRENS 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.CHILDRENS 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 2013-2014. CHILDRENS ALSO LEADS THE WAY IN ADVANCED TECHNOLOGY, WITH SEVERAL ACCOMPLISHMENTS BASED ON OUR ADOPTION OF A FULLY INTEGRATED ELECTRONIC MEDICAL RECORD. IN 2009, CHILDRENS 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 CHILDRENS 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, CHILDRENS 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, CHILDRENS 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 CHILDRENS 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.CHILDRENS HAS THE REGION'S ONLY STATE-ACCREDITED LEVEL I PEDIATRIC TRAUMA CENTER AND HAS ONE OF THE BUSIEST EMERGENCY DEPARTMENTS, TREATING MORE THAN 79,900 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.CHILDRENS HAS ONE OF THE FASTEST GROWING, NATIONAL INSTITUTES OF HEALTH-FUNDED (NIH) PEDIATRIC RESEARCH PROGRAMS IN THE COUNTRY. PEDIATRIC RESEARCH PROGRAMS AT CHILDRENS AND THE UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE RANKED TENTH IN NUMBER OF GRANTS FROM THE NIH FOR FISCAL YEAR 2014. 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), CHILDRENS 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.CHILDRENS PEDIATRIC RESIDENCY PROGRAM IS AMONG THE MOST RESPECTED IN THE COUNTRY, WITH 84 CATEGORICAL RESIDENTS, 16 INTERNAL/MEDICINE RESIDENTS AND 9 TRIPLE BOARD RESIDENTS.CHILDRENS HOSPITAL SERVES MORE THAN 29 COUNTIES IN WESTERN PENNSYLVANIA AND SEVERAL COUNTIES THROUGHOUT OHIO AND WEST VIRGINIA. IN ADDITION TO THE HOSPITAL, CHILDRENS OFFERS THE FOLLOWING: -AMBULATORY CARE CENTERS- CHILDRENS EAST(MONROEVILLE), CHILDRENS NORTH (WEXFORD) SEWICKLEY, CHILDRENS SPINE CENTER, AND CHILDRENS 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.-CHILDRENS SOUTH - IN SEPTEMBER 2014, CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC OPENED AN OUTPATIENT SATELLITE LOCATION CALLED CHILDRENS 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 CHILDRENS OAKLAND MEDICAL BUILDING, TURTLE CREEK AND UPMC MERCY HEALTH CENTER, WHICH PROVIDES 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 CHILDRENS 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 CHILDRENS WORLD-CLASS INTENSIVISTS, WHEN COMPLEX CRITICAL CARE EXPERTISE IS NEEDED.-TWO CRITICAL CARE SPECIALTIES HAVE DEVELOPED INTERNATIONAL PROGRAMS IN SOUTH AMERICA AND ITALY.-CHILDRENS COMMUNITY CARE PEDIATRIC (CCP) IS THE LARGEST PEDIATRIC AND ADOLESCENT PRIMARY CARE MEDICAL NETWORK IN WESTERN PENNSYLVANIA, WITH 38 PRACTICE LOCATIONS, 2 PEDIATRIC DERMATOLOGY LOCATIONS AND 8 EXPRESS CARE LOCATIONS IN 11 COUNTIES. CCP HAS MORE THAN 200,000 ACTIVE PATIENTS AND HAS OVER 630,000 VISITS ANNUALLY. CCP PROVIDES: -EASY ACCESS TO PRIMARY CARE AT CONVENIENT NEIGHBORHOOD LOCATIONS -MORE THAN 150 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 THROUG 1755280 1755280 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. CHILDRENS 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 2015, WHICH ENDED JUNE 30, 2015, CHILDRENS PROVIDED MORE THAN $23.1 MILLION IN FREE AND UNCOMPENSATED CARE. 18293619 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 48 0 0 0 0 0 0 1 1 0 0 0 0 X 34 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 MARY M BOLAND TRUSTEE 1.00 X 0 0 0 LESLIE W BRAKSICK PHD TRUSTEE 0.50 X 0 0 0 RUSSELL L CERSOSIMO TRUSTEE 1.00 X 0 0 0 LALIT CHORDIA PHD TRUSTEE 1.00 X 0 0 0 JAY W CLEVELAND JR CHAIR 4.00 X 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 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 HOLZER TRUSTEE 2.50 X 0 0 0 LAURA SHAPIRA KARET TRUSTEE 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 GEORGE V MAZARIEGOS TRUSTEE 1.00 X 0 0 0 VANESSA OPPERMAN MOREHOUSE TRUSTEE 1.00 X 0 0 0 MARTHA HARTLE-MUNSCH ESQ TRUSTEE 1.00 X 0 0 0 DENISE M PAMPENA TRUSTEE 2.50 X 0 0 0 DOROTHY J POLLON TRUSTEE 2.50 X 0 0 0 JOHN G RANGOS SR TRUSTEE 1.00 X 0 0 0 CLIFFORD R ROWE JR VICE-CHAIR 3.50 X X 0 0 0 C LANCE RUTTENBERG TRUSTEE 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 J GREGORY BARRETT CHPF PRESIDENT 40.00 X X 399516 0 37118 RACHEL A PETRUCELLI SECRETARY/VP OF DEVELOPMEN 40.00 X 192054 0 30145 NICHOLAS J BARCELLONA TREASURER/CFO 20.00 X 0 0 0 591570 0 67263 2 0 1 0 CHEMISTRY COMMUNICATIONS HENRY W OLIVER BLDG SUITE 230 PITTSBURGH PA 15222 MEDIA 340492 SOMETHING NEW FLORIST 4500 BOARDMAN CANFIELD ROAD CANFIELD OH 44406 CONSULTANTS 228000 2 984194 18129273 1154757 19113467 3195980 -67986 3263966 61056845 52603163 8453682 8453682 8453682 1099006 984194 885930 213076 213076 64885 18349 46536 46536 31022741 0 -67986 11977260 18293619 18293619 1197191 320847 876344 2035076 558052 1477024 620835 167529 453306 220518 60024 160494 7855 7855 34750 34750 516048 516048 164432 60169 104263 149926 149926 120249 81348 38901 76927 76927 160583 160583 87982 87982 21499 6483 15016 2983 2983 12178 12178 PRINTING & POSTAGE 216054 216054 DUES & LICENSES 89807 0 89807 BAD DEBT EXPENSE 62402 62402 MEALS & ENTERTAINMENT 57430 57430 92055 44692 47363 24240399 18293619 1872958 4073822 500 500 20163791 21842333 7000752 10363714 992960 992215 3728 745 162199914 152325986 67216224 65558765 12685376 12576518 269270285 262668561 54100 2287500 2443471 2287500 2497571 X 131052395 124293186 75494352 76605338 60436038 59272466 266982785 260170990 269270285 262668561 X 6782342 -11404578 -2189559 X 0 1 X 1 0 X 13050841 14835131 13621387 18337278 19113467 78958104 13050841 14835131 13621387 18337278 19113467 78958104 551214 78406890 4087303 4346875 3577578 3341463 3195980 18549199 -67986 -67986 97439317 0.80470 0.76690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 245097836 4707709 -86155 15123970 515880 234079540 211525864 5493102 42891580 14413001 399709 245097836 208269324 7981537 28244322 32525756 443563 211525864 242591022 7023193 -11352852 29280803 711236 208269324 195587186 11535487 49685400 13595525 621526 242591022 0.53000 0.21000 0.26000 0 0 537114 537114 0 435 435 0 455411 454666 745 745 PRIVATE EQUITY PARTNERSHIP 24822115 F UPMC LONG-SHORT STRATEGY 33070788 F DISTRESSED DEBT FUNDS 7665862 F 65558765 ANNUITIES-OTHER LT LIABILITIES 19395 ACCRUAL OPERATING FUNDING 1562293 ACCRUAL OPERATING EXPENSE 861783 2443471 X 17816836 -11404578 -2705607 -14110185 31927021 -904280 -904280 31022741 24628631 904280 904280 23724351 516048 516048 24240399 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, 2015 AND 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 5,458. INVESTMENT MANAGEMENT FEES -516,048. VALUATION (LOSS) GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -113,316. TRANSFER OF NET ASSETS TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC -2,081,701. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE -885,931. GAMING EXPENSES -18,349. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 885,931. GAMING EXPENSES 18,349. CARIBBEAN - GRAND CAYMAN 0 0 PORTFOLIO INVESTMENT 7665862 0 0 0 0 0 0 7665862 0 7665862 1 0 0 1 1 0 CHP 125TH CELEBRATION 956838 329688 627150 11006 31065 2825 434109 CHP 7TH GOLF OUTING 160092 74011 86081 9088 74016 20352 17225 12 966270 580495 385775 125277 32896 8495 119576 2083200 984194 1099006 9088 210299 84313 11320 570910 885930 213076 64885 12624 5725 0 64885 12624 5725 18349 46536 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 PGH OF UPMC 3705 FIFTH AVENUE PITTSBURGH PA 15213 250402510 501(C)(3) 17295598 998021 BOOK AND ESTIMATED NOMINAL COST TOYS, BOOKS, COMFORT ITEMS, OTHER ANNUAL FUNDRAISING SUPPORT, FREE CARE 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 MEET THE INTENDED PURPOSE OF THE FUNDS. ONCE THE EXPENDITURES ARE RECORDED ON THE HOSPITAL BOOKS, THE HOSPITAL REQUEST FOR REIMBURSEMENT FROM THE FOUNDATION. THE FOUNDATION MONITORED THE BALANCES OF THE FUNDS SO THERE IS NO DEFICITS IN ANY OF THE SPECIFIC PURPOSE FUNDS 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 271666 0 125000 0 2850 0 28003 0 9115 0 436634 0 0 0 RACHEL A PETRUCELLI SECRETARY/VP OF DEVELOPMEN 163410 0 28500 0 144 0 13502 0 16643 0 222199 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. THERE WERE NO DISTRIBUTIONS FROM THE PLAN IN CALENDAR YEAR 2014. PART I, LINE 7 CHPF 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 FINANICAL STRENGTH, LEADERSHIP DEVELOPMENT AND STRATEGIC BUSINESS INITIATIVES AMONG OTHER THINGS. SARAH HANNA WHITE DAUGHTER OF BOARD MEMBER HOWARD W. HANNA III 91700 SARAH IS PAID AS AN EMPLOYEE OF THE FOUNDATION. SARAH IS THE DAUGHTER OF A BOARD TRUSTEE. 0 X 23 515578 STOCK MARKET VALUE X AMENITIES 633 482443 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 ITEMS OR SECURITIES CONTRIBUTED. 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 HE 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 5,458. VALUATION (LOSS) GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -113,316. TRANSFER OF NET ASSETS TO CHILDRENS HOSPITAL OF PITTSBURGH OF UPMC -2,081,701.