2011-05-12T08:12:22-05:00 2010-06-30 SCHNEIDER DOWNS & CO INC 1133 PENN AVENUE PITTSBURGH PA 15222 990 2009-07-01 232935278 CHILDRENS INSTITUTE OF PITTSBURGH CHIL 4124202400 1405 SHADY AVENUE PITTSBURGH PA 152171360 DAVID K MILES 4124202400 2011-05-12 1 Susan M Kirsch 4122613644 2009 2016-02-24 21:20:13Z DAVID K MILES 1405 SHADY AVENUE PITTSBURGH PA 152171360 146360196 0 X WWW.AMAZINGKIDS.ORG X 1998 PA POST-ACUTE CARE PEDIATRIC SPECIALTY INPATIENT AND OUTPATIENT HOSPITAL SERVICES, APPROVED PRIVATE SCHOOL GRADES K-12 AND A SOCIAL SERVICE AGENCY PROVIDING INTENSIVE FAMILY SUPPORT, FOSTER CARE AND ADOPTION SERVICES. 24 21 638 395 31233 -23456 6081487 5070373 31554561 33756236 -17110832 8810303 0 20525216 47636912 0 0 26380554 28257995 162035 52000 964458 16152244 14799656 42694833 43109651 -22169617 4527261 126040247 139867766 43489588 49308145 82550659 90559621 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 38427256 33756236 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, 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 FISCAL YEAR 2010, IT SERVED 5,479 CHILDREN AND THEIR FAMILIES AND PROVIDED $5,550,641 IN UNCOMPENSATED CARE. AS A RESULT, THE AUDITED FINANCIAL STATEMENTS REFLECT AN OPERATIONAL LOSS OF $7,491,000. FROM ITS SQUIRREL HILL CAMPUS IN PITTSBURGH, PENNSYLVANIA, THE CHILDREN'S INSTITUTE OPERATES AN 81-BED LICENSED HOSPITAL THAT PROVIDES INPATIENT PEDIATRIC COMPREHENSIVE MEDICAL REHABILITATION AND A SPECIALTY INPATIENT UNIT FOR ITS 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 A SATELLITE LOCATION IN MONACA (BEAVER COUNTY). IN AN EFFORT TO BEST MEET THE NEEDS OF THE CHILDREN AND FAMILIES IT SERVES, 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. AND 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 IT SERVES. IN PREVIOUS YEARS, THE ORGANIZATION EVEN OFFERED ADULT REHABILITATION SERVICES. IN 1998, HOWEVER, THE ORGANIZATION RETURNED TO ITS CORE MISSION OF PROVIDING SERVICES FOR CHILDREN WITH SPECIAL NEEDS AND REORGANIZED AND INCORPORATED, WITH 1999 MARKING THE ORGANIZATION'S 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. THE ORGANIZATION NOW OFFERS SUBSTANTIAL SERVICES TO CHILDREN WITH COMPLEX MEDICAL NEEDS, WHICH EXTEND MEDICAL MANAGEMENT, INCLUDING ONCOLOGY, POST-ORGAN TRANSPLANTATION, CARDIAC/VENT-DEPENDENT AND WOUND MANAGEMENT. IN ADDITION, THERE HAS BEEN A SIGNIFICANT INCREASE IN THE DELIVERY OF OUTPATIENT SERVICES TO CHILDREN WITH AUTISM. INPATIENT ADMISSIONS: 1999: 268; 2010: 485; +81% CHANGEINPATIENT DAYS: 1999: 8,274; 2010: 14,002; +69% CHANGENUMBER OF OUTPATIENTS: 1999: 964; 2010: 2,397; +149% CHANGENUMBER OF OUTPATIENT UNITS: 999: 85,408; 20010: 117,865; +38% CHANGETHE DAY SCHOOL: IN SCHOOL YEAR 2009-2010, THE DAY SCHOOL SERVED 192 STUDENTS FROM MORE THAN 65 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. THE MEDICAL ACUITY OF STUDENTS WITH MULTIPLE DISABILITIES IS NOW MUCH HIGHER AND STUDENTS ARE MUCH MORE MEDICALLY FRAGILE AND FAR LESS INDEPENDENT. IN RESPONSE TO THE GROWING NUMBER OF STUDENTS WITH AUTISM, THE CHILDREN'S INSTITUTE ESTABLISHED THE SHEILA AND MILTON FINE CLASSROOMS FOR STUDENTS WITH AUTISM. THESE NINE CLASSROOMS ARE SPECIALLY DESIGNED TO MEET THE NEEDS OF THIS SPECIAL POPULATION.PROJECT STAR: PROJECT STAR'S MISSION IS TO PROMOTE THE RIGHT OF ALL CHILDREN TO GROW IN SAFE, NURTURING, LASTING FAMILIES. CELEBRATING ITS 25TH YEAR OF SERVICE TO THE COMMUNITY, PROJECT STAR PROVIDED FAMILY PLACEMENT, PRESERVATION/REUNIFICATION OR ENRICHMENT SERVICES FOR 940 CLIENTS IN FISCAL YEAR 2010. ADVANCING KNOWLEDGE IN PEDIATRIC REHABILITATION, SPECIAL EDUCATION AND FAMILY PLACEMENT AND PRESERVATION IS A SIGNIFICANT ASPECT OF OUR MISSION. IN FISCAL YEAR 2010, THE STAFF OF THE CHILDREN'S INSTITUTE DELVED DEEPER INTO RESEARCH, MANAGING A DOZEN RESEARCH PROJECTS.RESEARCH TOPICS INCLUDED: -ADVANCED MOBILITY AND COMMUNITY INTEGRATION IN SUBJECTS WITH ACQUIRED BRAIN INJURY-EFFECTIVENESS OF REHABILITATION THERAPY FOR PATIENTS WITH COMPLEX REGIONAL PAIN SYNDROME-MOTIVATING THERAPY THROUGH TECHNOLOGY-EFFECTS OF RESISTANCE TRAINING ON CHILDREN/ADOLESCENTS WITH PRADER-WILLI SYNDROME-IMMUNE DYSREGULATION IN CHILDREN WITH AUTISM-TOXICOLOGY OF THE WESTERN PA ENVIRONMENT AND EFFECTS ON CHILDREN WITH NEURODEVELOPMENTAL DISORDERSTHE REACH OF THE CHILDREN'S INSTITUTE GOES 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. IN FISCAL YEAR 2010, THE CHILDREN'S INSTITUTE CONTRIBUTED NEARLY $121,000 TO LAUNCH WOMEN FOR A HEALTHY ENVIRONMENT.MOST IMPORTANTLY, HOWEVER, THE CHILDREN'S INSTITUTE IS COMMITTED TO PROVIDING SERVICES TO CHILDREN WITH SPECIAL NEEDS, EVEN IF THE FAMILY DOES NOT HAVE THE FINANCIAL MEANS TO PAY. MORE THAN 12 PERCENT OF THE OPERATING BUDGET GOES TOWARD UNCOMPENSATED CARE, OR CARE THAT IS NOT REIMBURSED OR NOT FULLY REIMBURSED. THIS IS DOUBLE THE NATIONAL AVERAGE. OVER THE PAST NINE YEARS, THE CHILDREN'S INSTITUTE HAS PROVIDED $34.3 MILLION IN UNCOMPENSATED CARE, OR AN AVERAGE AMOUNT OF $3.8 MILLION EACH YEAR. THE AMOUNT OF UNCOMPENSATED CARE HAS INCREASED IN THE PAST SEVERAL YEARS AND IS EXPECTED TO CONTINUE TO INCREASE. IN FISCAL YEAR 2010, THE CHILDREN'S INSTITUTE PROVIDED MORE THAN $5 MILLION IN UNCOMPENSATED CARE.THE CHILDREN'S INSTITUTE OF PITTSBURGH IS, AND HAS BEEN, A SIGNIFICANT RESOURCE FOR CHILDREN, FAMILIES, CAREGIVERS, EDUCATORS AND PHYSICIANS. WITH THE SUPPORT OF PRIVATE AND GOVERNMENT FUNDING, THE CHILDREN'S INSTITUTE WILL CONTINUE TO RESPOND TO THE EMERGING NEEDS OF THE COMMUNITY - AND OF CHILDREN. 38427256 1 1 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 49 0 638 1 1 1 0 0 0 0 0 0 0 0 24 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X JODY MULVIHILL 4124202308 1405 SHADY AVENUE PITTSBURGH PA 152171350 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 J KEEFE ELLIS JR 1.00 X 0 0 0 PAMELA W GOLDEN 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 ALLAN MACDOUGALL III 1.00 X 0 0 0 ANN M MCGUINN 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 CYNTHIA D SHAPIRA 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 MAUREEN B COHON TERM EXP 610 1.00 X 0 0 0 ANNE LEWIS TERM EXP 610 1.00 X 0 0 0 JOSEPH E IMBRIGLIA MD 2.00 X X 0 0 0 MICHAEL J HANNON 3.00 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 230722 0 16243 JODY MULVIHILL 45.00 X 131825 0 8437 JANE TEITZ-KEIM 45.00 X 162234 0 15878 MARYANNE HENDERSON 40.00 X 188474 0 29380 CYNTHIA SMITH MD 40.00 X 179396 0 3535 EWA BRANDYS MD 40.00 X 172407 0 19853 SCOTT FABER MD 40.00 X 166001 0 18071 GREGORY CHERPES MD 40.00 X 165147 0 8698 TIMOTHY J BITTNER 40.00 X 146771 0 16607 1542977 0 136702 9 0 1 0 CROTHALL 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 HOUSEKEEPING/ ENGINEERING 994189 MORRISONS MANAgement PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 951731 MBM CONTRACTING 4999 OLD CLAIRTON ROAD PITTSBURGH PA 15236 CONSTRUCTION 753913 ENGAUGE MARKETING ONE GATEWAY CTR 420 FT DUQUESNE B PITTSBURGH PA 15222 AdVERTISING 686303 STAT STAFFING 2000 SMALLMAN STREET SUITE 205B PITTSBURGH PA 15222 TEMP STAFFING 332050 16 91780 344228 4634365 2120 5070373 NET PATIENT CARE 900099 13217483 13217483 dAY SCHOOL 900099 10322221 10322221 MEDICARE/MEDICAID PMTS 900099 7633566 7633566 PROJECT STAR 900099 2437874 2437874 DEPARTMENTAL ACTIVITIE 900099 145092 145092 33756236 1064055 31233 1032822 106467833 1699 98701496 21788 7766337 -20089 7746248 7746248 47636912 33756236 31233 8779070 769893 484291 197761 87841 19951259 18780101 982051 189107 245594 228513 13855 3226 5811257 5420664 318537 72056 1479992 1377057 83495 19440 203939 203939 127015 7124 119883 8 121404 121404 52000 52000 554142 554142 4109913 3803494 166964 139455 216659 37 165311 51311 3308779 3108532 99550 100697 588050 505858 23387 58805 796457 660283 128605 7569 158190 156076 1611 503 117024 102014 11309 3701 1319320 1319320 2470910 2377922 76511 16477 412906 412906 MEMBERSHIP DUES 133307 30780 36716 65811 FUNDRAISING EXPENSES 71851 71851 BAD DEBT EXPENSE 65190 65190 MISC NON-OPERATING EXPS 24600 24600 43109651 38427256 3717937 964458 1434 2480 5779027 6810630 3510263 3205962 5411530 4601183 23296 33263 391474 408751 43320729 17441339 27021731 25879390 78999532 83272611 4689865 15456298 212095 197198 126040247 139867766 3780354 3766178 25947 7693 24140000 23550000 15543287 21984274 43489588 49308145 X 76644886 84124242 4955579 5485185 950194 950194 82550659 90559621 126040247 139867766 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 121404 121404 42988247 43109651 1000000 250000 0 0 1000000 1000000 2000000 3000000 121993 121404 243397 250000 250000 500000 750000 950194 950194 950194 950194 1.00000 0 0 1726863 1726863 28649533 8077285 20572248 1178866 157186 1021680 11292215 8811413 2480802 473252 395455 77797 25879390 OTHER, PRIMARILY LIMITED PARTNERSHIPS 6141358 F HEDGE FUNDS 9314940 F 15456298 FISCHER FUND PAYABLE 63108 PENSION RELATED LIABILITY 19319393 INTEREST RATE SWAPS 1637183 DUE TO THIRD PARTY PAYORS 964590 21984274 47636912 43109651 4527261 6224335 -2742634 3481701 8008962 49855791 6224335 -4005456 2218879 47636912 0 47636912 41846829 0 41846829 1262822 1262822 43109651 Part X: Description of Uncertain Tax Positions Under FIN 48: CHILDREN'S INSTITUTE OF PITTSBURGH PERFORMS AN ANNUAL FIN 48 (ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES) ANALYSIS TO ANALYZE ALL TAX POSITIONS AS REQUIRED. FOR THE FISCAL YEAR ENDED JUNE 30, 2010, CHILDREN'S INSTITUTE OF PITTSBURGH HAS ASSESSED ALL UNCERTAIN TAX POSITIONS AND HAS DETERMINED THEM TO BE IMMATERIAL. THE ORGANIZATION'S STATEMENTS OF FINANCIAL POSITION DO NOT INCLUDE ANY LIABILITIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. Part XI, Line 8 - Other Adjustments: unREALIZED LOSS ON PENSION BENEFIT PLAN COSTS -$2,742,634 Part XII, Line 2d - Other Adjustments: RECLASSED FUNDRAISING EXPENSE -$643,616 OTHER NONOPERATING EXPENSES, NET -$619,206 UNreaLIZED LOSS ON PENSION BENEFIT PLAN COSTS -$2,742,634 Part XIII, Line 4b - Other Adjustments: FUNDRAISING EXPENSE $643,616 OTHER NONOPERATING EXPENSES, NET $619,206 X X X X X 1 AL BROURMAN ASSOCIATES INC CAPITAL CAMPAIGN 0 0 52000 -52000 52000 -52000 PA 1 1 1 X 300.000000000000 1 X 0 1 0 1 1 185538 0 185538 0.00430 11506312 7178000 4328312 0.10040 11691850 7178000 4513850 0.10470 13849544 12814102 1035442 0.02400 295799 178897 116902 0.00270 458429 458429 0.01060 40000 40000 0.00090 14643772 12992999 1650773 0.03820 26335622 20170999 6164623 0.14290 1 45100 0 1221382 1364923 -143541 X 1 1 THE CHILDREN'S INSTITUTE OF PITTSBURGH

1405 SHADY AVENUE PITTSBURGH PA 15217

X X X THE CHILDREN'S INSTITUTE OF PITTSBURGH

1370 WASHINGTON PIKE SUITE 500 BRIDGEVILLE PA 15017

X X THE CHILDREN'S INSTITUTE OF PITTSBURGH

8775 NORWIN AVENUE UNIT 4 IRWIN PA 15642

X X THE CHILDREN'S INSTITUTE OF PITTSBURGH

5000 STONEWOOD DRIVE SUITE 110 WEXFORD PA 15090

X X 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, 2010 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'S OF PITTSBURGH (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 THE POTENTIAL NEED FOR MEDICAL ASSISTANCE OR CHARITY CARE. LASTLY, AS PART OF THE BILLING PROCESS, A CHARITY CARE FORM IS SENT 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: THE LEADERSHIP TEAM AND BOARD OF DIRECTORS OF THE CHILDREN'S INSTITUTE ARE COMMITTED TO IMPROVING QUALITY CARE BY UNDERSTANDING THE NEEDS OF THE COMMUNITY WE SERVE. DURING THE STRATEGIC PLANNING PROCESS, THE LEADERSHIP TEAM EVALUATES THE SERVICE NUMBERS, NUMBER OF REFERRALS AND WAIT LISTS FOR EACH PROGRAM TO DETERMINE IF THERE IS A DEMAND FOR SERVICES AND WHETHER OR NOT WE ARE SUFFICIENTLY MEETING THAT DEMAND. A CONSUMER SURVEY ALSO IS CONDUCTED, WHICH PROVIDES INSIGHT INTO WHO IS CURRENTLY USING THE CHILDREN'S INSTITUTE'S SERVICES AND THE NEEDS OF THOSE CONSUMERS. SATISFACTION RATINGS ARE ANALYZED TO QUANTITATIVELY MEASURE HOW WELL WE ARE DELIVERING OUR SERVICES AND WHAT ADJUSTMENTS, IF ANY, ARE NECESSARY.THE NEEDS ASSESSMENT IS NOT LIMITED TO QUANTITATIVE STATISTICS, HOWEVER. THE QUALITY COMMITTEE OF THE BOARD OF DIRECTORS INTRODUCED PARENT PANELS THREE YEARS AGO. THESE PANELS ARE HOSTED TWICE A YEAR AND GIVE PARENTS AND GUARDIANS THE OPPORTUNITY TO PROVIDE FEEDBACK ON THE SERVICES AND QUALITY OF CARE RECEIVED AT THE CHILDREN'S INSTITUTE. BOARD MEMBERS AND THE LEADERSHIP TEAM ARE INVITED TO ATTEND THESE PANEL DISCUSSIONS SO THAT THEY CAN HEAR INPUT DIRECTLY FROM THE COMMUNITY WE SERVE. MEMBERS OF THE QUALITY COMMITTEE TAKE THIS APPROACH ONE STEP FURTHER BY ALSO CONDUCTING QUARTERLY VISITS AND INTERVIEWS WITH FAMILIES IN BOTH OUR INPATIENT AND OUTPATIENT AREAS. DURING THESE SESSIONS, BOARD MEMBERS CONDUCT INFORMAL INTERVIEWS, ASKING FAMILIES ABOUT THEIR EXPERIENCE AT THE CHILDREN'S INSTITUTE. THE FEEDBACK FROM THE PANELS AND INTERVIEWS IS COLLECTED AND USED TO HELP SHAPE LEADERSHIP DECISIONS WITHIN THE ORGANIZATION.EXTERNALLY, THE MANAGEMENT TEAM EVALUATES COMMUNITY NEEDS ASSESSMENT REPORTS COMPLETED BY OTHER ORGANIZATIONS AT THE LOCAL, REGIONAL AND NATIONAL LEVEL TO GLEAN ADDITIONAL INSIGHT INTO PEDIATRIC HEALTH CARE NEEDS. IN MANY OF OUR SPECIALTY AREAS OF TREATMENT, STAFF MEMBERS VOLUNTEER AT THE STATE AND NATIONAL LEVEL TO NOT ONLY LEND THEIR EXPERTISE, INCREASE AWARENESS AND IMPROVE TREATMENT, BUT ALSO TO BETTER UNDERSTAND THE SPECIFIC TRENDS AND NEEDS OF THE POPULATION SERVED BY THE CHILDREN'S INSTITUTE. STAFF MEMBERS ARE NOT ONLY ACTIVE IN MEDICAL ORGANIZATIONS, BUT ALSO HOLD LEADERSHIP ROLES IN THEM. 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-MEMBER/PROFESSIONAL RECRUITMENT COMMITTEE MEMBER OF THE MEDICAL LIBRARY ASSOCIATIONTHE NEEDS OF THE COMMUNITY WE SERVE ARE RAPIDLY CHANGING. IN ORDER TO BETTER UNDERSTAND THIS EVOLUTION, OUR FUTURE NEEDS ASSESSMENT PROCESS WILL EXPAND TO INCLUDE A COMMUNITY SURVEY THAT REACHES A BROADER AUDIENCE, MORE ACCURATELY REPRESENTING THE COMMUNITY AS A WHOLE. THIS DATA WILL BE EVALUATED TO BETTER UNDERSTAND THE OVERALL COMMUNITY, NOT JUST THE FAMILIES WHO HAVE ALREADY SOUGHT OUR SERVICES. OPPORTUNITIES TO COLLABORATE WITH OTHER ORGANIZATIONS TO EXECUTE A MORE EXTENSIVE NEEDS ASSESSMENT ARE ALSO BEING EXPLORED. Part VI, Line 4: THE HOSPITAL AT THE CHILDREN'S INSTITUTE HAS 81 INPATIENT BEDS THAT CATER 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 2010, WE SERVED 483 INPATIENTS FROM 29 STATES PLUS WASHINGTON DC, PUERTO RICO AND CANADA.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 2,397 OUTPATIENTS IN FISCAL YEAR 2010. 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:-ADAPTIVE TECHNOLOGY/WHEELCHAIR EVALUATIONS AND TRAINING-AQUATIC THERAPY-AUGMENTATIVE COMMUNICATION-AUTISM TREATMENT-BRAIN INJURY REHABILITATION-CHRONIC PAIN MANAGEMENT-DIABETES MANAGEMENT-FEEDING DISORDER MANAGEMENT-NEUROPSYCHOLOGY EVALUATIONS-NUTRITION SERVICES-OBESITY MANAGEMENT-OCCUPATIONAL THERAPY-PALLIATIVE CARE-PEDIATRIC CARDIAC RECOVERY-PHYSICAL THERAPY-PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS -PSYCHOLOGICAL SERVICES-RECREATION THERAPY-REFLEX NEUROVASCULAR DYSTROPHY (RND)-RESPITE CARE-SPEECH/LANGUAGE THERAPY AND AUDIOLOGY SERVICES-SPINAL CORD REHABILITATIONTHE PRADER-WILLI SYNDROME/BEHAVIORAL DISORDERS PROGRAM IS A PRIME EXAMPLE OF WHY THE HOSPITAL AT THE CHILDREN'S INSTITUTE HAS EARNED AN INTERNATIONAL REPUTATION FOR ITS 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 FISCAL YEAR 2010, WE HAD 62 PATIENT STAYS IN THE PROGRAM, AN 11 PERCENT INCREASE FROM 2009.PRADER-WILLI SYNDROME IS A LITTLE KNOWN GENETIC DISORDER, WHICH AFFECTS AT LEAST ONE IN 20,000 INDIVIDUALS WORLDWIDE. A PERSON WITH PWS EXPERIENCES A LACK OF SATIETY OR FULLNESS THAT LEADS TO RAPID WEIGHT GAIN AND CAN CAUSE ADDITIONAL HEALTH PROBLEMS, INCLUDING DIABETES AND STRAIN ON THE HEART, LUNGS AND JOINTS. IT ALSO CAN RESULT IN EARLY DEATH. SYMPTOMS OF THE SYNDROME INCLUDE MORBID OBESITY, DECREASED MUSCLE TONE, OBSESSIVE/COMPULSIVE BEHAVIORS, DECREASED MENTAL CAPACITY, COMMUNICATION CHALLENGES AND LOSS OF EMOTIONAL CONTROL, RANGING FROM TEARS TO TANTRUMS TO PHYSICAL AGGRESSION.PEOPLE WITH PWS ARE BEST SUPPORTED IN A HIGHLY SPECIALIZED ENVIRONMENT. AT THE HOSPITAL AT THE CHILDREN'S INSTITUTE, A MULTIDISCIPLINARY TEAM, INCLUDING A PEDIATRICIAN, PHYSIATRIST, PSYCHIATRIST, PSYCHOLOGISTS, DIETITIANS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SPEECH/LANGUAGE PATHOLOGISTS, COORDINATES SERVICES TO PROVIDE THE MOST EFFECTIVE, INDIVIDUALIZED TREATMENT PROGRAM FOR EACH PATIENT. THE CHILDREN'S INSTITUTE PROVIDES A MEDICALLY SUPERVISED, INDIVIDUALIZED PROGRAM THAT ENCOURAGES WEIGHT LOSS, MOTOR DEVELOPMENT, NUTRITION AWARENESS, PHYSICAL FITNESS, IMPROVED AEROBIC CAPACITY AND SOCIAL SKILLS. PATIENTS LEARN BEHAVIORAL SELF-CONTROL IN ORDER TO MINIMIZE TANTRUMS, ISOLATION AND OPPOSITIONAL BEHAVIOR.THE CHILDREN'S INSTITUTE IS ALSO HOME TO ONE OF ONLY FOUR INTENSIVE TREATMENT PROGRAMS IN THE COUNTRY FOR REFLEX NEUROVASCULAR DYSTROPHY. CONSIDERED TO BE ANOTHER OF OUR SPECIALTY PROGRAMS, THE REFLEX NEUROVASCULAR DYSTROPHY REHABILITATION PROGRAM AT THE CHILDREN'S INSTITUTE ATTRACTS REFERRALS FROM AS FAR AWAY AS COSTA RICA. 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. OFFERING BOTH INPATIENT AND OUTPATIENT CARE, TREATMENT HELPS CHILDREN WHO:-HAVE PAIN ASSOCIATED WITH ONE OR MORE AREAS OF THE BODY OR PAIN THAT MAY TRAVEL THROUGH THE BODY.-EXPERIENCE SEVERE PAIN FROM SOMETHING THAT TYPICALLY WOULD NOT BE CONSIDERED PAINFUL (FOR EXAMPLE, A LIGHT BREEZE OR WEARING A SOCK OR SHIRT).-CANNOT COMPLETE DAILY ACTIVITIES, SUCH AS GETTING DRESSED DUE TO PAIN.-MAY BE UNABLE TO WALK, STAND OR HOLD ON TO ANYTHING DUE TO PAIN.-DISCONTINUE PARTICIPATION IN ACTIVITIES DUE TO PAIN.-MISS SIGNIFICANT AMOUNTS OF SCHOOL OR RECEIVE HOME BOUND EDUCATION (INCLUDING CYBER SCHOOL) DUE TO PAIN.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 RND TEAM ESTABLISHES INDIVIDUAL GOALS FOR EACH CHILD, WHICH MAY INCLUDE RETURNING FULL FUNCTIONALITY TO THE AFFECTED AREA(S), DECREASING SENSITIVITY TO TOUCH TO ALLOW FOR FULL PARTICIPATION IN DAILY ACTIVITIES AND USING SKILLS TO BETTER MANAGE PAIN AND STRESS.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. IN FISCAL YEAR 2010, WE HAD 88 INPATIENT STAYS IN THE FUNCTIONAL FEEDING PROGRAM, MANY OF WHOM WERE TODDLERS IN REHABILITATION FOLLOWING SMALL BOWEL AND MULTIVISCERAL TRANSPLANTS. AN ENCOURAGING TREATMENT APPROACH IS UTILIZED, ALLOWING CHILDREN TO DEVELOP A MORE POSITIVE EXPERIENCE WITH FOOD. TREATMENT HELPS CHILDREN WHO:-HAVE A DELAY IN ORAL MOTOR SKILLS, SUCH AS BEING UNABLE TO SUCK (DRINK) FROM A BOTTLE OR CHEW.-HAVE SENSORY ISSUES SUCH AS BEING UNABLE TO TOLERATE A TEXTURE OR TASTE IN THE MOUTH.-HAVE A FEEDING DISORDER ASSOCIATED WITH A MEDICAL CONDITION, RANGING IN SEVERITY FROM REFLUX TO ORGAN TRANSPLANT.-HAVE A FEEDING DISORDER ASSOCIATED WITH A DEVELOPMENTAL DISORDER SUCH AS AUTISM OR CEREBRAL PALSY.-HAVE SIGNIFICANT SOCIAL OR BEHAVIORAL PROBLEMS THAT IMPACT EATING.-ARE DEPENDENT ON IV (TOTAL PARENTAL NUTRITION OR TPN) OR TUBE FEEDING FOR NUTRITION BUT ARE READY TO EAT BY MOUTH.-ARE NOT PROGRESSING TO EATING AN ADEQUATE NUMBER OF FOODS OF VARIOUS TEXTURES AND/OR FOOD GROUPS.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. MEMBERS OF THE FUNCTIONAL FEEDING TEAM ESTABLISH INDIVIDUALIZED GOALS FOR EACH CHILD RECEIVING TREATMENT.SEE SCHEDULE O FOR CONTINUATION. Part VI, Line 6: 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 ALLTO ENABLE EACH CHILD TO REALIZE HIS OR HER FULLEST POTENTIAL.THE CHILDREN'S INSTITUTE IS COMMITTED TO PROVIDING THESE SERVICES EVEN IF THE FAMILY DOES NOT HAVE THE FINANCIAL MEANS TO PAY. MORE THAN 10 PERCENT OF THE OPERATING BUDGET GOES TOWARD UNCOMPENSATED CARE, OR CARE THAT IS NOT REIMBURSED OR NOT FULLY REIMBURSED. THIS IS CLOSE TO DOUBLE THE NATIONAL AVERAGE. OVER THE PAST NINE YEARS, THE CHILDREN'S INSTITUTE HAS PROVIDED $34.3 MILLION IN UNCOMPENSATED CARE, OR AN AVERAGE AMOUNT OF $3.8 MILLION EACH YEAR. THE AMOUNT OF UNCOMPENSATED CARE HAS INCREASED IN THE PAST SEVERAL YEARS AND IS EXPECTED TO CONTINUE TO INCREASE. IN FISCAL YEAR 2010, THE CHILDREN'S INSTITUTE PROVIDED CLOSE TO $5 MILLION IN UNCOMPENSATED CARE.BUT OUR COMMITMENT TO THE COMMUNITY GOES BEYOND PROVIDING DIRECT CARE. ADVANCING KNOWLEDGE IN PEDIATRIC REHABILITATION IS A SIGNIFICANT ASPECT OF OUR MISSION. IN FISCAL YEAR 2010, THE STAFF OF THE CHILDREN'S INSTITUTE DELVED DEEPER INTO RESEARCH, MANAGING A DOZEN RESEARCH PROJECTS. THROUGH TRANSLATIONAL RESEARCH, OUR STAFF MOVES RESEARCH FINDINGS FROM STUDY TO PRACTICE, DELIVERING MEANINGFUL HEALTH OUTCOMES. RESEARCH TOPICS IN FISCAL YEAR 2010 INCLUDED: -ADVANCED MOBILITY AND COMMUNITY INTEGRATION IN SUBJECTS WITH ACQUIRED BRAIN INJURY-EFFECTIVENESS OF REHABILITATION THERAPY FOR PATIENTS WITH COMPLEX REGIONAL PAIN SYNDROME-MOTIVATING THERAPY THROUGH TECHNOLOGY-EFFECTS OF RESISTANCE TRAINING ON CHILDREN/ADOLESCENTS WITH PRADER-WILLI SYNDROME-IMMUNE DYSREGULATION IN CHILDREN WITH AUTISM-TOXICOLOGY OF THE WESTERN PA ENVIRONMENT AND EFFECTS ON CHILDREN WITH NEURODEVELOPMENTAL DISORDERSOUR EXPERT STAFF IS DEDICATED TO SHARING THEIR KNOWLEDGE NOT ONLY THROUGH RESEARCH, BUT ALSO BY PRESENTING LECTURES AND WORKSHOPS LOCALLY, REGIONALLY AND NATIONALLY AT NO CHARGE. THESE PRESENTATIONS ARE AN OPPORTUNITY FOR THE COMMUNITY TO LEARN ABOUT THE CONTRIBUTIONS OUR TEAM MAKES TO ADVANCING HEALTHCARE. FOR THOSE IN THE PITTSBURGH AREA, THERE ALSO IS THE OPPORTUNITY TO ATTEND GRAND ROUNDS, A MONTHLY CONTINUING EDUCATION PROGRAM. FREE AND OPEN TO THE PUBLIC, GRAND ROUNDS FEATURES LOCAL EXPERTS WHO PRESENT ON MEDICAL TOPICS THAT ARE TIMELY AND RELEVANT TO THE COMMUNITY SUCH AS AUTISM, BRAIN INJURIES AND INFECTION CONTROL.THE CHILDREN'S INSTITUTE ALSO HOSTS FEAST (FAMILY, EDUCATION, ADVOCACY AND SUPPORT TEAM) SESSIONS, WHICH PROVIDE UP-TO-DATE INFORMATION IN PEDIATRIC REHABILITATION AND SUPPORT BEYOND MEDICAL THERAPY SESSIONS FOR FAMILIES OF CHILDREN WITH SPECIAL NEEDS. THESE SESSIONS INCLUDE A SHORT PRESENTATION AND AN OPPORTUNITY FOR QUESTIONS AND NETWORKING WITH OTHER CAREGIVERS.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 BY TRULY CREATING A SUPPORTIVE COMMUNITY FOR THEM. 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. ELIGIBLE CHILDREN CAN ATTEND THE CAMP WITH THEIR SIBLINGS AT NO COST. ANOTHER SUCCESSFUL SUMMER PROGRAM IS THE AMAZING BIKE CAMP, A LOSE THE TRAINING WHEELSTM PROGRAM THAT TEACHES CHILDREN WITH SPECIAL NEEDS HOW TO RIDE A BIKE WITHOUT TRAINING WHEELS. THE MOST THERAPY INTENSIVE SUMMER PROGRAM WE OFFER IS CAMP HELP MY HANDS, A TWO-WEEK CAMP FOR 6 TO 10-YEAR-OLD CHILDREN WITH HEMIPARESIS. 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 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. IN FISCAL YEAR 2010, THE CHILDREN'S INSTITUTE CONTRIBUTED NEARLY $121,000 TO LAUNCH WOMEN FOR A HEALTHY ENVIRONMENT.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 UTILIZED 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-STEPS TO INDEPENDENCE CONDUCTIVE EDUCATION-FISA FOUNDATIONTHE 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. WITH OUR THREE COMPONENTS, THE HOSPITAL, THE DAY SCHOOL AND PROJECT STAR, 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. BY PROVIDING EXTENSIVE SERVICES BEYOND THE BOUNDARIES OF HEALTHCARE, WE ARE ABLE TO FURTHER OUR EXEMPT STATUS WHILE MEETING THE NEEDS OF OUR COMMUNITY ON A DEEPER LEVEL.THE CHILDREN'S INSTITUTE OF PITTSBURGH IS, AND HAS BEEN, A SIGNIFICANT RESOURCE FOR CHILDREN, FAMILIES, CAREGIVERS, EDUCATORS AND PHYSICIANS. WITH THE SUPPORT OF PRIVATE AND GOVERNMENT FUNDING, THE CHILDREN'S INSTITUTE WILL CONTINUE 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 0 0 DAVID K MILES 219020 0 0 0 11702 0 0 0 16243 0 246965 0 0 0 JANE TEITZ-KEIM 162234 0 0 0 0 0 0 0 15878 0 178112 0 0 0 MARYANNE HENDERSON 188474 0 0 0 0 0 13300 0 16080 0 217854 0 0 0 CYNTHIA SMITH MD 179396 0 0 0 0 0 0 0 3535 0 182931 0 0 0 EWA BRANDYS MD 172407 0 0 0 0 0 12108 0 7745 0 192260 0 0 0 SCOTT FABER MD 166001 0 0 0 0 0 0 0 18071 0 184072 0 0 0 GREGORY CHERPES MD 165147 0 0 0 0 0 0 0 8698 0 173845 0 0 0 TIMOTHY J BITTNER 146771 0 0 0 0 0 0 0 16607 0 163378 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. 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 ALLEGHENY COUNTY HOSPITAL DEVELOPMENT 251327925 01728AC20 2005-06-22 10105000 FACILITY PURCHASE AND RENOVATION 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 1 1 1 1 LEHMAN BROTHERS SPECIAL FINANCING 25.000000000000 0 0 0 1 1 1 PNC CAPITAL MARKETS 0 0 0 PNC BANK BOARD VICE CHAIRMAN 139605 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 AND THEREFORE IS NOT WITHIN THE PURVIEW OF IRC SECTION 4958. 0 ROYAL BANK OF SCOTLAND BOARD MEMBER 112706 SEE SCH O SUSAN BAKER SHIPLEY IS THE HEAD OF GLOBAL TRADE FINANCE BUSINESS FOR THE ROYAL BANK OF SCOTLAND GROUP, PARENT COMPANY OF CITIZEN'S BANK. CITIZENS 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 AND THEREFORE IS NOT WITHIN THE PURVIEW OF IRC SECTION 4958. 0 X 9 2120 FAIR MARKET VALUE X SUNDRY ITEMS 156 0 FAIR MARKET VALUE 0 0 1 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 RECEIVED 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 DONATIONS OF STOCK VALUED AT $654,475 IN SATISFACTION OF PRIOR YEAR PLEDGES. 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 IS 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. THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION WILL BE PROVIDED UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS, INCLUDING THE BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICIES, ARE NOT PUBLICLY AVAILABLE BUT ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 2 OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. IN ADDITION, THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE 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. FORM 990, SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION AS A RESULT OF THE THERAPY, THE TEAM MAY LOOK FOR THE CHILD TO: -IMPROVE THE SAFETY OF HIS OR HER SWALLOW. -GAIN WEIGHT AND GROW. -DECREASE OR ELIMINATE TUBE FEEDINGS OR TPN. -BEGIN TO ACCEPT FOOD AND DRINKS INTO THE MOUTH IF THE CHILD HASN'T EATEN BEFORE. -PROGRESS FROM BABY FOODS OR A PUREED DIET TO A MORE DEVELOPMENTALLY APPROPRIATE DIET. -LEARN TO CHEW AND MANAGE A BITE OF FOOD. -DRINK FROM A BOTTLE OR A CUP, AS DEVELOPMENTALLY APPROPRIATE. -INCREASE THE VARIETY AND VOLUME OF FOODS EATEN. -IMPROVE SELF-FEEDING SKILLS. -TOLERATE VARIED FOOD TEXTURES. -EXHIBIT IMPROVED ENJOYMENT OF MEALTIME WITH THE PARENT AND/OR FAMILY. -DECREASE MEALTIME STRESS, ANXIETY AND BEHAVIORS. 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 2010, WE SERVED 192 STUDENTS FROM MORE THAN 65 SCHOOL DISTRICTS. PROJECT STAR, OUR SOCIAL SERVICE COMPONENT, PROVIDES FAMILY PLACEMENT, PRESERVATION/REUNIFICATION AND ENRICHMENT SERVICES TO CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2010, WE SERVED 940 CLIENTS THROUGH PROJECT STAR, MORE THAN EVER BEFORE. Schedule K Supplental Information CI HAS ENTERED INTO INTEREST RATE SWAP AGREEMENTS WITH NOTIONAL AMOUNTS TOTALING $14,130,000 AND $24,140,000 AT JUNE 30, 2010 AND 2009, RESPECTIVELY. DURING THE TERM OF THESE TRANSACTIONS, THE FIXED-RATE SWAP CONVERTS DEBT FROM A WEEKLY SECURITIES INDUSTRY AND FINANCIAL MARKETS ASSOCIATION (SIFMA) VARIABLE RATE, WHICH WAS 0.25% AT JUNE 30, 2009, 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 IS SET TO EXPIRE ON JUNE 1, 2035. 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.