2024-05-02T13:54:46-05:00 2023-06-30 390859910 BAKER TILLY US LLP 20 STANWIX STREET PITTSBURGH PA 15222 990 2022-07-01 250965292 THE CHILDREN'S HOME OF PITTSBURGH CHIL 4124414884 5324 PENN AVENUE PITTSBURGH PA 15224 PAMELA KEEN CHIEF EXECUTIVE OFFICER 4124414884 2024-04-16 1 PAMELA KEEN 999009999 1 JEFFREY J PETRELL P00138808 4126976400 2024-04-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAMELA KEEN 5324 PENN AVENUE PITTSBURGH PA 15224 16990254 0 X WWW.CHILDRENSHOMEPGH.ORG X 1893 PA THE ORGANIZATION PROMOTES THE HEALTH AND WELL-BEING OF INFANTS AND CHILDREN. 23 22 199 60 0 0 2987993 2379277 8975701 11798836 2563531 98678 2318512 2192253 16845737 16469044 0 0 0 0 9769778 10845478 0 0 102165 6277878 5978314 16047656 16823792 798081 -354748 34346918 36864868 7576709 8835101 26770209 28029767 X THE CHILDREN'S HOME OF PITTSBURGH, ESTABLISHED IN 1893, IS AN INDEPENDENT, NON-PROFIT LICENSED ORGANIZATION WHOSE PURPOSE IS TO PROMOTE THE HEALTH AND WELL-BEING OF INFANTS AND CHILDREN THROUGH SERVICES WHICH ESTABLISH AND STRENGTHEN THE FAMILY. OUR THREE PROGRAMS: ADOPTION, CHILD'S WAY, AND THE PEDIATRIC SPECIALTY HOSPITAL, ALONG WITH OUR LEMIEUX FAMILY CENTER, WORK INDEPENDENTLY AND COLLABORATIVELY TO ACCOMPLISH OUR MISSION. 0 0 11023597 11206507 PEDIATRIC SPECIALTY HOSPITALTHE CHILDREN'S HOME OPERATES A 30-BED, FREE-STANDING SPECIALTY HOSPITAL, WITH FOUR SPECIALIZED UNITS THAT PROVIDE CONTINUED ACUTE CARE FOR INFANTS AND CHILDREN TRANSITIONING FROM HOSPITAL TO HOME. THE CHILDREN'S HOME IS A MODEL OF FAMILY CENTERED CARE AND SERVES AS A BRIDGE BETWEEN THE ACUTE CARE HOSPITAL AND HOME. THE HOSPITAL OFFERS THE FAMILY THE "HANDS-ON" ABILITY TO DEAL WITH COMPLICATED TREATMENT PLANS AND TO RECOGNIZE POTENTIAL PROBLEMS AT THEIR EARLIEST STAGES. IN ADDITION, WITH THE HELP AND INPUT FROM FAMILIES, THE CHILDREN'S HOME CREATES A CARE SCHEDULE THAT IS FEASIBLE FOR PARENTS TO MANAGE AT HOME. THE STAFF DEVOTES MANY HOURS HELPING FAMILY MEMBERS LEARN TO CARE FOR THE NEEDS OF THEIR CHILD BY PROMOTING A PARENT-PROFESSIONAL PARTNERSHIP WHERE PARENTS OR GUARDIANS ARE PART OF THE CARE-GIVING TEAM.EXPERTISE AND EXPERIENCE ARE THE HALLMARKS OF THE CHILDREN'S HOME'S PEDIATRIC SPECIALTY HOSPITAL. THE MEDICAL STAFF INCLUDES NEONATOLOGISTS, PEDIATRICIANS, AND PHYSICIAN SPECIALISTS. STAFF ALSO INCLUDES NURSE PRACTITIONERS AND REGISTERED NURSES WITH AN AVERAGE 16 YEARS OF NICU AND/OR PEDIATRIC NURSING EXPERIENCE. CONTINUITY OF CARE IS CRITICAL TO THE HEALTH AND WELL-BEING OF EACH CHILD. THUS, THE SAME PHYSICIANS WHO PROVIDED CARE FOR THE CHILD AT THE REFERRING HOSPITAL OVERSEE THE PATIENT CARE DURING DAILY ROUNDS AT THE PEDIATRIC SPECIALTY HOSPITAL. EACH CHILD'S CARE TEAM INCLUDES A PHYSICIAN, A PRIMARY CARE NURSE, A MEDICAL SOCIAL WORKER, AN INFANT/CHILD DEVELOPMENT SPECIALIST, AND THE PARENTS. AN INDIVIDUAL TREATMENT PLAN IS DEVELOPED FOR EVERY CHILD AND IS UPDATED THROUGHOUT THE STAY. A DETAILED DISCHARGE PLAN HELPS ENSURE THAT ALL NECESSARY CARE AND SUPPORT SERVICES, INCLUDING EQUIPMENT AND MEDICATIONS, ARE IN PLACE TO EASE THE TRANSITION TO HOME.FAMILIES HAVE THE OPTION OF STAYING OVERNIGHT AT THE CHILDREN'S HOME WHILE THEIR CHILD IS AT THE PEDIATRIC SPECIALTY HOSPITAL. WE CALL THIS NESTING. WE OFFER NESTING AT THE BEDSIDE IN SOME OF OUR PRIVATE PATIENT ROOMS, OR FAMILIES CAN STAY OVERNIGHT IN ONE OF THE PRIVATE BEDROOMS IN THE LEMIEUX FAMILY CENTER. THE FAMILY LIVING AREA INCLUDES EIGHT PRIVATE BEDROOMS, OR "NESTING ROOMS," THE AUSTIN LEMIEUX SIBLING PLAYROOM, FULL BATHROOMS, COMMON LIVING ROOMS AND KITCHEN AREAS, A WASHER AND DRYER, TELEPHONES, AND AN EMERGENCY NURSE CALL SYSTEM CONNECTED DIRECTLY TO THE NURSING STATION. THE NESTING ROOMS ALLOW FAMILIES THE OPPORTUNITY TO CARE FOR THEIR INFANTS PRIVATELY AND INDEPENDENTLY, INCLUDING OVERNIGHT STAYS, WITH THE REASSURANCE THAT THE NURSING STAFF IS NEARBY. THERE ARE NO RESTRICTIVE VISITING HOURS AT THE CHILDREN'S HOME, ALLOWING PARENTS' ACCESS TO THEIR CHILD AT ALL TIMES. FAMILY MEMBERS MAY VISIT AT ANY TIME, EITHER AT THEIR CHILD'S BED SIDE OR IN THE NESTING ROOMS. SINCE INCEPTION, 7,040 BABIES AND CHILDREN HAVE BENEFITED FROM THE CHILDREN'S HOME'S SPECIALTY CARE. ON AVERAGE, MORE THAN 250 FAMILIES A YEAR INTERACT WITH THE HOSPITAL. THE AVERAGE LENGTH OF STAY IS 30.41 DAYS WITH A DAILY CENSUS OF 15.15.NURSING SCHOOLS IN THE HOSPITAL NURSING STUDENTS RECEIVE THEIR CLINICAL EXPERIENCE IN PEDIATRICS IN THE PEDIATRIC SPECIALTY HOSPITAL. EACH ACADEMIC TERM, THE SCHOOL SENDS STUDENTS TO WORK ON THE HOSPITAL FLOOR WITH PATIENTS AND THEIR FAMILIES. THE CURRENT LIST OF SCHOOLS INCLUDES:- CITIZEN'S NURSING SCHOOL- LAROCHE UNIVERSITY- UNIVERSITY OF PITTSBURGH- WEST PENN HOSPITAL SCHOOL OF NURSING - DUQUESNE UNIVERSITYTHE PEDIATRIC SPECIALTY HOSPITAL ALSO TOURS MANY NURSING SCHOOLS AS PART OF THE STUDENTS' PEDIATRIC ROTATION. THE TOUR EXPOSES STUDENTS TO THE FAMILY-CENTERED ACUTE CARE SERVICES OFFERED IN A "HOME LIKE" ENVIRONMENT. 2165063 1774900 CHILD'S WAYCHILD'S WAY IS A PEDIATRIC EXTENDED CARE CENTER FOR MEDICALLY FRAGILE CHILDREN AGES BIRTH TO TWENTY-ONE. ORIGINALLY LICENSED TO AGE EIGHT, THE CHILDREN'S HOME WORKED WITH PARENTS AND LEGISLATORS TO RAISE THE AGE LIMIT TO TWENTY-ONE. ON AUGUST 3, 2012, GOV. CORBETT SIGNED HB 1960 IN A CEREMONY HELD AT THE CHILDREN'S HOME. CHILD'S WAY OFFERS AN ALTERNATIVE OR SUPPLEMENT TO IN-HOME NURSING AND THERAPY CARE FOR MEDICALLY FRAGILE CHILDREN. LICENSED AS THE FIRST PEDIATRIC EXTENDED CARE CENTER IN THE COMMONWEALTH OF PENNSYLVANIA, THIS PROGRAM WAS ESTABLISHED TO FILL A GAP IN SERVICES IN THE COMMUNITY. OVER SEVERAL YEARS OF STRATEGIC PLANNING, CONDUCTING SURVEYS AND PRUDENT FINANCIAL ANALYSIS, IT WAS DETERMINED THAT FAMILIES HAD NO ALTERNATIVE TO HOME CARE FOR THEIR MEDICALLY FRAGILE CHILDREN. THIS LEFT FAMILIES IN NEED WITHOUT AN INCOME OR AN ABILITY TO RETURN TO WORK BECAUSE THEY HAD TO STAY AT HOME TO CARE FOR THEIR MEDICALLY NEEDY CHILDREN. CHILD'S WAY OPENED ITS DOORS IN MAY OF 1998 AND HAS NOW SERVED OVER 484 CHILDREN.ON A DAILY BASIS, CHILD'S WAY PROVIDES DAYTIME NURSING CARE (MONDAY THROUGH FRIDAY, 6:30 AM TO 5:30 PM), CHILD DEVELOPMENT SERVICES, THERAPY SERVICES, EARLY IDENTIFICATION OF POTENTIAL HEALTH PROBLEMS, AND HIGH STAFF TO PATIENT RATIO (1:3). IN ADDITION, CHILD'S WAY OFFERS SPECIALIZED TREATMENTS INCLUDING BUT NOT LIMITED TO: WOUND CARE, FEEDING THERAPY, BLOOD DRAWS FROM PERIPHERAL OR CENTRAL LINES, OSTOMY CARE, TRACHEOTOMY CARE, GLUCOSE MONITORING, AND GASTROSTOMY FEEDINGS.CHILD'S WAY WAS AWARDED THE TOP DESIGNATION FOR EARLY CHILDHOOD CENTERS. THE CHILDREN'S HOME JOINS A PREMIERE GROUP OF CHILDCARE PROGRAMS WITHIN PITTSBURGH THAT MAINTAIN THIS HIGHEST RATING, OR 4 OUT OF 4 KEYSTONE STARS. THE KEYSTONE STARS PROGRAM IS AN INITIATIVE FOR QUALITY CHILDCARE IN PENNSYLVANIA AND PROVIDES STAFF TRAINING ANNUALLY TO ENSURE PROGRAM REQUIREMENTS. IN PARTNERSHIP WITH PITTSBURGH PUBLIC SCHOOLS, CHILD'S WAY IS A SUPPLEMENTAL HEAD START PRESCHOOL PROGRAM SERVING 2 CHILDREN DAILY. OUR TEACHERS AND STAFF HAVE ACCESS TO MORE MATERIALS AND TRAININGS THAT BETTER THE EDUCATION OF OUR CHILDREN. CHILD'S WAY ALSO OPENED UP TO HOSTING NURSING STUDENT IN FISCAL YEAR 2023. FRANCISCAN UNIVERSITY SENT 8 STUDENTS TO PARTICIPATE IN THE DAILY NURSING ACTIVITIES IN THIS PROGRAM PROVIDING STUDENTS WITH AN OPPORTUNITY TO SEE AN ALTERNATIVE TO HOME HEALTH NURSING. 1553458 932506 ADOPTION & PERMANENCY FOR MORE THAN 130 YEARS, THE CHILDREN'S HOME HAS BEEN RESPECTED IN THE COMMUNITY AND ACROSS THE COUNTRY FOR THE QUALITY OF WORK IN ADOPTION. MORE THAN 7,000 INFANTS AND CHILDREN HAVE BEEN PLACED WITH FAMILIES THROUGH THE CHILDREN'S HOME. THE ADOPTION PROGRAM PROVIDES A COMPREHENSIVE RANGE OF SERVICES IN SUPPORT OF ADOPTIVE FAMILIES, BIRTH FAMILIES, AND ADOPTED CHILDREN AND ADULTS. THE SUCCESS IS BASED ON A BELIEF THAT ADOPTION IS NOT A ONE-TIME EVENT, BUT A LIFELONG JOURNEY. THE PROGRAM OFFERS A LIFETIME OF SUPPORT SERVICES THROUGH A STAFF OF EXPERIENCED PROFESSIONAL COUNSELORS. THE SERVICES AND PROGRAMS PROVIDED BY THE CHILDREN'S HOME INCLUDE INFANT PLACEMENT SERVICES, WHICH CONSIST OF BIRTHPARENT COUNSELING SERVICES, ADOPTIVE FAMILY SERVICES AND TRANSITIONAL INFANT CARE; POST ADOPTION SERVICES; PRIVATE ADOPTION SERVICES; INFERTILITY COUNSELING; RESEARCH AND REUNION; COMMUNITY EDUCATION; ADOPTION FROM FOSTER CARE SERVICES; AND SERVICES PROVIDED FOR PENNSYLVANIA'S STATEWIDE ADOPTION AND PERMANENCY NETWORK (SWAN.)THE CHILDREN'S HOME IS ALSO A LEADER IN THE FIELD OF OPEN ADOPTION. WE BEGAN CONDUCTING OPEN ADOPTIONS OVER 28 YEARS AGO AND HAVE LEARNED MUCH FROM THE CLIENTS WE'VE SERVED AND FROM SPECIALIZED STAFF TRAINING. OPEN ADOPTION CAN BE A REWARDING, POSITIVE EXPERIENCE FOR ALL INVOLVED - BIRTH FAMILIES, ADOPTIVE FAMILIES AND CHILD - WITH THE RIGHT SUPPORT.INFANT ADOPTION PROGRAM - THE INFANT ADOPTION PROGRAM SERVICES INCLUDE THE FOLLOWING:BIRTHPARENT COUNSELING SERVICES - PROFESSIONAL COUNSELING SERVICES PROVIDE BIRTHPARENTS WITH NONJUDGMENTAL SUPPORT AND GUIDANCE. IF THE BIRTHPARENTS CHOOSE ADOPTION, THE COUNSELORS ASSIST IN CREATING AN ADOPTION PLAN FOR THE BABY. COUNSELING AND GROUP SUPPORT IS PROVIDED DURING AND AFTER THE PREGNANCY. ADOPTIVE FAMILY SERVICES - ADOPTIVE PARENTS ARE OFFERED SUPPORT, COUNSELING AND EDUCATION. A THOROUGH ORIENTATION IS CONDUCTED FOLLOWED BY AN APPLICATION PROCESS AND THE COMPLETION OF A FAMILY STUDY AS REQUIRED BY PENNSYLVANIA LAW. A FAMILY IS THEN SUPPORTED THROUGH THEIR WAIT TIME, PLACEMENT AND FINALIZATION.TRANSITIONAL INFANT CARE - SHORT-TERM FOSTER CARE IS AVAILABLE FOR BABIES OF BIRTHPARENTS WHO NEED TIME TO MAKE A DECISION ABOUT ADOPTION. TRANSITIONAL INFANT FOSTER FAMILIES ARE CAREFULLY SELECTED, APPROVED AND SPECIALLY TRAINED BY STAFF OF THE ADOPTION PROGRAM. THEY ARE SUPPORTED DURING AND AFTER THEIR TIME CARING FOR AN INFANT AND HELP TRANSITION INFANTS TO THEIR PERMANENT ADOPTIVE HOMES.POST-ADOPTION SERVICES - INFORMATION, EDUCATION, CONSULTATION AND SHORT-TERM COUNSELING ARE PROVIDED FOR INDIVIDUALS, COUPLES, AND FAMILIES DEALING WITH ADOPTION-RELATED ISSUES. A VARIETY OF ADOPTIVE FAMILY SUPPORT GROUPS ARE ALSO OFFERED.ADDITIONAL SERVICES - IN ADDITION TO THE INFANT PLACEMENT SERVICES AND POST-ADOPTION SERVICES, THE CHILDREN'S HOME PROVIDES THE FOLLOWING ADDITIONAL SERVICES:PRIVATE ADOPTION COUNSELING SERVICES - WE OFFER INDIVIDUALIZED, SHORT-TERM COUNSELING SERVICES FOR BIRTHPARENTS IN PRIVATE ADOPTIONS. SERVICES ARE PROVIDED AT THE RECOMMENDATION OF AN ATTORNEY, AT THE REQUEST OF THE BIRTHPARENT OR THE PROSPECTIVE ADOPTIVE PARENTS, AND/OR IN FULFILLMENT OF A LEGAL REQUIREMENT BY THE STATE IN WHICH THE ADOPTION IS TO OCCUR.INFERTILITY COUNSELING - INFERTILITY-RELATED COUNSELING IS AVAILABLE FOR INDIVIDUALS AND COUPLES AS THEY MAKE DECISIONS REGARDING THE TESTING AND TREATMENT OF INFERTILITY. THE CHILDREN'S HOME SUPPORTS THEM AS THEY COPE WITH RELATED ISSUES INCLUDING SEXUALITY, MARITAL CONFLICT, COMMUNICATING WITH FRIENDS ABOUT INFERTILITY, AND PERHAPS THE POSSIBILITY OF ADOPTION. SERVICES RANGE FROM SINGLE CONSULTATIONS TO ONGOING SUPPORT. AN INFERTILITY SUPPORT GROUP IS ALSO OFFERED ON A MONTHLY BASIS.RESEARCH AND REUNION PROGRAM - THE RESEARCH AND REUNION PROGRAM PROVIDES RESEARCH SERVICES AND EMOTIONAL SUPPORT FOR ADOPTED PEOPLE WISHING TO LEARN MORE ABOUT THEIR BIRTHPARENTS. SERVICES RANGE FROM BASIC BIRTH HISTORY INFORMATION TO FULL SEARCHES OF SEALED COURT RECORDS (AFTER COURT APPROVAL). THE CHILDREN'S HOME OFFERS ASSISTANCE TO BIRTHPARENTS WHO WANT TO BE AVAILABLE TO THE CHILDREN THEY PLACED FOR ADOPTION AND FACILITATES REUNIONS.COMMUNITY EDUCATION - COMMUNITY ADOPTION EDUCATIONAL EVENTS, OFTEN WITH CONTINUING EDUCATION UNITS (CEU'S), ARE SPONSORED BY THE CHILDREN'S HOME. THESE EVENTS ARE AVAILABLE TO COMMUNITY ORGANIZATIONS, AGENCIES, AND INSTITUTIONS TO CONDUCT SEMINARS, TRAINING, AND CONSULTATION CONCERNING A WIDE RANGE OF ISSUES SURROUNDING ADOPTION.SWAN PROGRAMTHE CHILDREN'S HOME OF PITTSBURGH OBTAINED A CONTRACT WITH THE STATEWIDE ADOPTION AND PERMANENCY NETWORK (SWAN) IN JULY OF 2012. THE MISSION OF SWAN IS TO HELP CHILDREN WHO ARE IN THE CUSTODY OF CHILDREN, YOUTH AND FAMILY SERVICE AGENCIES TO PREPARE FOR AND TO ACHIEVE PERMANENCY. THE ADOPTION PROGRAM PROVIDES SEVERAL DIFFERENT TYPES OF SERVICES UNDER THE CONTRACT. CHILD PREPARATION UNITS OF SERVICE ARE SESSIONS WITH CHILDREN THAT HELP THEM TO UNDERSTAND THEIR HISTORIES AND WHY THEY CANNOT LIVE WITH THEIR BIOLOGICAL PARENTS. THIS HELPS CHILDREN TO BE WELL ADJUSTED IN THEIR CURRENT PLACEMENTS AND PREPARE FOR A PERMANENT PLACEMENT. CHILD PROFILES ARE ANOTHER UNIT OF SERVICE WHICH INVOLVES THE SOCIAL WORKER GATHERING EXTENSIVE RESEARCH FOR EACH CHILD AND COMPILING THAT INFORMATION INTO A DOCUMENT. THE DOCUMENT IS THEN USED TO HELP A CHILD'S FAMILY BETTER UNDERSTAND THE CHILD'S HISTORY AND TO HELP EACH CHILD BE MATCHED WITH THE BEST FAMILY POSSIBLE. THE CHILDREN'S HOME ALSO TRAINS AND COMPLETES FAMILY PROFILES ON FAMILIES INTERESTED IN ADOPTING THROUGH THE FOSTER CARE SYSTEM AND SUPPORTS THEM THROUGH THE PROCESS OF BEING MATCHED WITH A CHILD. AFTER MATCHES ARE FACILITATED, THE CHILDREN'S HOME PROVIDES FOSTER CARE SERVICES TO THE CHILD AND FAMILY IN ORDER TO SUPPORT THE PLACEMENT UNTIL FINALIZATION. POST PERMANENCY UNITS OF SERVICE ARE ALSO COMPLETED WITH FAMILIES WHO HAVE ALREADY ADOPTED THROUGH THE CHILDREN'S HOME. POST PERMANENCY UNITS OF SERVICE ALLOW THE CHILDREN'S HOME TO OFFER POST ADOPTION SUPPORT SERVICES TO ALL OF OUR ADOPTIVE FAMILIES. ADDITIONAL SWAN SERVICES COMPLETED INCLUDE HELPING COUNTY CHILDREN AND YOUTH AGENCIES DRAFT POST ADOPTION CONTACT AGREEMENTS BETWEEN BIRTH AND ADOPTIVE FAMILIES, WORKING WITH CHILDREN TO IDENTIFY PERMANENT RESOURCES FOR THEM, AND SUPERVISING THE PLACEMENT OF A CHILD IN AN ADOPTIVE HOME AS REQUESTED BY A COUNTY AGENCY.OUTREACH AND ADOPTION EDUCATIONTHE ADOPTION DEPARTMENT PROVIDES EDUCATION TO SOCIAL WORKERS, MEDICAL STAFF AND CASE MANAGERS AT MANY HOSPITALS IN SOUTHWESTERN PENNSYLVANIA. THE HOSPITAL STAFF FIND IT BENEFICIAL TO LEARN HOW TO BETTER SERVE THEIR PATIENTS WHO ARE CONSIDERING AN ADOPTION PLAN. MANY DO NOT HAVE THE TIME OR EXPERTISE TO COUNSEL THEM APPROPRIATELY THROUGH THE STAGES OF GRIEF AS THEY GO THROUGH THE PROCESS OF LETTING GO OF THEIR CHILD. THE STAFF IS OFTEN RELIEVED WHEN THEY LEARN THAT THE CHILDREN'S HOME WILL HANDLE ALL OF THE LEGALITIES IN ADOPTION, AND THAT THE CHILDREN'S HOME OFFERS THE TRANSITIONAL INFANT CARE SERVICES AND ONGOING SUPPORT TO THE BIRTHPARENTS. THEY APPRECIATE KNOWING THAT WHEN THE CHILDREN'S HOME IS INVOLVED, THEIR PATIENT WILL BE TREATED WITH THE UTMOST RESPECT AND DIGNITY AND THAT THE ADOPTION WILL BE HANDLED PROFESSIONALLY BY MASTER'S LEVEL COUNSELORS WHO ARE AVAILABLE 24 HOURS A DAY, 365 DAYS PER YEAR.HIGH SCHOOLS AND UNIVERSITIES IN THE PITTSBURGH AREA OCCASIONALLY CONTACT THE CHILDREN'S HOME TO PROVIDE EDUCATION TO THEIR HEALTH AND FAMILY EDUCATION CLASSES OR AT HEALTH FAIRS. STUDENTS ARE INTERESTED TO LEARN ABOUT THE DETAILS OF ADOPTION AS IT IS TODAY, AS MANY ARE TOUCHED BY ADOPTION IN ONE WAY OR ANOTHER. IT ALSO GIVES THEM KNOWLEDGE TO PASS ON TO FRIENDS WHO MAY EXPERIENCE AN UNPLANNED PREGNANCY AT SOME TIME IN THE FUTURE. GUIDANCE COUNSELORS AND SCHOOL NURSES ALSO BENEFIT FROM ADOPTION EDUCATION BECAUSE THEY CAN BETTER ASSIST STUDENTS WHO MAY BECOME PREGNANT. FOR MANY STUDENTS WHO DO NOT FEEL AS IF THEY CAN PARENT A CHILD AND DO NOT WISH TO SEEK AN ABORTION, ADOPTION MAY BE THE ONLY REASONABLE ALTERNATIVE FOR THEM. ONCE THEY UNDERSTAND ADOPTION, THEY ARE BETTER ABLE TO MAKE AN EDUCATED DECISION ABOUT WHAT IS BEST FOR THEM. 517892 118608 PEDIATRIC VIEWTHE PEDIATRIC VEIW PROGRAM MOVED TO THE CHILDREN'S HOME IN FALL 2021 TO SERVE PATIENTS FROM OUR REGION, AS WELL AS AROUND THE WORLD, WHO ARE DIAGNOSED WITH CORTICAL VISUAL IMPAIRMENT. CVI IS THE LEADING CAUSE OF VISUAL IMPAIRMENT IN ALL DEVELOPED COUNTRIES. INDIVIDUALS WITH CVI OFTEN HAVE EYES THAT FUNCTION NORMALLY, BUT THE MESSAGE THAT IS RECEIVED IN THE BRAIN FROM THE EYES IS NOT ABLE TO BE PROCESSED NORMALLY.DURING THE 30 YEARS THAT THIS PROGRAM HAS BEEN IN EXISTENCE, IT HAS POSITIVELY IMPACTED THE LIVES OF NEONATES AND PEDIATRIC PATIENTS WHO HAVE EXPERIENCED TRAUMA ASSOCIATED WITH PREMATURE BIRTH, STROKE, GENETIC ABNORMALITIES, AND OTHER ISSUES THAT ARE RELATED TO NEUROLOGICAL FUNCTIONING. PEDIATRIC VIEW IS COMMITTED TO CONTINUING OUR MISSION AND COMMITMENT TO: CVI AWARENESS CVI EARLY IDENTIFICATION CVI ADVOCACY CVI EDUCATION. WE HAVE SERVICED MORE THAN 280 CHILDREN SINCE RELOCATING TO THE CHILDREN'S HOME AND LEMIEUX FAMILY CENTER IN SEPTEMBER OF 2021. WE HAVE HEARD REPEATED ACCOUNTS OF SCHOOL DISTRICTS THAT CANNOT MEET THE EDUCATIONAL NEEDS OF CHILDREN WITH CVI AND DEVELOPED A WAY TO COLLABORATIVELY ADDRESS THIS ISSUE THROUGH OUR SCHOOL SUPPORT SCALE. THE NEW SCALE ALLOWS PRACTITIONERS TO ASSESS A CHILD'S CURRENT EDUCATIONAL PROGRAM, REVIEW THE SCHOOL'S SELF-EVALUATION PROCESS, AND THEN EDUCATE SCHOOL STAFF TO MEET EACH CVI STUDENT'S NEEDS. WE CURRENTLY HAVE CONTRACTS WITH 8 SCHOOL DISTRICTS.WE ARE NOW FOCUSED ON EXPANDING THESE SERVICES AND USING THIS SCALE IN CHILD'S WAY, AS 44% OF THE CURRENT STUDENT ROSTER HAVE CONFIRMED MEDICAL DIAGNOSED ASSOCIATED AS RISK FACTORS FOR CVI, AND 20% OF THE CURRENT STUDENT ROSTER ARE DIAGNOSED WITH CVI. 517892 118608 15260010 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 199 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X KIMBERLY PHILLIPS CFO 4124414884 5324 PENN AVENUE PITTSBURGH PA 15224 THERESA HECK PRESIDENT 1.00 X X 0 0 0 ERIC BOUGHNER TREASURER 1.00 X X 0 0 0 AMY BASS SECRETARY 1.00 X X 0 0 0 MARK GANUNG BOARD MEMBER 1.00 X 0 0 0 DAVID BETTS BOARD MEMBER 1.00 X 0 0 0 RANNY FERGUSON BOARD MEMBER 1.00 X 0 0 0 EMILY LANDERMAN GOLDBERG BOARD MEMBER 1.00 X 0 0 0 JULIE KLINE BOARD MEMBER 1.00 X 0 0 0 SANDRA MILLER BOARD MEMBER 1.00 X 0 0 0 ALLISON HOWARD BOARD MEMBER 1.00 X 0 0 0 CLAIRE MCGEE BOARD MEMBER 1.00 X 0 0 0 NEWLIN ARCHINAL BOARD MEMBER 1.00 X 0 0 0 GEIL WILLIAMS BOARD MEMBER 1.00 X 0 0 0 ALISSA A MEADE BOARD MEMBER 1.00 X 0 0 0 BARBARA E ZAWADZKI MD BOARD MEMBER 1.00 X 0 0 0 DAVID FRIEDLAND MD BOARD MEMBER 1.00 X 0 0 0 BEVERLY BROWN MD PRESIDENT OF MEDICAL STAFF/BOARD MEMBER 40.00 X 187445 0 24764 STEPHANIE CHURCHEL BOARD MEMBER 1.00 X 0 0 0 MARK PLACE BOARD MEMBER 1.00 X 0 0 0 MICHAEL MCCARREN BOARD MEMBER 1.00 X 0 0 0 MARJORIE WEINER BOARD MEMBER 1.00 X 0 0 0 ADITI KINKHABWALA BOARD MEMBER 1.00 X 0 0 0 JULIA TAYLOR BOARD MEMBER 1.00 X 0 0 0 PAMELA KEEN CHIEF EXECUTIVE OFFICER 40.00 X 232276 0 415 KIMBERLY PHILLIPS CHIEF FINANCIAL OFFICER 40.00 X 146167 0 23460 PATRICIA HARRIS NURSE PRACTIONER 40.00 X 162251 0 9157 COURTNEY TALIK CRNP 40.00 X 114654 0 10681 STACY SCHESLER COO 40.00 X 126437 0 23347 LISA GILES CRNP 40.00 X 110268 0 4242 DENISE BERGEY RN CLINICAL LEADER 40.00 X 105552 0 8689 1185050 0 104755 10 0 1 0 0 11169 239000 674390 1454718 131007 2379277 HOSPITAL - PEDIATRIC SPECIALTY 621400 8972822 8972822 CHILD'S WAY 621400 1774900 1774900 ADOPTION SERVICES 624110 932506 932506 PEDIATRIC VIEW 624110 118608 118608 11798836 512416 512416 413738 -413738 -413738 -413738 26650 239000 88272 -61622 -61622 39390 19200 20190 20190 OTHER REVENUE 624110 2021688 2021688 UPMC LEASE PAYMENTS 900099 211997 211997 2233685 16469044 14032521 0 57246 X 614527 614527 8115432 8009692 73628 32112 155154 151854 852 2448 1296824 1258036 27760 11028 663541 656264 7019 258 26929 9918 17011 59264 59264 1871554 1452250 419304 50183 50183 81088 20865 32010 28213 164404 142630 21774 376227 26739 349488 11459 15387 -3928 11886 11243 184 459 256551 229947 26604 847144 772582 74562 331541 310135 21406 MEDICAL SUPPLIES 604408 604408 REPAIRS AND MAINTENANCE 412275 210080 202195 PURCHASED SERVICES 128462 126354 2108 BAD DEBT EXPENSE 34508 34508 710431 602591 80193 27647 16823792 15260010 1461617 102165 324911 466652 11578 10718 68106 68698 2109873 3447262 94323 171764 47270 54189 32172558 16557180 16323671 15615378 14388936 15870353 978250 1018126 0 141728 34346918 36864868 2271077 2168438 25400 25400 5280232 6641263 7576709 8835101 X 24920176 25777534 1850033 2252233 26770209 28029767 34346918 36864868 X -354748 1574430 39876 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14388936 19017 1521664 59264 15870353 17733746 -3247937 96873 14388936 14258979 3554700 79933 17733746 14114490 216207 71718 14258979 13401588 781758 68856 14114490 0.97790 0.02210 0 0 2136745 2136745 26231149 13096012 13135137 3804664 3461168 343496 15615378 X 17694850 1574430 328731 1903161 15791689 677355 677355 16469044 16837492 107472 107472 16730020 93772 93772 16823792 PART V, LINE 4: THE CHILDREN'S HOME HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPTS TO PROVIDE A REASONABLE LEVEL OF FUNDING TO COVER OPERATIONAL SHORTFALLS WHILE SEEKING TO ENHANCE THE PURCHASING POWER OF THE CORPUS UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EQUAL OR EXCEED RESULTS OF COMPARABLE MARKET INDICES. THE CHILDREN'S HOME OF PITTSBURGH TRANSFERS FUNDS FROM THE BOARD DESIGNATED ENDOWMENT FOR USE IN OPERATIONS ON AN AS-NEEDED BASIS UPON BOARD APPROVAL. THE CHILDREN'S HOME OF PITTSBURGH BELIEVES THAT THIS SPENDING POLICY IS CONSISTENT WITH THE OBJECTIVES OF ITS INVESTMENT POLICY. PART X, LINE 2: THE CHILDREN'S HOME FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIALS STATEMENTS THAT PRESCRIBES 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 HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS GUIDANCE HAD NO MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE CHILDREN'S HOME'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AS A RESULT OF THIS GUIDANCE. GENERALLY TAX RETURNS FOR YEARS ENDED JUNE 30, 2020, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 221,259. SPECIAL EVENTS EXPENSE 88,272. GAMING EXPENSES 19,200. PART XI, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTION INCOME 583,583. INVESTMENT FEES 59,264. BAD DEBT EXPENSE 34,508. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 88,272. GAMING EXPENSES 19,200. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 59,264. BAD DEBT EXPENSE 34,508. SHAKE YOUR BOOTIES 265650 239000 26650 4508 20852 51199 2900 8813 265650 239000 26650 4508 20852 51199 2900 8813 88272 -61622 39390 19200 0 39390 19200 19200 20190 PA 1 0 1 0 1.00000 KIMBERLY PHILLIPS 5324 PENN AVENUE PITTSBURGH PA 15224 0 KIMBERLY PHILLIPS 0 RECORDKEEPING X 0 1 1 1 X 1 X 1 1 1 0 1 1 8454742 5082837 3371905 0.20080 195067 91311 103756 0.00620 8649809 5174148 3475661 0.20700 413351 413351 0.02460 413351 413351 0.02460 9063160 5174148 3889012 0.23160 1 34508 1 1 1 1 THE CHILDREN'S HOME OF PITTSBURGH 5324 PENN AVENUE PITTSBURGH PA 15224 WWW.CHILDRENSHOMEPGH.ORG 298401 X X X THE CHILDREN'S HOME OF PITTSBURGH 1 0 0 1 X X X X X X 20 1 0 0 1 X WWW.CHILDRENSHOMEPGH.ORG/WHO-WE-ARE/COMMUNITY-BENEFIT/ X 1 20 1 WWW.CHILDRENSHOMEPGH.ORG/WHO-WE-ARE/COMMUNITY-BENEFIT/ 0 1 X 185.000000000000 350.000000000000 X 1 1 X X X 1 X WWW.CHILDRENSHOMEPGH.ORG X 1 X 0 X 1 X 0 0 THE CHILDREN'S HOME OF PITTSBURGH PART V, SECTION B, LINE 5: THE CHILDREN'S HOME OF PITTSBURGH ORGANIZED A STEERING COMMITTEE OF COMMUNITY REPRESENTATIVES TO ASSIST WITH THE COMPLETION OF THE CHNA. THE COMMITTEE CONSISTED OF 13 INDIVIDUALS WITH REPRESENTATION FROM THE FOLLOWING ORGANIZATIONS AND INSTITUTIONS:- THE CHILDREN'S HOME OF PITTSBURGH (STAFF AND BOARD)- DISABILITY ADVOCATE - FISA FOUNDATION - UPMC- MARIO LEMIEUX FOUNDATION - ALLEGHENY COUNTY HEALTH DEPARTMENT- A PIECE OF MIND, INC. - UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH - ALLEGHENY HEALTH NETWORK THE INITIAL STEERING COMMITTEE MEETING SERVED TO PRIORITIZE HEALTH NEEDS CURRENTLY AFFECTING THE PEDIATRIC POPULATION FROM A LIST OF ISSUES DEVELOPED INTERNALLY AMONGST STAFF OF THE CHILDREN'S HOME. USING NOMINAL GROUP TECHNIQUE, FACILITATED DISCUSSED, AND EXIT SURVEYS, THE COMMITTEE DEVELOPED 7 KEY FOCUS AREAS IN CONDUCTING THE CHNA. COMMUNITY SURVEYS WERE DEVELOPED FROM THE NEEDS AFFECTING CHILDREN AND FAMILIES DETERMINED BY THE STEERING COMMITTEE AND INTERNAL INPUT FROM STAFF AT THE CHILDREN'S HOME. SURVEYS ASKED INDIVIDUALS TO RANK NEEDS FROM 1 - 7 BASED ON LEVEL OF IMPORTANCE. SURVEYS WERE ANONYMOUS WITH A FIELD FOR ZIP CODE OF RESIDENCE TO DETERMINE THE GEOGRAPHIC REACH OF THE ASSESSMENT.INTERVIEWS WERE HELD WITH A VARIETY OF PROFESSIONALS REPRESENTING A CROSS-SECTION OF AGENCIES WORKING WITH THE CHNA TARGET POPULATION. THE CHILDREN'S HOME OF PITTSBURGH PART V, SECTION B, LINE 11: AS A RESULT OF THE MEETING, PROJECT AND PROGRAM CONSIDERATIONS FOR OUR IMPLEMENTATION PLAN INCLUDED:-PRODUCING A COMMUNITY RESOURCE AND AVAILABLE SERVICES EMAIL THAT IS REGULARLY SENT TO FAMILIES SERVED BY THE CHILDREN'S HOME.- ORGANIZING A COMMUNITY RESOURCE FAIR.- PRODUCING MORE MARKETING MATERIALS TO EASILY SHARE AND PROMOTE AVAILABLE RESOURCES AND PROGRAMS.- ORGANIZING AN EQUITY TRAINING FOR STAFF TO HELP IMPROVE PATIENT CARE.- IMPLEMENTING A REGULAR SURVEYING PROCESS TO CONNECT WITH PATIENTS AND THEIR FAMILY'S POST-DISCHARGE.- STRENGTHENING OUR NAS PROGRAMMING SO THAT IT ADDRESSES THE NEEDS OF THE MOTHER/PARENTS, NOT JUST THE BABY/CHILD.- CREATING A WEBINAR SERIES THAT FOCUSES ON DIFFERENT RESOURCES AND ENGAGES SUBJECT MATTER EXPERTS AS GUEST SPEAKERS TO EDUCATE FAMILIES.- TAKING OUR SERVICES AND RESOURCES OUT INTO THE COMMUNITY ONCE IT IS SAFE TO DO SO POST-COVIDWHILE THE CHILDREN'S HOME RECOGNIZES AND ACKNOWLEDGES THERE ARE OTHER AREAS OF CONCERN IN THE COMMUNITY, THE CHNA COMMITTEE AGREED THAT THE ORGANIZATION DOES NOT HAVE THE RESOURCES TO MEET THESE NEEDS OR PROVIDE THE APPROPRIATE SERVICES TO THE COMMUNITY. THE CHILDREN'S HOME OF PITTSBURGH PART V, SECTION B, LINE 13H: THE CHILDREN'S HOME SOCIAL WORKER MEETS WITH EACH PATIENT AND THEIR FAMILY WITHIN 48 HOURS OF ADMISSION. IT'S DURING THAT MEETING THAT THE SOCIAL WORKERS DISCUSS THE NEEDS OF THE FAMILY, WHETHER OR NOT THEY QUALIFY FOR A PROGRAM, SUCH AS WIC OR NEED TO APPLY, AND ANY OTHER UNMET NEEDS THE FAMILY MAY HAVE. THE SOCIAL WORKER WILL REVIEW HOW THE CHILDREN'S HOME MAY BE ABLE TO HELP WITH THE FAMILIES' NEEDS AND CONSULT THE APPROPRIATE RESOURCES TO PROVIDE THE ITEMS OR SERVICES. THE CHILDREN'S HOME OF PITTSBURGH PART V, SECTION B, LINE 15E: THE CHILDREN'S HOME OF PITTSBURGH'S PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE. THE PATIENTS RECEIVE THE BENEFIT OF THE FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO NOT COLLECT FROM PATIENTS OR THEIR FAMILY'S CO-INSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED IN THE PEDIATRIC SPECIALTY HOSPITAL. THE CHILDREN'S HOME WILL ATTEMPT TO COLLECT FROM ALL INSURANCE CARRIERS PROVIDED THROUGH ADMISSIONS PROCESS.THE SOCIAL WORKER THAT MEETS WITH EACH PATIENT AND THEIR FAMILY IS THE MAIN CONTACT TO HELP MEET ALL OF THEIR NEEDS..9HB1 . \M\*4,89,S,1 THE CHILDREN'S HOME OF PITTSBURGH PART V, SECTION B, LINE 20E: UNDER NO CIRCUMSTANCES ARE ADDITIONAL ACTIONS TAKEN TO COLLECT PAYMENT FROM ANY PATIENT OR A PATIENT'S FAMILY. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO NOT COLLECT FROM PATIENTS OR THEIR FAMILY'S CO-INSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED IN THE PEDIATRIC SPECIALTY HOSPITAL. PART V, SECTION B, LINE 21 SHOULD A PERSON APPROACH ANY OF THE ENTRANCES TO THE CHILDREN'S HOME OF PITTSBURGH AND STATE THEY ARE IN NEED OF EMERGENCY MEDICAL CARE OR APPEAR TO BE IN NEED OF EMERGENCY CARE THE FOLLOWING STEPS SHOULD BE FOLLOWED:1. RECEPTIONIST/SECURITY WILL INFORM THE SENIOR CLINICAL STAFF PERSON IN THE HOSPITAL AND CHILD'S WAY IMMEDIATELY REQUESTING THEY REPORT TO THE FIRST FLOOR LOBBY. HOSPITAL IN ORDER OF NOTIFICATION: CRNP, CHARGE NURSECHILD'S WAY IN ORDER OF NOTIFICATION: CLINICAL DIRECTOR, CHARGE NURSE2. RECEPTIONIST/SECURITY WILL THEN NOTIFY THE CLINICAL DIRECTOR OR CEO.3. IF POSSIBLE THE PERSON SHOULD BE RELOCATED TO A PRIVATE LOCATION SUCH AS THE FIRST FLOOR, CONFERENCE ROOM.4. THE CLINICAL PERSON(S) WILL ASSESS THE SITUATION, OFFER FIRST AID IF APPROPRIATE AND/OR CALL 911 IF DETERMINED TO BE NECESSARY. PART V, SECTION B, LINE 22 THE CHILDREN'S HOME OF PITTSBURGH DOES NOT CHARGE PATIENTS MORE THAN AMOUNTS GENERALLY BILLED. THE HOSPITAL DOES HAVE A BILLING SYSTEM, BUT HOSPITAL PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, THE CHILDREN'S HOME OF PITTSBURGH BILLS THE INSURANCE PLAN OR OTHER ORGANIZATIONS THAT PAYS HEALTH COSTS. UNDER NO CIRCUMSTANCES ARE ADDITIONAL ACTIONS TAKEN TO COLLECT PAYMENT FROM ANY PATIENT OR A PATIENT'S FAMILY. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO NOT COLLECT FROM PATIENTS OR THEIR FAMILY'S CO-INSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED IN THE PEDIATRIC SPECIALTY HOSPITAL. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 34,508. PART II, COMMUNITY BUILDING ACTIVITIES: SAFE PLACE PROGRAM:THE CHILDREN'S HOME IS PART OF THE SAFE PLACE COLLABORATIVE PROGRAM. SAFE PLACE IS THE FIRST STEP TO HELP FOR ANY YOUTH IN CRISIS OR AT RISK. THIS COMMUNITY COLLABORATION PROGRAM, OPERATED BY YOUTH SHELTERS OR YOUTH SERVING AGENCIES MAKE IT POSSIBLE FOR ANY YOUTH TO ACCESS HELP AT LOCATIONS WHICH DISPLAY THE SAFE PLACE SIGN. SAFE PLACE CONNECTS YOUTH TO IMMEDIATE HELP AND SAFETY AND OFFERS SUPPORTIVE SERVICES TO BOTH YOUTH AND THEIR FAMILIES. PART III, LINE 2: FOR THE HOSPITAL A PERCENTAGE OF GROSS REVENUE WAS RECORDED TO ENSURE ADEQUATE RESERVES, FOR CHILD'S WAY A LUMP SUM WAS RECORDED TO ADJUST THE RESERVE, AND FOR ADOPTION AN AMOUNT WAS RECORDED EACH MONTH TO ADJUST THE RESERVE BALANCE. PART III, LINE 4: ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING. PART III, LINE 9B: ALL HOSPITAL PATIENTS ACCEPTED FOR THE CHILDREN'S HOME OF PITTSBURGH'S TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. THE CHILDREN'S HOME OF PITTSBURGH DOES HAVE A BILLING SYSTEM, BUT HOSPITAL PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, THE CHILDREN'S HOME OF PITTSBURGH BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. THE CHILDREN'S HOME OF PITTSBURGH DOES NOT TRY TO COLLECT ANY UNPAID MONEY FROM ANY PATIENT OR PATIENT FAMILY. PART VI, LINE 2: AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT, WE ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY THROUGH THE USE OF OUR CLINICAL STAFF'S EXPERT OPINIONS AND RESPONSE FROM OUR COMMUNITY OUTREACH AND EDUCATIONAL CLASSES. WE ADJUST OUR PROGRAMS AND INITIATIVES TO CATER TO NEEDS THAT ARE PRESENTED TO US THROUGH PATIENTS AND FAMILIES THAT UTILIZE OUR PROGRAMS. THE STEPS IN OUR CHNA PROCESS WERE AS FOLLOWS:1. ESTABLISH A COMMUNITY NEEDS COMMITTEE - CONSULTANTS, STAFF/BOARD LEADERS, CLINICIANS 2. REVIEW THE CHNA STRATEGIC PLAN WITH THE COMMITTEE AND REVISE THE SCOPE OF WORK, PROJECT PLAN, TIMELINE AND RESPONSIBILITIES 3. DEFINE 'COMMUNITY' FOR PURPOSES OF THE CHNA 4. OBTAIN COMMUNITY INPUT ON WHAT THE NEEDS ARE OF THE COMMUNITY 5. BRAINSTORM AND PRIORITIZE THE COMMUNITY NEEDS THAT FIT WITH OUR MISSION 6. ESTABLISH INITIATIVES AND PROGRAMS THAT WILL MEET THE NEEDS OF THE COMMUNITY 7. APPROVE INITIATIVES AND DEVELOP IMPLEMENTATION STRATEGY TO ADDRESS NEEDS 8. ADOPT IMPLEMENTATION STRATEGY OF INITIATIVE 9. IMPLEMENT PROGRAMS DURING FISCAL YEAR 2016 AND TRACK PROGRESS 10. MAKE INFORMATION READILY AVAILABLE TO ORGANIZATION AND COMMUNITY 11. ESTABLISH COMMUNICATION PROTOCOL TO ENSURE TRANSPARENCY 12. DETERMINE HOW BEST TO PRESENT NEEDS AND IMPLEMENTATION STRATEGY THROUGH FORM 990 REPORTING GOALS. THE GOALS OF OUR CHNA WERE TO: - UNDERSTAND OUR COMMUNITIES' HEALTH CARE NEEDS - DEVELOP A ROADMAP TO DIRECT RESOURCES WHERE SERVICES ARE MOST NEEDED AND IMPACT IS MOST BENEFICIAL - COLLABORATE WITH COMMUNITY PARTNERS WHERE TOGETHER WE CAN MAKE A POSITIVE IMPACT - IMPROVE THE HEALTH OF OUR COMMUNITIES - ACHIEVE MEASURABLE RESULTS CONDUCTING OUR CHNA. OUR CHNA WAS CONDUCTED FROM SEPTEMBER 2017 TO MAY 2018 AND INCLUDED THE FOLLOWING:- A CHNA COMMITTEE - FOCUS GROUPS UTILIZING NOMINAL GROUP TECHNIQUE TO IDENTIFY HEALTHCARE NEEDS - A COMMUNITY SURVEY (PAPER BASED AND ONLINE) - COMMUNITY STAKEHOLDERS AND RESOURCES - PRIMARY DATA FROM COMMUNITY SURVEYS - SECONDARY DATA FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH PRIORITIZING THE COMMUNITY'S NEEDS:THE COMMITTEE PRIORITIZED THE LIST OF OVER 20 HEALTHCARE NEEDS IN ORDER TO DECIDE WHICH TO INCLUDE ON THE COMMUNITY SURVEY THE NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING QUESTIONS- HOW IMPORTANT IS THE PROBLEM TO OUR COMMUNITY? - WHAT IS THE QUESTIONS - HOW IMPORTANT IS THE PROBLEM TO OUR COMMUNITY? - WHAT IS THE LIKELIHOOD OF BEING ABLE TO MAKE A MEASURABLE IMPACT ON THE PROBLEM?- DOES THE CHILDREN'S HOME HAVE THE ABILITY TO ADDRESS THIS PROBLEM?- IS THIS PROBLEM ALREADY BEING ADDRESSED BY ANOTHER ORGANIZATION IN THE COMMUNITY? HEALTHCARE NEEDS IDENTIFIED THE NEEDS IDENTIFIED WERE THEN CATEGORIZED INTO THREE CATEGORIES: COMMUNITY NEEDS THAT ARE FEASIBLE FOR THE CHILDREN'S HOME TO ADDRESS, NEEDS THAT ARE NOT FEASIBLE FOR THE CHILDREN'S HOME TO ADDRESS, AND THOSE NEEDS THAT COULD BEST BE MET BY CREATING PROGRAMS INTERNALLY FOR THE CHILDREN'S HOME STAFF AND PATIENTS. THE DECISIONS WERE BASED ON THE RESOURCES AVAILABLE AND FEASIBILITY OF THE CHILDREN'S HOME TO MEET THOSE NEEDS. THE FINAL LIST OF NEEDS THAT WOULD BE INCLUDED ON THE SURVEY WERE AS FOLLOWS - LONG TERM PLANNING FOR MEDICALLY FRAGILE CHILDREN - CAR SEAT SAFETY - INFANT MORTALITY - FOSTER FAMILY RECRUITMENT FOR MEDICALLY FRAGILE AND OLDER CHILDREN- DENTAL SERVICES- ADVERSE CHILDHOOD EVENTS- ACCESS TO BOOKS AND ADVOCACY FOR CHILDHOOD LITERACY - SAFE OUTDOOR PLAY SPACES - HEALTHY EATING AND NUTRITION EDUCATION - A FAMILY RESOURCE GUIDE, PROVIDING INFORMATION FOR PARENTS WITH CHILDREN BOTH WITH AND WITHOUT SPECIAL NEEDS THERE WERE ALSO A FEW SUGGESTIONS IN WHICH THE COMMITTEE FELT A SEPARATE IMPLEMENTATION PLAN WAS NOT NECESSARY AND DECIDED THAT THEY WOULD BEST BE ADDRESSED INTERNALLY BY THE STAFF OF THE CHILDREN'S HOME TO IMPLEMENT PROGRAMS FOR THE EMPLOYEES AND PATIENTS OF THE ORGANIZATION THEY INCLUDED - EDUCATION ON NEW CHILD PROTECTIVE LAWS - POST ADOPTION COUNSELING - BIRTH CONTROL EDUCATION FOR PATIENT FAMILIES - PARTNERING WITH SCHOOL-AGED CHILDREN TO TEACH THEM ABOUT MEDICALLY FRAGILE CHILDREN AND CHILDREN WITH SPECIAL NEEDS PART VI, LINE 3: THE CHILDREN'S HOME'S SOCIAL WORKER MEETS WITH EVERY PARENT OR GUARDIAN FOR EACH PATIENT ADMITTED INTO THE FACILITY. DURING THE MEETING, THE SOCIAL WORKER WILL ASSESS THE NEED FOR ASSISTANCE AND DISCUSS APPROPRIATE OPTIONS. PART VI, LINE 4: WHO WE SERVE:AS A PEDIATRIC SPECIALTY HOSPITAL, PEDIATRIC EXTENDED CARE CENTER, AND ADOPTION PROGRAM, OUR MISSION IS TO SERVE THE MEDICALLY FRAGILE POPULATION FROM BIRTH TO AGE 21 IN THE GREATER ALLEGHENY COUNTY. WE WELCOME PATIENTS FROM SURROUNDING HOSPITALS, INCLUDING CHILDREN'S HOSPITAL OF PITTSBURGH UPMC, MAGEE WOMENS HOSPITAL OF UPMC, WEST PENN ALLEGHENY HOSPITAL AND OUTLYING HOSPITALS. OUR HOSPITAL PROVIDES ACUTE CARE FOR INFANTS AND CHILDREN TRANSITIONING FROM THE HOSPITAL TO HOME. THE CHILDREN'S HOME SERVES PATIENTS MAINLY FROM THE TRI-STATE AREA. HOWEVER, SINCE A LARGE PORTION OF ADMISSIONS COME FROM THE LOCAL CHILDREN'S HOSPITAL, THE GEOGRAPHIC AREA SERVED HAS WIDENED TO INCLUDE SEVERAL STATES - NEW YORK, SOUTH CAROLINA, GEORGIA AND TENNESSEE.OUR COMMUNITY:THE CHILDREN'S HOME IS LOCATED IN THE GARFIELD NEIGHBORHOOD OF PITTSBURGH, PENNSYLVANIA. WE ARE SURROUNDED BY THE NEIGHBORING COMMUNITIES OF EAST LIBERTY, LAWRENCEVILLE AND FRIENDSHIP, ALL WHICH UTILIZE OUR SERVICES. THESE NEIGHBORHOODS LOOK TO THE CHILDREN'S HOME AS A CENTER OF EXCELLENCE AND WE STRIVE TO MEET THE NEEDS OF THE CITIZENS, WITHIN OUR SCOPE OF PRACTICE. PART VI, LINE 5: THE CHILDREN'S HOME PROVIDES A PLETHORA OF COMMUNITY BENEFITS TO THE NEIGHBORING COMMUNITIES. COMMUNITY BENEFITS:COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT EDUCATE, PROMOTE HEALTH, INCREASE RESIDENTS' KNOWLEDGE ABOUT HEALTHCARE, AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. THESE CREATE BETTER EDUCATED FAMILIES WHO CAN LOOK TO THE CHILDREN'S HOME FOR SUPPORT AND RESOURCES. THE CHILDREN'S HOME PROMOTES THEIR MISSION THROUGH THE COMMUNITY BENEFITS THROUGHOUT THE ORGANIZATION, ESPECIALLY THROUGH THE USE OF EDUCATION FROM THE SUBSTANTIAL AMOUNT OF CHARITY CARE, TO THE NUMEROUS CLINICAL STUDENTS THAT UTILIZE THE ORGANIZATION FOR THEIR EDUCATION, THE CHILDREN'S HOME GIVES BACK TO THE COMMUNITY AS MUCH AS POSSIBLE. UNDER PAYMENT THE LARGEST PORTION OF COMMUNITY BENEFIT FOR THE CHILDREN'S HOME IS UNDER REIMBURSEMENT FOR SERVICES FROM INSURERS, INCLUDING MEDICAL ASSISTANCE, GATEWAY, UPMC FOR YOU, COVENTRY CARES, AMERIHEALTH AND UHC COMMUNITY PLAN. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO OFFER FINANCIAL ASSISTANCE TO PATIENTS/FAMILIES THAT MEET CERTAIN CRITERIA. THE CHILDREN'S HOME OFFERS GOODS AND SERVICES THAT ENHANCE A SAFE DISCHARGE, PROVIDES A SUPPORTIVE LEARNING ENVIRONMENT AND/OR ASSIST IN THE PERMANENT PLACEMENT OF A CHILD. EDUCATION:THE CHILDREN'S HOME HAS ALWAYS STRESSED THE IMPORTANCE OF EDUCATION AND OFFERS NURSING STUDENTS THE ABILITY TO RECEIVE HANDS ON PEDIATRIC EXPERIENCE. CLINICAL NURSING STUDENTS COMPLETE THEIR TRAINING IN BOTH THE SPECIALTY HOSPITAL AND IN CHILD'S WAY. THE NURSING STUDENTS COMPLETED 6,910 HOURS IN THE HOSPITAL TOTALING $192,318 IN COMMUNITY BENEFIT. ADOPTION:THE ADOPTION DEPARTMENT AT THE CHILDREN'S HOME PROVIDES A VARIETY OF PROGRAMS AT THE BENEFIT OF THE COMMUNITY. THIS YEAR, THERE WERE A TOTAL OF 19 PLACEMENTS ALONG WITH MANY OTHER RESOURCES PROVIDED BY THE STAFF. THE STAFF RECEIVED CALLS FOR PHONE SUPPORT, REFERRALS, SEARCH AND REUNION OR BRIEF COUNSELING AND HELD SEVERAL SESSIONS OF BIRTH PARENT COUNSELING. USING THE AVERAGE HOURLY COMPENSATION OF THE ADOPTION STAFF, THE TOTAL COMMUNITY BENEFIT OF THE PROGRAMS WAS 20,574. X X X 0 0 0 0 0 0 0 0 0 PAMELA KEEN CHIEF EXECUTIVE OFFICER 232276 0 0 0 0 0 0 0 415 0 232691 0 0 0 BEVERLY BROWN MD PRESIDENT OF MEDICAL STAFF/BOARD MEM 187445 0 0 0 0 0 3760 0 21004 0 212209 0 0 0 PATRICIA HARRIS NURSE PRACTIONER 128782 0 33469 0 0 0 2462 0 6695 0 171408 0 0 0 KIMBERLY PHILLIPS CHIEF FINANCIAL OFFICER 146167 0 0 0 0 0 4526 0 18934 0 169627 0 0 0 X SUPPLIES FOR OPERATING ACTIVITIES 509 131007 COST TO PURCHASE 0 1 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF NOT LESS THAN 4 MEMBERS AND NOT MORE THAN 10 MEMBERS, INCLUDING EX-OFFICIO MEMBERS, WITH AT LEAST 4 HAVING EXPERTISE IN ONE OR MORE OF THE FOLLOWING AREAS: LEGAL, FINANICIAL, HEALTH CARE AND PR/DEVELOPMENT. CURRENTLY, ALL MEMBERS OF THE COMMITTEE SERVE ON THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE FULL BOARD, PROVIDED SUCH ACTION DOES NOT CONFLICT WITH THE POLICIES AND RESOLUTIONS OF THE BOARD. ALL ACTIONS ARE REPORTED FULLY TO THE BOARD AT ITS NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICIER, AND THE FINANCE COMMITTEE. THE RETURN WILL THEN BE DISTRIBUTED TO THE FULL BOARD BEFORE FILING A COMPLETE COPY OF THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR AND OFFICER MUST PREPARE AND EXECUTE A CONFLICT OF INTEREST STATEMENT DISCLOSING THE NAMES AND ADDRESSES OF ANY OTHER HEALTHCARE FACILITY, PARTNERSHIPS, ASSOCIATIONS OR OTHER ORGANIZATIONS OF WHICH THE DIRECTOR OR OFFICER IS A DIRECTOR, OFFICER, EMPLOYEE, MEMBER OR IN WHICH SUCH DIRECTOR OR OFFICER HAS A PERSONAL FINANCIAL OR PERSONAL OTHER INTEREST. THE FORMS ARE DISTRIBUTED AND COLLECTED BY THE CHIEF EXECUTIVE OFFICER'S EXECUTIVE ASSISTANT. SUCH CONFLICT OF INTEREST STATEMENTS SHALL BE PRESENTED ANNUALLY TO THE CORPORATION AT LEAST THIRTY DAYS PRIOR TO THE BEGINNING OF THE CORPORATION'S FISCAL YEAR. ANY NOTATIONS MADE ON THE STATEMENT ARE BROUGHT TO THE CEO'S ATTENTION WHO WOULD THEN ADDRESS ANY ISSUES WITH THE GOVERNANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS IN A CLOSED SESSION. THE HUMAN RESOURCE DIRECTOR CONTINUES TO USE THE PROCESS FOR ANALYZING BASE SALARIES FOR ALL POSITIONS THAT WAS DEVELOPED WITH AN INDEPENDENT CONSULTANT. THE ANALYSIS USES OUR COMPANY'S BUDGET AND STAFF SIZE TO ALIGN SALARIES WITH SIMILARLY SIZE ORGANIZATIONS IN THE TRI-STATE AREA. THE BOARD APPROVED A RANGE FOR SALARIES IN THE 50TH PERCENTILE BRACKET OF THE MARKET. THIS PAST YEAR IT WAS DETERMINED THAT A LARGE SEGMENT OF EMPLOYEES HAD FALLEN OUT THE APPROVED RANGE AND NEEDED TO BE ADJUSTED. THE HUMAN RESOURCES DEPARTMENT WILL CONTINUE TO EVALUATE COMPENSATION BY USING THE MOST RECENT MARKET STUDY AVAILABLE AS A GUIDE FOR SETTING SALARY LEVELS NOT ONLY FOR THE CEO BUT FOR THE ENTIRE STAFF. FORM 990, PART VI, SECTION C, LINE 19 THE CHILDREN'S HOME OF PITTSBURGH MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 1,452,250. MANAGEMENT AND GENERAL EXPENSES 419,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,871,554. FORM 990, PART XI, LINE 9: CHANGE IN UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT VALUATION GAIN, BENEFICIAL INTEREST IN PERPETUAL TRUSTS 39,876. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -221,259. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 221,259. FORM 990, PART XII, LINE 2C: THE CHILDREN'S HOME OF PITTSBURGH HAS A COMMITTEE THAT OVERSEES THE AUDIT & THE AUDITOR SELECTION PROCESS. THIS PROCEDURE HAS NOT CHANGED FROM THE PRIOR YEAR.