TY 2014 Form 990

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	9,723,476	9,723,476
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	1,470,232	1,470,232
10	Payroll taxes ...........	720,320	720,320
11	Fees for services (non-employees):
a	Management ......	5,497,981	1,663,469	3,728,879	105,633
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	505,413	504,337	1,076
12	Advertising and promotion ....
13	Office expenses .......	261,498	139,830	121,668
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	287,170	287,170
17	Travel ............	46,090	46,090
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	90	90
20	Interest ...........	652,500	652,500
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....
23	Insurance ..............
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PHYSICIAN FEES	2,126,374	2,126,374
b	EQUIPMENT RENTALS	1,789,966	1,727,637	62,329
c	MEDICAL EXPENSES	483,924	483,924
d	FOOD	247,001	247,001
e	All other expenses	431,552	256,806	174,746
25	Total functional expenses. Add lines 1 through 24e	24,243,587	20,049,256	4,088,698	105,633
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	1,751	1	2,250
2	Savings and temporary cash investments .........	10,553	2	10,553
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	1,683,145	4	3,465,138
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ..........		9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation .....	10b			10c
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........		15
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,695,449	16	3,477,941
	17	Accounts payable and accrued expenses .........	995,685	17	1,075,388
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	22,516,027	25	1,253,154
26	Total liabilities. Add lines 17 through 25.........	23,511,712	26	2,328,542
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	-21,816,263	27	1,149,399
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-21,816,263	33	1,149,399
34	Total liabilities and net assets/fund balances ........	1,695,449	34	3,477,941

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......		0

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DUE TO AFFILIATE		1,253,154








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		1,253,154
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	24,214,670
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b	2,650
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-239,000
e	Add lines 2a through 2d .....................			2e	-236,350
3	Subtract line 2e from line 1.....................			3	24,451,020
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	24,451,020

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	24,007,237
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	2,650
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................			2e	2,650
3	Subtract line 2e from line 1.....................			3	24,004,587
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	239,000
c	Add lines 4a and 4b.......................			4c	239,000
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	24,243,587

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE INTERNAL REVENUE SERVICE RECOGNIZES KIDSPEACE AND ITS SOLE CORPORATE MEMBERS AS AN EXEMPT ORGANIZATION FOR FEDERAL INCOME TAX PURPOSES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. KIDSPEACE IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2011. KIDSPEACE FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. KIDSPEACE DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S -239,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NETTED AGAINST REVENUE ON F/S 239,000.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	31,903		31,903	0.130 %
b	Medicaid (from Worksheet 3, column a) ....	17,732,672	18,689,863	-957,191	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	17,764,575	18,689,863	-925,288	0.130 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4) ..
f	Health professions education (from Worksheet 5) ..
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..
k	Total. Add lines 7d and 7j .	17,764,575	18,689,863	-925,288	0.130 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

334,414

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

Enter Medicare allowable costs of care relating to payments on line 5.....

Subtract line 6 from line 5. This is the surplus (or shortfall)........

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)				Other (describe)
1	KIDSPEACE CHILDREN'S HOSPITAL 5300 KIDSPEACE DRIVE OREFIELD,PA18069 WWW.KIDSPEACE.ORG 234200	X	X	PSYCHIATRIC HOSPTIAL

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	KIDSPEACE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	KIDSPEACE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	KIDSPEACE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
KIDSPEACE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: THE NEEDS ASSESSMENT WAS A COMBINED EFFORT OF NUMEROUS HEALTHCARE PROVIDERS IN THE LEHIGH VALLEY AND ALL PARTICIPANTS WERE ABLE TO RELY UPON EXPERTS FROM EACH ORGANIZATION TO FORMULATE A COMPREHENSIVE ASSESSMENT.
KIDSPEACE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6A: GOOD SHEPHERD REHABILITATION, ST. LUKES HEALTH NETWORK, LEHIGH VALLEY HEALTH NETWORK, SACRED HEART HEALTH CARE SYSTEM
KIDSPEACE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 7D: FREE DISTRIBUTION AT COMMUNITY EVENTS
KIDSPEACE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 22D: MAXIMUM AMOUNTS THAT CAN BE CHARGED ARE BASED ON MEDICAID ESTABLISHED RATES.
PART V, SECTION B LINES 8 AND 11:	KIDSPEACE CHILDREN'S HOSPITAL IS DEVELOPING AN IMPLEMENTATION STRATEGY THAT BEST MEETS THE NEEDS OF THE COMMUNITY WE SERVE AS WELL AS THE HOSPITAL ITSELF.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
KIDSPEACE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	WWW.KIDSPEACE.ORG
KIDSPEACE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	WWW.KIDSPEACE.ORG
KIDSPEACE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	WWW.KIDSPEACE.ORG

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	BEHAVIORAL HEALTH REHABILITATIVE SVCS 1650 BROADWAY BETHLEHEM,PA18015	CLINICAL & BEHAVIORAL SERVICES FOR CHILDREN AND AUTISM SPECTRUM DISORDER
2	OUTPATIENT CLINIC 801 GREEN ST ALLENTOWN,PA18109	OUTPATIENT BEHAVIORAL HEALTH CLINICS
3	SACRED HEART SIGAL CENTER 450 W CHEW ST SUITE 203 ALLENTOWN,PA18109	OUTPATIENT BEHAVIORAL HEALTH CLINICS
4	OUTPATIENT CLINIC 100 COMMUNITY DR SUITE 208 TOBYHANNA,PA18466	OUTPATIENT BEHAVIORAL HEALTH CLINICS
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	COST BASED ON ACTUAL ACTIVITY WITHIN PROGRAMMING.
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 $ 239,000.
PART III, LINE 2:	ACTUAL AMOUNT CHARGED AS BAD DEBT.
PART III, LINE 3:	THE AMOUNT IDENTIFIED ARE THE CHARGES DIRECTLY ATTRIBUTABLE TO BAD DEBT. THE AMOUNT SHOULD BE INCLUDED AS COMMUNITY BENEFIT AS IT IS A COST OF DOING BUSINESS TO PROVIDE SERVICES TO ALL PATIENTS REGARDLESS OF THE ABILITY TO PAY.
PART III, LINE 4:	KIDSPEACE PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF CLIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING SPECIFIC AMOUNTS AND HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE FROM CLIENTS ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND KIDSPEACE CEASES COLLECTION EFFORTS.
PART VI, LINE 2:	KIDSPEACE REGULARLY MEETS WITH LOCAL COUNTY OFFICIALS TO ASSESS NEEDS AND DETERMINE OPPORTUNITIES TO PROVIDE SUPPORT AND PROGRAMMING. IN ADDITION KIDSPEACE IS A MEMBER OF THE PENNSYLVANIA COUNCIL OF CHILDREN YOUTH AND FAMILIES WHICH ALLOWS KIDSPEACE TO EXCHANGE IDEAS AND BEST PRACTICE CONCEPTS WITH OTHER PROVIDERS THROUGHOUT PENNSYLVANIA.IN RECENT YEARS THE CHILDREN'S HOSPITAL REDESIGNED ITS ADMISSIONS PROCESS TO ALLOW DIRECT ADMITS INTO THE PROGRAM. CHILDREN MEETING SPECIFIC CRITERIA WILL BE DIRECTLY ADMITTED INTO THE HOSPITAL POTENTIALLY AVOIDING LONG WAITS IN EMERGENCY ROOMS AND DELAYS IN RECEIVING THE CARE AND TREATMENT NEEDED DURING A TIME OF CRISIS.SEE ALSO SCHEDULE H PART V.
PART VI, LINE 3:	KIDSPEACE CHILDREN'S HOSPITAL IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES THAT GIVE HOPE, HELP AND HEALING TO CHILDREN, FAMILIES AND COMMUNITIES. CARE FOR ALL PATIENTS IS GIVEN REGARDLESS OF ABILITY TO PAY.THE KIDSPEACE ADMISSIONS AND BENEFITS DEPARTMENTS DISCUSS BENEFIT ELIGIBILITY, MEDICAL ASSISTANCE PLANS AND CHARITY CARE APPLICATIONS WITH FAMILIES DURING THEADMISSIONS PROCESS. KIDSPEACE WILL ASSIST FAMILIES IN COMPLETING REQUIRED DOCUMENTS AS WELL AS FOLLOWING UP ON SUBMITTED PAPERWORK. KIDSPEACE HAS IMPLEMENTED A FAIR AND CONSISTENT BILLING PRACTICE FOR ALL PATIENTS WITH FINANCIAL OBLIGATIONS TO THEHOSPITAL. FINANCIAL COUNSELING IS ALSO OFFERED TO PATIENTS WITH REGARDS TO THEIR BILLS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM IS POSTED THROUGHOUT THE HOSPITAL TO FURTHER REITERATE KIDSPEACE'S COMMITMENT TO CARE FOR ANY AND ALL PATIENTS AND FAIR BILLING PRACTICES.
PART VI, LINE 4:	KIDSPEACE CHILDREN'S HOSPITAL PRIMARILY SERVES THE RESIDENTS OF LEHIGH, CARBON AND NORTHAMPTON COUNTIES IN PENNSYLVANIA. THE LEHIGH VALLEY OF WHICH THESE THREE COUNTIES ARE A PART OF HAS A TOTAL POPULATION OF APPROXIMATELY 650,000 WITH AN AVERAGE HOUSEHOLD INCOME OF $55,713. THERE IS ALSO 30 MILLION IN POPULATION WITHIN A 100-MILE RADIUS OF THE LEHIGH VALLEY. FROM 2010 TO 2012 THE MINORITY POPULATION IN THE AREA HAS INCREASED BY APPROXIMATELY 1% AND THIS TREND IS EXPECTED TO CONTINUE.DEMOGRAPHIC MAKE UP OF HOSPITAL PATIENTS FOR 2014 INCLUDED 1,999 CHILDREN FROM PENNSYLVANIA, A MAJORITY OF THE CHILDREN WERE BETWEEN THE AGES OF 8-17 WITH MORE THAN 68% OF TOTAL ADMISSIONS UTILIZING MEDICAID AS THEIR PRIMARY INSURER.
PART VI, LINE 5:	KIDSPEACE MAKES STAFF AVAILABLE IN THE TIME OF CRISES THAT MAY AFFECT OUR LOCAL COMMUNITIES. THIS CRISIS RESPONSE TEAM IS BROUGHT INTO A SITUATION WHERE COUNSELING AND OTHER SERVICES MIGHT BENEFIT THOSE AFFECTED. NUMEROUS EVENTS OCCURRED THROUGHOUT THE YEAR THAT KIDSPEACE PROVIDED PROFESSIONAL CRISIS MANAGEMENT AS WELL AS COUNSELING TO THE INDIVIDUALS, SCHOOL DISTRICTS AND GROUPS INVOLVED.ON A WIDER SCALE KIDSPEACE OPERATES INTERACTIVE WEBSITES CALLED TEENCENTRAL.NET AND PARENTCENTRAL.NET. THESE VALUABLE TOOLS ALLOW TEENAGERS AND PARENTS TO HAVE A FORUM TO EXCHANGE LIFE STORIES, TROUBLES THEY MAY BE ENCOUNTERING AND USE A TOOL THAT LETS THEM SUBMIT QUESTIONS OR CONCERNS ANONYMOUSLY THAT ARE REVIEWED BY VOLUNTEERS. FEEDBACK IS THEN PROVIDED AS WELL AS OPTIONS ON HOW TO DEAL WITH THESE ISSUES ANDHOPEFULLY DELIVER GUIDANCE THAT WILL HELP THE USERS NAVIGATE THE COMPLEX WORLD IN WHICH THEY LIVE. IN 2013 APPROXIMATELY 400,000 USERS ACCESSED THE SITE. ON AVERAGE THESE WEB SITES HAVE 75 VOLUNTEERS AT ANY GIVEN TIME AND IN 2013 THESE VOLUNTEERS GAVE OVER 30,000 HOURS OF THEIR TIME TO MAKE TEENCENTRAL.NET AND PARENTCENTRAL.NET VALUABLE AND VITAL TOOLS FOR FAMILIES AROUND THE WORLD.THE CHIEF EXECUTIVE OFFICER OF KIDSPEACE SERVES AS A DIRECTOR ON THE BOARD OF THE LEHIGH VALLEY BASED NON-PROFIT KIDS OF CHARACTER. TIME USED TO SERVE ON THIS BOARD WOULD OTHERWISE BE ALLOCATED TO ACTIVITIES AT KIDSPEACE. NUMEROUS TRAININGS OFFERED AT KIDSPEACE ARE OPEN TO THE COMMUNITY AT LARGE AT LITTLEOR NO COST. ADDITIONALLY, KIDSPEACE GOES INTO THE COMMUNITY SEVERAL TIMES PER YEAR TO OFFER TRAINING TO SCHOOL DISTRICTS, OTHER PROVIDERS AS WELL AS SUPPORT IN DEVELOPMENT OF FOSTER PARENTS.KIDSPEACE CORPORATION, THE HOSPITAL'S PARENT ORGANIZATION, HAS A 16 MEMBER BOARD OF DIRECTORS OF WHICH 12 ARE INDEPENDENT, NON-EMPLOYEES OF THE CORPORATION. THESE 12 MEMBERS ARE COMPRISED OF LEADERS FROM THE LOCAL MARKETS IN WHICH KIDSPEACE OPERATES. BOARD MEMBERS ARE NOT COMPENSATED, FREELY GIVING OF THEIR TIME TO FURTHER THE MISSION OF KIDSPEACE.THE MEDICAL STAFF OF THE HOSPITAL IS ORGANIZED TO PROVIDE THE PUBLIC WITH THE BEST POSSIBLE CARE BASED ON INDIVIDUAL NEEDS. INCLUDED ON STAFF ARE PSYCHIATRISTS, PEDIATRICIANS AND DENTISTS. SHOULD MORE SPECIALIZED CARE BE NEEDED, KIDSPEACE WORKS WITH OTHER LOCAL MEDICAL PROVIDERS TO ENSURE THE HEALTH AND WELL BEING OF OUR CHILDREN IS MET.SURPLUS FUNDS EARNED BY KIDSPEACE ARE REINVESTED IN THE ORGANIZATION VIA FACILITY UPGRADES, IMPROVEMENT OF SAFETY AND CARE FOR PATIENTS, EXPANSION OF EXISTING SERVICES OR INTO NEW SERVICES AS WELL AS THE CONTINUAL INVESTMENT IN THE ASSOCIATES OF KIDSPEACE TO ENSURE A WELL TRAINED, CAPABLE STAFF THAT DELIVERS CONSISTENT, QUALITY CARE TO OUR PATIENTS.KIDSPEACE ALSO ACTIVELY ADVOCATES ON BEHALF OF THE CLIENT POPULATION WE SERVE TO ENSURE THAT LOCAL SENATORS AND CONGRESSIONAL REPRESENTATIVES ARE AWARE OF OUR MISSIONS AND THE POTENTIAL IMPACT EXISTING OR PROPOSED LEGISLATION MAY HAVE ON OUR BUSINESS AND IN TURN ON THE FAMILIES AND CHILDREN WHO SEEK CARE.
PART VI, LINE 6:	KIDSPEACE CHILDREN'S HOSPITAL IS A SUBSIDIARY COMPANY OF KIDSPEACE CORPORATION. OTHER SUBSIDIARIES INCLUDE KIDSPEACE NATIONAL CENTERS (KNC), KIDSPEACE OF NEW ENGLAND (KPNE), KIDSPEACE OF GEORGIA (KPGA), MESABI ACADEMY, IRON RANGE SCHOOL AND KIDSPEACE OF NORTH AMERICA (KPNA).KIDSPEACE CORPORATION IS THE PARENT COMPANY AND PROVIDES SUBSIDIARY COMPANIES WITH THE FOLLOWING SERVICES: HUMAN RESOURCES, FINANCE, PAYROLL, COLLECTIONS, CONTRACTING, ADMISSIONS, INFORMATION TECHNOLOGY, MARKETING, TRAINING, MAINTENANCE, FOOD SERVICES, ADMINISTRATION, MEDICAL RECORDSKNC SERVICES CLIENTS IN SEVERAL AREAS OF BEHAVIORAL HEALTH. THESE INCLUDE RESIDENTIAL SERVICES, PSYCHIATRIC AND MEDICAL SERVICES, ON SITE EDUCATIONAL SCHOOLING, FOSTER CARE, ACUTE PARTIAL HOSPITALIZATION AND A NEW PROGRAM CALLED KIDSHAVEN. THIS IS A FEDERALLY FUNDED PROGRAM PROVIDING CARE AND CLINICAL SERVICES FOR CHILDREN ENTERING THE U.S. LOOKING TO BE REUNITED WITH EXISTING FAMILY.KPNE IS BASED IN MAINE AND OFFERS RESIDENTIAL PROGRAMMING FOR CHILDREN WITH BEHAVIORAL HEALTH ISSUES AS WELL AS THOSE ON THE AUTISM SPECTRUM. THERE IS ALSO AN ON-SITE SCHOOL, DAY TREATMENT PROGRAM, FOSTER CARE PROGRAMS AND NUMEROUS OUTPATIENT SERVICES.KPGA ALSO OFFERS RESIDENTIAL SERVICES AS WELL AS PROVIDING EDUCATION ON-SITE. ALSO INCLUDED IN THE ARRAY OF SERVICES IS A MEDICAID FUNDED OUTPATIENT/REHABILITATION PROGRAM.MESABI AND IRON RANGE WORK IN TANDEM TO PROVIDE SERVICES TO YOUTH IN A CORRECTIONAL SETTING. MESABI IS THE RESIDENTIAL AND CLINICAL SITE PROVIDING THESE SERVICES TO THE CHILDREN IN CARE. THERE ARE A WIDE VARIETY OF DIAGNOSES INCLUDING IN THE CONTINUUM OF CARE AT MESABI. IRON RANGE SCHOOL IS AN ON-SITE SCHOOL OPERATED BY THE LOCAL SCHOOL DISTRICT TO ENSURE CHILDREN RECEIVE AND APPROPRIATE EDUCATION.KPNA OPERATES NUMEROUS STATES PROVIDING FOSTER CARE AND OUTPATIENT SERVICES TO CHILDREN WHO NEED THESE TYPES OF SERVICES.

Schedule H (Form 990) 2014

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SUSAN MULLENDIRECTOR	(i) (ii)	47,095 ............................... 109,889	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 9,481	47,095 ............................... 119,370	0 ............................... 0
2MICHAEL SLACKDIRECTOR & SECRETARY	(i) (ii)	16,505 ............................... 148,542	0 ............................... 0	0 ............................... 8,520	0 ............................... 0	0 ............................... 0	16,505 ............................... 157,062	0 ............................... 0
3GEORGE SHOPLANDEXECUTIVE VICE PRESIDENT	(i) (ii)	126,928 ............................... 0	0 ............................... 0	12,500 ............................... 0	0 ............................... 0	11,347 ............................... 0	150,775 ............................... 0	0 ............................... 0
4WILLIAM ISEMANNPRESIDENT & CEO	(i) (ii)	44,593 ............................... 252,693	0 ............................... 0	0 ............................... 496,694	0 ............................... 0	0 ............................... 21,129	44,593 ............................... 770,516	0 ............................... 0
5GERARD GLEESONTREASURER	(i) (ii)	22,797 ............................... 129,185	0 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 12,319	22,797 ............................... 141,504	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	KPC, THE PARENT ORGANIZATION, DETERMINES HOW COMPENSATION IS COMPUTED. THE METHODS USED ARE THE COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Return Reference	Explanation
FORM 990, PART III, LINE 4A	KIDSPEACE RESIDENTIAL PROGRAMS: IN 2014, SOME 11,183 CHILDREN SUFFERING FROM ABUSE, NEGLECT AND EMOTIONAL TRAUMA FOUND COMFORT AND HEALING THROUGH A NETWORK OF KIDSPEACE PROGRAMS AND SERVICES. ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, THE TOP ACCREDITING BODY IN AMERICA, THE CAMPUSES PROVIDE A WARM AND COMFORTABLE HOME AWAY FROM HOME, FOOD, CLOTHES, THERAPY, LIFE SKILLS, THERAPEUTIC RECREATION, AND EDUCATION TO RESTORE CHILDHOOD TO CHILDREN. STAFFED BY DOCTORS, NURSES, SOCIAL WORKERS, PSYCHOLOGISTS, NUTRITIONISTS, THERAPISTS, AND CARING COUNSELORS, THE PROGRAMS HELP CHILDREN HEAL WHILE BUILDING CONFIDENCE AND COMPETENCE TO MAKE HEALTHY CHOICES FOR BRIGHTER FUTURES. THESE CAMPUSES, SOME AS LARGE AS 200 ACRES, STRIVE TO GIVE THE BEST TO KIDS WHO HAVE BEEN THROUGH THE WORST, WITH WORLD-CLASS FACILITIES INCLUDING HOMES, ATHLETIC FIELDS, SWIMMING POOLS, AND STATE-OF-THE-ART LEARNING FACILITIES. THE KIDSPEACE RESIDENTIAL PROGRAMS HELP KIDS FROM ACROSS THE COUNTRY (AND EVEN FROM ACROSS THE GLOBE), AND IN 2014 WERE LOCATED IN FOUR STATES: PENNSYLVANIA, MAINE, MINNESOTA, AND GEORGIA. QUALITY OUTCOMES: KIDSPEACE PROGRAMS AND SERVICES ARE RESEARCH-BASED AND ANNUAL OUTCOMES STUDIES ARE CONDUCTED TO ENSURE OUR PROGRAMS ARE OF THE HIGHEST CALIBER. IN 2014, KIDSPEACE KIDS WERE ASKED TO RATE HOW WELL KIDSPEACE EMBODIES THE PRINCIPLES OF OUR MODEL OF CARE. CHILDREN RESPONDED POSITIVELY ABOUT THEIR: SENSE OF DIGNITY: 91% FEELING OF SAFETY: 84% SENSE OF BELONGING: 79% FEELINGS OF EMPOWERMENT: 88% DEVELOPMENT OF CHARACTER: 91% TRANSFORMATION AND GROWTH: 96% KIDSPEACE PSYCHIATRIC HOSPITAL: THIS NATIONAL RESOURCE, LOCATED IN PENNSYLVANIA, MINUTES BY AIR FROM NEW YORK, WASHINGTON, D.C. AND PHILADELPHIA, HELPED 2,077 KIDS IN 2014. THE HOSPITAL IS A PRIVATE, NOT-FOR-PROFIT FACILITY CARING FOR CHILDREN IN SERIOUS EMOTIONAL DISTRESS. IT SPECIALIZES IN CARING FOR CHILDREN, PRE ADOLESCENTS, ADOLESCENTS AND YOUNG ADULTS THROUGH CUSTOM-DESIGNED PROGRAMS TO MEET EACH PATIENT'S SPECIFIC NEEDS, FROM SEVERE TRAUMA AND DEPRESSION TO EMOTIONAL CHALLENGES PROMPTED BY AUTISM OR LOWER INTELLECTUAL FUNCTIONING. PATIENTS IN THE HOSPITAL BENEFIT FROM AN ON-SITE SCHOOL SYSTEM, WHICH ENSURES CHILDREN'S ACADEMIC PROGRESS WHILE THEY WORK TO OVERCOME CRISES. KIDSPEACE FOSTER CARE & ADOPTION PROGRAMS: MORE THAN 879 CHILDREN FOUND HELP IN 2014 THROUGH KIDSPEACE'S 26 FOSTER CARE AND ADOPTION CENTERS. OUR FOSTER-CARE PROGRAM IS SPECIFICALLY DESIGNED FOR CHILDREN WHO HAVE ENDURED OR FACE CRISES IN THEIR BIRTH HOMES. UNLIKE TRADITIONAL FOSTER CARE, OUR PROGRAMS RECRUIT, INTENSIVELY TRAIN AND SUPPORT FOSTER FAMILIES TO RESPOND TO THE SPECIAL NEEDS OF OUR CHILDREN. FOSTER FAMILIES RECEIVE 24-HOUR, SEVEN-DAY-A-WEEK ASSISTANCE FROM ON-CALL PROFESSIONALS AND KIDSPEACE FOSTER FAMILIES USUALLY CARE FOR NO MORE THAN TWO CHILDREN IN A HOME - FEWER THAN IS COMMON IN MOST FOSTER HOMES - TO BETTER FOCUS ON THE INDIVIDUAL NEEDS OF EACH CHILD. KIDSPEACE FOSTER CARE AND FAMILY SERVICES SITES PROVIDED ADOPTION SERVICES TO MANY CHILDREN IN 2014, HELPING FIND PERMANENT HOMES FOR MANY WONDERFUL CHILDREN WHO WERE LABELED "UNADOPTABLE" BY OTHER PROVIDERS. WE OWE OUR SUCCESS TO THE UNIQUE COMPONENTS OF OUR PROGRAM, INCLUDING REACHING OUT TO FAMILIES AND WRITING HIGH QUALITY FAMILY PROFILES (COMMONLY KNOWN AS HOME STUDIES), WHICH EXPAND THE POOL OF ADOPTIVE FAMILIES FOR KIDS IN THE FOSTER CARE SYSTEM AS A WHOLE. THROUGH THE CHILD SPECIFIC RECRUITMENT SERVICE, KIDSPEACE FINDS ADOPTIVE FAMILIES FOR THE MOST CHALLENGING KIDS, INCLUDING OLDER CHILDREN WITH SIGNIFICANT SPECIAL NEEDS. KIDSPEACE IS ALSO A LEADER IN THE NEW SERVICE OF CHILD PREPARATION, WHICH CONSISTS OF TEN SESSIONS DESIGNED TO EMOTIONALLY PREPARE CHILDREN TO BECOME A PERMANENT PART OF A NEW FAMILY. KIDSPEACE ALSO PROVIDES ADOPTIVE FAMILIES WITH ONGOING SUPPORT FOR MONTHS AFTER AN ADOPTION IS FINALIZED, THROUGH CASE ASSESSMENT, CASE MANAGEMENT, AND RESPITE CARE. EDUCATIONAL SERVICES: CHILDREN IN EMOTIONAL CRISIS, WHETHER CAUSED BY TRAUMA, PROBLEMS IN THE FAMILY, OR A PERSONAL ISSUE, FIND IT DIFFICULT TO CONCENTRATE ON LEARNING. KIDSPEACE OPERATES SEVEN LICENSED SCHOOLS IN FOUR STATES TO HELP KEEP YOUNGSTERS ON TRACK IN THE SINGLE MOST IMPORTANT SOCIAL AND DEVELOPMENTAL AREA IN THEIR LIVES. THE KIDSPEACE SCHOOL SYSTEM PROVIDES A COMPLETE EDUCATION FOR CHILDREN IN OUR RESIDENTIAL AND HOSPITAL PROGRAMS, FROM 1ST THROUGH 12TH GRADE. IT GUARANTEES ALL CREDITS THEY WOULD EARN IN A PUBLIC OR PRIVATE SCHOOL. OUR SCHOOL SYSTEM PROFESSIONALS WORK CLOSELY WITH RESIDENTIAL STAFF, PARENTS, REFERRAL SOURCES, AND THE CHILD TO ENSURE THE MOST EFFECTIVE EDUCATION AND TREATMENT POSSIBLE. OUR STUDENTS ARE VERY SUCCESSFUL AT KIDSPEACE SCHOOLS, GAINING A FULL YEAR OF ACADEMIC GROWTH DURING A STAY SHORTER THAN AN ACADEMIC YEAR. KIDSPEACE SETS THEM ON A COURSE TO ACHIEVE SCHOLASTICALLY AND PURSUE HIGHER LEVELS OF EDUCATION. THEY NOT ONLY CATCH UP, THEY EXCEL. DURING 2014, WE NOTED AN INCREASED NUMBER OF YOUTH CONTINUING THEIR EDUCATION. CHILDREN ENROLLED IN SCHOOL OR COMPLETED THEIR GEDS. COMMUNITY PROGRAMS: WHEREVER POSSIBLE, KIDSPEACE SEEKS TO KEEP CHILDREN CLOSE TO HOME AND THE PEOPLE WHO LOVE THEM. IN 2014, KIDSPEACE COMMUNITY-BASED PROGRAMS OFFERED A WIDE RANGE OF SERVICES TO 3,640 CHILDREN AND THEIR FAMILIES, INCLUDING OUTPATIENT, FAMILY-BASED, AND IN-HOME THERAPIES AS WELL AS PARTIAL-HOSPITALIZATION PROGRAMS TO REBUILD LIVES WEAKENED BY CRISES. THE GOAL IS TO KEEP CHILDREN AND FAMILIES HEALTHY AND SAFE IN THEIR HOMES, SCHOOLS AND COMMUNITIES. HOUSE CALLS: KIDSPEACE PROFESSIONALS BRING SERVICES TO CHILDREN AND FAMILIES IN THEIR OWN HOMES IN AN EFFORT TO HELP THEM LEARN, GROW AND STAY TOGETHER. SERVICES INCLUDE THERAPY, LIFE- AND PARENTING-SKILLS TRAINING, PROBLEM SOLVING, EDUCATION AND SELF-ESTEEM BUILDING. IN AND OUT OF SCHOOL: AT TIMES, KIDSPEACE CONSULTANTS ARE PROVIDED TO ASSIST PUBLIC SCHOOL STAFF. EACH DAY AFTER SCHOOL, KIDSPEACE VANS PICK UP CHILDREN AND BRING THEM TO OUR COMMUNITY PROGRAMS FOR THERAPY, ADULT SUPERVISION, THERAPEUTIC RECREATION, EDUCATIONAL SUPPORT AND EVEN A NUTRITIOUS MEAL. CHILDREN ARE THEN RETURNED SAFELY HOME. PARENTS ARE ENCOURAGED TO PARTICIPATE IN THE PROGRAMMING. COMMUNITY LINKS: KIDSPEACE PARTNERS WITH MANY COMMUNITY ORGANIZATIONS LIKE YOUTH AND FAMILY CENTERS AND GOVERNMENT AGENCIES TO PROVIDE PARENTING AND LIFE-SKILLS TRAINING AND FAMILY EDUCATION. WE ALSO HELP LINK FAMILIES TO COMMUNITY RESOURCES SUCH AS FOOD BANKS AND LIBRARIES. PREVENTION & PUBLIC EDUCATION: IN ADDITION TO THE DIRECT HELP KIDSPEACE PROVIDES TO THOUSANDS OF YOUNGSTERS EACH DAY, THE NONPROFIT HAS INVESTED CONSIDERABLE ENERGY INTO HELPING THE WORLD'S CHILDREN AVOID AND OVERCOME THE COMMON CRISES OF GROWING UP. WE OFFER A HELPING HAND TO KIDS IN ALL 50 STATES AND IN DOZENS OF COUNTRIES AROUND THE GLOBE, GIVING THEM HOPE AND POWERFUL TOOLS TO AVOID AND OVERCOME THE GREATEST DANGERS OF MODERN LIFE. THESE INCLUDE: -PREVENTION MEDIA REACH WITH INFORMATION AND CHILD CRISIS TIPS -TEENCENTRAL.NET, A UNIQUE PROBLEM-SOLVING WEBSITE -KIDSPEACE.ORG, A RESOURCE FOR PARENTS AND PROFESSIONALS -KIDSDAY.NET, ENCOURAGING MEANINGFUL TIME BETWEEN ADULTS AND KIDS -KIDSPEACE INSTITUTE, TRAINING PROFESSIONALS IN THE FIELD -PARENTCENTRAL.NET, A UNIQUE PROBLEM-SOLVING WEBSITE FOR PARENTS
FORM 990, PART V, LINE 1C:	KIDSPEACE CHILDREN'S HOSPITAL IS AN AFFILIATE IN A GROUP OF WHICH KIDSPEACE CORPORATION (KPC) IS CONSIDERED A COMMON PAY AGENT FOR VENDORS. KPC FILES ALL 1099S UNDER ITS EIN - 23-1353394.
FORM 990, PART VI, SECTION A, LINE 6	KIDSPEACE CORPORATION (KPC) IS THE SOLE MEMBER OF KIDSPEACE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER, KPC HAS THE POWER TO SELECT THE BOARD OF DIRECTORS AND REMOVE ANY DIRECTORS AT ANY TIME.
FORM 990, PART VI, SECTION A, LINE 7B	ANY BY-LAW AMENDMENTS MUST BE APPROVED BY THE BOARD OF DIRECTORS OF THE SOLE MEMBER, KPC.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 WAS REVIEWED IN DETAIL BY MANAGEMENT OF KIDSPEACE. THE BOARD OF DIRECTORS ELECTED TO DELEGATE THE REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE, WHICH CONTAINS MEMBERS OF THE BOARD OF DIRECTORS. COPIES OF THE FORM 990 ALONG WITH ALL OF THE SCHEDULES ARE SENT TO THE FINANCE COMMITTEE STAFF PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS OF THE BOARD OF DIRECTORS AND THE SENIOR LEADERSHIP TEAM ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. AFTER COMPLETION BY THE MEMBER, THE FORM IS SENT TO THE VICE PRESIDENT OF COMPLIANCE FOR REVIEW. DEPENDING ON THE FINDINGS OF THE VICE PRESIDENT, THE POTENTIAL CONFLICT MAY BE TAKEN TO THE COMPLIANCE COMMITTEE FOR REVIEW AND FINAL DECISION.
FORM 990, PART VI, SECTION B, LINE 15	THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF THE KPC BOARD OF DIRECTORS (MDCC) CONSISTS OF INDEPENDENT DIRECTORS, AND HAS RESPONSIBILITY TO REVIEW AND GIVE APPROVAL OF THE COMPENSATION FOR THE CEO AND OTHER TOP MANAGEMENT POSITIONS. PERIODICALLY THE MDCC ENGAGES AN OUTSIDE COMPENSATION CONSULTANT TO CONDUCT AN INDEPENDENT ANALYSIS OF BASE COMPENSATION AND TOTAL CASH COMPENSATION FOR THE KEY MANAGEMENT POSITIONS. THIS ANALYSIS MAY INCLUDE A COMPETITIVE MARKET ASSESSMENT FOR EACH POSITION COMPARED TO ORGANIZATIONS OF SIMILAR SIZE IN HEALTHCARE AND OTHER NOT-FOR-PROFIT SECTORS TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. NATIONALLY PUBLISHED SURVEYS AND FORM 990'S FROM OTHER NOT-FOR-PROFITS ORGANIZATIONS MAY BE INCLUDED IN THE STUDY. THE REVIEW AND APPROVAL OF COMPENSATION IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19	THE FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER ORGANIZATIONAL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST DEMONSTRATING A SUFFICIENT BUSINESS PURPOSE.
FORM 990, PART XI, LINE 9:	DEBT FORGIVEN BY AFFILIATE 22,758,229.
FORM 990, PART XI, LINE 9:	UPON THE EXIT FROM CHAPTER 11, KIDSPEACE'S DEBT OBLIGATIONS WERE SUBSTANTIALLY REDUCED DUE TO THE AGREEMENT ON LOWER BONDHOLDER DEBT; A SUBSTANTIAL REDUCTION IN DEFINED PENSION PLAN LIABILITIES; A REDUCTION IN TRADE VENDOR BALANCES; THE RESCHEDULING OF MORTGAGE OBLIGATIONS; AND WITH KIDSPEACE'S ACCESS TO SIGNIFICANT POST CHAPTER 11 FINANCING THROUGH A REVOLVING LINE OF CREDIT TO SUPPLEMENT INTERNALLY GENERATED WORKING CAPITAL. THE PURPOSE OF THE ENTRY INTO AND THE SUCCESSFUL EXIT FROM CHAPTER 11 WAS TO SUBSTANTIALLY INCREASE THE PROBABILITY OF KIDSPEACE BEING ABLE TO CONTINUE ITS PURPOSE AND IS DEPENDENT UPON FUTURE BUSINESS PERFORMANCE AND COMPLIANCE WITH AGREED-UPON COVENANTS BETWEEN KIDSPEACE, THE BONDHOLDERS AND FUNDING SOURCES. THE FOLLOWING TABLE PROVIDES A SUMMARY OF THE FINANCIAL IMPACT OF THE CHAPTER 11 EXIT ACROSS KIDSPEACE CORPORATION AND ITS AFFILIATES: NET GAIN ON EXTINGUISHMENT OF LIABILITIES ($95,775,249): 1998 AND 1999 PENNSYLVANIA BONDS PRINCIPAL - GAIN ($21,064,242) 1998 AND 1999 PENNSYLVANIA BONDS INTEREST - GAIN ($4,612,948) DEFINED BENEFIT PLAN OBLIGATION ASSUMED BY THE PBGC - GAIN ($68,751,252) EXCESS BENEFIT PENSION PLAN TERMINATION - GAIN ($723,566) REDUCTION IN LIABILITIES RELATED TO UNSECURED CREDITORS AND OTHER PRE-BANKRUPTCY BALANCES - NET GAIN ($623,241). FOR KIDSPEACE CHILDREN'S HOSPITAL, THE RESULT WAS AN INCREASE IN NET ASSETS OF $22,758,229.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

KIDSPEACE CHILDREN'S HOSPITAL

Employer identification number

23-2654910

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) KIDSPEACE CORPORATION 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 23-1353394	PARENT COMPANY	PA	501(C)(3)	LINE 9	N/A		No
(2) MESABI ACADEMY OF KIDS PEACE INC 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 41-1904179	ADOLESCENT JUVENILE FACILITY	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(3) KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 34-2021326	TREATMENT CENTER FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(4) IRON RANGE SCHOOL INC 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 52-2360561	CONTRACT SCHOOL	PA	501(C)(3)	LINE 2	KIDSPEACE CORPORATION		No
(5) KIDSPEACE SERVICES INC 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 76-0832623	OUTPATIENT AND FOSTER CARE FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(6) KIDSPEACE NATIONAL CENTERS INC 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 23-2654908	TREATMENT CENTER FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(7) KIDSPEACE NATIONAL CENTERS OF NORTH AMERICA 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 23-2744765	FOSTER CARE FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(8) KIDSPEACE NATIONAL CENTERS OF GEORGIA 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 20-0017440	TREATMENT CENTER FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No
(9) KIDSPEACE NATIONAL CENTERS OF NEW YORK 4085 INDEPENDENCE DRIVE SCHNECKSVILLE,PA18078 16-1571888	TREATMENT CENTER FOR CHILDREN FACING CRISIS	PA	501(C)(3)	LINE 9	KIDSPEACE CORPORATION		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PSYCHIATRIC HOSPITAL, OUTPATIENT & BEHAVIORAL HEALTH REHAB SERVICES FOR CHILDREN & ADOLESCENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	474
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,527	9,391
9	Program service revenue (Part VIII, line 2g) .........	19,280,927	24,441,629
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	19,292,454	24,451,020
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	11,736,944	11,914,028
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 105,633
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	10,281,544	12,329,559
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	22,018,488	24,243,587
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,726,034	207,433
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,695,449	3,477,941
21	Total liabilities (Part X, line 26).............	23,511,712	2,328,542
22	Net assets or fund balances. Subtract line 21 from line 20.....	-21,816,263	1,149,399

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 16,231,680 including grants of $ ) (Revenue $ 21,280,676 )
	INPATIENT MENTAL TREATMENT PROGRAMS: INPATIENT PSYCHIATRIC HOSPITAL FOR CHILDREN AND ADOLESCENTS WITH SHORT TERM PROGRAMS DESIGNED TO MEET THE NEED OF EACH PATIENT. DURING 2014, KIDSPEACE CHILDREN'S HOSPITAL (KCH) PROVIDED 28,460 DAYS OF SERVICE TO PATIENTS.

4b	(Code: ) (Expenses $ 2,009,426 including grants of $ ) (Revenue $ 1,713,311 )
	OUTPATIENT MENTAL HEALTH TREATMENT PROGRAMS: OUTPATIENT SERVICES FOR CHILDREN AND ADOLESCENTS. IN 2014 PROGRAMS WERE EXPANDED TO PROVIDE TREATMENT TO THE ADULT POPULATION UP TO 65 YEARS OF AGE. DURING 2014, KCH PROVIDED SERVICE TO 19,847 INDIVIDUALS.

4c	(Code: ) (Expenses $ 1,808,150 including grants of $ ) (Revenue $ 1,447,642 )
	OUTPATIENT MEDICAL HEALTH TREATMENT PROGRAMS: BEHAVIORAL HEALTH PROGRAMS FOR CHILDREN AND ADOLESCENTS. THIS INCLUDES SERVICES FOR CHILDREN ON THE AUTISM SPECTRUM AS WELL AS A SPECIFICALLY DESIGNED SUMMER CAMP FOR CHILDREN WITH AN AUTISM DIAGNOSIS. DURING 2014, KCH PROVIDED SERVICES TO 113,463 INDIVIDUALS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses20,049,256

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) SUSAN MULLEN........................................................................ DIRECTOR	15.00 .......................35.00	X			47,095	109,889	9,481
(2) RAY CULP........................................................................ DIRECTOR	1.00 .......................40.00	X			0	107,447	11,346
(3) MICHAEL SLACK........................................................................ DIRECTOR & SECRETARY	5.00 .......................45.00	X			16,505	157,062	0
(4) GEORGE SHOPLAND........................................................................ EXECUTIVE VICE PRESIDENT	40.00 .......................0.00		X		139,428	0	11,347
(5) WILLIAM ISEMANN........................................................................ PRESIDENT & CEO	7.50 .......................42.50		X		44,593	749,387	21,129
(6) GERARD GLEESON........................................................................ TREASURER	7.50 .......................42.50		X		22,797	129,185	12,319
(7) GAYLE NORRIS........................................................................ ASSISTANT SECRETARY	1.00 .......................40.00		X		0	56,147	10,029
(8) SUSAN LEYBURN........................................................................ DIRECTOR/SECRETARY	2.50 .......................47.50		X		7,187	136,548	4,899
(9) JAMES HORAN........................................................................ EVP/CFO (UNTIL JUNE 2014)	7.50 .......................42.50		X		14,937	84,646	11,347
(10) THERESA SHARP........................................................................ NURSING SUPERVISOR	40.00 .......................0.00			X	107,573	0	9,481

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	400,115	1,530,311	101,378

(A) Name and business address	(B) Description of services	(C) Compensation
DELTA T GROUP 950 HAVERFORD RD SUITE 200 BRYN MAWR,PA19010	TEMPORARY EMPLOYMENT	363,595
QUEST DIAGNOSTICS PO BOX 828669 PHILADELPHIA,PA19182	MEDICAL TESTING SERVICES	107,175



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		9,391

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			9,391
			Business Code
2a	NET CLIENT SERVICE REVENUE		623000	24,438,788	24,438,788
b	OTHER REVENUE		900099	2,841	2,841
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			24,441,629
3	Investment income (including dividends, interest, and other similar amounts).......
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			24,451,020	24,441,629	0	0


			(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............		1,751	1	2,250
2	Savings and temporary cash investments .........		10,553	2	10,553
3	Pledges and grants receivable, net ...........			3
4	Accounts receivable, net .............		1,683,145	4	3,465,138
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				6
7	Notes and loans receivable, net .............			7
8	Inventories for sale or use ..............			8
9	Prepaid expenses and deferred charges ..........			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation .....	10b		10c
11	Investments—publicly traded securities ..........			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 .....			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 34)......		1,695,449	16	3,477,941
17	Accounts payable and accrued expenses .........		995,685	17	1,075,388
18	Grants payable .................			18
19	Deferred revenue ................			19
20	Tax-exempt bond liabilities .............			20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			22
23	Secured mortgages and notes payable to unrelated third parties ..			23
24	Unsecured notes and loans payable to unrelated third parties ....			24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................		22,516,027	25	1,253,154
26	Total liabilities. Add lines 17 through 25.........		23,511,712	26	2,328,542
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............		-21,816,263	27	1,149,399
28	Temporarily restricted net assets ...........		0	28	0
29	Permanently restricted net assets ...........			29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........			30
31	Paid-in or capital surplus, or land, building or equipment fund .....			31
32	Retained earnings, endowment, accumulated income, or other funds			32
33	Total net assets or fund balances ...........		-21,816,263	33	1,149,399
34	Total liabilities and net assets/fund balances ........		1,695,449	34	3,477,941