TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) FRED SHERMAN MD...................................................................... PRESIDENT	1.00 .................	X	X
(2) MARVIN S YU...................................................................... VICE PRESIDENT	1.00 .................	X	X
(3) MARK A GANUNG...................................................................... TREASURER	1.00 .................	X	X
(4) AMY BASS...................................................................... SECRETARY	1.00 .................	X	X
(5) AMANDA R GERSTNECKER...................................................................... BOARD MEMBER	1.00 .................	X
(6) DAVID BETTS...................................................................... BOARD MEMBER	1.00 .................	X
(7) ERIC BOUGHNER...................................................................... BOARD MEMBER	1.00 .................	X
(8) DAVID H COOK...................................................................... BOARD MEMBER	1.00 .................	X
(9) RANNY FERGUSON...................................................................... BOARD MEMBER	1.00 .................	X
(10) DAVID M FRIEDLAND MD...................................................................... BOARD MEMBER	1.00 .................	X
(11) THERESA L HECK...................................................................... BOARD MEMBER	1.00 .................	X
(12) EMILY LANDERMAN-GOLDBERG...................................................................... BOARD MEMBER	1.00 .................	X
(13) SANDRA HAWKINS MILLER...................................................................... BOARD MEMBER	1.00 .................	X
(14) COREY O'CONNOR...................................................................... BOARD MEMBER	1.00 .................	X
(15) JASON D OTT...................................................................... BOARD MEMBER	1.00 .................	X
(16) ALLISON HOWARD...................................................................... BOARD MEMBER	1.00 .................	X
(17) LUKE E SOSSI...................................................................... BOARD MEMBER	1.00 .................	X

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

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 (Form 990 or 990-EZ))

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2015

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization THE CHILDREN'S HOME OF PITTSBURGH

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization THE CHILDREN'S HOME OF PITTSBURGH		Employer identification number 25-0965292

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization THE CHILDREN'S HOME OF PITTSBURGH			Employer identification number 25-0965292
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

1,981

Total. Add lines 1c through 1i ....................................................................................................

1,981

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE CHILDREN'S HOME OF PITTSBURGH'S DUES TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA (HAP), HEALTHCARE COUNCIL, AND OTHER HEALTHCARE ASSOCIATIONS ARE USED FOR LOBBYING.

Schedule C (Form 990 or 990EZ) 2015

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," on 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

2015

Open to Public Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	9,975,374	9,618,732	6,461,328	4,508,983	3,631,766
b	Contributions ...	5,588	1,054,091	2,522,468	1,557,929	880,929
c	Net investment earnings, gains, and losses	100,400	337,701	778,162	576,957	56,996
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	58,078	1,035,150	143,226	182,541	60,708
f	Administrative expenses ....
g	End of year balance ......	10,023,284	9,975,374	9,618,732	6,461,328	4,508,983

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

Board designated or quasi-endowment SchDMd Bullet

96.500 %

Permanent endowment SchDMd Bullet

3.500 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	2,136,745		2,136,745
b	Buildings	24,246,746	7,058,065	17,188,681
c	Leasehold improvements
d	Equipment ...	3,096,629	1,820,553	1,276,076
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				20,601,502

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INTEREST RATE SWAP	214,715
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	214,715
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	13,487,223
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
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-117,236
e	Add lines 2a through 2d .....................			2e	-117,236
3	Subtract line 2e from line 1..................			3	13,604,459
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	-126,902
c	Add lines 4a and 4b....................			4c	-126,902
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	13,477,557

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	14,733,839
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	126,902
e	Add lines 2a through 2d....................			2e	126,902
3	Subtract line 2e from line 1...................			3	14,606,937
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
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	14,606,937

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 V, LINE 4:	THE CHILDREN'S HOME HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPTS TO PROVIDE A REASONABLE LEVEL OF FUNDING TO COVER OPERATIONAL SHORTFALLS WHILE SEEKING TO ENHANCE THE PURCHASING POWER OF THE CORPUS UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EQUAL OR EXCEED RESULTS OF COMPARABLE MARKET INDICES. THE CHILDREN'S HOME OF PITTSBURGH TRANSFERS FUNDS FROM THE BOARD DESIGNATED ENDOWMENT FOR USE IN OPERATIONS ON AN AS-NEEDED BASIS UPON BOARD APPROVAL. THE CHILDREN'S HOME OF PITTSBURGH BELIEVES THAT THIS SPENDING POLICY IS CONSISTENT WITH THE OBJECTIVES OF ITS INVESTMENT POLICY.
PART X, LINE 2:	THE CHILDREN'S HOME FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIALS STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT HIS GUIDANCE HAD NO MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. THE CHILDREN'S HOME'S POLICY IS TO IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED ON THE STATEMENTS OF OPERATIONS AS A RESULT OF THIS GUIDANCE. GENERALLY TAX RETURNS FOR YEARS ENDED JUNE 30, 2013, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT -117,236.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	SPECIAL EVENTS EXPENSE -126,902.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL EVENTS EXPENSE 126,902.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 SHAKE YOUR BOOTIES (event type)	(b) Event #2 NOE'S NIGHT OF LIGHT (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	200,388	39,248	239,636
2	Less: Contributions . . . .	159,688	30,148	189,836
3	Gross income (line 1 minus line 2) . . . . . .	40,700	9,100	49,800

4	Cash prizes . . . . .
5	Noncash prizes . . . .	2,183		2,183
6	Rent/facility costs . . . .	29,455	7,126	36,581
7	Food and beverages . . .	52,344	13,247	65,591
8	Entertainment . . . .	2,600	1,200	3,800
9	Other direct expenses . . .	13,792	4,955	18,747
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			126,902
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			-77,102

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	13,792	4,955	18,747

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

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 18500.0000000000 %

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? . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

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) . . .	8,013,738	7,180,157	833,581	5.780 %
b	Medicaid (from Worksheet 3, column a) . . . . .	465,513	202,558	262,955	1.820 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	8,479,251	7,382,715	1,096,536	7.600 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	193,893	600	193,293	1.340 %
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 . .	193,893	600	193,293	1.340 %
k	Total. Add lines 7d and 7j .	8,673,144	7,383,315	1,289,829	8.940 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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. ......

176,984

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 .........................

Yes

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) 2015

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)
1	THE CHILDREN'S HOME OF PITTSBURGH 5324 PENN AVENUE PITTSBURGH,PA15224	X	X	X

Schedule H (Form 990) 2015

Page 4

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)

	THE CHILDREN'S HOME OF PITTSBURGH
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 14

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

6 a

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

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. ............................

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): WWW.CHILDRENSHOMEPGH.ORG

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

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

Yes

If "Yes" (list url): WWW.CHILDRENSHOMEPGH.ORG

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

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	THE CHILDREN'S HOME OF PITTSBURGH
Name of hospital facility or letter of facility reporting group

Yes

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 185.000000000000% and FPG family income limit for eligibility for discounted care of 350.000000000000%

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?........

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) 2015

Page 6

Part VFacility Information (continued)

	THE CHILDREN'S HOME OF PITTSBURGH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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 19. (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?..................

Yes

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) 2015

Page 7

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
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 5: THE CHILDREN'S HOME OF PITTSBURGH ORGANIZED A COMMITTEE OF COMMUNITY REPRESENTATIVES TO ASSIST WITH THE COMPLETION OF THE CHNA. THE COMMITTEE CONSISTED OF 11 INDIVIDUALS WITH REPRESENTATION FROM THE FOLLOWING ORGANIZATIONS AND INSTITUTIONS:- THE CHILDREN'S HOME OF PITTSBURGH (STAFF AND BOARD)- PITTSBURGH MONTESSORI SCHOOL- THE PITTSBURGH FOOD POLICY COUNCIL- WEST PENN HOSPITAL- THE CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC- UPMC- ALLEGHENY COUNTY HEALTH DEPARTMENTUSING NOMINAL GROUP TECHNIQUE AND FACILITATED DISCUSSION, THE COMMITTEE DEVELOPED A LIST OF HEALTHCARE NEEDS OF THE PEDIATRIC POPULATION IN OUR COMMUNITY, BASED ON QUALITATIVE AND QUANTITATIVE DATA, AND COMMITTEE MEMBERS' EXPERTISE. THE COMMITTEE THEN DECIDED TO CREATE A COMMUNITY SURVEY WITH THE NEEDS THAT WERE DEEMED FESAIBLE FOR THE CHILDREN'S HOME TO ADDRESS, ACCORDING TO ITS MISSION AND RESOURCES, AND TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO DISTRIBUTE THE SURVEY TO RESIDENTS OF ALLEGHENY COUNTY. THE SURVEY WAS AVAILABLE IN BOTH PAPER FORM AND AN ONLINE SURVEY THROUGH SURVEYMONKEY.
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 11: THE CHNA COMMITTEE PRIORITIZED THE NEEDS AND CHOSE TO CREATE PROGRAMS FOR THREE HEALTHCARE NEEDS THAT WERE IDENTIFIED. THE COMMITTEE DECIDED TO FOCUS ON NUTRITION AND OBESITY, CAR SEAT SAFETY, AND A RESOURCE BOOK. THESE NEEDS WERE CHOSEN BASED ON THE INTERNAL RESOURCES AVAILABLE AT THE CHILDREN'S HOME, IN ADDITION TO OUTSIDE RESOURCES AND THE POSSIBILITY OF COLLABORATING WITH OUTSIDE ORGANIZATIONS TO CREATE NEW PROGRAMS.CHILDHOOD OBESITY AND NUTRITION GOAL:- INCREASE EDUCATION AND PROVIDE PROGRAMMING RELATED TO CHILDHOOD OBESITY AND NUTRITION RESOURCES:- WIC OFFICE- LIVE WELL ALLEGHENY- EXISTING PROGRAMS AT CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC- OTHER LOCAL ORGANIZATIONSSTRATEGIC PLAN:1. FIND OUT WHAT PROGRAMS AND EDUCATIONAL RESOURCES ARE CURRENTLY IN PLACE IN OUR COMMUNITY2. COLLABORATE WITH LOCAL ORGANIZATIONS OR POSSIBLY WITH SCHOOLS TO CREATE NUTRITION PROGRAMS OR EDUCATIONAL INFORMATION TO PASS OUT TO THE COMMUNITYCAR SEAT SAFETY GOAL:INCREASE EDUCATION ABOUT CAR SEAT SAFETY AND PROPER USAGE OF CAR SEATSRESOURCES:- NURSE EDUCATORS AT THE CHILDREN'S HOME OF PITTSBURGH- CAR SEAT LOANER PROGRAM ALREADY IN PLACE AT THE CHILDREN'S HOMESTRATEGIC PLAN:1. MEET WITH CERTIFIED INSTRUCTORS TO PLAN AND HOLD CLASSES AT THE CHILDREN'S HOME THROUGHOUT THE YEAR2. MARKET TO ORGANIZATIONS, NON-PROFITS, LIBRARIES, HEALTHCARE PROVIDERS, AND DAY CARES IN THE AREARESOURCE GUIDE FOR PARENTS GOAL:CREATE A RESOURCE GUIDE FOR PARENTS OF CHILDREN WITH SPECIAL NEEDS AND MEDICALLY FRAGILE CHILDRENRESOURCES:- ALLEGHENY COUNTY HEALTH DEPARTMENT- CONSUMER HEALTH COALITION- LOCAL NON-PROFITS AND INTERNAL RESOURCESSTRATEGIC PLAN:1. HIRE AN INTERN FROM A NEARBY UNIVERSITY TO HELP GATHER INFORMATION AND CREATE RESOURCES GUIDE2. CREATE PAPER BASED AND ONLINE VERSION OF GUIDE TO BE DISTRIBUTED THROUGHOUT ALLEGHENY COUNTYADDITIONAL NEEDS IDENTIFIED THE FOLLOWING SUGGESTIONS WERE MADE BY PARTICIPANTS WHEN ASKED IF THERE WERE ANY OTHER HEALTHCARE NEED THAT SHOULD BE ADDRESSED BY THE CHILDREN'S HOME:- WHAT TO EXPECT AND WHAT IS ACCEPTABLE ONCE YOU'VE BROUGHT YOUR MEDICALLY FRAGILE CHILD HOME- IMPORTANCE OF IMMUNIZATION UPDATES- ACCESS TO SPECIALIZED INFANT FORMULAS- REGULAR DOCTORS' OFFICES NEAR HOSANNA HOUSE- EDUCATIONAL ADVOCATES TO ASSURE CHILDREN WITH SPECIAL NEEDS ARE RECEIVING AN APPROPRIATE EDUCATION- INCREASE ACCESS TO HEALTHCARE SERVICES- CPR AND FIRST AID CLASSES YEARLY FOR PARENTS AND OTHER HOME CAREGIVERS- MENTAL HEALTH RESOURCES- TRANSITION TO ADULTHOOD IN HEALTHCARE- HOW LONG CHILDREN HAVE TO WAIT BEFORE RECEIVING NEEDED WAIVERS- IMMIGRANT AND REFUGEE NEEDS- RESPITE CARE- TRAINING FOR PHYSICIANS REGARDING PATIENT WITH SPECIAL NEEDS- TO ACCEPT THEM AS NEW ADULT PATIENTS IN THEIR PRACTICES- THERE IS A NEED FOR MORE ALTERNATIVE HOUSING FOR INTELLECTUALLY DISABLED AND AUTISM SPECTRUM DISORDER YOUTH WHEN THEIR FAMILY IS NOT EQUIPPED TO SUPPORT THEIR NEEDS- COMMUNITY VIOLENCE- HOMELESSNESS FOR LGBT YOUTHWHILE THE CHILDREN'S HOME RECOGNIZES AND ACKNOWLEDGES THAT THESE ISSUES ARE AREAS OF CONCERN IN THE COMMUNITY, THE ORGANIZATION WILL NOT SPECIFICALLY ADDRESS THESE AREAS AT THIS TIME. SOME OF THE PROGRAMS WE IMPLEMENT WILL IMPROVE SOME OF THESE AREAS INDIRECTLY. THE NEEDS THAT WERE NOT DEEMED FEASIBLE FOR THE CHILDREN'S HOME TO TAKE ON WERE AS FOLLOWS:- AFFORDABLE AND SAFE HOUSING- BIRTH CONTROL EDUCATION AND FAMILY PLANNING- AFTER SCHOOL PROGRAMMING- TRANSPORTATION ASSISTANCE- SUBSTANCE ABUSE- BETTER ACCESS TO MENTAL AND BEHAVIORAL HEALTHCARE- VACCINATION EDUCATION- PREPAREDNESS- ASTHMAWHILE THE CHILDREN'S HOME RECOGNIZES AND ACKNOWLEDGES THAT THESE ISSUES ARE AREAS OF CONCERN IN THE COMMUNITY, THE CHNA COMMITTEE AGREED THAT THE ORGANIZATION DOES NOT HAVE THE RESOURCES TO MEET THESE NEEDS OR PROVIDE THE APPROPRIATE SERVICES TO THE COMMUNITY.
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 13H: THE CHILDREN'S HOME SOCIAL WORKER MEETS WITH EACH PATIENT AND THEIR FAMILY WITHIN 48 HOURS OF ADMISSION. IT'S DURING THAT MEETING THAT THE SOCIAL WORKERS DISCUSS THE NEEDS OF THE FAMILY, WHETHER OR NOT THEY QUALIFY FOR A PROGRAM, SUCH AS WIC OR NEED TO APPLY, AND ANY OTHER UNMET NEEDS THE FAMILY MAY HAVE. THE SOCIAL WORKER WILL REVIEW HOW THE CHILDREN'S HOME MAY BE ABLE TO HELP WITH THE FAMILIES' NEEDS AND CONSULT THE APPROPRIATE RESOURCES TO PROVIDE THE ITEMS OR SERVICES.
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 15E: THE CHILDREN'S HOME OF PITTSBURGH'S PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE. THE PATIENTS RECEIVE THE BENEFIT OF THE FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO NOT COLLECT FROM PATIENTS OR THEIR FAMILY'S CO-INSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED IN THE PEDIATRIC SPECIALTY HOSPITAL. THE CHILDREN'S HOME WILL ATTEMPT TO COLLECT FROM ALL INSURANCE CARRIERS PROVIDED THROUGH ADMISSIONS PROCESS.
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 20E: UNDER NO CIRCUMSTANCES ARE ADDITIONAL ACTIONS TAKEN TO COLLECT PAYMENT FROM ANY PATIENT OR A PATIENT'S FAMILY. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO NOT COLLECT FROM PATIENTS OR THEIR FAMILY'S CO-INSURANCE AND DEDUCTIBLES FOR SERVICES PROVIDED IN THE PEDIATRIC SPECIALTY HOSPITAL.
THE CHILDREN'S HOME OF PITTSBURGH	PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY USES THE MEDICAID FEE-FOR-SERVICES RATE WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.
PART V, SECTION B, LINE 21	SHOULD A PERSON APPROACH ANY OF THE ENTRANCES TO THE CHILDREN'S HOME OF PITTSBURGH AND STATE THEY ARE IN NEED OF EMERGENCY MEDICAL CARE OR APPEAR TO BE IN NEED OF EMERGENCY CARE THE FOLLOWING STEPS SHOULD BE FOLLOWED:1. RECEPTIONIST/SECURITY WILL INFORM THE SENIOR CLINICAL STAFF PERSON IN THE HOSPITAL AND CHILD'S WAY IMMEDIATELY REQUESTING THEY REPORT TO THE FIRST FLOOR LOBBY. HOSPITAL IN ORDER OF NOTIFICATION: CRNP, CHARGE NURSECHILD'S WAY IN ORDER OF NOTIFICATION: CLINICAL DIRECTOR, CHARGE NURSE2. RECEPTIONIST/SECURITY WILL THEN NOTIFY THE CLINICAL DIRECTOR OR CEO.3. IF POSSIBLE THE PERSON SHOULD BE RELOCATED TO A PRIVATE LOCATION SUCH AS THE FIRST FLOOR, CONFERENCE ROOM.4. THE CLINICAL PERSON(S) WILL ASSESS THE SITUATION, OFFER FIRST AID IF APPROPRIATE AND/OR CALL 911 IF DETERMINED TO BE NECESSARY.

Schedule H (Form 990) 2015

Page 8

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

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, 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 $ 176,984.
PART II, COMMUNITY BUILDING ACTIVITIES:	SAFE PLACE PROGRAM:THE CHILDREN'S HOME IS PART OF THE SAFE PLACE COLLABORATIVE PROGRAM. SAFE PLACE IS THE FIRST STEP TO HELP FOR ANY YOUTH IN CRISIS OR AT RISK. THIS COMMUNITY COLLABORATION PROGRAM, OPERATED BY YOUTH SHELTERS OR YOUTH SERVING AGENCIES MAKE IT POSSIBLE FOR ANY YOUTH TO ACCESS HELP AT LOCATIONS WHICH DISPLAY THE SAFE PLACE SIGN. SAFE PLACE CONNECTS YOUTH TO IMMEDIATE HELP AND SAFETY AND OFFERS SUPPORTIVE SERVICES TO BOTH YOUTH AND THEIR FAMILIES.OUTSIDE ORGANIZATIONS: THE CHILDREN'S HOME HAS EXPANDED ITS AWARENESS WITHIN THE COMMUNITY BY OFFERING ITS MEETING SPACE TO LOCAL GROUPS FREE OF CHARGE. WE ARE PLEASED TO BE A RESOURCE TO THESE VALUABLE ORGANIZATIONS. GROUPS THAT HAVE UTILIZED OUR SPACE INCLUDE:-HELPING HANDS HEALING HEARTS-ACHING ARMS-MENDED LITTLE HEARTS-JEREMIAH'S PLACE-CHILDREN'S HOSPITAL OF PITTSBURGH BEREAVEMENT SUPPORT GROUP-FRIENDSHIP DEVELOPMENT ASSOCIATION-BLOOMFIELD-GARFIELD CORPORATION-FRIENDSHIP PRESERVATION GROUP
PART III, LINE 2:	FOR THE HOSPITAL A PERCENTAGE OF GROSS REVENUE WAS RECORDED TO ENSURE ADEQUATE RESERVCES, FOR CHILDREN'S WAY A LUMP SUM WAS RECORDED TO ADJUST THE RESERVE, AND FOR ADOPTION AN AMOUNT WAS RECORDED EACH MONTH TO ADJUST THE RESERVE BALANCE.
PART III, LINE 4:	ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING.
PART III, LINE 9B:	ALL HOSPITAL PATIENTS ACCEPTED FOR THE CHILDREN'S HOME OF PITTSBURGH'S TREATMENT RECEIVE CARE WHETHER OR NOT THEY OR THEIR FAMILIES CAN PAY FOR IT. THE CHILDREN'S HOME OF PITTSBURGH DOES HAVE A BILLING SYSTEM, BUT HOSPITAL PATIENTS DO NOT RECEIVE BILLS. IF THE PATIENT HAS INSURANCE, THE CHILDREN'S HOME OF PITTSBURGH BILLS THE INSURANCE PLAN OR OTHER ORGANIZATION THAT PAYS HEALTH COSTS. THE CHILDREN'S HOME OF PITTSBURGH DOES NOT TRY TO COLLECT ANY UNPAID MONEY FROM ANY PATIENT OR PATIENT FAMILY.
PART VI, LINE 2:	AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT, WE ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY THROUGH THE USE OF OUR CLINICAL STAFF'S EXPERT OPINIONS AND RESPONSE FROM OUR COMMUNITY OUTREACH AND EDUCATIONAL CLASSES. WE ADJUST OUR PROGRAMS AND INITIATIVES TO CATER TO NEEDS THAT ARE PRESENTED TO US THROUGH PATIENTS AND FAMILIES THAT UTILIZE OUR PROGRAMS. THE STEPS IN OUR CHNA PROCESS WERE AS FOLLOWS:1. ESTABLISH A COMMUNITY NEEDS COMMITTEE - CONSULTANTS, STAFF/BOARD LEADERS, CLINICIANS 2. REVIEW THE CHNA STRATEGIC PLAN WITH THE COMMITTEE AND REVISE THE SCOPE OF WORK, PROJECT PLAN, TIMELINE AND RESPONSIBILITIES 3. DEFINE 'COMMUNITY' FOR PURPOSES OF THE CHNA 4. OBTAIN COMMUNITY INPUT ON WHAT THE NEEDS ARE OF THE COMMUNITY 5. BRAINSTORM AND PRIORITIZE THE COMMUNITY NEEDS THAT FIT WITH OUR MISSION 6. ESTABLISH INITIATIVES AND PROGRAMS THAT WILL MEET THE NEEDS OF THE COMMUNITY 7. APPROVE INITIATIVES AND DEVELOP IMPLEMENTATION STRATEGY TO ADDRESS NEEDS 8. ADOPT IMPLEMENTATION STRATEGY OF INITIATIVE 9. IMPLEMENT PROGRAMS DURING FISCAL YEAR 2016 AND TRACK PROGRESS 10. MAKE INFORMATION READILY AVAILABLE TO ORGANIZATION AND COMMUNITY 11. ESTABLISH COMMUNICATION PROTOCOL TO ENSURE TRANSPARENCY 12. DETERMINE HOW BEST TO PRESENT NEEDS AND IMPLEMENTATION STRATEGY THROUGH FORM 990 REPORTING GOALS. THE GOALS OF OUR CHNA WERE TO: - UNDERSTAND OUR COMMUNITIES' HEALTH CARE NEEDS - DEVELOP A ROADMAP TO DIRECT RESOURCES WHERE SERVICES ARE MOST NEEDED AND IMPACT IS MOST BENEFICIAL - COLLABORATE WITH COMMUNITY PARTNERS WHERE TOGETHER WE CAN MAKE A POSITIVE IMPACT - IMPROVE THE HEALTH OF OUR COMMUNITIES - ACHIEVE MEASURABLE RESULTS CONDUCTING OUR CHNA. OUR CHNA WAS CONDUCTED FROM NOVEMBER 2014 TO FEBRUARY 2015 AND INCLUDED THE FOLLOWING:- A CHNA COMMITTEE - FOCUS GROUPS UTILIZING NOMINAL GROUP TECHNIQUE TO IDENTIFY HEALTHCARE NEEDS - A COMMUNITY SURVEY (PAPER BASED AND ONLINE) - COMMUNITY STAKEHOLDERS AND RESOURCES - PRIMARY DATA FROM COMMUNITY SURVEYS - SECONDARY DATA FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH PRIORITIZING THE COMMUNITY'S NEEDS:THE COMMITTEE PRIORITIZED THE LIST OF OVER 20 HEALTHCARE NEEDS IN ORDER TO DECIDE WHICH TO INCLUDE ON THE COMMUNITY SURVEY THE NEEDS WERE PRIORITIZED BASED ON THE FOLLOWING QUESTIONS- HOW IMPORTANT IS THE PROBLEM TO OUR COMMUNITY? - WHAT IS THE QUESTIONS - HOW IMPORTANT IS THE PROBLEM TO OUR COMMUNITY? - WHAT IS THE LIKELIHOOD OF BEING ABLE TO MAKE A MEASURABLE IMPACT ON THE PROBLEM?- DOES THE CHILDREN'S HOME HAVE THE ABILITY TO ADDRESS THIS PROBLEM?- IS THIS PROBLEM ALREADY BEING ADDRESSED BY ANOTHER ORGANIZATION IN THE COMMUNITY? HEALTHCARE NEEDS IDENTIFIED THE NEEDS IDENTIFIED WERE THEN CATEGORIZED INTO THREE CATEGORIES: COMMUNITY NEEDS THAT ARE FEASIBLE FOR THE CHILDREN'S HOME TO ADDRESS, NEEDS THAT ARE NOT FEASIBLE FOR THE CHILDREN'S HOME TO ADDRESS, AND THOSE NEEDS THAT COULD BEST BE MET BY CREATING PROGRAMS INTERNALLY FOR THE CHILDREN'S HOME STAFF AND PATIENTS. THE DECISIONS WERE BASED ON THE RESOURCES AVAILABLE AND FEASIBILITY OF THE CHILDREN'S HOME TO MEET THOSE NEEDS. THE FINAL LIST OF NEEDS THAT WOULD BE INCLUDED ON THE SURVEY WERE AS FOLLOWS - LONG TERM PLANNING FOR MEDICALLY FRAGILE CHILDREN - CAR SEAT SAFETY - INFANT MORTALITY - FOSTER FAMILY RECRUITMENT FOR MEDICALLY FRAGILE AND OLDER CHILDREN- DENTAL SERVICES- ADVERSE CHILDHOOD EVENTS- ACCESS TO BOOKS AND ADVOCACY FOR CHILDHOOD LITERACY - SAFE OUTDOOR PLAY SPACES - HEALTHY EATING AND NUTRITION EDUCATION - A FAMILY RESOURCE GUIDE, PROVIDING INFORMATION FOR PARENTS WITH CHILDREN BOTH WITH AND WITHOUT SPECIAL NEEDS THERE WERE ALSO A FEW SUGGESTIONS IN WHICH THE COMMITTEE FELT A SEPARATE IMPLEMENTATION PLAN WAS NOT NECESSARY AND DECIDED THAT THEY WOULD BEST BE ADDRESSED INTERNALLY BY THE STAFF OF THE CHILDREN'S HOME TO IMPLEMENT PROGRAMS FOR THE EMPLOYEES AND PATIENTS OF THE ORGANIZATION THEY INCLUDED - EDUCATION ON NEW CHILD PROTECTIVE LAWS - POST ADOPTION COUNSELING - BIRTH CONTROL EDUCATION FOR PATIENT FAMILIES - PARTNERING WITH SCHOOL-AGED CHILDREN TO TEACH THEM ABOUT MEDICALLY FRAGILE CHILDREN AND CHILDREN WITH SPECIAL NEEDS
PART VI, LINE 3:	THE CHILDREN'S HOME'S SOCIAL WORKER MEETS WITH EVERY PARENT OR GUARDIAN FOR EACH PATIENT ADMITTED INTO THE FACILITY. DURING THE MEETING, THE SOCIAL WORKER WILL ASSESS THE NEED FOR ASSISTANCE AND DISCUSS APPROPRIATE OPTIONS.
PART VI, LINE 4:	WHO WE SERVE:AS A PEDIATRIC SPECIALTY HOSPITAL, PEDIATRIC EXTENDED CARE CENTER, AND ADOPTION PROGRAM, OUR MISSION IS TO SERVE THE MEDICALLY FRAGILE POPULATION FROM BIRTH TO AGE 21 IN THE GREATER ALLEGHENY COUNTY. WE WELCOME PATIENTS FROM SURROUNDING HOSPITALS, INCLUDING CHILDREN'S HOSPITAL OF PITTSBURGH UPMC, MAGEE WOMENS HOSPITAL OF UPMC, WEST PENN ALLEGHENY HOSPITAL AND OUTLYING HOSPITALS. OUR HOSPITAL PROVIDES ACUTE CARE FOR INFANTS AND CHILDREN TRANSITIONING FROM THE HOSPITAL TO HOME. THE CHILDREN'S HOME SERVES PATIENTS MAINLY FROM THE TRI-STATE AREA. HOWEVER, SINCE A LARGE PORTION OF ADMISSIONS COME FROM THE LOCAL CHILDREN'S HOSPITAL, THE GEOGRAPHIC AREA SERVED HAS WIDENED TO INCLUDE SEVERAL STATES - NEW YORK, SOUTH CAROLINA, GEORGIA AND TENNESSEE.OUR COMMUNITY:THE CHILDREN'S HOME IS LOCATED IN THE GARFIELD NEIGHBORHOOD OF PITTSBURGH, PENNSYLVANIA. WE ARE SURROUNDED BY THE NEIGHBORING COMMUNITIES OF EAST LIBERTY, LAWRENCEVILLE AND FRIENDSHIP, ALL WHICH UTILIZE OUR SERVICES. THESE NEIGHBORHOODS LOOK TO THE CHILDREN'S HOME AS A CENTER OF EXCELLENCE AND WE STRIVE TO MEET THE NEEDS OF THE CITIZENS, WITHIN OUR SCOPE OF PRACTICE.
PART VI, LINE 5:	THE CHILDREN'S HOME PROVIDES A PLETHORA OF COMMUNITY BENEFITS TO THE NEIGHBORING COMMUNITIES. COMMUNITY BENEFITS:COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT EDUCATE, PROMOTE HEALTH, INCREASE RESIDENTS' KNOWLEDGE ABOUT HEALTHCARE, AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. THESE CREATE BETTER EDUCATED FAMILIES WHO CAN LOOK TO THE CHILDREN'S HOME FOR SUPPORT AND RESOURCES. THE CHILDREN'S HOME PROMOTES THEIR MISSION THROUGH THE COMMUNITY BENEFITS THROUGHOUT THE ORGANIZATION, ESPECIALLY THROUGH THE USE OF EDUCATION FROM THE SUBSTANTIAL AMOUNT OF CHARITY CARE, TO THE NUMEROUS CLINICAL STUDENTS THAT UTILIZE THE ORGANIZATION FOR THEIR EDUCATION, THE CHILDREN'S HOME GIVES BACK TO THE COMMUNITY AS MUCH AS POSSIBLE. THE AMOUNT OF BENEFIT FOR FY 16 PROVIDED BY THE ORGANIZATION TOTALED $1,289,829. UNDER PAYMENT THE LARGEST PORTION OF COMMUNITY BENEFIT FOR THE CHILDREN'S HOME IS UNDER REIMBURSEMENT FOR SERVICES FROM INSURERS, INCLUDING MEDICAL ASSISTANCE, GATEWAY, UPMC FOR YOU, COVENTRY CARES, AMERIHEALTH AND UHC COMMUNITY PLAN, THE TOTAL UNDER REIMBURSEMENT FOR THE ORGANIZATION WAS $702,161 CHARITY CARE. IT IS THE POLICY OF THE CHILDREN'S HOME OF PITTSBURGH TO OFFER FINANCIAL ASSISTANCE TO PATIENTS/FAMILIES THAT MEET CERTAIN CRITERIA. THE CHILDREN'S HOME OFFERS GOODS AND SERVICES THAT ENHANCE A SAFE DISCHARGE, PROVIDES A SUPPORTIVE LEARNING ENVIRONMENT AND/OR ASSIST IN THE PERMANENT PLACEMENT OF A CHILD. THE ESTIMATED COSTS ASSOCIATED WITH CHARITY CARE FOR FY 16 WAS $131,420.EDUCATION:THE CHILDREN'S HOME HAS ALWAYS STRESSED THE IMPORTANCE OF EDUCATION AND OFFERS NURSING STUDENTS THE ABILITY TO RECEIVE HANDS ON PEDIATRIC EXPERIENCE. CLINICAL NURSING STUDENTS COMPLETE THEIR TRAINING IN BOTH THE SPECIALTY HOSPITAL AND IN CHILD'S WAY. THE NURSING STUDENTS COMPLETED 2,757 HOURS IN THE HOSPITAL TOTALING $94,112 IN COMMUNITY BENEFIT. CHILD'S WAY ACCOMMODATED 2,723 CLINICAL HOURS BY THE NURSING STUDENTS TOTALING $88,408. ADOPTION:THE ADOPTION DEPARTMENT AT THE CHILDREN'S HOME PROVIDES A VARIETY OF PROGRAMS AT THE BENEFIT OF THE COMMUNITY. THIS YEAR, THERE WERE A TOTAL OF 17 PLACEMENTS ALONG WITH MANY OTHER RESOURCES PROVIDED BY THE STAFF. THE STAFF RECEIVED CALLS FOR PHONE SUPPORT, REFERRALS, SEARCH AND REUNION OR BRIEF COUNSELING AND HELD SEVERAL SESSIONS OF BIRTH PARENT COUNSELING. USING THE AVERAGE HOURLY COMPENSATION OF THE ADOPTION STAFF, THE TOTAL COMMUNITY BENEFIT OF THE PROGRAMS WAS $9,821.

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- 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" on 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

2015

Open to Public Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 on 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)
1PAMELA SCHANWALDCHIEF EXECUTIVE OFFICER	(i) (ii)	166,197 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	15,576 ------------- 0	181,773 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SUPPLIES FOR OPERATING ACTIVITIES )	X	4	80,742	COST TO PURCHASE
26 Other ( AUCTION ITEMS )	X	301	67,194	COST TO PURCHASE
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2015)

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

2015

Open to Public
Inspection

Name of the organization

THE CHILDREN'S HOME OF PITTSBURGH

Employer identification number

25-0965292

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL CONSIST OF NOT LESS THAN 4 MEMBERS AND NOT MORE THAN 10 MEMBERS, INCLUDING EX-OFFICIO MEMBERS, WITH AT LEAST 4 HAVING EXPERTISE IN ONE OR MORE OF THE FOLLOWING AREAS: LEGAL, FINANCIAL, HEALTH CARE AND PR/DEVELOPMENT. CURRENTLY, ALL MEMBERS OF THE COMMITTEE SERVE ON THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE FULL BOARD, PROVIDED SUCH ACTION DOES NOT CONFLICT WITH THE POLICIES AND RESOLUTIONS OF THE BOARD. ALL ACTIONS ARE REPORTED FULLY TO THE BOARD AT ITS NEXT MEETING.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND THE FINANCE COMMITTEE. THE RETURN WILL THEN BE DISTRIBUTED TO THE FULL BOARD BEFORE FILING A COMPLETE COPY OF THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	EACH DIRECTOR AND OFFICER MUST PREPARE AND EXECUTE A CONFLICT OF INTEREST STATEMENT DISCLOSING THE NAMES AND ADDRESSES OF ANY OTHER HEALTHCARE FACILITY, PARTNERSHIPS, ASSOCIATIONS OR OTHER ORGANIZATIONS OF WHICH THE DIRECTOR OR OFFICER IS A DIRECTOR, OFFICER, EMPLOYEE, MEMBER OR IN WHICH SUCH DIRECTOR OR OFFICER HAS A PERSONAL FINANCIAL OR PERSONAL OTHER INTEREST. THE COMPLETED FORMS ARE DISTRIBUTED AND COLLECTED BY THE CHIEF EXECUTIVE OFFICER'S EXECUTIVE OFFICER'S EXECUTIVE ASSISTANT. SUCH CONFLICT OF INTEREST STATEMENTS SHALL BE PRESENTED ANNUALLY TO THE CORPORATION AT LEAST THIRTY DAYS PRIOR TO THE BEGINNING OF THE CORPORATION'S FISCAL YEAR. ANY NOTATIONS MADE ON THE STATEMENT ARE BROUGHT TO THE CEO'S ATTENTION WHO WOULD THEN ADDRESS ANY ISSUES WITH THE GOVERNANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15	THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS IN A CLOSED SESSION. A MARKET ANALYSIS IS PERFORMED FOR ALL JOB POSITIONS WITHIN THE ORGANIZATION TO COMPARE TO ORGANIZATIONS OF SIMILAR STAFFING AND BUDGET SIZE. DURING FY 2014, THE HUMAN RESOURCE STAFF COMPLETED A SALARY MARKET ANALYSIS FOR THE ENTIRE STAFF. THE INDEPENDENT CONSULTANT THAT WORKED WITH THE BOARD ON ITS ANNUAL RETREAT ASSISTED HR WITH THE PRELIMINARY MATERIALS AND METHODOLOGY. THE ANALYSIS USED OUR COMPANY'S BUDGET AND STAFF SIZE TO ALIGN SALARIES WITH SIMILARLY SIZED ORGANIZATIONS IN THE TRI-STATE AREA. THE BOARD APPROVED A STAFF ADJUSTMENT TO BRING SALARIES UP TO THE 50TH PERCENTILE OF THE MARKET. THAT WAS DOCUMENTED IN THE MINUTES OF THE ORGANIZATION. GOING FORWARD, HR WILL CONTINUE TO USE THE MOST RECENT MARKET STUDY AVAILABLE AS A GUIDE FOR SETTING SALARY LEVELS NOT ONLY FOR THE CEO BUT FOR THE ENTIRE STAFF.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE CHILDREN'S HOME OF PITTSBURGH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 1,816,112. MANAGEMENT AND GENERAL EXPENSES 79,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,895,940.
FORM 990, PART XI, LINE 9:	UNRESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS 2,863,295. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUSTS -73,016. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -3,622,821. CHANGE IN UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT -117,236. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 759,526.
FORM 990, PART XII, LINE 2C:	THE CHILDREN'S HOME OF PITTSBURGH HAS A COMMITTEE THAT OVERSEES THE AUDIT & THE AUDITOR SELECTION PROCESS. THIS PROCEDURE HAS NOT CHANGED FROM THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION PROMOTES THE HEALTH AND WELL-BEING OF INFANTS AND CHILDREN.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	24
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	187
6	Total number of volunteers (estimate if necessary) .............	6	167
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) .........	4,565,228	995,374
9	Program service revenue (Part VIII, line 2g) .........	9,453,076	9,939,820
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	335,428	344,880
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,919,308	2,197,483
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	17,273,040	13,477,557
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)	6,749,516	7,998,055
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	11,400	0
b	Total fundraising expenses (Part IX, column (D), line 25) 191,164
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	5,956,337	6,608,882
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	12,717,253	14,606,937
19	Revenue less expenses. Subtract line 18 from line 12.......	4,555,787	-1,129,380
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	42,102,327	38,583,484
21	Total liabilities (Part X, line 26).............	13,174,378	11,111,849
22	Net assets or fund balances. Subtract line 21 from line 20.....	28,927,949	27,471,635

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 10,280,014 including grants of $ ) (Revenue $ 7,731,278 )
	PEDIATRIC SPECIALTY HOSPITAL: THE CHILDREN'S HOME OPERATES A 30-BED, FREE-STANDING SPECIALTY HOSPITAL, WITH FOUR SPECIALIZED UNITS THAT PROVIDE CONTINUED ACUTE CARE FOR INFANTS AND CHILDREN TRANSITIONING FROM HOSPITAL TO HOME. THE CHILDREN'S HOME IS A MODEL OF FAMILY CENTERED CARE AND SERVES AS A BRIDGE BETWEEN THE ACUTE CARE HOSPITAL AND HOME. THE HOSPITAL OFFERS THE FAMILY THE "HANDS-ON" ABILITY TO DEAL WITH COMPLICATED TREATMENT PLANS AND TO RECOGNIZE POTENTIAL PROBLEMS AT THEIR EARLIEST STAGES. IN ADDITION, WITH THE HELP AND INPUT FROM FAMILIES, THE CHILDREN'S HOME CREATES A CARE SCHEDULE THAT IS FEASIBLE FOR PARENTS TO MANAGE AT HOME. THE STAFF DEVOTES MANY HOURS HELPING FAMILY MEMBERS LEARN TO CARE FOR THE NEEDS OF THEIR CHILD BY PROMOTING A PARENT-PROFESSIONAL PARTNERSHIP WHERE PARENTS OR GUARDIANS ARE PART OF THE CARE-GIVING. TEAM EXPERTISE AND EXPERIENCE ARE THE HALLMARKS OF THE CHILDREN'S HOME'S PEDIATRIC SPECIALTY HOSPITAL. THE MEDICAL STAFF INCLUDES NEONATOLOGISTS, PEDIATRICIANS, AND PHYSICIAN SPECIALISTS. STAFF ALSO INCLUDES NURSE PRACTITIONERS AND REGISTERED NURSES WITH BETWEEN 2 AND 30 YEARS OF NICU AND/OR PEDIATRIC NURSING EXPERIENCE. CONTINUITY OF CARE IS CRITICAL TO THE HEALTH AND WELL-BEING OF EACH CHILD THUS, THE SAME PHYSICIANS WHO PROVIDED CARE FOR THE CHILD AT THE REFERRING HOSPITAL OVERSEE THE PATIENT CARE DURING DAILY ROUNDS AT THE PEDIATRIC SPECIALTY HOSPITAL. EACH CHILD'S CARE TEAM INCLUDES A PHYSICIAN, A PRIMARY CARE NURSE, A MEDICAL SOCIAL WORKER, AN INFANT-CHILD DEVELOPMENT SPECIALIST, AND THE PARENTS. AN INDIVIDUAL TREATMENT PLAN IS DEVELOPED FOR EVERY CHILD AND IS UPDATED THROUGHOUT THE STAY. A DETAILED DISCHARGE PLAN HELPS ENSURE THAT ALL NECESSARY CARE AND SUPPORT SERVICES, INCLUDING EQUIPMENT. THROUGHOUT THE STAY, A DETAILED DISCHARGE PLAN HELPS ENSURE THAT ALL NECESSARY CARE AND SUPPORT SERVICES, INCLUDING EQUIPMENT AND MEDICATIONS, ARE IN PLACE TO EASE THE TRANSITION TO HOME. FAMILIES HAVE THE OPTION OF STAYING OVERNIGHT AT THE CHILDREN'S HOME WHILE THEIR CHILD IS AT THE PEDIATRIC SPECIALTY HOSPITAL. WE CALL THIS NESTING. WE OFFER NESTING AT THE BEDSIDE IN SOME OF OUR PRIVATE PATIENT ROOMS, OR FAMILIES CAN STAY OVERNIGHT IN ONE OF THE PRIVATE BEDROOMS IN THE LEMIEUX FAMILY CENTER. THE FAMILY LIVING AREA INCLUDES EIGHT PRIVATE BEDROOMS, OR "NESTING ROOMS," THE AUSTIN LEMIEUX SIBLING PLAYROOM, FULL BATHROOMS, COMMON LIVING ROOMS AND KITCHEN AREAS, A WASHER AND DRYER, TELEPHONES, AND AN EMERGENCY NURSE CALL SYSTEM CONNECTED DIRECTLY TO THE NURSING STATION. THE NESTING ROOMS ALLOW FAMILIES THE OPPORTUNITY TO CARE FOR THEIR INFANTS PRIVATELY AND INDEPENDENTLY, INCLUDING OVERNIGHT STAYS, WITH THE REASSURANCE THAT THE NURSING STAFF IS NEARBY. THERE ARE NO RESTRICTIVE VISITING HOURS AT THE CHILDREN'S HOME, ALLOWING PARENTS ACCESS TO THEIR CHILD AT ALL TIMES. FAMILY MEMBERS MAY VISIT AT ANY TIME, EITHER AT THEIR CHILD'S BED SIDE OR IN THE NESTING ROOMS. THE CHILDREN'S HOME DEVELOPED A COLLABORATIVE TELECOMMUNICATIONS CONFERENCING PROJECT WITH THE CARDIOTHORACIC CLINICAL TEAM FROM CHILDREN'S HOSPITAL OF UPMC. THE STAFF PHYSICIANS CAN NOW PROVIDE TIMELY CONSULTATIVE SERVICES TO OPTIMIZE CARE, IMPROVE OUTCOMES AND EXPEDITE DISCHARGE. SINCE INCEPTION, MORE THAN 5,000 BABIES AND CHILDREN HAVE BENEFITED FROM THE CHILDREN'S HOME'S SPECIALTY CARE. ON AVERAGE MORE THAN 300 FAMILIES A YEAR INTERACT WITH THE HOSPITAL. THE AVERAGE LENGTH OF STAY IS 20 DAYS WITH A DAILY CENSUS OF 20.43. NURSING SCHOOLS IN THE HOSPITAL. NURSING STUDENTS RECEIVE THEIR CLINICAL EXPERIENCE IN PEDIATRICS IN THE PEDIATRIC SPECIALTY HOSPITAL EACH ACADEMIC TERM. THE SCHOOL SENDS STUDENTS TO WORK ON THE HOSPITAL FLOOR WITH PATIENTS AND THEIR FAMILIES. THE CURRENT LIST OF SCHOOLS INCLUDE:- UNIVERSITY OF PITTSBURGH - WEST PENN PITTSBURGH TECHNICAL INSTITUTE THE PEDIATRIC SPECIALTY HOSPITAL ALSO TOURS MANY NURSING SCHOOLS AS PART OF THE STUDENTS' PEDIATRIC ROTATION. THE TOUR EXPOSES STUDENTS TO THE FAMILY-CENTERED ACUTE CARE SERVICES OFFERED IN A "HOME LIKE" ENVIRONMENT. GRAND ROUNDS PHYSICIAN AND NURSING GRAND ROUNDS WERE OFFERED ONE TIME THIS YEAR AT THE CHILDREN'S HOME AND IS AN ACCEPTABLE EDUCATIONAL FORUM IN THE MEDICAL COMMUNITY THE TOPIC DISCUSSED WAS 'SUDDEN UNEXPLAINED INFANT DEATH (SUID) WHAT WE KNOW, WHAT WE DON'T, AND WHAT WE CAN DO TO MAKE A DIFFERENCE.' ONE CEU CREDIT PER PROGRAM WAS GRANTED FOR PARTICIPATION.

4b	(Code: ) (Expenses $ 2,135,871 including grants of $ ) (Revenue $ 1,775,317 )
	CHILD'S WAY:CHILD'S WAY IS A PEDIATRIC EXTENDED CARE CENTER FOR MEDICALLY FRAGILE CHILDREN AGES BIRTH TO TWENTY-ONE. ORIGINALLY LICENSED TO AGE EIGHT, THE CHILDREN'S HOME WORKED WITH PARENTS AND LEGISLATORS TO RAISE THE AGE LIMIT TO TWENTY-ONE. ON AUGUST 3, 2012, GOVERNOR CORBETT SIGNED HB 1960 IN A CEREMONY HELD AT THE CHILDREN'S HOME. CHILD'S WAY OFFERS AN ALTERNATIVE OR SUPPLEMENT TO IN-HOME NURSING AND THERAPY CARE FOR MEDICALLY FRAGILE CHILDREN. LICENSED AS THE FIRST PEDIATRIC EXTENDED CARE CENTER IN THE COMMONWEALTH OF PENNSYLVANIA, THIS PROGRAM WAS ESTABLISHED TO FILL A GAP IN SERVICES IN THE COMMUNITY OVER SEVERAL YEARS OF STRATEGIC PLANNING, CONDUCTING SURVEYS AND PRUDENT FINANCIAL ANALYSIS, IT WAS DETERMINED THAT FAMILIES HAD NO ALTERNATIVE TO HOME CARE FOR THEIR MEDICALLY FRAGILE CHILDREN. THIS LEFT FAMILIES IN NEED WITHOUT AN INCOME OR AN ABILITY TO RETURN TO WORK BECAUSE THEY HAD TO STAY AT HOME TO CARE FOR THEIR MEDICALLY NEEDY CHILDREN. CHILD'S WAY OPENED ITS DOORS IN MAY OF 1998 AND HAS NOW SERVED OVER 360 CHILDREN. ON A DAILY BASIS, CHILD'S WAY PROVIDES DAYTIME NURSING CARE (MONDAY THROUGH FRIDAY, 6:30 AM TO 6:00 PM), CHILD DEVELOPMENT SERVICES, THERAPY SERVICES, EARLY IDENTIFICATION OF POTENTIAL HEALTH PROBLEMS, AND HIGH STAFF TO PATIENT RATIO (1:3). IN ADDITION, CHILD'S WAY OFFERS SPECIALIZED TREATMENTS INCLUDING BUT NOT LIMITED TO WOUND CARE, FEEDING THERAPY, BLOOD DRAWS FROM PERIPHERAL OR CENTRAL LINES, OSTOMY CARE, TRACHEOTOMY CARE, GLUCOSE MONITORING, AND GASTROSTOMY FEEDINGS.CHILD'S WAY IS A KEYSTONE STAR 3 DESIGNATED FACILITY. THE KEYSTONE STARS PROGRAM IS AN INITIATIVE FOR QUALITY CHILDCARE IN PENNSYLVANIA AND PROVIDES STAFF TRAINING ANNUALLY TO ENSURE PROGRAM REQUIREMENTS IN PARTNERSHIP WITH PITTSBURGH PUBLIC SCHOOLS, CHILD'S WAY IS A SUPPLEMENTAL HEAD START PRESCHOOL PROGRAM SERVING 3 CHILDREN ON A DAILY BASIS. OUR TEACHERS AND STAFF HAVE ACCESS TO MORE MATERIALS AND TRAININGS THAT BETTER THE EDUCATION OF OUR CHILDREN. AS AN ADDITIONAL EDUCATIONAL COMPONENT, CHILD'S WAY RECEIVES SEVERAL VISITS A YEAR FROM:- THE CARNEGIE LIBRARY READING PROGRAM - CARNEGIE SCIENCE CENTER - PITTSBURGH YOUTH BALLET - SPECIALIZED VOLUNTEERS/PRESENTERS PROVIDING CULTURAL, MUSICAL, THERAPEUTIC, OR RECREATIONAL ACTIVITIES EDUCATIONUNIVERSITY OF PITTSBURGH, SCHOOL OF MEDICINE: RESIDENTS OF THE UNIVERSITY OF PITTSBURGH, SCHOOL OF MEDICINE TOUR CHILD'S WAY AND THE PEDIATRIC SPECIALTY HOSPITAL AS PART OF THEIR CHILD DEVELOPMENT ROTATION. MANY PHYSICIANS WHO ARE ACTIVE MEDICAL STAFF HAVE FIRST BEEN INTRODUCED TO THE MEDICAL PROGRAMS OF THE CHILDREN'S HOME AS A RESIDENT. NURSING SCHOOLS IN CHILD'S WAY: THE CHILD'S WAY PROGRAM PROVIDES CLINICAL EXPERIENCE TO REGIONAL NURSING SCHOOLS. CHILDREN'S HOME AS A RESIDENT NURSING SCHOOL:THE CHILD'S WAY PROGRAM PROVIDES CLINICAL EXPERIENCE TO REGIONAL NURSING SCHOOLS AS PART OF THEIR CLINICAL CURRICULUM. SCHOOLS THAT PLACE STUDENTS IN CHILD'S WAY INCLUDE: - THE UNIVERSITY OF PITTSBURGH SCHOOL OF NURSING - CITIZEN'S GENERAL SCHOOL OF NURSING - FRANCISCAN UNIVERSITY, WHEELING, WEST VIRGINIA - LA ROCHE COLLEGE NURSING SCHOOL - MERCY HOSPITAL SCHOOL OF NURSING ALLIANCE FOR INFANTS THERAPISTS FROM THE ALLIANCE FOR INFANTS AND TODDLERS - AN ORGANIZATION FOR LICENSED THERAPISTS THAT IS THE MAIN POINT OF CONTACT FOR EARLY INTERVENTION SERVICES IN ALLEGHENY COUNTY - TOUR THE HOSPITAL AS ONGOING EDUCATION REGARDING RESOURCES AVAILABLE IN THE COMMUNITY

4c	(Code: ) (Expenses $ 807,527 including grants of $ ) (Revenue $ 433,225 )
	ADOPTION PROGRAM: FOR MORE THAN 123 YEARS, THE CHILDREN'S HOME HAS BEEN RESPECTED IN THE COMMUNITY AND ACROSS THE COUNTRY FOR THE QUALITY OF WORK IN INFANT ADOPTION. MORE THAN 7,000 INFANTS AND YOUNG CHILDREN HAVE BEEN PLACED WITH FAMILIES THROUGH THE CHILDREN'S HOME. THE ADOPTION PROGRAM PROVIDES A COMPREHENSIVE RANGE OF SERVICES IN SUPPORT OF ADOPTIVE FAMILIES, BIRTH FAMILIES, AND ADOPTED CHILDREN AND ADULTS. THE SUCCESS IS BASED ON A BELIEF THAT ADOPTION IS NOT A ONE-TIME EVENT, BUT A LIFELONG JOURNEY. THE PROGRAM OFFERS A LIFETIME OF SUPPORT SERVICES THROUGH A STAFF OF EXPERIENCED PROFESSIONAL COUNSELORS. THE SERVICES AND PROGRAMS PROVIDED BY THE CHILDREN'S HOME INCLUDE INFANT PLACEMENT SERVICES, WHICH CONSIST OF THE BIRTHPARENT COUNSELING PROGRAM, THE ADOPTING FAMILY PROGRAM AND THE FOSTER CARE PROGRAM, POST ADOPTION SERVICES, PRIVATE ADOPTION SERVICES, INFERTILITY COUNSELING, RESEARCH AND REUNION, AND COMMUNITY EDUCATION. THE CHILDREN'S HOME IS ALSO A LEADER IN THE FIELD OF OPEN ADOPTION. WE BEGAN CONDUCTING OPEN ADOPTIONS 36 YEARS AGO AND HAVE LEARNED MUCH FROM THE CLIENTS WE'VE SERVED AND FROM SPECIALIZED STAFF TRAINING. OPEN ADOPTION CAN BE A REWARDING, POSITIVE EXPERIENCE FOR ALL INVOLVED:- BIRTH FAMILIES, ADOPTIVE FAMILIES AND CHILD - WITH THE RIGHT SUPPORT INFANT PLACEMENT SERVICES - THE INFANT PLACEMENT SERVICES INCLUDE THE FOLLOWING PROGRAMS LISTED BELOWBIRTHPARENT COUNSELING PROGRAM:PROFESSIONAL COUNSELING SERVICES PROVIDE BIRTHPARENTS WITH NONJUDGMENTAL SUPPORT AND GUIDANCE IF THE BIRTHPARENTS CHOOSE ADOPTION, THE COUNSELORS ASSIST IN CREATING AN ADOPTION PLAN FOR THE BABY COUNSELING AND GROUP SUPPORT IS PROVIDED DURING AND AFTER THE PREGNANCY ADOPTING FAMILY PROGRAM. ADOPTIVE PARENTS ARE OFFERED SUPPORT, COUNSELING AND EDUCATION, A THOROUGH ORIENTATION IS CONDUCTED FOLLOWED BY AN APPLICATION PROCESS AND THE COMPLETION OF A FAMILY STUDY AS REQUIRED BY PENNSYLVANIA LAW FOSTER CARE:SHORT-TERM FOSTER CARE IS AVAILABLE FOR BABIES OF BIRTHPARENTS WHO NEED TIME TO MAKE A DECISION ABOUT ADOPTION. FOSTER FAMILIES ARE CAREFULLY SELECTED, APPROVED AND SPECIALLY TRAINED BY STAFF OF THE ADOPTION. PROGRAM POST-ADOPTION SERVICES:INFORMATION, EDUCATION, CONSULTATION AND SHORT-TERM COUNSELING ARE PROVIDED FOR INDIVIDUALS, COUPLES, AND FAMILIES DEALING WITH ADOPTION-RELATED ISSUES. A VARIETY OF ADOPTIVE FAMILY SUPPORT GROUPS ARE ALSO OFFERED.ADDITIONAL SERVICES:IN ADDITION TO THE INFANT PLACEMENT SERVICES AND POST ADOPTION SERVICES, THE CHILDREN'S HOME PROVIDES THE FOLLOWING ADDITIONAL SERVICES PRIVATE ADOPTION COUNSELING SERVICES: WE OFFER INDIVIDUALIZED, SHORT-TERM COUNSELING SERVICES FOR BIRTHPARENTS IN PRIVATE ADOPTIONS SERVICES ARE PROVIDED AT THE RECOMMENDATION OF AN ATTORNEY, AT THE REQUEST OF THE BIRTHPARENT OF THE PROSPECTIVE ADOPTIVE PARENTS, AND/OR IN FULFILLMENT OF LEGAL REQUIREMENT BY THE STATE IN WHICH THE ADOPTION IS TO OCCUR.INFERTILITY COUNSELING:INFERTILITY-RELATED COUNSELING IS AVAILABLE FOR INDIVIDUALS AND COUPLES AS THEY MAKE DECISIONS REGARDING THE TESTING AND TREATMENT OF INFERTILITY. THE CHILDREN'S HOME SUPPORTS THEM AS THEY COPE WITH RELATED ISSUES INCLUDING SEXUALITY, MARITAL CONFLICT, COMMUNICATING WITH FRIENDS ABOUT INFERTILITY, AND PERHAPS THE POSSIBILITY OF ADOPTION. SERVICES RANGE FROM SINGLE CONSULTATIONS TO ONGOING SUPPORT.RESEARCH AND REUNION PROGRAM:THE RESEARCH AND REUNION PROGRAM PROVIDES RESEARCH SERVICES AND EMOTIONAL SUPPORT FOR ADOPTED PEOPLE WISHING TO LEARN MORE ABOUT THEIR BIRTH PARENTS. SERVICES RANGE FROM BASIC BIRTH HISTORY INFORMATION TO FULL SEARCHES OF SEALED COURT RECORDS (AFTER COURT APPROVAL). THE CHILDREN'S HOME OFFERS ASSISTANCE TO BIRTHPARENTS WHO WANT TO BE AVAILABLE TO THE CHILDREN THEY PLACED FOR ADOPTION, AND FACILITATES REUNIONS.COMMUNITY EDUCATION:COMMUNITY ADOPTION EDUCATIONAL EVENTS, WITH CONTINUING EDUCATION UNITS (CEU'S), ARE SPONSORED BY THE CHILDREN'S HOME FOR ADOPTION PROFESSIONALS AND OTHER PROFESSIONALS IN ADOPTION-RELATED FIELDS. IN ADDITION, THE CHILDREN'S HOME'S ADOPTION PROFESSIONALS ARE AVAILABLE TO OTHER ORGANIZATIONS, AGENCIES, AND INSTITUTIONS TO CONDUCT SEMINARS, TRAINING, AND CONSULTATION CONCERNING A WIDE RANGE OF ISSUES INVOLVED WITH ADOPTION.SWAN:THE CHILDREN'S HOME OF PITTSBURGH OBTAINED A CONTRACT WITH THE STATEWIDE ADOPTION AND PERMANENCY NETWORK (SWAN) IN JULY OF 2012. THE MISSION OF SWAN IS TO HELP CHILDREN WHO ARE IN THE CUSTODY OF CHILDREN, YOUTH AND FAMILY SERVICE AGENCIES TO PREPARE FOR AND TO ACHIEVE PERMANENCY. THE ADOPTION PROGRAM PROVIDES SEVERAL DIFFERENT TYPES OF SERVICES UNDER THE CONTRACT. CHILD PREPARATION UNITS OF SERVICE ARE SESSIONS WITH CHILDREN THAT HELP THEM TO UNDERSTAND THEIR HISTORIES AND WHY THEY CANNOT LIVE WITH THEIR BIOLOGICAL PARENTS. THIS HELPS CHILDREN TO BE WELL ADJUSTED IN THEIR CURRENT PLACEMENTS AND PREPARE FOR PERMANENT PLACEMENT. CHILD PROFILES ARE ANOTHER UNIT OF SERVICE WHICH INVOLVES THE SOCIAL WORKER GATHERING EXTENSIVE RESEARCH FOR EACH CHILD AND COMPILING THAT INFORMATION INTO A DOCUMENT. THE DOCUMENT IS THEN USED TO HELP A CHILD'S FAMILY BETTER UNDERSTAND THE CHILD'S HISTORY AND TO HELP EACH CHILD BE MATCHED WITH THE BEST FAMILY POSSIBLE. THE CHILDREN'S HOME ALSO COMPLETES FAMILY PROFILES ON FAMILIES INTERESTED IN ADOPTING THROUGH THE FOSTER CARE SYSTEM AND SUPPORTS THEM THROUGH THE PROCESS OF BEING MATCHED WITH A CHILD POST PERMANENCY. UNITS OF SERVICE ARE ALSO COMPLETED WITH FAMILIES WHO HAVE ALREADY ADOPTED THROUGH THE CHILDREN'S HOME. POST PERMANENCY UNITS OF SERVICE ALLOW THE CHILDREN'S HOME TO OFFER POST ADOPTION SUPPORT SERVICES TO ALL OF OUR ADOPTIVE FAMILIES. ADDITIONAL SWAN SERVICES COMPLETED INCLUDE HELPING COUNTY CHILDREN AND YOUTH AGENCIES DRAFT POST ADOPTION CONTACT AGREEMENTS BETWEEN BIRTH AND ADOPTIVE FAMILIES, WORKING WITH CHILDREN TO IDENTIFY PERMANENT RESOURCES FOR THEM, AND SUPERVISING THE PLACEMENT OF A CHILD IN AN ADOPTIVE HOME AS REQUESTED BY A COUNTY AGENCY. OUTREACH AND ADOPTION EDUCATION:THE ADOPTION DEPARTMENT PROVIDES EDUCATION TO SOCIAL WORKERS, MEDICAL STAFF AND CASE MANAGERS AT MANY HOSPITALS IN SOUTHWESTERN PENNSYLVANIA. THE HOSPITAL STAFF FINDS IT BENEFICIAL TO LEARN HOW TO BETTER SERVE THEIR PATIENTS WHO ARE CONSIDERING AN ADOPTION PLAN. MANY DO NOT HAVE THE TIME OR EXPERTISE TO COUNSEL THEM APPROPRIATELY THROUGH THE STAGES OF GRIEF. AS THEY GO THROUGH THE PROCESS OF LETTING GO OF THEIR CHILD THE STAFF IS RELIEVED WHEN THEY LEARN THAT THE CHILDREN'S HOME WILL HANDLE ALL OF THE LEGALITIES IN ADOPTION, FOSTER CARE FOR THE INFANT IF NECESSARY AND SUPPORT TO THE BIRTHPARENTS. THEY APPRECIATE KNOWING THAT WHEN THE CHILDREN'S HOME IS INVOLVED, THEIR PATIENT WILL BE TREATED WITH THE UTMOST RESPECT AND DIGNITY AND THAT THE ADOPTION WILL BE HANDLED PROFESSIONALLY BY MASTERS. LEVEL COUNSELORS WHO ARE AVAILABLE 24 HOURS A DAY, 365 DAYS PER YEAR HIGH SCHOOLS AND UNIVERSITIES IN THE PITTSBURGH AREA AND BEYOND APPRECIATE THE KNOWLEDGE THAT THE CHILDREN'S HOME PROVIDES TO THEIR HEALTH AND FAMILY. EDUCATION CLASSES:STUDENTS ARE ALWAYS FASCINATED TO LEARN ABOUT THE DETAILS OF ADOPTION AS IT IS TODAY, AS MANY ARE TOUCHED BY ADOPTION IN ONE WAY OR ANOTHER. IT ALSO GIVES THEM KNOWLEDGE TO PASS ON TO FRIENDS WHO MAY EXPERIENCE AN UNPLANNED PREGNANCY AT SOME TIME IN THE FUTURE. GUIDANCE COUNSELORS AND SCHOOL NURSES ALSO BENEFIT FROM ADOPTION EDUCATION BECAUSE THEY CAN BETTER ASSIST STUDENTS WHO MAY BECOME PREGNANT. FOR MANY STUDENTS WHO CANNOT FACE THE IDEA OF ABORTION OR PARENTING, ADOPTION MAY BE THE ONLY REASONABLE ALTERNATIVE FOR THEM. ONCE THEY UNDERSTAND ADOPTION, THEY ARE BETTER ABLE TO MAKE AN EDUCATED DECISION ABOUT WHAT IS BEST FOR THEM.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses13,223,412

(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
(18) GWYNN W WARDWELL........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(19) GEIL WESLEY WILLIAMS........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(20) COURTNEY GORDON WISSINGER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(21) JULIE I KLINE........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(22) ALISSA A MEADE........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(23) BARBARA E ZAWADZKI MD........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(24) BEN MILLER........................................................................ BOARD MEMBER	1.00 .......................	X		0	0	0
(25) PAMELA SCHANWALD........................................................................ CHIEF EXECUTIVE OFFICER	40.00 .......................		X	166,197	0	15,576
(26) KIMBERLY PHILLIPS........................................................................ CHIEF FINANCIAL OFFICER	40.00 .......................		X	100,377	0	14,772

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	266,574	0	30,348

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF PITTSBURGH PHYSICIANS 4401 PENN AVENUE AOB SUITE 5300 PITTSBURGH,PA15224	PHYSICIAN SERVICES	187,449




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 1

1a	Federated campaigns..		1a	28,121
b	Membership dues..		1b
c	Fundraising events..		1c	189,836
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	777,417

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		995,374

			Business Code
2a	HOSPITAL - PEDIATRIC SPECIALTY	621400	7,731,278	7,731,278
b	CHILD'S WAY	621400	1,775,317	1,775,317
c	ADOPTION SERVICES	624110	433,225	433,225
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			9,939,820

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			306,864			306,864
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		38,016
b	Less: cost or other basis and sales expenses		0
c	Gain or (loss)		38,016
d	Net gain or (loss).....			38,016			38,016
8a	Gross income from fundraising events (not including $ 189,836of contributions reported on line 1c). See Part IV, line 18 ....
	a		49,800
b	Less: direct expenses ...b		126,902
c	Net income or (loss) from fundraising events..			-77,102			-77,102
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..
Business Code			Miscellaneous Revenue
11a	MODERNIZATION INCOME		900099	1,952,044			1,952,044
b	OTHER ADOPTION REVENUE		624110	310,100			310,100
c	OTHER REVENUE		900099	12,441			12,441
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,274,585
12	Total revenue. See Instructions......			13,477,557	9,939,820	0	2,542,363

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	408,819	373,362	26,378	9,079
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	5,978,483	5,459,973	385,741	132,769
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	38,580	35,154	2,325	1,101
9	Other employee benefits .......	1,077,893	1,001,490	72,628	3,775
10	Payroll taxes ...........	494,280	425,829	55,004	13,447
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	94,301	33,066	61,235
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	52,491		52,491
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	1,895,940	1,816,112	79,828
12	Advertising and promotion ....	28,766		28,766
13	Office expenses .......	311,535	251,227	58,465	1,843
14	Information technology ......	73,520	65,377	8,143
15	Royalties ..
16	Occupancy ...........	399,972	399,972
17	Travel ............	23,116	19,931	3,108	77
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	5,534	4,824	685	25
20	Interest ...........	258,399	231,605	26,794
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,331,663	1,216,753	114,910
23	Insurance ...	215,302	181,361	33,941
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	MEDICAL SUPPLIES	852,590	852,590
b	REPAIRS AND MAINTENANCE	401,852	358,330	35,073	8,449
c	BAD DEBT EXPENSE	176,984	176,984
d	DONATED MATERIALS	92,049		92,049
e	All other expenses	394,868	319,472	54,797	20,599
25	Total functional expenses. Add lines 1 through 24e	14,606,937	13,223,412	1,192,361	191,164
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).

1	Cash–non-interest-bearing ........			1,478,191	1	2,816,998
2	Savings and temporary cash investments .........			3,332,375	2	1,076,054
3	Pledges and grants receivable, net ......			1,957,692	3	1,122,001
4	Accounts receivable, net .............			2,389,865	4	1,814,942
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 ........			90,044	8	93,377
9	Prepaid expenses and deferred charges ......			33,526	9	61,259
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	29,480,120
b	Less: accumulated depreciation	10b	8,878,618	21,730,781	10c	20,601,502
11	Investments—publicly traded securities .			9,975,374	11	10,023,284
12	Investments—other securities. See Part IV, line 11 .....			1,047,082	12	974,067
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			67,397	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			42,102,327	16	38,583,484

17	Accounts payable and accrued expenses .....	752,963	17	2,045,574
18	Grants payable ...		18
19	Deferred revenue .........	1,298	19	2,139
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 ..	12,050,350	23	8,849,421
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	369,767	25	214,715
26	Total liabilities. Add lines 17 through 25..	13,174,378	26	11,111,849

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	22,793,427	27	24,688,306
28	Temporarily restricted net assets ...........	4,736,440	28	1,458,263
29	Permanently restricted net assets	1,398,082	29	1,325,066
	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 ...........	28,927,949	33	27,471,635
34	Total liabilities and net assets/fund balances ........	42,102,327	34	38,583,484