2020-05-01T11:12:29-05:00 2019-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-07-01 232589322 Children's Surgical Associates Ltd % DEIRDRE BRACISZEWSKI CHIL 2155902700 3401 Civic Center Boulevard PHILADELPHIA PA 191042217 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 2155902700 2020-04-20 true ERICA R MCREYNOLDS P00977806 2673303000 2020-04-20 155.201.35.107 23522320201225000011 2020-05-01 P 092641CD66AE8E24D707D68042395AFF85AC33F4 6D11B275E5C4ABCF32238923ED11C2D446E22F6A 2018 2021-01-29 14:40:06Z N SCOTT ADZICK MD 3401 Civic Ctr Blvd PHILADELPHIA PA 19104 127551472 false X N/A X 1990 PA SEE SCHEDULE O 4 0 403 0 0 0 0 0 116982036 119780660 4433568 2881415 0 0 121415604 122662075 7625841 4258664 0 0 102561999 103287201 0 0 0 13879127 14483528 124066967 122029393 -2651363 632682 100118942 105291686 20780174 23599364 79338768 81692322 X SEE SCHEDULE O false false 91955281 4258664 119780660 TO PROVIDE HEALTH CARE, SURGICAL, RESEARCH AND TEACHING SERVICES. THE ORGANIZATION OFFERS FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE TO PATIENTS/FAMILIES WHO MEET THE ELIGIBILITY REQUIREMENTS OF THE FINANCIAL ASSISTANCE POLICY OF CHOP AND ITS AFFILIATES. THE ORGANIZATION SUPPORTS MEDICAL RESEARCH AND TEACHING MISSIONS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. NONE NONE 91955281 true false false false false false false false false true false false true true false false true false false true false false false false false false true false true false false false false false false false false false false false false false true false false false true 35 0 true 403 true false false false false false false false false false false false false X 4 0 false false false false true true true true false false true true true true true true true true false PA X DEIRDRE BRACISZEWSKI 2674259515 100 PENN SQUARE EAST PHILADELPHIA PA 191073323 X N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 40.0 5.0 X X 2853433 0 38435 JOHN FLYNN MD VICE PRESIDENT, DIRECTOR 40.0 2.0 X X 1370305 0 44140 MICHAEL NANCE MD PRESIDENT, DIRECTOR 40.0 1.0 X X 788571 0 28737 PHILIP STORM MD SECRETARY, DIRECTOR 40.0 2.0 X X 1770958 0 44140 J WILLIAM GAYNOR MD ASST SECRETARY 40.0 1.0 X 1416522 0 44140 THEODORE GANLEY MD ASST SECRETARY 40.0 1.0 X 1095714 0 44140 KEN KAZAHAYA MD ASST SECRETARY 40.0 1.0 X 942737 0 46677 RALPH WETMORE MD ASST SECRETARY 40.0 2.0 X 908050 0 36605 IAN JACOBS MD ASST SECRETARY 40.0 1.0 X 1001611 0 43311 SCOTT BARTLETT MD ASST SECRETARY 40.0 1.0 X 1541329 0 40957 LAWRENCE TOM MD ASST SECRETARY 40.0 1.0 X 798324 0 43193 STEVEN HANDLER MD ASST SECRETARY 40.0 1.0 X 691203 0 11110 RICHARD DAVIDSON MD ASST SECRETARY 40.0 1.0 X 654536 0 11815 DOUGLAS CANNING MD ASST SECRETARY 40.0 2.0 X 1420192 0 43311 ALAN FLAKE MD ASST SECRETARY 40.0 1.0 X 680945 0 144026 EDWARD DOOLIN MD ASST SECRETARY 40.0 1.0 X 753613 0 40958 JAMES KATOWITZ MD ASST SECRETARY 40.0 1.0 X 355006 0 9280 BENJAMIN CHANG MD ASST SECRETARY 25.0 1.0 X 432776 0 26710 HOLLY HEDRICK MD ASST SECRETARY 40.0 1.0 X 723132 0 37743 MONTE MILLS MD ASST SECRETARY 40.0 2.0 X 602180 0 41805 STEPHEN ZDERIC MD ASST SECRETARY 40.0 1.0 X 537653 0 43311 MARK JOHNSON MD ASST SECRETARY 40.0 1.0 X 565608 0 41848 DAVID LOW MD ASST SECRETARY 40.0 1.0 X 836991 0 41395 GRAHAM QUINN MD ASST SECRETARY 21.0 1.0 X 106477 0 3131 LINDA FLOCCO EXECUTIVE DIRECTOR 40.0 1.0 X 277666 0 2890 THOMAS CONCANNON DIR. OF FINANCE (THROUGH 8/18) 40.0 1.0 X 162379 0 1918 DEIRDRE BRACISZEWSKI CONTROLLER 40.0 1.0 X 150362 0 1843 WILLIAM ANNINGER MD ASST SECRETARY 40.0 1.0 X 537729 0 43311 LAWRENCE LEVIN MD ASST SECRETARY 40.0 1.0 X 624257 0 5320 PETER MATTEI MD ASST SECRETARY 40.0 1.0 X 735990 0 44140 ROBERT C O'REILLY MD ASST SECRETARY 40.0 1.0 X 770960 0 16878 GIL BINENBAUM MD ASST SECRETARY 40.0 1.0 X 437382 0 36913 THOMAS KOLON MD ASST SECRETARY 40.0 2.0 X 585769 0 143311 BRIAN FORBES MD ASST SECRETARY 40.0 1.0 X 405379 0 41621 LAWRENCE WELLS MD ASST SECRETARY 40.0 1.0 X 476478 0 44140 STEVEN SOBOL MD ASST SECRETARY 40.0 1.0 X 767484 0 43311 LISA ELDEN MD ASST SECRETARY 40.0 1.0 X 776963 0 43311 THANE BLINMAN MD ASST SECRETARY 40.0 1.0 X 694740 0 44140 JOHN A GERMILLER MD ASST SECRETARY 40.0 1.0 X 639835 0 43682 JULIE MOLDENHAUER MD ASST SECRETARY 40.0 1.0 X 595920 0 30390 KAREN ZUR MD ASST SECRETARY 40.0 1.0 X 761469 0 37743 JESSE A TAYLOR MD ASST SECRETARY 40.0 2.0 X 1490210 0 45529 DAVID SPIEGEL MD ASST SECRETARY 40.0 1.0 X 622077 0 36913 WUDBHAV SANKAR MD ASST SECRETARY 40.0 1.0 X 1069046 0 50024 STEPHANIE FULLER MD ASST SECRETARY 40.0 1.0 X 1346807 0 33272 B DAVID HORN MD ASST SECRETARY 40.0 1.0 X 488542 0 44324 OKSANA H JACKSON MD ASST SECRETARY 40.0 1.0 X 615877 0 43311 ASEEM R SHUKLA MD ASST SECRETARY 40.0 1.0 X 977071 0 50024 JONATHAN M CHEN MD ASST SECRETARY 40.0 2.0 X 700034 0 5279 CHRISTOPHER MASCIO MD ASST SECRETARY 40.0 1.0 X 1340855 0 44140 GREGORY G HEUER MD PHYSICIAN 40.0 0.0 X 1073216 0 44324 PATRICK J CAHILL MD PHYSICIAN 40.0 1.0 X 961300 0 41621 ARUN K SRINIVASAN MD PHYSICIAN 40.0 1.0 X 804429 0 43311 GREGORY TASIAN MD PHYSICIAN 40.0 0.0 X 796062 0 30908 KEITH BALDWIN MD PHYSICIAN 40.0 1.0 X 766527 0 43196 THOMAS L SPRAY MD FORMER OFFICER 0.0 0.0 X 4165507 0 32397 49466188 0 2164353 151 true true true PA PLASTIC SURGERY 17 INDUSTRIAL BLVD SUITE 102 PAOLI PA 19301 PHYSICIAN SERVICES 136172 TIAA CREF 211 North Broadway Suite 1000 ST LOUIS MO 63102 INVESTMENT ACCT. MGT 110706 2 0 NET PATIENT SERVICE REVENUE 621110 107731914 107731914 RESEARCH REVENUE 622110 8225694 8225694 OTHER PROGRAM SUPPORT 622110 3823052 3823052 119780660 1431062 1431062 0 0 0 0 0 6339750 4889397 1450353 1450353 1450353 0 0 0 0 0 0 0 0 0 0 122662075 119780660 2881415 4258664 4258664 0 0 0 44105551 43475486 630065 0 0 48091169 30189839 17901330 453972 145271 308701 9123269 2919446 6203823 1513240 484237 1029003 0 6890 6890 28593 28593 0 0 103386 103386 2028875 2028875 0 652153 227213 424940 235467 20099 215368 0 121869 121869 1262314 1262314 0 20557 20557 0 0 123343 123343 4002661 3992956 9705 OTHER EXPENSES 5897420 4959199 938221 122029393 91955281 30074112 0 2776 2726 14330113 12869228 0 0 18137186 19325263 0 0 0 0 0 0 0 0 5000 5000 4539622 4160440 259254 379182 61314512 65429293 0 0 0 0 0 0 6070101 7280994 100118942 105291686 13905852 14669424 100000 576453 0 0 0 0 0 0 0 0 0 0 0 0 6774322 8353487 20780174 23599364 X 79338768 81692322 0 0 0 0 79338768 81692322 100118942 105291686 X 632682 1524865 196007 X false true X true false X 0 0 0 0 0 0 101825605 106321831 109236410 113851247 115957608 547192701 0 0 0 101825605 106321831 109236410 113851247 115957608 547192701 0 0 0 547192701 910524 1063277 1080097 1220738 1431062 5705698 0 910524 1063277 1080097 1220738 1431062 5705698 0 2564603 2636651 3466222 3130789 3823052 15621317 105300732 110021759 113782729 118202774 121211722 568519716 0.96249 0.96180 0.01004 0.00940 X 222982 222982 4316640 3937458 379182 379182 DUE FROM AFFILIATES 1925668 DUE FROM THIRD PARTIES 1850018 INTERESTS IN NET ASSETS-SAREF 3505308 7280994 0 DUE TO AFFILIATES 8353487 8353487 124186940 1524865 1524865 122662075 122662075 121833386 121833386 196007 196007 122029393 SCHEDULE D, PART XII, LINE 4B OTHER ADJUSTMENTS INCREASE IN SAREF NET ASSETS: 196,007 Central America and the Caribbean 7 Program Services Teaching & Research 109121 East Asia and the Pacific 20 Program Services TEACHING & RESEARCH 554487 Europe (Including Iceland and Greenland) 40 Program Services TEACHING & RESEARCH 1131717 Middle East and North Africa 9 Program Services TEACHING & RESEARCH 177713 North America 18 Program Services TEACHING & RESEARCH 214834 Russia and the Newly Independent States 2 Program Services TEACHING & RESEARCH 32444 South America 6 Program Services TEACHING & RESEARCH 86829 South Asia 7 Program Services TEACHING & RESEARCH 136350 109 109 2443495 2443495 false false false false false false true AUTO DEALERS CARING FOR KIDS FOUNDATION 3311 SWEDE RD STE A E NORRITON PA 19401 030509965 501(c)(3) 16875 FMV N/A GENERAL SUPPORT CONGENITAL HYPERINSULINISM INTERNATIONAL PO BOX 135 GLEN RIDGE NJ 07028 203068945 501(C)(3) 10000 FMV N/A GENERAL SUPPORT CHOP FOUNDATION 3401 CIVIC CENTER BLVD PHILA PA 19104 232237932 501(C)(3) 4190049 FMV N/A GENERAL SUPPORT Trustees of the Univ of PA-Philly Fights Cancer PO Box 1927 Blue Bell PA 19422 231352685 501(c)(3) 20500 FMV N/A GENERAL SUPPORT 4 SCHEDULE I, PART I, LINE 2 DURING THE YEAR, ALL GRANTS OR CONTRIBUTIONS TO ORGANIZATIONS OVER $5,000 MUST BE COMMUNICATED TO AND APPROVED BY THE CHILDREN'S SURGICAL ASSOCIATES BOARD OF DIRECTORS. X true true X X X X X true true false false false false false true false THOMAS L SPRAY MD FORMER OFFICER 1143358 0 75000 0 2947149 0 24750 0 7647 0 4197904 0 0 0 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 1314250 0 1317225 0 221958 0 24750 0 13685 0 2891868 0 0 0 J WILLIAM GAYNOR MD ASST SECRETARY 992022 0 424500 0 0 0 24750 0 19390 0 1460662 0 0 0 JOHN FLYNN MD VICE PRESIDENT, DIRECTOR 620383 0 749922 0 0 0 24750 0 19390 0 1414445 0 0 0 THEODORE GANLEY MD ASST SECRETARY 571490 0 524224 0 0 0 24750 0 19390 0 1139854 0 0 0 KEN KAZAHAYA MD ASST SECRETARY 373106 0 569631 0 0 0 24750 0 21927 0 989414 0 0 0 RALPH WETMORE MD ASST SECRETARY 531250 0 374085 0 2715 0 24750 0 11855 0 944655 0 0 0 IAN JACOBS MD ASST SECRETARY 397165 0 604446 0 0 0 24750 0 18561 0 1044922 0 0 0 SCOTT BARTLETT MD ASST SECRETARY 541829 0 999500 0 0 0 24750 0 16207 0 1582286 0 0 0 LAWRENCE TOM MD ASST SECRETARY 424239 0 374085 0 0 0 24750 0 18443 0 841517 0 0 0 STEVEN HANDLER MD ASST SECRETARY 444041 0 247162 0 0 0 6661 0 4449 0 702313 0 0 0 RICHARD DAVIDSON MD ASST SECRETARY 619666 0 34870 0 0 0 9295 0 2520 0 666351 0 0 0 DOUGLAS CANNING MD ASST SECRETARY 435000 0 386479 0 598713 0 24750 0 18561 0 1463503 0 0 0 ALAN FLAKE MD ASST SECRETARY 356445 0 324500 0 0 0 124750 0 19276 0 824971 0 0 0 EDWARD DOOLIN MD ASST SECRETARY 294113 0 459500 0 0 0 24750 0 16208 0 794571 0 0 0 MICHAEL NANCE MD PRESIDENT, DIRECTOR 300000 0 484500 0 4071 0 24750 0 3987 0 817308 0 0 0 JAMES KATOWITZ MD ASST SECRETARY 260834 0 94172 0 0 0 3913 0 5367 0 364286 0 0 0 BENJAMIN CHANG MD ASST SECRETARY 0 0 432776 0 0 0 18637 0 8073 0 459486 0 0 0 HOLLY HEDRICK MD ASST SECRETARY 293632 0 429500 0 0 0 24750 0 12993 0 760875 0 0 0 MONTE MILLS MD ASST SECRETARY 416388 0 185792 0 0 0 24750 0 17055 0 643985 0 0 0 STEPHEN ZDERIC MD ASST SECRETARY 390967 0 146686 0 0 0 24750 0 18561 0 580964 0 0 0 MARK JOHNSON MD ASST SECRETARY 411108 0 154500 0 0 0 24750 0 17098 0 607456 0 0 0 DAVID LOW MD ASST SECRETARY 170350 0 654823 0 11818 0 35165 0 6230 0 878386 0 0 0 LINDA FLOCCO EXECUTIVE DIRECTOR 192666 0 85000 0 0 0 2890 0 0 0 280556 0 0 0 THOMAS CONCANNON DIR. OF FINANCE (THROUGH 8/18) 127879 0 34500 0 0 0 1918 0 0 0 164297 0 0 0 DEIRDRE BRACISZEWSKI CONTROLLER 122862 0 27500 0 0 0 1843 0 0 0 152205 0 0 0 WILLIAM ANNINGER MD ASST SECRETARY 254147 0 283582 0 0 0 24750 0 18561 0 581040 0 0 0 LAWRENCE LEVIN MD ASST SECRETARY 354665 0 269592 0 0 0 5320 0 0 0 629577 0 0 0 PETER MATTEI MD ASST SECRETARY 291490 0 444500 0 0 0 24750 0 19390 0 780130 0 0 0 ROBERT C O'REILLY MD ASST SECRETARY 443910 0 327050 0 0 0 0 0 16878 0 787838 0 0 0 GIL BINENBAUM MD ASST SECRETARY 268007 0 169375 0 0 0 24750 0 12163 0 474295 0 0 0 THOMAS KOLON MD ASST SECRETARY 391583 0 194186 0 0 0 124750 0 18561 0 729080 0 0 0 PHILIP STORM MD SECRETARY, DIRECTOR 1191458 0 579500 0 0 0 24750 0 19390 0 1815098 0 0 0 BRIAN FORBES MD ASST SECRETARY 266821 0 138558 0 0 0 24750 0 16871 0 447000 0 0 0 LAWRENCE WELLS MD ASST SECRETARY 414025 0 62453 0 0 0 24750 0 19390 0 520618 0 0 0 STEVEN SOBOL MD ASST SECRETARY 318080 0 449404 0 0 0 24750 0 18561 0 810795 0 0 0 LISA ELDEN MD ASST SECRETARY 314741 0 462222 0 0 0 24750 0 18561 0 820274 0 0 0 THANE BLINMAN MD ASST SECRETARY 290240 0 404500 0 0 0 24750 0 19390 0 738880 0 0 0 JOHN A GERMILLER MD ASST SECRETARY 243716 0 396119 0 0 0 24750 0 18932 0 683517 0 0 0 JULIE MOLDENHAUER MD ASST SECRETARY 411420 0 184500 0 0 0 11000 0 19390 0 626310 0 0 0 KAREN ZUR MD ASST SECRETARY 321281 0 440188 0 0 0 24750 0 12993 0 799212 0 0 0 JESSE A TAYLOR MD ASST SECRETARY 465710 0 1024500 0 0 0 24750 0 20779 0 1535739 0 0 0 DAVID SPIEGEL MD ASST SECRETARY 575383 0 46694 0 0 0 24750 0 12163 0 658990 0 0 0 WUDBHAV SANKAR MD ASST SECRETARY 515399 0 553647 0 0 0 24750 0 25274 0 1119070 0 0 0 STEPHANIE FULLER MD ASST SECRETARY 847307 0 499500 0 0 0 24750 0 8522 0 1380079 0 0 0 B DAVID HORN MD ASST SECRETARY 488542 0 0 0 0 0 24750 0 19574 0 532866 0 0 0 OKSANA H JACKSON MD ASST SECRETARY 316377 0 299500 0 0 0 24750 0 18561 0 659188 0 0 0 ASEEM R SHUKLA MD ASST SECRETARY 388577 0 588494 0 0 0 24750 0 25274 0 1027095 0 0 0 JONATHAN M CHEN MD ASST SECRETARY 500000 0 0 0 200034 0 0 0 5279 0 705313 0 0 0 CHRISTOPHER MASCIO MD ASST SECRETARY 841355 0 499500 0 0 0 24750 0 19390 0 1384995 0 0 0 GREGORY G HEUER MD PHYSICIAN 739966 0 333250 0 0 0 24750 0 19574 0 1117540 0 0 0 PATRICK J CAHILL MD PHYSICIAN 516533 0 444767 0 0 0 24750 0 16871 0 1002921 0 0 0 ARUN K SRINIVASAN MD PHYSICIAN 382312 0 422117 0 0 0 24750 0 18561 0 847740 0 0 0 GREGORY TASIAN MD PHYSICIAN 373323 0 422739 0 0 0 22000 0 8908 0 826970 0 0 0 KEITH BALDWIN MD PHYSICIAN 416445 0 350082 0 0 0 24750 0 18446 0 809723 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A CHILDREN'S SURGICAL ASSOCIATES, LTD. PROVIDED FIRST CLASS TRAVEL TO CERTAIN INDIVIDUALS LISTED ON SCHEDULE J. FIRST CLASS TRAVEL IS REIMBURSED UNDER THE ACCOUNTABLE PLAN RULES. FORM 990, SCHEDULE J, PART I, LINE 4A THOMAS L SPRAY MD - 532,800 FORM 990, SCHEDULE J, PART I, LINE 4B N SCOTT ADZICK MD - 217,946 ALAN FLAKE MD - NO DISTRIBUTION THOMAS KOLON MD - NO DISTRIBUTION FORM 990, SCHEDULE J, PART I, LINE 4 FOR EXECUTIVES AND PHYSICIANS/SCIENTISTS, THE INCENTIVE PLAN IS BASED ON ACHIEVEMENT OF ORGANIZATION AND INDIVIDUAL GOALS TYPICALLY RELATED TO QUALITY, OPERATING AND FINANCIAL PERFORMANCE, AS WELL AS OTHER SIGNIFICANT CLINICAL, QUALITY AND SCIENTIFIC ACHIEVEMENTS. PAYMENT OF INCENTIVES IS DEPENDENT UPON ACHIEVING A SUFFICIENT OPERATING MARGIN TO FUND THE INCENTIVES. FORM 990, SCHEDULE J, PART I, LINE 7 CHILDREN'S SURGICAL ASSOCIATES, LTD. IS A SUBSIDIARY OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. OUR PHYSICIANS, WHO ARE COMMON LAW EMPLOYEES, ARE W-2 EMPLOYEES OF EITHER THE UNIVERSITY OF PENNSYLVANIA (AN UNRELATED ORGANIZATION) OR CHILDREN'S SURGICAL ASSOCIATES. COMPENSATION REPORTED MAY INCLUDE COMPENSATION FOR SERVICES TO OTHER RELATED ORGANIZATIONS. FORM 990, PART I, LINE 1 & FORM 990, PART III, LINE 1 TO PROVIDE MEDICAL AND SURGICAL CARE FOR PATIENTS AND EDUCATIONAL RESEARCH AND ADMINISTRATIVE SERVICES TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. FORM 990, PART IV, LINE 12 AN AUDIT IS PERFORMED ON AN OBLIGATED GROUP WHICH COMPRISES THE CHILDREN'S HOSPITAL OF PHILADELPHIA, THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION, THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION, CHOP CLINICAL ASSOCIATES, INC., AND FIRST MEDICAL INSURANCE COMPANY. AN AUDIT IS ALSO PERFORMED ON A CONSOLIDATED BASIS WHICH INCLUDES THE OBLIGATED GROUP, PGH DEVELOPMENT CORPORATION, CHILDREN'S ANESTHESIOLOGY ASSOCIATES, LTD., CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NJ, INC., CHILDREN'S HEALTH CARE ASSOCIATES, INC., CHILDREN'S HEALTH CARE ASSOCIATES OF NJ, CHILDREN'S SURGICAL ASSOCIATES LTD., CHILDREN'S SURGICAL ASSOCIATES OF NJ, INC., SURGICAL RESEARCH AND EDUCATION FOUNDATION, RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, INC., AND CHILDREN'S RADIOLOGY ASSOCIATES OF NJ, P.C. FORM 990, PART VI, SECTION A, LINE 6 THE CHAIRPERSON IS THE SOLE MEMBER OF CSA PA AND CSA NJ. THE CHAIRPERSON SURRENDERS ALL ECONOMIC RIGHTS TO CHOP. FORM 990, PART VI, SECTION A, LINE 7A ASSOCIATES ON A SLATE OF NOMINEES THAT IS PRESENTED TO THE MEMBER FOR APPROVAL AND ELECTION TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, SUCH AS AMENDMENT OF THE BYLAWS, ARE SUBJECT TO APPROVAL BY THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION (CHOPPA), A SECTION 501(C)(3) AFFILIATE THAT COORDINATES MANY ACTIVITIES OF THE PRACTICE PLANS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT OF BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THIS RETURN WAS REVIEWED BY THE CHILDREN'S SURGICAL ASSOCIATES LTD. BOARD OF DIRECTORS AND THE CHILDREN'S HOSPITAL OF PHILADELPHIA BOARD AUDIT, COMPLIANCE AND RISK COMMITTEE. PRIOR TO ITS BEING FILED, THE FORM 990 WAS ALSO MADE AVAILABLE TO THE ENTIRE GOVERNING BODY OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA THROUGH A SECURE WEBSITE MAINTAINED BY THE CHILDREN'S HOSPITAL OF PHILADELPHIA. FORM 990, PART VI, SECTION B, LINE 12 THE ORGANIZATION HAS ADOPTED THE CONFLICTS OF INTEREST POLICY OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. THE CHILDREN'S HOSPITAL OF PHILADELPHIA MAINTAINS A WRITTEN CONFLICTS OF INTEREST POLICY THAT APPLIES TO, INTER ALIA, ALL OF ITS TRUSTEES, OFFICERS, EMPLOYEES, MEMBERS OF THE MEDICAL STAFF AND RESEARCHERS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND ITS AFFILIATES. THE POLICY REQUIRES ANNUAL CONFLICTS OF INTEREST STATEMENTS FROM: TRUSTEES AND OFFICERS OF THE HOSPITAL AND ITS AFFILIATES; THE PRESIDENT AND OTHERS IN SENIOR MANAGEMENT; ADMINISTRATIVE PERSONNEL SERVING AT THE LEVEL OF MANAGER AND ABOVE AND CERTAIN OTHER CATEGORIES OF EMPLOYEES DEFINED IN THE CONFLICTS OF INTEREST POLICY (SUCH AS PERSONS KNOWN TO PLACE ORDERS WITH VENDORS); DEPARTMENT CHAIRS, DIVISION CHIEFS AND OTHER MEMBERS OF THE MEDICAL STAFF; MEMBERS OF THE HOSPITAL RESEARCH STAFF; DESIGNATED EMPLOYEES OF PRACTICE PLANS AFFILIATED WITH THE HOSPITAL; AND OTHER PERSONS DESIGNATED BY MANAGEMENT. THE STATEMENT TRACKS THE CONFLICTS OF INTEREST POLICY, REQUIRING EACH PERSON TO DISCLOSE INFORMATION FOR THE REPORTING PERIOD REGARDING THE EXISTENCE AND NATURE OF GIFTS, OUTSIDE INTERESTS, OUTSIDE ACTIVITIES AND OTHER MATTERS CONSTITUTING A POTENTIAL, PERCEIVED OR ACTUAL CONFLICT OF INTEREST, AND TO CERTIFY THAT THEY HAVE READ THE POLICY AND ANSWERED FULLY, ACCURATELY AND TO THE BEST OF THEIR KNOWLEDGE. THE STATEMENTS ARE TRACKED AND REVIEWED BY THE OFFICE OF COMPLIANCE AND PRIVACY (OC&P), AND ALL STATEMENTS DISCLOSING POTENTIAL, PERCEIVED OR ACTUAL CONFLICTS ARE REVIEWED INTERNALLY BY THE OC&P WITH FURTHER REVIEW AND FOLLOW-UP AS NEEDED BY THE OFFICE OF GENERAL COUNSEL (OGC). THE CONFLICTS STATEMENTS SUBMITTED BY TRUSTEES OF THE HOSPITAL AND FOUNDATION, AND MEMBERS OF SENIOR MANAGEMENT, ARE REVIEWED BY THE OGC AND OC&P AND THE DISCLOSURES ARE SUMMARIZED IN PRESENTATIONS DISTRIBUTED TO AND REVIEWED BY THE MEMBERS OF THE AUDIT, COMPLIANCE AND RISK COMMITTEE OF THE HOSPITAL AND FOUNDATION BOARDS. IN REVIEWING ANNUAL STATEMENTS WHERE AN ACTUAL, PERCEIVED OR POTENTIAL CONFLICT IS DISCLOSED, WHERE PROBLEMS ARE IDENTIFIED THAT NEED TO BE ADDRESSED, THE GOAL IS TO ELIMINATE OR MANAGE THE CONFLICT GOING FORWARD AND ENSURE THAT, AS TO EMPLOYEES OR OTHERS ON THE MEDICAL OR RESEARCH STAFF, THE RELEVANT SUPERVISOR IS AWARE OF THE ISSUE. SUMMARY INFORMATION ABOUT COMPLIANCE WITH THE POLICY'S REQUIREMENT TO SUBMIT ANNUAL STATEMENTS AND DISCLOSURES CONTAINED THEREIN IS PROVIDED IN PRESENTATIONS TO THE AUDIT, COMPLIANCE AND RISK COMMITTEE OF THE BOARDS. IN ADDITION, IF ANY MATTER INVOLVING A POTENTIAL VIOLATION OF THE CONFLICT OF INTEREST POLICY IS BROUGHT TO THE ATTENTION OF MANAGEMENT DURING THE COURSE OF THE YEAR, A REVIEW IS CONDUCTED BY EITHER THE RELEVANT DEPARTMENT'S MANAGEMENT, OGC OR OC&P, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER INDIVIDUALS IN KEY LEADERSHIP POSITIONS, IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. THE COMMITTEE REVIEWS AND APPROVES IN ADVANCE THE COMPENSATION TO BE PROVIDED TO OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER INDIVIDUALS IN KEY LEADERSHIP POSITIONS. THIS PROCESS WAS LAST PERFORMED IN 2019. IN MAKING ITS DETERMINATIONS, THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ORGANIZATION AND THAT OF THE COVERED INDIVIDUAL AS WELL AS RELATED BUSINESS JUDGMENT FACTORS. IT ALSO CONSIDERS MARKET COMPARISON REPORTS PREPARED BY AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT WITH SIGNIFICANT EXPERIENCE IN PERFORMING EXECUTIVE AND PHYSICIAN COMPENSATION ASSESSMENTS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE COMMITTEE'S PROCESS IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR THOSE INDIVIDUALS WHO ARE DISQUALIFIED PERSONS. THE PEER GROUP GENERALLY INCLUDES LARGE AND COMPLEX ACADEMIC MEDICAL CENTERS AND HEALTH SYSTEMS. INFORMATION FROM OTHER ORGANIZATIONS MAY ALSO BE CONSIDERED WHERE APPROPRIATE FOR THE POSITION. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE CHILDREN'S HOSPITAL OF PHILADELPHIA'S WEBSITE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCREASE IN SAREF NET ASSETS: 196,007 CHOP FOUNDATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 SUPPORT PA 501(C)(3) 7 NA false THE CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 HEALTHCARE PA 501(C)(3) 3 CHOP FND false CHILDREN'S SURGICAL ASSOCIATES OF NJ 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 223348481 HEALTHCARE NJ 501(C)(3) 10 CHOP false SURGICAL ASSOCIATES RESEARCH & EDUCATION 3401 Civic CENTER Blvd Philadelphia PA 19104 232181768 RESEARCH PA 501(C)(3) 12 III - FI CHOP true PGH Development Corporation 426 Curie Blvd Philadelphia PA 19104 232351015 SUPPORT PA 501(C)(3) 12 I NA false First Medical Insurance Company (RRG) C/O Marsh Management Services Burlington VT 05401 019719207 Self Insuranc VT 501(C)(3) 12 III - FI CHOP false CHOP PRACTICE ASSOCIATION 3401 Civic CENTER Blvd Philadelphia PA 19104 232311482 Healthcare PA 501(C)(3) 12 III - FI CHOP false CHOP Clinical Associates Inc C/O CHOP 3401 Civic CTR Blvd Philadelphia PA 19104 223548970 Healthcare PA 501(C)(3) 12 III - FI CHOP false Radiology Associates of CHOP 100 PENN SQUARE EAST Philadelphia PA 19107 232665855 Healthcare PA 501(C)(3) 10 CHOP false Children's Health Care Associates Inc 100 PENN SQ E 9TH FL PHILADELPHIA PA 19107 222785804 Healthcare PA 501(C)(3) 10 CHOP false Children's Health Care Associates of NJ 51 Haddonfield Road Cherry Hill NJ 08002 233036699 Healthcare PA 501(C)(3) 10 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC LTD 3401 CIVIC CENTER BLVD Philadelphia PA 19104 232592835 Healthcare PA 501(C)(3) 10 CHOP false CHILDREN'S ANETHESIOLOGY ASSOC OF NJ 3401 CIVIC CENTER BLVD Philadelphia PA 19104 223405673 Healthcare NJ 501(C)(3) 10 CHOP false CHILDREN'S RADIOLOGY ASSOCIATES OF NJ 100 PENN SQUARE EAST PHILADELPHIA PA 19107 811626790 HEALTHCARE NJ 501(C)(3) 10 CHOP false 4865 MARKET ASSOC 3401 CIVIC CENTER BLVD PHILA PA 19104 461341918 REAL ESTATE PA NA false false false false false false false false false false true true true true true true true false false