2019-05-06T15:40:39-05:00 2018-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2017-07-01 232589322 Children's Surgical Associates Ltd % DEIDRE BRACISZEWSKI CHIL 2155902700 3401 Civic Center Boulevard PHILADELPHIA PA 191042217 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 2155902700 2019-05-02 true ERICA R MCREYNOLDS P00977806 2673303000 155.201.188.33 23522320191265000001 2019-05-06 P 7C276736B1F8534619D83B6F2AADECD8007A5E58 6D11B275E5C4ABCF32238923ED11C2D446E22F6A 2017 2019-02-21 02:37:17Z N SCOTT ADZICK MD 3401 Civic Ctr blvd PHILADELPHIA PA 19104 144068518 false X N/A X 1990 PA SEE SCHEDULE O 4 0 442 0 0 0 0 0 112702632 116982036 2392334 4433568 0 0 115094966 121415604 2140713 7625841 0 0 95517217 102561999 0 0 0 13535036 13879127 111192966 124066967 3902000 -2651363 99155176 100118942 20016343 20780174 79138833 79338768 X SEE SCHEDULE O false false 97247738 7625841 116982036 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 97247738 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 40 0 true 442 true 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 DEIDRE BRACISZEWSKI 2674259515 100 PENN SQUARE EAST PHILADELPHIA PA 191073323 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 40.0 5.0 X X 1827163 0 36364 JOHN FLYNN MD SECRETARY, DIRECTOR 40.0 2.0 X X 1246791 0 43757 MICHAEL NANCE MD VICE PRESIDENT, DIRECTOR 40.0 1.0 X X 762569 0 27001 PHILIP STORM MD PRESIDENT, DIRECTOR 40.0 2.0 X X 1622164 0 43757 THOMAS L SPRAY MD ASST SECRETARY 40.0 2.0 X 1991108 0 1036271 J WILLIAM GAYNOR MD ASST SECRETARY 40.0 1.0 X 1389629 0 41977 THEODORE GANLEY MD ASST SECRETARY 40.0 1.0 X 993949 0 41977 KEN KAZAHAYA MD ASST SECRETARY 40.0 1.0 X 931816 0 43590 RALPH WETMORE MD ASST SECRETARY 40.0 2.0 X 893743 0 32073 IAN JACOBS MD ASST SECRETARY 40.0 1.0 X 957149 0 42928 SCOTT BARTLETT MD ASST SECRETARY 40.0 2.0 X 1514736 0 40149 LAWRENCE TOM MD ASST SECRETARY 40.0 1.0 X 775540 0 38884 STEVEN HANDLER MD ASST SECRETARY 40.0 1.0 X 728567 0 24380 RICHARD DAVIDSON MD ASST SECRETARY 40.0 1.0 X 659440 0 4303 DOUGLAS CANNING MD ASST SECRETARY 40.0 2.0 X 865515 0 141148 ALAN FLAKE MD ASST SECRETARY 40.0 1.0 X 667931 0 141872 EDWARD DOOLIN MD ASST SECRETARY 40.0 1.0 X 736481 0 38884 JAMES KATOWITZ MD ASST SECRETARY 40.0 1.0 X 481652 0 34046 BENJAMIN CHANG MD ASST SECRETARY 25.0 1.0 X 538487 0 8321 HOLLY HEDRICK MD ASST SECRETARY 40.0 1.0 X 696397 0 35755 MONTE MILLS MD ASST SECRETARY 40.0 2.0 X 649445 0 39674 STEPHEN ZDERIC MD ASST SECRETARY 40.0 1.0 X 465273 0 41148 MARK JOHNSON MD ASST SECRETARY 40.0 1.0 X 607465 0 38884 DAVID LOW MD ASST SECRETARY 25.0 1.0 X 753441 0 3857 GRAHAM QUINN MD ASST SECRETARY 21.0 1.0 X 299760 0 5725 LINDA FLOCCO EXECUTIVE DIRECTOR 40.0 1.0 X 273396 0 20916 THOMAS CONCANNON DIRECTOR OF FINANCE 40.0 1.0 X 182873 0 15082 DEIRDRE BRACISZEWSKI CONTROLLER 40.0 1.0 X 146600 0 12403 WILLIAM ANNINGER MD ASST SECRETARY 40.0 1.0 X 634405 0 41148 LAWRENCE LEVIN MD ASST SECRETARY 40.0 1.0 X 412234 0 20339 PETER MATTEI MD ASST SECRETARY 40.0 1.0 X 716717 0 41977 GIL BINENBAUM MD ASST SECRETARY 40.0 1.0 X 513282 0 36705 THOMAS KOLON MD ASST SECRETARY 40.0 2.0 X 643318 0 142928 BRIAN FORBES MD ASST SECRETARY 40.0 1.0 X 462842 0 41148 LAWRENCE WELLS MD ASST SECRETARY 40.0 1.0 X 599059 0 41977 STEVEN SOBOL MD ASST SECRETARY 40.0 1.0 X 708681 0 41148 LISA ELDEN MD ASST SECRETARY 40.0 1.0 X 747797 0 42838 THANE BLINMAN MD ASST SECRETARY 40.0 1.0 X 673184 0 43757 JOHN A GERMILLER MD ASST SECRETARY 40.0 1.0 X 612222 0 44083 JULIE MOLDENHAUER MD ASST SECRETARY 40.0 1.0 X 594252 0 30257 KAREN ZUR MD ASST SECRETARY 40.0 1.0 X 746756 0 35755 JESSE A TAYLOR MD ASST SECRETARY 40.0 1.0 X 1479780 0 54278 DAVID SPIEGEL MD ASST SECRETARY 40.0 1.0 X 508253 0 35555 WUDBHAV SANKAR MD ASST SECRETARY 40.0 1.0 X 1021918 0 44517 STEPHANIE FULLER MD ASST SECRETARY 40.0 1.0 X 1121121 0 32073 B DAVID HORN MD ASST SECRETARY 40.0 1.0 X 488819 0 42194 OKSANA H JACKSON MD ASST SECRETARY 40.0 1.0 X 560484 0 42863 ASEEM R SHUKLA MD ASST SECRETARY 40.0 1.0 X 594838 0 47217 ROBERT C O'REILLY MD PHYSICIAN 40.0 0.0 X 513937 0 2432 NATALIE PLACHIER NURSE PRACTITIONER 40.0 0.0 X 465165 0 900 LORI HOWELL REGISTERED NURSE 40.0 0.0 X 442703 0 10214 KRISTEN LOWE DDS DENTIST 40.0 0.0 X 365416 0 20895 JULIANA S GEBB MD PHYSICIAN 40.0 0.0 X 321289 0 15891 JOY COLLINS MD FORMER OFFICER 0.0 0.0 X 161923 0 0 39769475 0 3028215 116 true true true PA PLASTIC SURGERY 17 INDUSTRIAL BLVD SUITE 102 PAOLI PA 19301 PHYSICIAN SERVICES 213627 TIAA CREF 211 North Broadway Suite 1000 ST LOUIS MO 63102 INVESTMENT ACCT. MGT 114278 2 0 Net Patient Service Revenue 621110 105510430 105510430 RESEARCH REVENUE 622110 8340817 8340817 OTHER PROGRAM SUPPORT 622110 3130789 3130789 116982036 1220738 1220738 0 0 0 0 0 25865744 22652914 3212830 3212830 0 3212830 0 0 0 0 0 0 0 0 0 0 121415604 116982036 0 4433568 7625841 7625841 0 0 0 38886101 38225539 660562 0 49289711 35449439 13840272 1916807 911625 1005182 10306354 4328669 5977685 2163026 908471 1254555 0 3404 3404 50359 50359 0 0 117016 117016 2143421 2143421 0 742075 256630 485445 111813 111813 0 109621 109621 0 1508156 1508156 0 13682 13682 0 0 105372 105372 3342168 3338493 3675 OTHER EXPENSES 5632040 4681193 950847 124066967 97247738 26819229 0 2776 2776 6903893 14330113 0 0 15276738 18137186 0 0 0 0 0 0 0 0 0 5000 5532987 5273733 256508 259254 67065454 61314512 0 0 0 0 0 0 9649807 6070101 99155176 100118942 13589874 13905852 2025315 100000 0 0 0 0 0 0 0 0 0 0 0 0 4401154 6774322 20016343 20780174 X 79138833 79338768 0 0 0 0 79138833 79338768 99155176 100118942 X -2651363 338085 2513213 X false true X true false X 0 0 0 0 0 0 91715150 101825605 106321831 109236410 113851247 522950243 0 0 0 91715150 101825605 106321831 109236410 113851247 522950243 0 0 0 522950243 808836 910524 1063277 1080097 1220738 5083472 0 808836 910524 1063277 1080097 1220738 5083472 0 3878210 2564603 2636651 3466222 3130789 15676475 96402196 105300732 110021759 113782729 118202774 543710190 0.96182 0.96048 0.00935 0.00868 X 240658 240658 0 5292329 5033075 259254 259254 DUE FROM AFFILIATES 1049596 DUE FROM THIRD PARTIES 1735777 INTERESTS IN NET ASSETS-SAREF 3284728 6070101 0 DUE TO AFFILIATES 6774322 6774322 124081230 338085 2327541 2665626 121415604 121415604 123881295 123881295 185672 185672 124066967 SCHEDULE D, PART XI, LINE 2D OTHER ADJUSTMENTS TRANSFER FROM RRG: 2,327,541 SCHEDULE D, PART XII, LINE 4B OTHER ADJUSTMENTS INCREASE IN SAREF NET ASSETS: 185,672 East Asia and the Pacific 8 Program Services Teaching & Research 220374 Europe (Including Iceland and Greenland) 32 Program Services TEACHING & RESEARCH 997577 Middle East and North Africa 9 Program Services TEACHING & RESEARCH 176015 North America 50 Program Services TEACHING & RESEARCH 424119 Russia and the Newly Independent States 1 Program Services TEACHING & RESEARCH 17577 South America 5 Program Services TEACHING & RESEARCH 153813 South Asia 1 Program Services TEACHING & RESEARCH 20083 Sub-Saharan Africa 1 Program Services TEACHING & RESEARCH 33267 107 107 2042825 2042825 false false false false false false true AUTO DEALERS CARING FOR KIDS FOUNDATION 3311 SWEDE RD E NORRITON PA 19401 030509965 501(c)(3) 15542 FMV N/A GENERAL SUPPORT ALEX'S LEMONADE STAND FOUNDATION 111 PRESIDENTIAL BLVD STE 203 BALA CYNWYD PA 19004 562496146 501(c)(3) 25000 FMV N/A GENERAL SUPPORT RONALD MCDONALD HOUSE OF SOUTHERN NJ INC 550 MICKLE BLVD CAMDEN NJ 08103 222430393 501(c)(3) 10000 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 PHILADELPHIA PA 19104 232237932 501(C)(3) 7553599 FMV N/A GENERAL SUUPORT 5 SCHEDULE I, PART I, LINE 2 DURING THE YEAR, ALL GRANTS OR CONTRIBUTIONS TO ORGANIZATIONS OVER $5,000 MUST BY COMMUNICATED TO AND APPROVED BY THE CHILDREN'S SURGICAL ASSOCIATES BOARD OF DIRECTORS. X true true X X X X X false true false false false false false true false THOMAS L SPRAY MD ASST SECRETARY 1550000 0 175000 0 266108 0 1024300 0 11971 0 3027379 0 0 0 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 1166667 0 465375 0 195121 0 24300 0 12064 0 1863527 0 0 0 J WILLIAM GAYNOR MD ASST SECRETARY 992129 0 397500 0 0 0 24300 0 17677 0 1431606 0 0 0 JOHN FLYNN MD SECRETARY, DIRECTOR 590817 0 655974 0 0 0 24300 0 19457 0 1290548 0 0 0 THEODORE GANLEY MD ASST SECRETARY 494800 0 499149 0 0 0 24300 0 17677 0 1035926 0 0 0 KEN KAZAHAYA MD ASST SECRETARY 371720 0 560096 0 0 0 24300 0 19290 0 975406 0 0 0 RALPH WETMORE MD ASST SECRETARY 528125 0 361492 0 4126 0 24300 0 7773 0 925816 0 0 0 IAN JACOBS MD ASST SECRETARY 359738 0 597411 0 0 0 24300 0 18628 0 1000077 0 0 0 SCOTT BARTLETT MD ASST SECRETARY 517236 0 997500 0 0 0 24300 0 15849 0 1554885 0 0 0 LAWRENCE TOM MD ASST SECRETARY 412500 0 360932 0 2108 0 24300 0 14584 0 814424 0 0 0 STEVEN HANDLER MD ASST SECRETARY 448312 0 280255 0 0 0 21861 0 2519 0 752947 0 0 0 RICHARD DAVIDSON MD ASST SECRETARY 600000 0 59331 0 109 0 1784 0 2519 0 663743 0 0 0 DOUGLAS CANNING MD ASST SECRETARY 402321 0 463194 0 0 0 124300 0 16848 0 1006663 0 0 0 ALAN FLAKE MD ASST SECRETARY 356681 0 311250 0 0 0 124300 0 17572 0 809803 0 0 0 EDWARD DOOLIN MD ASST SECRETARY 293981 0 442500 0 0 0 24300 0 14584 0 775365 0 0 0 MICHAEL NANCE MD VICE PRESIDENT, DIRECTOR 300000 0 462500 0 69 0 24300 0 2701 0 789570 0 0 0 JAMES KATOWITZ MD ASST SECRETARY 260175 0 221477 0 0 0 29746 0 4300 0 515698 0 0 0 BENJAMIN CHANG MD ASST SECRETARY 0 0 538487 0 0 0 0 0 8321 0 546808 0 0 0 HOLLY HEDRICK MD ASST SECRETARY 293897 0 402500 0 0 0 24300 0 11455 0 732152 0 0 0 MONTE MILLS MD ASST SECRETARY 417703 0 231742 0 0 0 24300 0 15374 0 689119 0 0 0 STEPHEN ZDERIC MD ASST SECRETARY 372178 0 93095 0 0 0 24300 0 16848 0 506421 0 0 0 MARK JOHNSON MD ASST SECRETARY 368715 0 238750 0 0 0 24300 0 14584 0 646349 0 0 0 DAVID LOW MD ASST SECRETARY 0 0 753441 0 0 0 0 0 3857 0 757298 0 0 0 GRAHAM QUINN MD ASST SECRETARY 298913 0 0 0 847 0 4043 0 1682 0 305485 0 0 0 LINDA FLOCCO EXECUTIVE DIRECTOR 189865 0 83300 0 231 0 17331 0 3585 0 294312 0 0 0 THOMAS CONCANNON DIRECTOR OF FINANCE 144294 0 35300 0 3279 0 11973 0 3109 0 197955 0 0 0 DEIRDRE BRACISZEWSKI CONTROLLER 115929 0 27300 0 3371 0 9450 0 2953 0 159003 0 0 0 WILLIAM ANNINGER MD ASST SECRETARY 240620 0 393785 0 0 0 24300 0 16848 0 675553 0 0 0 LAWRENCE LEVIN MD ASST SECRETARY 367888 0 44346 0 0 0 15743 0 4596 0 432573 0 0 0 PETER MATTEI MD ASST SECRETARY 291717 0 425000 0 0 0 24300 0 17677 0 758694 0 0 0 ROBERT C O'REILLY MD PHYSICIAN 406437 0 107500 0 0 0 0 0 2432 0 516369 0 0 0 NATALIE PLACHIER NURSE PRACTITIONER 246893 0 182054 0 36218 0 0 0 900 0 466065 0 0 0 LORI HOWELL REGISTERED NURSE 202703 0 240000 0 0 0 6821 0 3393 0 452917 0 0 0 GIL BINENBAUM MD ASST SECRETARY 256242 0 257040 0 0 0 24300 0 12405 0 549987 0 0 0 THOMAS KOLON MD ASST SECRETARY 373013 0 270305 0 0 0 124300 0 18628 0 786246 0 0 0 JOY COLLINS MD FORMER OFFICER 94231 0 60000 0 7692 0 0 0 0 0 161923 0 0 0 PHILIP STORM MD PRESIDENT, DIRECTOR 1200000 0 417276 0 4888 0 24300 0 19457 0 1665921 0 0 0 BRIAN FORBES MD ASST SECRETARY 267035 0 195807 0 0 0 24300 0 16848 0 503990 0 0 0 LAWRENCE WELLS MD ASST SECRETARY 493889 0 105170 0 0 0 24300 0 17677 0 641036 0 0 0 STEVEN SOBOL MD ASST SECRETARY 308360 0 400321 0 0 0 24300 0 16848 0 749829 0 0 0 LISA ELDEN MD ASST SECRETARY 314416 0 433381 0 0 0 24300 0 18538 0 790635 0 0 0 THANE BLINMAN MD ASST SECRETARY 290684 0 382500 0 0 0 24300 0 19457 0 716941 0 0 0 JOHN A GERMILLER MD ASST SECRETARY 245730 0 366492 0 0 0 24300 0 19783 0 656305 0 0 0 JULIE MOLDENHAUER MD ASST SECRETARY 366752 0 227500 0 0 0 10800 0 19457 0 624509 0 0 0 KAREN ZUR MD ASST SECRETARY 308563 0 438193 0 0 0 24300 0 11455 0 782511 0 0 0 JESSE A TAYLOR MD ASST SECRETARY 461780 0 1018000 0 0 0 34162 0 20116 0 1534058 0 0 0 DAVID SPIEGEL MD ASST SECRETARY 495273 0 12980 0 0 0 24300 0 11255 0 543808 0 0 0 WUDBHAV SANKAR MD ASST SECRETARY 492344 0 529574 0 0 0 21600 0 22917 0 1066435 0 0 0 STEPHANIE FULLER MD ASST SECRETARY 748621 0 372500 0 0 0 24300 0 7773 0 1153194 0 0 0 B DAVID HORN MD ASST SECRETARY 488819 0 0 0 0 0 24300 0 17894 0 531013 0 0 0 OKSANA H JACKSON MD ASST SECRETARY 274234 0 286250 0 0 0 24300 0 18563 0 603347 0 0 0 ASEEM R SHUKLA MD ASST SECRETARY 513195 0 81643 0 0 0 24300 0 22917 0 642055 0 0 0 KRISTEN LOWE DDS DENTIST 196033 0 169383 0 0 0 17424 0 3470 0 386310 0 0 0 JULIANA S GEBB MD PHYSICIAN 244039 0 76250 0 1000 0 13372 0 2519 0 337180 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. SCHEDULE J, PART I, LINE 4B N SCOTT ADZICK MD - 191,840 THOMAS L SPRAY MD - 268,140 DOUGLAS CANNING MD - NO DISTRIBUTION 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 2018. 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 TRANSFER FROM RRG: 2,327,541 INCREASE IN SAREF NET ASSETS: 185,672 --------- TOTAL: 2,513,213 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