CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC (EIN 23-3036699)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-28
IRS object ID
201701189349300610
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-04-28T08:38:12-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN233036699EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Children's Health Care Associates of NJ PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARLENA FERGUSONInCareOfNm
Business Name ControlCHILBusinessNameControlTxt
Phone2674259200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line151 HADDONFIELD ROADAddressLine1Txt
CityCHERRY HILLCityNm
State AbbreviationNJStateAbbreviationCd
ZIP080024810ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL CORBOPersonNm
Person TitleCFOPersonTitleTxt
Phone2674259200PhoneNum
Signature2017-04-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERICA R MCREYNOLDSPreparerPersonNm
PTINP00977806PTIN
Phone2673303000PhoneNum
Preparation2017-04-23PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDr Joseph St Geme IIIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Wanamaker Bldg 9th FLAddressLine1Txt
CityPhiladelphiaCityNm
State AbbreviationPAStateAbbreviationCd
ZIP191073323ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,179,716GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$42,597,527PYProgramServiceRevenueAmt
CY Program Service Revenue$41,390,509CYProgramServiceRevenueAmt
PY Investment Income$1,530,092PYInvestmentIncomeAmt
CY Investment Income$1,591,954CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$44,127,619PYTotalRevenueAmt
CY Total Revenue$42,982,463CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,967,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,367,542CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,716,871PYOtherExpensesAmt
CY Other Expenses$10,270,888CYOtherExpensesAmt
PY Total Expenses$38,683,980PYTotalExpensesAmt
CY Total Expenses$35,640,430CYTotalExpensesAmt
PY Revenues Less Expenses$5,443,639PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,342,033CYRevenuesLessExpensesAmt
Total Assets BOY$95,350,329TotalAssetsBOYAmt
Total Assets EOY$101,519,186TotalAssetsEOYAmt
Total Liabilities BOY$8,082,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,181,793TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$87,267,730NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$98,337,393NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$29,871,613ExpenseAmt
Grant$2,000GrantAmt
Revenue$41,390,509RevenueAmt
DescTO PROVIDE HEALTH CARE, 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 THE MEDICAL RESEARCH AND TEACHING MISSIONS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA.Desc
Total Program Service Expenses$29,871,613TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARLENA FERGUSONPersonNm
Phone2674259200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1WANAMAKER BLDG 9TH FLAddressLine1Txt
CityPhiladelphiaCityNm
State AbbreviationPAStateAbbreviationCd
ZIP191073323ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID PICCOLI
director1.040.0Yes (X)Yes (X)$0$514,437$34,432
GAIL SLAP
DIRECTOR1.040.0Yes (X)$0$429,653$34,722
ROBERT SHADDY
VICE PRESIDENT1.040.0Yes (X)Yes (X)$0$685,928$38,772
LOUIS BELL
DIRECTOR1.040.0Yes (X)$0$532,779$39,831
KATHLEEN SHAW
DIRECTOR1.040.0Yes (X)$0$455,673$50,736
JEFFREY GERDES
DIRECTOR1.040.0Yes (X)$0$513,614$31,654
JAN BOSWINKEL
DIRECTOR1.040.0Yes (X)$0$420,753$44,538
JOSEPH W ST GEME III MD
PRESIDENT & SECRETARY1.044.0Yes (X)Yes (X)$0$1,015,244$46,541
DENNIS DURBIN
DIRECTOR1.040.0Yes (X)$0$375,386$41,514
SUSAN FURTH
DIRECTOR1.040.0Yes (X)$0$337,880$31,625
JEFFREY GERBER
DIRECTOR1.040.0Yes (X)$0$146,904$24,080
ANNE REILLY
DIRECTOR1.040.0Yes (X)$0$343,110$27,255
KIM SMITH-WHITLEY
DIRECTOR1.040.0Yes (X)$0$242,774$37,427
MICHAEL CORBO
TREASURER1.041.0Yes (X)$0$325,077$14,814
ELAINE GALLAGHER
ASSISTANT TREASURER1.040.0Yes (X)$0$266,256$27,974
ALISON MARX
ASSISTANT SECRETARY1.040.0Yes (X)$0$263,763$13,833
MARLENA FERGUSON
ASSISTANT TREASURER1.040.0Yes (X)$0$195,705$24,757
DEBRA DENIE
ASSISTANT TREASURER1.040.0Yes (X)$0$157,749$24,912
ALAN COHEN
FORMER OFFICER0.00.0$0$521,979$38,808Yes (X)
JOEL FIEDLER
FRMR. VICE PRESIDENT/TREASURER0.00.0$0$260,404$39,176Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,005,068TotReportableCompRltdOrgAmt
Total Other Compensation$667,401TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonScribe AmericaPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 417756AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP022417756ZIPCd
FieldValueIRS element (for citing)
ServicesTranscriptionServicesDesc
Compensation$203,679CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE622110$41,112,718$41,112,718
RESEARCH REVENUE622110$72,109$72,109
OTHER PROGRAM SUPPORT622110$205,682$205,682
FieldValueIRS element (for citing)
Total Program Service Revenue$41,390,509TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$833,813TotalRevenueColumnAmt
Exclusion$833,813ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,955,394SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,197,253SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$758,141SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$758,141TotalRevenueColumnAmt
Exclusion$758,141ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,982,463TotalRevenueColumnAmt
Related Or Exempt Func Income$41,390,509RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,591,954ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,840,619TotalAmt
Program Services$16,417,370ProgramServicesAmt
Management And General$4,423,249ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,484,892TotalAmt
Program Services$2,610,126ProgramServicesAmt
Management And General$874,766ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,042,031TotalAmt
Program Services$820,869ProgramServicesAmt
Management And General$221,162ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$753TotalAmt
Management And General$753ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$70,729TotalAmt
Management And General$70,729ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$317,001TotalAmt
Program Services$317,001ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$65,129TotalAmt
Program Services$50,959ProgramServicesAmt
Management And General$14,170ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,042TotalAmt
Program Services$3,945ProgramServicesAmt
Management And General$1,097ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,596,514TotalAmt
Program Services$2,596,514ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,110TotalAmt
Program Services$59,551ProgramServicesAmt
Management And General$16,559ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$400TotalAmt
Program Services$313ProgramServicesAmt
Management And General$87ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$865,938TotalAmt
Program Services$865,938ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
AFFILIATED PROGRAM EXPENSES$5,998,094$5,998,094
ALL OTHER$275,178$128,933$146,245

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,640,430TotalAmt
Program Services$29,871,613ProgramServicesAmt
Management And General$5,768,817ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$50EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$42,896,600BOYAmt
EOY$51,598,591EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,424,601BOYAmt
EOY$6,543,814EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$42,765,042BOYAmt
EOY$43,111,572EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,264,036BOYAmt
EOY$265,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,350,329BOYAmt
EOY$101,519,186EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,156,045BOYAmt
EOY$832,201EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,926,554BOYAmt
EOY$2,349,592EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,082,599BOYAmt
EOY$3,181,793EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$87,267,730BOYAmt
EOY$98,337,393EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,267,730BOYAmt
EOY$98,337,393EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,350,329BOYAmt
EOY$101,519,186EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,342,033ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,064,227NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,791,857OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,460,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,392,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,249,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,597,527CurrentTaxYearMinus1YearAmt
Current Tax Year$41,390,509CurrentTaxYearAmt
Total$190,089,712TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,460,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,392,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,249,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,597,527CurrentTaxYearMinus1YearAmt
Current Tax Year$41,390,509CurrentTaxYearAmt
Total$190,089,712TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$190,089,712PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$650,578CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$486,511CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$652,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762,287CurrentTaxYearMinus1YearAmt
Current Tax Year$833,813CurrentTaxYearAmt
Total$3,386,031TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$650,578CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$486,511CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$652,842CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762,287CurrentTaxYearMinus1YearAmt
Current Tax Year$833,813CurrentTaxYearAmt
Total$3,386,031TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,110,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,878,517CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,902,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,359,814CurrentTaxYearMinus1YearAmt
Current Tax Year$42,224,322CurrentTaxYearAmt
Total$193,475,743TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98250PublicSupportCY509Pct
Public Support PY5090.98040PublicSupportPY509Pct
Investment Income CY0.01750InvestmentIncomeCYPct
Investment Income PY0.01960InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$2,349,592Amt
FieldValueIRS element (for citing)
Total Liability$2,349,592TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$41,918,236TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,064,227NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,064,227RevenueNotReportedAmt
Revenue Subtotal$42,982,463RevenueSubtotalAmt
Total Revenue Per Form990$42,982,463TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,848,573TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$30,848,573ExpensesSubtotalAmt
Other Expenses Not Included$4,791,857OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,791,857ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$35,640,430TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XII, LINE 4BFormAndLineReferenceDesc
ExplanationOTHER CHANGES IN NET ASSETS OR FUND BALANCES EXPENSE RECLASSIFICATION FROM CHCA PA TO CHCA NJ: 4,791,857ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALAN COHEN
FORMER OFFICER$0$410,106$0$92,700$0$19,173$0$23,850$0$14,958$0$560,787$0$0
MICHAEL CORBO
TREASURER$0$264,168$0$60,909$0$0$0$5,329$0$9,485$0$339,891$0$0
ELAINE GALLAGHER
ASSISTANT TREASURER$0$207,190$0$59,066$0$0$0$5,329$0$22,645$0$294,230$0$0
ALISON MARX
ASSISTANT SECRETARY$0$210,564$0$53,199$0$0$0$5,292$0$8,541$0$277,596$0$0
DAVID PICCOLI
director$0$406,834$0$92,442$0$15,161$0$23,850$0$10,582$0$548,869$0$0
JOEL FIEDLER
FRMR. VICE PRESIDENT/TREASURER$0$210,577$0$46,118$0$3,709$0$23,811$0$15,365$0$299,580$0$0
MARLENA FERGUSON
ASSISTANT TREASURER$0$173,063$0$22,642$0$0$0$3,807$0$20,950$0$220,462$0$0
GAIL SLAP
DIRECTOR$0$351,162$0$63,330$0$15,161$0$23,850$0$10,872$0$464,375$0$0
ROBERT SHADDY
VICE PRESIDENT$0$489,712$0$100,670$0$95,546$0$23,850$0$14,922$0$724,700$0$0
LOUIS BELL
DIRECTOR$0$388,696$0$76,703$0$67,380$0$23,850$0$15,981$0$572,610$0$0
KATHLEEN SHAW
DIRECTOR$0$352,400$0$80,525$0$22,748$0$33,879$0$16,857$0$506,409$0$0
JEFFREY GERDES
DIRECTOR$0$421,458$0$77,150$0$15,006$0$23,850$0$7,804$0$545,268$0$0
DEBRA DENIE
ASSISTANT TREASURER$0$139,382$0$18,367$0$0$0$3,138$0$21,774$0$182,661$0$0
JAN BOSWINKEL
DIRECTOR$0$304,487$0$108,000$0$8,266$0$33,879$0$10,659$0$465,291$0$0
JOSEPH W ST GEME III MD
PRESIDENT & SECRETARY$0$596,817$0$371,051$0$47,376$0$33,879$0$12,662$0$1,061,785$0$0
DENNIS DURBIN
DIRECTOR$0$310,079$0$63,518$0$1,789$0$28,485$0$13,029$0$416,900$0$0
SUSAN FURTH
DIRECTOR$0$286,215$0$50,094$0$1,571$0$29,305$0$2,320$0$369,505$0$0
JEFFREY GERBER
DIRECTOR$0$121,330$0$25,269$0$305$0$13,480$0$10,600$0$170,984$0$0
ANNE REILLY
DIRECTOR$0$291,100$0$50,400$0$1,610$0$24,877$0$2,378$0$370,365$0$0
KIM SMITH-WHITLEY
DIRECTOR$0$201,094$0$40,405$0$1,275$0$22,406$0$15,021$0$280,201$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4BFormAndLineReferenceDesc
ExplanationJAN BOSWINKEL - 9,957 GAIL SLAP - 10,029 DAVID PICCOLI - 10,029 ALAN COHEN - 10,029 JEFFREY GERDES - 10,029 LOUIS BELL - 10,029 ROBERT SHADDY - 10,029 JOSEPH W ST GEME III MD - 67,579 ANNE REILLY - NO DISTRIBUTION DENNIS DURBIN - NO DISTRIBUTION SUSAN FURTH - NO DISTRIBUTION KATHLEEN SHAW - NO DISTRIBUTION Schedule J, Part II Children's Health Care Associates of NJ 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 the Children's Hospital of Philadelphia (a related organization). Compensation reported may include compensation for services to other related organizations.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 & FORM 990, PART III, LINE 1TO PROVIDE MEDICAL AND SPECIALTY 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, LINE 6 DR ST GEME III IS THE SOLE MEMBER OF CHCA PA AND CHCA NJ. DR ST GEME III SURRENDERS ALL ECONOMIC RIGHTS TO CHOP.
FORM 990, PART VI, SECTION A, LINE 7ADR ST GEME III CAN ELECT THE DIRECTORS WHICH CONSTITUTE THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ELECTS THE OFFICERS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN 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 B, LINE 11BA COPY OF THIS RETURN WAS REVIEWED BY THE CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 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 12THE 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. AFTER CONFIRMATION THAT ALL QUESTIONS HAVE BEEN ANSWERED, THE STATEMENTS ARE REVIEWED BY THE RELEVANT VICE PRESIDENT, DEPARTMENT CHAIR OR OTHER EXECUTIVE (OR THEIR DESIGNEE), TRACKED BY THE OFFICE OF COMPLIANCE AND PRIVACY (OC&P), AND ALL STATEMENTS DISCLOSING POTENTIAL, PERCEIVED OR ACTUAL CONFLICTS ARE REVIEWED INITIALLY BY THE OC&P WITH FURTHER REVIEW AND FOLLOW-UP AS NEEDED CONDUCTED 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 MEMORANDA DISTRIBUTED TO AND REVIEWED BY THE MEMBERS OF THE AUDIT, COMPLIANCE AND RISK COMMITTEE OF THE HOSPITAL AND FOUNDATION BOARDS. THE REMAINING CONFLICTS STATEMENTS CONTAINING AFFIRMATIVE DISCLOSURES ARE REVIEWED BY STAFF IN THE OGC AND OC&P. 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 MEMORANDA 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 15THE COMPENSATION OF OFFICERS OR KEY EMPLOYEES WHO ARE PHYSICIANS/SCIENTISTS (INCLUDING THE CHAIRMAN) 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 ALL PHYSICIANS/SCIENTISTS INCLUDING THE CHAIRMAN. FOR EACH SUCH PERSON, THIS PROCESS WAS LAST PERFORMED IN 2015. 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 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 FOR EXECUTIVES GENERALLY INCLUDES LARGE AND COMPLEX ACADEMIC MEDICAL CENTERS AND HEALTH SYSTEMS. FOR PHYSICIANS AND SCIENTISTS, THE PEER GROUP GENERALLY INCLUDES ACADEMIC MEDICAL CENTERS. INFORMATION FROM OTHER ORGANIZATIONS MAY ALSO BE CONSIDERED WHERE appropriate FOR THE POSITION. FOR THOSE INDIVIDUALS WHO ARE NOT SCIENTISTS, THEIR COMPENSATION IS ESTABLISHED ACCORDING TO AN ADMINISTRATIVE COMPENSATION PLAN OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA, WHICH INCLUDES CONSIDERATION OF MARKET COMPENSATION FOR SIMILAR POSITIONS, AND THAT HAS A POTENTIAL FOR INCENTIVE COMPENSATION BASED ON PRODUCTIVITY, PERFORMANCE AND OTHER FACTORS FOR CERTAIN POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19FORM 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES EXPENSE RECLASSIFICATION FROM CHCA PA TO CHCA NJ: 4,791,857

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
3401 CIVIC Center BLVDPHILADELPHIAPA19104231352166HEALTHCAREPA501(C)(3)3CHOP FNDfalse
CHILDREN'S HEALTH CARE ASSOCIATES INC
100 PENN SQ E 9TH FLPHILADELPHIAPA19107222785804HEALTHCAREPA501(C)(3)9CHOPfalse
CHOP FOUNDATION
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104232237932HEALTHCAREPA501(C)(3)7NAfalse
FIRST MEDICAL INSURANCE COMPANY (RRG)
C/O MARSH MANAGEMENT SERVICESBURLINGTONVT05401010719207SELF INSURANCVT501(C)(3)11 III-FICHOPfalse
CHOP Practice Association
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104232311482HEALTHCAREPA501(C)(3)11 III-FICHOPfalse
RADIOLOGY ASSOCIATES OF CHOP
100 PENN SQUARE EASTPHILADELPHIAPA19107232665855HEALTHCAREPA501(C)(3)9CHOPfalse
CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104223405673HEALTHCARENJ501(C)(3)9CHOPfalse
CHILDREN'S ANESTHESIOLOGY ASSOC LTD
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104232592835HEALTHCAREPA501(C)(3)9CHOPfalse
SURGICAL ASSOCIATES RESEARCH & EDUCATION
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104232181768RESEARCHPA501(C)(3)11 III-FICHOPfalse
CHILDREN'S SURGICAL ASSOCIATES LTD
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104232589322HEALTHCAREPA501(C)(3)9CHOPfalse
CHILDREN'S SURGICAL ASSOCIATES OF NJ
3401 CIVIC CENTER BLVDPHILADELPHIAPA19104223348481HEALTHCARENJ501(C)(3)9CHOPfalse
PGH DEVELOPMENT CORPORATION
426 CURIE BLVDPHILADELPHIAPA19104232351015SUPPORTPA501(C)(3)11 INAfalse
CHOP CLINICAL ASSOCIATES INC
C/O CHOP 3401 CIVIC CTR BLVDPHILADELPHIAPA19104223548970HEALTHCARENJ501(C)(3)11 III-FICHOPfalse
CHILDREN'S RADIOLOGY ASSOCIATES OF NJ
100 PENN SQUARE EASTPHILADELPHIAPA19107811626790HEALTHCARENJ501(C)(3)9CHOPfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line14865 MARKET ASSOCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13401 CIVIC CENTER BLVDAddressLine1Txt
CityphiladelCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19104ZIPCd
FieldValueIRS element (for citing)
EIN461341918EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HAYSTACK INFORMATICS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13401 MARKET ST STE 200AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19104ZIPCd
FieldValueIRS element (for citing)
EIN472433511EIN
Primary ActivitiesTECHNOLOGYPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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