2016-05-09T08:13:23-05:00 2015-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 233036699 Children's Health Care Associates of NJ PC % MARLENA FERGUSON CHIL 2674259200 51 HADDONFIELD ROAD CHERRY HILL NJ 080024810 MICHAEL CORBO FINANCE OFFICER 2674259200 2016-05-06 true erica r mcreynolds P00977806 2673303000 2014 2016-08-17 19:52:53Z Dr Joseph St Geme III Wanamaker Bldg 9th FL Philadelphia PA 191073323 47186409 false X N/A X 2000 NJ SEE SCHEDULE O 9 0 0 0 0 0 0 0 39149375 42597527 2003429 1530092 0 0 41152804 44127619 3500 0 0 0 26480241 30967109 0 0 0 6455261 7716871 32939002 38683980 8213802 5443639 83374370 95350329 4921451 8082599 78452919 87267730 SEE SCHEDULE O false false 31379456 42597527 TO PROVIDE MEDICAL, HEALTH CARE, RESEARCH AND TEACHING SERVICES. THE ORGANIZATION PROVIDES MEDICAL CARE TO PATIENTS IN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY. THE ORGANIZATION SUPPORTS THE MEDICAL RESEARCH AND TEACHING MISSIONS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. 31379456 true false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 2 0 true 0 false false false false false false false false false false X 9 0 false false false false true true true true true false false true true true true true true true true false NJ X MARLENA FERGUSON 2674259200 WANAMAKER BLDG 9TH FL PHILADELPHIA PA 191073323 DAVID PICCOLI SECRETARY 1.0 40.0 X X 0 553864 42663 GAIL SLAP DIRECTOR 1.0 40.0 X 0 426247 43431 ROBERT SHADDY ASSISTANT TREASURER 1.0 40.0 X X 0 587925 47918 LOUIS BELL ASSOCIATE CHAIRMAN 1.0 40.0 X 0 479892 48991 KATHLEEN SHAW ASSOCIATE CHAIRMAN 1.0 40.0 X 0 479328 49029 JEFFREY GERDES ASSOCIATE CHAIRMAN 1.0 40.0 X 0 622302 37790 Jan Boswinkel Director 1.0 40.0 X 0 422587 35417 Michael Levine Director 1.0 41.0 X 0 468731 50039 JOSEPH W ST GEME III MD President 1.0 44.0 X X 0 945944 38490 MICHAEL CORBO ASSISTANT TREASURER 1.0 41.0 X 0 359396 14280 ELAINE GALLAGHER ASSISTANT TREASURER 1.0 40.0 X 0 307281 25906 ALISON MARX ASSISTANT SECRETARY 1.0 40.0 X 0 262905 13128 JOEL FIEDLER VICE PRESIDENT/TREASURER 1.0 40.0 X 0 252388 37352 MARLENA FERGUSON ASSISTANT TREASURER 1.0 40.0 X 0 187636 23697 DEBRA DENIE ASSISTANT TREASURER 1.0 40.0 X 0 153332 22854 ALAN COHEN FORMER OFFICER 0.0 1.0 X 0 517400 47395 0 7027158 578380 0 true true true Scribe America PO Box 417756 BOSTON MA 022417756 Transcription 232676 1 0 NET PATIENT SERVICE REVENUE 622110 39566500 39566500 RESEARCH REVENUE 622110 48633 48633 OTHER PROGRAM SUPPORT 622110 2982394 2982394 42597527 762287 762287 0 0 0 0 0 3826595 3058790 767805 767805 767805 0 0 0 0 0 44127619 42597527 0 1530092 0 0 0 0 0 0 25379630 20315007 5064623 0 0 4318497 2951348 1367149 1268982 1015750 253232 0 0 0 500 500 0 0 72452 72452 450702 450702 0 72210 56622 15588 3793 2974 819 0 2330942 2330942 93057 72968 20089 0 2369 1858 511 0 0 0 791958 791958 Affiliated Program Expenses 3631367 3631367 All Other 267521 208662 58859 38683980 31379456 7304524 0 50 50 30336930 42896600 0 0 6499218 6424601 0 0 0 0 0 0 0 0 0 0 0 42803128 42765042 0 0 0 0 0 0 3735044 3264036 83374370 95350329 3107021 4156045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1814430 3926554 4921451 8082599 X 78452919 87267730 0 0 0 0 78452919 87267730 83374370 95350329 X 5443639 -1422990 4794162 X false true X true false X 0 0 0 0 0 0 21278464 29460295 37392006 39149375 42597527 169877667 0 0 0 21278464 29460295 37392006 39149375 42597527 169877667 0 0 0 169877667 843579 650578 486511 652842 762287 3395797 0 843579 650578 486511 652842 762287 3395797 0 0 22122043 30110873 37878517 39802217 43359814 173273464 0.98040 0.97804 0.01960 0.02196 X 0 DUE TO AFFILIATES 3926554 3926554 42704629 -1422990 -1422990 44127619 44127619 33889818 33889818 4794162 4794162 38683980 SCHEDULE D, PART XII, LINE 4B EXPENSE RECLASS FROM CHCA PA TO CHCA NJ: 4,794,162 false true false false false false false false false ALAN COHEN FORMER OFFICER 0 398420 0 100000 0 18980 0 33236 0 14159 0 564795 0 0 MICHAEL CORBO ASSISTANT TREASURER 0 295144 0 64252 0 0 0 5031 0 9249 0 373676 0 0 ELAINE GALLAGHER ASSISTANT TREASURER 0 247230 0 60051 0 0 0 4717 0 21189 0 333187 0 0 ALISON MARX ASSISTANT SECRETARY 0 202971 0 59934 0 0 0 4780 0 8348 0 276033 0 0 DAVID PICCOLI SECRETARY 0 402275 0 89738 0 61852 0 33236 0 9427 0 596527 0 0 JOEL FIEDLER VICE PRESIDENT/TREASURER 0 204552 0 44507 0 3329 0 23094 0 14258 0 289740 0 0 MARLENA FERGUSON ASSISTANT TREASURER 0 163636 0 24000 0 0 0 3572 0 20125 0 211333 0 0 GAIL SLAP DIRECTOR 0 342979 0 68317 0 14951 0 33236 0 10195 0 469678 0 0 ROBERT SHADDY ASSISTANT TREASURER 0 479178 0 105000 0 3747 0 33236 0 14682 0 635843 0 0 LOUIS BELL ASSOCIATE CHAIRMAN 0 395076 0 84118 0 698 0 33236 0 15755 0 528883 0 0 KATHLEEN SHAW ASSOCIATE CHAIRMAN 0 363463 0 74401 0 41464 0 33236 0 15793 0 528357 0 0 JEFFREY GERDES ASSOCIATE CHAIRMAN 0 405373 0 59006 0 157923 0 33236 0 4554 0 660092 0 0 DEBRA DENIE ASSISTANT TREASURER 0 133082 0 20250 0 0 0 2929 0 19925 0 176186 0 0 Jan Boswinkel Director 0 304760 0 108000 0 9827 0 27547 0 7870 0 458004 0 0 Michael Levine Director 0 373780 0 80000 0 14951 0 33236 0 16803 0 518770 0 0 JOSEPH W ST GEME III MD President 0 652462 0 247500 0 45982 0 25200 0 13290 0 984434 0 0 SCHEDULE J, PART I, LINE 4B JAN BOSWINKEL - 3,022 JOSEPH W ST GEME III MD - 22,374 Schedule J, Part III 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. FORM 990, PART I, LINE 1 & FORM 990, PART III, LINE 1 TO 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 AND RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL, INC. FORM 990, PART VI, LINE 6 DR. ST. GEME IS A SOLE MEMBER OF CHCA PA, AND CHCA NJ. HE SURRENDERS ALL ECONOMIC RIGHTS TO CHOP. FORM 990, PART VI, SECTION A, LINE 7A DR. ST. GEME CAN ELECT THE DIRECTORS WHICH CONSTITUTE THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ELECTS THE OFFICERS. 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 B, LINE 11B A 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 AND COMPLIANCE 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. 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 and Compliance 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 and Compliance 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 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 2014. 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. INFORMATOIN FROM OTHER ORGANIZATIONS MAY ALSO BE CONSIDERED WHERE APPRORPRIATE 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 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. GOVERNING BODY/MANAGEMENT- FORM 990, PART VI, SECTION A, LINE 7A OTHER CHANGES IN NET ASSETS OR FUND BALANCES EXPENSE ALLOCATION FROM CHCA PA TO CHCA NJ: 4,794,162 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 HEALTH CARE ASSOCIATES INC 100 PENN SQ E 9TH FL PHILADELPHIA PA 19107 222785804 HEALTHCARE PA 501(C)(3) 9 CHOP false CHOP FOUNDATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 HEALTHCARE PA 501(C)(3) 7 NA false FIRST MEDICAL INSURANCE COMPANY (RRG) C/O MARSH MANAGEMENT SERVICES BURLINGTON VT 05401 010719207 SELF INSURANC VT 501(C)(3) 11 III-FI CHOP false CHOP Practice Association 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 HEALTHCARE PA 501(C)(3) 11 III-FI CHOP false RADIOLOGY ASSOCIATES OF CHOP 100 PENN SQUARE EAST PHILADELPHIA PA 19107 232665855 HEALTHCARE PA 501(C)(3) 9 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 223405673 HEALTHCARE NJ 501(C)(3) 9 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC LTD 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232592835 HEALTHCARE PA 501(C)(3) 9 CHOP false SURGICAL ASSOCIATES RESEARCH & EDUCATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(C)(3) 11 III-FI CHOP false CHILDREN'S SURGICAL ASSOCIATES LTD 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(C)(3) 9 CHOP false CHILDREN'S SURGICAL ASSOCIATES OF NJ 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 223348481 HEALTHCARE NJ 501(C)(3) 9 CHOP false PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(C)(3) 11 I NA false CHOP CLINICAL ASSOCIATES INC C/O CHOP 3401 CIVIC CTR BLVD PHILADELPHIA PA 19104 223548970 HEALTHCARE NJ 501(C)(3) 11 III-FI CHOP false 4865 MARKET ASSOC 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 461341918 REAL ESTATE PA NA SPARK THERAPEUTICS INC 3737 MARKET ST STE 1300 PHILADELPHIA PA 19104 462654405 BIOTECH DE NA C CORP false HAYSTACK INFORMATICS INC 3401 MARKET ST STE 200 PHILADELPHIA PA 19104 472433511 TECHNOLOGY DE NA C CORP false false false false false false false false false false false true true true true true true true false false