2014-05-13T15:15:27-05:00 2013-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST STE 1700 PHILADELPHIA PA 19103 990 2012-07-01 231352166 THE CHILDREN'S HOSPITAL OF PHILADELPHIA % THOMAS TODOROW CHIL 2155901000 34TH ST CIVIC CENTER BLVD Suite PHILADELPHIA PA 191044388 THOMAS TODOROW 2155901000 2014-05-08 true 2673303000 2012 2015-11-30 17:44:51Z Steven Altschuler MD 34TH ST CIVIC CENTER BLVD PHILA PA 191044388 1933376702 false X www.chop.edu X 1860 PA PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS. 30 25 12086 297 2233714 774208 217873931 248425951 1312169497 1419576589 6551387 12516435 61513752 60240655 1598108567 1740759630 25407723 66893554 0 0 672762353 718166743 0 0 0 741788793 754611243 1439958869 1539671540 158149698 201088090 2635569308 2884208812 1341160838 1305964058 1294408470 1578244754 X PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS. false false 895538607 10000000 1449362797 THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDED IN 1855, IS THE NATION'S FIRST HOSPITAL DEDICATED EXCLUSIVELY TO PEDIATRICS. THE HOSPITAL STRIVES TO BE THE WORLD LEADER IN THE ADVANCEMENT OF HEALTH CARE FOR CHILDREN BY INTEGRATING EXCELLENT PATIENT CARE, INNOVATIVE RESEARCH, AND QUALITY PROFESSIONAL EDUCATION INTO ALL OF ITS PROGRAMS. THE HOSPITAL IS AN INTEGRATED PEDIATRIC HEALTH CARE DELIVERY SYSTEM THAT PROVIDES QUATERNARY AND ACUTE LEVEL PEDIATRIC SERVICES AS WELL AS EMERGENCY, PRIMARY, SPECIALTY, HOMECARE, AND POISON CONTROL CARE FOR CHILDREN. THE HOSPITAL TREATS CHILDREN WITHIN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY. DURING THE YEAR ENDED JUNE 30, 2013, THE HOSPITAL WROTE OFF $90,439,380 IN CHARGES FOR SERVICES RENDERED APPLICABLE TO FREE CARE, CHARITY AND UNCOLLECTIBLE ACCOUNTS. THE CHILDREN'S HOSPITAL OF PHILADELPHIA HAS BEEN RATED AS THE BEST CHILDREN'S HOSPITAL IN THE COUNTRY BY U.S. NEWS & WORLD REPORT (2003-2013) AND PARENTS MAGAZINE, IN ITS FIRST SURVEY (2009) and again in 2013. IN THE 2012-13 U.S.NEWS SURVEY, CHOP RANKED IN THE TOP FOUR NATIONWIDE IN ALL 10 SPECIALTIES. FOR THE YEAR ENDED JUNE 30, 2013 1) TOTAL INPATIENT DAYS: 154,551 2) TOTAL INPATIENT ADMISSIONS: 28,996 3) TOTAL EMERGENCY DEPARTMENT VISITS: 90,378 4) TOTAL SPECIALTY CARE VISITS: 349,773 5) TOTAL PRIMARY CARE VISITS: 708,585 6) TOTAL HOME CARE VISITS: 427,599(PATIENT DAYS) 20,763(EQP. RENTAL) 7) DAY SURGERY VISITS: 44,388 265557011 56893554 22934650 The Hospital has an extensive research program. Its educational programs include the largest or second largest pediatric residency program in the country. The hospital is engaged in numerous community benefit activities and a variety of community outreach programs (see www.chop.edu). 1161095618 true true false true false false false false true true false false true true false false true false true true true false false false false true true true false true true true false false false false false false false true true false false false false true true true true false false true 547 0 true 12086 true true true false false false false false false false false false X 30 25 false false false false false false false true true false false true true true true true true true true false PA X THOMAS TODOROW 2155901000 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 191044388 X STEVEN M ALTSCHULER MD 40.0 5.0 X X 4306951 0 1584567 N SCOTT ADZICK MD 1.0 44.0 X 0 1371634 134829 ALAN COHEN MD 1.0 44.0 X 0 945339 46377 TRISTRAM C COLKET JR 1.0 1.0 X 0 0 0 CLARK HOOPER BARUCH 1.0 2.0 X 0 0 0 ARTHUR DANTCHIK 1.0 2.0 X 0 0 0 MARK FISHMAN 1.0 2.0 X X 0 0 0 LYNNE L GARBOSE ESQ 1.0 1.0 X 0 0 0 ANTHONY A LATINI 1.0 1.0 X X 0 0 0 SHIRLEY HILL 1.0 1.0 X 0 0 0 JAMES L MCCABE 1.0 1.0 X 0 0 0 JOHN MILLIGAN CPA 1.0 1.0 X 0 0 0 FRED N BIESECKER 1.0 1.0 X 0 0 0 ASUKA NAKAHARA 1.0 1.0 X 0 0 0 JEFFREY E PERELMAN 1.0 1.0 X 0 0 0 R ANDERSON PEW 1.0 1.0 X 0 0 0 GERALD D QUILL 1.0 1.0 X 0 0 0 MARK DENNEEN 1.0 1.0 X 0 0 0 DAVID B RUBENSTEIN 1.0 1.0 X 0 0 0 SHARAD MANSUKANI 1.0 2.0 X 0 0 0 SALEM D SHUCHMAN 1.0 2.0 X 0 0 0 KORNELIS SMIT 1.0 1.0 X X 0 0 0 BINNEY WIETLISBACH 1.0 1.0 X 0 0 0 ANNE FAULKNER SCHOEMAKER 1.0 2.0 X 0 0 0 NANCY WOLFSON 1.0 1.0 X 0 0 0 MORTIMER J BUCKLEY III 1.0 1.0 X X 0 0 0 DOMINIC J CARUSO 1.0 1.0 X 0 0 0 AMINTA HAWKINS BREAUX PHD 1.0 1.0 X X 0 0 0 A LORRIS BETZ MD PHD 1.0 1.0 X 0 0 0 DANIEL T ROBLE 1.0 1.0 X 0 0 0 REID BUERGER 1.0 1.0 X X 0 0 0 THOMAS J TODOROW 40.0 4.0 X 1711036 0 33453 JEFFREY D KAHN 40.0 1.0 X 708878 0 36987 MARGARET M JONES 40.0 1.0 X 1177605 0 12781 MADELINE BELL 40.0 0.0 X 2429583 0 12520 PHILIP JOHNSON 40.0 0.0 X 1072333 0 235212 BRYAN WOLF MD PHD 40.0 1.0 X 959261 0 145747 KATHLEEN GORMAN 40.0 0.0 X 295830 0 33612 CHARLES S HOUGH 40.0 0.0 X 473107 0 33175 MARY TOMLINSON 40.0 0.0 X 315052 0 33236 TOM CURRAN 40.0 0.0 X 611515 0 49023 STUART SULLIVAN 40.0 0.0 X 744764 0 33297 PAULA AGOSTO 40.0 0.0 X 280431 0 31035 DOUGLAS CARNEY 40.0 0.0 X 595662 0 15074 CYNTHIA HAINES 40.0 0.0 X 631725 0 31213 NICHOLAS P PROCYK 40.0 0.0 X 800555 0 29689 ROBERT CRONER 40.0 0.0 X 510168 0 32824 THOMAS R DOLE 40.0 0.0 X 442754 0 25293 AMY LAMBERT 40.0 0.0 X 417978 0 33585 18485188 2316973 2623529 1200 false true false Madison Concrete Construction 130 Quaker Lane Malvern PA 19355 Construction Service 38412463 Owen Steel Company Inc 727 Mauney Drive Columbia SC 29201 Construction Service 32151641 Turner Construction Company 1835 Market St 21st Floor Philadelphia PA 19103 Construction Service 22920799 LF Driscoll Company LLC 9 Presidential Blvd PO Box 468 Bala Cynwyd PA 19004 Construction Service 11743586 Intech Construction Inc 3001 Market St Philadelphia PA 19104 Construction Service 9239428 87 43033588 191222803 14169560 248425951 Net Patient Revenue 900099 1394387815 1392154101 2233714 Poison Center Receipts 900099 701453 701453 Research 900099 22934650 22934650 Home Care - Hemophilia 621610 1552671 1552671 1419576589 3151713 3151713 0 418374 418374 4867709 4867709 0 4867709 4867709 201981794 192617072 9364722 9364722 9364722 0 0 0 Indirect Public Support - Research revenue 900099 28458349 28458349 Contribution Released from Restrictions 900099 8931598 8931598 Parking Garage Revenue 812930 5078325 5078325 12486300 12486300 54954572 1740759630 1472297447 2233714 17802518 64163731 64163731 0 2729823 2729823 0 15640054 15640054 0 552356303 362255856 190100447 39312620 25072743 14239877 60731406 38733184 21998222 50126360 31969514 18156846 0 1752115 1752115 576578 576578 751300 751300 0 170251 170251 87565967 65592614 21973353 3878543 3878543 19799838 9390069 10409769 3709151 2781863 927288 1998618 1998618 28829546 1658149 27171397 4084056 3063042 1021014 0 2668724 2001543 667181 14497073 10872805 3624268 0 117591129 88193347 29397782 32206505 24826628 7379877 Research Expense 265557011 265557011 Patient Related Supplies 157247185 157247185 Miscellaneous Expense 8331936 2439723 5892213 Dues and Subscriptions 3395717 2546788 848929 1539671540 1161095618 378575922 0 0 0 216909459 332392535 29560817 26601732 208859464 238817113 0 0 0 0 7717000 14792000 2989787 3570285 11693037 12902126 3064918597 1355546661 1594717090 1709371936 198774572 135168790 86821077 52826745 0 0 0 0 277527005 357765550 2635569308 2884208812 237247757 259012563 0 0 56204684 56636678 773395266 756870056 0 0 0 0 0 0 0 0 274313131 233444761 1341160838 1305964058 X 1240221081 1515552820 54187389 62691934 0 0 1294408470 1578244754 2635569308 2884208812 X 201088090 3283922 79464272 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true false true 751300 true 271492 true 0 false 1022792 false Schedule C, Part II-B, Line 1 During the Year ending June 30, 2013, CHOP conducted various lobbying activities through the use of its employees, volunteers, independent contractors, and other organizations. These lobbying activities were on both a federal and a state level in support of various causes, issues and reform regarding healthcare. The amounts relating to these activities are reported on Line 1. 1082415000 22323000 184538000 65330000 1223946000 1091470000 19711000 36437000 65203000 1082415000 996877000 16703000 135849000 57959000 1091470000 936085000 15834000 92487000 47529000 996877000 1330934000 17306000 -170005000 242150000 936085000 0.86323 0.10399 0.03278 false true true 31787712 31787712 1859165802 767967515 1091198287 799421836 586883133 212538703 374543247 696013 373847234 1709371936 DUE FROM THIRD PARTIES 24950185 DUE FROM AFFILIATES 259327391 INTERCOMPANY RECEIVABLES 13321917 DEFERRED COSTS 43782682 MISCELLANEOUS RECEIVABLES 3964322 INV 4865 EQUITY 12419053 357765550 0 SELF INSURANCE LIABILITY 86118349 ACCRUED PENSION COST-MIN LIABILITY 92495596 INTEREST RATE SWAP 22045895 DEFERRED COMPENSATION 9199309 DUE TO AFFILIATES 14585624 DUE TO THIRD PARTY -12 PORTION OF PLEDGE 9000000 233444761 SEE PAGE 5 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE HELD BY THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION, A RELATED ENTITY. THE INTENDED USE OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION'S ENDOWMENT FUND IS FOR CAPITAL EXPENDITURES FOR EQUIPMENT, CAPITAL PROJECTS, OR OTHER CAPITAL NEEDS; MEDICAL EDUCATION PROGRAMS; AND HEALTH CARE PROGRAMS FOR MEDICAL, PATIENT AND RESEARCH SERVICES IN ACCORDANCE WITH ANY STIPULATED DONOR RESTRICTIONS. true North America Grantmaking 1595772 Europe (Including Iceland and Greenland) Grantmaking 65350 Sub-Saharan Africa Grantmaking 92346 East Asia and the Pacific Grantmaking 976354 North America 7 Program Services TEACHING AND RESEARCH 16953 Central America and the Caribbean 2 Program Services TEACHING AND RESEARCH 3934 South America 1 Program Services TEACHING AND RESEARCH 1949 East Asia and the Pacific 5 Program Services TEACHING AND RESEARCH 4640 Europe (Including Iceland and Greenland) 21 Program Services TEACHING AND RESEARCH 38948 Middle East and North Africa 4 Program Services TEACHING AND RESEARCH 1378 Sub-Saharan Africa 2 Program Services TEACHING AND RESEARCH 2518 42 42 2800142 2800143 North America 346353 CHECK N/A FMV East Asia and the Pacific CANCER TRIAL BRAIN TUMOR 184650 CHECK N/A FMV East Asia and the Pacific 174300 CHECK N/A FMV East Asia and the Pacific EFFECT-CAFFEINE IN APNEA 149800 CHECK N/A FMV North America PEDIATRIC CANCER TRIALS 106642 CHECK N/A FMV North America POS-ADJ-MED EVENT-CHILD 104128 CHECK N/A FMV East Asia and the Pacific PEDIATRIC CANCER TRIALS 101200 CHECK N/A FMV Sub-Saharan Africa EXPRESS&SEQUENCING DATA 82509 WIRE N/A FMV North America BOTSWANA TRAINING-HEALTH 81571 CHECK N/A FMV North America HIV ADOLESCENT COMPLIANCE 80000 CHECK N/A FMV North America CANCER TRIAL BRAIN TUMOR 72450 CHECK N/A FMV North America CANCER TRIALS - AALL 65400 CHECK N/A FMV North America CANCER TRIALS - AML 64600 CHECK N/A FMV East Asia and the Pacific EFFECT-CAFFEINE IN APNEA 58800 CHECK N/A FMV North America PEDIATRIC CANCER TRIALS 45800 CHECK N/A FMV North America 45600 CHECK N/A FMV East Asia and the Pacific 43400 CHECK N/A FMV North America 43000 CHECK N/A FMV Europe (Including Iceland and Greenland) 42950 CHECK N/A FMV East Asia and the Pacific 39650 CHECK N/A FMV East Asia and the Pacific 37800 CHECK N/A FMV East Asia and the Pacific 37500 CHECK N/A FMV North America 36400 CHECK N/A FMV North America 36300 CHECK N/A FMV North America 33777 CHECK N/A FMV East Asia and the Pacific 33200 CHECK N/A FMV North America 32600 CHECK N/A FMV North America 23899 CHECK N/A FMV North America 23550 CHECK N/A FMV North America 22800 CHECK N/A FMV North America 22400 CHECK N/A FMV North America 22200 CHECK N/A FMV North America 22100 CHECK N/A FMV North America 20100 CHECK N/A FMV North America 19200 CHECK N/A FMV East Asia and the Pacific 18000 CHECK N/A FMV Europe (Including Iceland and Greenland) 17000 CHECK N/A FMV North America 16200 CHECK N/A FMV North America 15400 CHECK N/A FMV North America 15400 CHECK N/A FMV East Asia and the Pacific 15392 CHECK N/A FMV North America 14400 CHECK N/A FMV East Asia and the Pacific 13700 CHECK N/A FMV East Asia and the Pacific 12400 CHECK N/A FMV North America 12400 CHECK N/A FMV North America 11800 CHECK N/A FMV North America 11700 CHECK N/A FMV North America 11100 CHECK N/A FMV East Asia and the Pacific 10262 CHECK N/A FMV Sub-Saharan Africa 9838 WIRE N/A FMV North America 9500 CHECK N/A FMV North America 9500 CHECK N/A FMV North America 8000 CHECK N/A FMV North America 8000 CHECK N/A FMV North America 7750 CHECK N/A FMV North America 6812 CHECK N/A FMV East Asia and the Pacific 6600 CHECK N/A FMV East Asia and the Pacific 5500 CHECK N/A FMV Europe (Including Iceland and Greenland) 5400 CHECK N/A FMV North America 183938 CHECK N/A FMV North America 35100 CHECK N/A FMV 15 46 false false false false false false Monitoring procedures SCHEDULE F, PART I, LINE 2 The Children's Hospital of Philadelphia has established controls in place to monitor the use of grant funds both outside and within the United States. Expenditures are monitored based on the guidelines outlined by 45 CFR Part 74 Appendix E (OASC-3). It is our policy to follow the federal government-established principles for determining costs applicable to grants, contracts, and other agreements. The Hospital generally applies these same cost principles to non-federal funding. All costs posted to sponsored projects must comply with government and sponsor rules and regulations. Costs must meet several criteria: (1) costs being charged to a grant must be reasonable and necessary for meeting the objectives of the grant/project, (2) costs must be allowable in accordance with the sponsor rules and regulations, (3) costs must be allocable based on the benefit derived, cause and effect, or other equitable relationship, and (4) costs must be consistent with costs charged in similar circumstances to other sponsored projects. true true X true X true X true true false true true 1798126 0 1798126 0.00120 509472224 439495550 69976674 0.04540 0 0 0 0.00000 511270350 439495550 71774800 0.04660 18127518 0 18127518 0.01180 55946943 6741152 49205791 0.03200 97184907 73351628 23833279 0.01550 227460784 0 227460784 0.14770 10177174 0 10177174 0.00660 408897326 80092780 328804546 0.21360 920167676 519588330 400579346 0.26020 false 85236379 1690611 3660925 -1970314 X true true 1 1 THE CHILDREN'S HOSPITAL OF PHILA

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PEDIATRIC & ADOLESCENT CARE SCHEDULE H DISCLOSURES PART I, LINE 3C: The organization's financial assistance policy that was in effect during Tax Year 2012 requires that available asset information be reviewed in all cases in addition to income; however, the policy also provides that a patient's/family's primary residence or vehicles needed for regular transportation are not considered to be available assets. The financial assistance policy also indicates that patients/families must be residents of CHOP's Primary Service Area. Exceptions to this residency requirement have been granted on a case-by-case basis. Part I, Line 7: Total and net community benefit expenses were assigned in Part I, Line 7 as follows. A ratio of patient care cost to charges based on Worksheet 2 (Schedule H Instructions) was applied to determine expense for financial assistance and Medicaid. Medicaid expense also included provider assessments paid to the Commonwealth of Pennsylvania and to New Jersey that require such payments from CHOP. Direct and indirect costs for community health improvement and community benefit operations were estimated based on CHOP's cost accounting systems. The cost of health professions education programs was based on the Medicaid Cost Report. PART III, LINE 2: CHOP'S PATIENT ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. IN ACCOUNTING FOR BAD DEBT EXPENSE, UNCOLLECTIBLE SELF-PAY ACCOUNTS (INCLUDING PATIENT ACCOUNT BALANCES DUE AFTER REIMBURSEMENT FROM INSURANCE) ARE WRITTEN OFF AS BAD DEBT EXPENSE AFTER EXHAUSTING COLLECTION EFFORTS. IN ADDITION, CERTAIN AMOUNTS ARE RECORDED AS BAD DEBT EXPENSE AFTER CHOP ROUTINELY ANALYZES THE HISTORICAL CASH COLLECTIONS OF ITS PATIENT ACCOUNTS RECEIVABLE. Part III, Line 4: CHOP's audited financial statements for Tax Year 2012 (fiscal year 2013) include the following statement regarding bad debt expense, accounts receivable, or allowance for doubtful accounts for the Controlled Affiliates: "Primary collection risks relate to uninsured patients and the portion of the bill which is the patient's responsibility, primarily co-payments and deductibles. We estimate our provisions for doubtful accounts based on a number of factors, including aging of the receivables and the historical collection experience. Receivables for patient services are recorded net of allowance for doubtful accounts of $137,528,000 and $126,997,000 as of June 30, 2013 and 2012, respectively." Part III, Line 9b: CHOP's billing and collections policy, financial assistance policy, and all related internal policies and practices provide that full financial assistance (free care) and partial financial assistance cases are not sent to outside collections. Part V, Section B Line 3: CHOP conducted a Community Health Needs Assessment (CHNA) throughout 2012 and published a CHNA report in February 2013. The CHNA was completed using a household health survey via telephone interviews of people age 18 and older living in 10,018 households in the five county area of Southeastern Pennsylvania (Bucks, Chester, Delaware, Montgomery and Philadelphia counties). When needed, interviews were conducted in Spanish and a total of 2,745 interviews were conducted in households with a selected child under the age of 18. Public Health Management Corporation, which was retained by CHOP to assist with the CHNA process, also collected information through community meetings throughout the five county area with residents, public health representatives, service providers and advocates. Seventeen such meetings were conducted between June and September 2012. The CHNA was conducted in a five-county region of Southeastern Pennsylvania. However, since CHOP is a freestanding children's hospital with over 50 ambulatory locations, including a pediatric research institute and homecare program, our implementation strategy includes initiatives that will benefit additional communities beyond the five-county region, such as areas in Southern New Jersey. CHOP's Board of Trustee's approved the CHNA and adopted the implementation strategy in June 2013 and both documents are available on CHOP's website at: http://www.chop.edu/about/chop-in-the-community/government-affairs/in-the- community/community-health-needs-assessment.html Part V, Section B, Line 7: The one need that was identified in CHOP's CHNA that CHOP is not addressing in the most recently adopted implementation strategy relates to low birth weights. In CHOP's service area, 9.1% of infants are born at a low birth weight. This does not meet the Healthy People 2020 target goal of 7.8%. The percentage of low birth weight infants is highest among African-American infants at 13.7%. In addition, every year an average of 444 infants in Southeastern Pennsylvania die before their first birthday, representing an infant mortality rate of 8.7 infant deaths per 1,000 live births. This also does not meet the Healthy People 2020 target goal of 6.0 infant deaths per 1,000 live births. Because CHOP clinicians do not care for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored closely by our Center for Fetal Diagnosis and Treatment (CFDT), CHOP is unable directly to impact the number of infants born at a low birth weight and its implementation strategy focuses on other significant community health needs identified in the CHNA. CHOP does care for babies born at low birth weights and preterm infants that need hospitalization in the Neonatal/Infant Intensive Care Unit (N/IICU) on the Main Campus and in the infant nurseries or NICUs that CHOP manages in 10 community hospitals throughout the region. Part V, Section B, Line 14g: Information regarding CHOP's financial assistance policy is available at http://www.CHOP.edu/visitors/financial-matters/financial-assistance.html. A written summary of the financial assistance policy is provided to patients upon admission, upon request. PART V, SECTION B, LINE 20D FOR THOSE FAMILIES WHOSE INCOME IS GREATER THAN 201% BUT LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINES, CHOP PROVIDED PARTIAL CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. PRIOR TO SENDING A BILL FOR SERVICES TO THOSE ELIGIBLE FOR PARTIAL CHARITY CARE, THE BILL IS REVIEWED BY AN INDIVIDUAL IN THE BUSINESS OFFICE TO ENSURE THE AMOUNT CHARGED IS NOT IN EXCESS OF CHOP'S LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. Needs Assessment Description Part VI, Line 2: In addition to CHOP's Community Health Needs Assessment, CHOP identifies and assesses community needs through several other methods. For example, as part of its extensive research and community service activities, CHOP performs cause-specific assessments of community health needs. Many of CHOP's community programs are provided in collaboration with community agencies. Community health needs are identified and addressed through these collaborations. For a listing of these programs, see CHOP's response to Part VI, Line 5. Patient Education Of Eligibility Of Assistance Part VI, Line 3: Information about CHOP's Family Health Coverage Program (FHCP, through which patients qualify for financial assistance and for appropriate state health insurance programs) is provided in signage at patient access points throughout the CHOP campus, satellite offices, and on hospital and physician billing statements. In addition, patients/families can learn more about financial assistance and the billing process through: the families' guide to billing and financial information; the CHOP internet website; and financial assistance packets available at CHOP's care network sites, outpatient subspecialty and specialty care clinics. CHOP also has financial counselors available to families either at the time of scheduling an appointment, the time of the appointment, or after an appointment has taken place. There are financial assistance packets available and widely distributed in hospital departments and divisions that explain what the FHCP services are, and how families can access the services. These packets also contain frequently asked questions about the program. Divisions and departments refer their self-pay (uninsured) patients to FHCP for assessment for government insurance coverage and/or financial assistance. FHCP information consistently is provided to self-pay patients who are seen in the emergency department. If an admitted patient/family is identified as self-pay, they are referred to FHCP through operational processes from CHOP's patient access and revenue cycle (PARC) prior authorization or bed management departments. CHOP's FHCP assists uninsured and underinsured families by assessing their eligibility for the hospital's financial assistance program and for any available and appropriate state program (Pennsylvania Medicaid Assistance (PAMA), PA State Children's Health Insurance Program (PA SCHIP), New Jersey Medical Assistance (NJMA), and NJ Family Care). The assessment is conducted by d PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: CHOP has a governing Board of Trustees, a majority of which are comprised of independent people who are representative of the community. CHOP operates a full-time emergency department open to all children and young adults, regardless of ability to pay. As described elsewhere in this Schedule H, CHOP treats a substantial number of Medicaid patients and provides substantial amounts of financial assistance. In addition to its financial assistance and other community benefit activities described elsewhere on this Schedule H, CHOP offers a number of services that uniquely reflect its integration of high quality patient care, innovative research and a commitment to education. Some of these CHOP specialized services include: a comprehensive center (one of only a few in the world) offering technologically advanced, multidisciplinary care for unborn babies with genetic or anatomical abnormalities; a cancer center integrated with CHOP's pediatric cancer research program (the largest pediatric cancer research program in the world), through which CHOP launched the world's first proton beam therapy service exclusively for pediatric patients; a program for ventilator-dependent children (including a home care program for ventilator dependent patients as an alternative to inpatient treatment); a Hematology Acute Care Unit (HACU) in the Sickle Cell Center which provides rapid evaluation and treatment for children with blood diseases; a Center for Pediatric Airway Disorders; and other clinical programs, ranging from primary care through tertiary and quaternary care that are routinely recognized among the best in the world. In addition to a full range of patient care programs (many of which are specialized services that are unavailable elsewhere), CHOP also operates a broad range of community education and community health improvement programs and conducts extensive, unparalleled research activities. Some of these services and CHOP programs are described below. In CHOP's service area, 3% of children (27,100) lack a regular source of healthcare. Children who are living in poverty (5%), Latino (6.1%) and Asian (6.5%) have more trouble accessing care than those who are white (2%) and African-American (1.8%). Community members also have reported a need for health services and education provided in schools. CHOP is responding to these needs in many ways. In January 2013, The Children's Hospital of Philadelphia's Nicholas and Athena Karabots Pediatric Care Center facility opened in West Philadelphia. Seventy-five percent of patients seen at the Karabots Center are on Medicaid and the building houses many CHOP programs specifically for children living in lower-income households including CHOP's Early Head Start for low-income pregnant women and their families, Reach Out and Read a national program supporting reading and literacy, The Children and Moms Project, the Medical Home and Care Coordination Program and the Community Asthma Prevention Program. CHOP also has two Primary Pediatric and Adolescent Care practices in medically underserved areas in West and South Philadelphia where 72% of the patients seen at these Centers are on Medicaid. In response to a demonstrated need for more pediatric primary care services in Montgomery County, CHOP also opened a primary care site in Norristown in March 2013. CHOP also offers a Language Services Program, which provides support to community members with limited English proficiency. Since 1988, the Homeless Health Initiative (HHI) has served as a volunteer outreach program coordinated by CHOP's Community Education Department. Volunteers provide medical and dental services to children in area shelters and assist families in accessing important health care services including health insurance, primary care and specialty care. During FY 2013, HHI launched the Healthy Baby Project, a pilot program that includes a weekly nurse visit to a shelter to check on 0 to 4 month-old babies and provide support and education to new mothers. CHOP also has a Refugee Health Program staffed by primary care pediatricians, nurses and social workers, and case workers from Philadelphia's refugee resettlement agencies. This program is one of the few in the area that sees refugee and asylum-seeking children; both groups identified as in need of primary care. The program provides the first point of medical contact and includes a health screening, immunizations and preparation for adjustment of status. Students from the University of Pennsylvania School of Dental Medicine also provide oral health assessments. Safe Place: The Center for Child Protection and Health provides access to health care for children who have been maltreated and those in substitute care. The Hospital also provides a number of educational programs for foster parents and for child welfare and law enforcement professionals. The Sexual Assault Response Team (SART) also provides access to care in an effort to improve quality and consistency of acute sexual assault examinations in the Emergency Department, while meeting the needs of pediatric sexual assault victims that require screening, testing, treatment and evidence collection. SART also provides education to community members and students to raise awareness about sexual assault. CHOP operates or participates in a wide range of community programs that provide education and access to care. For example, CHOP's Youth Heart Watch program holds free screenings throughout the community to find young people with potentially serious, yet undiagnosed, heart conditions. CHOP operates a regional Poison Control Center, providing toxicology services to the public, health care professionals, and law enforcement officers of the State of Delaware and 23 counties in Pennsylvania. The Kohl's Injury Prevention Program offers a wide range of education and safety devices. The Center for Injury Prevention and Research conducts research on the most frequent cases of injury, such as concussions and passenger safety in cars, and provides education and recommendations for injury prevention to other health professionals and the community on their website and through publications. In addition, CHOP's Special Babies Clinic provides programming for high-risk and preterm infants through its Special Trips for Special Babies program that facilitates visits to area attractions in an effort to foster greater childhood development for over 230 individuals, of which 99 percent are covered by public health insurance. Other educational programs that are provided to the larger community and health professionals outside of CHOP include lactation education and nutrition. Nearly one in five children in the CHOP service area has asthma (17.6%), representing 161,300 children. Asthma disproportionately affects children in Philadelphia County (23.6%), those who are living in poverty (24.3%), those who are Latino (24.9%) and African-American (23.9%) and those children who are older (ages 6-17). CHOP has several programs to address these needs. Since asthma is the prevalent chronic illness in childhood and the most common reason for CHOP inpatient admission, CHOP implemented an electronically coordinated management system, My AsthmaPortal, to be used in inpatient, emergency, and outpatient settings by clinical teams and families to monitor asthma control between doctor visits. The portal gathers information on treatment, symptoms and side effects from families at home, provides condition-specific educational content, provides tools to track progress and identify obstacles, and provides decision support based on medical evidence. The Community Asthma Prevention Program (CAPP) is a community-driven asthma management program to limit hospital visits for children with asthma and keep them breathing freely. The program provides asthma education in the community, a home visitor program in Philadelphia, a school program and primary care provider education. CHOP's Asthma Navigators are assigned to the Karabots, South Philadelphia and Cobbs Creek Care Network sites to meet families of children with high risk asthma and coordinate asthma management. The Navigator completes a needs assessment and conducts home visits to provide asthma education and facilitate communication between the patient, physician, school nurse and other providers. CHOP also offers a variety of other programs offering assistance, support, and education to children with chronic conditions and their families. The Diabetes Center, the Sickle Cell Center, and the Center for Childhood Communication's Family Wellness Program for children with hearing loss at CHOP, not only provides patient care, but also focuses on patient and community education in underserved areas of Philadelphia. One in five children between the ages of 6 and 17 are obese with another 15.6% categorized as overweight. Just as for asthma, overweight/obesity disproportionately affects those children in Philadelphia County (overweight: 12.9%/ obese AFFILIATED HEALTH CARE SYSTEM DESCRIPTION PART VI, LINE 6: CHOP Affiliated Entities CHOP is the parent of seven entities that each constitutes a CHOP physician practice plan. Those entities are: Children's Anesthesiology Associates, Ltd.; Children's Health Care Associates, Inc.; Children's Surgical Associates, Ltd.; Radiology Associates of Children's Hospital, Inc.; Children's Anesthesiology Associates of NJ, Inc.; Children's Health Care Associates of NJ, Inc.; and Children's Surgical Associates of NJ, Inc. (each, a "Practice Plan," and, collectively, the "Practice Plans"). The Practice Plans represent the physician service departments at CHOP in anesthesiology and critical care medicine, pediatrics, surgery, and radiology. The Practice Plans also provide and bill for medical professional clinical services provided by CHOP physicians, provide teaching services at CHOP and at the University of Pennsylvania School of Medicine, and engage in research activities at CHOP. Affiliation with the University of Pennsylvania Although the University of Pennsylvania and CHOP are separate corporate entities with no shared ownership or corporate control, they have shared a close collaborative relationship for more than half a century in furtherance of their respective missions. The main campus of CHOP is adjacent to the campus of the University of Pennsylvania, including the Hospital of the University of Pennsylvania. CHOP has officially been the Department of Pediatrics to the University of Pennsylvania's School of Medicine since 1929. The relationship between CHOP and the University of Pennsylvania includes collaboration on the performance of basic and clinical research, collaboration in patient care, cooperation in education and training of medical students and residents, and multiple arrangements for the joint use of facilities and equipment, such as the Proton Therapy Center owned by the University of Pennsylvania and leased for pediatric use by CHOP. Affiliation with Community Hospitals CHOP has a number of affiliations with community hospitals in Pennsylvania and New Jersey under which CHOP and the community hospitals collaborate to provide access to high quality, efficient pediatric services at the community hospitals. CHOP provides the hospital with pediatric services including staffing and management, emergency care services for children, and newborn and other pediatric hospital services, as well as education. CHOP views these arrangements as an important part of its mission of improving access to and the quality of pediatric care in the communities it serves. CHOP has seven newborn care affiliations with community hospitals in Pennsylvania, three newborn care affiliations with community hospitals in New Jersey, three pediatric care affiliations with community hospitals in Pennsylvania and three pediatric care affiliations with community hospitals in New Jersey. State Filing of Community Benefit Report Part VI, Line 7: CHOP complies with all applicable reporting requirements established by the Pennsylvania ("PA") Department of Public Welfare ("DPW") for participation in the Hospital Uncompensated Care Program (the "Program") created by the PA Tobacco Settlement Act (the "TS Act"), signed into law on June 26, 2001. The Program provides for disbursement of appropriations from the Tobacco Settlement Fund to annually compensate hospitals for a portion of the uncompensated care they provide to uninsured and underinsured patients. The TS Act requires that a hospital must have a plan in place to serve the uninsured and meet specific eligibility requirements. 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ONE CHILDRENS PLZ DAYTON OH 45404 310672132 501(c)(3) 87050 FMV N/A RESEARCH APNEA LOYOLA UNIVERSITY OF CHICAGO PO BOX 4386 CAROL STREAM IL 60197 361408475 501(c)(3) 83832 FMV N/A RESEARCH PROTEIN B UNIVERSITY OF IOWA HOSPITALS AND CLINICS 200 HAWKINS DR IOWA CITY IA 52242 426004813 501(c)(3) 90281 FMV N/A RESEARCH CHILD HEALTH CHILDRENS HOSPITAL OF COLORADO 1245 EAST COLFAY AVENUE DENVER CO 80218 840813462 501(c)(3) 80200 FMV N/A RESEARCH CHILDREN CORIELL INSTITUTE FOR MEDICAL RESEARCH 403 HADDON AVE SUITE 400 CAMDEN NJ 08103 210672684 501(c)(3) 79729 FMV N/A RESEARCH MEDICAL UNIVERSITY OF SOUTH PO BOX 951 CHARLESTON SC 29425 576028985 501(c)(3) 78122 FMV N/A RESEARCH MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 4700 WATERS AVE SAVANNAH GA 31404 311126469 501(c)(3) 75653 FMV N/A RESEARCH SELECTED TYPE 1 DIABETES MARY BRIDGE CHILDRENS HOSP 317 MARTIN LUTHER KING JR WAY TACOMA WA 98405 911352172 501(c)(3) 75000 FMV N/A RESEARCH DRISCOLL CHILDRENS HOSPITAL 3533 S ALAMEDA ST CORPUS CHRIST TX 78411 742577746 501(c)(3) 74800 FMV N/A RESEARCH INDIANA UNIVERSITY 701 E KIRKWOOD AVE BLOOMINGTON IN 47405 356001673 501(c)(3) 74428 FMV N/A RESEARCH UNIVERSITY OF ARIZONA P O BOX 3520 TUCSON AZ 85722 860196696 501(c)(3) 73450 FMV N/A RESEARCH UNIV OF OKLAHOMA HLTH SCIENCES 4502 E 41ST ST STE2B20 TULSA OK 74135 736017987 501(c)(3) 133209 FMV N/A RESEARCH LEGACY EMANUEL HOSPITAL 1919 NORTHWEST LOVEJOY PORTLAND OR 97210 930386823 501(c)(3) 103900 FMV N/A RESEARCH INOVA HEALTH SYSTEM PO BOX 37022 BALTIMORE MD 21297 540620889 501(c)(3) 84979 FMV N/A RESEARCH MOUNTAIN STATES TUMOR INSTITUTE INC PO BOX 1023 BOISE ID 83712 820295026 501(c)(3) 68650 FMV N/A RESEARCH WINTHROP UNIVERSITY HOSPITAL 700 HICKSVILLE ROAD SUITE 205 BETHPAGE NY 11714 111633486 501(c)(3) 68350 FMV N/A RESEARCH TEXAS TECH UNIVERSITY 3601 4TH STREET MS6540 LUBBOCK TX 79430 752668014 501(c)(3) 67339 FMV N/A RESEARCH SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE 801 N RUTLEDGE ST SPRINGFIELD IL 62702 376005961 501(c)(3) 64950 FMV N/A RESEARCH NEW YORK BLOOD CENTER 1200 PROSPECT AVE WEST BURY NY 11590 131949477 501(c)(3) 64876 FMV N/A RESEARCH BRYN MAWR REHAB HOSPITAL 414 PAOLI PIKE MALVERN PA 19355 232110812 501(c)(3) 64525 FMV N/A RESEARCH PHILADELPHIA VA MEDICAL CENTER 3900 WOODLAND AVE P O BOX 3007 PHILADELPHIA PA 19104 232764079 501(c)(3) 81484 FMV N/A RESEARCH MAINE CHILDRENS CANCER PROGRAM 100 CAMPUS DR SCARBOROUGH ME 04074 010238552 501(c)(3) 62985 FMV N/A RESEARCH ALBANY MEDICAL CENTER 43 NEW SCOTLAND AVE ALBANY NY 12208 141641730 501(c)(3) 62800 FMV N/A RESEARCH RHODE ISLAND HOSPITAL 593 EDDY STAPC-12 PROVIDENCE RI 02903 050258954 501(c)(3) 62550 FMV N/A RESEARCH MISSION HOSPITALS INC PO BOX 751177 CHARLOTTE NC 28275 560532141 501(c)(3) 61600 FMV N/A RESEARCH NEVADA CANCER RESEARCH FOUNDATION 601 S RANCHO DR LAS VEGAS NV 89106 880189404 501(c)(3) 61500 FMV N/A RESEARCH PRESBYTERIAN HEMBY CHILDREN'S HOSPITAL 200 HAWTHORNE LN CHARLOTTE NC 28204 560554230 501(c)(3) 60950 FMV N/A RESEARCH SANFORD MEDICAL CENTER FARGO 720 4TH ST N FARGO ND 58122 450226909 501(c)(3) 60788 FMV N/A RESEARCH ISIS SC LLC P O BOX 20466 TAMPA FL 33622 412259448 60000 FMV N/A RESEARCH SANFORD MEDICAL CENTER SIOUX FALLS 1305 W 18TH ST SIOUX FALLS ND 57105 460227855 501(c)(3) 59800 FMV N/A RESEARCH LEE MEMORIAL HEALTH SYSTEM 9981 HEALTH PARK DRIVE FORT MYERS FL 33908 590714812 501(c)(3) 59100 FMV N/A RESEARCH TRUSTEES OF TUFTS COLLEGE 136 HARRISON AVE BOSTON MA 02111 042103634 501(c)(3) 58666 FMV N/A RESEARCH NEWARK BETH ISRAEL 201 LYONS AVE NEWARK NJ 07112 223452311 501(c)(3) 74132 FMV N/A RESEARCH CHILDRENS HOSP NEW ORLEANS 200 HENRY CLAY AVE NEW ORLEANS LA 70118 726087770 501(c)(3) 58200 FMV N/A RESEARCH MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LANE DALLAS TX 75230 751620569 501(c)(3) 57200 FMV N/A RESEARCH FLOATING HOSPITAL FOR CHILDREN AT TUFTS MED CENTER 755 WASHINGTON ST BOSTON MA 02111 043400617 501(c)(3) 55700 FMV N/A RESEARCH SCRIPPS HEALTH & BVA 3344 N TORREY PINES CT LAJOLLA CA 92037 951684089 501(c)(3) 55616 FMV N/A RESEARCH BRONSON METHODIST HOSPITAL 601 JOHN ST STE M-005 KALAMAZOO MI 49007 381359087 501(c)(3) 50150 FMV N/A RESEARCH BLANK HEALTH PROVIDERS 1200 PLEASANT ST DES MOINES IA 50309 420680452 501(c)(3) 53939 FMV N/A RESEARCH MOUNT SINAI SCHOOL OF MEDICINE 1255 FIFTH AVENUE SUITE C-2 NEW YORK NY 10029 136171197 501(c)(3) 53406 FMV N/A RESEARCH ST JOSEPH'S HOSPITAL FLORIDA 3001 W MARTIN LUTHER KING BLVD TAMPA BAY FL 33607 590774199 501(c)(3) 53350 FMV N/A SINAI HOSPITAL OF BALTIMORE 2401 WEST BELVEDER AVE BALTIMORE MD 21215 520486540 501(c)(3) 50950 FMV N/A ST JOSEPH'S CHILDREN HOSPITAL 703 MAIN ST PATERSON NJ 07503 221487602 501(c)(3) 50468 FMV N/A RESEARCH MD ANDERSON CANCER CENTER ORLANDO 1400 S ORANGE AVE ORLANDO FL 32806 593005020 501(c)(3) 49000 FMV N/A SAINT VINCENT HOSPITAL 835 S VAN BUREN ST GREEN BAY WI 54309 390817529 501(c)(3) 48550 FMV N/A SCHUYLKILL MEDICAL CENTER 420 SOUTH JACKSON ST POTTSVILLE PA 17901 231352202 501(c)(3) 47736 FMV N/A VIRGINIA COMMONWEALTH UNIV PO BOX 980452 RICHMOND VA 23298 540757884 501(c)(3) 47139 FMV N/A RESEARCH HEMOPHILIA CENTER WESTERN PA 3636 BOULEVARD OF THE ALLIES PITTSBURGH PA 15213 251562716 501(c)(3) 47079 FMV N/A RESEARCH CHRISTIANA CARE HLTH SERV 6 BISBEE RD NEWARK DE 19711 510103684 501(c)(3) 46355 FMV N/A RESEARCH UNIVERSITY OF CHICAGO 1225 EAST 60TH STREET CHICAGO IL 60637 362177139 501(c)(3) 44569 FMV N/A RESEARCH STANFORD UNIVERSITY PO BOX 44253 SAN FRANCISCO CA 94144 941156365 501(c)(3) 44156 FMV N/A RESEARCH TULANE UNIV HLTH SCIENCES CTN 1440 CANAL ST NEW ORLEANS LA 70112 720423889 501(c)(3) 43873 FMV N/A RESEARCH EASTERN MAINE MEDICAL CENTER 489 STATE STREET BANGOR ME 04402 010211501 501(c)(3) 42850 FMV N/A RESEARCH HURLEY MEDICAL CENTER INC 1 HURLEY PLZ P O BOX 404 FLINT MI 48503 381655400 501(c)(3) 40300 FMV N/A RESEARCH SCOTT & WHITE MEMORIAL HOSPTIAL 2401 S 31ST ST TEMPLE TX 76508 741166904 501(c)(3) 39800 FMV N/A RESEARCH UNIVERSITY OF MASSACHUSETTS 460 WALK HILL STREET MATTAPAN MA 02130 043167352 501(c)(3) 39600 FMV N/A RESEARCH UNIVERSITY OF MIAMI PO BOX 025405 MIAMI FL 33102 590624458 501(c)(3) 39396 FMV N/A RESEARCH WEST VIRGINIA UNIVERSITY 830 PENNSYLVANIA AVE CHARLESTON WV 25302 550753754 501(c)(3) 62477 FMV N/A RESEARCH BROWARD HEALTH 303 SE 17TH ST FT LAUDERDALE FL 33316 596012065 501(c)(3) 37300 FMV N/A RESEARCH TRUSTEES OF DARTMOUTH COLLEGE 11 ROPE FERRY RD 6210 HANOVER NH 03755 020222111 501(c)(3) 37250 FMV N/A RESEARCH LEHIGH VALLEY HOSPITAL 1247 S CEDAR CREST BLVD ALLENTOWN PA 18103 231689692 501(c)(3) 53205 FMV N/A RESEARCH VILLANOVA UNIVERSITY 800 LANCASTER AVE VILLANOVA PA 19085 231352688 501(c)(3) 35537 FMV N/A RESEARCH BETH ISRAEL MEDICAL CTR FIRST AVENUE AT 16TH ST NEW YORK NY 10003 042103881 501(c)(3) 35184 FMV N/A RESEARCH MERCY CHILDRENS HOSPITAL 2213 CHERRY ST TOLEDO OH 43608 800000044 501(c)(3) 35150 FMV N/A RESEARCH NORTHWESTERN UNIVERSITY 633 CLARK ST EVANSTON IL 60208 362167817 501(c)(3) 35045 FMV N/A RESEARCH LANKENAU INSTITUTE FOR MEDICAL PO BOX 12606 WYNNEWOOD PA 19096 232175659 501(c)(3) 33822 FMV N/A RESEARCH UNIVERSITY OF MISSOURI 105 SCHRENK HALL ROLLA MO 65409 436003859 501(c)(3) 33800 FMV N/A RESEARCH MERCY HOSPITAL ST LOUIS 607 S NEW BALLAS RD STE 2415 ST LOUIS MO 63141 430653493 501(c)(3) 33450 FMV N/A RESEARCH WEST VIRGINIA RESEARCH CORP P O BOX 6002 MORGANTOWN WV 26506 550665758 501(c)(3) 32824 FMV N/A RESEARCH ST PETERS UNIV HOSPITAL 254 EASTON AVE NEW BRUNSWICK NJ 08901 221487330 501(c)(3) 30200 FMV N/A RESEARCH UNIVERSITY OF VERMONT 89 BEAUMONT AVE BURLINGTON VT 05405 030179440 501(c)(3) 29900 FMV N/A RESEARCH COVENANT CHILDRENS HOSPITAL 4015 22ND PL LUBBOCK TX 79410 752428911 501(c)(3) 28800 FMV N/A RESEARCH MICHIGAN STATE UNIVERSITY B240 LIFESCIENCES BLDG EAST LANSING MI 48824 386005984 501(c)(3) 28700 FMV N/A RESEARCH THE UNIVERSITY OF MICHIGAN 400 N INGALLS RM 1174 ANN ARBOR MI 48109 386006391 501(c)(3) 28047 FMV N/A RESEARCH CORNELL UNIVERSITY P O BOX 22 ITHACA NY 14851 150532082 501(c)(3) 27900 FMV N/A RESEARCH SAINT FRANCIS HEALTH SYSTEM 6161 S YALE AVE TULSA OK 74136 731426265 501(c)(3) 27000 FMV N/A RESEARCH EXPONENT INC P O BOX 200283 DALLAS TX 75320 770218904 26107 FMV N/A RESEARCH MIAMI CHILDREN'S HOSPITAL 3100 SW 62ND AVE MIAMI FL 33155 592602318 501(c)(3) 25514 FMV N/A RESEARCH GEISINGER CLINIC NORTH ACADEMY AV DANVILLE PA 17822 236291113 501(c)(3) 25204 FMV N/A RESEARCH SPECTRUM HEALTH HOSPITAL 944 52ND STSE GRAND RAPIDS MI 49508 381360529 501(c)(3) 24900 FMV N/A RESEARCH CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE CLEVELAND OH 44195 340714585 501(c)(3) 24550 FMV N/A RESEARCH FOUNDATION FOR HEARING RESEARCH INC 3518 JEFFERSON AVE REDWOOD CITY CA 94062 941706320 501(c)(3) 24510 FMV N/A RESEARCH GEORGETOWN UNIVERSITY MED CTR OFFICE OF SPONSORED ACCTG WASHINGTON DC 20057 530196603 501(c)(3) 23695 FMV N/A RESEARCH CREIGHTON UNIVERSITY 2500 CALIFORNIA PLZ BOX 571164 OMAHA NE 68178 470376583 501(c)(3) 23079 FMV N/A RESEARCH SAINT JOHN PROVIDENCE 22101 MOROSS DETROIT MI 48236 381359063 501(c)(3) 23050 FMV N/A RESEARCH UNIVERSITY OF SOUTH ALABAMA 380 ADMINISTRATION BLDG MOBILE AL 36688 630477348 501(c)(3) 22550 FMV N/A RESEARCH METHODIST HOSPITAL 7700 FLOYD CURL DR SAN ANTONIO TX 78229 741180155 501(c)(3) 21350 FMV N/A RESEARCH MASSACHUSETTS GENERAL HOSPITAL 185 CAMBRIDGE ST BOSTON MA 02114 042697983 501(c)(3) 21000 FMV N/A RESEARCH UNIVERSITY OF SOUTHERN CALIF FILE NO 52095 LOS ANGELES CA 90074 951642394 501(c)(3) 19851 FMV N/A RESEARCH CARILION CLINIC CHILDRENS HOS 1212 THIRD ST ROANOKE VA 24016 541190771 501(c)(3) 19500 FMV N/A RESEARCH CHILDRENS HOSP RES CTR OAKLAND 747 52ND STREET OAKLAND CA 94609 941657474 501(c)(3) 19000 FMV N/A RESEARCH THE UNVERSITY OF TEXAS 6431 FANNIN MSB 3 124 HOUSTON TX 77030 999013622 501(c)(3) 18931 FMV N/A RESEARCH ST JOSEPH INSTITUTE 9192 WALDEMAR RD INDIANAPOLIS IN 46268 430623494 501(c)(3) 18913 FMV N/A RESEARCH PHILADELPHIA HEALTH MGMT CORP 260 S BROAD ST PHILADELPHIA PA 19102 237221025 501(c)(3) 21149 FMV N/A RESEARCH DEVEREUX CTR EFFECTIVE SCHOOLS P O BOX 8538 122 PHILADELPHIA PA 19171 231390618 501(c)(3) 18399 FMV N/A RESEARCH SUNSHINE COTTAGE SCHOOL FOR DEAF CHILDREN 603 E HILDEBRAND AVE SAN ANTONIO TX 78212 741143132 501(c)(3) 18370 FMV N/A RESEARCH UNIVERSITY OF MARYLAND 601 WEST LOMBARD STREET BALTIMORE MD 21201 521362793 501(c)(3) 17278 FMV N/A RESEARCH SUNY UPSTATE MEDICAL UNIV 766 IRVING AVENUE SYRACUSE NY 13210 156025404 501(c)(3) 16500 FMV N/A RESEARCH UNIVERSITY OF ARKANSAS 1 CHILDRENS WY SLOT 512 30 LITTLE ROCK AR 72202 716003252 501(c)(3) 16100 FMV N/A RESEARCH MARSHFIELD LABS 1000 NORTH OAK AVENUE MARSHFIELD WI 54449 396498144 501(c)(3) 13950 FMV N/A RESEARCH ALBERT EINSTEIN COLLEGE OF MED 1301 MORRIS PARK AVE-RM 250 BRONX NY 10461 237075620 501(c)(3) 13476 FMV N/A RESEARCH ST CHRISTOPHER'S HOSPITAL FOR 3601 A STREET PHILADELPHIA PA 19134 752784866 501(c)(3) 13400 FMV N/A RESEARCH CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD ROOM 4311 LOS ANGELES CA 90048 951644600 501(c)(3) 12700 FMV N/A RESEARCH MD ANDERSON CANCER CENTER 1515 HOLCOMBE BLVD HOUSTON TX 77030 746001118 501(c)(3) 11800 FMV N/A RESEARCH OKLAHOMA FOUNDATION FOR MEDICAL QUALITY INC 14000 QUAIL SPRINGS PKWY OKLAHOMA CITY OK 73134 237336073 501(c)(3) 11664 FMV N/A RESEARCH ROCKY MOUNTAIN HOSPITAL 1719 E 19TH AVE DENVER CO 80218 841321373 501(c)(3) 11400 FMV N/A RESEARCH SANTA BARBARA COTTAGE HOSP PUEBLO AT BATH ST SANTA BARBARA CA 93105 951644629 501(c)(3) 10850 FMV N/A RESEARCH EASTERN VA MEDICAL SCHOOL P O BOX 1980 NORFOLK VA 23501 546055378 501(c)(3) 10564 FMV N/A RESEARCH SALK INSTITUTE 10010 N TORREY PINES RD LAJOLLA CA 92037 952160097 501(c)(3) 10120 FMV N/A RESEARCH SALUS UNIV BOOKSTORE 8360 OLD YORK RD ELKINS PARK PA 19027 231413680 8000 FMV N/A RESEARCH SAINT JUDE MIDWEST AFFILIATE 530 NE GLEN OAK PEORIA IL 61637 351044585 501(c)(3) 8000 FMV N/A RESEARCH BAPTIST HOSPITAL OF MIAMI 8900 NORTH KENDALL DR MIAMI FL 33176 590910342 501(c)(3) 7500 FMV N/A RESEARCH WILLIAM BEAUMONT HOSPITAL RESEARCH INSTITUTE 3811 WEST THIRTEEN MILE RD ROYAL OAK MI 48073 381459362 501(c)(3) 7000 FMV N/A RESEARCH OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HWY NEW ORLEANS LA 70121 720502505 501(c)(3) 6150 FMV N/A RESEARCH DARTMOUTH-HITCHCOCK PO BOX 10547 BEDFORD NH 03110 222715483 501(c)(3) 6000 FMV N/A RESEARCH NATIONAL JEWISH CENTER FOR IMM P O BOX 17379 DENVER CO 80217 742044647 501(c)(3) 5488 FMV N/A RESEARCH ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 231913910 501(c)(3) 5400 FMV N/A RESEARCH SAN JORGE CHILDREN'S HOSPITAL 259 SAN JORGE ST SANTURCE PR 00912 660531105 501(c)(3) 14350 FMV N/A THE PHILADELPHIA RONALD MCDONALD HOUSE 3925 CHESTNUT STREET PHILADELPHIA PA 19104 237377505 501(c)(3) 1000000 FMV N/A GENERAL SUPPORT 221 5 Part I Line 2 The Children's Hospital of Philadelphia has established controls in place to monitor the use of grant funds both outside and within the United States. Expenditures are monitored based on the guidelines outlined by 45 CFR Part 74 Appendix E (OASC-3). It is our policy to follow the federal government-established principles for determining costs applicable to grants, contracts, and other agreements. The Hospital generally applies these same cost principles to non-federal funding. All costs posted to sponsored projects must comply with government and sponsor rules and regulations. Costs must meet several criteria: (1) costs being charged to a grant must be reasonable and necessary for meeting the objectives of the grant/project, (2) costs must be allowable in accordance with the sponsor rules and regulations, (3) costs must be allocable based on the benefit derived, cause and effect, or other equitable relationship, and (4) costs must be consistent with costs charged in similar circumstances to other sponsored projects. IN THE FISCAL YEAR ENDING JUNE 30, 2013, THE CHILDREN'S HOSPITAL OF PHILADELPHIA MADE A TEN MILLION DOLLAR PLEDGE TO THE PHILADELPHIA RONALD MCDONALD HOUSE ("RMH"). THE ENTIRE AMOUNT PLEDGED IS REPORTED ON FORM 990, PART IX, LINE 1. THE GRANT WILL BE PAID TO RMH OVER A NUMBER OF YEARS. DURING THE FISCAL YEAR, $1,000,000 OF THE PLEDGE WAS PAID. THIS IS REPORTED ON SCHEDULE I FOR THE CURRENT YEAR. X true true X X X X X false true false false false false false true false STEVEN M ALTSCHULER MD 1021135 0 1006044 0 2279772 0 1564109 0 20458 0 5891518 0 1334812 0 THOMAS J TODOROW 634375 0 468750 0 607911 0 5000 0 28453 0 1744489 0 363806 0 JEFFREY D KAHN 392044 0 289688 0 27146 0 5000 0 31987 0 745865 0 0 0 MADELINE BELL 689997 0 509850 0 1229736 0 5000 0 7520 0 2442103 0 769300 0 MARGARET M JONES 418180 0 309000 0 450425 0 5000 0 7781 0 1190386 0 307800 0 PHILIP JOHNSON 679523 0 301266 0 91544 0 181950 0 53262 0 1307545 0 0 0 BRYAN WOLF MD PHD 468415 0 451895 0 38951 0 106950 0 38797 0 1105008 0 0 0 KATHLEEN GORMAN 237930 0 0 0 57900 0 4759 0 28853 0 329442 0 0 0 CHARLES S HOUGH 289301 0 159805 0 24001 0 5000 0 28175 0 506282 0 0 0 MARY TOMLINSON 222901 0 87842 0 4309 0 5000 0 28236 0 348288 0 0 0 TOM CURRAN 399837 0 177268 0 34410 0 31950 0 17073 0 660538 0 0 0 N SCOTT ADZICK MD 0 856901 0 379907 0 134826 0 122500 0 12329 0 1506463 0 0 ALAN COHEN MD 0 593000 0 260268 0 92071 0 31950 0 14427 0 991716 0 0 CYNTHIA HAINES 390077 0 211372 0 30276 0 5000 0 26213 0 662938 0 0 0 STUART SULLIVAN 409189 0 302357 0 33218 0 5000 0 28297 0 778061 0 0 0 NICHOLAS P PROCYK 406000 0 360000 0 34555 0 5000 0 24689 0 830244 0 0 0 ROBERT CRONER 314680 0 180147 0 15341 0 5000 0 27824 0 542992 0 0 0 THOMAS R DOLE 273983 0 160380 0 8391 0 5000 0 20293 0 468047 0 0 0 AMY LAMBERT 261362 0 149350 0 7266 0 5000 0 28585 0 451563 0 0 0 PAULA AGOSTO 202441 0 59835 0 18155 0 5000 0 26035 0 311466 0 0 0 DOUGLAS CARNEY 314650 0 164300 0 116712 0 1654 0 13420 0 610736 0 0 0 SCHEDULE J, PART I, LINE 1a Tax gross-up payments are provided to the President and CEO for (1) premiums on long-term disability coverage and (2) reimbursement of any out-of-pocket costs he incurs related to health insurance coverage (e.g., copays or deductibles), to the extent that such reimbursement is taxable. SCHEDULE J, PART I, Line 4b Some officers, directors, and key employees listed in Form 990, Part VII participate in Supplemental Executive Retirement Plans ("SERPs"). Any SERP payments are reported in Part II Column (B)(iii). SCHEDULE J, PART I, LINE 7 Incentives are available for members of senior management and department chairs 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 sufficient operating margin to fund the incentives. SCHEDULE J, PART II, COLUMN (C) The amount reported here may include changes in actuarial values of SERPs as required to be reported by the IRS. A HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903DZ3 2003-02-18 52500000 REFINANCE 1993A BONDS false false false B HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903ZG6 2005-02-15 60950000 REFINANCE 1993A BONDS false false false C HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903ZW1 2007-02-27 219892120 NEW CONSTRUCTION false false false D HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903F29 2011-03-09 50000000 NEW CONSTRUCTION false false false A 45400000 0 52500000 0 0 0 118125 0 0 0 52381875 0 1995 true false true true B 0 0 60950000 0 0 0 0 0 0 0 60950000 0 1995 true false true true C 11367120 0 219892120 0 0 0 1554043 0 0 218338077 0 0 2009 false false true true D 0 0 50000000 0 0 0 406100 0 0 6633324 0 42960576 false false false true A 0 B 0 C false true 0 D 0 A false true true true UBS WARBURG 11. false false false 0 false true B false true true true UBS WARBURG 18. false false false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A false B false C false D false A HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903E87 2011-03-09 50000000 NEW CONSTRUCTION false false false B HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903F45 2011-10-27 270004822 NEW CONSTRUCTION AND REFI 2008 BON false false false A 0 0 50000000 0 0 0 406100 0 0 6633324 0 42960576 false false false true B 0 0 270004822 0 0 0 4822 0 0 51287581 170000000 48712419 true false false true A 0 B false true 0 A false true true false 0 false 0 false true B false true false false 0 false 0 false true A false B false SCHEDULE K DISCLOSURES SCHEDULE K, PART I, LINE B, COLUMN (C) For the 2011 SERIES C AND D bondS issued 10/27/2011, the additional CUSIP numbers are as follows: 717903F52; 717903F60; 717903F78; 717903F86; 717903F94; 717903G28; 717903G36; 717903G44; 717903G51; 717903G69; 717903G77; 717903G85; 717903G93; 717903H27; 717903H50; 717903H35; 717903H68; 717903H84; 717903H76 SCHEDULE K, PART IV, LINE 2C 0 THE ARBITRAGE CALCULATION FOR THE $222,825,000 SERIES A OF 2007 WAS COMPLETED ON OCTOBER 17, 2008. THE ARBITRAGE CALCULATION FOR THE $50,000,000 SERIES A OF 2011 AND $50,000,000 SERIES B OF 2011 WAS COMPLETED ON APRIL 17, 2013. THE ARBITRAGE CALCULATION FOR THE $260,795,000 SERIES C AND D OF 2011 WAS COMPLETED ON DECEMBER 6, 2012. JENNIE MINNICK SEE PART V 36137 EMPLOYEE OF CHOP false BARBARA KLOCK MD SEE PART V 245422 EMPLOYEE OF CHOP false MEAD JOHNSON COMPANY LLC SEE PART V 155379 PURCHASE OF FORMULA false LOUISE AMLIE WOLF SEE PART V 18247 EMPLOYEE OF CHOP false COMCAST SEE PART V 113064 NETWORK SERVICES false Form 990, Part IV, Column (b) Relationships Key Employee Mary Tomlinson's sister, Jennie Minnick, is an employee of CHOP. Trustee Salem D. Shuchman's Wife, Barbara Klock, M.D., is an employee of CHOP. Doctor Steven M. Altschuler is a board member of Mead Johnson & Company, LLC. CHOP purchased $155,379 in formula from Mead Johnson Nutrition. Key Employee Bryan Wolf's daughter, Louise Amlie Wolf, was employed by CHOP from July 2012 to January 2013 as a Clinical Coordinator. Trustee Kornelis Smit is the President and CEO of Comcast. CHOP purchased $113,064 in network services from Comcast. 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, 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, SECTION B, Line 11B A copy of this return was reviewed by the Board Audit & Compliance Committee before the return was filed. Before the return was filed, the Form 990 was also made available to the entire governing body of the organization through an accessible shared computer network drive maintained by The Children's Hospital of Philadelphia. FORM 990, PART VI, SECTION B, LINE 12 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 internally 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 executives and physicians/scientists is reviewed and approved by an independent Compensation Committee of the Board of Trustees. The Committee reviews and approves in advance the compensation to be provided to the CEO, all Vice Presidents (including Executive and Senior VP levels), Clinical Department Chairs, and all faculty physicians and scientists. For each such person, this process was last performed in 2012. In making its determinations, the Committee considers the performance of the organization and that of the covered individuals 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 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. 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 TO TEMP. RESTRICTED NET ASSETS 16,704,093 PENSION ADJUSTMENT 48,386,877 SELF INSURANCE TRANSFER 11,164,226 OTHER CHANGES/TRANSFERS 3,209,076 ============= TOTAL 79,464,272 BACHE LEWIS PENROSE LLC 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 205126955 HOLDING CO PA 1400796 134158974 CHOP SPARK THERAPEUTICS LLC 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 462654405 RESEARCH PA 0 0 CHOP CHILDREN'S HEALTH CARE ASSOCIATES INC 100 PENN SQ E 9TH FL STE 301 PHILADELPHIA PA 19107 222785804 HEALTHCARE PA 501(c) (3) 9 CHOP true CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 51 HADDONFIELD ROAD CHERRY HILL NJ 08002 233036699 HEALTHCARE NJ 501(c) (3) 9 CHOP true CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 223405673 HEALTHCARE NJ 501(c) (3) 9 CHOP true CHILDREN'S ANESTHESIOLOGY ASSOC LTD 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232592835 HEALTHCARE PA 501(c) (3) 9 CHOP true SURGICAL ASSOCIATES RESEARCH & EDUCATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(c) (3) 11 III - FI CHOP true CHILDREN'S SURGICAL ASSOCIATES LTD 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(c) (3) 9 CHOP true CHILDREN'S SURGICAL ASSOCIATES OF NJ 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 223348481 HEALTHCARE NJ 501(c) (3) 9 CHOP true PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(c) (3) 11 I 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 true CHOP PRACTICE ASSOCIATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 HEALTHCARE PA 501(c) (3) 9 CHOP true CHOP CLINICAL ASSOCIATES INC C/O CHOP 34TH ST CIVIC CTR PHILADELPHIA PA 19104 223548970 HEALTHCARE NJ 501(c) (3) 11 III - FI CHOP true CHOP FOUNDATION 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 SUPPORT PA 501(c) (3) 7 NA false RADIOLOGY ASSOCIATES OF CHOP 100 PENN SQUARE EAST PHILADELPHIA PA 19107 232665855 HEALTHCARE PA 501(c) (3) 9 CHOP true 4865 MARKET ASSOC 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 461341918 REAL ESTATE PA NA 8187328 0.99000 true false true false false false false false false true false false true true true true true true true First Medical Insurance Company (RRG) M 11153000 COST PGH Development Corporation P, Q 1583647 COST Radiology Associates of Children's Hospital R, S 8306331 COST Children's Anesthesiology Associates R, S 13553531 COST Children's Healthcare Associates Inc A, J, 137508236 COST Children's Healthcare Associates of NJ A, J, 12520986 COST Children's Surgical Associates Inc A, J, 17295631 COST Children's Surgical Associates of NJ A, J, 1358853 COST Children's Anesthesiology Associates of NJ J, P 921437 COST CHOP Foundation C, Q 43033588 COST 4865 Market Street Associates LP A, J, 48125 COST