2011-05-13T16:32:10-05:00 2010-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2009-07-01 232592835 Children's Anesthesiology Associates Ltd CHIL 2159778100 34th AND CIVIC CENTER BOULEVARD PHILADELPHIA PA 191044306 WILLIAM J GREELEY 2011-05-12 true Eric M McNeil 2673303000 2009 2016-02-24 21:20:13Z WILLIAM GREELEY MD 34TH CIVIC CENTER BLVD PHILADELPHIA PA 191044306 45300593 false X n/a X 1990 PA TO PROVIDE ANESTHESIA AND CRITICAL CARE FOR PATIENTS AND EDUCATIONAL, RESEARCH AND ADMINISTRATIVE SERVICES TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. 10 0 80 0 1128804 1093999 41055918 43459104 -561981 747490 0 0 41622741 45300593 0 0 0 0 31011840 32647301 0 0 0 9124621 7395991 40136461 40043292 1486280 5257301 19252450 24909900 8701963 9404288 10550487 15505612 TO PROVIDE ANESTHESIA AND CRITICAL CARE FOR PATIENTS AND EDUCATIONAL, RESEARCH AND ADMINISTRATIVE SERVICES TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. false false 34767927 43459104 To provide pediatric Medical, anesthesiology, 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 Children's Hospital of Philadelphia. 999132 1068999 Children's Anesthesiology Associates Ltd Ventilator Assisted Children/Home Program 35767059 true true false false false false false false false true false true false true true 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 134 0 true 80 true false false false false false false false false false 10 0 false false false false true true true true true false false true true true true true true true true false PA X JESSICA DELEON 2159778100 100 N 20TH STREET SUITE 200 PHILADELPHIA PA 19103 WILLIAM J GREELEY MD 40.0 X X 717211 0 39393 SUSAN C NICOLSON MD 40.0 X X 474584 0 28075 ALAN J SCHWARTZ MD 40.0 X X 391262 0 24466 JEFFREY M FELDMAN MD 40.0 X X 398139 0 35104 LYNNE G MAXWELL MD 40.0 X 379650 0 28003 JOHN MCCLOSKEY 40.0 X 378611 0 32675 DANIELA H DAVIS 40.0 X 258551 0 34760 ROBERT A BERG 40.0 X 392046 0 24460 LISA M MONTENEGRO 40.0 X 352778 0 32207 GORDON BARR 40.0 X 198803 0 29102 JUDITH E KRAFT 40.0 X 191880 0 17943 A MICHAEL BROENNLE MD 40.0 X 164450 0 21813 DOROTHEA CONNOLLY 40.0 X 155787 0 18005 PAMELA MITCHELL 40.0 X 159606 0 29830 DR DAVID LOWE 40.0 X 397927 0 46027 LISA JONES 40.0 X 157382 0 15699 DAVID E COHEN MD 40.0 X 373052 0 33632 DAVID R JOBES MD 40.0 X 325625 0 28166 SCOTT COOK-SATHER MD 40.0 X 312207 0 32724 VINAY NADKARNI MD 40.0 X 352753 0 34764 MARK A HELFAER MD 40.0 X 393843 0 34947 MARGARET A PRIESTLEY MD 40.0 X 263464 0 28166 7189611 0 649961 22 true true true CHILDREN'S HOSPITAL OF PHILADELPHIA 34TH AND CIVIC CENTER BLVD PHILADELPHIA PA 19104 SALARIES & MISC SERV 4190031 CHILDREN'S HEALTHCARE ASSOCIATES 100 N 20TH ST SUITE 301 PHILADELPHIA PA 19103 SALARIES & MISC SERV 2406939 MEDQuiST INC PO BOX 10832 NEWARK NJ 017930832 TRANSCRIPTION SVCS 152388 Trustees of the University of penns 312 Franklin building 3451 walnut PHILADELPHIA PA 19104 salaries & misc serv 23952246 7 1068999 25000 1093999 NET PATIENT REVENUE 900099 36801086 36801086 RESEARCH REVENUE 900099 2726309 2726309 PROGRAM SUPPORT 900099 3931709 3931709 43459104 134084 134084 0 0 613406 613406 613406 613406 0 0 0 0 45300593 43459104 747490 0 0 0 0 4726450 4403437 323013 0 0 24532611 22464963 2067648 0 1350046 1093088 256958 0 177684 155526 22158 0 1860510 1317772 542738 0 5541 0 5541 0 485 485 0 0 58762 0 58762 0 0 0 27935 0 27935 0 252820 173051 79769 0 0 146249 69362 76887 0 217341 11888 205453 0 0 183636 26813 156823 0 57807 51232 6575 0 0 252339 252339 0 0 0 3135548 2886923 248625 0 42356 0 42356 0 496764 486597 10167 0 BAD DEBT 1118742 1118742 VAC/HP PROGRAM 999132 999132 DUES AND SUBSCRIPTIONS 184076 180259 3817 RECRUITMENT 42372 28014 14358 BANK CHARGES 92415 92415 81671 47436 34235 40043292 35767059 4276233 0 6681416 9123192 5836659 5353503 73985 78824 2278393 2216327 105732 62066 3993228 6441351 2561430 3850964 19252450 24909900 5726938 6544593 2975025 2859695 8701963 9404288 X 10550487 15505612 10550487 15505612 19252450 24909900 X false true false X true true X 38904 1128804 1093999 2261707 31684433 35120330 37043166 41055918 43484104 188387951 31684433 35120330 37082070 42184722 44578103 190649658 190649658 193873 274607 241594 65556 134084 909714 193873 274607 241594 65556 134084 909714 59118 38337 8937 0 106392 31937424 35433274 37332601 42250278 44712187 191665764 0.99470 0.99424 0.00475 0.00516 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 51658 51658 2226735 2164669 62066 62066 DUE FROM AFFILIATES 3835656 MISCELLANEOUS RECEIVABLES 15308 3850964 0 DUE TO AFFILIATES 2859695 2859695 45300593 40043292 5257301 -255934 -255934 5001367 45044659 -255934 -255934 45300593 45300593 40043292 40043292 40043292 East Asia and the Pacific 3 Program Services conferences & meetings 45354 North America 1 Program Services conferences & meetings 3657 South America 1 Program Services conferences & meetings 8542 South Asia 2 Program Services conferences & meetings 5324 Sub-Saharan Africa 1 Program Services conferences & meetings 36325 8 99202 X X X X X false true false false false false false true false WILLIAM J GREELEY MD 458368 0 210011 0 48832 0 22050 0 17343 0 756604 0 0 0 MARK A HELFAER MD 338843 0 55000 0 0 0 22050 0 12897 0 428790 0 0 0 SUSAN C NICOLSON MD 359584 0 115000 0 0 0 22050 0 6025 0 502659 0 0 0 ALAN J SCHWARTZ MD 332262 0 59000 0 0 0 22050 0 2416 0 415728 0 0 0 DAVID E COHEN MD 333052 0 40000 0 0 0 22050 0 11582 0 406684 0 0 0 DAVID R JOBES MD 275165 0 50460 0 0 0 22050 0 6116 0 353791 0 0 0 SCOTT COOK-SATHER MD 277807 0 34400 0 0 0 22050 0 10674 0 344931 0 0 0 VINAY NADKARNI MD 283753 0 69000 0 0 0 22050 0 12714 0 387517 0 0 0 A MICHAEL BROENNLE MD 164450 0 0 0 0 0 16139 0 5674 0 186263 0 0 0 DOROTHEA CONNOLLY 140787 0 15000 0 0 0 9401 0 8604 0 173792 0 0 0 PAMELA MITCHELL 152406 0 7200 0 0 0 9434 0 20396 0 189436 0 0 0 JEFFREY M FELDMAN MD 338139 0 60000 0 0 0 22050 0 13054 0 433243 0 0 0 LYNNE G MAXWELL MD 330650 0 49000 0 0 0 22050 0 5953 0 407653 0 0 0 MARGARET A PRIESTLEY MD 203718 0 59746 0 0 0 22050 0 6116 0 291630 0 0 0 JUDITH E KRAFT 149880 0 42000 0 0 0 9585 0 8358 0 209823 0 0 0 JOHN MCCLOSKEY 328611 0 50000 0 0 0 22050 0 10625 0 411286 0 0 0 DANIELA H DAVIS 198493 0 60058 0 0 0 19600 0 15160 0 293311 0 0 0 ROBERT A BERG 322046 0 70000 0 0 0 22050 0 2410 0 416506 0 0 0 LISA M MONTENEGRO 302778 0 50000 0 0 0 22050 0 10157 0 384985 0 0 0 GORDON BARR 173803 0 25000 0 0 0 15912 0 13190 0 227905 0 0 0 DR DAVID LOWE 357927 0 40000 0 0 0 18588 0 27439 0 443954 0 0 0 LISA JONES 142382 0 15000 0 0 0 8667 0 7032 0 173081 0 0 0 SCHEDULE J, PART I, LINE 4b Some officers, directors, and key employees listed in Part VII participate in SERPs. Any SERP payments are reported in Column (B)(iii). SCHEDULE J, PART I, Line 7 For executives and physicians/scientists, the incentive plan is based on achievement of organization and individual goals typically related to quality, operating and financial performance, as well as other significant clinical, quality and scientific achievements. Payment of incentives is dependent upon achieving a sufficient operating margin to fund the incentives. Schedule J, Part III Children's Anesthesiology Associates, Ltd. is a subsidiary of the Children's Hospital of Philadelphia. Our physicians, who are common law employees, are W-2 employees of either the University of Pennsylvania (an unrelated organization), Children's Anesthesiology Associates Ltd. or the Children's Hospital of Philadelphia (a related organization). 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 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, lines 6, and 7 SOLE MEMBER OF CAA IS DR. WILLIAM J. GREELEY. AS THE SOLE MEMBER, DR. GREELEY SURRENDERS ALL ECONOMIC RIGHTS TO CHOP. FORM 990, PART VI, 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 of the practice plan activities. FORM 990, PART VI, LINE 11A A copy of this return was reviewed by the Children's Anesthesiology Associates, LTD 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 an accessible shared computer network drive maintained by the Children's Hospital of Philadelphia. FORM 990, PART VI, 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 (except that members of the Medical Staff who are not based at the Hospital are only required to submit statements bi-annually); 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 forwarded to the OC&P as well as the Office of General Counsel (OGC) for further review and follow-up as needed. 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 Boards of The Children's Hospital of Philadelphia and The Children's Hospital of Philadelphia Foundation. The Committee reviews and approves in advance the compensation to be provided to all faculty physicians and scientists, including the Chairman. For each such person, this process was last performed in 2010. 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 paid by Children's Anesthesiology Associates, Ltd., their compensation is established according to an administrative compensation plan that includes consideration of comparable 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, 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 VII FORM 990, PART VII, RELATED TIME DISCLOSURE Certain officers and key employees of Children's Anesthesiology Associates Ltd. also devote significant time each week to other related organizations as follows: W. Greeley - 40 hours to Children's Anesthesiology Associates Ltd. - 1 hour to Children's Anesthesiology Associates of New Jersey - 1 hour to CHOP Practice Plan Association S. Nicolson - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. A. Schwartz - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. J. Feldman - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. L. Maxwell - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. J. McCloskey - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. D. Davis - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. R. Berg - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. L. Montenegro - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. G. Barr - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. J. Kraft - 1 hour to Children's Anesthesiology Associates of New Jersey - 40 hours to Children's Anesthesiology Associates Ltd. THE CHILDREN'S HOSPITAL OF PHILADELPHIA 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 HEALTHCARE PA 501(C)(3) 3 NA THE CHILDREN'S HOSPITAL of philadelphia 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 HEALTHCARE PA 501(C)(3) 7 na CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 100 NORTH 20TH STREET PHILADELPHIA PA 19103 223405673 HEALTHCARE PA 501(C)(3) 9 CHOP CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 51 HADDONFIELD ROAD CHERRY HILL NJ 08002 233036699 HEALTHCARE NJ 501(C)(3) 9 CHOP CHILDREN'S HEALTH CARE ASSOCIATES INC 100 NORTH 20TH STREET PHILADELPHIA PA 19103 222785804 HEALTHCARE PA 501(C)(3) 9 CHOP RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPI 34TH CIVIC BLVD PHILADELPHIA PA 19104 232665855 HEALTHCARE PA 501(C)(3) 9 CHOP SURGICAL ASSOCIATES RESEARCH & EDUCATION 34TH CIVIC CENTER BLVD PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(C)(3) 11 III-FI CHOP CHILDREN'S SURGICAL ASSOCIATES LTD 1 CHILDRENS CENTER PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(C)(3) 9 CHOP CHILDREN'S SURGICAL ASSOCIATES OF NJ 1012 LAUREL OAKS ROAD VOORHEES NJ 08043 223348481 HEALTHCARE NJ 501(C)(3) 9 CHOP PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(C)(3) 11 III-FI CHOP FIRST MEDICAL INSURANCE COMPANY (RRG) C/O MARSH MANAGEMENT SERVICE BURLINGTON VT 05401 010719207 SELF-INSURANC VT 501(C)(3) 11 III-FI CHOP CHILDREN'S HOSPITAL OF PHILADELPHIA 34TH CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 PHYSICIAN SU PA 501(C)(3) 9 CHOP CHOP CLINICAL ASSOCIATES INC C/O CHOP 34TH CIVIC CENTER PHILADELPHIA PA 19104 223548970 HEALTHCARE PA 501(C)(3) 9 CHOP false false false false false false false false false true true true true true true true true true