2011-05-16T11:09:02-05:00 2010-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2009-07-01 231352166 THE CHILDREN'S HOSPITAL OF PHILADELPHIA CHIL 2155901000 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 191044388 THOMAS TODOROW 2011-05-13 true Eric M McNeil 2673303000 2009 2016-02-24 21:20:13Z Steven Altschuler 34th St Civic Center Blvd Philadelphia PA 19104 1558299416 false X www.chop.edu X 1860 PA PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS. 31 24 9652 312 0 0 320329981 178400661 1109276343 1192842910 -496091 7363214 10412495 46907925 1439522728 1425514710 19479042 15844669 0 0 566568724 600095999 0 0 0 656256640 673826872 1242304406 1289767540 197218322 135747170 2034732394 2207858676 1054272785 1089410678 980459609 1118447998 PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS. false false 724791713 0 1216734009 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, home care, 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, 2010, the hospital wrote off $43,388,000 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 (2003-2009), Child Magazine in its biennial surveys (2001, 2003, 2005, and 2007) and Parents magazine, in its first survey (2009). For the Year ended June 30, 2010 1) Total inpatient days: 139,424 2) Total inpatient admissions: 28,106 3) Total emergency department visits: 85,690 4) Total Specialty Care Visits: 310,394 5) Total Primary care visits: 732,919 6) Total Home Care visits: 372,692(patient days) 13,327(eqp. rental) 7) Day surgery visits: 38,202 237214197 15844669 17911154 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) 962005910 true true false true false false false false false true false true false true true true false false false false true true false true true true false false true true false false true true true false false false false true true true false false true 596 0 true 9652 true false false false false false false false false false 31 24 false false false false false false false true true false false true true true true true true true true false PA X THOMAS TODOROW 2675901000 34TH ST CIVIC CENTER BLVD PHILADELPHIA PA 19104 STEVEN M ALTSCHULER MD 40.0 X X 1992035 0 2033004 N SCOTT ADZICK MD 1.0 X 0 1712563 132716 ALAN COHEN MD 1.0 X 0 883039 43370 STEPHEN B BURKE 1.0 X X 0 0 0 TRISTRAM C COLKET JR 1.0 X X 0 0 0 CLARK HOOPER BARUCH 1.0 X 0 0 0 ARTHUR DANTCHIK 1.0 X 0 0 0 MARK FISHMAN 1.0 X 0 0 0 LYNNE L GARBOSE 1.0 X 0 0 0 ANTHONY A LATINI 1.0 X 0 0 0 GEORGE B LEMMON JR 1.0 X 0 0 0 JAMES L McCABE 1.0 X 0 0 0 JOHN MILLIGAN CPA 1.0 X X 0 0 0 FRED N BIESECKER 1.0 X 0 0 0 ASUKA NAKAHARA 1.0 X 0 0 0 JEFFREY E PERELMAN 1.0 X X 0 0 0 R ANDERSON PEW 1.0 X X 0 0 0 GERALD D QUILL 1.0 X 0 0 0 AILEEN KENNEDY ROBERTS 1.0 X 0 0 0 DAVID B RUBENSTEIN 1.0 X 0 0 0 STUART T SAUNDERS JR 1.0 X 0 0 0 SALEM D SHUCHMAN 1.0 X 0 0 0 AUDREY C TALLEY 1.0 X 0 0 0 BINNEY WIETLISBACH 1.0 X 0 0 0 DIRK E ZIFF 1.0 X 0 0 0 ANNE FAULKNER SCHOEMAKER 1.0 X 0 0 0 TROYEN BRENNAN 1.0 X 0 0 0 NANCY WOLFSON 1.0 X 0 0 0 MORTIMER J BUCKLEY III 1.0 X 0 0 0 DOMINIC J CARUSO 1.0 X 0 0 0 AMINTA HAWKINS BREAUX 1.0 X 0 0 0 THOMAS J TODOROW 40.0 X 1006924 0 137316 JEFFREY D KAHN 40.0 X 471009 0 13396 ROOSEVELT HAIRSTON 40.0 X 545041 0 57941 STUART SULLIVAN 40.0 X 257735 0 2474 MADELINE BELL 40.0 X 1144307 0 254900 MARGARET M JONES 40.0 X 715341 0 102811 JOHN McDONOUGH 40.0 X 498168 0 121660 PHILIP JOHNSON 40.0 X 997699 0 47861 BRYAN WOLF 40.0 X 752398 0 51609 KATHLEEN GORMAN 40.0 X 181444 0 318 CHAD HOUGH 40.0 X 440410 0 7306 MARY TOMLINSON 40.0 X 302441 0 8551 TOM CURRAN 40.0 X 566168 0 37021 DAVID ALEXANDER 40.0 X 448999 0 4478 CYNTHIA HAINES 40.0 X 617918 0 34332 MICHELE LLOYD 40.0 X 420217 0 7811 ROBERT OLIVIERI 40.0 X 378478 0 7595 LUCIA FONTALVO-HERAZO 40.0 X 357677 0 4600 BONNIE S BRIER 40.0 X 619976 0 6986 GAVIN KERR 40.0 X 429125 0 0 GREG HAZLETT 40.0 X 345141 0 230 EDWARD J MILES 40.0 X 239590 0 4577 13728241 2595602 3122863 867 true true true GORDON GROUP ELECTRICAL 1701 A LORRETTA AVE FEASTERVILLE PA 19053 CONSTRUCTION SERVICE 8782213 TURNER CONSTRUCTION COMPANY 1835 MARKET STREET 21ST FLOOR PHILADELPHIA PA 19103 CONSTRUCTION SERVICE 8318944 BLASZ CONSTRUCTION 800 PENNSYLVANIA BOULEVARD FEASTERVILLE PA 19053 CONSTRUCTION SERVICE 6795742 CARR DUFF 2100 BYBERRY ROAD HUNTINGDON VALLEY PA 19006 CONSTRUCTION SERVICE 5173439 OWENS MINOR INC PO BOX 8500-55182 NEWARK NJ 071880170 MANAGEMENT SERVICES 4605533 112 20629768 136151019 21619874 178400661 GROSS PATIENT REVENUE 900099 1173462002 1173462002 0 0 POISON CENTER RECEIPTS 900099 642513 642513 0 0 RESEARCH 900099 17911154 17911154 0 0 HOME CARE - HEMOPHILIA 621610 827241 827241 0 0 1192842910 4850457 4850457 0 267793 267793 4837879 4837879 4837879 4837879 135297463 132784706 2512757 2512757 2512757 0 0 0 INDIRECT PUBLIC SUPPORT - RESEARCH REVENUE 900099 26208116 26208116 CONTRIBUTIONS RELEASED FROM RESTRICTIONS 900099 7259711 7259711 PARKING GARAGE REVENUE 812930 4531992 4531992 3802434 3802434 41802253 1425514710 1234645163 0 12468886 15052375 15052375 0 792294 792294 0 16656909 0 16656909 0 0 469826868 314495895 155330973 0 25724571 16630096 9094475 0 48427670 31306909 17120761 0 39459981 24342933 15117048 0 0 1363808 0 1363808 0 709116 0 709116 0 756749 0 756749 0 0 763356 0 763356 0 69012430 43115771 25896659 0 1911989 0 1911989 0 16474189 7460070 9014119 0 1382373 956608 425765 0 2113308 0 2113308 0 25625902 1245719 24380183 0 2129547 1563822 565725 0 0 1746308 1094500 651808 0 8064722 5967894 2096828 0 0 118843058 87943863 30899195 0 15100215 7865550 7234665 0 RESEARCH EXPENSE 237214197 237214197 0 0 PATIENT RELATED SUPPLIES 125898563 125898563 0 0 BAD DEBTS 36064759 36064759 0 0 MISCELLANEOUS EXPENSES 6670369 1321084 5349285 0 DUES AND SUBSCRIPTIONS 1981914 1673008 308906 0 1289767540 962005910 327761630 0 43428080 111031318 25901872 29939505 179995226 164921683 11435400 10244600 2653248 3613370 9120048 9705578 2425631433 904101599 1467904282 1521529834 162107000 151610988 49434000 61625282 82753238 143636518 2034732394 2207858676 193531322 207936689 23169176 28739966 617962762 606710414 219609525 246023609 1054272785 1089410678 X 939052658 1080060973 41406951 38387025 980459609 1118447998 2034732394 2207858676 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 756749 true 421058 false false 1177807 false Schedule C, Part II-B, Line 1 During the Year ending June 30, 2010, CHOP conducted the following lobbying activities through the use of its employees, volunteers, independent contractors, and other organizations. Line 1f - Includes the following: - PA lobbying in support of the Hospital's participation in the Urban Health Care Coalition, Medicaid reimbursement and disproportionate share hospital funding. - Federal lobbying in support of Children's Hospitals Graduate Medical Education. - Federal lobbying in support of TRICARE, military's insurance program. - Federal lobbying in support of federal policy issues, including healthcare reform, Medicaid, union organization matters affecting providers, medical research, graduate medical education, and other issues - PA and Federal lobbying in support of state and federal policy issues, including including medical liability insurance programs, healthcare reform, medical malpractice, hospital payments, mandatory overtime and other issues. - Federal lobbying in support of healthcare reform, Medicaid reimbursement, union organization matters affecting providers and other issue. - Federal, PA, and local lobbying in support of business issues impacting Hospital operations, including labor policy, economic development and healthcare. - Federal lobbying in support of medical research, graduate medical education, healthcare reform and other issues. - NJ and Federal lobbying in support of state and federal policy issues, healthcare reform, medical malpractice, hospital payments and other issues. - Federal lobbying in support of the Hospital's participation in the National Children's Study, and appropriations for Study. - State lobbying in support of Hospital appropriations and programs. - NJ lobbying, monitoring and report in support of access to the Hospital's services in NJ. - Federal lobbying and consortium management in support of pediatric research consortia establishment legislation; research funding. - NJ and Federal lobbying in support of business issues impacting the Hospital operation, including labor policy, economic development, and healthcare. Line 1g - Includes the cost of CHOP staff on various lobbying activities. 29707654 29707654 1709816002 554228384 1155587618 550161712 349873216 200288496 135946066 135946066 1521529834 DUE FROM THIRD PARTIES 25528279 DUE FROM AFFILIATES 87760989 INTERCOMPANY RECEIVABLES 9211408 DEFERRED COSTS 12084498 MISCELLANEOUS RECEIVABLES 9051344 143636518 0 SELF INSURANCE LIABILITY 120125363 ACCRUED PENSION COST - MIN. LIABILITY 90723851 INTEREST RATE SWAP 15625507 DEFERRED COMPENSATION 6900014 DUE TO AFFILIATES 12255583 DUE TO THIRD PARTIES 393291 246023609 true North America Grantmaking N/A 248918 Europe (Including Iceland and Greenland) Grantmaking N/A 543376 Central America and the Caribbean 3 Program Services TEACHING & RESEARCH 5850 East Asia and the Pacific 1 Program Services TEACHING & RESEARCH 3182 Europe (Including Iceland and Greenland) 7 Program Services TEACHING & RESEARCH 45755 Middle East and North Africa 1 Program Services TEACHING & RESEARCH 3811 North America 38 Program Services TEACHING & RESEARCH 75987 South America 1 Program Services TEACHING & RESEARCH 476 South Asia 2 Program Services TEACHING & RESEARCH 5164 53 932519 North America VALIDATION OF NIH STROKE SCALE IN CHILDREN 18088 CHECK 0 N/A FMV North America LONG TERM EFFECTS OF THERAPEUTIC CAFFEINE USE FOR APNEA 48492 CHECK 0 N/A FMV North America FINE MAPPING & FUNCTIONAL EVALUATION OF SELECTED TYPE 1 DIABETES 179338 CHECK 0 N/A FMV Europe/Iceland/Greenland APPLIED GENOMIC RESEARCH 498832 WIRE 0 N/A FMV Europe/Iceland/Greenland APPLIED GENOMIC RESEARCH 44544 CHECK 0 N/A FMV 0 1 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 45CFR 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 3038226 0 3038226 0.00240 334020568 286640109 47380459 0.03780 22070109 13851514 8218595 0.00660 359128903 300491623 58637280 0.04680 33596481 5422117 28174364 0.02250 116620105 89740097 26880008 0.02140 175008375 26815132 148193242 0.11820 478078 0 478078 0.00040 325703039 121977346 203725692 0.16250 684831942 422468969 262362972 0.20930 true 31045882 0 1046240 2856683 -1810443 X true true The Children's Hospital of Philadelphia

34th Civic Center Blvd Philadelphia PA 19104

X X X X X X CHOP Care Netwk Ped & Adol Special Care

500 W Butler Avenue Chalfont PA PA 18914

Ped & Adol Spec Care ASF CHOP Care Netwk Ped & Adol Special Care

4009 Black Horse Pike Mays Landing NJ 08330

Ped & Adol Spec Care CHOP Care Netwk Ped & Adol Special Care

1766 Wilmington Pike Glen Mills PA 19342

Ped & Adol Spec Care CHOP Care Netwk Ped & Adol Special Care

707 Alexander Road Princeton NJ 08540

Ped & Adol Spec Care CHOP Care Netwk Ped & Adol Special Care

481 John Young Way Oaklands Corp Ct Exton PA 19341

Ped & Adol Spec Care ASF CHOP Care Netwk Ped & Adol Special Care

1012 Laurel Oak Rd Laurel Oak Corp Voorhees NJ 08043

Ped & Adol Spec Care ASF CHOP Care Netwk Ped & Adol Special Care

211 Mall Blvd King of Prussia PA 19406

Ped & Adol Spec Care The Cardiac Center CHOP

St Peter Univ Hosp 254 Easton Av MO New Brunswick NJ 08901

Ped & Adol Spec Care CHOP Care Netwk Ped & Adol Special Care

950 Pulaski Drive King of Prussia PA 19406

Ped & Adol Spec Care CHOP Care Netwk Ped & Adol Special Care

100 West Sproul Rd Pav II Suite 22 Springfield PA 19064

Ped & Adol Spec Care CHOP Care Network Pediat & Adolesc Care

3550 Market Street 4th 5th FLS Philadelphia PA 19104

Pediat & Adoles Care CHOP Care Network Pediat & Adolesc Care

3819-33 Chestnut St St Leon Ct Ste Philadelphia PA 19104

Pediat & Adoles Care CHOP Care Network Pediat & Adolesc Care

1930 So Broad St 2nd FL Unit 5 Philadelphia PA 19145

Pediat & Adoles Care CHOP Care Network Pediat & Adolesc Care

225 Cobbs Creek Parkway Philadelphia PA 19139

Pediat & Adoles Care CHOP Care Network

200 Sproul Rd Ste 206 Broomall PA 19008

Physician Practice CHOP Care Network

2100 Keystone Ave Ste 404 Drexel Hill PA 19026

Physician Practice CHOP Care Network

176 S New Middletown Rd Ste 202 Media PA 19063

Physician Practice CHOP Care Network

1315 Route 9 South Burleigh NJ 08210

Physician Practice CHOP Care Network

48 So New York Rd Route 9 Smithville NJ 08201

Physician Practice CHOP Care Network

505 Bay Avenue Bayside Commons Somers Point NJ 08244

Physician Practice CHOP Care Network

3201 Marne Highway Mt Laurel NJ 08054

Physician Practice CHOP Care Network

708 Shady Retreat Road Doylestown PA 18901

Physician Practice CHOP Care Network

770 Germantown Avenue Philadelphia PA 19118

Physician Practice CHOP Care Network

600 Haverford Rd Ste 100 Haverford PA 19041

Physician Practice CHOP Care Network

1700 Horizon Dr Suite 200 Chalfont PA 18914

Physician Practice CHOP Care Network

Sky View Med Ctr 3456 Bethlehem Pk Souderton PA 18964

Physician Practice CHOP Care Network

Newtown Pav 6 Penns Trail Ste 105 Newtown PA 18940

Physician Practice CHOP Care Network

5003 Umbria Street Philadelphia PA 19128

Physician Practice CHOP Care Network

2006 Salem Road Burlington Twp NJ 08016

Physician Practice CHOP Care Network

495 Highlands Blvd Ste 100 Coatesville PA 19320

Physician Practice CHOP Care Network

1766 Wilmington Pike Glen Mills PA 19342

Physician Practice CHOP Care Network

Flourtwn Com 1811 Bethlehem Pk Ste Flourtown PA 19031

Physician Practice CHOP Care Network

891 East Baltimore Pike Kennett Square PA 19348

Physician Practice CHOP Care Network

795 E Marshall St Ste 301-307 West Chester PA 19380

Physician Practice CHOP Care Network

250 W Lancaster Ave Ste 340 Paoli PA 19301

Physician Practice CHOP Care Network

196 W Sproul Rd Ste 205 Springfield PA 19064

Physician Practice CHOP Care Network

440 E Marshall St 3rd FL No Ste 300 West Chester PA 19380

Physician Practice CHOP Care Network

390 Vineyard Way Hood Bldg 500 Ste West Grove PA 19390

Physician Practice CHOP Care Network

Stone Mill Of Pk 722 Yorklyn Rd Ste Hockessin DE 19707

Physician Practice CHOP Care Network

210 Christiana Medical Ctr Newark DE 19702

Physician Practice THE ORGANIZATIONS'S CHARITY CARE POLICY 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 IN ASSESSING AVAILABLE ASSETS. The bad debt expense included on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $36,064,759. CHOP's audited financial statements do not include a footnote that explains bad debt expense, accounts receivable, or allowance for doubtful accounts. 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. The bad debt expense at cost was determined by a cost to charge ratio. CHOP'S BAD DEBT POLICY AND PARTIAL CHARITY CARE POLICIES, AS WELL AS ITS FINANCIAL ASSISTANCE POLICY AND ALL RELATED INTERNAL POLICIES AND PRACTICES, PROVIDE THAT CHARITY CARE (AND PARTIAL CHARITY CARE) CASES ARE DESIGNATED IN THE SYSTEM IN A PAYOR CATEGORY THAT IS NOT SENT TO OUTSIDE COLLECTIONS. PART VI, ITEM 2: During TY 2009, CHOP assessed the needs of the communities it serves through various means. For example, many of these community needs assessments were performed on a continuous basis. Thus, on a monthly basis CHOP tracks the third available appointment for pediatric subspecialty outpatient appointment access. The "third available appointment" is a national metric that has been created by a group of 42 freestanding children's hospitals as a way to measure community access to pediatric subspecialty care. When subspecialty appointment availability goes beyond a certain threshold, CHOP implements strategies in order to improve access to care for the community. Second, on an annual basis, as a part of its resource allocation process CHOP develops a capacity plan. For primary care pediatrics, CHOP assesses appointment access and community demand to increase, as needed, the number of providers and exam room capacity. On the inpatient side, CHOP uses historical growth trends to predict future community demand. The annual capacity plan guides decision making around additional hospital beds, emergency department capacity and clinical providers. Consistent with its extensive research and community service activities (some of which are further described in Item 6 below), CHOP also often performs cause-specific analyses addressing specific areas of need. Thus, for example, CHOP is a key participant in the Philadelphia Collaborative Violence Prevention Center ("PCVPC"), a community-based participatory research endeavor which brings together academic institutions and community-based organizations to conduct community-based participatory research through a cooperative agreement with the federal Centers for Disease Control & Prevention. The Center consists of a central research model that takes promising models of primary prevention programs for youth and adapts them for use in the West Southwest Philadelphia community in partnership with community members and community-based organizations. A key goal of the Center is to learn how to best share research results with the community and incorporate community feedback into the design of research. CHOP believes that this research-oriented focus on specific community needs is an effective method of meeting specific health needs of the communities it serves. Many of CHOP's community programs are also collaborations with community agencies. Thus, for example, CHOP's Connect to Protect Project is a community-level prevention research initiative to collaborate with community agencies to perform critical HIV primary prevention in community settings. This initiative is a part of The Adolescent Initiative, an integrated system of clinical care, research, training and prevention with culturally and developmentally appropriate education to adolescents at risk for or infected with HIV. Another community program, CHOP's Center for Leadership Education in Neurodevelomental Disabilities, has as a fundamental goal of developing community partnerships that serve to enhance the health infrastructure of communities CHOP serves, improving services and resources for children and families of children with or at risk for neurodevelopmental disorders including autism spectrum disorders. CHOP's ongoing partnership with community organizations through these and many other programs assist it in its ongoing assessment of the needs of the communities it serves. Finally, CHOP owns and operates PolicyLab, whose mission is to achieve optimal child health and well-being by informing program and policy changes through interdisciplinary research. PolicyLab is one of nine Centers of Emphasis within CHOP's Research Institute. PolicyLab researchers are methodological experts in the disciplines of epidemiology, health services research, program evaluation, and ethics, seeking evidence-based solutions to the most challenging health-related needs affecting children. The express mission of PolicyLab includes a commitment to transforming "evidence to action," bridging the gap between academic communities and the real world by engaging in research that is responsive to community needs and relevant to policy priorities. This focus on broadly but rigorously assessing child health and community needs as part of its research mission is a unique aspect of CHOP. In TY 2009, PolicyLab partnered with numerous stakeholders in traditional healthcare and other community locations to identify the programs, practices, and policies that support the best outcomes for children and their families. PART VI, ITEM 3: CHOP's Family Health Coverage Program (FHCP) assists uninsured and underinsured families, including assessing their eligibility for the appropriate State program (PAMA, PA SCHIP, NJMA, and NJ Family Care), determining which State program a patient/family is eligible for based on Federal Poverty Level guidelines, and other criteria; collecting the required documents; and submitting applications for those programs. A Charity Care assessment may also be done, as appropriate. The Family Health Coverage Program has a designated email account that may be used by divisions within CHOP to refer patients to FHCP. It also has two hotline numbers that are utilized to refer patients to FHCP. An active partnership exists between and among the Hospital's Social Work department, Case Managers and FHCP. Any active patient case can be referred to FHCP up until an account is sent to bad debt or collections. 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 FAQ's about the program. Divisions and departments who have accepted self-pay patients for treatment or medical services refer these patients to FHCP for assessment for State insurance coverage, and/or Charity Care. FHCP information is routinely given 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. Information about the FHCP is provided on the Hospital and Physician Billing statements. In addition, patients/families can learn more about financial and billing information as well as financial assistance, including charity care through: The Families' Guide to Billing and Financial Information; the CHOP internet site; and posters that are displayed 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 appointment or after an appointment has taken place. PART VI, ITEM 4: The Children's Hospital of Philadelphia (CHOP) was founded in 1855 as the first hospital in the nation devoted exclusively to providing medical care for children. In its fiscal year (FY) 2010 (period covered by the 2009 Form 990), CHOP constituted an integrated pediatric healthcare system that includes not only its internationally recognized pediatric hospital but also a leading pediatric research enterprise, extensive academic medicine programs and multiple physician practice plans. The pediatric hospital owned and operated by CHOP includes 492 licensed beds (461 of which were in service in FY 2010) and provides high quality pediatric care, including tertiary and quaternary services, at the CHOP main campus located on 34th Street and Civic Center Boulevard in Philadelphia, PA. In addition, CHOP is recognized as one of the world's leading pediatric research facilities, conducting research that seeks to cure pediatric diseases and improve the health of children across the globe. CHOP also has an extensive, high quality teaching program, including a close collaborative relationship with the University of Pennsylvania. Thus, in describing the communities served by CHOP, its wide-ranging charitable activities of patient care, research, and education must be considered. Patient Care Service Area CHOP's service area is a large geographic area with 1.5 million children including urban, suburban and rural populations. (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software) The service area includes Southeastern Pennsylvania, Southern New Jersey and Northern Delaware including the following 15 Counties: Bucks, Chester, Delaware, Montgomery, Lehigh and Philadelphia Counties in Pennsylvania; Camden, Atlantic, Burlington, Salem, Cape May, Gloucester, Cumberland, and Mercer Counties in New Jersey; and New Castle County in Delaware. CHOP's main campus is in West Philadelphia and 82% of CHOP's inpatient/observation patients came from the greater Philadelphia region or the primary service area. However, CHOP also provided care to patients from 46 States, the District of Columbia and Puerto Rico. CHOP had almost 30,000 inpatient or observation discharges, 430,000 specialty care ambulatory visits and 735,000 primary care visits at its main campus and 35 other satellite locations throughout Pennsylvania and New Jersey. CHOP's comprehensive pediatric medical center and regional Care Network provides care from before birth into adulthood, including inpatient medical, surgical and intensive care services, outpatient care, emergency services, and home care and operates more than 40 clinical specialties and 40 multidisciplinary centers and specialized programs. Patient Care Primary Service Area Demographics and Service Providers Estimated median income in the primary service area was $67,095 (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software.) and 20% of households had annual incomes below $25,000. (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software.) An estimated 29% of children under age 18 were insured by Medicaid while 6% had no insurance. (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software.) The payor mix for patients from CHOP's primary service area included 35% Medicaid patients and 5% patients with no insurance. While the communities CHOP serves include many suburban communities, a large percentage, 27% in FY 2010, of CHOP's inpatient/observation patients lived in the City of Philadelphia. Median income in Philadelphia County was $39,973 (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software) and 36% of the households had annual incomes below $25,000. (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software.) Data from the Annie E. Casey Foundation further estimates that 33.9% of children in Philadelphia are living below 100% of the federal poverty level. [This data is for calendar year 2010 and is derived from the Annie E. Casey Foundation website for the County of Philadelphia for 2006-2008- Poverty Level - Children Age Birth To 17 By Poverty Level (American Community Survey 3-Year Average).] An estimated, 55% of children under age 18 were insured by Medicaid while 10% had no insurance. (Demographic data obtained from Thomson Reuters's the Market Planner Plus Software.) The payor mix for CHOP's inpatient discharges from Philadelphia County included 6,579 medical assistance patients and 153 patients with no insurance. The payor mix for inpatient discharges from CHOP's primary service area included 10,546 medical assistance patients and 257 patients with no insurance. The Pennsylvania Medicaid program provides for additional payments to providers that serve a disproportionate share of low income payments (so-called "DSH" payments). CHOP qualifies for these payments based upon the number of low-income patients that it serves. CHOP operates four Pediatric & Adolescent Care practices in medically underserved areas in Philadelphia. These sites provide comprehensive primary care from birth through young adulthood, during more than 100,000 patient visits each year. Nearly 72% of the children treated at these sites are on medical assistance. In addition, approximately 7% of children seen at CHOP are undocumented. As reflected on the Federal Health Resources and Services Administration website, there are 321 records for Medically Underserved Areas and Medically Underserved Populations in the CHOP primary service area, comprising: 211 records in the 5 Counties in Pennsylvania; 82 records in the 7 Counties in New Jersey; and 28 records in the 1 County in Delaware. CHOP is the only freestanding, independent (i.e. not affiliated with a health system) pediatric hospital in the Commonwealth of Pennsylvania, thus affording it an unparalleled singular focus on pediatric services. It is one of only three pediatric hospitals in its primary service area; the other two are St. Christopher's Hospital for Children, a 189 bed facility located in North Philadelphia, and Alfred I. duPont Hospital for Children, a 200 bed facility located in Wilmington, Delaware. A number of adult hospitals in the region also have pediatric units. Two adult hospitals with pediatric inpatient units and pediatric sub-specialists on staff are Cooper University Hospital in Camden, New Jersey and Bryn Mawr Hospital in Bryn Mawr, Pennsylvania. As a quaternary and tertiary referral center, CHOP is one of a few providers in the United States and the only provider in the region for some services (e.g., pediatric proton beam therapy and multi-disciplinary care for unborn babies with genetic abnormalities). Research and Professional Education Service Area CHOP is recognized as one of the world's leading pediatric research facilities, conducting research that seeks to cure pediatric diseases and improve the health of children across the globe. For the federal fiscal year ending September 30, 2009 (overlapping with the CHOP FY 2009), CHOP Research Institute (the "Institute") was the third largest recipient of research funding from the National Institutes of Health ("NIH") among pediatric facilities. Research at the Institute reflects the institution's deep and long-standing commitment to improve child health. With more than 500 investigators, 1,450 protocols and a research staff in the thousands, the Institute carries out groundbreaking research on the biology and treatment of childhood illnesses including diabetes, neonatal seizures, childhood cancer, hemophilia, pediatric heart disease, cystic fibrosis, nutrition disorders, hypercholesterolemia, mental retardation, AIDS, sickle cell disease, and numerous other diseases and disorders. The Institute has a total operating budget of $248 million for FY 2010. CHOP's reputation as a world leader in pediatrics is, in particular, attributable to the high quality of its teaching programs. CHOP currently sponsors 27 programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). Fellows from 11 of the accredited subspecialty training programs rotate to the Hospital of the University of Pennsylvania, which provides educational experiences as a participating institution. Additionally, CHOP sponsors training programs in 18 pediatric subspecialties for which, at present, there is no ACGME certification. CHOP also works with graduate medical education departments of many of the health systems in the Delaware Valley region to provide pediatric training experiences to over 500 rotating residents and post-graduate physicians annually. Total participation in the above programs in fiscal year 2010 included 135 resident physicians in pediatric training, 247 post-graduate physicians in pediatric subspecialties, and 750 rotations in accredited and non-accredited pediatric subspecialties. CHOP also has a wide variety of approved teaching programs in the vari PART VI, ITEM 6: CHOP has a governing board - its Board of Trustees - in which independent persons representative of the community comprise a majority. CHOP operates a full-time emergency department open to all children, regardless of ability to pay. As described elsewhere in this Schedule H, CHOP treats a substantial number of Medical Assistance patients and, further, provides substantial amounts of uncompensated care. In addition to a full range of patient care programs (many of which are specialized services which may not be available elsewhere), CHOP also operates extensive unparalleled research activities, and a broad range of community education and service programs. Some of these services and programs of CHOP are described below. In addition to its charity care 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 (which is 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); and other clinical programs, ranging from primary care through tertiary and quaternary care that are routinely recognized as among the best in the world. In TY 2009, CHOP's research institute continued its groundbreaking research on diabetes, neonatal seizures, childhood cancer, hemophilia, pediatric heart disease, cystic fibrosis, nutrition disorders, hypercholesterolemia, mental retardation, AIDS, sickle cell disease, and numerous other diseases and disorders that affect children. CHOP makes a significant investment in translational research, aiming to not only broaden the world's base of knowledge of pediatric medicine but also to directly and expediently improve treatment of children's diseases and disorders. CHOP's reputation as a world leader in pediatrics is, in particular, attributable to the high quality of its teaching programs, offering residency training not only in pediatric specialties but also in 18 subspecialties. CHOP also works with graduate medical education departments of many of the health systems in the Delaware Valley region to provide pediatric training experiences to over 500 rotating residents and post-graduate physicians annually. Total participation in the above programs in fiscal year 2010 included 135 resident physicians in pediatric training, 247 post-graduate physicians in pediatric subspecialties, and 750 rotations in accredited and non-accredited pediatric subspecialties. CHOP operates or participates in a wide range of community programs. One category of programs focuses on prevention and outreach and includes such programs as a research-based asthma education program for Philadelphia communities, a Diabetes Center, and the Sickle Cell Center at CHOP (which is particularly focused on patient and community education in the underserved areas of Philadelphia). Another category of CHOP community programs focus on early intervention programs and include: Early Head Start for low-income pregnant women and their families, and Reach Out and Read (a national program supporting reading and literacy). An additional category of community programs focuses on improving access to health care and includes the Homeless Health Initiative (providing medical education and prevention activities on-site in shelters and through the medical home at the CHOP primary care center); and the cultural competency and Language Services Program (providing support to community members with limited English proficiency as well as those with hearing disabilities). Yet another category of CHOP community programs focuses on injury and violence prevention and includes programs such as Safe Place: The Center for Child Protection and Health (providing health care to children who have been maltreated and those in substitute care, as well as a number of educational programs for foster parents and for child welfare and law enforcement professionals), a regional poison control service center providing toxicology services to other hospitals, healthcare providers and consumers, and the Kohl's Injury Prevention Program (which offers a wide range of education and safety devices). A further category of CHOP community programs focuses on children with disabilities and includes the Leadership Education in Neurodevelopmental Disabilities Program (advancing the care of children with neurodevelopment and related disorders, including developing community partnerships to improve services and resources for these children). CHOP also operates or participates in many research-based education programs such as the Center for Autism and Developmental Research and Epidemiology, the Connect to Protect Project of the Adolescent Trials Unit at CHOP (a research initiative to collaborate with community agencies to perform critical HIV primary prevention in community settings), and Teens Taking Control (a controlled pain intervention for adolescents with sickle cell disease). Five years ago, CHOP launched the Healthy Weight Initiative, a program aimed at pediatric obesity prevention and treatment. CHOP also participates in school partnerships such as the Health Care Careers Paths Program through which CHOP provides work-based learning and career exploration to students from two Philadelphia schools. CHOP also hosts a large number of support groups on its campus. These groups are parent-led and are open to all members of the community who wish to participate. PART VI, ITEM 7: CHOP AFFILIATED ENTITIES The trustees and officers of CHOP also serve as the trustees and officers of The Children's Hospital of Philadelphia Foundation (the "Foundation"), a Pennsylvania nonstock, nonprofit corporation that is exempt from federal income taxation under Section 501(c)(3) of the Code (i.e. there is complete overlap of board membership and officers). The Foundation serves as CHOP's fundraising arm. The Foundation also holds and invests the endowment that is available to further the mission of CHOP (and the Foundation). CHOP is the parent entity 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"). All but one of the practice plans are nonprofit entites exempt from federal income taxation under Section 501(c)(3) of the Code. The Practice Plans represent the physician service departments at CHOP in anesthesiology and critical care medicine, pediatrics, surgery, and radiology and the physicians associated with these departments provide professional services in furtherance of CHOP's mission. 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. CHOP operates a number of specialty care outpatient services throughout the region, in addition to a primary care network. CHOP's primary care network includes four urban primary care centers in West and South Philadelphia that provide high quality primary care services for primarily low-income children in CHOP's immediate community. The four primary care centers also serve as ambulatory training sites for CHOP's large pediatric residency program. CHOP also operates 40 pediatric primary care sites throughout the region. 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 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 equipments, such as the Proton Therapy Center owned by the University of Pennsylvania and leased for pediatric use by CHOP. AFFILIATIONS WITH COMMUNITY HOSPITALS CHOP also has a number of affiliations with community hospitals in Pennsylvania and New Jersey under which CHOP and the community hospitals collaborate to provide high quality, efficient pediatric services at the community hospitals. CHOP provides services that may include staffing and management and the affiliations can encompass the provision of emergency pediatric services as well as newborn and other pediatric hospital services as well as educational components. CHOP views these arrangements as an important part of its mission of improving access to and the quality of pediatric care to the communities it serves. ALL STATES WITH WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: PART VI, ITEM 8: 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. Although not expressly a "community benefit report," it encompasses reporting on charity care and other uncompensated care. true ALBERT EINSTEIN MEDICAL CENTER 5501 OLD YORK RD KORMAN B-6 PHILADELPHIA PA 19141 232290323 501(c)(3) 25689 0 FMV N/A ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNI JACK PEARL RESNICK CAMPUS 1300 M BRONX NY 10461 250965591 501(c)(3) 79029 0 FMV N/A EMORY UNIVERSITY 1784 N DECATUR RD SUITE 530 ATLANTA GA 30322 580566256 501(c)(3) 21393 0 FMV N/A JOHN HOPKINS UNIVERSITY DEPT OF PEDIATRIC SURGERY PO BOX 6 BALTIMORE MD 212644316 520595110 501(c)(3) 707818 0 FMV N/A NATIONAL JEWISH MEDICAL AND RESEARCH CENTER 1400 JACKSON STREET DENVER CO 80206 742044647 501(c)(3) 74669 0 FMV N/A NEMOURS CHILDREN'S CLINIC A/R BLDG RM 225B PO BOX 269 WILMINGTON DE 198990269 590634433 501(c)(3) 38172 0 FMV N/A WESTAT 1650 RESEARCH BLVD PO BOX 1004 ROCKVILLE MD 208503129 840529566 5167 0 FMV N/A REGENTS OF THE UNIVERSITY OF CALIFORNIA-SAN FRANC C/O WELLS FARGO BANK PO BOX 39000 SAN FRANCISCO CA 94139 943281657 501(c)(3) 51191 0 FMV N/A STANFORD UNIVERSITY CONTROLLERS OFFICE PO BOX 44253 SAN FRANCISCO CA 94144 941156365 501(c)(3) 277072 0 FMV N/A TEMPLE UNIVERSITY CARNELL HALL 1903 N BROAD STREET PHILADELPHIA PA 19122 231365971 501(c)(3) 64164 0 FMV N/A UNIVERSITY OF PENNSYLVANIA-TRUSTEES PO BOX 785541 PHILADELPHIA PA 19178 231352685 501(c)(3) 6115788 0 FMV N/A UNIVERSITY OF IOWA BUSINESS OFFICE B5 JESSUP HALL IOWA CITY IA 52242 426004813 501(c)(3) 12908 0 FMV N/A UNIVERSITY OF NORTH CAROLINA OFFICE OF SPONSORED RESEARCH PO BOX 402420 ATLANTA GA 30384 566001393 501(c)(3) 370564 0 FMV N/A UNIVERSITY OF WASHINGTON PO BOX 15290 SEATTLE WA 98115 916001537 501(c)(3) 14417 0 FMV N/A ATLANTA SPEECH SCHOOL 3160 NORTHSIDE PARKWAY NW ATLANTA GA 30327 580566198 501(c)(3) 38762 0 FMV N/A YALE UNIVERSITY PO BOX 208035 NEW HAVEN CT 06520 060646973 501(c)(3) 14201 0 FMV N/A BAYLOR COLLEGE OF MEDICINE PO BOX 201361 HOUSTON TX 772161361 741613878 501(c)(3) 46692 0 FMV N/A CHILDREN 'S HOSPITAL OF PITTSBURGH 3705 FIFTH AVENUE PITTSBURGH PA 15213 250402510 501(c)(3) 55303 0 FMV N/A THE REGENTS OF THE UNIVERSITY OF CALIFORNIA 10920 WILSHIRE BLVD STE 107 LOS ANGELES CA 90024 943067788 501(c)(3) 361604 0 FMV N/A UNIVERSITY OF FLORIDA BOX 100296/PEDPULMONARY DIV GAINESVILLE FL 32610 590974739 501(c)(3) 35251 0 FMV N/A MEMORIAL SLOAN-KETTERING CANCER CENTER PO BOX 26338 NEW YORK NY 10087 131624182 501(c)(3) 16851 0 FMV N/A GEISINGER MEDICAL CENTER WEIS CENTER FOR RESEARCH NORTH ACADEMY AVENUE DANVILLE PA 17822 236291113 501(c)(3) 63092 0 FMV N/A MEDICAL UNIVERSITY OF SOUTH CAROLINA PO BOX 951 CHARLESTON SC 29425 576028985 501(c)(3) 51856 0 FMV N/A TEXAS A&M RESEARCH FOUNDATION C/0 WELLSFARGO BANK PO BOX 201918 DALLAS TX 75320 741238434 501(c)(3) 5525 0 FMV N/A VANDERBILT UNIVERSITY MEDICAL DEPT AT 40303 ATLANTA GA 31192 620476822 501(c)(3) 19166 0 FMV N/A CAMC HEALTH EDUCATION AND RESEARCH INSTITUTE PO BOX 765 CHARLESTON WV 24326 550753754 501(c)(3) 27530 0 FMV N/A PA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS 1400 N PROVIDENCE RD SUITE 3007 MEDIA PA 19063 237135840 501(c)(3) 19921 0 FMV N/A CINCINNATI CHILDRENS HOSPITAL MEDICAL CENTER 3333 BURNETT AVENUE CINCINNATI OH 45229 310833936 501(c)(3) 33654 0 FMV N/A MATERNITY CARE COALITION 200 HAMILTON STREET SUITE 205 PHILADELPHIA PA 19130 232200410 501(c)(3) 59887 0 FMV N/A SERACARE BIOSERVICES 217 PERRY PARKWAY GAITHERSBURG MD 20877 330056054 501(c)(3) 41664 0 FMV N/A LET THEM HEAR FOUNDATION 1900 UNIVERSITY AVENUE SUITE 101 EAST PALO ALTO CA 94303 020630432 501(c)(3) 12000 0 FMV N/A MEMORIAL SLOAN-KETTERING CANCER CENTER PO BOX 26338 NEW YORK NY 10087 131624182 501(c)(3) 26605 0 FMV N/A NORC AT THE UNIVERSITY OF CHICAGO 55 E MONROE STREET - 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Expenditures are monitored based on the guidelines outlined by 45CFR 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. X true true X X X X X true true false false false false false true false false STEVEN M ALTSCHULER MD 948293 0 948293 0 95449 0 1989900 0 43104 0 4025039 0 0 0 THOMAS J TODOROW 517500 0 388125 0 101299 0 134275 0 3041 0 1144240 0 0 0 BONNIE S BRIER 267749 0 223038 0 129189 0 3379 0 3607 0 626962 0 0 0 JEFFREY D KAHN 254900 0 197940 0 18169 0 4900 0 8496 0 484405 0 0 0 MADELINE BELL 600000 0 450000 0 94307 0 254900 0 0 0 1399207 0 0 0 MARGARET M JONES 377000 0 282750 0 55591 0 99150 0 3661 0 818152 0 0 0 JOHN McDONOUGH 284625 0 170775 0 42768 0 118750 0 2910 0 619828 0 0 0 ROOSEVELT HAIRSTON 321368 0 192821 0 30852 0 54900 0 3041 0 602982 0 0 0 PHILIP JOHNSON 624714 0 311813 0 61172 0 30921 0 16940 0 1045560 0 0 0 BRYAN WOLF 446692 0 261000 0 44706 0 30921 0 20688 0 804007 0 0 0 KATHLEEN GORMAN 61363 0 100000 0 20081 0 0 0 318 0 181762 0 0 0 CHAD HOUGH 250000 0 150000 0 40410 0 4900 0 2406 0 447716 0 0 0 MARY TOMLINSON 207000 0 82800 0 12641 0 4140 0 4411 0 310992 0 0 0 TOM CURRAN 370022 0 176319 0 19827 0 30921 0 6100 0 603189 0 0 0 N SCOTT ADZICK MD 0 795773 0 358099 0 558691 0 122050 0 10666 0 1845279 0 0 ALAN COHEN MD 0 580578 0 245328 0 57133 0 22050 0 21320 0 926409 0 0 GAVIN KERR 429125 0 0 0 0 0 0 0 0 0 429125 0 0 0 DAVID ALEXANDER 300000 0 120000 0 28999 0 100 0 4378 0 453477 0 0 0 STUART SULLIVAN 244598 0 0 0 13137 0 0 0 2474 0 260209 0 0 0 GREG HAZLETT 345141 0 0 0 0 0 0 0 230 0 345371 0 0 0 CYNTHIA HAINES 362250 0 199238 0 56430 0 29900 0 4432 0 652250 0 0 0 MICHELE LLOYD 261736 0 130868 0 27613 0 4900 0 2911 0 428028 0 0 0 ROBERT OLIVIERI 193750 0 172068 0 12660 0 4117 0 3478 0 386073 0 0 0 LUCIA FONTALVO-HERAZO 252786 0 101140 0 3751 0 4600 0 0 0 362277 0 0 0 EDWARD J MILES 190892 0 0 0 48698 0 1909 0 2668 0 244167 0 0 0 SCHEDULE J, PART I, LINE 4a 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-pockets 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 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. HOSPITALS AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903ZW1 2007-02-27 219892120 NEW CONSTRUCTION false false HOSPITALS AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903DZ3 2003-02-18 52500000 REFINANCE 1993A BONDS false false HOSPITALS AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903ZG6 2005-02-15 60950000 REFINANCE 1993A BONDS false false HOSPITALS AND HIGHER EDU FACILITIES AUTH OF PHILA 231929132 717903D88 2008-06-28 170000000 REFINANCE 2002 BONDS false false 219892120 0 0 0 1554043 0 218338077 2009 false false true true 52500000 0 0 0 118125 0 0 1995 true false true true 60950000 0 0 0 0 0 0 1995 true false true true 170000000 0 0 0 0 0 0 2007 true false true true false true true true false 0.00000 0.00000 0.00000 true false false false false false true false true false false false true false true false false false true false true false false false true ROOSEVELT HAIRSTON SEE SCHEDULE O false 360898 0 CVS CAREMARK SEE SCHEDULE O 14620661 PHARMACY BENEFIT MANAGER false JP MORGAN SEE SCHEDULE O 581875 FINANCIAL SERVICES false JOHNSON JOHNSON SEE SCHEDULE O 2955698 PURCHASE OF HOSPITAL SUPPLIES false JENNIE MINNICK SEE SCHEDULE O 29413 EMPLOYEE OF CHOP false BARBARA KLOCK MD SEE SCHEDULE O 123741 EMPLOYEE OF CHOP false 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, Line 11A 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, 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 (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, 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 2010. 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, 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 Certain officers and key employees of The Children's Hospital of Philadelphia also devote significant time each week to other related organizations as follows: S. Altschuler - 40 hours to The Children's Hospital of Philadelphia - 1 hour to PGH Development Corporation - 1 hour to CHOP Clinical Associates Inc. - 1 hour to CHOP Practice Plan Association - 1 hour to The Children's Hospital of Philadelphia Foundation N. Adzick - 40 hours to Children's Surgical Associates Inc. - 1 hour to The Children's Hospital of Philadelphia - 1 hour to CHOP Practice Plan Association - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to Children's Surgical Associates of NJ, Inc. - 1 hour to Surgical Associates Research and Education Foundation A. Cohen - 40 hours to Children's Health Care Associates Inc. - 1 hour to The Children's Hospital of Philadelphia - 1 hour to CHOP Clinical Associates Inc. - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to Children's Health Care Associates of New Jersey - 1 hour to CHOP Practice Plan Association S. Burke - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation T. Colket, Jr. - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation C. Baruch - 1 hour to The Children's Hospital of Philadelphia - 1 hour to CHOP Practice Plan Association - 1 hour to The Children's Hospital of Philadelphia Foundation A. Dantchik - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation M. Fishman - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to CHOP Practice Plan Association L. Garbose - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation A. Latini - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation G. Lemmon Jr. - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation J. McCabe - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation J. Milligan - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation F. Biesecker - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation A. Nakahara - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation J. Perelman - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation D. Caruso - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation A. Breaux - 1 hour to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation T. Todorow - 40 hours to The Children's Hospital of Philadelphia - 1 hour to First Medical Insurance Company - 1 hour to CHOP Clinical Associates, Inc. - 1 hour to the Children's Hospital of Philadelphia Foundation B. Brier - 40 hours to The Children's Hospital of Philadelphia - 1 hour to First Medical Insurance Company - 1 hour to PGH Development Corporation - 1 hour to CHOP Clinical Associates, Inc. - 1 hour to the Children's Hospital of Philadelphia Foundation M. Jones - 40 hours to The Children's Hospital of Philadelphia - 1 hour to the Children's Hospital of Philadelphia Foundation D. Rubenstein - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia R. Pew - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia A. Kennedy Roberts - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia T. Brennan - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia G. Quill - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia S. Saunders, Jr. - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia - 1 hour to CHOP Practice Plan Association A. Faulkner Shoemaker - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia S. Shuchman - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia - 1 hour to CHOP Practice Plan Association A.Talley - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia B. Wietlisbach - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia R. Hairston - 40 hours to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to PGH Development Corporation E. Miles - 40 hours to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation G. Kerr - 40 hours to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation G. Hazlett - 40 hours to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation L. Fontalvo-Herazo - 40 hours to The Children's Hospital of Philadelphia - 1 hour to The Children's Hospital of Philadelphia Foundation M. Buckley - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia N. Wolfson - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia D. Ziff - 1 hour to The Children's Hospital of Philadelphia Foundation - 1 hour to The Children's Hospital of Philadelphia SCHEDULE K, PART III, LINE 6 The organization has made an equity allocation to the small amount of space within the facilities financed by its Series 2007 bonds where any activities that could result in private business use exist, and hence, Schedule K, Part III, Line 6 is zero for this issue. SCHEDULE L, PART I, COLUMN (B) DESCRIPTION OF TRANSACTION Cumulative for multiple years receipt of approximately $1,443,590 from fraudulent invoices submitted by disqualified person. No organization manager other than disqualified person participated in the submission of fraudulent invoices. The disqualified person diverted funds by submitting fraudulent invoices. During fiscal year 2011, CHOP discovered the fraud and conducted an internal investigation; terminated the employee; demanded return of the diverted funds; and reported the matter to law enforcement authorities. The amount reported on Schedule L, Part I, Line 2 represents the initial excise tax on disqualified person. SCHEDULE L, PART IV, COLUMN (B) RELATIONSHIPS Trustee Troyen Brennan, M.D. is an officer of CVS Caremark, CHOP's Pharmacy Benefit Manager. CHOP paid $14,620,661 to CVS Caremark in FY 2010 (TY 2009). Trustee Stephen B. Burke is a director of J.P. Morgan, to which CHOP paid $581,875 in FY 2010 (TY 2009) for banking services, serving as a liquidity facility and a remarketing agent. Trustee Dominic J. Caruso is an officer of Johnson & Johnson, to which CHOP paid $2,955,698 in FY 2010 (TY 2009) for the purchase of Hospital supplies. Mary Tomlinson's sister, Jennie Minnick, is an employee of CHOP. Salem D. Shuchman's wife, Barbara Klock, M.D., is an employee of CHOP. 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