2024-04-19T09:57:59-05:00 2023-06-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 223348481 Children's Surgical Associates of NJ INC % LINDA FLOCCO CHIL 2155902700 3500 CIVIC CENTER BLVD Suite 2514 PHILADELPHIA PA 19104 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 2155902700 2024-03-29 true N SCOTT ADZICK MD 999009999 ERICA R MCREYNOLDS P00977806 2673303000 2024-03-21 2 2022 2023-04-26 12:10:37Z X N SCOTT ADZICK MD 3500 CIVIC CENTER BLVD ROOM 2514 PHILADELPHIA PA 19104 15093414 false X N/A X 1995 NJ SEE SCHEDULE O 4 0 0 0 0 0 0 0 11541415 14637967 21614 455447 0 0 11563029 15093414 0 20428000 0 0 3914830 4701660 0 0 0 1958457 2020962 5873287 27150622 5689742 -12057208 19777439 6915898 2000753 1568420 17776686 5347478 X SEE SCHEDULE O false false 26220727 20428000 14637967 TO PROVIDE HEALTH CARE, SURGICAL, RESEARCH AND TEACHING SERVICES. THE ORGANIZATION OFFERS FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE TO PATIENTS/FAMILIES WHO MEET THE ELIGIBILITY REQUIREMENTS OF THE FINANCIAL ASSISTANCE POLICY OF CHOP AND ITS AFFILIATES. THE ORGANIZATION SUPPORTS MEDICAL RESEARCH AND TEACHING MISSIONS OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. 26220727 true false false false false false false false false true false false true true false false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 4 0 false false false false true true true true false false false true true true true true true true true false NJ X LINDA FLOCCO 2155902707 3500 CIVIC CENTER BLVD ROOM 2514 PHILADELPHIA PA 19104 JESSE A TAYLOR MD PRESIDENT, DIRECTOR 1.0 45.0 X X 0 2518592 48674 PHILIP STORM MD SECRETARY/TREASURER 1.0 45.0 X X 0 2349736 46596 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 1.0 45.0 X X 0 2291952 42274 JOHN FLYNN MD VICE PRESIDENT, DIRECTOR 1.0 45.0 X X 0 1409255 46596 MICHAEL NANCE MD FORMER PRESIDENT, DIRECTOR 0.0 45.0 X 0 925303 46596 LINDA FLOCCO ASST SECRETARY 1.0 45.0 X 0 312716 52074 0 9807554 282810 0 true true true 0 0 NET PATIENT SERVICE REVENUE 622110 13215106 13215106 OTHER PROGRAM SUPPORT 622110 1422861 1422861 14637967 455447 455447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15093414 14637967 0 455447 20428000 20428000 0 0 0 0 0 4228570 3298675 929895 0 308156 308156 164934 164934 0 0 0 0 0 0 52224 52224 0 30611 30611 0 0 1605961 1605961 2121 2121 0 0 0 0 21126 21126 254182 254182 PATIENT RELATED EXPENSES 34264 34264 DEV., EDU., & SUBSCRIPTIONS 20428 20428 MISCELLANEOUS EXPENSES 45 45 27150622 26220727 929895 0 0 0 17122360 3983014 0 0 1275530 1500747 0 0 0 0 0 0 0 0 0 0 147281 136718 31690 10563 0 0 0 0 0 0 0 0 1347859 1421574 19777439 6915898 241517 257213 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1759236 1311207 2000753 1568420 X 17776686 5347478 0 0 17776686 5347478 19777439 6915898 X -12057208 -372000 X false true X true false X 0 0 0 0 0 0 9483618 8698597 10881743 11541415 14637967 55243340 0 0 0 9483618 8698597 10881743 11541415 14637967 55243340 0 0 0 55243340 17468 53497 13092 21614 455447 561118 0 17468 53497 13092 21614 455447 561118 0 335992 335992 9837078 8752094 10894835 11563029 15093414 56140450 0.98402 0.98770 0.01000 0.00208 X 147281 136718 10563 10563 DUE FROM AFFILIATES 1274031 MISCELLANEOUS RECEIVABLES 147543 1421574 0 DUE TO AFFILIATES 1311207 1311207 15093414 15093414 15093414 27150622 27150622 27150622 true CHOP FOUNDATION 3401 CIVIC CENTER BLVD PHILA PA 19104 232237932 501(C)(3) 20428000 FMV N/A CAPITAL CAMPAIGN PLEDGE 1 SCHEDULE I, PART I, LINE 2 DURING THE YEAR, ALL GRANTS OR CONTRIBUTIONS TO ORGANIZATIONS OVER $5,000 MUST BE COMMUNICATED TO AND APPROVED BY THE CHILDREN'S SURGICAL ASSOCIATES BOARD OF DIRECTORS. false true false false false false false false false JOHN FLYNN MD VICE PRESIDENT, DIRECTOR 0 657036 0 751752 0 467 0 27450 0 19146 0 1455851 0 0 JESSE A TAYLOR MD PRESIDENT, DIRECTOR 0 1492776 0 925187 0 100629 0 27450 0 21224 0 2567266 0 0 N SCOTT ADZICK MD CHAIRMAN, DIRECTOR 0 1438806 0 592718 0 260428 0 27450 0 14824 0 2334226 0 0 PHILIP STORM MD SECRETARY/TREASURER 0 1790736 0 558750 0 250 0 27450 0 19146 0 2396332 0 0 MICHAEL NANCE MD FORMER PRESIDENT, DIRECTOR 0 611486 0 234500 0 79317 0 27450 0 19146 0 971899 0 0 LINDA FLOCCO ASST SECRETARY 0 227375 0 74620 0 10721 0 30610 0 21464 0 364790 0 0 SCHEDULE J, PART I, LINE 4B N SCOTT ADZICK MD - 259,049 JESSE A TAYLOR MD - 100,466 SCHEDULE J, PART II CHILDREN'S SURGICAL ASSOCIATES, OF NJ IS A SUBSIDIARY OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. OUR PHYSICIANS, WHO ARE COMMON LAW EMPLOYEES, ARE W-2 EMPLOYEES OF EITHER THE UNIVERSITY OF PENNSYLVANIA (AN UNRELATED ENTITY) OR THE CHILDREN'S HOSPITAL OF PHILADELPHIA (A RELATED ENTITY). INDIVIDUALS REPORTED ON PREVIOUS CALENDAR YEARS' FORM 990S WHO WERE MISCLASSIFIED AS OFFICERS HAVE BEEN REMOVED. FORM 990, PART I, LINE 1 & FORM 990, PART III, LINE 1 TO PROVIDE MEDICAL AND SURGICAL CARE FOR PATIENTS AND EDUCATIONAL, RESEARCH AND ADMINISTRATIVE SERVICES TO THE CHILDREN'S HOSPITAL OF PHILADELPHIA AND THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER SERVES AS THE CHAIRPERSON/PRESIDENT, WITHOUT ECONOMIC RIGHTS IN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A CERTAIN DIRECTORS ON THE ORGANIZATION'S BOARD ARE NOMINATED BY NON-MEMBER INDIVIDUALS AFFILIATED WITH THE ORGANIZATION AND ELECTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, SUCH AS AMENDMENT OF THE BYLAWS, ARE SUBJECT TO APPROVAL BY THE CHILDREN'S HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION (CHOPPA), A SECTION 501(C)(3) AFFILIATE THAT COORDINATES MANY ACTIVITIES OF THE PRACTICE PLANS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO ITS FILING, A COPY OF THIS RETURN WAS REVIEWED WITH THE AUDIT, COMPLIANCE, AND RISK COMMITTEE OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA BOARD AND MADE AVAILABLE TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12 THE CHILDREN'S HOSPITAL OF PHILADELPHIA MAINTAINS A CONFLICTS OF INTEREST PROGRAM PURSUANT TO ITS WRITTEN CONFLICTS OF INTEREST (COI) POLICY APPLICABLE TO THE HOSPITAL AND ITS AFFILIATES. THE POLICY REQUIRES SUBMISSION OF ANNUAL CONFLICT OF INTEREST DISCLOSURES BY TRUSTEES, OFFICERS MEMBERS OF SENIOR MANAGEMENT, MEMBERS OF THE MEDICAL STAFF, RESEARCHERS, AND CERTAIN OTHERS EMPLOYED BY OR AFFILIATED WITH THE HOSPITAL AND ITS AFFILIATES TO THE HOSPITAL'S OFFICE OF COMPLIANCE AND PRIVACY (OCP). THE DISCLOSURES COVER GIFTS, OUTSIDE INTERESTS, OUTSIDE ACTIVITIES AND OTHER MATTERS THAT MAY CONSTITUTE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST DISCLOSURES SUBMITTED BY TRUSTEES, OFFICERS, AND MEMBERS OF SENIOR MANAGEMENT (INCLUDING KEY EMPLOYEES) ARE REVIEWED BY THE OCP AND THE OFFICE OF GENERAL COUNSEL AND SUMMARIES ARE REVIEWED BY THE AUDIT, COMPLIANCE AND RISK COMMITTEE OF THE BOARD. WHERE APPROPRIATE, WRITTEN COI MANAGEMENT PLANS ARE PUT IN PLACE AND MONITORED FOR COMPLIANCE BY THE OCP. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER INDIVIDUALS IN KEY LEADERSHIP POSITIONS, IS REVIEWED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. THE COMMITTEE REVIEWS AND APPROVES IN ADVANCE THE COMPENSATION TO BE PROVIDED TO OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER INDIVIDUALS IN KEY LEADERSHIP POSITIONS. THIS PROCESS WAS LAST PERFORMED IN 2023. IN MAKING ITS DETERMINATIONS, THE COMMITTEE CONSIDERS THE PERFORMANCE OF THE ENTERPRISE AND THAT OF THE COVERED INDIVIDUAL 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 PEER GROUP GENERALLY INCLUDES LARGE AND COMPLEX ACADEMIC MEDICAL CENTERS AND HEALTH SYSTEMS. INFORMATION FROM OTHER ORGANIZATIONS MAY ALSO BE CONSIDERED WHERE APPROPRIATE FOR THE POSITION. THE COMMITTEE'S PROCESS IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR THOSE INDIVIDUALS WHO ARE DISQUALIFIED PERSONS. 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 IN NET ASSETS INTERCOMPANY AFFILIATE RECLASS: 372,000 CHOP FOUNDATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 SUPPORT PA 501(C)(3) 7 NA false THE CHILDREN'S HOSPITAL OF PHILADELPHIA 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 231352166 HEALTHCARE PA 501(C)(3) 3 CHOP FND false CHILDREN'S SURGICAL ASSOCIATES LTD 3500 CIVIC CENTER BLVD ROOM 2514 PHILADELPHIA PA 19104 232589322 HEALTHCARE PA 501(C)(3) 10 CHOP false SURGICAL ASSOCIATES RESEARCH & EDUCATION 3500 CIVIC CENTER BLVD ROOM 2514 PHILADELPHIA PA 19104 232181768 RESEARCH PA 501(C)(3) 12 III - FI CHOP false RADIOLOGY ASSOCIATES OF CHOP 3401 CIVIC CENTER BLVD ROOM 3NW17 PHILADELPHIA PA 19104 232665855 HEALTHCARE PA 501(C)(3) 10 CHOP false CHILDREN'S HEALTH CARE ASSOCIATES INC 3615 CIVIC CENTER BLVD ROOM 1346 PHILADELPHIA PA 19104 222785804 HEALTHCARE PA 501(C)(3) 10 CHOP false CHILDREN'S HEALTH CARE ASSOCIATES OF NJ 3615 CIVIC CENTER BLVD ROOM 1346 PHILADELPHIA PA 19104 233036699 HEALTHCARE NJ 501(C)(3) 10 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ 3401 CIVIC CENTER BLVD ROOM 9302 PHILADELPHIA PA 19104 223405673 HEALTHCARE PA 501(C)(3) 10 CHOP false CHILDREN'S ANESTHESIOLOGY ASSOC LTD 3401 CIVIC CENTER BLVD ROOM 9302 PHILADELPHIA PA 19104 232592835 HEALTHCARE PA 501(C)(3) 10 CHOP false PGH DEVELOPMENT CORPORATION 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT PA 501(C)(3) 12 I NA false FIRST MEDICAL INSURANCE COMPANY (RRG) 463 MOUNTAIN VIEW DRIVE COLCHESTER VT 05446 010719207 SELF INSURANC VT 501(C)(3) 12 III - FI CHOP false CHOP PRACTICE ASSOCIATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232311482 HEALTHCARE PA 501(C)(3) 12 III - FI CHOP false CHOP CLINICAL ASSOCIATES INC C/O CHOP 3401 CIVIC CTR BLVD PHILADELPHIA PA 19104 233548970 HEALTHCARE NJ 501(C)(3) 12 III - FI CHOP false CHILDREN'S RADIOLOGY ASSOCIATES OF NJ 3401 CIVIC CENTER BLVD ROOM 3NW17 PHILADELPHIA PA 19104 811626790 HEALTHCARE NJ 501(C)(3) 10 CHOP false 1700 BROAD STREET INC 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 471509789 SUPPORT PA 501(C)(3) 10 CHOP false VITARA BIOMEDICAL INC 2400 MARKET STREET SUITE 271 PHILDELPHIA PA 19103 843545298 BIOMEDICAL DE CHOP FOUNDATION C CORP false false false false false false false false false false true true true true true true true false false