Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
34TH ST CIVIC CENTER BLVD
Suite
Room/suite
City or town, state or country, and ZIP + 4
PHILADELPHIA, PA191044388
D Employer identification number

23-1352166
E Telephone number

G Gross receipts $ 1,933,376,702
F Name and address of principal officer:
Steven Altschuler MD
34TH ST CIVIC CENTER BLVD
PHILA,PA191044388
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.chop.edu
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1860
M State of legal domicile: PA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 30
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 25
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 12,086
6 Total number of volunteers (estimate if necessary) ............. 6 297
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,233,714
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 774,208
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 217,873,931 248,425,951
9 Program service revenue (Part VIII, line 2g) ......... 1,312,169,497 1,419,576,589
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,551,387 12,516,435
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 61,513,752 60,240,655
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,598,108,567 1,740,759,630
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 25,407,723 66,893,554
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 672,762,353 718,166,743
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 741,788,793 754,611,243
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,439,958,869 1,539,671,540
19 Revenue less expenses. Subtract line 18 from line 12....... 158,149,698 201,088,090
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,635,569,308 2,884,208,812
21 Total liabilities (Part X, line 26)............. 1,341,160,838 1,305,964,058
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,294,408,470 1,578,244,754
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: PROVIDE CHARITABLE HEALTH CARE SERVICES TO PEDIATRIC PATIENTS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 895,538,607 including grants of $ 10,000,000 ) (Revenue $ 1,449,362,797 )
THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDED IN 1855, IS THE NATION'S FIRST HOSPITAL DEDICATED EXCLUSIVELY TO PEDIATRICS. THE HOSPITAL STRIVES TO BE THE WORLD LEADER IN THE ADVANCEMENT OF HEALTH CARE FOR CHILDREN BY INTEGRATING EXCELLENT PATIENT CARE, INNOVATIVE RESEARCH, AND QUALITY PROFESSIONAL EDUCATION INTO ALL OF ITS PROGRAMS. THE HOSPITAL IS AN INTEGRATED PEDIATRIC HEALTH CARE DELIVERY SYSTEM THAT PROVIDES QUATERNARY AND ACUTE LEVEL PEDIATRIC SERVICES AS WELL AS EMERGENCY, PRIMARY, SPECIALTY, HOMECARE, AND POISON CONTROL CARE FOR CHILDREN. THE HOSPITAL TREATS CHILDREN WITHIN ITS SERVICE AREA IRRESPECTIVE OF ABILITY TO PAY. DURING THE YEAR ENDED JUNE 30, 2013, THE HOSPITAL WROTE OFF $90,439,380 IN CHARGES FOR SERVICES RENDERED APPLICABLE TO FREE CARE, CHARITY AND UNCOLLECTIBLE ACCOUNTS. THE CHILDREN'S HOSPITAL OF PHILADELPHIA HAS BEEN RATED AS THE BEST CHILDREN'S HOSPITAL IN THE COUNTRY BY U.S. NEWS & WORLD REPORT (2003-2013) AND PARENTS MAGAZINE, IN ITS FIRST SURVEY (2009) and again in 2013. IN THE 2012-13 U.S.NEWS SURVEY, CHOP RANKED IN THE TOP FOUR NATIONWIDE IN ALL 10 SPECIALTIES. FOR THE YEAR ENDED JUNE 30, 2013 1) TOTAL INPATIENT DAYS: 154,551 2) TOTAL INPATIENT ADMISSIONS: 28,996 3) TOTAL EMERGENCY DEPARTMENT VISITS: 90,378 4) TOTAL SPECIALTY CARE VISITS: 349,773 5) TOTAL PRIMARY CARE VISITS: 708,585 6) TOTAL HOME CARE VISITS: 427,599(PATIENT DAYS) 20,763(EQP. RENTAL) 7) DAY SURGERY VISITS: 44,388
4b (Code:   ) (Expenses $ 265,557,011 including grants of $ 56,893,554 ) (Revenue $ 22,934,650 )
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).
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,161,095,618
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
............................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
547
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
12,086
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
30
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
25
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletTHOMAS TODOROW34TH ST CIVIC CENTER BLVDPHILADELPHIAPA191044388 (215) 590-1000
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) STEVEN M ALTSCHULER MD........................................................................
CEO & TRUSTEE
40.0
.......................5.0
X   X       4,306,951 0 1,584,567
(2) N SCOTT ADZICK MD........................................................................
TRUSTEE
1.0
.......................44.0
X           0 1,371,634 134,829
(3) ALAN COHEN MD........................................................................
TRUSTEE
1.0
.......................44.0
X           0 945,339 46,377
(4) TRISTRAM C COLKET JR........................................................................
HON. VICE CHAIRMAN & TRUSTEE
1.0
.......................1.0
X           0 0 0
(5) CLARK HOOPER BARUCH........................................................................
SECRETARY & TRUSTEE
1.0
.......................2.0
X           0 0 0
(6) ARTHUR DANTCHIK........................................................................
TRUSTEE
1.0
.......................2.0
X           0 0 0
(7) MARK FISHMAN........................................................................
VICE CHAIRMAN & TRUSTEE
1.0
.......................2.0
X   X       0 0 0
(8) LYNNE L GARBOSE ESQ........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(9) ANTHONY A LATINI........................................................................
TREASURER & TRUSTEE
1.0
.......................1.0
X   X       0 0 0
(10) SHIRLEY HILL........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(11) JAMES L MCCABE........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(12) JOHN MILLIGAN CPA........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(13) FRED N BIESECKER........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(14) ASUKA NAKAHARA........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(15) JEFFREY E PERELMAN........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(16) R ANDERSON PEW........................................................................
HON. VICE CHAIRMAN & TRUSTEE
1.0
.......................1.0
X           0 0 0
(17) GERALD D QUILL........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MARK DENNEEN........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(19) DAVID B RUBENSTEIN........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(20) SHARAD MANSUKANI........................................................................
TRUSTEE
1.0
.......................2.0
X           0 0 0
(21) SALEM D SHUCHMAN........................................................................
TRUSTEE
1.0
.......................2.0
X           0 0 0
(22) KORNELIS SMIT........................................................................
TRUSTEE
1.0
.......................1.0
X   X       0 0 0
(23) BINNEY WIETLISBACH........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(24) ANNE FAULKNER SCHOEMAKER........................................................................
TRUSTEE
1.0
.......................2.0
X           0 0 0
(25) NANCY WOLFSON........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(26) MORTIMER J BUCKLEY III........................................................................
CHAIRMAN & TRUSTEE
1.0
.......................1.0
X   X       0 0 0
(27) DOMINIC J CARUSO........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(28) AMINTA HAWKINS BREAUX PHD........................................................................
TRUSTEE
1.0
.......................1.0
X   X       0 0 0
(29) A LORRIS BETZ MD PHD........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(30) DANIEL T ROBLE........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(31) REID BUERGER........................................................................
TRUSTEE
1.0
.......................1.0
X   X       0 0 0
(32) THOMAS J TODOROW........................................................................
Executive VP and CFO
40.0
.......................4.0
    X       1,711,036 0 33,453
(33) JEFFREY D KAHN........................................................................
EXECUTIVE VP & GENERAL COUNSEL
40.0
.......................1.0
    X       708,878 0 36,987
(34) MARGARET M JONES........................................................................
EXECUTIVE VP & CAO
40.0
.......................1.0
    X       1,177,605 0 12,781
(35) MADELINE BELL........................................................................
PRESIDENT & COO
40.0
.......................0.0
      X     2,429,583 0 12,520
(36) PHILIP JOHNSON........................................................................
EXECUTIVE VP & CSO
40.0
.......................0.0
      X     1,072,333 0 235,212
(37) BRYAN WOLF MD PHD........................................................................
SVP & CHIEF INFORM. OFFICER
40.0
.......................1.0
      X     959,261 0 145,747
(38) KATHLEEN GORMAN........................................................................
SVP & CHIEF NURSING OFFICER
40.0
.......................0.0
      X     295,830 0 33,612
(39) CHARLES S HOUGH........................................................................
SVP SUPPORT SERVICES
40.0
.......................0.0
      X     473,107 0 33,175
(40) MARY TOMLINSON........................................................................
VP RESEARCH ADMIN & FINANCE
40.0
.......................0.0
      X     315,052 0 33,236
(41) TOM CURRAN........................................................................
DEPUTY CSO
40.0
.......................0.0
      X     611,515 0 49,023
(42) STUART SULLIVAN........................................................................
EVP & CHIEF DEVELOP. OFFICER
40.0
.......................0.0
      X     744,764 0 33,297
(43) PAULA AGOSTO........................................................................
SVP & CHIEF NURSING OFFICER
40.0
.......................0.0
      X     280,431 0 31,035
(44) DOUGLAS CARNEY........................................................................
SVP FACILITIES & CONST. MGMT.
40.0
.......................0.0
      X     595,662 0 15,074
(45) CYNTHIA HAINES........................................................................
SVP INTERNATIONAL MEDICINE
40.0
.......................0.0
        X   631,725 0 31,213
(46) NICHOLAS P PROCYK........................................................................
SVP & CHIEF INVESTMENT OFFICER
40.0
.......................0.0
        X   800,555 0 29,689
(47) ROBERT CRONER........................................................................
SVP HUMAN RESOURCES
40.0
.......................0.0
        X   510,168 0 32,824
(48) THOMAS R DOLE........................................................................
SVP OUTPATIENT & CLINICAL SRVS
40.0
.......................0.0
        X   442,754 0 25,293
(49) AMY LAMBERT........................................................................
SVP CARE NETWORK
40.0
.......................0.0
        X   417,978 0 33,585
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 18,485,188 2,316,973 2,623,529
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,200
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Madison Concrete Construction, 130 Quaker LaneMalvernPA19355 Construction Service 38,412,463
Owen Steel Company Inc, 727 Mauney DriveColumbiaSC29201 Construction Service 32,151,641
Turner Construction Company, 1835 Market St 21st FloorPhiladelphiaPA19103 Construction Service 22,920,799
LF Driscoll Company LLC, 9 Presidential Blvd PO Box 468Bala CynwydPA19004 Construction Service 11,743,586
Intech Construction Inc, 3001 Market StPhiladelphiaPA19104 Construction Service 9,239,428
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet87
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 43,033,588
e Government grants (contributions)1e 191,222,803
f All other contributions, gifts, grants, and
similar amounts not included above
1f
14,169,560
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 248,425,951
 Program Service Revenue Business Code
2a Net Patient Revenue 900099 1,394,387,815 1,392,154,101 2,233,714  
b Poison Center Receipts 900099 701,453 701,453    
c Research 900099 22,934,650 22,934,650    
d Home Care - Hemophilia 621610 1,552,671 1,552,671    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,419,576,589
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 3,151,713     3,151,713
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 418,374     418,374
(i) Real (ii) Personal
6a Gross rents 4,867,709  
b Less: rental expenses    
c Rental income or (loss) 4,867,709 0
d Net rental income or (loss).......MediumBullet 4,867,709     4,867,709
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 201,981,794  
b Less: cost or other basis and sales expenses 192,617,072  
c Gain or (loss) 9,364,722  
d Net gain or (loss)..........MediumBullet 9,364,722     9,364,722
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a Indirect Public Support - Research revenue 900099 28,458,349 28,458,349    
b Contribution Released from Restrictions 900099 8,931,598 8,931,598    
c Parking Garage Revenue 812930 5,078,325 5,078,325    
d All other revenue .... 12,486,300 12,486,300    
e Total. Add lines 11a–11d ...... MediumBullet 54,954,572
12 Total revenue. See Instructions......MediumBullet 1,740,759,630 1,472,297,447 2,233,714 17,802,518
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 64,163,731 64,163,731
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 2,729,823 2,729,823
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 15,640,054   15,640,054  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 552,356,303 362,255,856 190,100,447  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 39,312,620 25,072,743 14,239,877  
9 Other employee benefits ....... 60,731,406 38,733,184 21,998,222  
10 Payroll taxes ........... 50,126,360 31,969,514 18,156,846  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,752,115   1,752,115  
c Accounting ........... 576,578   576,578  
d Lobbying ........... 751,300   751,300  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 170,251   170,251  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 87,565,967 65,592,614 21,973,353  
12 Advertising and promotion .... 3,878,543   3,878,543  
13 Office expenses ....... 19,799,838 9,390,069 10,409,769  
14 Information technology ...... 3,709,151 2,781,863 927,288  
15 Royalties .. 1,998,618   1,998,618  
16 Occupancy ........... 28,829,546 1,658,149 27,171,397  
17 Travel ............ 4,084,056 3,063,042 1,021,014  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 2,668,724 2,001,543 667,181  
20 Interest ........... 14,497,073 10,872,805 3,624,268  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 117,591,129 88,193,347 29,397,782  
23 Insurance .............. 32,206,505 24,826,628 7,379,877  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Research Expense 265,557,011 265,557,011    
b Patient Related Supplies 157,247,185 157,247,185    
c Miscellaneous Expense 8,331,936 2,439,723 5,892,213  
d Dues and Subscriptions 3,395,717 2,546,788 848,929  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,539,671,540 1,161,095,618 378,575,922 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 216,909,459 2 332,392,535
3 Pledges and grants receivable, net ........... 29,560,817 3 26,601,732
4 Accounts receivable, net ............. 208,859,464 4 238,817,113
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 7,717,000 7 14,792,000
8 Inventories for sale or use .............. 2,989,787 8 3,570,285
9 Prepaid expenses and deferred charges .......... 11,693,037 9 12,902,126
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,064,918,597
b Less: accumulated depreciation ..... 10b 1,355,546,661 1,594,717,090 10c 1,709,371,936
11 Investments—publicly traded securities .......... 198,774,572 11 135,168,790
12 Investments—other securities. See Part IV, line 11 ..... 86,821,077 12 52,826,745
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 277,527,005 15 357,765,550
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 2,635,569,308 16 2,884,208,812
Liabilities 17 Accounts payable and accrued expenses ......... 237,247,757 17 259,012,563
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 56,204,684 19 56,636,678
20 Tax-exempt bond liabilities ............. 773,395,266 20 756,870,056
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 274,313,131 25 233,444,761
26 Total liabilities. Add lines 17 through 25......... 1,341,160,838 26 1,305,964,058
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,240,221,081 27 1,515,552,820
28 Temporarily restricted net assets ........... 54,187,389 28 62,691,934
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,294,408,470 33 1,578,244,754
34 Total liabilities and net assets/fund balances ........ 2,635,569,308 34 2,884,208,812
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,740,759,630
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,539,671,540
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
201,088,090
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,294,408,470
5
Net unrealized gains (losses) on investments ...............
5
3,283,922
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
79,464,272
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,578,244,754
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
751,300
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
271,492
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
0
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
1,022,792
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C, Part II-B, Line 1   During the Year ending June 30, 2013, CHOP conducted various lobbying activities through the use of its employees, volunteers, independent contractors, and other organizations. These lobbying activities were on both a federal and a state level in support of various causes, issues and reform regarding healthcare. The amounts relating to these activities are reported on Line 1.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 1,082,415,000 1,091,470,000 996,877,000 936,085,000 1,330,934,000
b Contributions ........ 22,323,000 19,711,000 16,703,000 15,834,000 17,306,000
c Net investment earnings, gains, and losses 184,538,000 36,437,000 135,849,000 92,487,000 -170,005,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
65,330,000 65,203,000 57,959,000 47,529,000 242,150,000
f Administrative expenses ....          
g End of year balance ...... 1,223,946,000 1,082,415,000 1,091,470,000 996,877,000 936,085,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet86.323 %
b
Permanent endowment SchDMd Bullet10.399 %
c
Temporarily restricted endowment SchDMd Bullet3.278 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   31,787,712 31,787,712
b Buildings ................   1,859,165,802 767,967,515 1,091,198,287
c Leasehold improvements ............        
d Equipment ................   799,421,836 586,883,133 212,538,703
e Other .................   374,543,247 696,013 373,847,234
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,709,371,936
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM THIRD PARTIES 24,950,185
(2) DUE FROM AFFILIATES 259,327,391
(3) INTERCOMPANY RECEIVABLES 13,321,917
(4) DEFERRED COSTS 43,782,682
(5) MISCELLANEOUS RECEIVABLES 3,964,322
(6) INV 4865 EQUITY 12,419,053



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 357,765,550
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
SELF INSURANCE LIABILITY 86,118,349
ACCRUED PENSION COST-MIN LIABILITY 92,495,596
INTEREST RATE SWAP 22,045,895
DEFERRED COMPENSATION 9,199,309
DUE TO AFFILIATES 14,585,624
DUE TO THIRD PARTY -12
PORTION OF PLEDGE 9,000,000


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 233,444,761
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SEE PAGE 5   SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE HELD BY THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION, A RELATED ENTITY. THE INTENDED USE OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION'S ENDOWMENT FUND IS FOR CAPITAL EXPENDITURES FOR EQUIPMENT, CAPITAL PROJECTS, OR OTHER CAPITAL NEEDS; MEDICAL EDUCATION PROGRAMS; AND HEALTH CARE PROGRAMS FOR MEDICAL, PATIENT AND RESEARCH SERVICES IN ACCORDANCE WITH ANY STIPULATED DONOR RESTRICTIONS.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
North America     Grantmaking   1,595,772
Europe (Including Iceland and Greenland)     Grantmaking   65,350
Sub-Saharan Africa     Grantmaking   92,346
East Asia and the Pacific     Grantmaking   976,354
North America   7 Program Services TEACHING AND RESEARCH 16,953
Central America and the Caribbean   2 Program Services TEACHING AND RESEARCH 3,934
South America   1 Program Services TEACHING AND RESEARCH 1,949
East Asia and the Pacific   5 Program Services TEACHING AND RESEARCH 4,640
Europe (Including Iceland and Greenland)   21 Program Services TEACHING AND RESEARCH 38,948
Middle East and North Africa   4 Program Services TEACHING AND RESEARCH 1,378
Sub-Saharan Africa   2 Program Services TEACHING AND RESEARCH 2,518
           
           
           
           
           
           
3a Sub-total .....   42 2,800,142
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)   42 2,800,143
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
North America   346,353 CHECK   N/A FMV
East Asia and the Pacific CANCER TRIAL BRAIN TUMOR 184,650 CHECK   N/A FMV
East Asia and the Pacific   174,300 CHECK   N/A FMV
East Asia and the Pacific EFFECT-CAFFEINE IN APNEA 149,800 CHECK   N/A FMV
North America PEDIATRIC CANCER TRIALS 106,642 CHECK   N/A FMV
North America POS-ADJ-MED EVENT-CHILD 104,128 CHECK   N/A FMV
East Asia and the Pacific PEDIATRIC CANCER TRIALS 101,200 CHECK   N/A FMV
Sub-Saharan Africa EXPRESS&SEQUENCING DATA 82,509 WIRE   N/A FMV
North America BOTSWANA TRAINING-HEALTH 81,571 CHECK   N/A FMV
North America HIV ADOLESCENT COMPLIANCE 80,000 CHECK   N/A FMV
North America CANCER TRIAL BRAIN TUMOR 72,450 CHECK   N/A FMV
North America CANCER TRIALS - AALL 65,400 CHECK   N/A FMV
North America CANCER TRIALS - AML 64,600 CHECK   N/A FMV
East Asia and the Pacific EFFECT-CAFFEINE IN APNEA 58,800 CHECK   N/A FMV
North America PEDIATRIC CANCER TRIALS 45,800 CHECK   N/A FMV
North America   45,600 CHECK   N/A FMV
East Asia and the Pacific   43,400 CHECK   N/A FMV
North America   43,000 CHECK   N/A FMV
Europe (Including Iceland and Greenland)   42,950 CHECK   N/A FMV
East Asia and the Pacific   39,650 CHECK   N/A FMV
East Asia and the Pacific   37,800 CHECK   N/A FMV
East Asia and the Pacific   37,500 CHECK   N/A FMV
North America   36,400 CHECK   N/A FMV
North America   36,300 CHECK   N/A FMV
North America   33,777 CHECK   N/A FMV
East Asia and the Pacific   33,200 CHECK   N/A FMV
North America   32,600 CHECK   N/A FMV
North America   23,899 CHECK   N/A FMV
North America   23,550 CHECK   N/A FMV
North America   22,800 CHECK   N/A FMV
North America   22,400 CHECK   N/A FMV
North America   22,200 CHECK   N/A FMV
North America   22,100 CHECK   N/A FMV
North America   20,100 CHECK   N/A FMV
North America   19,200 CHECK   N/A FMV
East Asia and the Pacific   18,000 CHECK   N/A FMV
Europe (Including Iceland and Greenland)   17,000 CHECK   N/A FMV
North America   16,200 CHECK   N/A FMV
North America   15,400 CHECK   N/A FMV
North America   15,400 CHECK   N/A FMV
East Asia and the Pacific   15,392 CHECK   N/A FMV
North America   14,400 CHECK   N/A FMV
East Asia and the Pacific   13,700 CHECK   N/A FMV
East Asia and the Pacific   12,400 CHECK   N/A FMV
North America   12,400 CHECK   N/A FMV
North America   11,800 CHECK   N/A FMV
North America   11,700 CHECK   N/A FMV
North America   11,100 CHECK   N/A FMV
East Asia and the Pacific   10,262 CHECK   N/A FMV
Sub-Saharan Africa   9,838 WIRE   N/A FMV
North America   9,500 CHECK   N/A FMV
North America   9,500 CHECK   N/A FMV
North America   8,000 CHECK   N/A FMV
North America   8,000 CHECK   N/A FMV
North America   7,750 CHECK   N/A FMV
North America   6,812 CHECK   N/A FMV
East Asia and the Pacific   6,600 CHECK   N/A FMV
East Asia and the Pacific   5,500 CHECK   N/A FMV
Europe (Including Iceland and Greenland)   5,400 CHECK   N/A FMV
North America   183,938 CHECK   N/A FMV
North America   35,100 CHECK   N/A FMV
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
15
3
Enter total number of other organizations or entities .......................MediumBullet
46
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
Monitoring procedures SCHEDULE F, PART I, LINE 2 The Children's Hospital of Philadelphia has established controls in place to monitor the use of grant funds both outside and within the United States. Expenditures are monitored based on the guidelines outlined by 45 CFR Part 74 Appendix E (OASC-3). It is our policy to follow the federal government-established principles for determining costs applicable to grants, contracts, and other agreements. The Hospital generally applies these same cost principles to non-federal funding. All costs posted to sponsored projects must comply with government and sponsor rules and regulations. Costs must meet several criteria: (1) costs being charged to a grant must be reasonable and necessary for meeting the objectives of the grant/project, (2) costs must be allowable in accordance with the sponsor rules and regulations, (3) costs must be allocable based on the benefit derived, cause and effect, or other equitable relationship, and (4) costs must be consistent with costs charged in similar circumstances to other sponsored projects.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    1,798,126 0 1,798,126 0.120 %
b Medicaid (from Worksheet 3,
column a) ....
    509,472,224 439,495,550 69,976,674 4.540 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    0 0 0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs .
    511,270,350 439,495,550 71,774,800 4.660 %
Other Benefits
    18,127,518 0 18,127,518 1.180 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    55,946,943 6,741,152 49,205,791 3.200 %
g Subsidized health services
(from Worksheet 6) ..
    97,184,907 73,351,628 23,833,279 1.550 %
h Research (from Worksheet 7)     227,460,784 0 227,460,784 14.770 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    10,177,174 0 10,177,174 0.660 %
j Total. Other Benefits ..     408,897,326 80,092,780 328,804,546 21.360 %
k Total. Add lines 7d and 7j .     920,167,676 519,588,330 400,579,346 26.020 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
85,236,379
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,690,611
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,660,925
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,970,314
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 THE CHILDREN'S HOSPITAL OF PHILA
34TH ST CIVIC CENTER BLVD
PHILADELPHIA,PA191044388
X X X X   X X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE CHILDREN'S HOSPITAL OF PHILA
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?41
Name and address Type of Facility (describe)
1 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1012 LAUREL OAK RD LAUREL OAK CORP
VOORHEES,NJ08043
PEDIATRIC & ADOLESCENT SPECIAL CARE ASF
2 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
210 Mall Blvd
KING OF PRUSSIA,PA19406
PEDIATRIC & ADOLESCENT SPECIAL CARE
3 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
500 WEST BUTLER AVE
CHALFONT,PA18914
PEDIATRIC & ADOLESCENT SPECIAL CARE ASF
4 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
481 JOHN YOUNG WAY OAKLANDS CORP CT
EXTON,PA19341
PEDIATRIC & ADOLESCENT SPECIAL CARE ASF
5 CHOP CARE NETWORK PEDIAT & ADOLES CARE
4865 MARKET STREET
PHILADELPHIA,PA19139
PEDIATRIC & ADOLESCENT CARE
6 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
200 BOWMAN DRIVE SUITE 260 SECOND
VOORHEES,NJ08043
PEDIATRIC & ADOLESCENT SPECIAL CARE ASF
7 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
707 ALEXANDER ROAD
PRINCETON,NJ08540
PEDIATRIC & ADOLESCENT SPECIAL CARE
8 CHOP CARE NETWORK
600 HAVERFORD ROAD SUITE 100
HAVERFORD,PA19041
PHYSICIAN PRACTICE
9 THE CARDIAC CENTER CHOP
ST PETERS UNIV HOSP 254 EASTON V MO
NEW BRUNSWICK,NJ08901
PEDIATRIC & ADOLESCENT SPECIALTY CARE
10 CHOP CARE NETWORK
7700 GERMANTOWN AVENUE
PHILADELPHIA,PA19118
PHYSICIAN PRACTICE
11 CHOP CARE NETWORK
708 SHADY RETREAT ROAD SUITE 3-4
DOYLESTOWN,PA18901
PHYSICIAN PRACTICE
12 CHOP CARE NETWORK PEDIAT & ADOLES CARE
1900 SO BROAD ST 2ND FL UNIT 5
PHILADELPHIA,PA19041
PEDIATRIC & ADOLESCENT SPECIAL CARE
13 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
4009 BLACK HORSE PIKE
MAYS LANDING,NJ08330
PEDIATRIC & ADOLESCENT SPECIAL CARE
14 CHOP CARE NETWORK
3201 MARNE HIGHWAY
MT LAUREL,NJ08054
PHYSICIAN PRACTICE
15 CHOP CARE NETWORK
196 W SPROUL RD STE 205
SPRINGFIELD,PA19064
PHYSICIAN PRACTICE
16 CHOP CARE NETWORK PEDIAT & ADOLES CARE
225 COBBS CREEK PARKWAY
PHILADELPHIA,PA19139
PEDIATRIC & ADOLESCENT CARE
17 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1245 HIGHLAND AVE SUITE 204
ABINGTON,PA19001
PEDIATRIC & ADOLESCENT SPECIAL CARE
18 CHOP CARE NETWORK
440 E MARSHALL ST 3RD FL NO STE 30
WEST CHESTER,PA19380
PHYSICIAN PRACTICE
19 CHOP CARE NETWORK
FLOURTOWN COM 1811 BETHLEHEM PK STE
FLOURTOWN,PA19031
PHYSICIAN PRACTICE
20 CHOP CARE NETWORK
250 W LANCASTER AVE STE 340
PAOLI,PA19301
PHYSICIAN PRACTICE
21 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
100 WEST SPROUL RD PAV II SUITE 22
SPRINGFIELD,PA19064
PEDIATRIC & ADOLESCENT SPECIAL CARE
22 CHOP CARE NETWORK
2006 SALEM ROAD
BURLINGTON TWP,NJ08016
PHYSICIAN PRACTICE
23 CHOP CARE NETWORK
1700 HORIZON DR SUITE 200
CHALFONT,PA18914
PHYSICIAN PRACTICE
24 CHOP CARE NETWORK
NEWTOWN PAV 6 PENNS TRAIL STE 105
NEWTOWN,PA18940
PHYSICIAN PRACTICE
25 CHOP CARE NETWORK
SKY VIEW MED CTR 3456 BETHLEHEM PK
SOUDERTON,PA18964
PHYSICIAN PRACTICE
26 CHOP CARE NETWORK
5003 UMBRIA STREET
PHILADELPHIA,PA19128
PHYSICIAN PRACTICE
27 CHOP CARE NETWORK
2100 KEYSTONE AVE STE 404
DREXEL HILL,PA19026
PHYSICIAN PRACTICE
28 CHOP CARE NETWORK
390 VINEYARD WAY HOOD BLDG 500 ST
WEST GROVE,PA19390
PHYSICIAN PRACTICE
29 CHOP CARE NETWORK
505 BAYSIDE AVENUE BAYSIDE COMMONS
SOMERS POINT,NJ08244
PHYSICIAN PRACTICE
30 CHOP CARE NETWORK
2000 SPROUL ROAD SUITE 206
BROOMALL,PA19008
PHYSICIAN PRACTICE
31 CHOP CARE NETWORK
795 E MARSHALL ST STE 301-307
WEST CHESTER,PA19380
PHYSICIAN PRACTICE
32 CHOP CARE NETWORK
495 HIGHLANDS BLVD STE 100
COATESVILLE,PA19320
PHYSICIAN PRACTICE
33 CHOP CARE NETWORK
1766 WILMINGTON PIKE
GLENN MILLS,PA19342
PHYSICIAN PRACTICE
34 CHOP CARE NETWORK
891 EAST BALTIMORE PIKE
KENNETT SQUARE,PA19348
PHYSICIAN PRACTICE
35 CHOP CARE NETWORK
176 S NEW MIDDLETON RD STE 202
MEDIA,PA19063
PHYSICIAN PRACTICE
36 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1766 WILMINGTON PIKE
GLENN MILLS,PA19342
PEDIATRIC & ADOLESCENT SPECIAL CARE
37 CHOP CARE NETWORK
1315 ROUTE 9 SOUTH
CAPE MAY COURTHOUSE,NJ08210
PHYSICIAN PRACTICE
38 CHOP CARE NETWORK
1590 MEDICAL DR SUITE E
POTTSTOWN,PA19464
PHYISICIAN PRACTICE
39 CHOP CARE NETWORK
48 SO NEW YORK RD ROUTE 9
SMITHVILLE,NJ08201
PHYSICIAN PRACTICE
40 CHOP CARE NETWORK
13 LAKEVIEW DRIVE
GIBBSBORO,NJ08026
PHYSICIAN PRACTICE
41 CHOP CARE NETWORK PEDIAT & ADOLES CARE
1340 DEKALB PIKE SUITE 4
NORRISTOWN,PA19401
PEDIATRIC & ADOLESCENT CARE
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
SCHEDULE H DISCLOSURES PART I, LINE 3C: The organization's financial assistance policy that was in effect during Tax Year 2012 requires that available asset information be reviewed in all cases in addition to income; however, the policy also provides that a patient's/family's primary residence or vehicles needed for regular transportation are not considered to be available assets. The financial assistance policy also indicates that patients/families must be residents of CHOP's Primary Service Area. Exceptions to this residency requirement have been granted on a case-by-case basis. Part I, Line 7: Total and net community benefit expenses were assigned in Part I, Line 7 as follows. A ratio of patient care cost to charges based on Worksheet 2 (Schedule H Instructions) was applied to determine expense for financial assistance and Medicaid. Medicaid expense also included provider assessments paid to the Commonwealth of Pennsylvania and to New Jersey that require such payments from CHOP. Direct and indirect costs for community health improvement and community benefit operations were estimated based on CHOP's cost accounting systems. The cost of health professions education programs was based on the Medicaid Cost Report. PART III, LINE 2: CHOP'S PATIENT ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. IN ACCOUNTING FOR BAD DEBT EXPENSE, UNCOLLECTIBLE SELF-PAY ACCOUNTS (INCLUDING PATIENT ACCOUNT BALANCES DUE AFTER REIMBURSEMENT FROM INSURANCE) ARE WRITTEN OFF AS BAD DEBT EXPENSE AFTER EXHAUSTING COLLECTION EFFORTS. IN ADDITION, CERTAIN AMOUNTS ARE RECORDED AS BAD DEBT EXPENSE AFTER CHOP ROUTINELY ANALYZES THE HISTORICAL CASH COLLECTIONS OF ITS PATIENT ACCOUNTS RECEIVABLE. Part III, Line 4: CHOP's audited financial statements for Tax Year 2012 (fiscal year 2013) include the following statement regarding bad debt expense, accounts receivable, or allowance for doubtful accounts for the Controlled Affiliates: "Primary collection risks relate to uninsured patients and the portion of the bill which is the patient's responsibility, primarily co-payments and deductibles. We estimate our provisions for doubtful accounts based on a number of factors, including aging of the receivables and the historical collection experience. Receivables for patient services are recorded net of allowance for doubtful accounts of $137,528,000 and $126,997,000 as of June 30, 2013 and 2012, respectively." Part III, Line 9b: CHOP's billing and collections policy, financial assistance policy, and all related internal policies and practices provide that full financial assistance (free care) and partial financial assistance cases are not sent to outside collections. Part V, Section B Line 3: CHOP conducted a Community Health Needs Assessment (CHNA) throughout 2012 and published a CHNA report in February 2013. The CHNA was completed using a household health survey via telephone interviews of people age 18 and older living in 10,018 households in the five county area of Southeastern Pennsylvania (Bucks, Chester, Delaware, Montgomery and Philadelphia counties). When needed, interviews were conducted in Spanish and a total of 2,745 interviews were conducted in households with a selected child under the age of 18. Public Health Management Corporation, which was retained by CHOP to assist with the CHNA process, also collected information through community meetings throughout the five county area with residents, public health representatives, service providers and advocates. Seventeen such meetings were conducted between June and September 2012. The CHNA was conducted in a five-county region of Southeastern Pennsylvania. However, since CHOP is a freestanding children's hospital with over 50 ambulatory locations, including a pediatric research institute and homecare program, our implementation strategy includes initiatives that will benefit additional communities beyond the five-county region, such as areas in Southern New Jersey. CHOP's Board of Trustee's approved the CHNA and adopted the implementation strategy in June 2013 and both documents are available on CHOP's website at: http://www.chop.edu/about/chop-in-the-community/government-affairs/in-the- community/community-health-needs-assessment.html Part V, Section B, Line 7: The one need that was identified in CHOP's CHNA that CHOP is not addressing in the most recently adopted implementation strategy relates to low birth weights. In CHOP's service area, 9.1% of infants are born at a low birth weight. This does not meet the Healthy People 2020 target goal of 7.8%. The percentage of low birth weight infants is highest among African-American infants at 13.7%. In addition, every year an average of 444 infants in Southeastern Pennsylvania die before their first birthday, representing an infant mortality rate of 8.7 infant deaths per 1,000 live births. This also does not meet the Healthy People 2020 target goal of 6.0 infant deaths per 1,000 live births. Because CHOP clinicians do not care for pregnant women, other than those whose babies have been diagnosed before birth or prenatally with a condition or disease that must be monitored closely by our Center for Fetal Diagnosis and Treatment (CFDT), CHOP is unable directly to impact the number of infants born at a low birth weight and its implementation strategy focuses on other significant community health needs identified in the CHNA. CHOP does care for babies born at low birth weights and preterm infants that need hospitalization in the Neonatal/Infant Intensive Care Unit (N/IICU) on the Main Campus and in the infant nurseries or NICUs that CHOP manages in 10 community hospitals throughout the region. Part V, Section B, Line 14g: Information regarding CHOP's financial assistance policy is available at http://www.CHOP.edu/visitors/financial-matters/financial-assistance.html. A written summary of the financial assistance policy is provided to patients upon admission, upon request. PART V, SECTION B, LINE 20D FOR THOSE FAMILIES WHOSE INCOME IS GREATER THAN 201% BUT LESS THAN 400% OF THE FEDERAL POVERTY GUIDELINES, CHOP PROVIDED PARTIAL CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. PRIOR TO SENDING A BILL FOR SERVICES TO THOSE ELIGIBLE FOR PARTIAL CHARITY CARE, THE BILL IS REVIEWED BY AN INDIVIDUAL IN THE BUSINESS OFFICE TO ENSURE THE AMOUNT CHARGED IS NOT IN EXCESS OF CHOP'S LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. Needs Assessment Description Part VI, Line 2: In addition to CHOP's Community Health Needs Assessment, CHOP identifies and assesses community needs through several other methods. For example, as part of its extensive research and community service activities, CHOP performs cause-specific assessments of community health needs. Many of CHOP's community programs are provided in collaboration with community agencies. Community health needs are identified and addressed through these collaborations. For a listing of these programs, see CHOP's response to Part VI, Line 5. Patient Education Of Eligibility Of Assistance Part VI, Line 3: Information about CHOP's Family Health Coverage Program (FHCP, through which patients qualify for financial assistance and for appropriate state health insurance programs) is provided in signage at patient access points throughout the CHOP campus, satellite offices, and on hospital and physician billing statements. In addition, patients/families can learn more about financial assistance and the billing process through: the families' guide to billing and financial information; the CHOP internet website; and financial assistance packets available at CHOP's care network sites, outpatient subspecialty and specialty care clinics. CHOP also has financial counselors available to families either at the time of scheduling an appointment, the time of the appointment, or after an appointment has taken place. There are financial assistance packets available and widely distributed in hospital departments and divisions that explain what the FHCP services are, and how families can access the services. These packets also contain frequently asked questions about the program. Divisions and departments refer their self-pay (uninsured) patients to FHCP for assessment for government insurance coverage and/or financial assistance. FHCP information consistently is provided to self-pay patients who are seen in the emergency department. If an admitted patient/family is identified as self-pay, they are referred to FHCP through operational processes from CHOP's patient access and revenue cycle (PARC) prior authorization or bed management departments. CHOP's FHCP assists uninsured and underinsured families by assessing their eligibility for the hospital's financial assistance program and for any available and appropriate state program (Pennsylvania Medicaid Assistance (PAMA), PA State Children's Health Insurance Program (PA SCHIP), New Jersey Medical Assistance (NJMA), and NJ Family Care). The assessment is conducted by d
PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5: CHOP has a governing Board of Trustees, a majority of which are comprised of independent people who are representative of the community. CHOP operates a full-time emergency department open to all children and young adults, regardless of ability to pay. As described elsewhere in this Schedule H, CHOP treats a substantial number of Medicaid patients and provides substantial amounts of financial assistance. In addition to its financial assistance and other community benefit activities described elsewhere on this Schedule H, CHOP offers a number of services that uniquely reflect its integration of high quality patient care, innovative research and a commitment to education. Some of these CHOP specialized services include: a comprehensive center (one of only a few in the world) offering technologically advanced, multidisciplinary care for unborn babies with genetic or anatomical abnormalities; a cancer center integrated with CHOP's pediatric cancer research program (the largest pediatric cancer research program in the world), through which CHOP launched the world's first proton beam therapy service exclusively for pediatric patients; a program for ventilator-dependent children (including a home care program for ventilator dependent patients as an alternative to inpatient treatment); a Hematology Acute Care Unit (HACU) in the Sickle Cell Center which provides rapid evaluation and treatment for children with blood diseases; a Center for Pediatric Airway Disorders; and other clinical programs, ranging from primary care through tertiary and quaternary care that are routinely recognized among the best in the world. In addition to a full range of patient care programs (many of which are specialized services that are unavailable elsewhere), CHOP also operates a broad range of community education and community health improvement programs and conducts extensive, unparalleled research activities. Some of these services and CHOP programs are described below. In CHOP's service area, 3% of children (27,100) lack a regular source of healthcare. Children who are living in poverty (5%), Latino (6.1%) and Asian (6.5%) have more trouble accessing care than those who are white (2%) and African-American (1.8%). Community members also have reported a need for health services and education provided in schools. CHOP is responding to these needs in many ways. In January 2013, The Children's Hospital of Philadelphia's Nicholas and Athena Karabots Pediatric Care Center facility opened in West Philadelphia. Seventy-five percent of patients seen at the Karabots Center are on Medicaid and the building houses many CHOP programs specifically for children living in lower-income households including CHOP's Early Head Start for low-income pregnant women and their families, Reach Out and Read a national program supporting reading and literacy, The Children and Moms Project, the Medical Home and Care Coordination Program and the Community Asthma Prevention Program. CHOP also has two Primary Pediatric and Adolescent Care practices in medically underserved areas in West and South Philadelphia where 72% of the patients seen at these Centers are on Medicaid. In response to a demonstrated need for more pediatric primary care services in Montgomery County, CHOP also opened a primary care site in Norristown in March 2013. CHOP also offers a Language Services Program, which provides support to community members with limited English proficiency. Since 1988, the Homeless Health Initiative (HHI) has served as a volunteer outreach program coordinated by CHOP's Community Education Department. Volunteers provide medical and dental services to children in area shelters and assist families in accessing important health care services including health insurance, primary care and specialty care. During FY 2013, HHI launched the Healthy Baby Project, a pilot program that includes a weekly nurse visit to a shelter to check on 0 to 4 month-old babies and provide support and education to new mothers. CHOP also has a Refugee Health Program staffed by primary care pediatricians, nurses and social workers, and case workers from Philadelphia's refugee resettlement agencies. This program is one of the few in the area that sees refugee and asylum-seeking children; both groups identified as in need of primary care. The program provides the first point of medical contact and includes a health screening, immunizations and preparation for adjustment of status. Students from the University of Pennsylvania School of Dental Medicine also provide oral health assessments. Safe Place: The Center for Child Protection and Health provides access to health care for children who have been maltreated and those in substitute care. The Hospital also provides a number of educational programs for foster parents and for child welfare and law enforcement professionals. The Sexual Assault Response Team (SART) also provides access to care in an effort to improve quality and consistency of acute sexual assault examinations in the Emergency Department, while meeting the needs of pediatric sexual assault victims that require screening, testing, treatment and evidence collection. SART also provides education to community members and students to raise awareness about sexual assault. CHOP operates or participates in a wide range of community programs that provide education and access to care. For example, CHOP's Youth Heart Watch program holds free screenings throughout the community to find young people with potentially serious, yet undiagnosed, heart conditions. CHOP operates a regional Poison Control Center, providing toxicology services to the public, health care professionals, and law enforcement officers of the State of Delaware and 23 counties in Pennsylvania. The Kohl's Injury Prevention Program offers a wide range of education and safety devices. The Center for Injury Prevention and Research conducts research on the most frequent cases of injury, such as concussions and passenger safety in cars, and provides education and recommendations for injury prevention to other health professionals and the community on their website and through publications. In addition, CHOP's Special Babies Clinic provides programming for high-risk and preterm infants through its Special Trips for Special Babies program that facilitates visits to area attractions in an effort to foster greater childhood development for over 230 individuals, of which 99 percent are covered by public health insurance. Other educational programs that are provided to the larger community and health professionals outside of CHOP include lactation education and nutrition. Nearly one in five children in the CHOP service area has asthma (17.6%), representing 161,300 children. Asthma disproportionately affects children in Philadelphia County (23.6%), those who are living in poverty (24.3%), those who are Latino (24.9%) and African-American (23.9%) and those children who are older (ages 6-17). CHOP has several programs to address these needs. Since asthma is the prevalent chronic illness in childhood and the most common reason for CHOP inpatient admission, CHOP implemented an electronically coordinated management system, My AsthmaPortal, to be used in inpatient, emergency, and outpatient settings by clinical teams and families to monitor asthma control between doctor visits. The portal gathers information on treatment, symptoms and side effects from families at home, provides condition-specific educational content, provides tools to track progress and identify obstacles, and provides decision support based on medical evidence. The Community Asthma Prevention Program (CAPP) is a community-driven asthma management program to limit hospital visits for children with asthma and keep them breathing freely. The program provides asthma education in the community, a home visitor program in Philadelphia, a school program and primary care provider education. CHOP's Asthma Navigators are assigned to the Karabots, South Philadelphia and Cobbs Creek Care Network sites to meet families of children with high risk asthma and coordinate asthma management. The Navigator completes a needs assessment and conducts home visits to provide asthma education and facilitate communication between the patient, physician, school nurse and other providers. CHOP also offers a variety of other programs offering assistance, support, and education to children with chronic conditions and their families. The Diabetes Center, the Sickle Cell Center, and the Center for Childhood Communication's Family Wellness Program for children with hearing loss at CHOP, not only provides patient care, but also focuses on patient and community education in underserved areas of Philadelphia. One in five children between the ages of 6 and 17 are obese with another 15.6% categorized as overweight. Just as for asthma, overweight/obesity disproportionately affects those children in Philadelphia County (overweight: 12.9%/ obese
AFFILIATED HEALTH CARE SYSTEM DESCRIPTION PART VI, LINE 6: CHOP Affiliated Entities CHOP is the parent of seven entities that each constitutes a CHOP physician practice plan. Those entities are: Children's Anesthesiology Associates, Ltd.; Children's Health Care Associates, Inc.; Children's Surgical Associates, Ltd.; Radiology Associates of Children's Hospital, Inc.; Children's Anesthesiology Associates of NJ, Inc.; Children's Health Care Associates of NJ, Inc.; and Children's Surgical Associates of NJ, Inc. (each, a "Practice Plan," and, collectively, the "Practice Plans"). The Practice Plans represent the physician service departments at CHOP in anesthesiology and critical care medicine, pediatrics, surgery, and radiology. The Practice Plans also provide and bill for medical professional clinical services provided by CHOP physicians, provide teaching services at CHOP and at the University of Pennsylvania School of Medicine, and engage in research activities at CHOP. Affiliation with the University of Pennsylvania Although the University of Pennsylvania and CHOP are separate corporate entities with no shared ownership or corporate control, they have shared a close collaborative relationship for more than half a century in furtherance of their respective missions. The main campus of CHOP is adjacent to the campus of the University of Pennsylvania, including the Hospital of the University of Pennsylvania. CHOP has officially been the Department of Pediatrics to the University of Pennsylvania's School of Medicine since 1929. The relationship between CHOP and the University of Pennsylvania includes collaboration on the performance of basic and clinical research, collaboration in patient care, cooperation in education and training of medical students and residents, and multiple arrangements for the joint use of facilities and equipment, such as the Proton Therapy Center owned by the University of Pennsylvania and leased for pediatric use by CHOP. Affiliation with Community Hospitals CHOP has a number of affiliations with community hospitals in Pennsylvania and New Jersey under which CHOP and the community hospitals collaborate to provide access to high quality, efficient pediatric services at the community hospitals. CHOP provides the hospital with pediatric services including staffing and management, emergency care services for children, and newborn and other pediatric hospital services, as well as education. CHOP views these arrangements as an important part of its mission of improving access to and the quality of pediatric care in the communities it serves. CHOP has seven newborn care affiliations with community hospitals in Pennsylvania, three newborn care affiliations with community hospitals in New Jersey, three pediatric care affiliations with community hospitals in Pennsylvania and three pediatric care affiliations with community hospitals in New Jersey. State Filing of Community Benefit Report Part VI, Line 7: CHOP complies with all applicable reporting requirements established by the Pennsylvania ("PA") Department of Public Welfare ("DPW") for participation in the Hospital Uncompensated Care Program (the "Program") created by the PA Tobacco Settlement Act (the "TS Act"), signed into law on June 26, 2001. The Program provides for disbursement of appropriations from the Tobacco Settlement Fund to annually compensate hospitals for a portion of the uncompensated care they provide to uninsured and underinsured patients. The TS Act requires that a hospital must have a plan in place to serve the uninsured and meet specific eligibility requirements. Although not expressly a "community benefit report," it encompasses reporting on financial assistance and other uncompensated care.
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number
23-1352166
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) TRUSTEES OF THE UNIV OF PA
P221 FRANKLIN BLDG
3451 WALNUT STREET
PHILADELPHIA,PA19104
23-1352685 501(c)(3) 9,140,722   FMV N/A RESEARCH
(2) CURESEARCH FOR CHILDRENS CANCER
4600 E WEST HWY
BETHESDA,MD20814
95-4132414 501(c)(3) 3,883,398   FMV N/A RESEARCH
(3) PUBLIC HEALTH INSTITUTE
555 12TH ST
OAKLAND,CA94607
94-1646278 501(c)(3) 2,420,172   FMV N/A RESEARCH
(4) THE RESEARCH INST AT NATIONWIDE CHILDREN'S HOSP
P O BOX 715245
COLUMBUS,OH43260
31-1036372 501(c)(3) 2,545,170   FMV N/A RESEARCH
(5) CHILD HEALTH CORPORATION OF AMERICAN
6803 W 64TH ST
OVERLAND PARK,KS66202
52-1421302 501(c)(3) 1,105,673   FMV N/A RESEARCH
(6) UNIVERSITY OF PITTSBURGH
729 SALK HALL
PITTSBURGH,PA15261
25-0965591 501(c)(3) 1,441,682   FMV N/A RESEARCH
(7) UNIVERSITY OF UTAH
100 NORTH MED DRIVE
SALT LAKE CITY,UT84113
87-6000525 501(c)(3) 998,038   FMV N/A RESEARCH
(8) BAYLOR COLLEGE OF MEDICINE
PO BOX 297135
HOUSTON,TX77297
74-1613878 501(c)(3) 906,826   FMV N/A RESEARCH
(9) CINCINNATI CHILDREN S HOSPITAL MEDICAL CENTER
3333 BURNET AVE MLC 2011
PO BOX 60012
CINCINNATI,OH45229
31-0833936 501(c)(3) 777,485   FMV N/A RESEARCH
(10) SEATTLE CHILDREN'S HOSPITAL MEDICAL CENTER
P O BOX 50020 S 216
SEATTLE,WA98145
91-0564748 501(c)(3) 751,949   FMV N/A RESEARCH
(11) FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FAIRVIEW AVE N
SEATTLE,WA98109
23-7156071 501(c)(3) 734,033   FMV N/A RESEARCH
(12) UNIVERSITY OF NORTH CAROLINA
CB1350 - SUITE 2200
CHAPEL HILL,NC27599
56-6001393 501(c)(3) 683,370   FMV N/A RESEARCH
(13) JOHNS HOPKINS UNIVERSITY
12529 COLLECTION CENTER DRIVE
104 AIRPORT DRIVE
CHICAGO,IL60693
52-0595110 501(c)(3) 662,374   FMV N/A RESEARCH
(14) CHILDREN'S HOSP OF LOS ANGELES
4650 SUNSET BLVD MS 97
LOS ANGELES,CA90027
95-1690977 501(c)(3) 737,807   FMV N/A RESEARCH
(15) THOMAS JEFFERSON UNIV
PO BOX 8500-9075
PHILADELPHIA,PA19178
23-1352651 501(c)(3) 629,149   FMV N/A RESEARCH
(16) REGENTS OF THE UNIV OF CALIF
111 ACADEMY WAY SUITE 210
IRVINE,CA92697
94-3067788 501(c)(3) 613,558   FMV N/A RESEARCH
(17) CHILDRENS NATIONAL MEDICAL CTR
801 ROEDER RD
SILVER SPRING,MD20910
52-1640403 501(c)(3) 545,568   FMV N/A RESEARCH
(18) NEMOURS CHILDRENS CLINIC
PO BOX 277802
ATLANTA,GA30384
59-0634433 501(c)(3) 599,491   FMV N/A RESEARCH
(19) UNIVERSITY OF FLORIDA
PO BOX 100296
GAINESVILLE,FL32610
59-6002052 501(c)(3) 485,607   FMV N/A RESEARCH
(20) ST JUDE CHILDREN'S RESEARCH
332 N LAUDERALE AVE
MEMPHIS,TN38105
41-1625029 501(c)(3) 485,260   FMV N/A RESEARCH
(21) COOK CHILDRENS MEDICAL CENTER
901 7TH AVE
FORT WORTH,TX76104
75-2051646 501(c)(3) 443,800   FMV N/A RESEARCH
(22) CHILDREN'S HOSPITAL BOSTON
PO BOX 414413
BOSTON,MA02241
04-2774441 501(c)(3) 415,411   FMV N/A RESEARCH
(23) RESEARCH FOUNDATION OF STATE
P O BOX 9
ALBANY,NY12201
14-1368361 501(c)(3) 403,197   FMV N/A RESEARCH
(24) WASHINGTON UNIVERSITY
PO BOX 60352
ST LOUIS,MO63160
43-0653611 501(c)(3) 436,455   FMV N/A RESEARCH
(25) CHILDREN'S HEALTHCARE OF ATLANTA
1600 TULLIE CIRCLE NE
ATLANTA,GA30329
58-2367819 501(c)(3) 527,534   FMV N/A RESEARCH
(26) KAISER FOUNDATION RESEARCH INSTITUTE
1800 HARRISON ST 16TH FL
OAKLAND,CA94612
94-1105628 501(c)(3) 377,652   FMV N/A RESEARCH
(27) ANN & ROBERT LURIE CHILDREN'S HOSPITAL OF CHICAGO
2300 CHILDRENS PLAZA BOX 47
CHICAGO,IL60614
36-2170833 501(C)(3) 403,136   FMV N/A RESEARCH
(28) MEDICAL COLLEGE OF WISCONSIN
MAIL STOP B140/PO BOX 6511
AURORA,CO80045
39-0806261 501(c)(3) 370,406   FMV N/A RESEARCH
(29) CHILDREN'S MERCY HOSP & CLINIC
2401 GILLHAM ROAD
KANSAS CITY,MO64108
44-0605373 501(c)(3) 355,561   FMV N/A RESEARCH
(30) NEW YORK UNIVERSITY
246 GREENE ST
NEW YORK,NY10003
13-5562308 501(c)(3) 354,350   FMV N/A RESEARCH
(31) DANA FARBER FOUNDATION
44 BINNEY ST
BOSTON,MA02115
04-2263040 501(c)(3) 354,131   FMV N/A RESEARCH
(32) UNIVERSITY OF OKLAHOMA
P O BOX 26901 SCB RM 228
OKLAHOMA,OK73126
73-6017989 501(c)(3) 345,283   FMV N/A RESEARCH
(33) YALE UNIVERSITY
PO BOX 208005
NEW HAVEN,CT06520
06-0646973 501(c)(3) 341,122   FMV N/A RESEARCH
(34) UNIVERSITY OF ALABAMA BIRMINGHAM
1530 3RD AVE S LHRB 790
BIRMINGHAM,AL35294
63-6005396 501(c)(3) 338,498   FMV N/A RESEARCH
(35) WESTAT
PO BOX 1004
ROCKVILLE,MD20850
84-0529566   332,171   FMV N/A RESEARCH
(36) LOMA LINDA UNIVERSITY
11175 CAMPUS ST RM CE A 1120
LOMA LINDA,CA92551
95-1816009 501(c)(3) 331,072   FMV N/A RESEARCH
(37) CHILDRENS HOSPITALS AND
2525 CHICAGO AVENUE S
MINNEAPOLIS,MN55404
41-1754276 501(c)(3) 328,100   FMV N/A RESEARCH
(38) VANDERBILT UNIVERSITY MEDICAL
DEPT AT 40303
ATLANTA,GA31192
62-0476822 501(c)(3) 366,739   FMV N/A RESEARCH
(39) UNIVERSITY OF TEXAS
PO BOX 841765
DALLAS,TX75284
75-6002868 501(c)(3) 329,273   FMV N/A RESEARCH
(40) UC REGENTS
PO BOX 45368
SAN FRANCISCO,CA94145
94-6036493 501(c)(3) 315,702   FMV N/A RESEARCH
(41) LUCILE PACKARD FDN FOR CHILDRENS HEALTH CARE
1000 WELCH RD
STANFORD,CA94304
77-0440090 501(c)(3) 310,850   FMV N/A RESEARCH
(42) CHILDREN'S HOSPITAL CENTRAL
9300 VALLEY CHILDRENS PL
STE 301
MADERA,CA93638
94-1294954 501(c)(3) 305,539   FMV N/A RESEARCH
(43) CHILDRENS HOSP OF ORANGE CO
455 S MAIN ST
ORANGE,CA92868
95-2321786 501(c)(3) 301,209   FMV N/A RESEARCH
(44) PENN STATE HERSHEY MEDICAL CTR
227 W BEAVER AVE
STATE COLLEGE,PA16801
24-6000376 501(c)(3) 343,445   FMV N/A RESEARCH
(45) OHIO STATE UNIVERSITY RESEARCH
320 W 10TH AVENUE
COLUMBUS,OH43210
31-6025986 501(c)(3) 288,477   FMV N/A RESEARCH
(46) DUKE UNIVERSITY
BOX 90035
DURHAM,NC27708
56-0532129 501(c)(3) 279,586   FMV N/A RESEARCH
(47) UNIVERSITY OF WASHINGTON
PO BOX 15290
SEATTLE,WA98115
91-6001537 501(c)(3) 270,823   FMV N/A RESEARCH
(48) ADVANCE BIOSCIENCE LABS
9800 MEDICAL CENTER DR
ROCKVILLE,MD20850
62-1242262   260,150   FMV N/A RESEARCH
(49) INTERMOUNTAIN INSTITUTE FOR
100 N MARIO CAPECCHI DR
SALT LAKE CITY,UT84113
94-2854057 501(c)(3) 249,135   FMV N/A RESEARCH
(50) MILLER CHILDRENS HOSPITAL
2801 ATLANTIC AVE
LONG BEACH,CA90806
95-3527031 501(c)(3) 239,150   FMV N/A RESEARCH
(51) DREXEL UNIVERSITY
3141 CHESTNUT ST
PHILADELPHIA,PA19104
23-1352630 501(c)(3) 239,098   FMV N/A RESEARCH
(52) COLUMBIA UNIVERSITY
1051 RIVERSIDE DRIVE
NEW YORK,NY10032
13-3908649 501(c)(3) 231,094   FMV N/A RESEARCH
(53) REGENTS OF THE UNIV OF CA SF
9500 GILMAN DRIVE MAIL 0910
LA JOLLA,CA92093
94-3281657 501(c)(3) 229,987   FMV N/A RESEARCH
(54) UNIVERSITY OF VIRGINIA
PO BOX 800782
CHARLOTTESVILLE,VA22908
54-6001796 501(c)(3) 229,124   FMV N/A RESEARCH
(55) UNIVERSITY OF KENTUCKY
PO BOX 93113
CLEVELAND,OH44193
61-6033693 501(c)(3) 224,013   FMV N/A RESEARCH
(56) WAYNE STATE UNIVERSITY
4717 ST ANTOINE
DETROIT,MI48201
38-6028429 501(c)(3) 222,938   FMV N/A RESEARCH
(57) SAINT LOUIS UNIVERSITY
3545 LAFAYETTE AVE
STLOUIS,MO63104
43-0654872 501(c)(3) 214,338   FMV N/A RESEARCH
(58) REGENTS OF THE UNIV OF MICHIGAN
3089 WOLVERINE TOWER
ANN ARBOR,MI48109
38-6006309 501(c)(3) 220,501   FMV N/A RESEARCH
(59) ALL CHILDREN'S HOSPITAL
801 6TH STREET S
3003 S STATE ST
ST PETERSBURG,FL33701
59-0683252 501(c)(3) 210,890   FMV N/A RESEARCH
(60) UNIV OF TEXAS HEALTH SCI CTR
PO BOX 759
SAN ANTONIO,TX78293
74-1586031 501(c)(3) 376,813   FMV N/A RESEARCH
(61) UNIVERSITY OF DELAWARE
PO BOX 6003
NEWARK,DE19714
51-6000297 501(c)(3) 203,693   FMV N/A RESEARCH
(62) JAMES WHITCOMB RILEY HOSPITAL
699 RILEY HOSPITAL DR
INDIANAPOLIS,IN46202
35-0868147 501(c)(3) 187,502   FMV N/A RESEARCH
(63) CAROLINAS HEALTHCARE SYSTEM
PO BOX 601428
CHARLOTTE,NC28260
56-6060481 501(c)(3) 186,550   FMV N/A RESEARCH
(64) DREXEL UNIVERSITY COLLEGE OF MEDICINE
3201 ARCH ST STE 100
PHILADELPHIA,PA19104
23-2979433 501(c)(3) 185,772   FMV N/A RESEARCH
(65) UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE STREET
JACKSON,MS39216
64-6008520 501(c)(3) 180,250   FMV N/A RESEARCH
(66) HACKENSACK UNIV MEDICAL CENTER
30 PROSPECT AVENUE
HACKENSACK,NJ07601
22-1487576 501(c)(3) 179,900   FMV N/A RESEARCH
(67) TEMPLE UNIVERSITY
1803 N BROAD STREET
PHILADELPHIA,PA19122
23-1365971 501(c)(3) 166,389   FMV N/A RESEARCH
(68) CHILDRENS HOSPITAL OF THE KINGS DAUGHTER INC
601 CHILDRENS LN
NORFOLK,VA23507
54-0506321 501(c)(3) 165,884   FMV N/A RESEARCH
(69) UNIVERSITY OF LOUISVILLE
520 STEVENSON HALL
LOUISVILLE,KY40292
61-1014882 501(c)(3) 148,016   FMV N/A RESEARCH
(70) PHOENIX CHILDREN S HOSPITAL
909 EAST BRILL STREET
PHOENIX,AZ85006
86-0422559 501(c)(3) 146,402   FMV N/A RESEARCH
(71) RUTGERS BIOMEDICAL & HEALTH
335 GEORGE ST
NEW BRUNSWICK,NJ08903
46-2354111 501(c)(3) 146,151   FMV N/A RESEARCH
(72) CONNECTICUT CHILDRENS MED CTR
282 WASHINGTON ST
HARTFORD,CT06106
06-0646755 501(c)(3) 140,200   FMV N/A RESEARCH
(73) MONTEFIORE MEDICAL CENTER
111 E 210TH ST
BRONX,NY10467
13-1740114 501(c)(3) 138,642   FMV N/A RESEARCH
(74) DELL CHILDRENS MEDICAL CENTER
4900 MUELLER BLVD
AUSTIN,TX78723
20-0468031 501(c)(3) 133,953   FMV N/A RESEARCH
(75) UNIV OF WISCONSIN-MADISON
5-151 WISCONSIN CENTER
MADISON,WI53705
39-6006492 501(c)(3) 131,214   FMV N/A RESEARCH
(76) OREGON HEALTH & SCIENCES UNIV
2241 LLOYD CENTER
1500 HIGHLAND AVE
PORTLAND,OR97232
93-1176109 501(c)(3) 183,376   FMV N/A RESEARCH
(77) ROSWELL PARK CANCER INSTITUTE
ELM CARLTON STREETS
BUFFALO,NY14263
16-1391608 501(c)(3) 125,200   FMV N/A RESEARCH
(78) UNIVERSITY OF COLORADO
MAIL STOP 8313 PO BOX 6511
AURORA,CO80045
84-1179794 501(c)(3) 123,870   FMV N/A RESEARCH
(79) THE UNIVERSITY OF NEW MEXICO
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE,NM87131
85-8000642 501(c)(3) 122,745   FMV N/A RESEARCH
(80) WISTAR INSTITUTE RMG54
3601 SPRUCE ST
PHILADELPHIA,PA19104
23-6434390 501(c)(3) 121,122   FMV N/A RESEARCH
(81) OVERLOOK MEDICAL CENTER
99 BEAUVOIR AVE
SUMMIT,NJ07901
51-0194054 501(c)(3) 119,075   FMV N/A RESEARCH
(82) MONTGOMERY EARLY LEARNING CTR
201 SABINE AVENUE
NARBERTH,PA19072
23-1676836 501(c)(3) 118,846   FMV N/A RESEARCH
(83) MAYO CLINIC ROCHESTER
13400 E SHEA BLVD
SCOTTSDALE,AZ85259
41-6011702 501(c)(3) 118,140   FMV N/A RESEARCH
(84) FEINSTEIN INST FOR MED RES
350 Community Dr
MANHASSET,NY11030
11-2673595 501(c)(3) 115,000   FMV N/A RESEARCH
(85) BRIGHAM AND WOMENS HOSP
PO BOX 414122
BOSTON,MA02241
04-2312909 501(c)(3) 114,477   FMV N/A RESEARCH
(86) ADVOCATE HOPE CHILDRENS HOSP
4440 W 95TH ST
OAK LAWN,IL60453
36-2169147 501(c)(3) 148,630   FMV N/A RESEARCH
(87) CHILDRENS HOSPITAL & MEDICAL CENTER OMAHA
8200 DODGE STREET
OMAHA,NE68114
47-0379754 501(c)(3) 112,850   FMV N/A RESEARCH
(88) UNIVERSITY OF ILLINOISCHICAGO MEDICAL CENTER
840 S WOOD STREET
STE 600
CHICAGO,IL60612
37-6000511 501(c)(3) 111,400   FMV N/A RESEARCH
(89) NEW YORK MEDICAL COLLEGE
50 PLAZA WEST RD
VALHALLA,NY10595
13-1099420 501(c)(3) 109,500   FMV N/A RESEARCH
(90) REGENTS OF THE UNIV OF MINNESOTA
200 OAK STREET SE SUITE 450
MINNEAPOLIS,MN55455
41-6007513 501(c)(3) 258,472   FMV N/A RESEARCH
(91) CITY OF HOPE NATIONAL MED CTR
GONDA BLDG RM 1009A
DUARTE,CA91010
95-3435919 501(c)(3) 107,394   FMV N/A RESEARCH
(92) UNIVERSITY OF ROCHESTER
910 GENESEE ST STE 200
ROCHESTER,NY14611
16-0743209 501(c)(3) 107,000   FMV N/A RESEARCH
(93) MEMORIAL SLOAN-KETTERING CANCER CENTER
425 EAST 68TH STREET STE K-603
NEW YORK,NY10021
13-1924236 501(c)(3) 105,661   FMV N/A RESEARCH
(94) GREENVILLE CANCER TREATMENT CENTER
900 WEST FARIS RD
GREENVILLE,SC29605
57-6007863 501(c)(3) 103,950   FMV N/A RESEARCH
(95) PROVIDENCE SACRED HEART
PO BOX 2555
SPOKANE,WA99220
91-0393510 501(c)(3) 103,648   FMV N/A RESEARCH
(96) WAKE FOREST UNIVERSITY
MEDICAL CENTER BLVD
WINSTONSALEM,NC27157
65-1269410 501(c)(3) 102,450   FMV N/A RESEARCH
(97) RESEARCH FOUNDATION FOR MENTAL HYGIENE INC
150 BROADWAY STE 301
MENANDS,NY12204
14-1410842 501(c)(3) 99,811   FMV N/A RESEARCH
(98) TOLEDO HOSPITAL
2142 N COVE BLVD
TOLEDO,OH43606
34-4428256 501(c)(3) 99,650   FMV N/A RESEARCH
(99) EMORY UNIVERSITY
1784 N DECATURE ROAD STE 530
ATLANTA,GA30322
58-0566256 501(c)(3) 99,101   FMV N/A RESEARCH
(100) RADY CHILDRENS HOSP-SAN DIEGO
3020 CHILDRENS WAY
SAN DIEGO,CA92123
95-6006144 501(c)(3) 104,800   FMV N/A RESEARCH
(101) AKRON CHILDREN'S HOSPITAL
ONE PERKINS SQ
AKRON,OH44308
23-7114013 501(c)(3) 97,900   FMV N/A RESEARCH
(102) UNIVERSITY OF NEBRASKA MED CTR
984375 NEBRASKA MEDICAL CENTER
OMAHA,NE68198
47-0049123 501(c)(3) 97,592   FMV N/A RESEARCH
(103) ST VINCENT HEALTH INC
8425 HARCOURT RD
INDIANAPOLIS,IN46260
35-0869066 501(c)(3) 94,800   FMV N/A RESEARCH
(104) ARKANSAS CHILDREN'S HOSPITAL
13 CHILDRENS WAY
LITTLE ROCK,AR72202
71-0236857 501(c)(3) 93,180   FMV N/A RESEARCH
(105) EAST TENNESSEE CHILDRENS HOSP
2018 W CLINCH AVE
KNOXVILLE,TN37916
62-6002604 501(c)(3) 93,100   FMV N/A RESEARCH
(106) PALMETTO HEALTH
1301 TAYLOR ST
COLUMBIA,SC29201
57-6001153 501(c)(3) 90,250   FMV N/A RESEARCH TRAUMATIC EVENT
(107) CASE WESTERN RESERVE UNIV
1100 EUCLID AVENUE
CLEVELAND,OH44106
34-1018992 501(c)(3) 90,100   FMV N/A RESEARCH APNEA
(108) CHILDRENS MEDICAL CENTER OF DAYTON
ONE CHILDRENS PLZ
DAYTON,OH45404
31-0672132 501(c)(3) 87,050   FMV N/A RESEARCH APNEA
(109) LOYOLA UNIVERSITY OF CHICAGO
PO BOX 4386
CAROL STREAM,IL60197
36-1408475 501(c)(3) 83,832   FMV N/A RESEARCH PROTEIN B
(110) UNIVERSITY OF IOWA HOSPITALS AND CLINICS
200 HAWKINS DR
IOWA CITY,IA52242
42-6004813 501(c)(3) 90,281   FMV N/A RESEARCH CHILD HEALTH
(111) CHILDRENS HOSPITAL OF COLORADO
1245 EAST COLFAY AVENUE
DENVER,CO80218
84-0813462 501(c)(3) 80,200   FMV N/A RESEARCH CHILDREN
(112) CORIELL INSTITUTE FOR MEDICAL RESEARCH
403 HADDON AVE
SUITE 400
CAMDEN,NJ08103
21-0672684 501(c)(3) 79,729   FMV N/A RESEARCH
(113) MEDICAL UNIVERSITY OF SOUTH
PO BOX 951
CHARLESTON,SC29425
57-6028985 501(c)(3) 78,122   FMV N/A RESEARCH
(114) MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER
4700 WATERS AVE
SAVANNAH,GA31404
31-1126469 501(c)(3) 75,653   FMV N/A RESEARCH SELECTED TYPE 1 DIABETES
(115) MARY BRIDGE CHILDRENS HOSP
317 MARTIN LUTHER KING JR WAY
TACOMA,WA98405
91-1352172 501(c)(3) 75,000   FMV N/A RESEARCH
(116) DRISCOLL CHILDRENS HOSPITAL
3533 S ALAMEDA ST
CORPUS CHRIST,TX78411
74-2577746 501(c)(3) 74,800   FMV N/A RESEARCH
(117) INDIANA UNIVERSITY
701 E KIRKWOOD AVE
BLOOMINGTON,IN47405
35-6001673 501(c)(3) 74,428   FMV N/A RESEARCH
(118) UNIVERSITY OF ARIZONA
P O BOX 3520
TUCSON,AZ85722
86-0196696 501(c)(3) 73,450   FMV N/A RESEARCH
(119) UNIV OF OKLAHOMA HLTH SCIENCES
4502 E 41ST ST STE2B20
TULSA,OK74135
73-6017987 501(c)(3) 133,209   FMV N/A RESEARCH
(120) LEGACY EMANUEL HOSPITAL
1919 NORTHWEST LOVEJOY
PORTLAND,OR97210
93-0386823 501(c)(3) 103,900   FMV N/A RESEARCH
(121) INOVA HEALTH SYSTEM
PO BOX 37022
BALTIMORE,MD21297
54-0620889 501(c)(3) 84,979   FMV N/A RESEARCH
(122) MOUNTAIN STATES TUMOR INSTITUTE INC
PO BOX 1023
BOISE,ID83712
82-0295026 501(c)(3) 68,650   FMV N/A RESEARCH
(123) WINTHROP UNIVERSITY HOSPITAL
700 HICKSVILLE ROAD SUITE 205
BETHPAGE,NY11714
11-1633486 501(c)(3) 68,350   FMV N/A RESEARCH
(124) TEXAS TECH UNIVERSITY
3601 4TH STREET MS6540
LUBBOCK,TX79430
75-2668014 501(c)(3) 67,339   FMV N/A RESEARCH
(125) SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
801 N RUTLEDGE ST
SPRINGFIELD,IL62702
37-6005961 501(c)(3) 64,950   FMV N/A RESEARCH
(126) NEW YORK BLOOD CENTER
1200 PROSPECT AVE
WEST BURY,NY11590
13-1949477 501(c)(3) 64,876   FMV N/A RESEARCH
(127) BRYN MAWR REHAB HOSPITAL
414 PAOLI PIKE
MALVERN,PA19355
23-2110812 501(c)(3) 64,525   FMV N/A RESEARCH
(128) PHILADELPHIA VA MEDICAL CENTER
3900 WOODLAND AVE
P O BOX 3007
PHILADELPHIA,PA19104
23-2764079 501(c)(3) 81,484   FMV N/A RESEARCH
(129) MAINE CHILDRENS CANCER PROGRAM
100 CAMPUS DR
SCARBOROUGH,ME04074
01-0238552 501(c)(3) 62,985   FMV N/A RESEARCH
(130) ALBANY MEDICAL CENTER
43 NEW SCOTLAND AVE
ALBANY,NY12208
14-1641730 501(c)(3) 62,800   FMV N/A RESEARCH
(131) RHODE ISLAND HOSPITAL
593 EDDY STAPC-12
PROVIDENCE,RI02903
05-0258954 501(c)(3) 62,550   FMV N/A RESEARCH
(132) MISSION HOSPITALS INC
PO BOX 751177
CHARLOTTE,NC28275
56-0532141 501(c)(3) 61,600   FMV N/A RESEARCH
(133) NEVADA CANCER RESEARCH FOUNDATION
601 S RANCHO DR
LAS VEGAS,NV89106
88-0189404 501(c)(3) 61,500   FMV N/A RESEARCH
(134) PRESBYTERIAN HEMBY CHILDREN'S HOSPITAL
200 HAWTHORNE LN
CHARLOTTE,NC28204
56-0554230 501(c)(3) 60,950   FMV N/A RESEARCH
(135) SANFORD MEDICAL CENTER FARGO
720 4TH ST N
FARGO,ND58122
45-0226909 501(c)(3) 60,788   FMV N/A RESEARCH
(136) ISIS SC LLC
P O BOX 20466
TAMPA,FL33622
41-2259448   60,000   FMV N/A RESEARCH
(137) SANFORD MEDICAL CENTER SIOUX FALLS
1305 W 18TH ST
SIOUX FALLS,ND57105
46-0227855 501(c)(3) 59,800   FMV N/A RESEARCH
(138) LEE MEMORIAL HEALTH SYSTEM
9981 HEALTH PARK DRIVE
FORT MYERS,FL33908
59-0714812 501(c)(3) 59,100   FMV N/A RESEARCH
(139) TRUSTEES OF TUFTS COLLEGE
136 HARRISON AVE
BOSTON,MA02111
04-2103634 501(c)(3) 58,666   FMV N/A RESEARCH
(140) NEWARK BETH ISRAEL
201 LYONS AVE
NEWARK,NJ07112
22-3452311 501(c)(3) 74,132   FMV N/A RESEARCH
(141) CHILDRENS HOSP NEW ORLEANS
200 HENRY CLAY AVE
NEW ORLEANS,LA70118
72-6087770 501(c)(3) 58,200   FMV N/A RESEARCH
(142) MEDICAL CITY DALLAS HOSPITAL
7777 FOREST LANE
DALLAS,TX75230
75-1620569 501(c)(3) 57,200   FMV N/A RESEARCH
(143) FLOATING HOSPITAL FOR CHILDREN AT TUFTS MED CENTER
755 WASHINGTON ST
BOSTON,MA02111
04-3400617 501(c)(3) 55,700   FMV N/A RESEARCH
(144) SCRIPPS HEALTH & BVA
3344 N TORREY PINES CT
LAJOLLA,CA92037
95-1684089 501(c)(3) 55,616   FMV N/A RESEARCH
(145) BRONSON METHODIST HOSPITAL
601 JOHN ST STE M-005
KALAMAZOO,MI49007
38-1359087 501(c)(3) 50,150   FMV N/A RESEARCH
(146) BLANK HEALTH PROVIDERS
1200 PLEASANT ST
DES MOINES,IA50309
42-0680452 501(c)(3) 53,939   FMV N/A RESEARCH
(147) MOUNT SINAI SCHOOL OF MEDICINE
1255 FIFTH AVENUE SUITE C-2
NEW YORK,NY10029
13-6171197 501(c)(3) 53,406   FMV N/A RESEARCH
(148) ST JOSEPH'S HOSPITAL FLORIDA
3001 W MARTIN LUTHER KING BLVD
TAMPA BAY,FL33607
59-0774199 501(c)(3) 53,350   FMV N/A  
(149) SINAI HOSPITAL OF BALTIMORE
2401 WEST BELVEDER AVE
BALTIMORE,MD21215
52-0486540 501(c)(3) 50,950   FMV N/A  
(150) ST JOSEPH'S CHILDREN HOSPITAL
703 MAIN ST
PATERSON,NJ07503
22-1487602 501(c)(3) 50,468   FMV N/A RESEARCH
(151) MD ANDERSON CANCER CENTER ORLANDO
1400 S ORANGE AVE
ORLANDO,FL32806
59-3005020 501(c)(3) 49,000   FMV N/A  
(152) SAINT VINCENT HOSPITAL
835 S VAN BUREN ST
GREEN BAY,WI54309
39-0817529 501(c)(3) 48,550   FMV N/A  
(153) SCHUYLKILL MEDICAL CENTER
420 SOUTH JACKSON ST
POTTSVILLE,PA17901
23-1352202 501(c)(3) 47,736   FMV N/A  
(154) VIRGINIA COMMONWEALTH UNIV
PO BOX 980452
RICHMOND,VA23298
54-0757884 501(c)(3) 47,139   FMV N/A RESEARCH
(155) HEMOPHILIA CENTER WESTERN PA
3636 BOULEVARD OF THE ALLIES
PITTSBURGH,PA15213
25-1562716 501(c)(3) 47,079   FMV N/A RESEARCH
(156) CHRISTIANA CARE HLTH SERV
6 BISBEE RD
NEWARK,DE19711
51-0103684 501(c)(3) 46,355   FMV N/A RESEARCH
(157) UNIVERSITY OF CHICAGO
1225 EAST 60TH STREET
CHICAGO,IL60637
36-2177139 501(c)(3) 44,569   FMV N/A RESEARCH
(158) STANFORD UNIVERSITY
PO BOX 44253
SAN FRANCISCO,CA94144
94-1156365 501(c)(3) 44,156   FMV N/A RESEARCH
(159) TULANE UNIV HLTH SCIENCES CTN
1440 CANAL ST
NEW ORLEANS,LA70112
72-0423889 501(c)(3) 43,873   FMV N/A RESEARCH
(160) EASTERN MAINE MEDICAL CENTER
489 STATE STREET
BANGOR,ME04402
01-0211501 501(c)(3) 42,850   FMV N/A RESEARCH
(161) HURLEY MEDICAL CENTER INC
1 HURLEY PLZ
P O BOX 404
FLINT,MI48503
38-1655400 501(c)(3) 40,300   FMV N/A RESEARCH
(162) SCOTT & WHITE MEMORIAL HOSPTIAL
2401 S 31ST ST
TEMPLE,TX76508
74-1166904 501(c)(3) 39,800   FMV N/A RESEARCH
(163) UNIVERSITY OF MASSACHUSETTS
460 WALK HILL STREET
MATTAPAN,MA02130
04-3167352 501(c)(3) 39,600   FMV N/A RESEARCH
(164) UNIVERSITY OF MIAMI
PO BOX 025405
MIAMI,FL33102
59-0624458 501(c)(3) 39,396   FMV N/A RESEARCH
(165) WEST VIRGINIA UNIVERSITY
830 PENNSYLVANIA AVE
CHARLESTON,WV25302
55-0753754 501(c)(3) 62,477   FMV N/A RESEARCH
(166) BROWARD HEALTH
303 SE 17TH ST
FT LAUDERDALE,FL33316
59-6012065 501(c)(3) 37,300   FMV N/A RESEARCH
(167) TRUSTEES OF DARTMOUTH COLLEGE
11 ROPE FERRY RD 6210
HANOVER,NH03755
02-0222111 501(c)(3) 37,250   FMV N/A RESEARCH
(168) LEHIGH VALLEY HOSPITAL
1247 S CEDAR CREST BLVD
ALLENTOWN,PA18103
23-1689692 501(c)(3) 53,205   FMV N/A RESEARCH
(169) VILLANOVA UNIVERSITY
800 LANCASTER AVE
VILLANOVA,PA19085
23-1352688 501(c)(3) 35,537   FMV N/A RESEARCH
(170) BETH ISRAEL MEDICAL CTR
FIRST AVENUE AT 16TH ST
NEW YORK,NY10003
04-2103881 501(c)(3) 35,184   FMV N/A RESEARCH
(171) MERCY CHILDRENS HOSPITAL
2213 CHERRY ST
TOLEDO,OH43608
80-0000044 501(c)(3) 35,150   FMV N/A RESEARCH
(172) NORTHWESTERN UNIVERSITY
633 CLARK ST
EVANSTON,IL60208
36-2167817 501(c)(3) 35,045   FMV N/A RESEARCH
(173) LANKENAU INSTITUTE FOR MEDICAL
PO BOX 12606
WYNNEWOOD,PA19096
23-2175659 501(c)(3) 33,822   FMV N/A RESEARCH
(174) UNIVERSITY OF MISSOURI
105 SCHRENK HALL
ROLLA,MO65409
43-6003859 501(c)(3) 33,800   FMV N/A RESEARCH
(175) MERCY HOSPITAL ST LOUIS
607 S NEW BALLAS RD STE 2415
ST LOUIS,MO63141
43-0653493 501(c)(3) 33,450   FMV N/A RESEARCH
(176) WEST VIRGINIA RESEARCH CORP
P O BOX 6002
MORGANTOWN,WV26506
55-0665758 501(c)(3) 32,824   FMV N/A RESEARCH
(177) ST PETERS UNIV HOSPITAL
254 EASTON AVE
NEW BRUNSWICK,NJ08901
22-1487330 501(c)(3) 30,200   FMV N/A RESEARCH
(178) UNIVERSITY OF VERMONT
89 BEAUMONT AVE
BURLINGTON,VT05405
03-0179440 501(c)(3) 29,900   FMV N/A RESEARCH
(179) COVENANT CHILDRENS HOSPITAL
4015 22ND PL
LUBBOCK,TX79410
75-2428911 501(c)(3) 28,800   FMV N/A RESEARCH
(180) MICHIGAN STATE UNIVERSITY
B240 LIFESCIENCES BLDG
EAST LANSING,MI48824
38-6005984 501(c)(3) 28,700   FMV N/A RESEARCH
(181) THE UNIVERSITY OF MICHIGAN
400 N INGALLS RM 1174
ANN ARBOR,MI48109
38-6006391 501(c)(3) 28,047   FMV N/A RESEARCH
(182) CORNELL UNIVERSITY
P O BOX 22
ITHACA,NY14851
15-0532082 501(c)(3) 27,900   FMV N/A RESEARCH
(183) SAINT FRANCIS HEALTH SYSTEM
6161 S YALE AVE
TULSA,OK74136
73-1426265 501(c)(3) 27,000   FMV N/A RESEARCH
(184) EXPONENT INC
P O BOX 200283
DALLAS,TX75320
77-0218904   26,107   FMV N/A RESEARCH
(185) MIAMI CHILDREN'S HOSPITAL
3100 SW 62ND AVE
MIAMI,FL33155
59-2602318 501(c)(3) 25,514   FMV N/A RESEARCH
(186) GEISINGER CLINIC
NORTH ACADEMY AV
DANVILLE,PA17822
23-6291113 501(c)(3) 25,204   FMV N/A RESEARCH
(187) SPECTRUM HEALTH HOSPITAL
944 52ND STSE
GRAND RAPIDS,MI49508
38-1360529 501(c)(3) 24,900   FMV N/A RESEARCH
(188) CLEVELAND CLINIC FOUNDATION
9500 EUCLID AVE
CLEVELAND,OH44195
34-0714585 501(c)(3) 24,550   FMV N/A RESEARCH
(189) FOUNDATION FOR HEARING RESEARCH INC
3518 JEFFERSON AVE
REDWOOD CITY,CA94062
94-1706320 501(c)(3) 24,510   FMV N/A RESEARCH
(190) GEORGETOWN UNIVERSITY MED CTR
OFFICE OF SPONSORED ACCTG
WASHINGTON,DC20057
53-0196603 501(c)(3) 23,695   FMV N/A RESEARCH
(191) CREIGHTON UNIVERSITY
2500 CALIFORNIA PLZ
BOX 571164
OMAHA,NE68178
47-0376583 501(c)(3) 23,079   FMV N/A RESEARCH
(192) SAINT JOHN PROVIDENCE
22101 MOROSS
DETROIT,MI48236
38-1359063 501(c)(3) 23,050   FMV N/A RESEARCH
(193) UNIVERSITY OF SOUTH ALABAMA
380 ADMINISTRATION BLDG
MOBILE,AL36688
63-0477348 501(c)(3) 22,550   FMV N/A RESEARCH
(194) METHODIST HOSPITAL
7700 FLOYD CURL DR
SAN ANTONIO,TX78229
74-1180155 501(c)(3) 21,350   FMV N/A RESEARCH
(195) MASSACHUSETTS GENERAL HOSPITAL
185 CAMBRIDGE ST
BOSTON,MA02114
04-2697983 501(c)(3) 21,000   FMV N/A RESEARCH
(196) UNIVERSITY OF SOUTHERN CALIF
FILE NO 52095
LOS ANGELES,CA90074
95-1642394 501(c)(3) 19,851   FMV N/A RESEARCH
(197) CARILION CLINIC CHILDRENS HOS
1212 THIRD ST
ROANOKE,VA24016
54-1190771 501(c)(3) 19,500   FMV N/A RESEARCH
(198) CHILDRENS HOSP RES CTR OAKLAND
747 52ND STREET
OAKLAND,CA94609
94-1657474 501(c)(3) 19,000   FMV N/A RESEARCH
(199) THE UNVERSITY OF TEXAS
6431 FANNIN MSB 3 124
HOUSTON,TX77030
99-9013622 501(c)(3) 18,931   FMV N/A RESEARCH
(200) ST JOSEPH INSTITUTE
9192 WALDEMAR RD
INDIANAPOLIS,IN46268
43-0623494 501(c)(3) 18,913   FMV N/A RESEARCH
(201) PHILADELPHIA HEALTH MGMT CORP
260 S BROAD ST
PHILADELPHIA,PA19102
23-7221025 501(c)(3) 21,149   FMV N/A RESEARCH
(202) DEVEREUX CTR EFFECTIVE SCHOOLS
P O BOX 8538 122
PHILADELPHIA,PA19171
23-1390618 501(c)(3) 18,399   FMV N/A RESEARCH
(203) SUNSHINE COTTAGE SCHOOL FOR DEAF CHILDREN
603 E HILDEBRAND AVE
SAN ANTONIO,TX78212
74-1143132 501(c)(3) 18,370   FMV N/A RESEARCH
(204) UNIVERSITY OF MARYLAND
601 WEST LOMBARD STREET
BALTIMORE,MD21201
52-1362793 501(c)(3) 17,278   FMV N/A RESEARCH
(205) SUNY UPSTATE MEDICAL UNIV
766 IRVING AVENUE
SYRACUSE,NY13210
15-6025404 501(c)(3) 16,500   FMV N/A RESEARCH
(206) UNIVERSITY OF ARKANSAS
1 CHILDRENS WY SLOT 512 30
LITTLE ROCK,AR72202
71-6003252 501(c)(3) 16,100   FMV N/A RESEARCH
(207) MARSHFIELD LABS
1000 NORTH OAK AVENUE
MARSHFIELD,WI54449
39-6498144 501(c)(3) 13,950   FMV N/A RESEARCH
(208) ALBERT EINSTEIN COLLEGE OF MED
1301 MORRIS PARK AVE-RM 250
BRONX,NY10461
23-7075620 501(c)(3) 13,476   FMV N/A RESEARCH
(209) ST CHRISTOPHER'S HOSPITAL FOR
3601 A STREET
PHILADELPHIA,PA19134
75-2784866 501(c)(3) 13,400   FMV N/A RESEARCH
(210) CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BLVD ROOM 4311
LOS ANGELES,CA90048
95-1644600 501(c)(3) 12,700   FMV N/A RESEARCH
(211) MD ANDERSON CANCER CENTER
1515 HOLCOMBE BLVD
HOUSTON,TX77030
74-6001118 501(c)(3) 11,800   FMV N/A RESEARCH
(212) OKLAHOMA FOUNDATION FOR MEDICAL QUALITY INC
14000 QUAIL SPRINGS PKWY
OKLAHOMA CITY,OK73134
23-7336073 501(c)(3) 11,664   FMV N/A RESEARCH
(213) ROCKY MOUNTAIN HOSPITAL
1719 E 19TH AVE
DENVER,CO80218
84-1321373 501(c)(3) 11,400   FMV N/A RESEARCH
(214) SANTA BARBARA COTTAGE HOSP
PUEBLO AT BATH ST
SANTA BARBARA,CA93105
95-1644629 501(c)(3) 10,850   FMV N/A RESEARCH
(215) EASTERN VA MEDICAL SCHOOL
P O BOX 1980
NORFOLK,VA23501
54-6055378 501(c)(3) 10,564   FMV N/A RESEARCH
(216) SALK INSTITUTE
10010 N TORREY PINES RD
LAJOLLA,CA92037
95-2160097 501(c)(3) 10,120   FMV N/A RESEARCH
(217) SALUS UNIV BOOKSTORE
8360 OLD YORK RD
ELKINS PARK,PA19027
23-1413680   8,000   FMV N/A RESEARCH
(218) SAINT JUDE MIDWEST AFFILIATE
530 NE GLEN OAK
PEORIA,IL61637
35-1044585 501(c)(3) 8,000   FMV N/A RESEARCH
(219) BAPTIST HOSPITAL OF MIAMI
8900 NORTH KENDALL DR
MIAMI,FL33176
59-0910342 501(c)(3) 7,500   FMV N/A RESEARCH
(220) WILLIAM BEAUMONT HOSPITAL RESEARCH INSTITUTE
3811 WEST THIRTEEN MILE RD
ROYAL OAK,MI48073
38-1459362 501(c)(3) 7,000   FMV N/A RESEARCH
(221) OCHSNER CLINIC FOUNDATION
1514 JEFFERSON HWY
NEW ORLEANS,LA70121
72-0502505 501(c)(3) 6,150   FMV N/A RESEARCH
(222) DARTMOUTH-HITCHCOCK
PO BOX 10547
BEDFORD,NH03110
22-2715483 501(c)(3) 6,000   FMV N/A RESEARCH
(223) NATIONAL JEWISH CENTER FOR IMM
P O BOX 17379
DENVER,CO80217
74-2044647 501(c)(3) 5,488   FMV N/A RESEARCH
(224) ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-1913910 501(c)(3) 5,400   FMV N/A RESEARCH
(225) SAN JORGE CHILDREN'S HOSPITAL
259 SAN JORGE ST
SANTURCE,PR00912
66-0531105 501(c)(3) 14,350   FMV N/A  
(226) THE PHILADELPHIA RONALD MCDONALD HOUSE
3925 CHESTNUT STREET
PHILADELPHIA,PA19104
23-7377505 501(c)(3) 1,000,000   FMV N/A GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
221
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
5
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Part I Line 2   The Children's Hospital of Philadelphia has established controls in place to monitor the use of grant funds both outside and within the United States. Expenditures are monitored based on the guidelines outlined by 45 CFR Part 74 Appendix E (OASC-3). It is our policy to follow the federal government-established principles for determining costs applicable to grants, contracts, and other agreements. The Hospital generally applies these same cost principles to non-federal funding. All costs posted to sponsored projects must comply with government and sponsor rules and regulations. Costs must meet several criteria: (1) costs being charged to a grant must be reasonable and necessary for meeting the objectives of the grant/project, (2) costs must be allowable in accordance with the sponsor rules and regulations, (3) costs must be allocable based on the benefit derived, cause and effect, or other equitable relationship, and (4) costs must be consistent with costs charged in similar circumstances to other sponsored projects. IN THE FISCAL YEAR ENDING JUNE 30, 2013, THE CHILDREN'S HOSPITAL OF PHILADELPHIA MADE A TEN MILLION DOLLAR PLEDGE TO THE PHILADELPHIA RONALD MCDONALD HOUSE ("RMH"). THE ENTIRE AMOUNT PLEDGED IS REPORTED ON FORM 990, PART IX, LINE 1. THE GRANT WILL BE PAID TO RMH OVER A NUMBER OF YEARS. DURING THE FISCAL YEAR, $1,000,000 OF THE PLEDGE WAS PAID. THIS IS REPORTED ON SCHEDULE I FOR THE CURRENT YEAR.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)STEVEN M ALTSCHULER MDCEO & TRUSTEE (i)
(ii)
1,021,135
0
1,006,044
0
2,279,772
0
1,564,109
0
20,458
0
5,891,518
0
1,334,812
0
(2)THOMAS J TODOROWExecutive VP and CFO (i)
(ii)
634,375
0
468,750
0
607,911
0
5,000
0
28,453
0
1,744,489
0
363,806
0
(3)JEFFREY D KAHNEXECUTIVE VP & GENERAL COUNSEL (i)
(ii)
392,044
0
289,688
0
27,146
0
5,000
0
31,987
0
745,865
0
0
0
(4)MADELINE BELLPRESIDENT & COO (i)
(ii)
689,997
0
509,850
0
1,229,736
0
5,000
0
7,520
0
2,442,103
0
769,300
0
(5)MARGARET M JONESEXECUTIVE VP & CAO (i)
(ii)
418,180
0
309,000
0
450,425
0
5,000
0
7,781
0
1,190,386
0
307,800
0
(6)PHILIP JOHNSONEXECUTIVE VP & CSO (i)
(ii)
679,523
0
301,266
0
91,544
0
181,950
0
53,262
0
1,307,545
0
0
0
(7)BRYAN WOLF MD PHDSVP & CHIEF INFORM. OFFICER (i)
(ii)
468,415
0
451,895
0
38,951
0
106,950
0
38,797
0
1,105,008
0
0
0
(8)KATHLEEN GORMANSVP & CHIEF NURSING OFFICER (i)
(ii)
237,930
0
0
0
57,900
0
4,759
0
28,853
0
329,442
0
0
0
(9)CHARLES S HOUGHSVP SUPPORT SERVICES (i)
(ii)
289,301
0
159,805
0
24,001
0
5,000
0
28,175
0
506,282
0
0
0
(10)MARY TOMLINSONVP RESEARCH ADMIN & FINANCE (i)
(ii)
222,901
0
87,842
0
4,309
0
5,000
0
28,236
0
348,288
0
0
0
(11)TOM CURRANDEPUTY CSO (i)
(ii)
399,837
0
177,268
0
34,410
0
31,950
0
17,073
0
660,538
0
0
0
(12)N SCOTT ADZICK MDTRUSTEE (i)
(ii)
0
856,901
0
379,907
0
134,826
0
122,500
0
12,329
0
1,506,463
0
0
(13)ALAN COHEN MDTRUSTEE (i)
(ii)
0
593,000
0
260,268
0
92,071
0
31,950
0
14,427
0
991,716
0
0
(14)CYNTHIA HAINESSVP INTERNATIONAL MEDICINE (i)
(ii)
390,077
0
211,372
0
30,276
0
5,000
0
26,213
0
662,938
0
0
0
(15)STUART SULLIVANEVP & CHIEF DEVELOP. OFFICER (i)
(ii)
409,189
0
302,357
0
33,218
0
5,000
0
28,297
0
778,061
0
0
0
(16)NICHOLAS P PROCYKSVP & CHIEF INVESTMENT OFFICER (i)
(ii)
406,000
0
360,000
0
34,555
0
5,000
0
24,689
0
830,244
0
0
0
(17)ROBERT CRONERSVP HUMAN RESOURCES (i)
(ii)
314,680
0
180,147
0
15,341
0
5,000
0
27,824
0
542,992
0
0
0
(18)THOMAS R DOLESVP OUTPATIENT & CLINICAL SRVS (i)
(ii)
273,983
0
160,380
0
8,391
0
5,000
0
20,293
0
468,047
0
0
0
(19)AMY LAMBERTSVP CARE NETWORK (i)
(ii)
261,362
0
149,350
0
7,266
0
5,000
0
28,585
0
451,563
0
0
0
(20)PAULA AGOSTOSVP & CHIEF NURSING OFFICER (i)
(ii)
202,441
0
59,835
0
18,155
0
5,000
0
26,035
0
311,466
0
0
0
(21)DOUGLAS CARNEYSVP FACILITIES & CONST. MGMT. (i)
(ii)
314,650
0
164,300
0
116,712
0
1,654
0
13,420
0
610,736
0
0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE J, PART I, LINE 1a   Tax gross-up payments are provided to the President and CEO for (1) premiums on long-term disability coverage and (2) reimbursement of any out-of-pocket costs he incurs related to health insurance coverage (e.g., copays or deductibles), to the extent that such reimbursement is taxable. SCHEDULE J, PART I, Line 4b Some officers, directors, and key employees listed in Form 990, Part VII participate in Supplemental Executive Retirement Plans ("SERPs"). Any SERP payments are reported in Part II Column (B)(iii). SCHEDULE J, PART I, LINE 7 Incentives are available for members of senior management and department chairs based on achievement of organization and individual goals typically related to quality, operating, and financial performance as well as other significant clinical, quality, and scientific achievements. Payment of incentives is dependent upon achieving sufficient operating margin to fund the incentives. SCHEDULE J, PART II, COLUMN (C) The amount reported here may include changes in actuarial values of SERPs as required to be reported by the IRS.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number
23-1352166
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903DZ3 02-18-2003 52,500,000 REFINANCE 1993A BONDS   X   X   X
B HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903ZG6 02-15-2005 60,950,000 REFINANCE 1993A BONDS   X   X   X
C HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903ZW1 02-27-2007 219,892,120 NEW CONSTRUCTION   X   X   X
D HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903F29 03-09-2011 50,000,000 NEW CONSTRUCTION   X   X   X
HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903E87 03-09-2011 50,000,000 NEW CONSTRUCTION   X   X   X
HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903F45 10-27-2011 270,004,822 NEW CONSTRUCTION AND REFI 2008 BON   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 45,400,000 0 11,367,120 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 52,500,000 60,950,000 219,892,120 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 118,125 0 1,554,043 406,100
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 0 218,338,077 6,633,324
11 Other spent proceeds . . . . . . . . . . . . . . 52,381,875 60,950,000 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 42,960,576
13 Year of substantial completion . . . . . . . . . . . . 1995 1995 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .                
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .                
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .                
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .                
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
X   X   X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider . . . . . . . . . UBS WARBURG
 
UBS WARBURG
 
0
 
 
 
c Term of hedge . . . . . . . . . . 11. 18.    
d Was the hedge superintegrated? . . . . . .   X   X        
e Was a hedge terminated? . . . . . . .   X   X        
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K DISCLOSURES SCHEDULE K, PART I, LINE B, COLUMN (C) For the 2011 SERIES C AND D bondS issued 10/27/2011, the additional CUSIP numbers are as follows: 717903F52; 717903F60; 717903F78; 717903F86; 717903F94; 717903G28; 717903G36; 717903G44; 717903G51; 717903G69; 717903G77; 717903G85; 717903G93; 717903H27; 717903H50; 717903H35; 717903H68; 717903H84; 717903H76
SCHEDULE K, PART IV, LINE 2C 0 THE ARBITRAGE CALCULATION FOR THE $222,825,000 SERIES A OF 2007 WAS COMPLETED ON OCTOBER 17, 2008. THE ARBITRAGE CALCULATION FOR THE $50,000,000 SERIES A OF 2011 AND $50,000,000 SERIES B OF 2011 WAS COMPLETED ON APRIL 17, 2013. THE ARBITRAGE CALCULATION FOR THE $260,795,000 SERIES C AND D OF 2011 WAS COMPLETED ON DECEMBER 6, 2012.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number
23-1352166
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903DZ3 02-18-2003 52,500,000 REFINANCE 1993A BONDS   X   X   X
B HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903ZG6 02-15-2005 60,950,000 REFINANCE 1993A BONDS   X   X   X
C HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903ZW1 02-27-2007 219,892,120 NEW CONSTRUCTION   X   X   X
D HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903F29 03-09-2011 50,000,000 NEW CONSTRUCTION   X   X   X
HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903E87 03-09-2011 50,000,000 NEW CONSTRUCTION   X   X   X
HOSPITAL AND HIGHER EDU FACILITIES AUTH OF PHILA
 
23-1929132 717903F45 10-27-2011 270,004,822 NEW CONSTRUCTION AND REFI 2008 BON   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 45,400,000 0 11,367,120 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 52,500,000 60,950,000 219,892,120 50,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 118,125 0 1,554,043 406,100
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 0 218,338,077 6,633,324
11 Other spent proceeds . . . . . . . . . . . . . . 52,381,875 60,950,000 0 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 42,960,576
13 Year of substantial completion . . . . . . . . . . . . 1995 1995 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X     X   X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X      
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .                
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .                
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0% 0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .                
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .                
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
               
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
X   X   X   X  
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X   X     X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X     X   X
b Name of provider . . . . . . . . . UBS WARBURG
 
UBS WARBURG
 
0
 
 
 
c Term of hedge . . . . . . . . . . 11. 18.    
d Was the hedge superintegrated? . . . . . .   X   X        
e Was a hedge terminated? . . . . . . .   X   X        
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X   X   X
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K DISCLOSURES SCHEDULE K, PART I, LINE B, COLUMN (C) For the 2011 SERIES C AND D bondS issued 10/27/2011, the additional CUSIP numbers are as follows: 717903F52; 717903F60; 717903F78; 717903F86; 717903F94; 717903G28; 717903G36; 717903G44; 717903G51; 717903G69; 717903G77; 717903G85; 717903G93; 717903H27; 717903H50; 717903H35; 717903H68; 717903H84; 717903H76
SCHEDULE K, PART IV, LINE 2C 0 THE ARBITRAGE CALCULATION FOR THE $222,825,000 SERIES A OF 2007 WAS COMPLETED ON OCTOBER 17, 2008. THE ARBITRAGE CALCULATION FOR THE $50,000,000 SERIES A OF 2011 AND $50,000,000 SERIES B OF 2011 WAS COMPLETED ON APRIL 17, 2013. THE ARBITRAGE CALCULATION FOR THE $260,795,000 SERIES C AND D OF 2011 WAS COMPLETED ON DECEMBER 6, 2012.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) JENNIE MINNICK SEE PART V 36,137 EMPLOYEE OF CHOP   No
(2) BARBARA KLOCK MD SEE PART V 245,422 EMPLOYEE OF CHOP   No
(3) MEAD JOHNSON COMPANY LLC SEE PART V 155,379 PURCHASE OF FORMULA   No
(4) LOUISE AMLIE WOLF SEE PART V 18,247 EMPLOYEE OF CHOP   No
(5) COMCAST SEE PART V 113,064 NETWORK SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Form 990, Part IV, Column (b) Relationships   Key Employee Mary Tomlinson's sister, Jennie Minnick, is an employee of CHOP. Trustee Salem D. Shuchman's Wife, Barbara Klock, M.D., is an employee of CHOP. Doctor Steven M. Altschuler is a board member of Mead Johnson & Company, LLC. CHOP purchased $155,379 in formula from Mead Johnson Nutrition. Key Employee Bryan Wolf's daughter, Louise Amlie Wolf, was employed by CHOP from July 2012 to January 2013 as a Clinical Coordinator. Trustee Kornelis Smit is the President and CEO of Comcast. CHOP purchased $113,064 in network services from Comcast.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Identifier Return Reference Explanation
FORM 990, PART IV, LINE 12   An audit is performed on an Obligated Group which comprises the Children's Hospital of Philadelphia, the Children's Hospital of Philadelphia Foundation, and First Medical Insurance Company. An audit is also performed on a consolidated basis which includes the obligated group, PGH Development Corporation, Children's Anesthesiology Associates, Ltd., Children's Anesthesiology Associates of NJ, Inc., Children's Health Care Associates, Inc., Children's Health Care Associates of NJ, Children's Surgical Associates Ltd., Children's Surgical Associates of NJ, Inc., Surgical Research and Education Foundation and Radiology Associates of Children's Hospital, Inc. Form 990, Part VI, SECTION B, Line 11B A copy of this return was reviewed by the Board Audit & Compliance Committee before the return was filed. Before the return was filed, the Form 990 was also made available to the entire governing body of the organization through an accessible shared computer network drive maintained by The Children's Hospital of Philadelphia. FORM 990, PART VI, SECTION B, LINE 12 The Children's Hospital of Philadelphia maintains a written Conflicts of Interest Policy that applies to, inter alia, all of its Trustees, officers, employees, members of the Medical Staff and researchers of The Children's Hospital of Philadelphia and its affiliates. The Policy requires annual conflicts of interest statements from: Trustees and officers of the Hospital and its affiliates; the President and others in Senior Management; administrative personnel serving at the level of manager and above and certain other categories of employees defined in the conflicts of interest policy (such as persons known to place orders with vendors); Department Chairs, division chiefs and other members of the Medical Staff; members of the Hospital Research Staff; designated employees of practice plans affiliated with the Hospital; and other persons designated by management. The statement tracks the conflicts of interest policy, requiring each person to disclose information for the reporting period regarding the existence and nature of gifts, outside interests, outside activities and other matters constituting a potential, perceived or actual conflict of interest, and to certify that they have read the policy and answered fully, accurately and to the best of their knowledge. After confirmation that all questions have been answered, the statements are reviewed by the relevant Vice President, Department Chair or other executive (or their designee), tracked by the Office of Compliance and Privacy (OC&P), and all statements disclosing potential, perceived or actual conflicts are reviewed internally by the OC&P with further review and follow-up as needed conducted by the Office of General Counsel (OGC). The conflicts statements submitted by Trustees of the Hospital and Foundation, and members of Senior Management, are reviewed by the OGC and OC&P and the disclosures are summarized in memoranda distributed to and reviewed by the members of the Audit and Compliance Committee of the Hospital and Foundation Boards. The remaining conflicts statements containing affirmative disclosures are reviewed by staff in the OGC and OC&P. In reviewing annual statements where an actual, perceived or potential conflict is disclosed, where problems are identified that need to be addressed, the goal is to eliminate or manage the conflict going forward and ensure that, as to employees or others on the Medical or Research Staff, the relevant supervisor is aware of the issue. Summary information about compliance with the policy's requirement to submit annual statements and disclosures contained therein is provided in memoranda to the Audit and Compliance Committee of the Boards. In addition, if any matter involving a potential violation of the conflict of interest policy is brought to the attention of management during the course of the year, a review is conducted by either the relevant department's management, OGC or OC&P, as appropriate. FORM 990, PART VI, SECTION B, LINE 15 The compensation of executives and physicians/scientists is reviewed and approved by an independent Compensation Committee of the Board of Trustees. The Committee reviews and approves in advance the compensation to be provided to the CEO, all Vice Presidents (including Executive and Senior VP levels), Clinical Department Chairs, and all faculty physicians and scientists. For each such person, this process was last performed in 2012. In making its determinations, the Committee considers the performance of the organization and that of the covered individuals as well as related business judgment factors. It also considers market comparison reports prepared by an external independent compensation consultant with significant experience in performing executive and physician compensation assessments for not-for-profit healthcare organizations. The Committee's process is designed to qualify for the rebuttable presumption of reasonableness for those individuals who are disqualified persons. The peer group for executives generally includes large and complex academic medical centers and health systems. For physicians and scientists, the peer group generally includes academic medical centers. Information from other organizations may also be considered where appropriate for the position. FORM 990, PART VI, SECTION C, LINE 19 Form 990 and financial statements are made available upon request. The conflicts of interest policy is available on The Children's Hospital of Philadelphia's website. FORM 990, PART XI, LINE 9 OTHER CHANGES TO TEMP. RESTRICTED NET ASSETS 16,704,093 PENSION ADJUSTMENT 48,386,877 SELF INSURANCE TRANSFER 11,164,226 OTHER CHANGES/TRANSFERS 3,209,076 ============= TOTAL 79,464,272
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
 
Employer identification number

23-1352166
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) BACHE LEWIS PENROSE LLC
34TH ST CIVIC CENTER BLVD
PHILADELPHIA,PA19104
20-5126955
HOLDING CO PA 1,400,796 134,158,974 CHOP
 
(2) SPARK THERAPEUTICS LLC
34TH ST CIVIC CENTER BLVD
PHILADELPHIA,PA19104
46-2654405
RESEARCH PA 0 0 CHOP
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) CHILDREN'S HEALTH CARE ASSOCIATES INC

100 PENN SQ E 9TH FL STE 301

PHILADELPHIA,PA19107
22-2785804
HEALTHCARE PA 501(c) (3) 9 CHOP
 
Yes
 
(2) CHILDREN'S HEALTH CARE ASSOCIATES OF NJ

51 HADDONFIELD ROAD

CHERRY HILL,NJ08002
23-3036699
HEALTHCARE NJ 501(c) (3) 9 CHOP
 
Yes
 
(3) CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
22-3405673
HEALTHCARE NJ 501(c) (3) 9 CHOP
 
Yes
 
(4) CHILDREN'S ANESTHESIOLOGY ASSOC LTD

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
23-2592835
HEALTHCARE PA 501(c) (3) 9 CHOP
 
Yes
 
(5) SURGICAL ASSOCIATES RESEARCH & EDUCATION

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
23-2181768
RESEARCH PA 501(c) (3) 11 III - FI CHOP
 
Yes
 
(6) CHILDREN'S SURGICAL ASSOCIATES LTD

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
23-2589322
HEALTHCARE PA 501(c) (3) 9 CHOP
 
Yes
 
(7) CHILDREN'S SURGICAL ASSOCIATES OF NJ

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
22-3348481
HEALTHCARE NJ 501(c) (3) 9 CHOP
 
Yes
 
(8) PGH DEVELOPMENT CORPORATION

426 CURIE BLVD

PHILADELPHIA,PA19104
23-2351015
SUPPORT PA 501(c) (3) 11 I NA
 
 
No
(9) FIRST MEDICAL INSURANCE COMPANY (RRG)

C/O MARSH MANAGEMENT SERVICES

BURLINGTON,VT05401
01-0719207
SELF INSURANC VT 501(c) (3) 11 III - FI CHOP
 
Yes
 
(10) CHOP PRACTICE ASSOCIATION

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
23-2311482
HEALTHCARE PA 501(c) (3) 9 CHOP
 
Yes
 
(11) CHOP CLINICAL ASSOCIATES INC

C/O CHOP 34TH ST CIVIC CTR

PHILADELPHIA,PA19104
22-3548970
HEALTHCARE NJ 501(c) (3) 11 III - FI CHOP
 
Yes
 
(12) CHOP FOUNDATION

34TH ST CIVIC CENTER BLVD

PHILADELPHIA,PA19104
23-2237932
SUPPORT PA 501(c) (3) 7 NA
 
 
No
(13) RADIOLOGY ASSOCIATES OF CHOP

100 PENN SQUARE EAST

PHILADELPHIA,PA19107
23-2665855
HEALTHCARE PA 501(c) (3) 9 CHOP
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) 4865 MARKET ASSOC

34TH ST CIVIC CENTER BLVD
PHILADELPHIA,PA19104
46-1341918
REAL ESTATE PA NA
 
    8,187,328           99.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) First Medical Insurance Company (RRG)

M 11,153,000 COST
(2) PGH Development Corporation

P, Q 1,583,647 COST
(3) Radiology Associates of Children's Hospital

R, S 8,306,331 COST
(4) Children's Anesthesiology Associates

R, S 13,553,531 COST
(5) Children's Healthcare Associates Inc

A, J, 137,508,236 COST
(6) Children's Healthcare Associates of NJ

A, J, 12,520,986 COST
(7) Children's Surgical Associates Inc

A, J, 17,295,631 COST
(8) Children's Surgical Associates of NJ

A, J, 1,358,853 COST
(9) Children's Anesthesiology Associates of NJ

J, P 921,437 COST
(10) CHOP Foundation

C, Q 43,033,588 COST
(11) 4865 Market Street Associates LP

A, J, 48,125 COST
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: