SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
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
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) . . . 		    3,141,992   3,141,992 0.160 %
b Medicaid (from Worksheet 3, column a) . . . . .     647,041,341 566,292,756 80,748,584 4.140 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     650,183,333 566,292,756 83,890,576 4.300 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     32,052,505 16,947,690 15,104,815 0.770 %
f Health professions education (from Worksheet 5) . . .     44,389,319 6,922,327 37,466,992 1.920 %
g Subsidized health services (from Worksheet 6) . . . .     126,336,410 102,524,966 23,811,444 1.220 %
h Research (from Worksheet 7) .     264,655,954 177,669,575 86,986,380 4.460 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,030,882 1,576 1,029,305 0.050 %
j Total. Other Benefits . .     468,465,070 304,066,134 164,398,936 8.420 %
k Total. Add lines 7d and 7j .     1,118,648,403 870,358,890 248,289,512 12.720 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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     107,697   107,697 0.010 %
2 Economic development     97,469   97,469 0.010 %
3 Community support     308,655   308,655 0.020 %
4 Environmental improvements     69,737   69,737  
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy     9,437   9,437  
8 Workforce development     641,760 3,611 638,149 0.030 %
9 Other            
10 Total     1,234,755 3,611 1,231,144 0.070 %
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
105,811,674
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
1,120,943
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,220,674
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-2,099,731
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) 2016
Schedule H (Form 990) 2016
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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 THE CHILDREN'S HOSPITAL OF PHILA
3401 CIVIC CENTER BLVD
PHILADELPHIA,PA191044388
www.CHOP.edu
550401 		X X X X   X X     1
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 4
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CHOP.EDU (SEE PART V SEC. C)
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2016
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE CHILDREN'S HOSPITAL OF PHILA
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V SEC. C
b
SEE PART V SEC. C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
THE CHILDREN'S HOSPITAL OF PHILA
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE CHILDREN'S HOSPITAL OF PHILA
Name of hospital facility or letter of facility reporting group  
Yes No
22 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
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
SCHEDULE H, PART V, SECTION B, LINE 5 THE CHILDRENS HOSPITAL OF PHILADELPHIA (CHOP) CONDUCTED AND PUBLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN TAX YEAR 2015. INPUT FROM PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY CHOP WAS OBTAINED BY VARIOUS METHODS, INCLUDING USING A HOUSEHOLD HEALTH SURVEY VIA TELEPHONE INTERVIEWS OF ADULTS IN 10,048 HOUSEHOLDS IN THE FIVE COUNTY AREA OF SOUTHEASTERN PENNSYLVANIA (BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES). A TOTAL OF 3,373 INTERVIEWS WERE CONDUCTED IN HOUSEHOLDS WITH A CHILD UNDER THE AGE OF 18. WHEN NEEDED, INTERVIEWS WERE CONDUCTED IN SPANISH. COMMUNITY INPUT WAS ALSO COLLECTED THROUGH COMMUNITY MEETINGS HELD THROUGHOUT THE FIVE COUNTY AREA WITH RESIDENTS, PUBLIC HEALTH EXPERTS, SERVICE PROVIDERS, AND ADVOCATES. ADDITIONAL INFORMATION ABOUT THE COMMUNITY INPUT PROCESS AND THE PEOPLE WHO PARTICIPATED IN THESE MEETINGS IS INCLUDED IN CHOPS CHNA REPORT.
SCHEDULE H, PART V, SECTION B, LINE 6B THE CHNA WAS CONDUCTED BY PUBLIC HEALTH MANAGEMENT CORPORATION, A PRIVATE NON-PROFIT PUBLIC HEALTH INSTITUTE.
SCHEDULE H, PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND AT HTTP://WWW.CHOP.EDU/HEALTH-RESOURCES/COMMUNITY-HEALTH- NEEDS-ASSESSMENT-CHNA
SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.CHOP.EDU/HEALTH-RESOURCES/COMMUNITY-HEALTH- NEEDS-ASSESSMENT-CHNA
SCHEDULE H, PART V, SECTION B, LINE 11 CHOP CONSISTENTLY INVESTS IN PROGRAMS THAT BENEFIT ITS COMMUNITY AND STRONGLY BELIEVES THAT THE HOSPITALS MISSION MUST ALWAYS REACH OUTSIDE ITS WALLS TO HELP THE CHILDREN LIVING IN AND AROUND ITS SERVICE AREA. IN 2013, CHOP BEGAN A FORMAL PROGRAM WHEREBY A COMMUNITY ADVISORY BOARD COMPRISED OF BOTH CHOP EMPLOYEES AND LOCAL CIVIC LEADERS ADVISE A COMPETITIVE GRANT PROCESS CALLED THE CHOP CARES COMMUNITY GRANT PROGRAM. THIS PROGRAM AWARDS SMALL GRANTS TO CHOP EMPLOYEES TO SUPPORT COMMUNITY HEALTH IMPROVEMENT WORK THEY CONDUCT IN THEIR OWN COMMUNITIES. GRANTEES OF THE PROGRAM MUST SPECIFICALLY ADDRESS NEEDS IDENTIFIED IN THE CHNA. CHOP ALSO IS A MEMBER OF THE COLLABORATIVE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH (COACH) INITIATIVE, A COLLABORATIVE SPONSORED BY THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA, THAT BRINGS TOGETHER HOSPITAL, PUBLIC HEALTH, AND COMMUNITY PARTNERS TO ADDRESS COMMUNITY HEALTH ISSUES IN SOUTHEASTERN PENNSYLVANIA. THROUGH THE COACH INITIATIVE, PARTICIPATING HOSPITALS DEVELOPED AND IMPLEMENTED A STRATEGY FOR COLLECTIVE ACTION THAT LEVERAGES EXISTING RESOURCES AND EXPERTISE AND APPLIES BEST PRACTICES TO MAKE SIGNIFICANT IMPROVEMENTS IN COMMUNITY HEALTH. COACH CURRENTLY IS FOCUSING ON ACCESS TO CARE AND FOOD INSECURITY. CHOPS LONG HISTORY OF WORKING WITH THE COMMUNITY AND ITS ABILITY TO CONDUCT HEALTH SERVICES AND COMMUNITY-BASED PARTICIPATORY RESEARCH MEANS THAT MANY OF THE HEALTH NEEDS FOUND BY THE 2015 CHNA WERE NOT UNEXPECTED. AS DESCRIBED IN CHOPS IMPLEMENTATION STRATEGY, SUCH NEEDS ARE BEING ADDRESSED BY CHOPS CURRENT AND NEW COMMUNITY HEALTH IMPROVEMENT PROGRAMS TO MEET THE EVOLVING NEEDS OF CHILDREN. THROUGH THESE INITIATIVES, CHOP CONTINUES TO ADDRESS NEEDS ASSOCIATED WITH INFANT MORTALITY; ASTHMA DIAGNOSIS, CARE, AND MANAGEMENT; AND OTHER COMMUNITY HEALTH ISSUES. CHOP REMAINS COMMITTED TO IMPROVING ASTHMA CARE IN CHILDREN WITH PROGRAMS LIKE ITS COMMUNITY ASTHMA PREVENTION PROGRAM, THE CREATION OF A MYASTHMA PORTAL WITHIN THE ELECTRONIC MEDICAL RECORDS OF CHILDREN WITH ASTHMA, AND THE ADDITION OF ASTHMA PATIENT NAVIGATORS TO ALL URBAN PRIMARY CARE LOCATIONS. CHOP ALSO REMAINS STEADFAST IN ITS GOAL OF REDUCING INFANT MORTALITY. CHOPS ACTIVE PARTICIPATION IN THE CITY OF PHILADELPHIA FETAL AND INFANT MORTALITY REVIEW AS WELL AS TWO HEALTHY START COMMUNITY ACTION TEAMS, WHICH SEEK TO REDUCE INFANT MORTALITY RATES IN PHILADELPHIA AND THE SURROUNDING REGION, DEMONSTRATE THIS COMMITMENT.
SCHEDULE H, PART V, SECTION B, LINE 13 THE MISSION OF THE CHILDRENS HOSPITAL OF PHILADELPHIA (CHOP) IS TO ADVANCE HEALTHCARE FOR CHILDREN. TO HELP CHILDREN GET THE CARE THAT THEY NEED, CHOP PROVIDES FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY AND EMERGENCY CARE TO PATIENTS WHO MEET THE ELIGIBILITY REQUIREMENTS. IF CHOP DETERMINES THAT A PATIENT IS ELIGIBLE, CHOP WILL WAIVE 100% OF THE PATIENTS FINANCIAL RESPONSIBILITY (AFTER ALL APPLICABLE INSURANCES AND OTHER GOVERNMENT ASSISTANCE). TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FROM CHOP, PATIENT AND PATIENT FAMILIES MUST MEET ALL OF THE FOLLOWING REQUIREMENTS: - HAVE A TOTAL HOUSEHOLD INCOME THAT DOES NOT EXCEED 400% OF THE FEDERAL POVERTY GUIDELINES. - BE EITHER: UNINSURED OR INSURED BY AN INSURANCE COMPANY THAT PARTICIPATES WITH CHOP. - RESIDE IN CHOPS PRIMARY SERVICE AREA. - COOPERATE IN QUALIFYING FOR ASSISTANCE FROM THE PATIENT'S STATES MEDICAL ASSISTANCE (MEDICAID), CHILDRENS HEALTH INSURANCE PROGRAM (CHIP), AND/OR OTHER STATE PROGRAMS, IF POTENTIALLY ELIGIBLE FOR THESE PROGRAMS. - COMPLETE A CHOP FINANCIAL ASSISTANCE APPLICATION (APPLICATION) AND PROVIDE REQUIRED DOCUMENTATION.
SCHEDULE H, PART V, SECTION B, LINES 16A AND 16B THE FAP AND FAP APPLICATION FORM CAN BE FOUND AT http://www.chop.edu/services/financial-assistance-policy-summary SCHEDULE H, PART V, SECTION B, LINE 16C THE PLAIN LANGUAGE SUMMARY OF THE FAP CAN BE FOUND AT HTTP://WWW.CHOP.EDU/CENTERS-PROGRAMS/FAMILY-HEALTH-COVERAGE-PROGRAM
SCHEDULE H, PART V, SECTION B, LINE 22 CHOP OFFERS FINANCIAL ASSISTANCE TO INDIVIDUALS THAT QUALIFY UNDER ITS POLICY, WHICH ELIMINATES ANY FINANCIAL LIABILITY TO THOSE FAMILIES FOR MEDICALLY NECESSARY SERVICES COVERED BY THE POLICY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. 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?40
Name and address Type of Facility (describe)
1 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
550 SOUTH GODDARD BOULEVARD
KING OF PRUSSIA,PA19406 		PEDIATRIC & ADOLESCENT SPECIALTY CARE ASF
2 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1012 LAUREL OAK RD LAUREL OAK CORP
VOORHEES,NJ08043 		PEDIATRIC & ADOLESCENT SPECIALTY CARE ASF
3 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
500 WEST BUTLER AVENUE
CHALFONT,PA18914 		PEDIATRIC & ADOLESCENT SPECIALTY CARE ASF
4 CHOP CARE NETWORK & ADOLESCENT CLINIC
4865 MARKET STREET
PHILADELPHIA,PA19139 		PHYSICIAN PRACTICE & ADOLESCENT CLINIC
5 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
819 BALTIMORE PIKE
GLEN MILLS,PA19342 		PEDIATRIC & ADOLESCENT SPECIALTY CARE ASF
6 CHOP CARE NETWORK - SOUTH PHILADELPHIA
1700 SOUTH BROAD STREET SUITE 301
PHILADELPHIA,PA19145 		PHYSICIAN PRACTICE
7 CHOP CARE NETWORK - HAVERFORD
663 WEST LANCASTER AVENUE
BRYN MAWR,PA19010 		PHYSICIAN PRACTICE
8 CHOP CARE NETWORK - COBBS CREEK
225 COBBS CREEK PARKWAY
PHILADELPHIA,PA19139 		PHYSICIAN PRACTICE
9 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
200 BOWMAN DRIVE SUITE 260 2ND FL
VOORHEES,NJ08043 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
10 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
101 PLAINSBORO ROAD
PRINCETON,NJ08536 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
11 CHOP CARE NETWORK - CHESTNUT HILL
7700 GERMANTOWN AVENUE
PHILADELPHIA,PA19118 		PHYSICIAN PRACTICE
12 CHOP CARE NETWORK - CENTRAL BUCKS
708 NORTH SHADY RETREAT ROAD SUITE
DOYLESTOWN,PA18901 		PHYSICIAN PRACTICE
13 CHOP CARE NETWORK - SPRINGFIELD
1001 BALTIMORE PIKE SUITE 208
SPRINGFIELD,PA19064 		PHYSICIAN PRACTICE
14 CHOP CARE NETWORK - MOUNT LAUREL
3201 MARNE HIGHWAY
MOUNT LAUREL,NJ08064 		PHYSICIAN PRACTICE
15 CHOP CARE NETWORK - FLOURTOWN
1811 BETHLEHEM PIKE SUITE A106
FLOURTOWN,PA19031 		PHYSICIAN PRACTICE
16 CHOP CARE NETWORK - WEST CHESTER
440 E MARSHALL STREET 3RD FL N ST
WEST CHESTER,PA19380 		PHYSICIAN PRACTICE
17 CHOP CARE NETWORK - INDIAN VALLEY
3456 BETHLEHEM PIKE FLOOR 2
SOUDERTON,PA18964 		PHYSICIAN PRACTICE
18 CHOP CARE NETWORK - HIGHPOINT
1700 HORIZON DRIVE SUITE 200
CHALFONT,PA18914 		PHYSICIAN PRACTICE
19 CHOP CARE NETWORK - NEWTOWN
104 PHEASANT RUN NEWTOWN BUS COMM
NEWTOWN,PA18940 		PHYSICIAN PRACTICE
20 CHOP CARE NETWORK - SALEM ROAD
2006 SALEM ROAD
BURLINGTON TOWNSHIP,NJ08016 		PHYSICIAN PRACTICE
21 CHOP CARE NETWORK - PAOLI
250 WEST LANCASTER AVENUE SUITE 34
PAOLI,PA19301 		PHYSICIAN PRACTICE
22 CHOP CARE NETWORK - DREXEL HILL
2100 KEYSTONE AVENUE SUITE 404
DREXEL HILL,PA19026 		PHYSICIAN PRACTICE
23 CHOP CARE NETWORK - ROXBOROUGH
5003 UMBRIA STREET
PHILADELPHIA,PA19128 		PHYSICIAN PRACTICE
24 THE CARDIAC CENTER CHOP
ST PETERS UNIVERSITY HOSPITAL 254 E
NEW BRUNSWICK,NJ08901 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
25 CHOP CARE NETWORK - WEST GROVE
455 WOODVIEW ROAD SUITE 200
WEST GROVE,PA19390 		PHYSICIAN PRACTICE
26 CHOP CARE NETWORK - COATESVILLE
495 HIGHLANDS BLVD SUITE 100
COATESVILLE,PA19320 		PHYSICIAN PRACTICE
27 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
4009 BLACK HORSE PIKE
MAYS LANDING,NJ08330 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
28 CHOP CARE NETWORK - KENNETT SQUARE
891 EAST BALTIMORE PIKE
KENNETT SQUARE,PA19348 		PHYSICIAN PRACTICE
29 CHOP CARE NETWORK - NORTH HILLS
795 EAST MARSHALL STREET SUITE 301
WEST CHESTER,PA19380 		PHYSICIAN PRACTICE
30 CHOP CARE NETWORK - SOMERS POINT
505 BAYSIDE AVENUE
SOMERS POINT,NJ08244 		PHYSICIAN PRACTICE
31 CHOP CARE NETWORK - CHADDS FORD
1766 WILMINGTON PIKE
GLEN MILLS,PA19342 		PHYSICIAN PRACTICE
32 CHOP CARE NETWORK - BROOMALL
2000 SPROUL ROAD SUITE 206
BROOMALL,PA19008 		PHYSICIAN PRACTICE
33 CHOP CARE NETWORK - MEDIA
1021 W Baltimore Pike
MEDIA,PA19063 		PHYSICIAN PRACTICE
34 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1245 HIGHLAND AVENUE SUITE 204
ABINGTON,PA19001 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
35 CHOP CARE NETWORK - POTTSTOWN
1590 MEDICAL DRIVE SUITE E
POTTSTOWN,PA19464 		PHYSICIAN PRACTICE
36 CHOP CARE NETWORK - GIBBSBORO
13 S LAKEVIEW DRIVE SILVER LAKE SH
GIBBSBORO,NJ08026 		PHYSICIAN PRACTICE
37 CHOP CARE NETWORK - NORRISTOWN
1340 DEKALB PIKE SUITE 4
NORRISTOWN,PA19401 		PHYSICIAN PRACTICE
38 CHOP CARE NETWORK - CAPE MAY COUNTY
1315 ROUTE 9 SOUTH
CAPE MAY COURT HOUSE,NJ08201 		PHYSICIAN PRACTICE
39 CHOP CARE NETWORK - SMITHVILLE
48 SOUTH NEW YORK ROAD ROUTE 9
SMITHVILLE,NJ08205 		PHYSICIAN PRACTICE
40 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
2106 HARRISBURG PIKE SUITE 22
LANCASTER,PA17601 		PEDIATRIC & ADOLESCENT SPECIALTY CARE
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
SCHEDULE H, PART I, LINE 3C THE HOSPITALS FINANCIAL ASSISTANCE POLICY THAT WAS IN EFFECT DURING TAX YEAR 2016 REQUIRES THAT AVAILABLE ASSET INFORMATION BE REVIEWED IN ADDITION TO INCOME; HOWEVER, THE POLICY ALSO PROVIDED THAT A PATIENT'S/FAMILY'S PRIMARY RESIDENCE AND VEHICLES NEEDED FOR REGULAR TRANSPORTATION ARE NOT CONSIDERED TO BE AVAILABLE ASSETS (NOTE RESPONSE IN PART V, SECTION C, LINE 13C). THE FINANCIAL ASSISTANCE POLICY ALSO PROVIDED THAT PATIENTS/FAMILIES MUST BE RESIDENTS OF CHOPS PRIMARY SERVICE AREA. EXCEPTIONS TO THIS RESIDENCY REQUIREMENT WERE GRANTED ON A CASE-BY-CASE BASIS.
SCHEDULE H, PART I, LINE 6A CHOP PREPARED A COMMUNITY BENEFIT REPORT DURING TAX YEAR 2015, WHICH CAN BE FOUND ON ITS WEBSITE AT HTTP://MEDIA.CHOP.EDU/DATA/FILES/PDFS/COMMUNITY-BENEFIT-REPORT2015.PDF
SCHEDULE H, PART I, LINE 7 TOTAL AND NET COMMUNITY BENEFIT EXPENSES WERE ASSIGNED TO PART I, LINE 7 AS FOLLOWS: A RATIO OF PATIENT CARE COST TO CHARGES BASED ON WORKSHEET 2 WAS APPLIED TO DETERMINE EXPENSE FOR FINANCIAL ASSISTANCE AND MEDICAID. MEDICAID EXPENSE ALSO INCLUDED PROVIDER ASSESSMENTS PAID TO THE COMMONWEALTH OF PENNSYLVANIA THAT REQUIRE SUCH PAYMENTS FROM CHOP. DIRECT AND INDIRECT COSTS FOR COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS WERE ESTIMATED BASED ON CHOPS ACCOUNTING SYSTEMS. THE COST OF HEALTH PROFESSIONS EDUCATION PROGRAMS WAS BASED ON THE MEDICARE COST REPORT.
SCHEDULE H, PART II DIRECT AND INDIRECT COSTS FOR COMMUNITY BUILDING ACTIVITIES WERE ESTIMATED BASED ON CHOPS ACCOUNTING SYSTEMS.
SCHEDULE H, PART III, LINE 2 DURING THE TAX YEAR, CHOP'S PATIENT ACCOUNTS RECEIVABLE WAS 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 THAT WERE INELIGIBLE FOR FINANCIAL ASSISTANCE (INCLUDING PATIENT ACCOUNT BALANCES DUE AFTER REIMBURSEMENT FROM INSURANCE) WERE WRITTEN OFF AS BAD DEBT EXPENSE AFTER CONDUCTING REASONABLE COLLECTION EFFORTS. IN ADDITION, CERTAIN AMOUNTS WERE RECORDED AS BAD DEBT EXPENSE AFTER CHOP ROUTINELY ANALYZED THE HISTORICAL CASH COLLECTIONS OF ITS PATIENT ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, LINE 3 CHOP DOES NOT CONSIDER BAD DEBT TO BE A COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 4 CHOP'S AUDITED FINANCIAL STATEMENTS FOR TAX YEAR 2016 INCLUDED THE FOLLOWING STATEMENT REGARDING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE, OR ALLOWANCE FOR DOUBTFUL ACCOUNTS: "PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENTS AND THE PORTION OF THE BILL WHICH IS THE PATIENTS 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 $154,226,000 AND $130,846,000 AS OF JUNE 30, 2017 AND 2016, RESPECTIVELY."
SCHEDULE H, PART III, LINE 8 CHOP DOES NOT CONSIDER MEDICARE SHORTFALLS (EXCEPT THOSE ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND HEALTH PROFESSIONS EDUCATION) TO REPRESENT COMMUNITY BENEFIT. ACCORDINGLY, THE SHORTFALL REPORTED IN PART III, LINE 8 IS NOT CONSIDERED TO BE COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 9B CHOP'S FINANCIAL ASSISTANCE POLICY OFFERS FULL FINANCIAL ASSISTANCE (FREE CARE) ONLY. CHOPS BILLING AND COLLECTIONS POLICY, FINANCIAL ASSISTANCE POLICY, AND ALL RELATED INTERNAL POLICIES AND PRACTICES PROVIDE THAT ACCOUNTS FOR PATIENTS RECEIVING FINANCIAL ASSISTANCE ARE NOT SENT TO OUTSIDE (THIRD-PARTY) AGENCIES FOR COLLECTION. NEEDS ASSESSMENT DESCRIPTION: SCHEDULE H, PART VI, LINE 2 IN ADDITION TO CHOPS 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 SPECIFIC ASSESSMENTS OF COMMUNITY HEALTH NEEDS BASED ON COMMUNITY AND EMPLOYEE FEEDBACK. MANY OF CHOP'S COMMUNITY PROGRAMS ARE PROVIDED IN COLLABORATION WITH COMMUNITY AGENCIES, AND COMMUNITY HEALTH NEEDS ARE IDENTIFIED AND ADDRESSED THROUGH THESE COLLABORATIONS. COMMUNITY NEEDS ARE ALSO IDENTIFIED BY MONITORING HOSPITAL ADMINISTRATIVE DATA, INCLUDING FINANCIAL ASSISTANCE LEVELS, PREVALENCE OF DISEASES, AND THROUGH THE PARTICIPATION OF BOARD MEMBERS IN GOVERNANCE. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SCHEDULE H, PART VI, LINE 3 DURING TAX YEAR 2016, CHOP'S FAMILY HEALTH COVERAGE PROGRAM (FHCP, THROUGH WHICH PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE AND FOR APPROPRIATE STATE HEALTH INSURANCE PROGRAMS) PROVIDED INFORMATION IN SIGNAGE AT PATIENT ACCESS POINTS THROUGHOUT THE CHOP CAMPUS, SATELLITE OFFICES, AND ON HOSPITAL AND PHYSICIAN BILLING STATEMENTS. IN ADDITION, PATIENTS/FAMILIES COULD 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 CHOPS CARE NETWORK SITES, OUTPATIENT SUBSPECIALTY AND SPECIALTY CARE CLINICS. FINANCIAL COUNSELORS WERE ALSO AVAILABLE TO FAMILIES EITHER AT THE TIME OF SCHEDULING AN APPOINTMENT FOR SERVICES, DURING TREATMENT, OR AFTER SERVICES WERE PROVIDED. FINANCIAL ASSISTANCE PACKETS WERE AVAILABLE AND WIDELY DISTRIBUTED IN HOSPITAL DEPARTMENTS AND DIVISIONS EXPLAINING WHAT THE FHCP SERVICES ARE AND HOW FAMILIES CAN ACCESS THE SERVICES. THESE PACKETS ALSO CONTAINED FREQUENTLY ASKED QUESTIONS ABOUT THE PROGRAM. DIVISIONS AND DEPARTMENTS REFERRED THEIR SELF-PAY (UNINSURED) PATIENTS TO FHCP FOR ASSESSMENT FOR GOVERNMENT INSURANCE COVERAGE AND/OR FINANCIAL ASSISTANCE. FHCP INFORMATION WAS CONSISTENTLY PROVIDED TO SELF-PAY PATIENTS WHO WERE SEEN IN THE EMERGENCY DEPARTMENT. IF AN ADMITTED PATIENT/FAMILY WAS IDENTIFIED AS SELF-PAY, THEY WERE REFERRED TO FHCP THROUGH CHOP'S OPERATIONAL PROCESSES. CHOPS FHCP ASSISTS UNINSURED AND UNDERINSURED FAMILIES BY ASSESSING THEIR ELIGIBILITY FOR THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM AND FOR ANY AVAILABLE AND APPROPRIATE STATE PROGRAM (PENNSYLVANIA MEDICAID ASSISTANCE (PAMA), PA STATE CHILDRENS HEALTH INSURANCE PROGRAM (PA SCHIP), NEW JERSEY MEDICAL ASSISTANCE (NJMA), AND NJ FAMILY CARE). THE ASSISTANCE INCLUDES DETERMINING WHICH PROGRAM A PATIENT/FAMILY IS ELIGIBLE FOR BASED ON FEDERAL POVERTY LEVEL GUIDELINES AND OTHER CRITERIA; COLLECTING THE REQUIRED DOCUMENTS; AND SUBMITTING APPLICATIONS FOR THOSE PROGRAMS. THE FAMILY HEALTH COVERAGE PROGRAM HAS A DESIGNATED EMAIL ACCOUNT THAT MAY BE USED BY DIVISIONS WITHIN CHOP TO REFER PATIENTS TO FHCP. IT ALSO HAS TWO HOTLINE NUMBERS THAT ARE UTILIZED TO REFER PATIENTS TO FHCP. AN ACTIVE PARTNERSHIP EXISTS BETWEEN AND AMONG THE HOSPITAL'S SOCIAL WORK DEPARTMENT, CASE MANAGERS AND FHCP. ANY ACTIVE PATIENT CASE MAY BE REFERRED TO FHCP FOR ASSISTANCE UP UNTIL AN ACCOUNT IS SENT TO BAD DEBT OR COLLECTIONS. IN COMPLIANCE WITH 501(R) REGULATIONS, THE OFFICE OF COMMUNITY RELATIONS ALSO SENDS OUT A YEARLY NOTICE OF CHOPS FINANCIAL ASSISTANCE PROGRAM (FAP) TO THE BUCKS COUNTY HEALTH DEPARTMENT, CHESTER COUNTY HEALTH DEPARTMENT, AND MONTGOMERY HEALTH DEPARTMENT, SOCIAL SERVICE AGENCIES IN CHESTER, PA AND KENNETT SQUARE (DELAWARE COUNTY DOES NOT HAVE A COUNTY HEALTH DEPARTMENT), AND COMMUNITY DEVELOPMENT CORPORATIONS AND CITY RECREATION CENTERS IN PHILADELPHIA COUNTY FOR PUBLIC POSTING IN THEIR FACILITIES. INFORMATION ABOUT CHOPS FAP IS ALSO INCLUDED IN THE COMMUNITY BENEFIT REPORT. COMMUNITY INFORMATION: SCHEDULE H, PART VI, LINE 4 PATIENT CARE SERVICE AREA: CHOP'S MAIN CAMPUS IS LOCATED IN WEST PHILADELPHIA. SEVENTY-FOUR PERCENT OF CHOP'S INPATIENT/OBSERVATION PATIENTS CAME FROM THE GREATER PHILADELPHIA REGION DURING TAX YEAR 2016. FOR PURPOSES OF THE CHNA, THE FIVE COUNTY REGION OF PHILADELPHIA (INCLUDING BUCKS, CHESTER, DELAWARE, MONTGOMERY, AND PHILADELPHIA) WAS ASSESSED. DURING THE TAX YEAR, CHOP ALSO PROVIDED CARE TO PATIENTS FROM 69 COUNTRIES AS WELL AS 50 STATES AND THE DISTRICT OF COLUMBIA. CHOP HAD 32,059 INPATIENT OR OBSERVATION DISCHARGES AND 1.3 MILLION OUTPATIENT VISITS AT ITS MAIN CAMPUS AND 49 OTHER PRIMARY, SPECIALTY, AND URGENT CARE SATELLITE LOCATIONS THROUGHOUT PENNSYLVANIA AND NEW JERSEY. CHOP'S PRIMARY PATIENT CARE SERVICE AREA EXTENDS BEYOND THE FIVE COUNTY REGION AND IS A LARGE GEOGRAPHIC AREA WITH 1.43 MILLION CHILDREN LIVING IN URBAN, SUBURBAN AND RURAL AREAS. THIS SERVICE AREA INCLUDES ZIP CODES WITHIN 14 COUNTIES IN SOUTHEASTERN PENNSYLVANIA, NORTHERN DELAWARE AND SOUTHERN NEW JERSEY: PA: BUCKS, CHESTER, DELAWARE, LEHIGH, MONTGOMERY AND PHILADELPHIA COUNTIES; DE: NEW CASTLE COUNTY; NJ: ATLANTIC, BURLINGTON, CAMDEN, CAPE MAY, CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES. PRIMARY SERVICE AREA DEMOGRAPHICS AND SERVICE PROVIDERS: IN TAX YEAR 2016, THE ESTIMATED MEDIAN INCOME IN THE PRIMARY SERVICE AREA, WAS $67,274. TWENTY PERCENT OF HOUSEHOLDS HAD ANNUAL INCOMES BELOW $25,000, WHICH IS CLOSE TO THE 100% POVERTY LEVEL SET AT $24,300 FOR A FAMILY OF FOUR. AN ESTIMATED 36% OF CHILDREN UNDER AGE 18 WERE INSURED BY MEDICAID, WHILE 4% HAD NO INSURANCE. CHOP'S PRIMARY SERVICE AREA INCLUDED 524,875 MEDICAID PATIENTS UNDER AGE 18 AND 56,258 UNINSURED PATIENTS UNDER AGE 18. OF CHOPS 23,957 PEDIATRIC INPATIENT/OBSERVATION PATIENTS FROM THE PRIMARY SERVICE AREA, 12,447 (OR 53%) WERE MEDICAID PATIENTS AND 282 (OR 1.2%) WERE UNINSURED PATIENTS. THIRTY-THREE PERCENT OF CHOP'S INPATIENT/OBSERVATION PATIENTS LIVED IN PHILADELPHIA COUNTY IN TAX YEAR 2016. MEDIAN HOUSEHOLD INCOME IN PHILADELPHIA COUNTY WAS $41,449 AND 33% OF THE HOUSEHOLDS HAD ANNUAL INCOMES BELOW $25,000. IN 2016, 37% OF CHILDREN LIVED BELOW THE 100% POVERTY LINE AFTER ACCOUNTING FOR FAMILY SIZE. AN ESTIMATED 61% OF CHILDREN UNDER AGE 18 WERE INSURED BY MEDICAID, WHILE 4% HAD NO INSURANCE. PHILADELPHIA COUNTY INCLUDED 211,832 MEDICAID PATIENTS UNDER AGE 18 AND 12,157 UNINSURED PATIENTS UNDER AGE 18. OF CHOPS 10,424 PEDIATRIC INPATIENT/OBSERVATION PATIENTS FROM PHILADELPHIA COUNTY, 7,572 (OR 73%) WERE MEDICAID PATIENTS AND 122 (OR 1.2%) WERE UNINSURED. IN TAX YEAR 2016, CHOP OPERATED THREE PEDIATRIC & ADOLESCENT CARE PRACTICES IN MEDICALLY UNDERSERVED AREAS IN PHILADELPHIA COUNTY. THESE SITES, WHICH PROVIDE COMPREHENSIVE PRIMARY CARE FROM BIRTH THROUGH YOUNG ADULTHOOD, HAD 130,353 PATIENT VISITS IN TAX YEAR 2016. OVER 75% OF THE CHILDREN TREATED AT THESE SITES HAVE MEDICAID. AS REFLECTED ON THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION WEBSITE, THERE ARE 38 MEDICALLY UNDERSERVED AREAS/POPULATIONS IN THE CHOP PRIMARY SERVICE AREA. TWENTY ARE IN PENNSYLVANIA, 12 ARE IN NEW JERSEY, AND 6 IS IN DELAWARE. CHOP IS THE ONLY FREESTANDING, INDEPENDENT (I.E. NOT AFFILIATED WITH A HEALTH SYSTEM) PEDIATRIC HOSPITAL IN THE COMMONWEALTH OF PENNSYLVANIA, THUS AFFORDING IT AN UNPARALLELED SINGULAR FOCUS ON PEDIATRIC SERVICES. IT IS ONE OF ONLY THREE PEDIATRIC HOSPITALS IN ITS PRIMARY SERVICE AREA. THE OTHER TWO ARE ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, A 189 BED FACILITY LOCATED IN NORTH PHILADELPHIA, A FOR PROFIT HEALTH SYSTEM OWNED BY PALADIN HEALTHCARE, AND ALFRED I. DUPONT HOSPITAL FOR CHILDREN, A 195 BED FACILITY LOCATED IN WILMINGTON, DELAWARE. A NUMBER OF ADULT HOSPITALS IN THE REGION ALSO HAVE PEDIATRIC UNITS. TWO ADULT HOSPITALS HAVE BOTH PEDIATRIC INPATIENT UNITS AND PEDIATRIC SUB-SPECIALISTS ON STAFF, NAMELY COOPER UNIVERSITY HOSPITAL IN CAMDEN, NEW JERSEY AND BRYN MAWR HOSPITAL IN BRYN MAWR, PENNSYLVANIA. AS A QUATERNARY AND TERTIARY REFERRAL CENTER, CHOP IS ONE OF THE FEW PROVIDERS IN THE UNITED STATES AND THE ONLY PROVIDER IN THE REGION OF SOME SERVICES (E.G. PEDIATRIC PROTON BEAM THERAPY AND MULTI-DISCIPLINARY CARE FOR UNBORN BABIES WITH GENETIC ABNORMALITIES).
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: CHOP INVESTS A LARGE PORTION OF ITS SURPLUS FUNDS TO SUPPORT RESEARCH, MEDICAL EDUCATION, FACILITIES, AND COMMUNITY HEALTH IMPROVEMENT PROGRAMS. THESE PROGRAMS ARE DESCRIBED BELOW: COMMUNITY HEALTH IMPROVEMENT: IN ADDITION TO ITS FINANCIAL ASSISTANCE PROGRAMS, CHOP ALSO OPERATES A BROAD RANGE OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS. A FEW EXAMPLES OF SUCH PROGRAMS INCLUDE: CENTER FOR AUTISM RESEARCH (CAR) THE CARS 3-PART MISSION IS TO CONDUCT RESEARCH TO UNDERSTAND THE CAUSES OF AUTISM AND TO DEVISE EFFECTIVE TREATMENTS; TO TRAIN THE NEXT GENERATION OF MASTER CLINICIANS AND RESEARCHERS; AND TO SERVE AS A RESOURCE FOR FAMILIES AFFECTED BY AUTISM. CARS COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDE PROVIDING EDUCATION FOR FAMILIES THROUGH THEIR SERIES OF NEXT STEPS WORKSHOPS, CONNECTING FAMILIES WITH RESOURCES, AND PROVIDING ACCESS TO CHOP EXPERT CLINICIANS IN THE COMMUNITY. SERVICES ARE OFFERED AT LOW OR NO COST TO FAMILIES AND REACH THOUSANDS OF PEOPLE EACH YEAR WITH INFORMATION ABOUT NAVIGATING AN AUTISM SPECTRUM DISORDER DIAGNOSIS FROM EARLY CHILDHOOD THROUGH ADULTHOOD. CENTER FOR INJURY RESEARCH AND PREVENTION (CIRP) - THE CENTER FOR INJURY RESEARCH AND PREVENTION (CIRP) OFFERS WEB-BASED, EVIDENCE-BASED INFORMATION, RESOURCES, AND TOOLS FROM CHOPS INJURY PREVENTION EXPERTS ACROSS ALL OF OUR PEDIATRIC INJURY RESEARCH PRIORITIES: TEEN DRIVER SAFETY, CHILD PASSENGER SAFETY, CONCUSSION, PEDIATRIC BIOMECHANICS, POST-INJURY CARE AND RECOVERY, VIOLENCE PREVENTION, AND E-HEALTH. CHOP CARES COMMUNITY GRANTS - WITH THE ASSISTANCE OF THE CHOP COMMUNITY ADVISORY BOARD, THE OFFICE OF GOVERNMENT AFFAIRS, COMMUNITY RELATIONS AND ADVOCACY AWARDS GRANTS FROM THE CHOP CARES COMMUNITY FUND TO CHOP EMPLOYEES TO BE USED FOR THE PURCHASE OF SUPPLIES AND RESOURCES NEEDED TO FILL A SPECIFIC NEED IN THE COMMUNITY, SOME OF THE PROJECTS AWARDED GRANT FUNDING THIS TAX YEAR WERE NUTRITIONAL WELLNESS FOR CHILDREN WITH MULTIPLE SCLEROSIS, BREASTFEEDING EDUCATION, BOOKS FOR BABIES, OUTDOOR THERAPY SPACE IN GLOUCESTER TOWNSHIP, NJ, PROMOTING HEALTH AND SAFETY FOR REFUGEE CHILDREN AND FAMILIES IN LANCASTER, TRANSPORTATION ASSISTANCE FOR PATIENT FAMILIES, AND THERAPEUTIC ART PROGRAMMING FOR PARENTS EXPERIENCING HOMELESSNESS. CLINICAL PATHWAYS OVER TWENTY CLINICAL PATHWAYS ARE AVAILABLE FREE OF CHARGE ON CHOPS WEBSITE. THESE PATHWAYS ARE CLINICAL DECISION SUPPORT TOOLS THAT AID CLINICIANS TO MAKE STANDARD DECISIONS WHEN CARING FOR CHILDREN. COMMUNITY ASTHMA PREVENTION PROGRAM (CAPP) THE CAPP CONDUCTS COMMUNITY SERVICE AND EDUCATION PROJECTS, COMMUNITY-BASED ASTHMA RESEARCH, AND ASTHMA INTERVENTIONS TO IMPROVE THE LIVES OF CHILDREN IN PHILADELPHIA COMMUNITIES MOST AFFECTED BY ASTHMA. HEALTHY WEIGHT PROGRAM - THE HEALTHY WEIGHT PROGRAM HELPS CHILDREN ACHIEVE OR MAINTAIN A HEALTHY WEIGHT AND LIFESTYLE. THE PROGRAM ACCOMPLISHES THIS THROUGH EVIDENCE-BASED CLINICAL CARE, EXCELLENCE IN EDUCATION, AND COMMUNITY ADVOCACY. THE HEALTHY WEIGHT PROGRAM ALSO CONTINUED TO OFFSET THE COST OF HEALTHY KIDS RUNNING SERIES HELD IN WEST PHILADELPHIA IN THE FALL AND SPRING AND ALSO PARTICIPATED IN A NUMBER OF EDUCATIONAL ACTIVITIES IN THE COMMUNITY. HOMELESS HEALTH INITIATIVE (HHI) THE HHI PROVIDES HEALTH OUTREACH SERVICES THROUGH A COORDINATED, MULTIDISCIPLINARY APPROACH THAT AIMS TO REDUCE HEALTH DISPARITIES AND IMPROVE HEALTHCARE ACCESS AND HEALTH OUTCOMES FOR CHILDREN RESIDING IN HOMELESS SHELTERS. SOME OF THE SERVICES PROVIDED IN WEST PHILADELPHIA FAMILY SHELTERS ARE CHOP NIGHT MEDICAL AND DENTAL EXAMS AND OPERATION CHOICES, AN OBESITY PREVENTION PROGRAM (FITNESS AND NUTRITION EDUCATION), FOR MOTHERS AND CHILDREN SEPARATELY. HHI ALSO PROVIDES AN EDUCATION SERIES CALLED "TAKING CHARGE OF YOUR CHILD'S HEALTH" AT THE HOME FRONT FAMILY RESERVATION CENTER EMERGENCY HOUSING FACILITY IN EWING, NJ. HEALTH EDUCATION SUPPORT CONTINUES FOR MOTHERS OF INFANTS IN AN EFFORT TO SUPPORT THE HEALTH AND IMPROVE THE SURVIVAL OF THE MOST VULNERABLE RESIDING IN SHELTERS. INJURY PREVENTION PROGRAM THE INJURY PREVENTION PROGRAM AT CHOP EDUCATES FAMILIES ABOUT SAFETY AND PROVIDES PROTECTIVE EQUIPMENT TO HELP AVOID INJURY TO CHILDREN. THIS PROGRAM OFFERS EDUCATION AND SAFETY DEVICES TO INCREASE SAFETY PRACTICES IN THE COMMUNITY THROUGH THE SAFETY CENTER AT CHOP, THE KOHLS MOBILE SAFETY CENTER, BUCKLE UP FOR LIFE PROGRAM, AND THROUGH MANY COMMUNITY EVENTS. POISON CONTROL CENTER CHOP OPERATES THE POISON CONTROL CENTERS HOTLINE, 1-800-222-1222, WHICH PROVIDES INFORMATION AND TREATMENT ADVICE TO THE PUBLIC AT NO CHARGE. IN ADDITION TO MAINTAINING THE CALL CENTER OPERATIONS, POISON CONTROL STAFF PROVIDED MANY PROFESSIONAL AND PUBLIC EDUCATION LECTURES AND DISTRIBUTED PUBLIC EDUCATION MATERIALS AT COMMUNITY EVENTS. POLICY LAB POLICY LAB USES INTERDISCIPLINARY RESEARCH TO IMPROVE CHILD HEALTH AND WELL-BEING BY INFLUENCING PROGRAM AND POLICY CHANGES. INVESTIGATORS PRODUCE PEER-REVIEWED PUBLICATIONS IN LEADING MEDICAL AND HEALTH ON A BROAD ARRAY OF ISSUES, SUCH AS HEALTH CARE DELIVERY, IMPROVING PUBLIC SYSTEMS, AND IMPROVING CHILD HEALTH OUTCOMES. REACH OUT AND READ - CHOPS REACH OUT AND READ PROGRAM IS ASSOCIATED WITH AN EVIDENCE-BASED NATIONAL NONPROFIT ORGANIZATION THAT PROMOTES EARLY LITERACY AND SCHOOL READINESS, WITH A SPECIAL EMPHASIS ON CHILDREN GROWING UP IN LOW-INCOME COMMUNITIES. IN THE EXAM ROOMS DURING WELL VISITS, PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS ADVISE PARENTS ABOUT THE IMPORTANCE OF READING ALOUD AND GIVE BRAND-NEW, DEVELOPMENTALLY AND CULTURALLY APPROPRIATE BOOKS TO CHILDREN AGES 6 MONTHS THROUGH 5 YEARS OLD. SAFE PLACE PROGRAM - SAFE PLACE: CENTER FOR CHILD PROTECTION AND HEALTH PROVIDES SERVICES TO CHILDREN AND THEIR FAMILIES IN WHOM A CONCERN FOR CHILD ABUSE OR NEGLECT HAS BEEN IDENTIFIED. SERVICES INCLUDE: 1) THE CHILDRENS COLLABORATIVE CLINIC- A CLINIC TO EVALUATE SUSPECTED CHILD SEXUAL ABUSE CO-LOCATED AND IN PARTNERSHIP WITH THE CITY OF PHILADELPHIA; 2) SAFE PLACE TREATMENT AND SUPPORT PROGRAM - A PSYCHOLOGICAL TREATMENT PROGRAM FOR TRAUMA (MOST OFTEN RELATED TO CHILD SEXUAL ABUSE); 3) FOSTERING HEALTH PROGRAM- COMPREHENSIVE MEDICAL, MENTAL HEALTH AND DEVELOPMENTAL EVALUATIONS OF CHILDREN PLACED INTO FOSTER CARE DUE TO SUBSTANTIATED CHILD ABUSE OR NEGLECT; AND 4. PRICARE- A PARENT TRAINING PROGRAM IN TWO PRIMARY CARE NETWORK SITES TO FACILITATE POSITIVE PARENTING BEHAVIORS IN PARENTS WITH YOUNG CHILDREN STRUGGLING WITH BEHAVIOR PROBLEMS TO REDUCE THE RISK OF CHILD MALTREATMENT. VIOLENCE PREVENTION INITIATIVE (VPI) - THE VPI MODEL WORKS TO REDUCE THE INCIDENCE AND IMPACT OF VIOLENCE AND AGGRESSION ON CHILDREN AND FAMILIES IN THE COMMUNITY. VPI INCLUDES EFFORTS TO REDUCE: 1) BULLYING IN SCHOOLS; 2) DOMESTIC VIOLENCE IN THE HOME; AND 3) VIOLENT ASSAULT IN THE COMMUNITY. HEALTH PROFESSIONS EDUCATION: CHOP ALSO PROVIDES A TRAINING PROGRAM FOR CHILD LIFE SPECIALISTS AND OTHER ALLIED HEALTH PROFESSIONALS, SUCH AS NURSE MEDICAL STUDENTS, PHYSICAL THERAPISTS, AND OCCUPATIONAL THERAPISTS. RESIDENTS AND FELLOWS FROM 13 OF CHOPS ACGME ACCREDITED TRAINING PROGRAMS ALSO PARTICIPATE IN CLINICAL TRAINING EXPERIENCES AT THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM WHICH ALSO SERVES AS ONE OF THE TRAINING SITES FOR CHOP. IN TAX YEAR 2016, CHOP SERVED AS A CLINICAL TRAINING SITE FOR 133 TRAINING PROGRAMS FROM 46 AFFILIATED, LOCALLY AND NATIONALLY BASED INSTITUTIONS. IN TOTAL, 843 RESIDENTS AND FELLOWS IN 70 CLINICAL SPECIALTIES WERE TRAINED. AS PART OF THE RESIDENCY PROGRAM, CHOP ALSO OFFERS THE COMMUNITY PEDIATRICS AND ADVOCACY PROGRAM (CPAP). THIS LONGITUDINAL CURRICULUM PREPARES MEDICAL RESIDENTS TO BE CHILD AND FAMILY ADVOCATES AND WORK WITH COMMUNITY PARTNERS TOWARDS CREATING PREVENTION AND POPULATION HEALTH PROGRAMS. INCLUDED IN THIS CURRICULUM ARE TRAININGS AND LECTURES FROM COMMUNITY BASED ADVOCACY GROUPS INCLUDING SUPPORT CENTER FOR CHILD ADVOCATES AND THE DISABILITIES RIGHTS NETWORK. CHOPS CENTER FOR SIMULATION, ADVANCED EDUCATION, AND INNOVATION OFFERS A UNIQUE PROGRAM EACH YEAR TO ORIENT MATRICULATING CRITICAL CARE FELLOWS TO THE MOST COMMON AND STRESSFUL "SCENARIOS" THEY ARE GOING TO ENCOUNTER. CHOP ALSO PROVIDES NUMEROUS CME OPPORTUNITIES, WHICH ARE OPEN TO HEALTH PROFESSIONALS IN THE COMMUNITY. CONTINUING EDUCATION CREDITS WERE PROVIDED TO HEALTH PROFESSIONALS ON EDUCATIONAL PEDIATRIC HEALTH TOPICS, SUCH AS BREASTFEEDING, NUTRITION, DIABETES, GLOBAL HEALTH, AUDIOLOGY, AND NEUROLOGY. SUBSIDIZED HEALTH SERVICES: CHOP ALSO PROVIDES A RANGE OF SUBSIDIZED HEALTH SERVICES ACROSS VARIOUS DISCIPLINES TO PROVIDE ACCESS TO CARE FOR VULNERABLE CHILDREN AND ADOLESCENTS IN THE COMMUNITY. EXAMPLES OF SUBSIDIZED HEALTH SERVICES EXPENSES INCLUDED IN CHOPS SCHEDULE H ARE: CHILDREN'S INTENSIVE EMOTIONAL & BEHAVIORAL PROGRAM THE CHILDREN'S INTENSIVE EMOTIONAL & BEHAVIORAL PROGRAM (CIEBP) PROVIDES COMPREHENSIVE PSYCHIATRIC PARTIAL HOSPITAL SERVICES IN A BEHAVIORALLY BASED, TRAUMA INFORMED THERAPEUTIC SETTING FOR CHILDREN BETWEEN THE AGES OF 5 AND 12 YEARS. THE PR
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CHOP COMPLIES WITH ALL APPLICABLE REPORTING REQUIREMENTS ESTABLISHED BY THE PENNSYLVANIA ("PA") DEPARTMENT OF HUMAN SERVICES 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) 2016
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