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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
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) . . . 		    3,276,711   3,276,711 0.130 %
b Medicaid (from Worksheet 3, column a) . . . . .     765,728,794 654,264,309 111,464,485 4.360 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     769,005,505 654,264,309 114,741,196 4.490 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     30,812,612 21,663,558 9,149,054 0.360 %
f Health professions education (from Worksheet 5) . . .     57,377,001 7,825,591 49,551,410 1.940 %
g Subsidized health services (from Worksheet 6) . . . .     165,264,407 117,920,768 47,343,639 1.850 %
h Research (from Worksheet 7) .     355,318,316 211,168,604 144,149,712 5.640 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     231,585   231,585 0.010 %
j Total. Other Benefits . .     609,003,921 358,578,521 250,425,400 9.800 %
k Total. Add lines 7d and 7j .     1,378,009,426 1,012,842,830 365,166,596 14.290 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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     39,348   39,348  
4 Environmental improvements            
5 Leadership development and
training for community members		     426   426  
6 Coalition building            
7 Community health improvement advocacy     3,967   3,967  
8 Workforce development     355   355  
9 Other            
10 Total     44,096   44,096  
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 Healthcare 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
 
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
2,964,464
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,984,531
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,020,067
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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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 18
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 Yes  
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): 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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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, 20a, 20b, 20c, 20d, 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 Children's Hospital of Philadelphia (CHOP) conducted and published a Community Health Needs Assessment (CHNA) in Tax Year 2018. The CHNA incorporated primary data from 19 geographically based focus groups in Philadelphia and the surrounding counties, 9 focus groups with key informants for populations of special interest, as well as quantitative data from a variety of sources.
SCHEDULE H, PART V, SECTION B, LINE 6A and 6B The CHNA was spearheaded by the Healthcare Improvement Foundation and the Philadelphia Department of Public Health and also included the following hospitals, health systems, public health departments, and other organizations as partners: Abington Jefferson Health, Jefferson Northeast, Thomas Jefferson University Hospitals, Chester County Hospital, Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Einstein Medical Center Montgomery, Einstein Medical Center Philadelphia, Grand View Health, Holy Redeemer Health System, Chester County Health Department, Montgomery County Office of Public Health and Philadelphia Association of Community Development Corporations. SCHEDULE H, PART V, SECTION B, LINE 7A THE CHNA REPORT CAN BE FOUND AT: https://media.chop.edu/data/files/pdfs/chop-chna-june-2019.pdf SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: https://media.chop.edu/data/files/pdfs/community-health-needs-assessment-p lan-2019.pdf
SCHEDULE H, PART V, SECTION B, LINE 11 All quantitative and qualitative inputs of the CHNA findings were organized into 16 community health priorities that were categorized across three domains: 1) Health Issues, including physical and behavioral health issues significantly impacting the overall health and well-being of the region; 2) Access and Quality of Healthcare and Health Resources, such as availability, accessibility, and quality of healthcare and other resources to address issues that impact health in communities across the region; and 3) Community Factors like social and economic drivers of health as well as environmental and structural factors that influence opportunity and daily life. The top ten needs identified in the CHNA serve as the focus of CHOP's implementation plan: 1. Substance/opioid use and abuse 2. Behavioral health diagnosis and treatment (e.g. depression, anxiety, trauma-related conditions) 3. Access to affordable primary and preventive care 4. Healthcare and health resources navigation 5. Access to affordable specialty care 6. Chronic disease prevention (e.g. obesity, hypertension, diabetes, and cardiovascular disease) 7. Food access and affordability 8. Affordable and healthy housing 9. Sexual and reproductive health 10. Linguistically- and culturally- appropriate healthcare The remaining six identified needs are: 1. Maternal morbidity and mortality 2. Socioeconomic disadvantage (income, education, and employment) 3. Community violence 4. Racism and discrimination in healthcare settings 5. Neighborhood conditions (e.g. blight, greenspace, parks/recreation, etc.) 6. Homelessness The needs identified in the 2019 CHNA go beyond traditional healthcare issues to include access to and quality of available healthcare and social determinants of health, which include social and economic factors, such as income, employment, education, and neighborhood environment that play a major role in driving the health of individuals and communities. Many of the identified needs, like access to primary care, linguistic and culturally appropriate care, and reproductive health services, are familiar to CHOP and have appeared on previous Community Health Needs Assessments. A number of additional needs (e.g., housing, poverty, hunger, access to mental health services, and community violence) are emerging and we use data collected from the CHNA to inform the way CHOP allocates its resources and maximizes impact. CHOP is doing much to support the health and wellbeing of local residents through community and hospital-based programs to address food insecurity, homelessness, reproductive health, behavioral health and violence prevention, among others. While only ten needs are formally identified in the Implementation Plan, all sixteen are addressed in some capacity, through citywide committees, institutional community benefit programs, and more.
SCHEDULE H, PART V, SECTION B, LINE 13 THE MISSION OF THE CHILDREN'S 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 PATIENT'S 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 CHOP'S PRIMARY SERVICE AREA. - COOPERATE IN QUALIFYING FOR ASSISTANCE FROM THE PATIENT'S STATE'S MEDICAL ASSISTANCE (MEDICAID), CHILDREN'S 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 & 16B THE FAP AND FAP APPLICATION FORM CAN BE FOUND AT HTTPS://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 HTTPS://WWW.CHOP.EDU/SERVICES/FINANCIAL-ASSISTANCE-POLICY-SUMMARY
SCHEDULE H, PART V, SECTION B, LINE 22 CHOP OFFERS FINANCIAL ASSISTANCE TO INDIVIDUALS WHO QUALIFY UNDER ITS POLICY, WHICH ELIMINATES ANY FINANCIAL LIABILITY TO THOSE FAMILIES FOR MEDICALLY NECESSARY SERVICES COVERED BY THE POLICY.
SCHEDULE H, PART V, SECTION B, LINES 20A, 20C, & 20D CHOP DOES NOT ENGAGE IN ECAS. CHOP DOES, HOWEVER, MAKE EFFORTS TO NOTIFY ALL PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?43
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 SPECIALITY 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 D260 2ND F
VOORHEES,NJ08043 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
10 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
101 PLAINSBORO ROAD
PLAINSBORO,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,NJ08054 		PHYSICIAN PRACTICE
15 CHOP CARE NETWORK - FLOURTOWN
1811 BETHLEHEM PIKE SUITE A106
FLOURTOWN,PA19031 		PHYSICIAN PRACTICE
16 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
481 JOHN YOUNG WAY OAKLANDS CORP
EXTON,PA19341 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
17 CHOP CARE NETWORK - WEST CHESTER
440 E MARSHALL ST3RD FL N STE
WEST CHESTER,PA19380 		PHYSICIAN PRACTICE
18 CHOP CARE NETWORK - INDIAN VALLEY
3456 BETHLEHEM PIKE SECOND FLOOR
SOUDERTON,PA18964 		PHYSICIAN PRACTICE
19 CHOP CARE NETWORK - HIGHPOINT
1700 HORIZON DRIVE SUITE 200
CHALFONT,PA18914 		PHYSICIAN PRACTICE
20 CHOP CARE NETWORK - NEWTOWN
104 PHEASANT RUN NEWTOWN BUS COMM
NEWTOWN,PA18940 		PHYSICIAN PRACTICE
21 CHOP CARE NETWORK - SALEM ROAD
2006 SALEM ROAD
BURLINGTON TOWNSHIP,NJ08016 		PHYSICIAN PRACTICE
22 CHOP CARE NETWORK - PAOLI
250 WEST LANCASTER AVENUE SUITE 34
PAOLI,PA19301 		PHYSICIAN PRACTICE
23 CHOP CARE NETWORK - DREXEL HILL
2100 KEYSTONE AVENUE SUITE 404
DREXEL HILL,PA19026 		PHYSICIAN PRACTICE
24 CHOP CARE NETWORK - ROXBOROUGH
5003 UMBRIA STREET
PHILADELPHIA,PA19128 		PHYSICIAN PRACTICE
25 THE CARDIAC CENTER CHOP
ST PETERS UNIVERSITY HOSPITAL 254 E
NEW BRUNSWICK,NJ08901 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
26 CHOP CARE NETWORK - WEST GROVE
455 WOODVIEW ROAD SUITE 220
WEST GROVE,PA19390 		PHYSICIAN PRACTICE
27 CHOP CARE NETWORK - COATESVILLE
495 HIGHLANDS BLVD SUITE 100
COATESVILLE,PA19320 		PHYSICIAN PRACTICE
28 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
4009 BLACK HORSE PIKE
MAYS LANDING,NJ08330 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
29 CHOP CARE NETWORK - KENNETT SQUARE
891 EAST BALTIMORE PIKE
KENNETT SQUARE,PA19348 		PHYSICIAN PRACTICE
30 CHOP CARE NETWORK - NORTH HILLS
795 EAST MARSHALL STREET SUITE 301
WEST CHESTER,PA19380 		PHYSICIAN PRACTICE
31 CHOP CARE NETWORK - SOMERS POINT
505 BAY AVENUE BAYSIDE COMMONS
SOMERS POINT,NJ08244 		PHYSICIAN PRACTICE
32 CHOP CARE NETWORK - CHADDS FORD
1766 WILMINGTON PIKE
GLEN MILLS,PA19342 		PHYSICIAN PRACTICE
33 CHOP CARE NETWORK - BROOMALL
2000 SPROUL ROAD SUITE 206
BROOMALL,PA19008 		PHYSICIAN PRACTICE
34 CHOP CARE NETWORK - MEDIA
176 S NEW MIDDLETOWN ROAD SUITE 2
MEDIA,PA19063 		PHYSICIAN PRACTICE
35 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1245 HIGHLAND AVENUE SUITE 204
ABINGTON,PA19001 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
36 CHOP CARE NETWORK - POTTSTOWN
1590 MEDICAL DRIVE SUITE E
POTTSTOWN,PA19464 		PHYSICIAN PRACTICE
37 CHOP CARE NETWORK - GIBBSBORO
13 LAKEVIEW DRIVE S SILVER LAKE S
GIBBSBORO,NJ08026 		PHYSICIAN PRACTICE
38 CHOP CARE NETWORK - NORRISTOWN
1340 DEKALB PIKE SUITE 4
NORRISTOWN,PA19401 		PHYSICIAN PRACTICE
39 CHOP CARE NETWORK - CAPE MAY COUNTY
1315 ROUTE 9 SOUTH
CAPE MAY COURT HOUSE,NJ08201 		PHYSICIAN PRACTICE
40 CHOP CARE NETWORK - SMITHVILLE
48 SOUTH NEW YORK ROAD ROUTE 9
SMITHVILLE,NJ08205 		PHYSICIAN PRACTICE
41 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
2106 HARRISBURG PIKE SUITE 22
LANCASTER,PA17601 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
42 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1001 BALTIMORE PIKE SUITE 208
SPRINGFIELD,PA19064 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
43 CHOP CARE NETWRK PED & ADOL SPECIAL CARE
1766 WILMINGTON PIKE
GLEN MILLS,PA19342 		PEDIATRIC & ADOLESCENT SPECIALITY CARE
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 Hospital's financial assistance policy that was in effect during Tax Year 2020 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 CHOP's 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 2019, WHICH CAN BE FOUND ON ITS WEBSITE AT: HTTPS://WWW.CHOP.EDU/HEALTH-RESOURCES/COMMUNITY-BENEFIT-REPORTS 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 and 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 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 CHOP's accounting systems. CHOP invests in various community building activities that support economic development, community support, advocacy, environment protection, and workforce development. Some examples of CHOP's investment during this tax year are listed below. CHOP participated and paid dues TO the Economy League of Greater Philadelphia. This organization brings together regional leaders and organizations across all sectors to address the most pressing and challenging issues facing the region including infrastructure, education and more. CHOP also partnered with community organizations to promote small businesses through training opportunities and business promotion. CHOP supported many community organizations throughout the region with sponsorships and staff support including: CASA of Philadelphia, Support Center for Child Advocates, the Urban Affairs Coalition, the University City District, Ahavas Tzedakah, Parent Infant Center, Philadelphia Association of Community Development Corporations, The Enterprise Center Community Development Corporation, Lutheran Settlement House, Uplift Center for Grieving Children, Fred's Footsteps, Urban League of Philadelphia, Womanspace, Make A Wish, Habitat for Humanity, CeaseFire of PA, Pathways to Housing, and Black Doctor's COVID-19 Consortium. The EcoCHOP sustainability program mission is to make the hospital "greener" through increasing recycling, reducing waste, and reusing/donating as much as possible. We have recycling programs available for categories such as kitchen grease, construction materials, compost, electronics, medical devices, batteries, lamps, and surgical wrap. CHOP views waste as a commodity, not an expense, and understands the importance of community outreach. CHOP's recycling rate last year was 44%, which is comprised of 25 different categories of recycling, reuse, reprocessing and donation. Additionally, CHOP's Supply Chain Department donated over 19 tons of gently used equipment, textiles, and supplies both locally and abroad to community health centers, women's shelters and hospitals in developing countries. CHOP has several programs that support community workforce development. These include: - CHOP Career Path - the Career Path program provides job and life skills coaching for young adults with chronic illnesses or disabilities as they transition from high school. - CHOP Research Institute Summer Scholars Program (CRISSP) - The CHOP Research Institute Summer Scholars Program (CRISSP) is a formal, competitive internship designed to provide undergraduate students with theoretical knowledge, practical training in academic research, and critical exposure to pediatric-focused career trajectories under the direct mentorship of CHOP faculty. CRISSP surveys, taken by participants, indicate a significant impact on participants in terms of their increased interest in biomedical research careers and pediatrics. - Information Services Co-op Program - A competitive program designed to provide undergraduate and graduate students with practical training and exposure to leading-edge technology and trends in healthcare information technology. - University City District (UCD) - CHOP partners with UCD to invest in our local community, creating jobs for local residents, using local businesses and vendors in construction projects and procurement services, and in maintaining green spaces in the community. SCHEDULE H, PART III, SECTION A, LINE 2 CHOP'S PATIENT ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS FOR AMOUNTS THAT COULD BECOME UNCOLLECTABLE IN THE FUTURE. IN ACCOUNTING FOR BAD DEBT EXEPENSE, UNCOLLECTABLE SELF-PAY ACCOUNTS (INCLUDING PATIENT ACCOUNT BALANCES DUE AFTER REIMBURSEMENT FROM INSURANCE) ARE WRITTEN OFF AS BAD DEBT EXPENSE AFTER CONDUCTING REASONABLE 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. SCHEDULE H, PART III, SECTION A, LINE 3 CHOP DOES NOT CONSIDER BAD DEBT TO BE A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 CHOP'S AUDITED FINANCIAL STATEMENTS FOR TAX YEAR 2020 INCLUDE A PATIENT SERVICE REVENUE FOOTNOTE ON PAGES 11 - 13 OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION AND CONTROLLED AFFILIATES AUDITED STATEMENTS WHICH EXPLAINS THE CHANGES IN FASB ASC 606 AND NO BAD DEBT RECORDED.
SCHEDULE H, PART III, SECTION B, LINE 8 CHOP DOES NOT CONSIDER MEDICARE SHORTFALLS (EXCEPT THOSE ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES) TO REPRESENT COMMUNITY BENEFIT. ACCORDINGLY, THE SHORTFALL REPORTED IN PART III, LINE 8 IS NOT CONSIDERED TO BE COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION B, LINE 9B CHOP'S FINANCIAL ASSISTANCE POLICY OFFERS FULL FINANCIAL ASSISTANCE (FREE CARE) ONLY. CHOP'S 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 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 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 community-based participatory research. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SCHEDULE H, PART VI, LINE 3 During Tax Year 2020, 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 have opportunities to 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. 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 are 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. 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 (e.g., Pennsylvania Medicaid Assistance (PAMA), PA State Children's 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, emergency room clerks, financial counselors and FHCP. Any active patient case may be referred to FHCP for assistance up until an account is sent to bad debt or collections. To notify and inform members of the community regarding the availability of financial assistance (including those most likely to need such assistance), the Office of Community Relations also sends out a yearly notice of CHOP's Financial Assistance Program (FAP) to the Bucks County Health Department, Chester County Health Department, Montgomery Health Department, and Delaware County's newly formed Health Department, and Community Development Corporations and City Recreation Centers in Philadelphia County for public posting in their facilities. Information about CHOP's 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-two percent of CHOP's inpatient/observation patients came from the Greater Philadelphia region during Fiscal Year 2021. For purposes of the CHNA, Philadelphia county and surrounding counties in Pennsylvania were assessed. During the Tax Year 2020, CHOP also provided care to over 575 patients from 43 different countries as well as 50 states and the District of Columbia. Since the 2010 launch of Global Patient Services, the program has brought over 4,700 patients to CHOP from over 125 countries. CHOP had 24,797 inpatient or observation discharges and 1.21 million outpatient visits at its Main hospital and 51 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 1.4 million children (<18 years old) 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; and, - NJ: Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, and Salem Counties. Primary Service Area Demographics and Service Providers: In 2021, the estimated median income in the primary service area, was $78,444 and an estimated 9% of the households had annual incomes below the poverty line. An estimated 31% of children under age 18 were insured solely by Medicaid, while 3% had no insurance. CHOP's primary service area included 444,300 Medicaid patients under age 18 and 42,653 uninsured patients under age 18. Of CHOP's 13,308 pediatric inpatient/observation patients from the primary service area, 6,758 (or 51%) were Medicaid patients and 282 (or 2%) were uninsured patients. Twenty seven percent of CHOP's inpatient/observation patients lived in Philadelphia County in Tax Year 2020. The estimated median household income in Philadelphia County was $45,927 and an estimated 19% of the households had annual incomes below the poverty line. An estimated 55% of children under age 18 were insured solely by Medicaid, while 4% had no insurance. Philadelphia County included 190,535 Medicaid patients under age 18 and 12,246 uninsured patients under age 18. Of CHOP's 5,047 pediatric inpatient/observation patients from Philadelphia County, 3,700 (or 73%) were Medicaid patients and 62 (or 1.0%) were uninsured. In Tax Year 2020, 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 108,732 patient visits in Tax year 2020. Over 74% 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 are 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 facility located in North Philadelphia with 188 licensed beds, and Nemours/Alfred I. duPont Hospital for Children located in Wilmington, Delaware, which has 260 licensed beds. A number of adult hospitals in the region also have pediatric units. Two such adult hospitals that have both pediatric inpatient units and pediatric sub-specialists on staff are Cooper University Hospital in Camden, New Jersey and Bryn Mawr Hospital in Bryn Mawr, Pennsylvania. As a quaternary and tertiary referral center, CHOP is one of 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 REINVESTS ITS NET OPERATING INCOME 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 described elsewhere on this Schedule H, CHOP also operates a broad range of community education and community health improvement programs. CHOP houses one of the world's leading pediatric research enterprise, the CHOP Research Institute, reflecting the Hospital's deep and long-standing commitment to improve child health. With a research staff in the thousands, the Institute carries out groundbreaking research on the science, treatment of, and policy initiatives addressing, childhood illnesses across the following scientific pillars: rare and complex diseases, lifespan research, novel therapeutics, and precision medicine. The Institute focuses on patient-driven research that changes lives - both in the hospital setting and beyond our walls, in outpatient care and in the community. A trailblazing group of initiatives known as Frontier Programs are pioneering new advances in children's health. Frontier Programs conduct visionary research that translates to cutting-edge clinical care. Some examples of Frontier Programs include Comprehensive Center for the Cure of Sickle Cell Disease (CuRED), Food Allergy Center, and Center for Pediatric Airway Disorders. CHOP also established the first formal medical training program for pediatric doctors. As part of the residency program, CHOP offers the Community Pediatrics and Advocacy Program. This longitudinal curriculum prepares medical residents to be child and family advocates and work with community partners towards creating prevention and population health programs. 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. In Tax Year 2020, CHOP served as a clinical training site for 129 programs from 37 affiliated, locally and nationally based institutions. In total, 785 ROTATING residents and fellows in 60 clinical specialties were trained. CHOP TRAINED 163 RESIDENTS AND 298 FELLOWS IN 74 CHOP-SPONSORED TRAINING PROGRAMS ACROSS ALL SIX CLINICAL DEPARTMENTS. Residents and fellows from 15 of CHOP's 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. 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, concussions, diabetes, global health, audiology, and neurology. CHOP consistently invests in programs that benefit communities and strongly believes that the Hospital's mission must always reach outside its walls to help the children living in and around its SERVICE area. CHOP has more than 100 community programs that strive to ensure that all children, especially the most vulnerable, experience the wonders of childhood. In 2013, CHOP began the CHOP Cares Community Grant Program, in which a CHOP Community Advisory Board comprised of both CHOP employees and local civic leaders advise a competitive grant process. The program awards small grants to CHOP employees to support work in their own communities. Grantees of the program must specifically address needs identified in the CHNA. Some of the projects awarded grant funding this tax year were a concussion prevention education workshop, menstrual hygiene education and access for homeless shelter residents, healthy hearing screening and education in schools, and support groups for family members of gender transitioning youth. Among many of CHOP's community programs, a few notable initiatives include: - PolicyLab, an interdisciplinary research center to improve child health and well-being by influencing program and policy changes on a broad array of issues, such as Health Care delivery, Improving Public systems, and Improving Child Health outcomes, - Center for Violence Prevention, which works to reduce the incidence and impact of violence and aggression on children and families in the community with programs that reduce: 1) bullying in schools; 2) domestic violence in the home; and 3) violent assault in the community, and - Homeless Health Initiative, a coordinated, multidisciplinary INITIATIVE that aims to reduce health disparities and improve healthcare access and health outcomes for children residing in homeless shelters. CHOP's community impact investment, Healthier Together, tackles the social determinants of health as a path to improving the health of children in West and Southwest Philadelphia. This umbrella community impact initiative partners with government agencies, nonprofits and community groups to develop programs that focus on improving four key social determinants of health: housing, hunger, trauma and poverty. To date, over 6,800 individuals were directly impacted by Healthier Together. Below are highlights from our programs. - Housing- The Community Asthma Prevention Program Plus (CAPP+) provides free home repairs to improve children's asthma by reducing asthma triggers. CAPP+ completed asthma-related repairs on 30 homes in FY21. - Hunger- The Food Pharmacy 2.0 launched in March 2021 to provide fresh food boxes delivered directly to patient's homes and resource navigation to families. CHOP also provided 2,738 fresh food boxes to families in FY21. - Poverty- CHOP partnered with The Enterprise Center (TEC), a community development corporation in West Philadelphia, to provide 848 individuals business technical assistance through virtual classes and one-on-one consultations. Additionally, 32 businesses received their MWBE certifications, which is a critical step toward securing future contracts from large organizations. A full-time financial counselor at Karabots Primary Care Center held 95 financial counseling sessions with members of the community. Through the sessions, on average, clients have built $3,650 in savings and improved their credit scores by 58 points. Through an expanded partnership with Community Legal Services, 34 families received no-cost legal support to improve housing stability for those facing eviction. 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. The largest percentage of CHOP's subsidized health services are provided at its three Pediatric & Adolescent Care practices in medically underserved areas in Philadelphia County (Nicholas and Athena Karabots Primary Care Center, Cobbs Creek Primary Care Center, and the South Philadelphia Primary Care Center located at the South Philadelphia Community Health and Literacy Center). Some examples of subsidized health services included: 24-hour emergency dental services; Family Planning for adolescents to receive free and confidential reproductive and sexual health care; and medical care and social services for refugee children. Our community garden harvested and distributed 2,400 pounds of organic produce to patients and families at our Nicholas and Athena Karabots Pediatric Care Center. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: CHOP Affiliated Entities There are eight CHOP affiliated physician practice plans, all of which are exempt from federal income tax, within the CHOP integrated healthcare network. 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.; Children's Surgical Associates of NJ, Inc.; and Children's Radiology Associates of New Jersey, Inc. (each, a "Practice Plan, 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 President of each is the person who is the Chief of the respective medical department at CHOP. The Practice Plans provide medical education and research as well as medical care to patients. They provide services without discrimination and adhere to CHOP's Conflicts of Interest Policy, CHOP's Financial Assistance Policy and provide care to Medicaid and Medicare patients. Affiliation with the University of Pennsylvania Although the University of Pennsylvania and CHOP are separate corporate entities with no shared ownership or governance, they have had 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 Univ
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. COVID Disclosure During Tax Year 2020, as the COVID-19 pandemic continued to impact the communities served by CHOP, CHOP experts in infection prevention, policy advocacy, and vaccinology, among others, continued to provide guidance AND SERVICES to the community TO mitigate the impacts of THE PANDEMIC and implemented programs to meet ongoing health needs. As COVID-19 spread rapidly during the spring of 2020, CHOP mobilized to serve our patients, families, employees and surrounding communities. We increased our efforts to address the immediate and pressing needs of our community, particularly within diverse and underserved communities who were OFTEN DISPROPORTIONATELY AFFECTED BY THE PANDEMIC. THE FOLLOWING ARE EXAMPLES OF INITIATIVES TAKEN BY CHOP TO ADDRESS COMMUNITY HEALTH NEEDS DURING THE PANDEMIC. - Many CHOP employees continue to provide education on COVID-19 including BY JOINING local panels to educate the community. Members of the Infectious Disease team have provided COVID-19 education and information both on a local and national level in the forms of panel discussions, interviews and webinars. - CHOP continues to fund, staff and operate the Greater Philadelphia Coronavirus Helpline, a free hotline that is available 24/7 for the public and healthcare providers to get answers to their COVID-19 questions. CHOP's Navigating COVID-19 page on the CHOP.EDU website includes many resources FOR patients and families including the Coronavirus Helpline number. To date, the helpline has fielded 282,000 calls from people around the Philadelphia region. - CHOP continues offering drive-through and community based COVID-19 testing sites in Philadelphia, Montgomery, and Bucks County. As local schools began to plan for resuming in-person learning, CHOP also implemented Project ACE-It, "Assisting Childhood Education through Increased Testing," a model that trains school personnel to conduct school-based COVID-19 testing. - CHOP PolicyLab launched a model to forecast COVID-19 transmission globally. The data from the COVID-Lab model is being used by regional and national school leaders and officials from all levels of government - including the White House COVID Task Force - to inform policy and make decisions affecting millions of children and families. - As COVID-19 vaccines became available for the community, Dr. Paul Offit, Director of CHOP's Vaccine Education Center, who was already a member of the FDA's Vaccine Advisory Committee (VRBPAC), was called upon to participate on the National Institutes of Health's Accelerating COVID-19 Therapuetic Interventions and Vaccines (ACTIV) group, assembled by Dr. Francis Collins. The goal of this group was to accelerate the evaluation of COVID-19 vaccines. He was also on the COVID-19 advisory committee for the commonwealth of PA. In addition to media appearances and serving on advisory committees, Dr. Offit also offered U.S. Congressional testimony in September 2020 and provided guidance to such private organizations as the U.S. Olympic Committee and Major League Baseball as they sought to protect their athletes, and he spoke at numerous conferences, town halls, and even in classrooms. - CHOP administered more than 38,000 doses of the Pfizer-BioNTech COVID-19 vaccine to over 19,000 school and daycare personnel in Philadelphia to further support them for in-person education and childcare. CHOP has also hosted several community vaccine clinics, in communities where prevalence of COVID-19 has been high and vaccination rates are low to help target the communities most in need of this service. CHOP's Community Covid-10 Vaccine Clinic program launched in May 2021. In FY2021, CHOP hosted 5 individual community-based clinics in 3 locations and administered 441 vaccines to 382 unique patients.
Schedule H (Form 990) 2020
Additional Data


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