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Object ID: 202211329349306056 - Rendered 2024-04-27
TIN: 23-1352166
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
20
Open to Public Inspection
Name of the organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Employer identification number
23-1352166
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
BACHE LEWIS PENROSE LLC
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
20-5126955
HOLDING CO
PA
221,715
333,566,752
CHOP
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CHILDREN'S HEALTH CARE ASSOCIATES INC
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
22-2785804
HEALTHCARE
PA
501(c)(3)
10
CHOP
Yes
(2)
CHILDREN'S HEALTH CARE ASSOCIATES OF NJ
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-3036699
HEALTHCARE
NJ
501(c)(3)
10
CHOP
Yes
(3)
CHILDREN'S ANESTHESIOLOGY ASSOC OF NJ
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
22-3405673
HEALTHCARE
NJ
501(c)(3)
10
CHOP
Yes
(4)
CHILDREN'S ANESTHESIOLOGY ASSOC LTD
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2592835
HEALTHCARE
PA
501(c)(3)
10
CHOP
Yes
(5)
SURGICAL ASSOCIATES RESEARCH & EDUCATION
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2181768
RESEARCH
PA
501(C)(3)
12 III-FI
CHOP
Yes
(6)
CHILDREN'S SURGICAL ASSOCIATES LTD
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2589322
HEALTHCARE
PA
501(c)(3)
10
CHOP
Yes
(7)
CHILDREN'S SURGICAL ASSOCIATES OF NJ
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
22-3348481
HEALTHCARE
NJ
501(c)(3)
10
CHOP
Yes
(8)
PGH DEVELOPMENT CORPORATION
426 CURIE BLVD
PHILADELPHIA
,
PA
19104
23-2351015
SUPPORT
PA
501(c)(3)
12 I
NA
No
(9)
FIRST MEDICAL INSURANCE COMPANY (RRG)
463 MOUNTAIN VIEW DRIVE
COLCHESTER
,
VT
05446
01-0719207
SELF INSURANC
VT
501(c)(3)
12 III-FI
CHOP
Yes
(10)
CHOP PRACTICE ASSOCIATION
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2311482
HEALTHCARE
PA
501(c)(3)
12 III-FI
CHOP
Yes
(11)
CHOP CLINICAL ASSOCIATES INC
C/O CHOP 3401 CIVIC CTR BLVD
PHILADELPHIA
,
PA
19104
22-3548970
HEALTHCARE
PA
501(c)(3)
12 III-FI
CHOP
Yes
(12)
CHOP FOUNDATION
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2237932
SUPPORT
PA
501(c)(3)
7
NA
No
(13)
RADIOLOGY ASSOCIATES OF CHOP
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
23-2665855
HEALTHCARE
PA
501(c)(3)
10
CHOP
Yes
(14)
CHILDREN'S RADIOLOGY ASSOCIATES OF NJ
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
81-1626790
HEALTHCARE
PA
501(C)(3)
10
CHOP
Yes
(15)
1700 BROAD STREET INC
3401 CIVIC BLVD
PHILADELPHIA
,
PA
19104
47-1509789
SUPPORT
PA
501(C)(3)
10
CHOP
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
4865 MARKET ASSOC
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
46-1341918
REAL ESTATE
PA
CHOP
EXCLUDED
0
No
0
Yes
99.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
VITARA BIOMEDICAL INC
2400 Market Street Suite 271
Philadelphia
,
PA
19103
84-3545298
Biomedical
DE
CHOP Foundation
C Corp
(2)
1700 BROAD STREET INC
3401 CIVIC CENTER BLVD
PHILADELPHIA
,
PA
19104
47-1509789
REAL ESTATE
PA
CHOP
C CORP
0
10,198,134
100.000 %
Yes
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
FIRST MEDICAL INSURANCE COMPANY (RRG)
M
12,131,000
FMV
(2)
PGH DEVELOPMENT CORPORATION
P, Q
300,034
FMV
(3)
RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL
J, P,
68,487,881
FMV
(4)
CHILDREN'S ANESTHESIOLOGY ASSOCIATES
J, P,
89,610,156
FMV
(5)
CHILDREN'S ANESTHESIOLOGY ASSOCIATES OF NJ
J, P,
33,520
FMV
(6)
CHILDREN'S HEALTHCARE ASSOCIATES INC
A J P
741,264,352
FMV
(7)
CHILDREN'S HEALTHCARE ASSOCIATES OF NJ
A J P
52,082,646
FMV
(8)
CHILDREN'S SURGICAL ASSOCIATES INC
A J P
246,561,906
FMV
(9)
CHILDREN'S SURGICAL ASSOCIATES OF NJ
A J P
9,778,584
FMV
(10)
CHOP FOUNDATION
C, M,
453,118,230
FMV
(11)
1700 BROAD STREET INC
K, N
912,830
FMV
(12)
RADIOLOGY ASSOCIATES OF NJ
J, P,
1,103,142
FMV
(13)
VITARA BIOMEDICAL INC
C
2,802,669
FMV
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference
Explanation
Schedule R (Form 990) 2020
Additional Data
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