Form 990 for tax year 2022
Filed by CHILDRENS SURGICAL ASSOCIATES LTD.
Totals
- Total revenue
- $155,425,264
- Total expenses
- $145,372,158
- Contributions and grants received
- $550,000
- Grants paid
- $334,732
- Program services expenses (Part IX)
- $137,978,703
- Management and general expenses
- $7,393,455
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $137,978,703
Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JESSE A TAYLOR MD
PRESIDENT, DIRECTOR
- Total calculated
- $2,567,266
- From this org
- $2,518,592
- From related orgs
- $0
- Other
- $48,674
- Hours/week
- 45 + 1 related
Schedule J breakdown matched by us
- Base
- $1,492,776
- Bonus
- $925,187
- Other
- $100,629
- Deferred
- $27,450
- Nontaxable benefits
- $21,224
- Filer's total
- $2,567,266
-
PHILIP STORM MD
SECRETARY/TREASURER
- Total calculated
- $2,396,332
- From this org
- $2,349,736
- From related orgs
- $0
- Other
- $46,596
- Hours/week
- 45 + 1 related
Schedule J breakdown matched by us
- Base
- $1,790,736
- Bonus
- $558,750
- Other
- $250
- Deferred
- $27,450
- Nontaxable benefits
- $19,146
- Filer's total
- $2,396,332
-
N SCOTT ADZICK MD
CHAIRMAN, DIRECTOR
- Total calculated
- $2,334,226
- From this org
- $2,291,952
- From related orgs
- $0
- Other
- $42,274
- Hours/week
- 45 + 1 related
Schedule J breakdown matched by us
- Base
- $1,438,806
- Bonus
- $592,718
- Other
- $260,428
- Deferred
- $27,450
- Nontaxable benefits
- $14,824
- Filer's total
- $2,334,226
-
JONATHAN M CHEN MD
DIVISION CHIEF
- Total calculated
- $2,085,082
- From this org
- $2,038,486
- From related orgs
- $0
- Other
- $46,596
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $1,540,736
- Bonus
- $497,500
- Other
- $250
- Deferred
- $27,450
- Nontaxable benefits
- $19,146
- Filer's total
- $2,085,082
-
SCOTT BARLETT MD
PHYSICIAN
- Total calculated
- $1,557,133
- From this org
- $1,513,800
- From related orgs
- $0
- Other
- $43,333
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $740,016
- Bonus
- $771,547
- Other
- $2,237
- Deferred
- $27,450
- Nontaxable benefits
- $15,883
- Filer's total
- $1,557,133
-
GREGORY HEUER MD
PHYSICIAN
- Total calculated
- $1,512,772
- From this org
- $1,465,888
- From related orgs
- $0
- Other
- $46,884
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $1,088,763
- Bonus
- $376,875
- Other
- $250
- Deferred
- $27,450
- Nontaxable benefits
- $19,434
- Filer's total
- $1,512,772
-
WUDBHAV SANKAR MD
PHYSICIAN
- Total calculated
- $1,498,190
- From this org
- $1,448,085
- From related orgs
- $0
- Other
- $50,105
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $649,738
- Bonus
- $798,184
- Other
- $163
- Deferred
- $27,450
- Nontaxable benefits
- $22,655
- Filer's total
- $1,498,190
-
JOHN FLYNN MD
VICE PRESIDENT, DIRECTOR
- Total calculated
- $1,455,851
- From this org
- $1,409,255
- From related orgs
- $0
- Other
- $46,596
- Hours/week
- 45 + 1 related
Schedule J breakdown matched by us
- Base
- $657,036
- Bonus
- $751,752
- Other
- $467
- Deferred
- $27,450
- Nontaxable benefits
- $19,146
- Filer's total
- $1,455,851
-
STEPHANIE FULLER MD
PHYSICIAN
- Total calculated
- $1,310,198
- From this org
- $1,274,024
- From related orgs
- $0
- Other
- $36,174
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $1,096,999
- Bonus
- $176,775
- Other
- $250
- Deferred
- $27,450
- Nontaxable benefits
- $8,724
- Filer's total
- $1,310,198
-
MICHAEL NANCE MD
FORMER PRESIDENT, DIRECTOR
- Total calculated
- $971,899
- From this org
- $925,303
- From related orgs
- $0
- Other
- $46,596
- Hours/week
- 45
Schedule J breakdown matched by us
- Base
- $611,486
- Bonus
- $234,500
- Other
- $79,317
- Deferred
- $27,450
- Nontaxable benefits
- $19,146
- Filer's total
- $971,899
-
LINDA FLOCCO
ASST SECRETARY
- Total calculated
- $364,790
- From this org
- $0
- From related orgs
- $312,716
- Other
- $52,074
- Hours/week
- 45 + 1 related
Schedule J breakdown matched by us
- Base
- $0 + $227,375 related
- Bonus
- $0 + $74,620 related
- Other
- $0 + $10,721 related
- Deferred
- $0 + $30,610 related
- Nontaxable benefits
- $0 + $21,464 related
- Filer's total
- $0 + $364,790 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- FORM 990, SCHEDULE J, PART I, LINE 4B
- N SCOTT ADZICK MD - 259,049 JESSE A TAYLOR MD - 100,466
- FORM 990, SCHEDULE J, PART I, LINE 7
- CERTAIN SENIOR LEADERS ARE ELIGIBLE TO RECEIVE INCENTIVES AS DETERMINED BY THE COMPENSATION COMMITTEE OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA.
- FORM 990, SCHEDULE J, PART II
- CHILDREN'S SURGICAL ASSOCIATES, LTD. IS A SUBSIDIARY OF THE CHILDREN'S HOSPITAL OF PHILADELPHIA. OUR PHYSICIANS, WHO ARE COMMON LAW EMPLOYEES, ARE W-2 EMPLOYEES OF EITHER THE UNIVERSITY OF PENNSYLVANIA (AN UNRELATED ORGANIZATION) OR THE CHILDREN'S HOSPITAL OF PHILADELPHIA (A RELATED ENTITY). COMPENSATION REPORTED MAY INCLUDE COMPENSATION FOR SERVICES TO OTHER RELATED ORGANIZATIONS. INDIVIDUALS REPORTED ON PREVIOUS CALENDAR YEARS' FORM 990S WHO WERE MISCLASSIFIED AS OFFICERS HAVE BEEN REMOVED.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$200,000
Capital Campaign Pledge
-
$35,500
SPONSORSHIP
-
SPONSORSHIP
-
SPONSORSHIP
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · SUPPORT · PA
Directly controlled by NA
-
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
501(C)(3) · HEALTHCARE · PA
Directly controlled by CHOP FND
-
CHILDREN'S SURGICAL ASSOCIATES OF NJ
501(C)(3) · HEALTHCARE · NJ
Directly controlled by CHOP
-
SURGICAL ASSOCIATES RESEARCH & EDUCATION
501(C)(3) · RESEARCH · PA · controlled entity
Directly controlled by CHOP
-
501(C)(3) · SUPPORT · PA
Directly controlled by NA
-
First Medical Insurance Company (RRG)
501(C)(3) · Self Insuranc · VT
Directly controlled by CHOP
-
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
Children's Health Care Associates Inc
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
Children's Health Care Associates of NJ
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
CHILDREN'S ANESTHESIOLOGY ASSOC LTD
501(C)(3) · Healthcare · PA
Directly controlled by CHOP
-
CHILDREN'S ANETHESIOLOGY ASSOC OF NJ
501(C)(3) · Healthcare · NJ
Directly controlled by CHOP
-
CHILDREN'S RADIOLOGY ASSOCIATES OF NJ
501(C)(3) · HEALTHCARE · NJ
Directly controlled by CHOP
-
501(C)(3) · SUPPORT · PA
Directly controlled by CHOP
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 29 March 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441109349301009
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