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← THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION

Form 990 for tax year 2022

Filed by THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION.

Totals

Total revenue
$14,465,531
Total expenses
$47,188,597
Contributions and grants received
$10,000
Grants paid
$0
Program services expenses (Part IX)
$38,271,783
Management and general expenses
$8,916,814
Fundraising expenses
$0
Program service expenses (Part III)
$38,271,783

Program services were 81.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MADELINE BELL

    DIRECTOR

    Total calculated
    $3,740,056
    From this org
    $0
    From related orgs
    $3,682,052
    Other
    $58,004
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,718,416 related
    Bonus
    $0 + $1,582,761 related
    Other
    $0 + $380,875 related
    Deferred
    $0 + $30,610 related
    Nontaxable benefits
    $0 + $27,394 related
    Filer's total
    $0 + $3,740,056 related

  • N SCOTT ADZICK MD

    TREASURER

    Total calculated
    $2,334,226
    From this org
    $0
    From related orgs
    $2,291,952
    Other
    $42,274
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,438,806 related
    Bonus
    $0 + $592,718 related
    Other
    $0 + $260,428 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $14,824 related
    Filer's total
    $0 + $2,334,226 related

  • DOUGLAS HOCK

    DIRECTOR

    Total calculated
    $2,030,024
    From this org
    $0
    From related orgs
    $1,963,004
    Other
    $67,020
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,051,366 related
    Bonus
    $0 + $726,000 related
    Other
    $0 + $185,638 related
    Deferred
    $0 + $21,350 related
    Nontaxable benefits
    $0 + $45,670 related
    Filer's total
    $0 + $2,030,024 related

  • JOSEPH W ST GEME III MD

    PRESIDENT

    Total calculated
    $1,670,916
    From this org
    $0
    From related orgs
    $1,633,209
    Other
    $37,707
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,007,996 related
    Bonus
    $0 + $454,608 related
    Other
    $0 + $170,605 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $10,257 related
    Filer's total
    $0 + $1,670,916 related

  • CHARLES DEAN KURTH MD

    DIRECTOR

    Total calculated
    $1,302,731
    From this org
    $0
    From related orgs
    $1,268,613
    Other
    $34,118
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $827,477 related
    Bonus
    $0 + $320,733 related
    Other
    $0 + $120,403 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $6,668 related
    Filer's total
    $0 + $1,302,731 related

  • KASSA DARGE MD PHD

    DIRECTOR

    Total calculated
    $1,280,093
    From this org
    $0
    From related orgs
    $1,222,533
    Other
    $57,560
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $779,302 related
    Bonus
    $0 + $316,086 related
    Other
    $0 + $127,145 related
    Deferred
    $0 + $38,636 related
    Nontaxable benefits
    $0 + $18,924 related
    Filer's total
    $0 + $1,280,093 related

  • ROBERT W DOMS MD PHD

    DIRECTOR

    Total calculated
    $1,123,936
    From this org
    $0
    From related orgs
    $1,077,614
    Other
    $46,322
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $689,052 related
    Bonus
    $0 + $288,231 related
    Other
    $0 + $100,331 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $18,872 related
    Filer's total
    $0 + $1,123,936 related

  • TAMI BENTON MD

    SECRETARY

    Total calculated
    $1,020,243
    From this org
    $0
    From related orgs
    $973,773
    Other
    $46,470
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $620,699 related
    Bonus
    $0 + $259,560 related
    Other
    $0 + $93,514 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $19,020 related
    Filer's total
    $0 + $1,020,243 related

  • DANIELA DAVIS MD

    DIRECTOR

    Total calculated
    $555,387
    From this org
    $0
    From related orgs
    $503,619
    Other
    $51,768
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $359,444 related
    Bonus
    $0 + $73,300 related
    Other
    $0 + $70,875 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $24,318 related
    Filer's total
    $0 + $555,387 related

  • DIEM H NGUYEN PHD

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • STEVEN GIPSTEIN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • SHARAD MANSUKANI MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DAVID NICHOLS MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 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

  • 4b · Supplemental nonqualified retirement plan

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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

FORM 990, SCHEDULE J, PART I, LINE 4B
MADELINE BELL - 315,251 N. SCOTT ADZICK MD - 259,049 DOUGLAS HOCK - 166,397 JOSEPH W. ST. GEME III MD - 163,764 CHARLES DEAN KURTH MD - 120,403 KASSA DARGE MD, PHD - 110,861 ROBERT W. DOMS MD, PHD - 95,579 TAMI BENTON MD - 80,045
SCHEDULE J, PART II, COLUMN (C)
The amount reported here may include changes in actuarial values of SERPs as required to be reported by the IRS.

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

No itemized grants to organizations on this return.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202411319349304031

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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