The Childrens Hospital of Philadelphia Practice Association

Form 990, Part IV, Line 12

“AN AUDIT IS PERFORMED ON AN OBLIGATED GROUP WHICH COMPRISES THE CHILDREN'S HOSPITAL OF PHILADELPHIA, THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION, AND FIRST MEDICAL INSURANCE COMPANY. An audit is also performed on a consolidated basis which includes the obligated group, PGH Development Corporation, Children's Anesthesiology Associates, Ltd., Children's Anesthesiology Associates of NJ, Inc., Children's Health Care Associates, Inc., Children's Health Care Associates of NJ, Children's Surgical Associates Ltd., Children's Surgical Associates of NJ, Inc., Surgical Research and Education Foundation and Radiology Associates of Children's Hospital, Inc. FORM 990, PART VI, SECTION A, LINE 4 The Bylaws were changed to add the Secretary of the Medical Staff of CHOP as an ex-officio voting member to the CHOPPA board, and adjust the number of voting members to the board. In addition, the Bylaws clarify that subject to the CHOP bylaws, both the physician-in-chief and surgeon-in-chief will be appointed to the CHOP board as voting members. FORM 990, PART VI, LINE 6 The Children's Hospital of Philadelphia is the sole member of CHOPPA. Form 990, Part VI, Line 7a The Children's Hospital of Philadelphia appoints members to the CHOPPA board. All decisions of the board are subject to CHOP's approval. Form 990, Part VI, Line 8b There are no committees with authority to act on behalf of the board. Form 990, Part VI, Section B, Line 11B A copy of this return was reviewed by the executive committee of CHOPPA. Board members who are not members of the executive committee were provided access to the return through a secure website maintained by The Children's Hospital of Philadelphia. FORM 990, PART VI, SECTION B, LINE 12 The organization has adopted the conflicts of interest policy of the Children's Hospital of Philadelphia. The Children's Hospital of Philadelphia maintains a written Conflicts of Interest Policy that applies to, inter alia, all of its Trustees, officers, employees, members of the Medical Staff and researchers of The Children's Hospital of Philadelphia and its affiliates. The Policy requires annual conflicts of interest statements from: Trustees and officers of the Hospital and its affiliates; the President and others in Senior Management; administrative personnel serving at the level of manager and above and certain other categories of employees defined in the conflicts of interest policy (such as persons known to place orders with vendors); Department Chairs, division chiefs and other members of the Medical Staff; members of the Hospital Research Staff; designated employees of practice plans affiliated with the Hospital; and other persons designated by management. The statement tracks the conflicts of interest policy, requiring each person to disclose information for the reporting period regarding the existence and nature of gifts, outside interests, outside activities and other matters constituting a potential, perceived or actual conflict of interest, and to certify that they have read the policy and answered fully, accurately and to the best of their knowledge. After confirmation that all questions have been answered, the statements are reviewed by the relevant Vice President, Department Chair or other executive (or their designee), tracked by the Office of Compliance and Privacy (OC&P), and all statements disclosing potential, perceived or actual conflicts are reviewed initially by the OC&P with further review and follow-up as needed conducted by the Office of General Counsel (OGC). The conflicts statements submitted by Trustees of the Hospital and Foundation, and members of Senior Management, are reviewed by the OGC and OC&P and the disclosures are summarized in memoranda distributed to and reviewed by the members of the Audit and Compliance Committee of the Hospital and Foundation Boards. The remaining conflicts statements containing affirmative disclosures are reviewed by staff in the OGC and OC&P. In reviewing annual state”