PEDIATRIC PHYSICIANS SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC PHYSICIANS SERVICES INC (EIN 59-3425191)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-09
IRS object ID
202201299349303935
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-09T20:24:34-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593425191EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC PHYSICIAN SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEDIBusinessNameControlTxt
Phone4439975771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13910 KESWICK RD S BLDGAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21211ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHERRON ROGERSPersonNm
Person TitleCFOPersonTitleTxt
Phone4439975771PhoneNum
Signature2022-05-09SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHERRONPersonFirstNm
Person LastROGERSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHERRON ROGERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 SIXTH AVE SAddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$104,702,808GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOPKINSALLCHILDRENS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICES BY PEDIATRIC SPECIALTY PHYSICIANSActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee426TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,704,318PYContributionsGrantsAmt
CY Contributions Grants$11,249,405CYContributionsGrantsAmt
PY Program Service Revenue$102,419,837PYProgramServiceRevenueAmt
CY Program Service Revenue$93,446,559CYProgramServiceRevenueAmt
PY Investment Income$12,311PYInvestmentIncomeAmt
CY Investment Income$6,844CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$105,136,466PYTotalRevenueAmt
CY Total Revenue$104,702,808CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,897,957PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,351,006CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,175,961PYOtherExpensesAmt
CY Other Expenses$29,593,801CYOtherExpensesAmt
PY Total Expenses$105,073,918PYTotalExpensesAmt
CY Total Expenses$103,944,807CYTotalExpensesAmt
PY Revenues Less Expenses$62,548PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$758,001CYRevenuesLessExpensesAmt
Total Assets BOY$6,942,011TotalAssetsBOYAmt
Total Assets EOY$9,051,384TotalAssetsEOYAmt
Total Liabilities BOY$7,527,624TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,851,693TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$585,613NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$199,691NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION IS ORGANIZED FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES, AND TO PROVIDE HEALTHCARE SERVICES OF PEDIATRIC SPECIALTY PHYSICIANS AND OTHER PERSONNEL TO THE PATIENTS OF JOHNS HOPKINS ALL CHILDREN'S HOSPITAL AND AFFILIATED LOCATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$103,944,807ExpenseAmt
Revenue$93,446,559RevenueAmt
DescPEDIATRIC PHYSICIAN SERVICES IS A MULTI-SPECIALTY PEDIATRIC PHYSICIAN CLINIC AFFILIATED WITH JOHNS HOPKINS ALL CHILDREN'S HOSPITAL. PEDIATRIC PHYSICIAN SERVICES PROVIDES PHYSICIAN AND OTHER HEALTHCARE SERVICES TO THE PATIENTS AT JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, INC. IN ADDITION, THE PHYSICIANS AT PEDIATRIC PHYSICIAN SERVICES PROVIDE PATIENT, NURSING AND MEDICAL STUDENT EDUCATION AND PARTICIPATE IN CLINICAL RESEARCH STUDIES WITH JOHNS HOPKINS ALL CHILDREN'S HOSPITAL AND ALL CHILDREN'S RESEARCH INSTITUTE.Desc
Total Program Service Expenses$103,944,807TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee426EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4439975771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13910 KESWICK RD S BLDGAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21211ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TOM KMETZ
TRUSTEE1.0059.00Yes (X)$0$935,591$3,649
JEFF ROONEY
INTERIM VP/CFO/TRUSTEE1.0059.00Yes (X)$0$652,088$0Yes (X)
DIVYA JOSHI MD
PRESIDENT/TRUSTEE30.0030.00Yes (X)$0$571,777$8,142Yes (X)
STEPHEN KENNEDY MD
TRUSTEE1.000.00Yes (X)$0$301,682$39,673
SYLVIA POWELL
TRUSTEE1.0059.00Yes (X)$0$277,560$40,399
ANGELA GREEN
TRUSTEE1.0059.00Yes (X)$0$254,232$36,411
GERAD THERIAC
INTERIM VP/CFO/TRUSTEE1.0059.00Yes (X)$0$232,666$12,837Yes (X)
KEVIN CREWS
SECRETARY5.0055.00$0$164,227$11,418Yes (X)
JOSEPH PERNO
VICE CHAIR PEDIATRIC MEDICINE40.000.00$0$502,705$77,247Yes (X)
WASSAM RAHMAN
DEPT CHAIR EMERGENCY MEDICINE40.000.00$426,605$0$47,513Yes (X)
JAMES QUINTESSENZA
PHYSICIAN40.000.00$1,596,286$0$26,712Yes (X)
ERIC CEITHAML
PHYSICIAN40.000.00$1,015,746$0$20,802Yes (X)
PAUL DANIELSON
PHYSICIAN DIVISION CHIEF40.000.00$935,092$0$39,389Yes (X)
LUIS RODRIGUEZ
NEUROSURGEON40.000.00$928,842$0$35,109Yes (X)
DREW RIDEOUT
PHYSICIAN40.000.00$814,819$0$16,302Yes (X)
KEVIN W SOWERS MSN RN FAA
FORMER CEO/TRUSTEE1.0059.00$0$1,672,257$221,428Yes (X)
ROBERTA ALESSI
FORMER OFFICER/TRUSTEE0.000.00$0$735,362$514Yes (X)
JONATHAN ELLEN MD
FORMER CEO/TRUSTEE0.000.00$0$725,000$0Yes (X)
DAVID CLENDENIN MD
FORMER INTERIM PRESIDENT/TRUSTEE40.0010.00$368,444$0$23,112Yes (X)
CHRISTOPHER WHITBY
FORMER OFFICER/TRUSTEE0.000.00$0$220,791$0Yes (X)
PAUL COLOMBANI MD
FORMER OFFICER/TRUSTEE0.000.00$0$109,629$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,085,834TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,355,567TotReportableCompRltdOrgAmt
Total Other Compensation$660,657TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K273IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LOCUMTENENS COM
PO BOX 405547ATLANTAGA30384LABOR SERVICES$877,632
WEATHERBY MEDICAL STAFFING
PO BOX 972633DALLASTX75397LABOR SERVICES$538,191
COMPHEALTH INC
PO BOX 972651DALLASTX75397LABOR SERVICES$402,080
HAYES LOCUM
6700 N ANDREWS AVEFT LAUDERDALEFL33309LABOR SERVICES$267,146
UNIVERSITY MEDICAL SERVICE ASSN
12901 BRUCE B DOWN BLVDTAMPAFL33612LABOR SERVICES$130,697
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$1,966,660RelatedOrganizationsAmt
Government Grants$9,282,242GovernmentGrantsAmt
All Other Contributions$503AllOtherContributionsAmt
Total Contributions$11,249,405TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REV.621110$49,713,043$49,713,043
CONTRACT REIMBURSEMENT621110$43,733,516$43,733,516
FieldValueIRS element (for citing)
Total Program Service Revenue$93,446,559TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,844TotalRevenueColumnAmt
Exclusion$6,844ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,702,808TotalRevenueColumnAmt
Related Or Exempt Func Income$93,446,559RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,844ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$377,691TotalAmt
Program Services$377,691ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,379,900TotalAmt
Program Services$65,379,900ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,593,415TotalAmt
Program Services$8,593,415ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$67,749TotalAmt
Program Services$67,749ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,114TotalAmt
Program Services$22,114ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,245TotalAmt
Program Services$5,245ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,005,738TotalAmt
Program Services$5,005,738ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,609TotalAmt
Program Services$26,609ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$172,269TotalAmt
Program Services$172,269ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$73,251TotalAmt
Program Services$73,251ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,019,968TotalAmt
Program Services$1,019,968ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$775,417TotalAmt
Program Services$775,417ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$172,472TotalAmt
Program Services$172,472ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$65,036TotalAmt
Program Services$65,036ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,323,964TotalAmt
Program Services$6,323,964ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
HOSPITAL LEASE UTILIZAT$8,773,358$8,773,358
PURCHASED SERVICES- INT$6,078,912$6,078,912
DUES, LICENSES & FEES$589,076$589,076
MEDICAL SUPPLIES$422,623$422,623

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$103,944,807TotalAmt
Program Services$103,944,807ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$342,209BOYAmt
EOY$1,598,058EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,835,973BOYAmt
EOY$5,031,870EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,208,432LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,013,842LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$204,492BOYAmt
EOY$194,590EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,559,337BOYAmt
EOY$2,226,866EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,942,011BOYAmt
EOY$9,051,384EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,169,513BOYAmt
EOY$3,316,935EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$32,863EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$358,111BOYAmt
EOY$5,501,895EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,527,624BOYAmt
EOY$8,851,693EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$585,613BOYAmt
EOY$199,691EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$585,613BOYAmt
EOY$199,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,942,011BOYAmt
EOY$9,051,384EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$758,001ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$27,303OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,990CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,879,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,601,998CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,704,318CurrentTaxYearMinus1YearAmt
Current Tax Year$11,249,405CurrentTaxYearAmt
Total$40,567,039TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,844,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84,742,722CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,707,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$102,419,837CurrentTaxYearMinus1YearAmt
Current Tax Year$93,446,559CurrentTaxYearAmt
Total$435,160,894TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,976,705CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,622,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,309,059CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$105,124,155CurrentTaxYearMinus1YearAmt
Current Tax Year$104,695,964CurrentTaxYearAmt
Total$475,727,933TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$475,727,933PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,788CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,058CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,311CurrentTaxYearMinus1YearAmt
Current Tax Year$6,844CurrentTaxYearAmt
Total$110,805TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,788CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,804CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,058CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,311CurrentTaxYearMinus1YearAmt
Current Tax Year$6,844CurrentTaxYearAmt
Total$110,805TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,999,493CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,666,854CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,333,117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$105,136,466CurrentTaxYearMinus1YearAmt
Current Tax Year$104,702,808CurrentTaxYearAmt
Total$475,838,738TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99980PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$5,245DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$5,245TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID CERTAIN DUES OR MEMBERSHIP FEES TO VARIOUS PROFESSIONAL ASSOCIATIONS, STATE HOSPITAL ASSOCIATIONS, AND OTHER PROFESSIONAL MEDICAL SOCIETIES WHO ALLOCATE A PORTION OF THOSE DUES TOWARDS LOBBYING EXPENSES. FOR FY21, THE ORGANIZATION HAS CONFIRMED THAT $5,245 OF SUCH DUES WERE ALLOCATED TOWARDS LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$867,839OtherCostOrOtherBasisAmt
Depreciation$673,249DepreciationAmt
Book Value$194,590BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$340,593OtherCostOrOtherBasisAmt
Depreciation$340,593DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$194,590TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$1,099,272
DUE FR AFFILIATES$1,066,399
OPERATING LEASE ROU ASSETS$61,195
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,226,866TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$5,440,557
OPERATING LEASE ROU LIABILITIES$61,338
FieldValueIRS element (for citing)
Total Liability$5,501,895TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY OF INCOME TAX POSITIONS. THIS GUIDANCE DEFINES THE THRESHOLD FOR RECOGNIZING TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS. THE GUIDANCE ALSO PROVIDES GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THERE WAS NO IMPACT ON PEDIATRIC PHYSICIAN SERVICES' FINANCIAL STATEMENTS DURING THE YEARS ENDED JUNE 30, 2021 AND 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN W SOWERS MSN RN FAA
FORMER CEO/TRUSTEE$0$1,159,544$0$501,563$0$11,150$0$208,657$0$12,771$0$1,893,685$0$0
JAMES QUINTESSENZA
PHYSICIAN$1,455,062$0$120,500$0$20,724$0$8,308$0$18,404$0$1,622,998$0$0$0
ERIC CEITHAML
PHYSICIAN$998,804$0$15,720$0$1,222$0$8,550$0$12,252$0$1,036,548$0$0$0
PAUL DANIELSON
PHYSICIAN DIVISION CHIEF$932,680$0$0$0$2,412$0$8,550$0$30,839$0$974,481$0$0$0
LUIS RODRIGUEZ
NEUROSURGEON$907,450$0$0$0$21,392$0$8,550$0$26,559$0$963,951$0$0$0
TOM KMETZ
TRUSTEE$0$777,438$0$0$0$158,153$0$0$0$3,649$0$939,240$0$0
DREW RIDEOUT
PHYSICIAN$793,339$0$0$0$21,480$0$0$0$16,302$0$831,121$0$0$0
ROBERTA ALESSI
FORMER OFFICER/TRUSTEE$0$11,141$0$0$0$724,221$0$0$0$514$0$735,876$0$241,425
JONATHAN ELLEN MD
FORMER CEO/TRUSTEE$0$0$0$0$0$725,000$0$0$0$0$0$725,000$0$0
JEFF ROONEY
INTERIM VP/CFO/TRUSTEE$0$0$0$0$0$652,088$0$0$0$0$0$652,088$0$0
JOSEPH PERNO
VICE CHAIR PEDIATRIC MEDICINE$0$429,944$0$55,315$0$17,446$0$46,381$0$30,866$0$579,952$0$0
DIVYA JOSHI MD
PRESIDENT/TRUSTEE$0$421,515$0$100,000$0$50,262$0$0$0$8,142$0$579,919$0$0
WASSAM RAHMAN
DEPT CHAIR EMERGENCY MEDICINE$423,383$0$0$0$3,222$0$8,005$0$39,508$0$474,118$0$0$0
DAVID CLENDENIN MD
FORMER INTERIM PRESIDENT/TRUSTEE$367,447$0$0$0$997$0$7,805$0$15,307$0$391,556$0$0$0
STEPHEN KENNEDY MD
TRUSTEE$0$300,955$0$0$0$727$0$4,918$0$34,755$0$341,355$0$0
SYLVIA POWELL
TRUSTEE$0$223,116$0$37,600$0$16,844$0$14,834$0$25,565$0$317,959$0$0
ANGELA GREEN
TRUSTEE$0$218,995$0$28,884$0$6,353$0$7,570$0$28,841$0$290,643$0$0
GERAD THERIAC
INTERIM VP/CFO/TRUSTEE$0$198,617$0$25,000$0$9,049$0$3,128$0$9,709$0$245,503$0$0
CHRISTOPHER WHITBY
FORMER OFFICER/TRUSTEE$0$0$0$0$0$220,791$0$0$0$0$0$220,791$0$0
KEVIN CREWS
SECRETARY$0$147,254$0$16,831$0$142$0$5,073$0$6,345$0$175,645$0$0
PAUL COLOMBANI MD
FORMER OFFICER/TRUSTEE$0$0$0$0$0$109,629$0$0$0$0$0$109,629$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BPART I, LINE 4A: SEVERANCE PAYMENTS: JONATHAN ELLEN, M.D. $725,000 ROBERTA ALESSI $406,682.88 CHRISTOPHER WHITBY $197,723.04 PART I, LINE 4B: A SELECT GROUP OF SENIOR LEADERS OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION (JHHSC) PARTICIPATE IN SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, INCLUDING SOME LEGACY ARRANGEMENTS THAT ARE NO LONGER AVAILABLE TO NEW HIRES. PRE-2011 PARTICIPANTS RECEIVE CASH PAYMENTS EACH YEAR DETERMINED WITH REFERENCE TO THEIR SERVICE WITH JHHSC AND THEIR FINAL AVERAGE COMPENSATION. AS OF JANUARY 2019, FUTURE CASH PAYMENTS ARE MADE ACCORDING TO A FIXED SCHEDULE FOR THESE PARTICIPANTS. POST-2011 PARTICIPANTS ACCRUE BENEFITS UNDER A DEFINED CONTRIBUTION FORMULA WHERE CONTRIBUTIONS ARE TIERED BY POSITION LEVEL. CONTRIBUTIONS MADE IN 2018 AND PRIOR YEARS GENERALLY VEST AFTER THE LATER OF FIVE YEARS OF SERVICE WITH JHHSC OR THREE YEARS OF PLAN PARTICIPATION; CONTRIBUTIONS MADE IN 2019 AND FUTURE YEARS VEST THREE YEARS AFTER EACH CONTRIBUTION IS MADE, WITH FULL VESTING ON THE LATER OF AGE 65 OR THREE YEARS OF PLAN PARTICIPATION. ALL CONTRIBUTIONS VEST ON DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. IF A PARTICIPANT VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED BY THE EMPLOYER FOR CAUSE PRIOR TO THE APPLICABLE VESTING DATE, THE PARTICIPANT'S ENTIRE NON-VESTED BENEFIT IS FORFEITED ALL OF THESE ARRANGEMENTS WERE APPROVED, IN ADVANCE, BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH BASED ITS DECISION ON DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. PARTICIPANTS' INTERESTS UNDER THESE ARRANGEMENTS ARE NOT GUARANTEED OR SECURED AT ANY WAY AND AT ALL TIMES ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED PAYMENT FROM ONE OR MORE SUPPLEMENTAL RETIREMENT/DEFERRED COMPENSATION PROGRAMS, WITH PAYMENTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III); THE TOTAL OF AMOUNTS PAYABLE DURING 2020 BUT REPORTED AS DEFERRED COMPENSATION IN COLUMN (C) IN PREVIOUS YEARS IS REPORTED IN SCHEDULE J, PART II, COLUMN (F). THE AMOUNTS BELOW MAY REFLECT ANNUAL CASH PAYMENTS OR MULTIPLE YEARS OF ACCRUALS THAT VESTED IN 2020. ROBERTA ALESSI $317,053.53
PART I, LINE 7ANNUAL INCENTIVE PLAN: EXECUTIVES PARTICIPATE IN AN ANNUAL INCENTIVE PLAN THAT REWARDS PARTICIPANTS FOR THE ACHIEVEMENT OF ORGANIZATION OBJECTIVES APPROVED BY THE JOHNS HOPKINS MEDICINE COMPENSATION COMMITTEE EACH YEAR, INCLUDING FINANCIAL AND NON-FINANCIAL MEASURES. A PORTION OF THE OVERALL AWARD IS DETERMINED BASED ON INDIVIDUAL PERFORMANCE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 8PURSUANT TO THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT, PEDIATRIC PHYSICIANS SERVICES, INC. RECOGNIZED $9,282,242 OF FUNDING FROM THE PROVIDER RELIEF FUND ADMINISTERED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DURING FY21. THIS AMOUNT HAS BEEN RECOGNIZED AS GRANT REVENUE ON PART I, LINE 8 OF THE ORGANIZATION'S FORM 990.
FORM 990, PART V, QUESTION 2AALL COMPENSATION OF PEDIATRIC PHYSICIAN SERVICES EMPLOYEES IS PAID THROUGH ALL CHILDREN'S HEALTH SYSTEM, INC. USING ITS FEDERAL TAX ID NUMBER. THIS IS KNOWN AS A COMMON PAYMASTER AGREEMENT. EMPLOYEES OF ALL CHILDREN'S HEALTH SYSTEM AND ITS OTHER SUBSIDIARIES ARE ALSO PAID THROUGH THE SAME AGREEMENT.
FORM 990, PART VI, SECTION A, LINE 6ALL CHILDREN'S HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF PEDIATRIC PHYSICIAN SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7AALL CHILDREN'S HEALTH SYSTEM, INC, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF PEDIATRIC PHYSICIAN SERVICES, ELECTS THE BOARD OF TRUSTEES. THIS IS SUBJECT TO THE APPROVAL OF THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, A IRC 501(C)(3) TAX EXEMPT SOLE MEMBER OF ALL CHILDREN'S HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE GOVERNING BODY OF PEDIATRIC PHYSICIAN SERVICES, INC. IS EMPOWERED BY ITS BYLAWS TO MAKE CERTAIN DECISIONS; ALL OTHER DECISIONS ARE SUBJECT TO APPROVAL OF THE SOLE MEMBER ALL CHILDREN'S HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 8BPEDIATRIC PHYSICIAN SERVICES, INC. CURRENTLY ONLY HAS A GOVERNING BODY WITH NO ADDITIONAL COMMITTEES, BUT RELIES ON THE COMMITTEES OF JOHNS HOPKINS HEALTH SYSTEM. THE COMMITTEES OF JOHNS HOPKINS HEALTH SYSTEM HAVE DOCUMENTED ITS MEETINGS AND ACTIONS.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE FILING ENTITY AS PART OF ALL CHILDREN'S HEALTH SYSTEM, HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS THAT HAS BEEN FORMALLY DOCUMENTED IN POLICY. THE PROCESS IS FACILITATED BY THE COMPLIANCE OFFICER WITH OVERSIGHT FROM THE ALL CHILDREN'S HEALTH SYSTEM (PARENT) BOARD'S COMPLIANCE COMMITTEE. DISCLOSURES ARE REQUESTED FROM KEY EMPLOYEES, KEY CONTRACTORS, BOARD MEMBERS AND OFFICERS, AND DESIGNATED MEDICAL STAFF. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER. SELECTED DISCLOSURES ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER. A FORMAL REPORT IS MADE ANNUALLY TO THE COMPLIANCE COMMITTEE WHERE CONFLICT MANANGEMENT IS ADDRESSED FOR EMPLOYEES, CONTRACTORS, AND PHYSICIANS. BOARD MEMEBER DISCLOSURES ARE REVIEWED BY THE RESPECTIVE BOARD PRESIDENTS FOR CONFLICT MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE ANY POTENTIAL CONFLICTS PRIOR TO CONDUCTING BUSINESS AT EACH MEETING. IF A CONFLICT IS FOUND TO EXIST BY A BOARD MEMBER, THE BOARD MEMBER IS PROHIBITED FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15EVERY THREE YEARS AN INDEPENDENT STUDY IS CONDUCTED GATHERING INDUSTRY COMPENSATION AVERAGES FROM SELECT PEER INSTITUTIONS. EVERY YEAR THE JOHNS HOPKINS BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS COMPENSATION AMOUNTS FOR OFFICERS AND ALL EMPLOYEES AT THE DIRECTOR AND HIGHER LEVELS.
FORM 990, PART VI, SECTION C, LINE 19PEDIATRIC PHYSICIAN SERVICES, INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:RELEASED FROM TEMP RESTRICTION 27,303.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
JOHNS HOPKINS HEALTH SYSTEM CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521465301SUPPORTING ORGANIZATIONMD501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORP0
THE JOHNS HOPKINS HOSPITAL
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520591656HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR
5255 LOUGHBORO RD NWWASHINGTONDC20016530196602HOSPITALDC501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
JOHNS HOPKINS COMMUNITY PHYSICIANS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521467441HEALTHCARE SERVICESMD501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORP0
JOHNS HOPKINS MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521232569HEALTHCARE SERVICESMD501(C)(3)LINE 12B, IIJOHNS HOPKINS HEALTH SYSTEM CORP0
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521341890HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
SUBURBAN HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211520610545HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
HOWARD COUNTY GENERAL HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522093120HOSPITALMD501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
POTOMAC HOME SUPPORT INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521750383HOME HEALTH CAREMD501(C)(3)LINE 100N/A
SIBLEY SUBURBAN HOME HEALTH AGENCY
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521450142HOME HEALTH CAREMD501(C)(3)LINE 100N/A
JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211590683252HOSPITALFL501(C)(3)LINE 3JOHNS HOPKINS HEALTH SYSTEM CORP0
ALL CHILDREN'S HEALTH SYSTEM INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211592481740MANAGEMENT SERVICESFL501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORP0
JOHNS HOPKINS ALL CHILDREN'S FOUNDATION INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211592481738FOUNDATIONFL501(C)(3)LINE 7ALL CHILDREN'S HEALTH SYSTEM INC0
ALL CHILDREN'S RESEARCH INSTITUTE INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211592481742RESEARCHFL501(C)(3)LINE 4ALL CHILDREN'S HEALTH SYSTEM INC0
SURGIKID OF FLORIDA INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211593441883MEDICAL SERVICESFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
KIDS HOME CARE INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211593476049HOME HEALTH CAREFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
WEST COAST NEONATOLOGY INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211593398308NEONATAL CAREFL501(C)(3)LINE 10ALL CHILDREN'S HEALTH SYSTEM INC0
SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522052354HEALTHCARE SERVICESMD501(C)(3)LINE 12C, III-FIJOHNS HOPKINS HEALTH SYSTEM CORP0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
OPHTHALMOLOGY ASSOCIATES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521890957OPHTHALMOLOGY SERVICESMDN/A00
GERMANTOWN WELLNESS AND FITNESS LLC
8600 OLD GEORGEOWN RDBETHESDAMD20814522325919HEALTHCARE SERVICESMDN/A00
JHMI UTILITIES LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211202814243UTILITY FACILITIESMDN/A00
HOWARD COUNTY NEONATAL SERVICES SERIES
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522239401NEONATAL HEALTHMDN/A00
JOHNS HOPKINS SURGERY CENTER SERIES
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211208707724SURGERYMDN/A00
JOHNS HOPKINS MEDICINE INTERNATIONAL LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211522144849MEDICAL SERVICESMDN/A00
JOHNS HOPKINS HEALTHCARE LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521899357MEDICAL SERVICESMDN/A00
WEST COUNTY MEDICAL LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211275234888REAL ESTATEMDN/A00
JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211462866692HEALTHCARE SERVICESMDN/A00
HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472509307GROUP PURCHASING SERVICESMDN/A00
JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211472712848GROUP PURCHASING SERVICESMDN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
HSI MEDICAL SERVICES CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521847705HEALTHCARE-SLEEP DIAGNOSTICSMDN/AC0
HOWARD COUNTY HEALTH SERVICES INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521434783HEALTHCARE MANAGEMENTMDN/AC0
JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521250028NURSING SERVICESMDN/AC0
JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521947678BENEFIT PLANSMDN/AC0
TCAS INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211521979344NURSING SERVICESMDN/AC0
SUBURBAN HEALTH ENTERPRISES INC
8600 OLD GEORGETOWN ROADBETHESDAMD20814522052352MEDICAL OFFICE LEASING AND RELEASINGMDN/AC0
SSA HOLDCO INC
3910 KESWICK RD SOUTH BLDG 4TH FL SBALTIMOREMD21211811040476INVESTMENTPAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.