PEDIATRIC PHYSICIANS SERVICES INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- PEDIATRIC PHYSICIANS SERVICES INC (EIN 59-3425191)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201901339349301575
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T07:35:03-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593425191 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDIATRIC PHYSICIAN SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEDI | BusinessNameControlTxt |
| Phone | 4439975771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3910 KESWICK RD S BLDG | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21211 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER WHITBY | PersonNm |
| Person Title | VP-FINANCE & CFO | PersonTitleTxt |
| Phone | 4439975771 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 128.220.159.45 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 07:34:59 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C2B764D82FA023849B2FE4DA478290B2062C5C06 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 819AB38F4EE4C715E99C39D41F9DD1DAE66D04F4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER WHITBY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SIXTH AVE S | AddressLine1Txt |
| City | ST PETERSBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $101,666,854 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOPKINSALLCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTHCARE SERVICES BY PEDIATRIC SPECIALTY PHYSICIANS | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 352 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $131,990 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,879,328 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,844,715 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,742,722 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22,788 | PYInvestmentIncomeAmt |
| CY Investment Income | $44,804 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $62,999,493 | PYTotalRevenueAmt |
| CY Total Revenue | $101,666,854 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,309,584 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $72,955,109 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,331,028 | PYOtherExpensesAmt |
| CY Other Expenses | $28,559,518 | CYOtherExpensesAmt |
| PY Total Expenses | $86,640,612 | PYTotalExpensesAmt |
| CY Total Expenses | $101,514,627 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,641,119 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $152,227 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,854,110 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,350,610 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,981,011 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,325,284 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,126,901 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$974,674 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $99,670,920 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $84,742,722 | RevenueAmt |
| Desc | PEDIATRIC 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 | $99,670,920 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 352 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4439975771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3910 KESWICK RD S BLDG | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21211 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JONATHAN ELLEN MD | ||||||||||
| CEO/TRUSTEE | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $885,721 | $112,379 | |||
| DOUGLAS MYERS | ||||||||||
| VP/CFO/TRUSTEE | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $370,758 | $12,388 | |||
| CAROLYN CAREY | ||||||||||
| TRUSTEE | 40.00 | 10.00 | Yes (X) | $868,136 | $0 | $36,999 | ||||
| SYLVIA POWELL | ||||||||||
| TRUSTEE | 1.00 | 59.00 | Yes (X) | $0 | $265,522 | $53,135 | ||||
| PAUL COLOMBANI MD | ||||||||||
| PRESIDENT/TRUSTEE | 15.00 | 45.00 | Yes (X) | Yes (X) | $0 | $826,545 | $100,598 | |||
| ROBERTA ALESSI | ||||||||||
| VP/COO/TRUSTEE | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $486,749 | $107,908 | |||
| BRIGITTA MUELLER MD | ||||||||||
| TRUSTEE | 5.00 | 55.00 | Yes (X) | $0 | $400,728 | $79,171 | ||||
| TAMMY REYES | ||||||||||
| SECRETARY | 1.00 | 59.00 | Yes (X) | $0 | $81,941 | $19,085 | ||||
| WASSAM RAHMAN | ||||||||||
| DEPT CHAIR EMERGENCY MEDICINE | 40.00 | 0.00 | $411,100 | $0 | $54,478 | Yes (X) | ||||
| JOSEPH PERNO | ||||||||||
| VICE CHAIR PEDIATRIC MEDICINE | 40.00 | 0.00 | $427,253 | $0 | $45,742 | Yes (X) | ||||
| DREW RIDEOUT | ||||||||||
| CHAIR CARDIOVASCULAR SURGERY | 40.00 | 0.00 | $771,193 | $0 | $40,499 | Yes (X) | ||||
| TOM KARL | ||||||||||
| CARDIAC SURGEON | 40.00 | 0.00 | $943,985 | $0 | $26,609 | Yes (X) | ||||
| LUIS RODRIGUEZ | ||||||||||
| NEUROSURGEON | 40.00 | 0.00 | $887,186 | $0 | $37,317 | Yes (X) | ||||
| JEFFREY JACOBS | ||||||||||
| CARDIAC SURGEON | 40.00 | 20.00 | $937,104 | $0 | $49,652 | Yes (X) | ||||
| GERALD TUITE | ||||||||||
| NEUROSURGEON | 40.00 | 0.00 | $861,794 | $0 | $26,717 | Yes (X) | ||||
| ROBERT SOSA MD | ||||||||||
| FORMER OFFICER/TRUSTEE | 0.00 | 0.00 | $18,913 | $420,947 | $38,681 | Yes (X) | ||||
| WILFREDO CHAMIZO | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $390,497 | $0 | $39,756 | Yes (X) | ||||
| PAUL DANIELSON | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $768,335 | $0 | $46,542 | Yes (X) | ||||
| MARGUERITE CRAWFORD | ||||||||||
| FORMER KEY EMPLOYEE | 40.00 | 0.00 | $377,479 | $0 | $33,088 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,662,975 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,738,911 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $960,744 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 215 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HAYES LOCUM LLC | |||||
| 6700 N ANDREWS AVE STE 600 | FT LAUDERDALE | FL | 33309 | LABOR SERVICES | $617,216 |
| COMPHEALTH INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | LABOR SERVICES | $605,531 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | LABOR SERVICES | $488,884 |
| WEATHERBY MEDICAL STAFFING | |||||
| PO BOX 972633 | DALLAS | TX | 75239 | LABOR SERVICES | $377,480 |
| UNIVERSITY MEDICAL SERVICE | |||||
| LOCKBOX 917492 | ORLANDO | FL | 32891 | LABOR SERVICES | $259,195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $16,874,652 | RelatedOrganizationsAmt |
| All Other Contributions | $4,676 | AllOtherContributionsAmt |
| Total Contributions | $16,879,328 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV. | 621110 | $46,019,450 | $46,019,450 |
| CONTRACT REIMBURSEMENT | 621110 | $38,723,272 | $38,723,272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $84,742,722 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,804 | TotalRevenueColumnAmt |
| Exclusion | $44,804 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,666,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,742,722 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $44,804 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,843,707 | TotalAmt |
| Management And General | $1,843,707 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,518,619 | TotalAmt |
| Program Services | $60,518,619 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,592,783 | TotalAmt |
| Program Services | $10,592,783 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,527 | TotalAmt |
| Program Services | $29,527 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,832 | TotalAmt |
| Program Services | $20,832 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,368,704 | TotalAmt |
| Program Services | $6,368,704 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527 | TotalAmt |
| Program Services | $527 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,178 | TotalAmt |
| Program Services | $144,178 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,203 | TotalAmt |
| Program Services | $181,203 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,821,624 | TotalAmt |
| Program Services | $8,821,624 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,416 | TotalAmt |
| Program Services | $1,118,416 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,491 | TotalAmt |
| Program Services | $149,491 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,159 | TotalAmt |
| Program Services | $237,159 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,204,518 | TotalAmt |
| Program Services | $4,204,518 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PURCHASED SERVICES- INT | $6,370,923 | $6,370,923 |
| DUES, LICENSES & FEES | $622,128 | $622,128 |
| MEDICAL SUPPLIES | $290,288 | $290,288 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,514,627 | TotalAmt |
| Program Services | $99,670,920 | ProgramServicesAmt |
| Management And General | $1,843,707 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,811,508 | BOYAmt |
| EOY | $1,361,218 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,112,525 | BOYAmt |
| EOY | $4,042,202 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,051,299 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,576,765 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,692 | BOYAmt |
| EOY | $474,534 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,218,385 | BOYAmt |
| EOY | $1,472,656 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,854,110 | BOYAmt |
| EOY | $7,350,610 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,551,450 | BOYAmt |
| EOY | $7,739,439 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $53,824 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,561 | BOYAmt |
| EOY | $532,021 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,981,011 | BOYAmt |
| EOY | $8,325,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,126,901 | BOYAmt |
| EOY | -$974,674 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,126,901 | BOYAmt |
| EOY | -$974,674 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,854,110 | BOYAmt |
| EOY | $7,350,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $152,227 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $131,990 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,879,328 | CurrentTaxYearAmt |
| Total | $17,011,318 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,805,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,598,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,044,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,844,715 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,742,722 | CurrentTaxYearAmt |
| Total | $292,036,470 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,805,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,598,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,044,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,976,705 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,622,050 | CurrentTaxYearAmt |
| Total | $309,047,788 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $309,047,788 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,700 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,804 | CurrentTaxYearAmt |
| Total | $124,242 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,700 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,788 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,804 | CurrentTaxYearAmt |
| Total | $124,242 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,848,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,598,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,058,186 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,999,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,666,854 | CurrentTaxYearAmt |
| Total | $309,172,030 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99950 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,710,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,236,171 | DepreciationAmt |
| Book Value | $474,534 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $340,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $340,594 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $474,534 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $1,040,979 |
| DUE FR AFFILIATES | $431,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,472,656 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $532,021 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $532,021 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FASB 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, 2018 AND 2017. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JONATHAN ELLEN MD | ||||||||||||||
| CEO/TRUSTEE | $0 | $664,230 | $0 | $211,429 | $0 | $10,062 | $0 | $81,976 | $0 | $30,403 | $0 | $998,100 | $0 | $0 |
| DOUGLAS MYERS | ||||||||||||||
| VP/CFO/TRUSTEE | $0 | $252,964 | $0 | $90,502 | $0 | $27,292 | $0 | $0 | $0 | $12,388 | $0 | $383,146 | $0 | $0 |
| CAROLYN CAREY | ||||||||||||||
| TRUSTEE | $689,948 | $0 | $0 | $0 | $178,188 | $0 | $14,296 | $0 | $22,703 | $0 | $905,135 | $0 | $0 | $0 |
| SYLVIA POWELL | ||||||||||||||
| TRUSTEE | $0 | $226,132 | $0 | $31,000 | $0 | $8,390 | $0 | $28,802 | $0 | $24,333 | $0 | $318,657 | $0 | $0 |
| PAUL COLOMBANI MD | ||||||||||||||
| PRESIDENT/TRUSTEE | $0 | $690,905 | $0 | $135,640 | $0 | $0 | $0 | $83,684 | $0 | $16,914 | $0 | $927,143 | $0 | $0 |
| ROBERTA ALESSI | ||||||||||||||
| VP/COO/TRUSTEE | $0 | $366,595 | $0 | $96,560 | $0 | $23,594 | $0 | $98,082 | $0 | $9,826 | $0 | $594,657 | $0 | $0 |
| BRIGITTA MUELLER MD | ||||||||||||||
| TRUSTEE | $0 | $321,723 | $0 | $61,990 | $0 | $17,015 | $0 | $66,373 | $0 | $12,798 | $0 | $479,899 | $0 | $0 |
| WASSAM RAHMAN | ||||||||||||||
| DEPT CHAIR EMERGENCY MEDICINE | $328,785 | $0 | $79,993 | $0 | $2,322 | $0 | $18,370 | $0 | $36,108 | $0 | $465,578 | $0 | $0 | $0 |
| JOSEPH PERNO | ||||||||||||||
| VICE CHAIR PEDIATRIC MEDICINE | $311,232 | $0 | $114,103 | $0 | $1,918 | $0 | $18,370 | $0 | $27,372 | $0 | $472,995 | $0 | $0 | $0 |
| DREW RIDEOUT | ||||||||||||||
| CHAIR CARDIOVASCULAR SURGERY | $707,575 | $0 | $61,637 | $0 | $1,981 | $0 | $14,544 | $0 | $25,955 | $0 | $811,692 | $0 | $0 | $0 |
| TOM KARL | ||||||||||||||
| CARDIAC SURGEON | $699,292 | $0 | $236,350 | $0 | $8,343 | $0 | $18,370 | $0 | $8,239 | $0 | $970,594 | $0 | $0 | $0 |
| LUIS RODRIGUEZ | ||||||||||||||
| NEUROSURGEON | $711,938 | $0 | $169,845 | $0 | $5,403 | $0 | $18,370 | $0 | $18,947 | $0 | $924,503 | $0 | $0 | $0 |
| JEFFREY JACOBS | ||||||||||||||
| CARDIAC SURGEON | $690,468 | $0 | $236,350 | $0 | $10,286 | $0 | $18,370 | $0 | $31,282 | $0 | $986,756 | $0 | $0 | $0 |
| GERALD TUITE | ||||||||||||||
| NEUROSURGEON | $689,222 | $0 | $169,845 | $0 | $2,727 | $0 | $10,270 | $0 | $16,447 | $0 | $888,511 | $0 | $0 | $0 |
| ROBERT SOSA MD | ||||||||||||||
| FORMER OFFICER/TRUSTEE | $14,929 | $332,267 | $3,576 | $79,591 | $408 | $9,089 | $790 | $17,580 | $873 | $19,438 | $20,576 | $457,965 | $0 | $0 |
| WILFREDO CHAMIZO | ||||||||||||||
| FORMER KEY EMPLOYEE | $309,184 | $0 | $0 | $0 | $81,313 | $0 | $18,370 | $0 | $21,386 | $0 | $430,253 | $0 | $0 | $0 |
| PAUL DANIELSON | ||||||||||||||
| FORMER KEY EMPLOYEE | $627,723 | $0 | $0 | $0 | $140,612 | $0 | $18,370 | $0 | $28,172 | $0 | $814,877 | $0 | $0 | $0 |
| MARGUERITE CRAWFORD | ||||||||||||||
| FORMER KEY EMPLOYEE | $309,273 | $0 | $0 | $0 | $68,206 | $0 | $18,370 | $0 | $14,718 | $0 | $410,567 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ORGANIZATION PROVIDED BENEFITS FORM 990, SCHEDULE J, PART 1, QUESTION 1A BONUSES WERE GROSSED UP FOR CERTAIN EMPLOYEES. |
| PART I, LINE 4B | THE MAKE WHOLE AND SERP I PLANS ARE FROZEN DEFINED BENEFIT PLANS PROVIDED BY THE RELATED ORGANIZATION JOHNS HOPKINS HEALTH SYSTEM CORPORATION. THE PLANS ARE LIMITED TO THE EXISTING PLAN PARTICIPANTS. THE PLANS ARE SUBJECT TO CLAIMS OF EMPLOYER'S BANKRUPTCY/INSOLVENCY CREDITORS. THE MAKE WHOLE PLAN WAS DESIGNED TO REPLACE THE BENEFITS THE PARTICIPANTS LOST AS A RESULT OF THE COMPENSATION LIMITS THAT WERE IMPOSED UPON OUR QUALIFIED DEFINED BENEFIT PLAN. FURTHERMORE, IF A PARTICIPANT TERMINATES EMPLOYMENT PRIOR TO COMPLETING THE SERVICE REQUIREMENTS, THE PARTICIPANT'S BENEFIT IS FORFEITED. NOTE THAT ANY ITEM BEING REPORTED AS COMPENSATION WAS ALSO REPORTED IN PREVIOUS YEARS FORMS 990 AS REQUIRED, WHEN AMOUNTS ACCRUED UNDER THE PLAN. THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN AND RECEIVED ACCRUED DEFERRED COMPENSATION THAT IS REPORTED ON SCHEDULE J, PART II, COLUMN (C): ROBERTA ALESSI $52,275 BRIGITTA MUELLER $25,102 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, QUESTION 2A | ALL 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 6 | ALL CHILDREN'S HEALTH SYSTEM, INC. IS THE SOLE CORPORATE MEMBER OF PEDIATRIC PHYSICIAN SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL 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 7B | THE 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 8B | PEDIATRIC 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 11B | A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15 | EVERY 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 19 | PEDIATRIC PHYSICIAN SERVICES, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHNS HOPKINS HEALTH SYSTEM CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521465301 | SUPPORTING ORGANIZATION | MD | 501(C)(3) | LINE 12C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| THE JOHNS HOPKINS HOSPITAL | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520591656 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| LUCY WEBB HAYES NATIONAL TRAINING SCHOOL FOR | |||||||||||
| 5255 LOUGHBORO RD NW | WASHINGTON | DC | 20016 | 530196602 | HOSPITAL | DC | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| JOHNS HOPKINS COMMUNITY PHYSICIANS INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521467441 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 12C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| JOHNS HOPKINS MEDICAL SERVICES CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521232569 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 12B, II | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521341890 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| SUBURBAN HOSPITAL INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520610545 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| HOWARD COUNTY LIQUIDATION CORPORATION | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 520892284 | INACTIVE TAX-EXEMPT ORGANIZATION | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| HOWARD COUNTY GENERAL HOSPITAL INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522093120 | HOSPITAL | MD | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| POTOMAC HOME SUPPORT INC | |||||||||||
| 6001 MONTROSE ROAD NO 1020 | ROCKVILLE | MD | 20852 | 521750383 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 10 | 0 | N/A | |
| SIBLEY SUBURBAN HOME HEALTH AGENCY | |||||||||||
| 6001 MONTROSE ROAD NO 307 | ROCKVILLE | MD | 20852 | 521450142 | HOME HEALTH CARE | MD | 501(C)(3) | LINE 10 | 0 | N/A | |
| JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 590683252 | HOSPITAL | FL | 501(C)(3) | LINE 3 | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| ALL CHILDREN'S HEALTH SYSTEM INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 592481740 | MANAGEMENT SERVICES | FL | 501(C)(3) | LINE 12C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
| JOHNS HOPKINS ALL CHILDREN'S FOUNDATION INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 592481738 | FOUNDATION | FL | 501(C)(3) | LINE 7 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| ALL CHILDREN'S RESEARCH INSTITUTE INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 592481742 | RESEARCH | FL | 501(C)(3) | LINE 4 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| SURGIKID OF FLORIDA INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 593441883 | MEDICAL SERVICES | FL | 501(C)(3) | LINE 10 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| KIDS HOME CARE INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 593476049 | HOME HEALTH CARE | FL | 501(C)(3) | LINE 10 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| WEST COAST NEONATOLOGY INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 593398308 | NEONATAL CARE | FL | 501(C)(3) | LINE 10 | ALL CHILDREN'S HEALTH SYSTEM INC | 0 | |
| SUBURBAN HOSPITAL HEALTHCARE SYSTEM INC | |||||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522052354 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 12C, III-FI | JOHNS HOPKINS HEALTH SYSTEM CORP | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| OPHTHALMOLOGY ASSOCIATES LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521890957 | OPHTHALMOLOGY SERVICES | MD | N/A |
| ROCKVILLE IMAGING LLC | |||||||
| 1201 SEVEN LOCKS ROAD STE 200 | ROCKVILLE | MD | 20854 | 141944128 | OUTPATIENT RADIOLOGY | MD | N/A |
| GERMANTOWN WELLNESS AND FITNESS LLC | |||||||
| 8600 OLD GEORGEOWN RD | BETHESDA | MD | 20814 | 522325919 | HEALTHCARE SERVICES | MD | N/A |
| JHMI UTILITIES LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 202814243 | UTILITY FACILITIES | MD | N/A |
| HOWARD COUNTY NEONATAL SERVICES SERIES | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522239401 | NEONATAL HEALTH | MD | N/A |
| JOHNS HOPKINS SURGERY CENTER SERIES | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 208707724 | SURGERY | MD | N/A |
| BAYVIEW HOLDING COMPANY LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 383711488 | REAL ESTATE | MD | N/A |
| JOHNS HOPKINS MEDICINE INTERNATIONAL LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 522144849 | MEDICAL SERVICES | MD | N/A |
| JOHNS HOPKINS HEALTHCARE LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521899357 | MEDICAL SERVICES | MD | N/A |
| MEDBIQUITOUS CONSORTIUM LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 208924480 | INTERNET PUBLISHING | MD | N/A |
| WEST COUNTY MEDICAL LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 275234888 | REAL ESTATE | MD | N/A |
| JOHNS HOPKINS MEDICINE ALLIANCE FOR PATIENTS | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 462866692 | HEALTHCARE SERVICES | MD | N/A |
| HEALTHCARE SUPPLY CHAIN INNOVATIONS LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 472509307 | GROUP PURCHASING SERVICES | MD | N/A |
| JOHNS HOPKINS REGIONAL SUPPLY CHAIN NETWORK LLC | |||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 472712848 | GROUP PURCHASING SERVICES | MD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HSI MEDICAL SERVICES CORPORATION | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521847705 | HEALTHCARE-SLEEP DIAGNOSTICS | MD | N/A | C | 0 |
| HOWARD COUNTY HEALTH SERVICES INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521434783 | HEALTHCARE MANAGEMENT | MD | N/A | C | 0 |
| JOHNS HOPKINS MEDICAL MANAGEMENT CORPORATION | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521250028 | NURSING SERVICES | MD | N/A | C | 0 |
| JOHNS HOPKINS EMPLOYER HEALTH PROGRAMS INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521947678 | BENEFIT PLANS | MD | N/A | C | 0 |
| TCAS INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 521979344 | NURSING SERVICES | MD | N/A | C | 0 |
| SUBURBAN HEALTH ENTERPRISES INC | |||||||||
| 8600 OLD GEORGETOWN ROAD | BETHESDA | MD | 20814 | 522052352 | MEDICAL OFFICE LEASING AND RELEASING | MD | N/A | C | 0 |
| SSA HOLDCO INC | |||||||||
| 3910 KESWICK RD SOUTH BLDG 4TH FL S | BALTIMORE | MD | 21211 | 811040476 | INVESTMENT | PA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments