2019-05-13T07:35:03-05:00 2018-06-30 990 2017-07-01 593425191 PEDIATRIC PHYSICIAN SERVICES INC PEDI 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 CHRISTOPHER WHITBY VP-FINANCE & CFO 4439975771 2019-05-13 128.220.159.45 2019-05-13 07:34:59 ED P C2B764D82FA023849B2FE4DA478290B2062C5C06 819AB38F4EE4C715E99C39D41F9DD1DAE66D04F4 2017 2019-02-21 02:37:17Z CHRISTOPHER WHITBY 501 SIXTH AVE S ST PETERSBURG FL 33701 101666854 0 X WWW.HOPKINSALLCHILDRENS.ORG X 1997 FL PROVIDE HEALTHCARE SERVICES BY PEDIATRIC SPECIALTY PHYSICIANS 7 0 352 0 0 0 131990 16879328 62844715 84742722 22788 44804 0 0 62999493 101666854 0 0 0 0 63309584 72955109 0 0 0 23331028 28559518 86640612 101514627 -23641119 152227 7854110 7350610 8981011 8325284 -1126901 -974674 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. 0 0 99670920 0 84742722 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. 99670920 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 17 0 352 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X THE CORPORATION 4439975771 3910 KESWICK RD S BLDG BALTIMORE MD 21211 JONATHAN ELLEN MD CEO/TRUSTEE 1.00 59.00 X X 0 885721 112379 DOUGLAS MYERS VP/CFO/TRUSTEE 1.00 59.00 X X 0 370758 12388 CAROLYN CAREY TRUSTEE 40.00 10.00 X 868136 0 36999 SYLVIA POWELL TRUSTEE 1.00 59.00 X 0 265522 53135 PAUL COLOMBANI MD PRESIDENT/TRUSTEE 15.00 45.00 X X 0 826545 100598 ROBERTA ALESSI VP/COO/TRUSTEE 5.00 55.00 X X 0 486749 107908 BRIGITTA MUELLER MD TRUSTEE 5.00 55.00 X 0 400728 79171 TAMMY REYES SECRETARY 1.00 59.00 X 0 81941 19085 WASSAM RAHMAN DEPT CHAIR EMERGENCY MEDICINE 40.00 0.00 X 411100 0 54478 JOSEPH PERNO VICE CHAIR PEDIATRIC MEDICINE 40.00 0.00 X 427253 0 45742 DREW RIDEOUT CHAIR CARDIOVASCULAR SURGERY 40.00 0.00 X 771193 0 40499 TOM KARL CARDIAC SURGEON 40.00 0.00 X 943985 0 26609 LUIS RODRIGUEZ NEUROSURGEON 40.00 0.00 X 887186 0 37317 JEFFREY JACOBS CARDIAC SURGEON 40.00 20.00 X 937104 0 49652 GERALD TUITE NEUROSURGEON 40.00 0.00 X 861794 0 26717 ROBERT SOSA MD FORMER OFFICER/TRUSTEE 0.00 0.00 X 18913 420947 38681 WILFREDO CHAMIZO FORMER KEY EMPLOYEE 40.00 0.00 X 390497 0 39756 PAUL DANIELSON FORMER KEY EMPLOYEE 40.00 0.00 X 768335 0 46542 MARGUERITE CRAWFORD FORMER KEY EMPLOYEE 40.00 0.00 X 377479 0 33088 7662975 3738911 960744 215 1 1 0 HAYES LOCUM LLC 6700 N ANDREWS AVE STE 600 FT LAUDERDALE FL 33309 LABOR SERVICES 617216 COMPHEALTH INC PO BOX 972651 DALLAS TX 75397 LABOR SERVICES 605531 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 LABOR SERVICES 488884 WEATHERBY MEDICAL STAFFING PO BOX 972633 DALLAS TX 75239 LABOR SERVICES 377480 UNIVERSITY MEDICAL SERVICE LOCKBOX 917492 ORLANDO FL 32891 LABOR SERVICES 259195 9 16874652 4676 16879328 PATIENT SERVICE REV. 621110 46019450 46019450 CONTRACT REIMBURSEMENT 621110 38723272 38723272 84742722 44804 44804 101666854 84742722 0 44804 1843707 1843707 60518619 60518619 10592783 10592783 29527 29527 20832 20832 6368704 6368704 527 527 144178 144178 181203 181203 8821624 8821624 1118416 1118416 149491 149491 237159 237159 4204518 4204518 PURCHASED SERVICES- INT 6370923 6370923 DUES, LICENSES & FEES 622128 622128 MEDICAL SUPPLIES 290288 290288 101514627 99670920 1843707 0 1811508 1361218 4112525 4042202 2051299 1576765 711692 474534 1218385 1472656 7854110 7350610 7551450 7739439 53824 1429561 532021 8981011 8325284 X -1126901 -974674 -1126901 -974674 7854110 7350610 152227 0 X 0 1 X 1 0 X 131990 16879328 17011318 37805921 49598145 57044967 62844715 84742722 292036470 37805921 49598145 57044967 62976705 101622050 309047788 0 0 0 309047788 42700 731 13219 22788 44804 124242 42700 731 13219 22788 44804 124242 37848621 49598876 57058186 62999493 101666854 309172030 0.99960 0.99950 0.00040 0.00050 X 1710705 1236171 474534 340594 340594 0 474534 OTHER ASSETS 1040979 DUE FR AFFILIATES 431677 1472656 DUE TO AFFILIATES 532021 532021 X PART X, LINE 2: 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. X 1 0 X X X X X X 0 1 0 0 0 0 0 0 0 JONATHAN ELLEN MD CEO/TRUSTEE 0 664230 0 211429 0 10062 0 81976 0 30403 0 998100 0 0 DOUGLAS MYERS VP/CFO/TRUSTEE 0 252964 0 90502 0 27292 0 0 0 12388 0 383146 0 0 CAROLYN CAREY TRUSTEE 689948 0 0 0 178188 0 14296 0 22703 0 905135 0 0 0 SYLVIA POWELL TRUSTEE 0 226132 0 31000 0 8390 0 28802 0 24333 0 318657 0 0 PAUL COLOMBANI MD PRESIDENT/TRUSTEE 0 690905 0 135640 0 0 0 83684 0 16914 0 927143 0 0 ROBERTA ALESSI VP/COO/TRUSTEE 0 366595 0 96560 0 23594 0 98082 0 9826 0 594657 0 0 BRIGITTA MUELLER MD TRUSTEE 0 321723 0 61990 0 17015 0 66373 0 12798 0 479899 0 0 WASSAM RAHMAN DEPT CHAIR EMERGENCY MEDICINE 328785 0 79993 0 2322 0 18370 0 36108 0 465578 0 0 0 JOSEPH PERNO VICE CHAIR PEDIATRIC MEDICINE 311232 0 114103 0 1918 0 18370 0 27372 0 472995 0 0 0 DREW RIDEOUT CHAIR CARDIOVASCULAR SURGERY 707575 0 61637 0 1981 0 14544 0 25955 0 811692 0 0 0 TOM KARL CARDIAC SURGEON 699292 0 236350 0 8343 0 18370 0 8239 0 970594 0 0 0 LUIS RODRIGUEZ NEUROSURGEON 711938 0 169845 0 5403 0 18370 0 18947 0 924503 0 0 0 JEFFREY JACOBS CARDIAC SURGEON 690468 0 236350 0 10286 0 18370 0 31282 0 986756 0 0 0 GERALD TUITE NEUROSURGEON 689222 0 169845 0 2727 0 10270 0 16447 0 888511 0 0 0 ROBERT SOSA MD FORMER OFFICER/TRUSTEE 14929 332267 3576 79591 408 9089 790 17580 873 19438 20576 457965 0 0 WILFREDO CHAMIZO FORMER KEY EMPLOYEE 309184 0 0 0 81313 0 18370 0 21386 0 430253 0 0 0 PAUL DANIELSON FORMER KEY EMPLOYEE 627723 0 0 0 140612 0 18370 0 28172 0 814877 0 0 0 MARGUERITE CRAWFORD FORMER KEY EMPLOYEE 309273 0 0 0 68206 0 18370 0 14718 0 410567 0 0 0 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 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. 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 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