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        <PersonNm>SALVATORE COGNETTI JR ESQ</PersonNm>
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        <PersonNm>JAMES FOX MD</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. (TJUH) PERIODICALLY ENGAGES IN LOBBYING ACTIVTIES INCLUDING DISCUSSIONS WITH POLICY MAKERS ON HEALTHCARE RELATED ISSUES IMPACTING TJUH AND THE PATIENTS AND COMMUNITIES IT SERVES.</ExplanationTxt>
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      <CloselyHeldEquityInterestsGrp />
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        <Desc>CASH &amp; CASH EQUIVALENTS</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
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      <OtherSecuritiesGrp>
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        <Desc>DUE TO TJU - SER. 2015 LOAN PA</Desc>
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    <IRS990ScheduleH documentId="IRS990ScheduleH">
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <ManagementCoAndJntVenturesGrp>
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          <BusinessNameLine1Txt>Riverview Surgery</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>ROTHMAN ORTHO HOSP</BusinessNameLine1Txt>
        </EntityName>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>BUCKS CTY HOSP REAL</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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        <PhysiciansProfitOrOwnershipPct>0.64</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>JEFF CONCUSS CENTER</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>Thomas Jefferson University Hospital</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>111 South 11th Street</AddressLine1Txt>
          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>191074824</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>http://hospitals.jefferson.edu</WebsiteAddressTxt>
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        <TeachingHospitalInd>X</TeachingHospitalInd>
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        <HospitalFacilityName>
          <BusinessNameLine1Txt>Thomas Jefferson University Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
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        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
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        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
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        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V-C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>12</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V-C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V-C</FAPAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3I</FormAndLineReferenceDesc>
        <ExplanationTxt>Data on health status of immigrant populations (hypertension, diabetes, heart disease rates, obesity prevalence, etc.), is lacking due to language issues. While Public Health Management Corporations Household Health Survey is survey is conducted in Spanish, this is not the case for other racial/ethnic groups for whom English is not their primary language. For this reason additional key informant interviews were conducted with community organizations serving the immigrant refugee communities, particularly the Asian communities, to better understand their health and related social needs. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 Public Health Management Corporations biannual random-digit dial Household Health Survey data was used to gain an understanding of health and social needs of the diverse population in Jeffersons community benefit area. More than 3,000 individuals in Philadelphia were surveyed. In addition, interviews and focus groups were conducted. More than 90 interviews were conducted with individuals representing health care and community based organizations working with the medically underserved, low-income and minority populations that have knowledge of the health and underlying social conditions that affect health of the people in their neighborhood and broader community. These interviews were conducted by a qualitative public health researcher from TJUHs Center for Urban Health to gain insight about health needs and priorities, barriers to improving community health, and the community assets and efforts already in place or being planned to address these issues and concerns. The interviews conducted with faculty and health providers from Methodist Hospital, Jefferson Neurosciences and Jefferson University and Hospital were designed to gain their perspective about the health issues of their patients and community and to identify Jeffersons and other efforts to address these issues. Interviewees were asked to prioritize the needs/ recommendations discussed during their interview. Throughout 2014 and 2015, meetings were also held with a variety of community based organizations to understand how TJUH might partner to address health needs of the communities they serve. Focus groups were conducted with TJUH's employees who live in the neighborhoods that are part of TJUHs CB area. This was done purposefully in order to involve them in the needs assessment process, and to engage these employees in future efforts to improve community health. A list of employees who live in zip codes that make up the community benefit area was obtained from Human Resources. Employees were randomly selected from each zip code and contacted about their interest in participating in the focus groups. Four focus groups were held, two with employees from South Philadelphia, one with employees from Lower North Philadelphia, and one with employees from Transitional Neighborhoods. Focus groups were conducted by qualitative public health researchers from TJUH's Center for Urban Health. Focus group questions were designed to elicit the major health and social concerns of the neighborhood and larger community, barriers to accessing health and social services and improving lifestyles, perceptions about existing and/or potential interventions to address community health improvement, and specific recommendations that TJUHs could do to improve the health of the community. Each focus group was asked to prioritize the needs/ recommendations identified during the focus group discussion. Data on health status of immigrant populations (hypertension, diabetes, heart disease rates, obesity prevalence, etc.), is lacking due to language issues. While Public Health Management Corporations Household Health Survey is survey is conducted in Spanish, this is not the case for other racial/ethnic groups for whom English is not their primary language. For this reason additional key informant interviews were conducted with community organizations serving the immigrant refugee communities, particularly the Asian communities, to better understand their health and related social needs. The list below provides the organizations and clinical departments of those interviewed, and the focus of the interview/meeting based on area(s) of expertise. -ACCESS Matters: Family Planning; Maternal Health -The Augustinian Defenders of the Rights of the Poor (ADROP): Immigrant Health; Social Determinants of Health -American Diabetes Association: Diabetes -American Heart Association: Heart Disease/Stroke -Asian Chamber of Commerce of Greater Philadelphia: Immigrants -Bhutanese American Organization-Philadelphia (BAO-P): Refugee Health and Social Services -Broad Street Ministries: Homeless -Cambodian Association: Immigrants -Chinatown Community Development Corporation: Immigrant Health; Social Determinants of Health -City Councilman 1st District: City Government -Coalition Against Hunger: Food Access/ Food Security -Congreso de Latinos Unidos: Latino Health and Social Needs -Council for Relationships: Behavioral Health -Delaware Valley Regional Planning Council: Built Environment; Social Determinants of Health -Department of Behavioral Health and Intellectual Disabilities: Behavioral Health -Diversified Community Services: Neighborhood Community Center -Food Trust: Food Security; Access to Food; Nutrition; Obesity -Greater Philadelphia Business Coalition on Health: Work Place Wellness -Greater Philadelphia Health Action; Chinatown Medical Services: Pediatrician, Federally Qualified Health Center; Asian Health -Hispanic Association of Contractors and Enterprises (HACE): Immigrant Health; Social Determinants of Health -Healthy Rowhouse Initiative: Housing; Social Determinants of Health -Health Federation: Federally Qualified Health Center -Health Promotion Council: Community Health Promotion -Healthcare Improvement Foundation: Health Literacy -Hepatitis B Foundation: Hepatitis B -Legal Clinic for the Disabled: Medical Legal Partnership Lutheran and Childrens Services: Immigrant/Refugee; Behavioral Health -Metropolitan Area Neighborhood Nutrition Alliance (MANNA): Food Access and Nutrition -Mayor's Office of Immigrant and Multicultural Affairs: Immigrant Health; Social Determinants of Health -Maternity Care Coalition: Maternal Child Health; Early Childhood Development; Social Determinants of Health -Mayors Office on Planning: City Planning; Built environment -Mazzoni Center: LGBT -Methadone Clinic: Addictions -Nationalities Services Center: Immigrant/Refugee -Nemours Pediatrics: Children -New Kensington Community Development Corporation: Social Determinants of Health; Community Development Corporation -Norris Square Community Alliance Head Start: Early Childhood Development -Philadelphia Association of Community Development Corporations: Community Development; Social Determinants of Health -Philadelphia Corporation on Aging: Older Adult Health and Social Services -Philadelphia Department of Public Health: Public Health -Philadelphia Housing Authority: Low Income Housing; Social Determinants of Health -Philadelphia Police Department: Community Violence; Social Determinants of Health -Philadelphia Refugee Mental Health Collaborative: Behavioral Health; Immigrant Health; Social Determinants of Health -Philadelphia Reentry Coalition: Prison Re-entry -Philadelphia School District: Education and Health Services -Project Home and Steven Klein Wellness Center: Homeless; Primary Care -Refugee Health Partners: Immigrant/Refugee -Schools: Independence Charter School; Southwark School: Children grades K-8 -Southeast Asian Mutual Assistance Associations Coalition (SEAMAAC): Immigrants/Refugees -Self-Help and Resource Exchange (SHARE): Food Access/ Food Security -South Philadelphia Aging Coalition: Older adults -United Communities Southeastern Philadelphia: Neighborhood Community Center; Immigrant/Refugee; Behavioral Health; Youth, Addictions -Veterans Multi-Services Center: Veterans -Jefferson Obstetrics and Gynecology Associates (JOGA) clinic: Maternal Health -Comprehensive Stroke Center/Neurosciences: Stroke -Cancer Patient Services: Cancer; Social Determinants of Health -Cancer Research: Cancer -Cardiovascular Health: Heart Disease/Stroke -Case Management Social Work: Social Determinants of Health Jefferson Elder Care - Occupational Therapy: Fall Prevention Older Adults -Diabetes Center: Diabetes -Emergency Department: Emergency Medicine, Injury Prevention, Chinatown Clinic -Family Medicine: Primary Care -Family Medicine - Geriatric Clinic: Family Medicine; Geriatrics -Family Medicine - Refugee Health Clinic: Refugee; Family Medicine -Family Medicine - Social Work: Social Determinants of Health -Hospitalists: Inpatient Healthcare -Maternal Addiction Treatment Education &amp; Research (MATER): Pregnancy and Addictions -Methodist: General -Myrna Brind Center for Integrative Medicine: Stress management -Occupational Therapy: Disabilities, Older Adults, Refugees -Pastoral Care Department: Pastoral Care, Violenc</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA was final as of the end of this reporting period as required by IRC section 501(r). The implementation plan was adopted on or before the 15th day of the fifth month after June 30, 2016 - after the end of the tax year reported here. The description on how the needs are addressed apply to the implementation plan not yet in place at the close of the 2015 tax year. To address the community health needs identified in the CHNA, recommendations for initiatives were initially prioritized based on secondary data findings, primary data gathered through internal and external key informant interviews, and focus groups with community residents. Participants in key informant interviews and focus groups were asked to identify the health needs of the community and were then asked to identify those they felt were most important to address. They were also asked to recommend potential initiatives to address these needs. The identified priority health needs and recommended initiatives were then grouped into the following domains: -Access to care -Chronic disease management, -Health screening and early detection -Healthy lifestyle behaviors -Social determinants of health and built environment The Center for Urban Health prioritized identified health needs using a weighted scoring system for predetermined prioritization criteria. Senior Management then reviewed and further prioritized the CHNA health issues/concerns in relationship to the hospitals strategic plan. The following health needs/issues will be addressed: Workforce Development, Health Insurance, Language Access, Colon Cancer, Womens cancers, obesity, regular source of care, hospital and ED utilization, Social and Health Care Needs of Older Adults, and Diabetes, heart disease, hypertension, stroke. While important, other identified health issues/needs (HIV, housing, community safety, alcohol and substance use, behavioral health, maternal child health, access to safe places for play, transportation, and access to healthy foods) will not be addressed specifically or comprehensively in the Community Health Implementation Plan (CHIP), but this does not mean that programs in place will not continue. These additional health issues will be considered based on existing, or new relationships/collaborations; funding opportunities; regional or local public health priorities; and identified innovative projects/programs. Many of these health issues/needs are underlying root causes or behaviors that impact the priority health issues above and are integrated throughout Jeffersons CHIP. For example, Access to Healthy Food has been and will continue to be a strategy we use to combat chronic disease prevention and management and obesity (Diabetes, obesity and heart disease). We have also been and currently are involved in multiple grant activities to address Alcohol and substance abuse and Behavioral Health. The Implementation Plan includes an overview of each of the domains, and related priority health needs/issues. A logic model for each priority health need provides an overview of the objectives, proposed strategies/activities, outcomes and impact measures, and potential partners. The strategies/activities related to Special Populations (refugees/immigrants, the homeless, returning citizens, veterans, and Lesbian Gay Bi-sexual Transsexual and Queer) are integrated throughout the Implementation Plan as are underlying root causes that impact the priority health need such as access to healthy food and safe places for physical activity, health literacy, behavioral health issues including substance abuse, smoking, transportation and housing. Proposed strategies/activities were considered based on their alignment with national, Pennsylvania, and Philadelphia health improvement plans, and national best practices cited by organizations such as the US Department of Health and Human Services, Agency for Health Research and Quality, Healthy People 2020, the American Medical Association, National Council on Aging, the National Prevention Strategy, the Guide to Community Preventive Services, and the Guide to Clinical Preventive Services. The following summarizes how Jefferson is addressing the significant needs identified in its 2016 CHNA.: Workforce Development: -Develop workforce pipelines with community partners to increase availability of qualified minority candidates for positions throughout Jefferson and Philadelphia -Provide career counseling support and events in conjunction with community partners -Increase successful application to Jefferson University or other health professional schools/ colleges Health Insurance: -Increase access to medications that may not be affordable for patients due to insurance status/requirements of insurers and copays. -Increase the percentage of Adults who are insured and able to effectively use their health insurance -Increase community understanding of how to use health insurance to reduce/eliminate financial burden -Increase access to mental health coverage Culturally Competent Care and Language Access: -Provide easy-to -understand, culturally appropriate verbal communication, print material, and multimedia materials in English and the languages commonly used by the populations in the service area -Enhance language assistance to individuals who have limited English proficiency and/or other communication needs to facilitate verbal communication and ensure communication needs are met -Educate and train healthcare workforce in culturally and linguistically appropriate policies and practices on an ongoing basis -Explore opportunities to improve patient-provider communication through expansion of cultural competence training for healthcare providers related to special populations such as immigrants/refugees, LGBT, older adults, individuals with mental illness, returning citizens, people with mild cognitive impairment, individuals with substance abuse, people experiencing trauma and the homelessness. Hospital and Emergency Department (ED) Utilization: -Reduce preventable/ avoidable E.D. utilization and hospital readmissions -Increase access to mental health services -Increase awareness of Food as Medicine among health care providers -Prevent and reduce the consequences of substance use and addictions through education, policy/system changes -Increase substance use screening, brief intervention and referral to treatment by health care providers -Reduce traffic related deaths in Philadelphia to zero Regular Source of Care: -Increase access to health insurance and social services that address social determinants of health that impact health, hospital, and ED use. -Improve access to primary care services that are culturally and linguistically appropriate. -Increase access to mental health services -Increase substance use screening, brief intervention and referral to treatment by health care providers Chronic Disease Prevention and Management: -Increase awareness of programs and services that support healthy eating and physical activity -Increase awareness of the importance of being physically active and opportunities to engage in physical activity -Increase the percentage of children and adults who meet the national guidelines for daily consumption of fruit and vegetables -Increase access to healthy affordable food -Raise Awareness of "Food as Medicine" among health care providers -Increase the percentage of children and adults that meet the national guidelines for physical activity Heart Disease, Hypertension, Stroke and Diabetes: -Improve ability of EMS personnel to rapidly identify signs and symptoms of stroke and treatment for Emergent Large Vessel Occlusion (ELVO Stroke) -Increase awareness of programs and services that support healthy eating and physical activity and chronic disease management -Raise awareness about chronic disease risk factors and healthy lifestyles -Improve ability of individuals to manage chronic disease -Advocate for system and policy changes that support chronic disease prevention Preventive Care and Early Detection of Disease: -Increase public awareness about colorectal cancer prevention and the importance of early detection -Objective: Increase colon cancer screening rates -Increase colonoscopies in the targeted areas Breast and Cervical Cancer: -Increase public awareness about breast and cervical cancer prevention and the importance of early detection Social and Health Care Needs of Older Adults -Improve the health, function, and quality of life of older adults so they are able to live in their own home and community safely, independently, and comfortably, regardless of age, income, or ability level (Healthy People 2020; CDC) ) -Develop a comprehensive Health Promotion and Wellness program for older adults, their caregivers and the community that promotes and facilitates access to health care resources for older adults, enhances the public perception of aging and provides opportunities to educate future health care providers. 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            <AddressLine1Txt>850 WALNUT ST WALNUT TOWERS</AddressLine1Txt>
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            <AddressLine1Txt>1 WEST GERMANTOWN PIKE</AddressLine1Txt>
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            <AddressLine1Txt>MARCUS INST OF INTEGRATIVE HEALTH</AddressLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>TJUH DEFINES ITS GREATEST ACHIEVEMENTS BY THE CONTRIBUTIONS MADE TO THE COMMUNITY IT SERVES. THESE CONTRIBUTIONS ARE SUMMARIZED ON THE TJUH COMMUNITY INTEREST WEBSITE. FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES INCLUES EMERGENCY AND TRAUMA SERVICES. FORM 990, SCHEDULE H, PART II TJUHs community building activities are focused on improving the communitys health and safety by addressing poverty, homelessness, workforce development, community support, coalition building, and the health and wellbeing of older adults. TJUH collaborates with community organizations to advance neighborhood improvement and revitalization projects, mentoring and pipeline programs for youth and community members, health literacy training, coalition building, and various health improvement task forces. The hospital partners with coalitions that address drug and alcohol prevention, refugee and immigrant health and social issues, aging in place, returning citizens, and healthy community issues that address social determinants of health including nutrition, food security, smoking cessation, physical activity, housing and shared data. TJUH was involved with providing health education and workforce development with local middle and high schools. In addition, the hospital donates funds to organizations that advance these efforts.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IS THE UNCOLLECTIBLE PORTION OF THE ACCOUNTS RECEIVABLE EXCLUDING CONTRACTUAL ALLOWANCES. The calculation is comprised of two parts: one part representing the unpaid deductibles and copays for insured patients. The other part represents the unpaid balance owed by uninsured patients. FORM 990, SCHEDULE H, PART III, LINE 4 Please see the Accounts Receivable, Allowance for Doubtful Accounts, Provision/Expense for Bad Debts footnote on page 11 of the attached consolidated audited financial statements. THE AUDITED FINANCIAL STATEMENTS REPRESENT THE CONSOLIDATED FINANCIAL POSITION, RESULTS OF OPERATIONS, CHANGES IN NET ASSETS AND CASH FLOWS OF THOMAS JEFFERSON UNIVERSITY, TJUH SYSTEM, AND ABINGTON HEALTH, COLLECTIVELY REFERRED TO AS TJU.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE IS NOT TREATED AS A COMMUNITY BENEFIT. THE SOURCE DATA WAS GENERATED FROM THE INTERNAL COST ACCOUNTING SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLECTION POLICY OF TJUH CONTAINS DETAILED GUIDELINES FOR PATIENTS ELIGIBLE FOR CHARITY CARE. This includes a process to determine patient eligibility for charity care prior to the provision of care or as soon as possible thereafter. If it is determined that a patient qualifies for partial charity care, the policy requires that the patient and TJUH agree in writing as to the amount due after applying the appropriate charity care discount, and that TJUH negotiate and agree upon a reasonable payment schedule with the patient. TJUH also evaluates the ongoing ability of the patient to pay the amount due before additional collection actions are taken.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>(NEEDS ASSESSMENT) Please see TJUH's Community Health Needs Assessment, available at http://hospitals.jefferson.edu/content/dam/health/PDFs/general/in-the-comm unity/Community-Health-Needs-Assessment-Report.pdf, for an explanation of how TJUH assesses the health needs of the community it serves.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>(PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE) TJUH informs and educates people through signage, its website, brochures, statement messages, and the PATHS Program, a vendor-supported service which assists patients with enrollment in the Medical Assistance program.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>(COMMUNITY INFORMATION) Please see TJUH's Community Health Needs Assessment, available at http://hospitals.jefferson.edu/content/dam/health/PDFs/general/in-the-comm unity/Community-Health-Needs-Assessment-Report.pdf, for a description of the community TJUH serves.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>(PROMOTION OF COMMUNITY HEALTH) TJUH's community building activities are focused on providing opportunities for youth to explore careers in healthcare through health awareness education, mentoring, and internships. Additionally, Jefferson staff play leadership roles in the community building organizations such as those devoted to assisting older adults and creating career opportunities for youth. The hospital also donates funds to many organizations that provide social and community enhancement services in our target communities.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>(AFFILIATED HEALTH CARE SYSTEM) TJUH is a wholly owned subsidiary of TJUH System and is a tax exempt organization that promotes the health of the communities it serves in southeastern Pennsylvania, southern New Jersey, and Delaware primarily by providing hospital, sub acute, outpatient, and physician services and by providing facilities in which students, physicians, nurses, and other health care professionals are trained in a clinical setting. The operations of TJUH include Thomas Jefferson University Hospital, the Jefferson Hospital for Neuroscience, and Methodist Hospital, all of which operate under one license number. The hospitals of TJUH provide a full range of healthcare services and provide training to students and health professionals in a clinical setting. TJUH also provides community health services such as health education, counseling and support services. A substantial amount of the services and the education provided by TJUH is provided at no charge or in return for reimbursement below cost.</ExplanationTxt>
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        <ExplanationTxt>(COMMUNITY BENEFIT REPORT) TJUH DOES NOT FILE A COMMUNITY BENEFIT REPORT AT THE STATE LEVEL.</ExplanationTxt>
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        <PersonNm>DAVID P MCQUAID RPh</PersonNm>
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        <PersonNm>MARYANN FITZPATRICK</PersonNm>
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        <TotalCompensationRltdOrgsAmt>1904840</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>NEIL LUBARSKY</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THOMAS J. LEWIS, III $424,419 DAVID P. MCQUAID, RPH 603,761 STACEY MEADOWS 273,034 PAMELA TEUFEL 247,285 FORM 990, SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MARK L. TYKOCINSKI, MD $71,789 NEIL G. LUBARSKY 20,973 STACEY MEADOWS 20,120 RICHARD J. WEBSTER 13,844 CRISTINA CAVALIERI 18,755 VIJAY RAO 16,390 LAURENCE MERLIS 271,481 FORM 990, SCHEDULE J, PART I, LINE 7 - NON-FIXED PAYMENTS A PORTION OF THE COMPENSATION FOR OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE FIVE HIGHEST COMPENSATED EMPLOYEES INCLUDES COMPENSATION that IS BASED ON THE ATTAINMENT OF PATIENT CARE, QUALITY GOALS, STRATEGIC OPERATIONAL INITIATIVES, AND FINANCIAL PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NoncashContributionsRptF990Amt>13192</NoncashContributionsRptF990Amt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING TRUSTEES HAVE BUSINESS RELATIONSHIPS, NOT INVOLVING ANY TRANSACTIONS WITH TJUH: MICHAEL HELLER, CHARLES KOPP, AND MARK ALDERMAN MICHAEL HELLER AND IRA LUBERT HAROLD HONICKMAN AND IRA LUBERT</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINES 6 &amp; 7</FormAndLineReferenceDesc>
        <ExplanationTxt>TJUH SYSTEM IS THE SOLE MEMBER OF TJUH. THE BOARD OF TRUSTEES SHALL BE THOSE PERSONS WHO SERVE FROM TIME TO TIME ON THE TJUH SYSTEM BOARD. TJUH SYSTEM RECOMMENDS INDIVIDUALS FOR APPOINTMENT TO ITS BOARD OF TRUSTEES TO ITS SOLE MEMBER, TJU. TJU ELECTS MEMBERS TO THE TJUH SYSTEM BOARD OF TRUSTEES WHO AUTOMATICALLY BECOME MEMBERS OF THE TJUH BOARD OF TRUSTEES FOR RESOLUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN CONJUNCTION WITH TJU FINANCE PERSONNEL AND IS REVIEWED INTERNALLY BY MANAGEMENT OF TJU. IT IS THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND FINAL APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THOMAS JEFFERSON UNIVERSITY POLICY NO. 102.13 ("THE POLICY") GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE UNIVERSITYS BOARD OF TRUSTEES AND AFFILIATE ENTITY BOARDS. THE CONFLICTS OF INTEREST POLICY IS DESIGNED TO ASSIST THE UNIVERSITY IN EVALUATING ARRANGEMENTS, CONTRACTS, OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, THEIR FAMILY MEMBER(S), A MEMBER OF A COMMITTEE OR SUBCOMMITTEE THAT EXERCISES BOARD-DELEGATED POWERS OF THE UNIVERSITY, OR SENIOR MANAGEMENT. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. IN ACCORDANCE WITH THE POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE UNIVERSITYS CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT OF INTEREST PROCESS INCLUDES DISTRIBUTION OF AN ELECTRONIC DISCLOSURE TO ALL PERSONS WHO SERVED AS VOTING MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF SENIOR MANAGEMENT, AND KEY EMPLOYEES DURING THE PREVIOUS FISCAL YEAR. (JULY 1 THROUGH JUNE 30). THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENTS ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH HE OR SHE ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS, AS THAT TERM IS DEFINED IN THE POLICY. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT HE OR SHE WILL ABIDE BY THE UNIVERSITYS CONFLICTS OF INTEREST AND OTHER RELEVANT POLICIES AND WILL DISCLOSE ALL INTERESTS AND ACTIVITIES RELATED TO THEIR ONGOING SERVICE ON THE BOARD OF TRUSTEES. MEMBERS OF SENIOR MANAGEMENT AND INDIVIDUALS IDENTIFIED AS KEY EMPLOYEES RECEIVE DISCLOSURE QUESTIONS REQUIRED OF MEMBERS OF THE BOARD OF TRUSTEES UNDER THE POLICY AND QUESTIONS REQUIRED UNDER THE POLICY FOR EMPLOYEES. ALL PERSONS COVERED UNDER THE UNIVERSITYS BOARD OF TRUSTEES AND EMPLOYEE-RELATED CONFLICT OF INTEREST POLICIES MAINTAIN A CONTINUING OBLIGATION TO DISCLOSE ALL CHANGES IN INTERESTS, ACTIVITIES, AND RELATIONSHIPS THROUGHOUT THE YEAR. THE UNIVERSITY MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE UNIVERSITY COMPILES AND ISSUES TO THE EXECUTIVE COMMITTEE A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS. THE BOARD OF TRUSTEES FOR ITSELF OR THROUGH DELEGATION TO THE AUDIT, COMPLIANCE AND RISK COMMITTEE, EVALUATES ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO DETERMINE WHETHER ACTIVITIES OR ARRANGEMENTS REQUIRE MANAGEMENT, REDUCTION, OR ELIMINATION OF CERTAIN INTERESTS, ACTIVITIES, OR RELATIONSHIPS. WHEN MANAGEMENT OF THE IDENTIFIED CONFLICT IS REQUIRED, THE AFFECTED PERSON(S), MEMBERS OF THE BOARDS EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE BUT NOT BE LIMITED TO RECUSAL FROM DELIBERATIONS AND VOTING WHEN APPROPRIATE. IN ADDITION TO THE ABOVE-OUTLINED INTERNAL REPORTING AND EVALUATION OF ACTIVITIES, TRANSACTIONS, AND RELATIONSHIPS, THE UNIVERSITY REPORTS ON ITS INTERNAL REVENUE SERVICE FORM 990 AND SCHEDULES INFORMATION OBTAINED FROM THE COI DISCLOSURE PROCESS THAT PERTAINS TO RELATIONSHIPS AND TRANSACTIONS AFFECTING GOVERNANCE RELATED MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>TJU is committed to ensuring that its executive compensation program adheres to the highest standards of regulatory compliance and best practices in corporate governance. The TJU Board of Trustees has charged the Compensation and Human Capital Committee ("The Committee") with the oversight of TJUs executive compensation, including arrangements covering the President and CEO, senior executives and other key employees (including clinical department Chairs and select faculty). The Committee meets multiple times during the year and is comprised of individuals who are independent and do not have conflicts of interest with regard to the compensation arrangements that fall within its purview. The Committees process is designed to satisfy the rebuttable presumption of reasonableness that is available under the intermediate sanctions law, and includes the review of comparability data and the contemporaneous substantiation of its deliberations and decisions. The Committees decisions are made in accordance with TJUs compensation philosophy, which supports TJUs objective of attracting, retaining and motivating talented individuals who have the appropriate experience and skills to achieve the institutions objectives. On an annual basis the Committee reviews appropriate comparability data for similar institutions that reflect the mission, scope and complexity of TJU and its constituent entities. The Committee engages qualified, independent consultants as needed to provide advice on compensation matters and to prepare the comparability data, which are reviewed by the Committee in advance of making its decisions. The Committee reviews and approves compensation for the President and CEO and other senior executives based on market practices, an assessment of performance and other business judgment factors. TJUs executive compensation includes incentive pay, pursuant to which executives are rewarded based on the achievement of organization, entity and individual performance goals that are established in advance of the performance period. These goals are linked to TJUs mission, strategic and operating objectives, and have predetermined weights. At the end of the year, the Committee approves the resulting awards based on a review of performance achievements relative to the goals; in appropriate circumstances, other discretionary factors may be considered when incentives are determined. The Committee makes a determination of the reasonableness of compensation and maintains minutes that document its deliberations and decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER OF PENSION FUND TO ACADEMIC PILLAR 112,687,553 TRANSFER OF RELATED PART RECEIVABLE FOR PROFESSIONAL LIABILITY SUPPORT FROM JUP 30,500,736 MAJORITY INTEREST IN ROSH 70,856,008 DISTRIBUTION OF MINORITY INTERESTS (3,195,000) INSURANCE RECOVERY 721,108 GRANT FUNDED CAPITAL 778,142 ALL OTHER CHANGES (508,358) ------------- TOTAL $ 211,840,189</ExplanationTxt>
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    </IRS990ScheduleO>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JEFFERSON UNIVERSITY PHYSICIANS</BusinessNameLine1Txt>
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          <ZIPCd>19107</ZIPCd>
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        <EIN>232809585</EIN>
        <PrimaryActivitiesTxt>CLINICAL CARE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TJUH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THOMAS JEFFERSON UNIVERSITY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>601 WALNUT STREET</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19106</ZIPCd>
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        <EIN>231352651</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1020 WALNUT STREET 6TH FL</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
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        <EIN>464855345</EIN>
        <PrimaryActivitiesTxt>CLINICAL CARE</PrimaryActivitiesTxt>
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        <EIN>271243803</EIN>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <EIN>231352152</EIN>
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        <USAddress>
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        <EIN>232188052</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>TJU</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 MEDICAL CAMPUS DRIVE</AddressLine1Txt>
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        <EIN>263359979</EIN>
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        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
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        <EIN>232167488</EIN>
        <PrimaryActivitiesTxt>SOCIAL CLUB</PrimaryActivitiesTxt>
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        <EntityTypeTxt>S CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>JEFFERSON ACUTE CARE PHYSICIANS PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>111 S 11TH ST STE 2210</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19107</ZIPCd>
        </USAddress>
        <EIN>472639286</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A,B</TransactionTypeTxt>
        <InvolvedAmt>66191347</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>JEFFERSON UNIVERSITY RADIOLOGY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>874347</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RIVERVIEW SURGERY CENTER LP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>1202</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RIVERVIEW SURGERY CENTER LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>13</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART III, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DUE TO ITS SHARED DIRECT CONTROLLING ENTITY, TJUH SYSTEM, THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. (TJUH) IS DEEMED TO OWN BOTH ITS INDIVIDUAL INTEREST IN JEFFERSON COMPREHENSIVE CONCUSSION CENTER, AS WELL AS THOSE OF ITS BROTHER/SISTER ENTITY, JEFFERSON UNIVERSITY PHYSICIANS (JUP). WHILE NEITHER TJUH NOR JUP HAVE AN INDIVIDUAL CONTROLLING INTEREST IN JEFFERSON COMPREHENSIVE CONCUSSION CENTER, THEIR COLLECTIVE OWNERSHIP CONSTITUTES A CONTROLLING INTEREST IN THE PARTNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>