2017-05-12T11:00:45-05:00 2016-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2015-07-01 232858320 JEFFERSON MEDICAL CARE % JACQUELINE GUILFOYLE JEFF 2155038958 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 ANNE BOLAND DOCIMO PRESIDENT & TRUSTEE 2155038958 2017-05-10 true ERICA R MCREYNOLDS P00977806 2673303000 2015 2021-01-29 14:40:06Z ANNE BOLAND DOCIMO MD 111 SOUTH 11TH STREEET PHILADELPHIA PA 19107 8494324 false X N/A X 1996 PA SEE ATTACHMENT 1 2 0 0 0 0 0 0 8022461 8494324 0 0 0 0 8022461 8494324 0 0 0 0 0 0 0 0 0 9761558 10431327 9761558 10431327 -1739097 -1937003 4294643 4012224 19385373 20993824 -15090730 -16981600 X SEE ATTACHMENT 1 false false 9797955 8494324 JEFFERSON MEDICAL CARE IS ORGANIZED AND OPERATED TO ENGAGE IN THE PRACTICE OF MEDICINE EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES INCLUDING FOR SUCH PURPOSES: A)PRACTICING MEDICINE AND SURGERY THROUGH DULY LICENSED PHYSICIANS AND SURGEONS IN A MANNER BENEFICIAL TO THE COMMUNITY AND IN FURTHERANCE OF THE CHARITABLE AND EDUCATIONAL PURPOSES OF TJU AND TJUH; B)FURNISHING LABORATORY, ANESTHESIOLOGY, RADIOLOGY, AND CLINICAL SUPPORT OF SUCH MEDICAL AND SURGICAL PRACTICE; C)PROVIDING EMERGENCY MEDICAL SERVICES TO ALL, REGARDLESS OF THE ABILITY TO PAY, TO PROVIDE MEDICAL SERVICES TO PATIENTS COVERED BY MEDICARE AND MEDICAID WITHOUT DISCRIMINATION, AND TO ADOPT TO THE SAME POLICY FOR TREATING PATIENTS UNABLE TO PAY THE FULL COST OF SUCH SERVICES AS ADOPTED BY TJUH; D)ESTABLISHING AND ACQUIRING NEW MEDICAL PRACTICES AS PART OF TJU'S INTEGRATED DELIVERY SYSTEM OF PROVIDING HOSPITAL AND MEDICAL CARE. 9797955 true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 true 0 false false false false false false false false false false false X 2 0 false false false false true true true true true false false true true true true true true false PA X JACQUELINE GUILFOYLE 2155038958 CONTROLLER TJUH INC 601 WALNUT ST PHILA PA 19106 ANNE BOLAND DOCIMO MD PRESIDENT AND TRUSTEE 2.0 61.0 X X 0 986942 43947 THEODORE A CHRISTOPHER MD TRUSTEE 2.0 42.0 X 0 478255 68009 GENO L MERLI FORMER TRUSTEE & PRESIDENT 0.0 42.0 X 0 496127 57495 0 1961324 169451 0 true true false 0 0 NET PATIENT CARE REVENUE 7926687 7926687 TEACHING INCOME 514265 514265 OTHER REVENUE 53372 53372 8494324 0 0 0 0 0 0 0 0 0 0 0 8494324 8494324 0 0 0 0 0 0 0 0 0 0 104328 0 104328 0 0 12277 12277 0 0 0 640741 640741 20705 20705 231565 231565 31898 31898 0 668200 668200 24153 24153 0 26376 26376 0 0 341987 341987 174780 174780 PURCHASED SERVICES 7209852 7209852 MEDICAL SUPPLIES 810904 810904 DUES & FEES 33491 33491 TAXES 2576 2576 97494 97494 10431327 9797955 633372 0 300 300 0 0 0 0 1355406 1345294 0 0 0 0 0 0 0 0 0 18000 5354701 2786071 2858937 2568630 0 0 0 0 0 0 80000 80000 0 0 4294643 4012224 893595 1052853 0 0 0 10656 0 0 0 0 0 0 0 0 0 0 18491778 19930315 19385373 20993824 X -15090730 -16981600 0 0 0 0 -15090730 -16981600 4294643 4012224 X -1937003 46133 X false true X true false X X 1 THOMAS JEFFERSON UNIVERSITY HOSPITALS INC 232829095 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true false 3169345 792140 2377205 2152760 1961700 191060 32596 32231 365 2568630 0 DUE TO TJU HOSPITAL 19930315 19930315 false false false false false false false false false ANNE BOLAND DOCIMO MD PRESIDENT AND TRUSTEE 0 689240 0 266750 0 30952 0 36950 0 6997 0 1030889 0 0 THEODORE A CHRISTOPHER MD TRUSTEE 0 458580 0 0 0 19675 0 45275 0 22734 0 546264 0 0 GENO L MERLI FORMER TRUSTEE & PRESIDENT 0 414770 0 38187 0 43170 0 41304 0 16191 0 553622 0 0 FORM 990, PART V, LINE 1A AND FORM 990, PART VII, SECTION B JEFFERSON MEDICAL CARE HAS ENTERED INTO A COMMON PAYING AGENT RELATIONSHIP WITH A RELATED ORGANIZATION, THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. (TJUH). AS SUCH, TJUH ISSUES ALL REQUIRED FORMS 1099 RELATED TO THE INDEPENDENT CONTRACTORS OF JEFFERSON MEDICAL CARE. THEREFORE FORM 990, PART V, LINE 1A IS ZERO. FOR PART VII, SECTION B, JEFFERSON MEDICAL CARE HAS REPORTED ITS HIGHEST PAID SERVICE PROVIDERS SINCE IT IS RESPONSIBLE FOR PAYING THESE AMOUNTS AS THE TRANSACTIONS ARE ACCOUNTED FOR THROUGH INTERCOMPANY TRANSACTIONS BETWEEN JEFFERSON MEDICAL CARE AND TJUH. FORM 990, PART V, LINE 2A AND FORM 990, PART IX, LINE 24 JEFFERSON MEDICAL CARE HAS ENTERED INTO A COMMON PAYMASTER AND PAYROLL REPORTING AGENT RELATIONSHIP WITH A RELATED ORGANIZATION, TJUH. AS SUCH, TJUH ISSUES ALL REQUIRED FORMS W-2 RELATED TO THE EMPLOYEES OF JEFFERSON MEDICAL CARE. THEREFORE FORM 990, PART V, LINE 2A IS ZERO. MOREOVER, THE PAYROLL AND RELATED BENEFITS EXPENSE RELATED TO SUCH EMPLOYEES ARE REPORTED AS PURCHASED SERVICES ON FORM 990, PART IX, LINE 24 SINCE THESE EXPENSES ARE PAID BY TJUH TO THE EMPLOYEES AND THE TRANSACTIONS ARE ACCOUNTED FOR THROUGH INTERCOMPANY TRANSACTIONS BETWEEN JEFFERSON MEDICAL CARE AND TJUH. FORM 990, PART VI, SECTION A, LINES 6 & 7 JEFFERSON PHYSICIAN SERVICES IS THE SOLE MEMBER OF JEFFERSON MEDICAL CARE. AS THE SOLE MEMBER OF JEFFERSON MEDICAL CARE, IT HAS THE ABILITY TO EXERCISE CERTAIN RIGHTS OVER THE APPOINTMENT AND REMOVAL OF DIRECTORS AND CERTAIN TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF THOMAS JEFFERSON UNIVERSITY (TJU), AN AFFILIATE OF JEFFERSON MEDICAL CARE. IT IS THEN PROVIDED TO THE BOARD OF JEFFERSON MEDICAL CARE 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. FORM 990, PART VI, SECTION B, LINE 15A & 15B 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 PRIOR PERIOD ADJUSTMENT $46,133 EMERGENCY TRANSPORT ASSOCIATES INC 441 NORTH 5TH STREET PHILADELPHIA PA 19107 232622004 HEALTHCARE PA 501(C)(3) 9 JEFFEX INC false WALNUT HOME THERAPEUTICS INC 919 WALNUT STREET 5TH FLOOR PHILADELPHIA PA 19107 232622006 HEALTHCARE PA 501(C)(3) 9 JEFFEX INC false METHODIST ASSOC IN HEALTHCARE OF NJ PC 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 233537847 HEALTHCARE NJ 501(C)(3) 11, I TJUH SYSTEM false JEFFEX INC 925 CHESTNUT STREET SUITE 311 PHILADELPHIA PA 19107 232622009 HEALTHCARE PA 501(C)(3) 11, I TJUH SYSTEM false METHODIST ASSOCIATES IN HEALTHCARE INC 2301 SOUTH BROAD STREET PHILADELPHIA PA 19148 232678055 HEALTHCARE PA 501(C)(3) 11, I TJUH SYSTEM false SUTHBREIT PROPERTIES LTD 2301 SOUTH BROAD STREET PHILADELPHIA PA 19148 232214351 REAL ESTATE PA 501(C)(2) JEFFEX INC false THOMAS JEFFERSON UNIV HOSPITALS INC 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 232829095 HEALTHCARE PA 501(C)(3) 3 TJUH SYSTEM false JEFFERSON PHYSICIAN SERVICES 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 233026939 HEALTHCARE PA 501(C)(3) 11, II TJUH SYSTEM false TJUH SYSTEM INC 111 SOUTH 11TH STREET PHILADELPHIA PA 19107 263026795 HEALTHCARE PA 501(C)(3) 11, II TJU false JEFFERSON UNIVERSITY PHYSICIANS 1025 WALNUT STREET PHILADELPHIA PA 19107 232809585 CLINICAL CARE PA 501(C)(3) 11, I TJUH SYSTEM false THOMAS JEFFERSON UNIVERSITY 601 WALNUT STREET PHILADELPHIA PA 19107 231352651 EDUCATION PA 501(C)(3) 2 NA false JEFFERSON UNIVERSITY OF PHYSICIANS OF NJ 1020 WALNUT STREET 6TH FLOOR PHILADELPHIA PA 19107 464855345 CLINICAL CARE NJ 501(C)(3) 11, I JUP false ABINGTON HEALTH 1200 OLD YORK ROAD ABINGTON PA 19001 271243803 HEALTHCARE PA 501(C)(3) 11, II TJU false ABINGTON MEMORIAL HOSPITAL 1200 OLD YORK ROAD ABINGTON PA 19001 231352152 HEALTHCARE PA 501(C)(3) 3 TJU false ABINGTON HEALTH FOUNDATION 1200 OLD YORK ROAD ABINGTON PA 19001 232188052 FUNDRAISING PA 501(C)(3) 7 TJU false LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 263359979 HEALTHCARE PA 501(C)(3) 3 TJU false RIVERVIEW SURGERY CENTER LP 11221 ROE AVENUE SUITE 320 LEAWOOD KS 66211 263910345 HEALTHCARE PA NA N/A RIVERVIEW SURGERY CENTER LLC 11221 ROE AVENUE SUITE 320 LEAWOOD KS 66211 263911509 HEALTHCARE PA NA N/A 1100 WALNUT ASSOCIATES 1020 WALNUT ST PHILADELPHIA PA 19107 232332396 MEDICAL OFFICE PA NA N/A JEFFERSON UNIV RADIOLOGY 840 CRESCENT CENTRE DR FRANKLIN TN 37067 412043518 HEALTHCARE PA NA N/A JEFFERSON COMP CONCUSSION CTR 4050 S 26TH STREET PHILADELPHIA PA 19122 464254983 HEALTHCARE PA NA N/A ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL 11221 ROE AVE STE 320 PHILADELPHIA PA 19112 270260289 HEALTHCARE PA NA N/A JEFFCARE INC 601 WALNUT STREET SUITE 950W PHILADELPHIA PA 19106 232830152 HEALTHCARE PA NA C CORPORATION false THE ATRIUM CORPORATION 925 CHESTNUT STREET SUITE 311 PHILADELPHIA PA 19107 232075587 HEALTHCARE PA NA C CORPORATION false HEALTHMARK INC 2301 S BROAD STREET PHILADELPHIA PA 19148 232259593 HEALTHCARE PA NA C CORPORATION false MID-ATLANTIC MATERNAL FETAL INSTITUTE 925 CHESTNUT STREET SUITE 311 PHILADELPHIA PA 19107 232922471 HEALTHCARE PA NA C CORPORATION false MID-ATLANTIC MATERNAL FETAL INSTITUTE PC 925 CHESTNUT STREET SUITE 311 PHILADELPHIA PA 19107 223536371 HEALTHCARE NJ NA C CORPORATION false WALNUT REALTY COMPANY 1020 WALNUT ST 5TH FL PHILADELPHIA PA 19107 232332416 REAL ESTATE PA NA C CORPORATION false TJU INC 1020 WALNUT ST 5TH FL PHILADELPHIA PA 19107 232146678 REAL ESTATE PA NA C CORPORATION false 925 WALNUT STREET CORPORATION 2711 CENTERVILLE ROAD SUITE 400 WILMINGTON DE 19808 841657497 REAL ESTATE PA NA S CORPORATION false JEFFERSON ACUTE CARE PHYSICIANS PC 111 SOUTH 11TH STREET SUITE 2210 PHILADELPHIA PA 19107 472639286 HEALTHCARE PA NA C CORPORATION false false false false false false false false false false false false false false false false true false true false