2016-05-16T12:28:41-05:00 2015-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 232829095 Thomas Jefferson University Hospitals Inc % JACQUELINE GUILFOYLE THOM 2155038958 111 South 11th Street Philadelphia PA 191074824 NEIL LUBARSKY CFO 2673303000 2016-05-12 true ERICA R MCREYNOLDS P00977806 2673303000 2014 2016-12-15 16:53:06Z RICHARD J WEBSTER 111 South 11th Street Philadelphia PA 191074824 1589904628 false X WWW.JEFFERSON.EDU X 1995 PA Attachment 1 39 31 9185 557 14229563 50520 2144582 10554089 1500941034 1542863906 13773506 7721576 -6811773 -11088088 1510047349 1550051483 85259 12987 0 0 622664588 611258837 0 0 5346688 836249669 891856727 1458999516 1503128551 51047833 46922932 1535753867 1772516839 735379067 943395346 800374800 829121493 X TJUH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. WE ARE COMMITTED TO: 1) SETTING THE STANDARD FOR EXCELLENCE IN THE DELIVERY OF PATIENT CARE, PATIENT SAFETY AND THE QUALITY OF THE HEALTHCARE EXPERIENCE. 2) PROVIDING EXEMPLARY CLINICAL SETTINGS FOR EDUCATING THE HEALTHCARE DELIVERY PROFESSIONALS WHO WILL FORM THE COLLABORATIVE HEALTHCARE DELIVERY TEAM OF TOMORROW. 3) LEADING IN THE INTRODUCTION OF INNOVATIVE METHODOLOGIES FOR HEALTHCARE DELIVERY AND QUALITY IMPROVEMENT. WE ACCOMPLISH OUR MISSION IN PARTNERSHIP WITH TJU. false false 1290019718 12987 1528634343 TJUH PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SOME PATIENTS QUALIFY FOR CHARITY CARE BASED ON POLICIES ESTABLISHED BY TJUH AND ARE THEREFORE NOT RESPONSIBLE FOR PAYMENT FOR ALL OR A PART OF THEIR HEALTHCARE SERVICES. THESE POLICIES ALLOW FOR THE PROVISION OF FREE OR DISCOUNTED CARE IN CIRCUMSTANCES WHERE REQUIRING PAYMENT WOULD IMPOSE FINANCIAL HARDSHIP ON THE PATIENT. CHARGES FOR SERVICES RENDERED TO PATIENTS WHO MEET TJUH'S GUIDELINES FOR CHARITY CARE ARE NOT SEPARATELY RECORDED IN PROGRAM SERVICE REVENUE. TJUH COMPLIES WITH THE COMMUNITY BENEFIT STANDARD AS SET FORTH IN REVENUE RULING 69-545. TJUH ALSO COMPLIES WITH THE REQUIREMENTS SET FORTH IN IRC SECTION 501(R). TJUH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM PROGRAM SERVICE REVENUE. MANAGEMENT ESTIMATES THAT THE COST OF CHARITY CARE PROVIDED BY TJUH WAS $12,385,544 IN FISCAL YEAR 2015. THIS DOES NOT INCLUDE THE PROVISION FOR BAD DEBTS, AMOUNTING TO $54,321,660 WHICH IS REFLECTED WITHIN LINE 2A OF THE ACCOMPANYING STATEMENT OF REVENUE. SERVICES ARE PROVIDED TO PATIENTS IN THE COMMUNITY WHO ARE INSURED UNDER THE PENNSYLVANIA MEDICAL ASSISTANCE PROGRAM. THE COSTS OF PROVIDING SERVICES TO ELIGIBLE WELFARE RECIPIENTS WHO PARTICIPATE IN THIS PROGRAM EXCEEDED REIMBURSEMENT BY $68,053,557. IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, TJUH PROVIDES EDUCATION AND TRAINING FOR MEDICAL RESIDENTS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. AMOUNTS EXPENDED FOR THESE SERVICES EXCEEDED REIMBURSEMENT BY $29,046,533. TJUH ALSO PROVIDES VARIOUS COMMUNITY SERVICES SUCH AS THE PROVISION OF SUBSIDIZED EMERGENCY SERVICES; TELEMEDICINE SERVICES FOR STROKE PATIENTS AT COMMUNITY HOSPITALS; EDUCATION FOR DIABETES AND HEART DISEASE; SCREENINGS FOR STROKE AND CANCER RISK; CANCER SUPPORT GROUPS; SENIOR HEALTH EDUCATION; NUTRITIONAL COUNSELING FOR OBESITY; MATERNAL AND CHILDBIRTH EDUCATION; AND YOUTH PARTICIPATION IN VARIOUS WORK-READY OR CAREER PREPARATION PROGRAMS. MANY OF THESE SERVICES TARGET AREAS OF HEALTH DISPARITY AND INCLUDE WORKING WITH SCHOOLS, GRASSROOTS ORGANIZATIONS, AND OTHER PARTNERS. THE NET AMOUNTS EXPENDED FOR THESE SERVICES WERE $28,020,579. 1290019718 true true false true false false false false true true true false true true false false true false false true false true false false false true true true true true false false false false false false false true true false false false true true true true false false true 446 0 true 9185 true true true false false false false false false false false false X 39 31 true false true false true true true true true false false true true true true true true true true true true PA X JACQUELINE GUILFOYLE 2155038958 CONTROLLER TJUH INC601 WALNUT ST Philadelphia PA 191060000 JANICE R BELLACE ESQ CHAIRMAN AND TRUSTEE 5.0 11.0 X X 0 0 0 ANTHONY J DIMARINO JR MD TRUSTEE 5.0 47.0 X 0 526102 75575 RICHARD W HEVNER CHAIRMAN & TRUSTEE 5.0 9.0 X X 0 0 0 HYMAN R KAHN MD TRUSTEE 5.0 5.0 X 0 0 0 JOSEPHINE C MANDEVILLE TRUSTEE 5.0 7.0 X 0 0 0 DAVID P MCQUAID RPh TRUSTEE & PRESIDENT(DEP. 4/15) 40.0 20.0 X X 1658191 0 344174 RONALD J NAPLES VICE CHAIR AND TRUSTEE 5.0 11.0 X X 0 0 0 RICHARD J WEBSTER PRESIDENT & TRUSTEE 40.0 4.0 X X 668845 0 83056 CHRISTINE WU MD TRUSTEE 5.0 5.0 X 0 0 0 CARO U ROCK TRUSTEE 5.0 5.0 X 0 0 0 MARK L TYKOCINSKI MD TRUSTEE 5.0 52.0 X 0 1180870 132581 CHARLES J YEO MD FACS TRUSTEE 5.0 50.0 X 0 1019876 76868 GEORGE E DEMING TRUSTEE 5.0 11.0 X 0 0 0 STEPHEN K KLASKO MD TRUSTEE 5.0 52.0 X 0 1785333 341741 RICHARD T RILEY TRUSTEE 5.0 11.0 X 0 0 0 MARK K ALDERMAN ESQ TRUSTEE 5.0 5.0 X 0 0 0 VIJAY M RAO MD TRUSTEE 5.0 52.0 X 0 808667 77765 SALVATORE COGNETTI TRUSTEE 5.0 7.0 X 0 0 0 TOM COSTELLO TRUSTEE 5.0 7.0 X 0 0 0 JACK FARBER TRUSTEE 5.0 7.0 X 0 0 0 JAMES FOX MD TRUSTEE 5.0 7.0 X 0 0 0 KENNETH GRAHAM TRUSTEE 5.0 7.0 X 0 0 0 MICHAEL HELLER TRUSTEE 5.0 7.0 X 0 0 0 HAROLD HONICKMAN TRUSTEE 5.0 7.0 X 0 0 0 CHRISTOPHER KNEIZYS TRUSTEE 5.0 7.0 X 0 0 0 CHARLES KOPP TRUSTEE 5.0 7.0 X 0 0 0 LEONARD KORMAN TRUSTEE 5.0 7.0 X 0 0 0 JAMES KSANSNAK TRUSTEE 5.0 7.0 X 0 0 0 IRA LUBERT TRUSTEE 5.0 2.0 X 0 0 0 PAULA MANDLE TRUSTEE 5.0 7.0 X 0 0 0 JOSEPH MCLAUGHLIN TRUSTEE 5.0 7.0 X 0 0 0 LAURENCE M MERLIS TRUSTEE 5.0 58.0 X 0 1362015 334772 JEFFREY ORLEANS TRUSTEE 5.0 7.0 X 0 0 0 GERARD SWEENEY TRUSTEE 5.0 7.0 X 0 0 0 BRIAN TIERNEY TRUSTEE 5.0 7.0 X 0 0 0 ALEX VACCARO MD TRUSTEE 5.0 2.0 X 0 0 0 CUYLER WALKER TRUSTEE 5.0 7.0 X 0 0 0 ANNE BOLAND DOCIMO MD TRUSTEE 5.0 58.0 X 0 515222 41857 MATT KILLION MD TRUSTEE 5.0 0.0 X 0 0 0 VANESSA WEISMAN TRUSTEE 5.0 0.0 X 0 0 0 NEIL G LUBARSKY TREASURER 40.0 12.0 X 619303 0 81417 STACEY MEADOWS ASSISTANT SECRETARY (DEP 4/15) 40.0 0.0 X 559539 0 72163 ROBERT J DIECIDUE DMD CHAIRMAN ORAL SURGERY 40.0 0.0 X 604835 0 58262 DANIEL I TAUB DDS MD VICE CHAIR & PROGRAM DIRECTOR 40.0 0.0 X 511117 0 55379 MARYANN FITZPATRICK SVP PATIENT SERVICES & CNO 40.0 0.0 X 383017 0 58044 PAMELA TEUFEL EVP & CHIEF HRO (DEP 4/15) 40.0 0.0 X 516306 0 64289 HUGH LAVERY SVP GOV'T EXTERNAL AFFAIRS 40.0 0.0 X 371129 0 52792 THOMAS J LEWIS III FORMER PRESIDENT & TRUSTEE 0.0 0.0 X 866298 0 0 RONALD P BURD FORMER EXEC VP STRATEGY & ORG 0.0 0.0 X 259139 0 0 STEPHEN TRANQUILLO FORMER VP, CIO 0.0 0.0 X 459101 0 48971 7476820 7198085 1999706 912 true true false RECONSTRUCTIVE ORTHOPAEDIC ASSOCIAT 925 CHESTNUT STREET SUITE 500 PHILADELPHIA PA 19107 MEDICAL SERVICES 5081203 HURON CONSULTING GROUP LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 4751900 WOLFE SCOTT ASSOCIATES INC 2522 SOUTH STREET PHILADELPHIA PA 19146 CONSTRUCTION SVCS 3403947 P AGNES INC 2101 PENROSE AVENUE PHILADELPHIA PA 19145 CONSTRUCTION SVCS 3388421 ARAMARK 24863 NETWORK PLACE CHICAGO IL 60673 CLINICAL SUPPORT SER 3156144 98 619002 9935087 117206 10554089 Net Patient Service Revenue 622110 1472378019 1472378019 Biomedical Services 811000 13075322 13075322 Tissue Typing Services 621500 719165 719165 Clinical Lab Services 621500 389424 389424 ALL OTHER PROGRAM SERVICES 622110 56301976 56256324 45652 1542863906 5201284 5201284 0 0 6736376 11568984 -4832608 0 -4832608 -4832608 30804453 28284161 2520292 2520292 2520292 0 0 0 Loss on Interest Rate Swap Contracts 900099 -6255480 -6255480 -6255480 1550051483 1528634343 14229563 -3366512 12987 12987 0 0 0 5815353 5815353 1779665 1779665 464730435 425969383 36132261 2628791 27594726 25087555 2390599 116572 77723113 71297538 5902101 523474 33615545 30865621 2579939 169985 0 1357063 1357063 241416 241416 406280 406280 0 0 22610942 22610942 604879 604879 28598605 25406920 3171789 19896 0 0 25926678 10303572 15478026 145080 1559250 1293452 169317 96481 0 806291 665163 136906 4222 9553142 9553142 0 72944340 66730212 6214128 12397751 12397751 Medical Supplies 271016088 271016088 Purchased Services 294279952 217237664 75799534 1242754 EQUIPMENT RENTAL & MAINT. 49173303 26449751 22664111 59441 MA TAX ASSESS./MODERNIZATION 59015739 59015739 41365008 36112301 4912715 339992 1503128551 1290019718 207762145 5346688 16264287 48108250 187954461 228498933 639515 8001245 238143754 240489922 0 0 0 0 0 0 29029465 30076081 10973142 12568897 1364062657 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(TJUH) PERIODICALLY ENGAGES IN LOBBYING ACTIVTIES INCLUDING DISCUSSIONS WITH POLICY MAKERS ON HEALTHCARE RELATED ISSUES IMPACTING TJUH AND THE PATIENTS AND COMMUNITIES IT SERVES. 102818940 134300 4523463 4673157 102803546 95679218 161027 11004018 4025323 102818940 88963035 174129 9328188 2786134 95679218 94161561 404977 -2788358 2815145 88963035 82118580 68339 15185235 3210593 94161561 0.71000 0.08000 0.21000 false false 28499968 28499968 565856308 280738699 285117609 61189795 18168087 43021708 686953361 529930010 157023351 21563225 0 21563225 535225861 CASH & CASH EQUIVALENTS 136121047 F HEDGE FUNDS 50605348 F PRIVATE EQUITY 26032621 F REAL ESTATE 9734833 F 222493849 DUE FROM AFFILIATED FOUNDATION 8781343 DEFERRED EXPENSE - CHILLER 2544167 INSURANCE RECOVERABLE 90659679 DUE FROM UNCONSOLIDATED SUBS 160152708 OTHER ASSETS 102217 262240114 0 ACCRUED PROFESSIONAL LIABILITY 191406314 ACCRUED PENSION LIABILITY 118776900 ACCRUED WORKERS' COMPENSATION 14802894 ASSET RETIREMENT OBLIGATION 1947519 INTEREST RATE SWAP LIABILITY 17781845 DUE TO TJU - NONCURRENT 20662826 DUE TO TJU - SER. 2015 LOAN PAYABLE 336701583 702079881 FORM 990, SCHEDULE D, PART V, LINE 4 TJUH's endoments are used in a manner to further the charitable healthcare educational, and research missions of TJUH. false Europe (Including Iceland and Greenland) Investments 10772896 East Asia and the Pacific Investments 4435603 North America Investments 2772141 Central America and the Caribbean Investments 8810195 26790835 26790835 false false true false false false true true X true X true X 500. true true true false true true 12385544 0 12385544 0.00820 267732607 199679050 68053557 0.04530 0 0 0 280118151 199679050 80439101 0.05350 33572 3963266 44410 3918856 0.00260 45741 134667857 105621324 29046533 0.01930 310632820 290985753 19647067 0.01310 987833 65000 922833 0.00060 4877 3184883 21484 3163399 0.00210 84190 453436659 396737971 56698688 0.03770 84190 733554810 596417021 137137789 0.09120 103 368424 368424 0.00020 103 368424 368424 0.00020 true 54321660 301542588 351794731 -50252143 X true true Riverview Surgery Healthcare 0.51000 0.36600 BUCKS CTY ORTHO HOSP Healthcare 0.15000 0.64000 BUCKS CTY HOSP REAL Healthcare 0.15000 0.64000 JEFF CONCUSS CENTER Healthcare 0.32500 0.33600 1 1 Thomas Jefferson University Hospital 111 South 11th Street Philadelphia PA 191074824 http://hospitals.jefferson.edu 200801 X X X X Thomas Jefferson University Hospital 1 false false true X X X X X X X X 12 true false false true X SEE PART V-C X true 12 true SEE PART V-C false false true X 200. 500. X X X X true true X X X true X SEE PART V-C X X X true X false X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 MORE THAN 60 INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING health care and community based organizations 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 TJUH's 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. Medical students from Refugee Health Partners, a student run clinic, assisted with interviews with organizations who assist the refugee community as part of the community needs assessment they are doing to inform their student run refugee clinic in South Philadelphia. In addition, interviews were conducted with faculty and health providers from Methodist Hospital, Jefferson Hospital for Neuroscience and TJUH to gain their perspective about the health issues of their patients and community and to identify Jefferson's and other efforts to address these issues. Interviewees were asked to prioritize the needs/recommendations discussed during their interview. Interviews were conducted with representatives from the following organizations: American Heart Association, SIDNEY KIMMEL Medical College -Department of Family and Community Family Medicine, American Diabetes Association, Philadelphia Department of Health, Philadelphia School District, United Communities Southeastern Philadelphia, Federation of Neighborhood Centers, Diversified Community Services, Nationalities Services Center, Pennsylvania Immigrant Care Coalition, Lutheran and Children's Services, YMCA, Maternity Care Coalition, Drexel School of Public Health-Center for Hunger Free Communities, Area Health Education Center, Philadelphia Business Health/Wellness Collaborative, Philadelphia Housing Authority, Restaurant Opportunities Center, Juntos, Health Promotion Council, SHARE, Urban Tree Connection, Council for Relationships, Food Trust, Cambodian Association, SEAMAAC, TJUH Emergency Medicine, Jefferson Hospital for Neuroscience TJUH Stroke Center, THOMAS JEFFERSON UNIVERSITY (TJU) Endocrinology (Diabetes Center), TJU JOGA clinic, TJU Cardiovascular Disease, Mazzoni Center, Pathways to Housing, Project HOME, SIDNEY KIMMEL Medical College-Department of Family and Community Medicine-Jefferson Family Medicine Associates-Refugee Health Clinic, SIDNEY KIMMEL Medical College-Department of Family and Community Medicine-Jefferson Family Medicine Associates-Older adults, TJU-School of Nursing, TJU-School of Pharmacy, Nemours -Pediatrics, TJUH's Human Resources; Workforce Development, TJUH's-Finance Dept.-MA assistance, TJUH's-Nursing-Nurse Magnet, Methodist Hospital Jefferson Family Medicine Associates Department of Family and Community Medicine-Social Work, Philadelphia Health Initiative, Asian Chamber of Commerce of Greater Philadelphia; St Thomas Aquinas Church; Methodist community relations Subcommittee of the foundation, Migrant Education Philadelphia Burmese Baptist Church, Philadelphia Chin Baptist Church and HIAS. Focus groups were conducted with TJUH's employees who live in the neighborhoods that are part of Jefferson's community. This was done purposefully in order to raise awareness among TJUH's employee community about the health needs assessment and to engage them 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, one with employees from South Philadelphia, one with employees from Lower North Philadelphia east of Broad Street, one with employees from Lower North Philadelphia west of Broad Street and one with employees from Transitional Neighborhoods. Thirty-five employees participated. Focus groups were conducted by qualitative public health researchers from both TJU'S School of Population Health and 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 what specifically Jefferson 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. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A AS PROVIDED IN THE TREASURY REGULATIONS ISSUED DECEMBER 29, 2014, TJUH'S IMPLEMENTATION STRATEGY ADDRESSES THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH ITS CHNA. TJUH'S IMPLEMENTATION PLAN IS AVAILABLE AT: HTTP://HOSPITALS.JEFFERSON.EDU/ABOUT-US/IN-THE-COMMUNITY/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A HTTP://HOSPITALS.JEFFERSON.EDU/~/MEDIA/PDFS/GENERAL-IN-THE-COMMUNITY/COMMU NITY-HEALTH-NEEDS-2013.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10B http://hospitals.jefferson.edu/~/media/pdfs/general/in-the-community/tjuhc ommunitybenefitimplementationstrategy.pdf FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING ALL OF THE HEALTH NEEDS PRESENT IN A LARGE COMMUNITY WILL REQUIRE RESOURCES BEYOND WHAT ANY SINGLE HOSPITAL OR SOCIAL SERVICE AGENCY CAN BRING TO BEAR. THE HOSPITAL IS COMMITTED TO FULFILLING ITS MISSION AS WELL AS REMAINING FINANCIALLY VIABLE SO THAT IT CAN CONTINUE ITS COMMITMENT TO EXCELLENCE IN QUALITY CARE AND PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. The Hospital identified the health needs and prioritized the needs as is required. Health needs identified but adequately addressed by other entities and initiatives, such as HIV, are not being addressed to reduce duplication of unnecessary service. During this fiscal year all prioritized initiatives were initiated. The needs that were identified as most important were addressed initially and are on target; however, not surprisingly some initiatives have moved more quickly due to alignment with other organizations and timeliness such as healthcare enrollment. Community benefit initiatives have been tied to the strategic plan of the hospital and the local Health Department. Activities underway address social determinants of health (for example, food security, workforce development, literacy), chronic disease prevention (screening and education outreach), access to care (health insurance enrollment, health literacy, emergency room utilization, language line access), and coordinating with citywide efforts to improve healthy lifestyle behaviors and community environment (Philadelphia Department of Health initiatives, Aging in Place, housing, workforce development interventions to improve health among low resourced workers). In addition, we have developed partnerships with non-traditional organizations addressing social determinants of health such as community development corporations. BETWEEN 2015 AND 2016, THE HOSPITAL WILL FOCUS ITS EFFORTS IN ORDER TO MAKE A TRUE AND MEASURABLE IMPACT, AND THUS PLANS TO IMPLEMENT ACTIONS THAT WILL ADDRESS THOSE NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS MOST IMPORTANT. THE HOSPITAL WILL CONTINUE TO EVALUATE OPPORTUNITIES FOR FUNDING OR RESOURCES TO COMMIT TO ADDRESSING THE REMAINING NEEDS. THE PRIORITY HEALTH ISSUES RELATED TO THE HOSPITAL'S INTERNAL ORGANIZATIONAL STRUCTURE, INCLUDING WORKFORCE DEVELOPMENT AND DIVERSITY, FALL OUTSIDE THE SCOPE OF THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM, AND THE CHNA RECOMMENDATIONS RELATED TO INTERNAL ORGANIZATIONAL STRUCTURE WILL BE REVIEWED BY HOSPITAL AND UNIVERSITY SENIOR LEADERSHIP. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A THE ORGANIZATION'S FAP CAN BE FOUND AT THE FOLLOWING ADDRESS: http://hospitals.jefferson.edu/~/media/pdfs/patients/charity%20care/charit y-care-full.pdf 4 BUCKS COUNTY ORTHOPAEDIC SPECIALTY HOSP 3300 TILLMAN DR BENSALEM PA 19020 HEALTHCARE JEFFERSON UNIVERSITY RADIOLOGY ASSOC 840 CRESCENT CENTRE DR SUITE 200 FRANKLIN TN 37067 HEALTHCARE BUCKS COUNTY SPECIALTY HOSPITAL REALTY 925 CHESTNUT STREET 5TH FLOOR PHILADELPHIA PA 19107 HEALTHCARE RIVERVIEW SURGERY CTR AT THE NAVY YARD 3 CRESCENT DR 310 PHILADELPHIA PA 19112 HEALTHCARE FORM 990, SCHEDULE H, PART I, LINE 6A TJUH DEFINES ITS GREATEST ACHIEVEMENTS BY THE CONTRIBUTIONS MADE TO THE COMMUNITY IT SERVES. THESE CONTRIBUTIONS ARE SUMMARIZED ON THE TJUH INTEREST WEBSITE. FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES INCLUES EMERGENCY AND TRAUMA SERVICES. FORM 990, SCHEDULE H, PART III, LINE 2 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 9 of the attached consolidated audited financial statements. FORM 990, SCHEDULE H, PART III, LINE 8 MEDICARE IS NOT TREATED AS A COMMUNITY BENEFIT. THE SOURCE DATA WAS GENERATED FROM THE INTERNAL COST ACCOUNTING SYSTEM. FORM 990, SCHEDULE H, PART III, LINE 9B 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. FORM 990, SCHEDULE H, PART VI, LINE 2 (NEEDS ASSESSMENT) Please see TJUH's Community Health Needs Assessment, available at http://hospitals.jefferson.edu/~/media/pdfs/general/in-the-community/commu nity-health-needs-2013.pdf, for an explanation of how TJUH assesses the health needs of the community it serves. FORM 990, SCHEDULE H, PART VI, LINE 3 (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. FORM 990, SCHEDULE H, PART VI, LINE 4 (COMMUNITY INFORMATION) Please see TJUH's Community Health Needs Assessment, available at http://hospitals.jefferson.edu/~/media/pdfs/general/in-the-community/commu nity-health-needs-2013.pdf, for a description of the community TJUH serves. FORM 990, SCHEDULE H, PART VI, LINE 5 (PROMOTION OF COMMUNITY HEALTH) TJUH's community buiding 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. FORM 990, SCHEDULE H, PART VI, LINE 6 (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. FORM 990, SCHEDULE H, PART VI, LINE 7 (COMMUNITY BENEFIT REPORT) TJUH DOES NOT FILE A COMMUNITY BENEFIT REPORT AT THE STATE LEVEL. true THOMAS JEFFERSON UNIVERSITY 1020 WALNUT STREET PHILADELPHIA PA 19107 231352651 501(C)(3) 12987 SUPPORT FOR HOSPITAL PROGRAMS 1 FORM 990, SCHEDULE I, PART I, LINE 2 ACTUAL EXPENDITURES FOR ALL APPROVED GRANTS ARE MONITORED AGAINST BUDGETED EXPENDITURES ON A MONTHLY BASIS. ANY DISCREPANCIES ARE RESEARCHED AND resolved ACCORDINGLY. X X X X X true true false false false false false true false ANTHONY J DIMARINO JR MD TRUSTEE 0 458431 0 49091 0 18580 0 58621 0 16954 0 601677 0 0 THOMAS J LEWIS III FORMER PRESIDENT & TRUSTEE 0 0 0 0 866298 0 0 0 0 0 866298 0 0 0 DAVID P MCQUAID RPh TRUSTEE & PRESIDENT(DEP. 4/15) 932919 0 270000 0 455272 0 319910 0 24264 0 2002365 0 51645 0 NEIL G LUBARSKY TREASURER 453099 0 110566 0 55638 0 56977 0 24440 0 700720 0 23768 0 RONALD P BURD FORMER EXEC VP STRATEGY & ORG 0 0 0 0 259139 0 0 0 0 0 259139 0 0 0 ROBERT J DIECIDUE DMD CHAIRMAN ORAL SURGERY 451038 0 148235 0 5562 0 33800 0 24462 0 663097 0 0 0 STACEY MEADOWS ASSISTANT SECRETARY (DEP 4/15) 418705 0 101750 0 39084 0 50751 0 21412 0 631702 0 0 0 DANIEL I TAUB DDS MD VICE CHAIR & PROGRAM DIRECTOR 335889 0 173438 0 1790 0 28600 0 26779 0 566496 0 8386 0 STEPHEN TRANQUILLO FORMER VP, CIO 200236 0 41663 0 217202 0 25639 0 23332 0 508072 0 0 0 MARYANN FITZPATRICK SVP PATIENT SERVICES & CNO 295266 0 63610 0 24141 0 33800 0 24244 0 441061 0 0 0 RICHARD J WEBSTER PRESIDENT & TRUSTEE 526052 0 115002 0 27791 0 66303 0 16753 0 751901 0 0 0 PAMELA TEUFEL EVP & CHIEF HRO (DEP 4/15) 379394 0 105000 0 31912 0 37108 0 27181 0 580595 0 0 0 MARK L TYKOCINSKI MD TRUSTEE 0 787243 0 227400 0 166227 0 115177 0 17404 0 1313451 0 122158 CHARLES J YEO MD FACS TRUSTEE 0 926545 0 55380 0 37951 0 55308 0 21560 0 1096744 0 0 STEPHEN K KLASKO MD TRUSTEE 0 1259425 0 420000 0 105908 0 318469 0 23272 0 2127074 0 0 HUGH LAVERY SVP GOV'T EXTERNAL AFFAIRS 296608 0 45000 0 29521 0 31024 0 21768 0 423921 0 0 0 VIJAY M RAO MD TRUSTEE 0 587466 0 188766 0 32435 0 69911 0 7854 0 886432 0 0 LAURENCE M MERLIS TRUSTEE 0 848459 0 219295 0 294261 0 323775 0 10997 0 1696787 0 0 ANNE BOLAND DOCIMO MD TRUSTEE 0 168017 0 330000 0 17205 0 40176 0 1681 0 557079 0 0 FORM 990, SCHEDULE J, PART I, LINE 4A - SEVERANCE PAYMENTS THOMAS J. LEWIS III $866,298 RONALD P. BURD 259,139 STEVEN TRANQUILLO 185,616 FORM 990, SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MARK L. TYKOCINSKI, MD $125,207 DAVID P. MCQUAID RPH 54,770 NEIL G. LUBARSKY 24,834 STACEY MEADOWS 8,727 RICHARD J. WEBSTER 243 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. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5018203 SEE PART V false SCHEDULE L, PART IV, LINE 1 TJUH, Inc. paid $ 5,018,203 for services to a substantial contributor listed on Schedule B. Due to the confidentiality of the donors listed on Schedule B, the name of that substantial contributor has not been disclosed on Schedule L. X 9 117206 MARKET QUOTATION false false false FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING TRUSTEES HAVE BUSINESS RELATIONSHIPS, NOT INVOLVING ANY TRANSACTIONS WITH TJUH: HYMAN KAHN AND JACK FARBER MICHAEL HELLER, CHARLES KOPP, AND MARK ALDERMAN MICHAEL HELLER AND IRA LUBERT HAROLD HONICKMAN, LEONARD KORMAN, AND IRA LUBERT FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE APRIL 30, 2015 AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NONRPOFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF ABINGTON HEALTH ("AH"). THIS TRANSACTION WAS ACHIEVED BY THE FILING OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION. AS A RESULT OF THIS TRANSACTIONS, AH AND ITS SUBSIDIARIES, ABINGTON MEMORIAL HOSPITAL, LANSDALE HOSPITAL CORPORATION, AND ABINGTON HEALTH FOUNDATION (COLLECTIVELY, THE "SUBSIDIARIES"), BECAME SUBSIDIARIES OF TJU, CREATING A UNIVERSITY HEALTH SYSTEM, KNOWN AS JEFFERSON, THAT ENCOMPASSES THOMAS JEFFERSON UNIVERSITY PLUS JEFFERSON HEALTH, A NEW COMBINED CLINICAL BRAND FOR FIVE HOSPITALS AND PHYSICIAN NETWORKS WITHIN THE SYSTEM. THOMAS JEFFERSON UNIVERSITY HEALTH SYSTEM ("TJUH SYSTEM") AND TJU FORMED AS AN AFFILIATED GROUP ON JUNE 30, 2014, WITH TJU BECOMING THE SOLE MEMBER OF TJUH SYSTEM. THE BYLAWS OF TJUH SYSTEM HAVE SUBSEQUENTLY CHANGED TO REFLECT THE CHANGES TO THE TJU BYLAWS, INCLUDING TJU BECOMING THE SOLE CORPORATE MEMBER OF AH. THE ORGANIZATION IS UNIQUE IN ITS GOVERNANCE STRUCTURE WITH ONE COMBINED BOARD AND EQUAL REPRESENTATION FROM JEFFERSON AND ABINGTON. RICHARD HEVNER, OF JEFFERSON, WILL BE THE CHAIR FOR THE FIRST TWO YEARS FOLLOWED BY CHAIR-ELECT STEPHEN CRANE, OF ABINGTON. TWO INDEPENDENT DIRECTORS HAVE ALSO BEEN APPOINTED. THOMAS JEFFERSON UNIVERSITY HEALTH SYSTEM ("TJUH SYSTEM") AND TJU FORMED AS AN AFFILIATED GROUP ON JUNE 30, 2014, WITH TJU BECOMING THE SOLE MEMBER OF TJUH SYSTEM. TJUH SYSTEM IS THE SOLE MEMBER OF TJUH. OF TJUH. FORM 990, PART VI, LINES 6 & 7 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. FORM 990, PART VI, LINE 11B 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, LINE 12C ANNUAL CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY THE BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND KEY REPRESENTATIVES OF TJUH. ALL CONFLICTS ARE REFERRED TO THE CORPORATE COMPLIANCE OFFICER FOR RESOLUTION. THE CHAIRMAN OF THE BOARD AND THE PRESIDENT OF TJUH ARE RESPONSIBLE FOR MONITORING THE CONDUCT OF AND DISCLOSURE BY KEY REPRESENTATIVES AND THEY IDENTIFY, ADDRESS, AND/OR RESOLVE ACTUAL OR POTENTIAL CONFLICTS IN CONSULTATION WITH LEGAL COUNSEL AND/OR THE CORPORATE COMPLIANCE OFFICER. IF DEEMED NECESSARY OR ADVISABLE, INDIVIDUAL CASES MAY BE REFERRED TO THE FULL BOARD OR A COMMITTEE THEREOF FOR RESOLUTION. FORM 990, PART VI, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE OFFICERS AND KEY employees of TJUH uses several external market survey data providers such as Mercer Sullivan Cotter, and Gallagher Surveys. The salaries in the surveys are anonymous and contain several other participating organizations in healthcare. The TJU Board hires and determines the base and incentive compensation for the President of TJUH. (In his role as President for TJUH System). While presidents are not officers or employees of the TJU legal entity itself, they do report to the TJU CEO. TJUH formulates market data sheets by sharing the 25th, 50th, and 75th percentiles. For compensation, TJUH targets the 50th percentile of the market. However lower and higher percentiles may be used depending upon a candidate's depth of experience. TJUH also targets organizations such as teaching hospitals, those from northeastern U.S.A., and those with revenue greater than one billion dollars as a gauge for determining compensation ranges. FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCREASE IN PENSION LIABILITY (30,752,422) CHANGE IN NONCONTROLLING INTEREST IN JOINT VENTURE 438,316 TEMPORARILY RESTRICTED UNREALIZED GAINS 829,363 CHANGE IN ASSETS HELD BY AFFILIATED FOUNDATION 219,902 DONATED CAPITAL RECEIVED 4,215 EQUITY TRANSFERS 8,134,536 NET ASSETS RELEASED FROM RESTRICTION - PURCHASE OF P,P&E - UNRESTRICTED 411,840 NET ASSETS RELEASED FROM RESTRICTION - PURCHASE OF P,P&E - TEMPORARILY RESTRICTED (411,840) PERM. RESTRICTED UNREALIZED LOSS ON EXTERNALLY HELD TRUSTS (99,993) 6/30/14 JURA AND JCCC BALANCE SHEET 396,758 ------------- TOTAL $ (20,829,325) ============= JEFF UNIV RADIOLOGY ASSOCIATES LLC 840 CRESCENT CTR DR STE 200 FRANKLIN TN 37067 412043518 HEALTHCARE PA 0 0 TJUH TJUH System Inc 111 South 11th Street Philadelphia PA 19107 263026795 Healthcare PA 501(c)(3) 11, II TJU false Emergency Transport Associates Inc 441 North 5TH Street Philadelphia PA 19107 232622004 Healthcare PA 501(c)(3) 9 JEFFEX INC false Jeffex Inc 925 Chestnut Street Suite 311 Philadelphia PA 19107 232622009 Healthcare PA 501(c)(3) 11, I TJUH System false Walnut Home Therapeutics Inc 919 Walnut Street 5th Floor Philadelphia PA 19107 232622006 Healthcare PA 501(c)(3) 9 JEFFEX INC false Suthbreit Properties LTD 2301 South Broad Street Philadelphia PA 19148 232214351 REAL ESTATE PA 501(c)(2) JEFFEX INC false JEFFERSON PHYSICIAN SERVICES 111 South 11th Street Philadelphia PA 19107 233026939 Healthcare PA 501(c)(3) 11, II 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 Jefferson Medical Care PC 111 South 11th Street Philadelphia PA 19107 233537847 Healthcare NJ 501(c)(3) 11, I TJUH System false Jefferson Medical Care 111 South 11th Street Philadelphia PA 19107 232858320 Healthcare PA 501(c)(3) 11, I TJUH System false Methodist Hospital Foundation 2301 South Broad Street Philadelphia PA 19148 232014559 FUNDRAISING PA 501(c)(3) 11, I NA 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 PHYSICIANS OF NJ PC 1020 WALNUT STREET 6TH FL 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 THE JEFFERSON CLUB 1020 LOCUST STREET PHILADELPHIA PA 19107 232167488 SOCIAL CLUB PA 501(C)(3) 11, I NA false TJU CARDIOLOGY RESEARCH FOUNDATION 401 CITY AVENUE NO 525 BALA CYNWYD PA 19004 311695478 FUNDRAISING PA 501(C)(3) 11, I NA false WOMEN'S ASSOC OF METHODIST HOSPITAL 2301 SOUTH BROAD STREET PHILADELPHIA PA 19148 231425057 HEALTHCARE PA 501(C)(3) 11, I NA false Riverview Surg LP 11221 ROE AVENUE SUITE 320 LEAKWOOD KS 66211 263910345 Healthcare PA TJUH Inc RELATED 2595315 3970269 false 0 false 0.50490 Riverview Surg LLC 11221 ROE AVENUE SUITE 320 LEAWOOD KS 66211 263911509 Healthcare PA TJUH INC RELATED 26215 40104 false 0 false 0.51000 1100 WALNUT ASSOC 1020 WALNUT STREET PHILADELPHIA PA 19107 232332396 MEDICAL OFFICE PA NA N/A JEFF 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 TJUH JUP RELATED 20578 436823 false 0 false 0.32500 Jeffcare Inc 211 S 9th St Ste 305 Philadelphia PA 19107 232830152 Healthcare PA TJUH INC C Corporation -243212 42503 1.00000 true The Atrium Corporation 925 Chestnut Street Suite 311 Philadelphia PA 19107 232075587 Healthcare PA NA C Corporation false Healthmark Inc 2301 South 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 InstitutePC 925 Chestnut Street Suite 311 Philadelphia PA 19107 223536371 Healthcare NJ NA C Corporation false Externally Administered Trusts NA TRUST false WALNUT REALTY 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 CORP C/O TJU 601 WALNUT ST PHILADELPHIA PA 19106 223536371 REAL ESTATE PA NA S CORPORATION false JEFFERSON ACUTE CARE PHYSICIANS PC 111 S 11TH ST STE 2210 PHILADELPHIA PA 19107 472639286 HEALTHCARE PA NA C CORPORATION false false false false false false false false false false true true false false false false true true false true METHODIST ASSOCIATES IN HEALTHCARE S 7031933 COST JEFFERSON UNIVERSITY PHYSICIANS J, K, 119612647 COST FORM 990, SCHEDULE R, PART III, LINE 5 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.