JEFFERSON MEDICAL CARE P C: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JEFFERSON MEDICAL CARE P C (EIN 23-2858320)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349301033
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T10:01:47-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232858320EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON MEDICAL CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJEFFNameControl
Phone2155038958Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 chestnut streetAddressLine1
Address Line23rd floorAddressLine2
CityPHILADELPHIACity
StatePAState
ZIP Code19107ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGEORGE T RIZZUTOName
TitleTREASURERTitle
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD WENDER MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1925 CHESTNUT STREETAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19107ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7440293GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionSEE ATTACHMENT 1ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year200ContributionsGrantsPriorYear
Contributions Grants Current Year200ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6328881ProgramServiceRevenuePriorYear
Program Service Revenue CY7440093ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6329081TotalRevenuePriorYear
Total Revenue Current Year7440293TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3183331SalariesEtcPriorYear
Salaries Etc Current Year3981357SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3625155OtherExpensePriorYear
Other Expenses Current Year3989334OtherExpensesCurrentYear
Total Expenses Prior Year6808486TotalExpensesPriorYear
Total Expenses Current Year7970691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-479405RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-530398RevenuesLessExpensesCY
Total Assets BOY1978770TotalAssetsBOY
Total Assets EOY2355728TotalAssetsEOY
Total Liabilities BOY10423308TotalLiabilitiesBOY
Total Liabilities EOY11330664TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-8444538NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-8974936NetAssetsOrFundBalancesEOY
Mission DescriptionSEE ATTACHMENT 1MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7309847Expense
Revenue7440093Revenue
DescriptionJEFFERSON 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 THOMAS JEFFERSON UNIVERSITY (TJU), TJUH, INC., AND THE JEFFERSON HEALTH SYSTEM (JHS); B)FURNISHING LABORATORY, ANESTHESIOLOGY, RADIOLOGY, AND CLINICAL SUPPORT OF SUCH MEDICAL AND SURGICAL PRACTICE; C)ENGAGING IN THE MEDICAL EDUCATION AND RESEARCH IN CONJUNCTION WITH TJUH, INC. BY PROVIDING PHYSICIANS AND SURGEONS TO SERVE AS MEMBERS OF THE FACULTY OF TJU CONDUCTING MEDICAL TRAINING AS AN ADJUNCT TO THEIR CLINICAL ACTIVITIES; D)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, INC.; E)ESTABLISHING AND ACQUIRING NEW MEDICAL PRACTICES AS PART OF JHS' INTEGRATED DELIVERY SYSTEM OF PROVIDING HOSPITAL AND MEDICAL CARE.Description
Total Program Service Expense7309847TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJACQUELINE GUILFOYLENamePerson
Telephone Number2155038958TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1CONTROLLER TJUH INC 601 WALNUT STAddressLine1
CityPHILACity
StatePAState
ZIP Code19106ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RICHARD C WENDER MD
PRESIDENT2.0XX000
GENO J MERLI MD
VICE PRESIDENT2.0XX000
THEODORE A CHRISTOPHER MD
TRUSTEE2.0X000
GEORGE T RIZZUTO
SECRETARY & TREASURER2.0X028102432513
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs281024TotalReportableCompFrmRltdOrgs
Total Other Compensation32513TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonJEFFERSON UNIV PHYSICIANS BUSINESSNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 CHESTNUT STREET 14TH FLOORAddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19106ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesIDX BILLING FEESDescriptionOfServices
Compensation392728Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions200AllOtherContributions
Total Contributions200TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE REVENUE71646777164677
TEACHING INCOME144533144533
DIRECTORSHIP INCOME126816126816
OTHER REVENUE40674067
FieldValueIRS element (for citing)
Total Program Service Revenue7440093TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7440293TotalRevenueColumn
Related Or Exempt Function Income7440093RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3143198Total
Program Services2877965ProgramServices
Management And General265233ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total701684Total
Program Services627254ProgramServices
Management And General74430ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total136475Total
Program Services128829ProgramServices
Management And General7646ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total33260Total
Management And General33260ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3945Total
Program Services3945ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total392728Total
Program Services392728ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5468Total
Program Services5468ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85847Total
Program Services85847ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total542845Total
Program Services542845ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total8716Total
Program Services8716ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3285Total
Program Services3285ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total1200Total
Management And General1200ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total139401Total
Management And General139401ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total137616Total
Management And General137616ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES1523646152364600
BAD DEBT55160655160600
MEDICAL SUPPLIES36338536338500
TELEPHONE37831376142170
DUES & FEES305673056700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total127988Total
Program Services126147ProgramServices
Management And General1841ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7970691Total
Program Services7309847ProgramServices
Management And General660844ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4346BOY
EOY500EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY738033BOY
EOY840595EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY402BOY
EOY17359EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2616254LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1198980LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1235989BOY
EOY1417274EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY80000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1978770BOY
EOY2355728EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY565060BOY
EOY712075EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY60000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9858248BOY
EOY10558589EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10423308BOY
EOY11330664EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-8444538BOY
EOY-8974936EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-8444538BOY
EOY-8974936EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1978770BOY
EOY2355728EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-530398ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1THOMAS JEFFERSON UNIVERSITY HOSPITALS INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN232829095EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1499826OtherCostOrOtherBasis
Depreciation761698Depreciation
Book Value738128BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1116429OtherCostOrOtherBasis
Depreciation437283Depreciation
Book Value679146BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings1417274TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THOMAS JEFFERSON UNIVERSITYDescription
Amount$10,558,589Amount
FieldValueIRS element (for citing)
Total Of Amounts10558589TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonGEORGE T RIZZUTONamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs215105CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs44112BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs21807OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs26950DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs5563NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs313537TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINE 7 - NON-FIXED PAYMENTSIdentifier
ExplanationA 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, LINE 6&7TJUH Health Affiliates 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 approval of directors and certain transactions. FORM 990, PART VI, LINE 11A THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF Thomas Jefferson University Hospitals, Inc.(TJUH,INC.), an affiliate of JEFFERSON MEDICAL CARE. IT IS THEN PRovided TO THE BOARD OF JEFFERSON MEDICAL CARE BEFORE FILING. FORM 990, PART VI, LINE 12C ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED BY THE BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND KEY REPRESENTATIVES OF JEFFERSON MEDICAL CARE. ALL CONFLICTS ARE REFERRED TO THE CORPORATE COMPLIANCE OFFICER OF TJUH, INC. Form 990, Part VI, Section B, Lines 15a and 15b Jefferson Medical Care and its affiliates do not compensate any officer, director, trustee, or key employee as listed on from 990, Part VII. Form 990, part vi, section c, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. JEFFERSON MEDICAL CARE MAINTAINS A RELATIONSHIP WITH THOMAS JEFFERSON UNIVERSITY WITH REGARDS TO clinical SUPPORT.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:GEORGE T RIZZUTO TITLE:SECRETARY & TREASURER HOURS:54FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
EMERGENCY TRANSPORT ASSOCIATES INC
414 NORTH 5TH STREETPHILADELPHIAPA19107232622004HEALTHCAREPA501(C)(3)9TJUH SYSTEM
WALNUT HOME THERAPEUTICS INC
919 WALNUT STREET SUITE 311PHILADELPHIAPA19107232622006HEALTHCAREPA501(C)(3)9TJUH SYSTEM
JEFFERSON MEDICAL CARE PC
925 CHESTNUT STREET SUITE 311PHILADELPHIAPA19107233537847HEALTHCAREPA501(C)(3)11TJUH SYSTEM
JEFFEX INC
925 CHESTNUT STREET 3RD FLOORPHILADELPHIAPA19107232622009HEALTHCAREPA501(C)(3)11TJUH SYSTEM
JEFFQUIP INC
12 CREEK PARKWAYBOOTHWYNPA19061232622001HEALTHCAREPA501(C)(3)9TJUH SYSTEM
METHODIST ASSOCIATES IN HEALTHCARE INC
2301 SOUTH BROAD STREETPHILADELPHIAPA19148232678055HEALTHCAREPA501(C)(3)11TJUH SYSTEM
SUTHBREIT PROPERTIES LTD
2301 SOUTH BROAD STREETPHILADELPHIAPA19148232214351HEALTHCAREPA501(C)(2)TJUH SYSTEM
THOMAS JEFFERSON UNIV HOSPITALS INC
111 SOUTH 11TH STREETPHILADELPHIAPA19107232829095HEALTHCAREPA501(C)(3)3TJUH SYSTEM
TJUH HEALTH AFFILIATES
925 CHESTNUT STREET SUITE 311PHILADELPHIAPA19107233026939HEALTHCAREPA501(C)(3)11TJUH SYSTEM
TJUH SYSTEM INC
111 SOUTH 11TH STREETPHILADELPHIAPA19107263026795HEALTHCAREPA501(C)(3)11JHS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1REVIEW SURG CTRBusinessNameLine1
FieldValueIRS element (for citing)
EIN263910345EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StatePALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TJUH INCBusinessNameLine1
FieldValueIRS element (for citing)
Share Of Total Income174965ShareOfTotalIncome
Share Of EOY Assets9121525ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
JEFFCARE INC
211 S 9TH STREET SUITE 305PHILADELPHIAPA19107232830152HEALTHCAREPATJUH SYSTEM INCC CORPORATION-313798796081.00000
THE ATRIUM CORPORATION
925 CHESTNUT STREET SUITE 311PHILADELPHIAPA19107232075587HEALTHCAREPATJUH SYSTEM INCC CORPORATION2068008984381.00000
HEALTHMARK INC
2301 S BROAD STREETPHILADELPHIAPA19148232259593HEALTHCAREPATJUH SYSTEM INCC CORPORATION-885102258451.00000
MID-ATLANTIC MATERNAL FETAL INSTITUTE
925 CHESTNUT STREET SUITE 311PHILADELPHIAPA19107232922471HEALTHCAREPATJUH AFFILIATESC CORPORATION001.00000
MID-ATLANTIC MATERNAL FETAL INSTITUTE PC
925 CHESTNUT STREET SUITE 311PHILADELPHIAPA19107223536371HEALTHCAREPATJUH AFFILIATESC CORPORATION001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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