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KENNEDY MEDICAL GROUP PRACTICE PC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KENNEDY MEDICAL GROUP PRACTICE PC (EIN 46-1420853)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202331359349308838
Schema version
2021v4.2
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)
Return2023-05-15T12:35:55-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11835 MARKET STREET SUITE 1710AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191032945ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461420853EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KENNEDY MEDICAL GROUP PRACTICE PCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONALD C KELLER CPAInCareOfNm
Business Name ControlKENNBusinessNameControlTxt
Phone8566615100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MARKET STREET SUITE 2004AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN MORDACHPersonNm
Person TitleEVP CFOPersonTitleTxt
Phone2152456040PhoneNum
Signature2023-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastMORDACHPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone2155462140PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerEDMUND PRIBITKIN MD MBAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11020 WALNUT STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$91,785,357GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JEFFERSONHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO OPERATE AS A NETWORK AND PROVIDE THE HIGHEST QUALITY PRIMARY AND SPECIALTY HEALTHCARE SERVICES THROUGHOUT SOUTH JERSEY IN SUPPORT OF TJU/JEFFERSON HEALTH.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee871TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,771,510PYContributionsGrantsAmt
CY Contributions Grants$2,074,989CYContributionsGrantsAmt
PY Program Service Revenue$84,730,695PYProgramServiceRevenueAmt
CY Program Service Revenue$89,696,389CYProgramServiceRevenueAmt
PY Investment Income$586PYInvestmentIncomeAmt
CY Investment Income$5,957CYInvestmentIncomeAmt
PY Other Revenue$50,325PYOtherRevenueAmt
CY Other Revenue$8,022CYOtherRevenueAmt
PY Total Revenue$86,553,116PYTotalRevenueAmt
CY Total Revenue$91,785,357CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$95,768,293PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$100,060,177CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$24,877,306PYOtherExpensesAmt
CY Other Expenses$25,505,632CYOtherExpensesAmt
PY Total Expenses$120,645,599PYTotalExpensesAmt
CY Total Expenses$125,565,809CYTotalExpensesAmt
PY Revenues Less Expenses-$34,092,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,780,452CYRevenuesLessExpensesAmt
Total Assets BOY$26,969,347TotalAssetsBOYAmt
Total Assets EOY$22,169,592TotalAssetsEOYAmt
Total Liabilities BOY$74,933,841TotalLiabilitiesBOYAmt
Total Liabilities EOY$103,914,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$47,964,494NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$81,744,946NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION OPERATES AS A NETWORK WHICH PROVIDES THE HIGHEST QUALITY PRIMARY AND SPECIALTY HEALTHCARE SERVICES THROUGHOUT SOUTH JERSEY. ADDITIONALLY, THE ORGANIZATION OPERATES IN FURTHERANCE OF THE CHARITABLE PURPOSES OF KENNEDY UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$123,991,981ExpenseAmt
Grant$0GrantAmt
Revenue$89,918,183RevenueAmt
DescEXPENSES INCURRED IN PROVIDING PHYSICIAN SERVICES, 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 AND JEFFERSON HEALTH AFFILIATES.Desc
Total Program Service Expenses$123,991,981TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee871EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRONALD C KELLER CPAPersonNm
Phone2155038344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MARKET STREET STE 2004AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19107ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROBIN WILSON-SMITH DO
GYNECOLOGIC ONCOLOGIST55.00.0Yes (X)$776,565$0$27,685
DONALD MCMAHON DO
GASTROENTEROLOGIST55.00.0Yes (X)$660,354$0$25,004
DAVID W GOLDSTEIN DO
RADIOLOGIST55.00.0Yes (X)$651,295$0$15,778
LINDA SZCZUREK DO
SURGEON55.00.0Yes (X)$626,036$0$25,071
ROBERT PRINCIPATO DO
RADIOLOGIST55.00.0Yes (X)$585,765$0$25,004
ALEXANDER D SHARNOFF ESQ
SECRETARY55.00.0$0$292,764$26,048Yes (X)
EDMUND PRIBITKIN MD MBA
CHAIR - TRUSTEE55.00.0$0$0$0Yes (X)Yes (X)
STEPHEN V DESTEFANO CPA
TREASURER55.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,300,015TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$292,764TotReportableCompRltdOrgAmt
Total Other Compensation$144,590TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K150IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDICENTRIX LLC
3600 ROUTE 66 3RD FLOORNEPTUNENJ07753COLLECTION$3,949,295
THOMAS JEFFERSON UNIVERSITY
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107CORPORATE SVCS$1,934,136
JAN-PRO CLEANING SYS
410 WHITE HORSE PIKEHADDON HEIGHTSNJ08035CLEANING$273,241
GLOBAL WIRELESS HEALTHCARE LLC
717 SHORE ROADSOMERS POINTNJ08244ANSWERING SERVICE$161,208
BWM CONSTRUCTION LLC
88 SOUTH LAKEVIEW DRIVE SUITE 3GIBBSBORONJ08026CONSTRUCTION$157,416
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$1,615,696GovernmentGrantsAmt
All Other Contributions$459,293AllOtherContributionsAmt
Total Contributions$2,074,989TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621112$63,095,950$63,095,950
PHYSICIAN PRACTICE SUPPORT621112$23,591,838$23,591,838
OTHER HEALTHCARE RELATED REVENUE621112$3,008,601$3,008,601
FieldValueIRS element (for citing)
Total Program Service Revenue$89,696,389TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,957TotalRevenueColumnAmt
Exclusion$5,957ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,022RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,022RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,022TotalRevenueColumnAmt
Exclusion$8,022ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,785,357TotalRevenueColumnAmt
Related Or Exempt Func Income$89,696,389RelatedOrExemptFuncIncomeAmt
Exclusion$13,979ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,786,653TotalAmt
Program Services$82,097,192ProgramServicesAmt
Management And General$689,461ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,851,522TotalAmt
Program Services$2,823,646ProgramServicesAmt
Management And General$27,876ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,225,299TotalAmt
Program Services$9,135,113ProgramServicesAmt
Management And General$90,186ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,196,703TotalAmt
Program Services$5,145,901ProgramServicesAmt
Management And General$50,802ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,744TotalAmt
Program Services$21,709ProgramServicesAmt
Management And General$25,035ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,594TotalAmt
Management And General$4,594ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,846,130TotalAmt
Program Services$11,502,061ProgramServicesAmt
Management And General$344,069ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$44,116TotalAmt
Program Services$2,826ProgramServicesAmt
Management And General$41,290ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$873,340TotalAmt
Program Services$830,972ProgramServicesAmt
Management And General$42,368ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,790TotalAmt
Program Services$28,475ProgramServicesAmt
Management And General$10,315ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,617,889TotalAmt
Program Services$4,581,755ProgramServicesAmt
Management And General$36,134ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$113,990TotalAmt
Program Services$112,304ProgramServicesAmt
Management And General$1,686ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,505TotalAmt
Program Services$47,196ProgramServicesAmt
Management And General$1,309ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$45TotalAmt
Management And General$45ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,047,637TotalAmt
Program Services$1,046,494ProgramServicesAmt
Management And General$1,143ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,679,990TotalAmt
Program Services$1,679,863ProgramServicesAmt
Management And General$127ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,772,630$3,768,547$4,083
REPAIRS & MAINTENANCE$346,852$163,994$182,858
DUES & SUBSCRIPTIONS$231,150$210,703$20,447
OTHER EXPENSES$793,230$793,230

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$125,565,809TotalAmt
Program Services$123,991,981ProgramServicesAmt
Management And General$1,573,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,362,430BOYAmt
EOY$2,136,463EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,657,010BOYAmt
EOY$2,011,442EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$366,579BOYAmt
EOY$361,870EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$218,154BOYAmt
EOY$310,355EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,831,486LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,955,928LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,185,384BOYAmt
EOY$5,875,558EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,179,790BOYAmt
EOY$11,473,904EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,969,347BOYAmt
EOY$22,169,592EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,963,028BOYAmt
EOY$14,157,703EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$623,500BOYAmt
EOY$603,488EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,347,313BOYAmt
EOY$89,153,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,933,841BOYAmt
EOY$103,914,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$47,964,494BOYAmt
EOY-$81,744,946EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$47,964,494BOYAmt
EOY-$81,744,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,969,347BOYAmt
EOY$22,169,592EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$33,780,452ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,756CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$790,038CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$819,023CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,771,510CurrentTaxYearMinus1YearAmt
Current Tax Year$1,853,195CurrentTaxYearAmt
Total$5,522,522TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,874,321CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$80,723,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,373,807CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$84,730,695CurrentTaxYearMinus1YearAmt
Current Tax Year$89,918,183CurrentTaxYearAmt
Total$380,620,083TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,163,077CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$81,513,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,192,830CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,502,205CurrentTaxYearMinus1YearAmt
Current Tax Year$91,771,378CurrentTaxYearAmt
Total$386,142,605TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,977,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,506,774CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,448,987CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,418,363CurrentTaxYearMinus1YearAmt
Current Tax Year$23,591,838CurrentTaxYearAmt
Total$76,943,729TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,977,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,506,774CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,448,987CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,418,363CurrentTaxYearMinus1YearAmt
Current Tax Year$23,591,838CurrentTaxYearAmt
Total$76,943,729TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$309,198,876PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,066CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,308CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,911CurrentTaxYearMinus1YearAmt
Current Tax Year$13,979CurrentTaxYearAmt
Total$271,944TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,066CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,308CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,911CurrentTaxYearMinus1YearAmt
Current Tax Year$13,979CurrentTaxYearAmt
Total$271,944TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,195,143CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$81,584,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,296,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,553,116CurrentTaxYearMinus1YearAmt
Current Tax Year$91,785,357CurrentTaxYearAmt
Total$386,414,549TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.80017PublicSupportCY509Pct
Public Support PY5090.78368PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00091InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,690OtherCostOrOtherBasisAmt
Depreciation$1,948DepreciationAmt
Book Value$9,742BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,554,187OtherCostOrOtherBasisAmt
Depreciation$1,404,364DepreciationAmt
Book Value$3,149,823BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,763,030OtherCostOrOtherBasisAmt
Depreciation$2,549,616DepreciationAmt
Book Value$2,213,414BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$502,579OtherCostOrOtherBasisAmt
Book Value$502,579BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,875,558TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INSURANCE RECOVERABLE$4,328,000
RIGHT OF USE ASSET$7,145,904
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,473,904TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED MALPRACTICE LIABILITY$7,253,000
DUE TO AFFILIATES$74,447,852
RIGHT OF USE LIABILITY$7,452,495
FieldValueIRS element (for citing)
Total Liability$89,153,347TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBIN WILSON-SMITH DO
GYNECOLOGIC ONCOLOGIST$529,053$0$0$0$247,512$0$0$0$27,685$0$804,250$0$0$0
DONALD MCMAHON DO
GASTROENTEROLOGIST$542,985$0$0$0$117,369$0$0$0$25,004$0$685,358$0$0$0
DAVID W GOLDSTEIN DO
RADIOLOGIST$644,204$0$0$0$7,091$0$0$0$15,778$0$667,073$0$0$0
LINDA SZCZUREK DO
SURGEON$362,386$0$34,000$0$229,650$0$0$0$25,071$0$651,107$0$0$0
ROBERT PRINCIPATO DO
RADIOLOGIST$569,185$0$0$0$16,580$0$0$0$25,004$0$610,769$0$0$0
ALEXANDER D SHARNOFF ESQ
SECRETARY$0$232,451$0$57,863$0$2,450$0$0$0$26,048$0$318,812$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VII AND SCHEDULE JTAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2021 FORMS W-2.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE BASED UPON THE ATTAINMENT OF QUALITY GOALS, STRATEGIC OPERATIONAL INITIATIVES AND FINANCIAL PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLORETTA CIERVO DOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEM. OF FORM. OFF.RelationshipDescriptionTxt
Transaction$37,644TransactionAmt
TransactionEMPLOYEETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART I, LINES 3 & 4 & PART VI, SECTION A; Q'S 1A & 1BTHE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. AS REFLECTED ON CORE FORM, PART I, LINES 3 AND 4 AND ALSO IN PART VI, LINES 1A AND 1B, THERE IS ONE VOTING MEMBER ON THE BOARD OF TRUSTEES AS OF JUNE 30, 2022. THIS VOTING MEMBER IS NOT INDEPENDENT DUE TO THE FACT THAT HE IS EMPLOYED BY AN AFFILIATE WITHIN THE SYSTEM AND RECEIVES COMPENSATION IN HIS ROLE. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF TRUSTEES UNDER THE INTERNAL REVENUE SERVICE DEFINITIONS; THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CONTROLLED BY THOMAS JEFFERSON UNIVERSITY; WHICH IS GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS.
CORE FORM, PART V, QUESTION 15EDMUND PRIBITKIN, M.D., MBA IS A VOTING MEMBER/OFFICER OF THE ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. DR. PRIBITKIN IS ALSO THE PRESIDENT OF JEFFERSON UNIVERSITY PHYSICIANS; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH JEFFERSON UNIVERSITY PHYSICIANS. DR. PRIBITKIN PROVIDES LICENSED MEDICAL SERVICES, AS WELL AS NON-CLINICAL SERVICES. DURING 2021, JEFFERSON UNIVERSITY PHYSICIANS WAS NOT REQUIRED TO FILE A FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. PRIBITKIN BECAUSE THE PORTION OF HIS COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960.
CORE FORM, PART VI, SECTION A; QUESTION 3THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY ("TJU") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM. AS THE PARENT ORGANIZATION OF THE SYSTEM TJU PROVIDES VARIOUS CORPORATE RELATED SERVICES FOR THE BENEFIT OF VARIOUS SYSTEM ENTITIES; INCLUDING THIS ORGANIZATION. THESE CORPORATE SERVICES, INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. TJU ALLOCATES A PERCENTAGE OF ITS TOTAL CORPORATE RELATED SERVICES COSTS TO VARIOUS SYSTEM ENTITIES, INCLUDING THIS ORGANIZATION, AS REIMBURSEMENT FOR THESE CORPORATE RELATED SERVICES. THE REIMBURSEMENT TO TJU IS REFLECTED AS AN EXPENSE FOR THESE ORGANIZATIONS.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7KENNEDY HEALTH SYSTEM, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS.
CORE FORM, PART VI, SECTION B; QUESTION 11BThe organization is an affiliate within Thomas Jefferson University/Jefferson Health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("System"), with a tripartite mission of education, research and patient care. The organization's federal form 990 was made available to each voting member of the organization's governing body prior to filing of the form 990 with the Internal Revenue Service ("IRS"). As part of the tax return preparation process the organization hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The CPA firm's tax professionals worked closely with the System's finance personnel and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal form 990 and furnished it to the System's internal working group for their review. The internal working group reviewed the draft Federal form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft Federal form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review. Following this review, the form 990 was provided to the organization's governing body prior to filing with the IRS. In addition, the CPA firm made a presentation to the Thomas Jefferson University's finance, assurance & compliance committee regarding the System's Forms 990 together with a healthcare industry tax update.
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT-OF-INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF TRUSTEES. THE CONFLICT-OF-INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION 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 CONFLICT-OF-INTEREST POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE SYSTEM'S 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. THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENT'S ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH THEY ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT THEY WILL ABIDE BY THE SYSTEM'S 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. ALL PERSONS COVERED UNDER THE ORGANIZATION'S 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 SYSTEM MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE SYSTEM ALSO COMPILES AND ISSUES A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THEREAFTER, THE BOARD OF TRUSTEES ITSELF OR THROUGH DELEGATION TO TJU'S FINANCE, ASSURANCE & COMPLIANCE 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 BOARD'S 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 MAY 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, ALL REQUIRED DISCLOSURES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S REGULATIONS AND INSTRUCTIONS ARE REPORTED ON THE ORGANIZATION'S FEDERAL FORM 990.
CORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST PRACTICES IN CORPORATE GOVERNANCE. THOMAS JEFFERSON UNIVERSITY'S BOARD OF TRUSTEES HAS A COMPENSATION AND HUMAN CAPITAL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE SYSTEM'S EXECUTIVE COMPENSATION, INCLUDING ARRANGEMENTS COVERING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, 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 COMMITTEE'S 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 COMMITTEE'S DECISIONS ARE MADE IN ACCORDANCE WITH SYSTEM'S COMPENSATION PHILOSOPHY, WHICH SUPPORTS THE OBJECTIVE OF ATTRACTING, RETAINING AND MOTIVATING TALENTED INDIVIDUALS WHO HAVE THE APPROPRIATE EXPERIENCE AND SKILLS TO ACHIEVE THE INSTITUTION'S OBJECTIVES. ON AN ANNUAL BASIS THE COMMITTEE REVIEWS APPROPRIATE COMPARABILITY DATA FOR SIMILAR INSTITUTIONS THAT REFLECT THE MISSION, SCOPE AND COMPLEXITY OF THE ORGANIZATION 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/CHIEF EXECUTIVE OFFICER AND OTHER SENIOR EXECUTIVES BASED ON MARKET PRACTICES, AN ASSESSMENT OF PERFORMANCE AND OTHER BUSINESS JUDGMENT FACTORS. THE EXECUTIVE COMPENSATION INCLUDES INCENTIVE PAY, PURSUANT TO WHICH EXECUTIVES ARE REWARDED BASED ON THE ACHIEVEMENT OF THE SYSTEM, ENTITY AND INDIVIDUAL PERFORMANCE GOALS THAT ARE ESTABLISHED IN ADVANCE OF THE PERFORMANCE PERIOD. THESE GOALS ARE LINKED TO SYSTEM'S 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.
CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE JCORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S GOVERNING BODY.
CORE FORM, PART VII AND SCHEDULE JEDMUND PRIBITKIN, M.D., MBA, IS THE NOMINEE OWNER OF THIS ORGANIZATION DUE TO THE NEW JERSEY CORPORATE PRACTICE OF MEDICINE RULES AND REGULATIONS. AS SUCH, HE SERVES AS THE SOLE VOTING MEMBER/OFFICER OF THE ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. DR. PRIBITKIN IS ALSO THE PRESIDENT OF JEFFERSON UNIVERSITY PHYSICIANS; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH JEFFERSON UNIVERSITY PHYSICIANS. ACCORDINGLY, HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE JEFFERSON UNIVERSITY PHYSICIANS (EIN: 23-2809585) FEDERAL FORM 990. PLEASE REFER TO THE JEFFERSON UNIVERSITY PHYSICIANS FEDERAL FORM 990 FOR THIS INFORMATION. STEPHEN V. DESTEFANO, CPA IS AN OFFICER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MR. DESTEFANO SERVES AS THE VICE PRESIDENT OF FINANCE FOR JEFFERSON HEALTH - NEW JERSEY, WHICH INCLUDES KENNEDY UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE KENNEDY UNIVERSITY HOSPITAL, INC. (EIN: 22-1773439) FEDERAL FORM 990. PLEASE REFER TO THE KENNEDY UNIVERSITY HOSPITAL, INC. FEDERAL FORM 990 FOR THIS INFORMATION. CARMAN CIERVO, D.O., FACOFP IS A FORMER OFFICER OF THIS ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH KENNEDY UNIVERSITY HOSPITAL, INC. ACCORDINGLY, HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE KENNEDY UNIVERSITY HOSPITAL, INC. (EIN: 22-1773439) FEDERAL FORM 990. PLEASE REFER TO THE KENNEDY UNIVERSITY HOSPITAL, INC. FEDERAL FORM 990 FOR THIS INFORMATION.
CORE FORM, PART VII, SECTION A, COLUMN BTHE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. CERTAIN BOARD MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY AND PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2022 AND JUNE 30, 2021; RESPECTIVELY, AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. TJU'S FINANCE, ASSURANCE & COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THOMAS JEFFERSON UNIVERSITY
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231352651EDUCATIONPA501(C)(3)2NAfalse
TJUH SYSTEM
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107233026795HEALTH SVCS.PA501(C)(3)12BTJUfalse
THOMAS JEFFERSON UNIVERSITY HOSPITALS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232829095HEALTH SVCS.PA501(C)(3)3TJUH SYSTEMfalse
JEFFERSON UNIVERSITY PHYSICIANS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232809585HEALTH SVCS.PA501(C)(3)12ATJUH SYSTEMfalse
JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107464855345HEALTH SVCS.NJ501(C)(3)12AJUPfalse
JEFFERSON PHYSICIAN SERVICES
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107233026939HEALTH SVCS.PA501(C)(3)12BTJUH SYSTEMfalse
JEFFERSON CLUB AKA JEFF FACULTY CLUB
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232167488HEALTH SVCS.PA501(c)(3)12ATJUfalse
JEFFERSON MEDICAL CARE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232858320HEALTH SVCS.PA501(C)(3)12AJPSfalse
METHODIST ASSOCIATES IN HEALTHCARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232678055HEALTH SVCS.PA501(C)(3)12ATJUH SYSTEMfalse
METHODIST ASSOC IN HEALTHCARE OF NJ PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107223537847HEALTH SVCS.NJ501(c)(3)12AMAHCfalse
JEFFEX INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622009HEALTH SVCS.PA501(C)(3)12ATJUH SYSTEMfalse
EMERGENCY TRANSPORT ASSOCIATES INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622004HEALTH SVCS.PA501(C)(3)10JEFFEX INCfalse
WALNUT HOME THERAPEUTICS INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622006HEALTH SVCS.PA501(C)(3)10JEFFEX INCfalse
SUTHBREIT PROPERTIES LTD
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232214351REAL ESTATEPA501(c)(2)JEFFEX INCfalse
ABINGTON HEALTH
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107271243803HEALTH SVCS.PA501(C)(3)12BTJUfalse
ABINGTON MEMORIAL HOSPITAL
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231352152HEALTH SVCS.PA501(C)(3)3AHfalse
LANSDALE HOSPITAL CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107263359979HEALTH SVCS.PA501(c)(3)3AHfalse
ABINGTON HEALTH FOUNDATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232188052FUNDRAISINGPA501(C)(3)7AHfalse
JEFFERSON HEALTH - NORTHEAST SYSTEM
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232239131HEALTH SVCS.PA501(C)(3)12BTJUfalse
JEFFERSON HEALTH - NORTHEAST
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107230596940HEALTH SVCS.PA501(C)(3)3JHNESfalse
ARIA HEALTH PHYSICIAN SERVICES
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232691968HEALTH SVCS.PA501(C)(3)3JHNESfalse
ARIA HEALTH ORTHOPAEDICS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107460779942HEALTH SVCS.PA501(C)(3)10JHNESfalse
JEFFERSON HEALTH - NORTHEAST FOUNDATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107237318683FUNDRAISINGPA501(C)(3)12AJHNEfalse
PHILADELPHIA UNIVERSITY
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231352294EDUCATIONPA501(C)(3)2TJUfalse
KENNEDY HEALTH SYSTEM INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442036HEALTH SVCS.NJ501(C)(3)7TJUfalse
KENNEDY UNIVERSITY HOSPITAL INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107221773439HEALTH SVCS.NJ501(C)(3)3KHSfalse
KENNEDY HEALTH CARE FOUNDATION INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107800550282FUNDRAISINGNJ501(C)(3)7KHSfalse
KENNEDY PROPERTY CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442034REAL ESTATENJ501(C)(3)12AKHSfalse
STAT MEDICAL TRANSPORT INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222443981HEALTH SVCS.NJ501(C)(3)10KHSfalse
KENNEDY HEALTH FACILITIES INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442032HEALTH SVCS.NJ501(C)(3)12AKHSfalse
MAGEE REHABILITATION HOSPITAL
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231476328HEALTH SVCS.PA501(C)(3)3TJUfalse
ALBERT EINSTEIN HEALTHCARE NETWORK
5501 OLD YORK ROADPHILADELPHIAPA19141232290323MANAGEMENTPA501(C)(3)12ATJUfalse
ALBERT EINSTEIN MEDICAL CENTER
5501 OLD YORK ROADPHILADELPHIAPA19141231396794HEALTH SVCS.PA501(C)(3)3AEHNfalse
BCCT OVER CORP
5501 OLD YORK ROADPHILADELPHIAPA19141231352200HEALTH SVCS.PA501(C)(3)3AEHNfalse
EINSTEIN COMMUNITY HEALTH ASSOCIATES
5501 OLD YORK ROADPHILADELPHIAPA19141232760086HEALTH SVCS.PA501(C)(3)12AAEHNfalse
EINSTEIN MEDICAL CENTER MONTGOMERY
559 WEST GERMANTOWN PIKEEAST NORRITONPA19403204193243HEALTH SVCS.PA501(C)(3)3AEHNfalse
EINSTEIN PRACTICE PLAN INC
5501 OLD YORK ROADPHILADELPHIAPA19141232664784HEALTH SVCS.PA501(C)(3)12AAEHNfalse
FORNANCE PHYSICIAN SERVICES INC
1330 POWELL STREET NO 509NORRISTOWNPA19401232275991HEALTH SVCS.PA501(C)(3)12AAEHNfalse
GHMC MANAGEMENT INC
101 EAST OLNEY AVENUEPHILADELPHIAPA19120232225809MANAGEMENTPA501(C)(3)12AAEMCfalse
MONTGOMERY HEALTH FOUNDATION
5501 OLD YORK ROADPHILADELPHIAPA19141222456265FUNDRAISINGPA501(C)(3)12BMHCfalse
MONTGOMERY HOSPITAL
5501 OLD YORK ROADPHILADELPHIAPA19141231352193HEALTH SVCS.PA501(C)(3)3AEHNfalse
MONTGOMERY HOSPITAL WORKERS COMP TRUST
5501 OLD YORK ROADPHILADELPHIAPA19141232351775HEALTH SVCS.PA501(C)(3)12AMHCfalse
BROADLINE RISK RETENTION GROUP
100 BANK STREETBURLINGTONVT05401272583356INSURANCEVT501(C)(3)12AAEHNfalse
HEALTH PARTNERS PLANS INC
901 MARKET STREET SUITE 500PHILADELPHIAPA19107232379751INSURANCEPA501(C)(4)JHNEfalse
HEALTH PARTNERS FOUNDATION
901 MARKET STREET SUITE 500PHILADELPHIAPA19107311674587FUNDRAISINGPA501(C)(3)12AHPPfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
1100 WALNUT ASSOC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232332396MEDICAL OFFICEPANA
JEFF UNIV RAD ASSOC
840 CRESCENT CTR DRFRANKLINTN37067412043518HEALTH SVCS.PANA
RIVERVIEW SURG CTR LP
3 CRESCENT DRPHILADELPHIAPA19112263910345HEALTH SVCS.PANA
RIVERVIEW SURG CTR LLC
3 CRESCENT DRPHILADELPHIAPA19112263911509HEALTH SVCS.PANA
ROTHMAN ORTHO SPEC HOSP
11221 ROE AVELEAWOODKS66211270260289HEALTH SVCS.PANA
JEFFHEDGE LLC
1301 2ND AVESEATTLEWA98101453214379INVESTMENTSDENA
JUNIATA MED BLD
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232450132MEDICAL OFFICEPANA
TMB ENTERPRISE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232400586MEDICAL OFFICEPANA
KENNEDY CH SURG
11221 ROE AVELEAWOODKS66211472462625SURGERY CENTERNJNA
MLJH LLC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107821445171MEDICAL SERVICESPANA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
TJU INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232146678REAL ESTATEPANAC CORP.false
WALNUT REALTY CO
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232332416REAL ESTATEPANAC CORP.false
ATRIUM CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232075587HEALTH SVCS.PANAC CORP.false
HEALTHMARK INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232259593HEALTH SVCS.PANAC CORP.false
JEFFCARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232830152HEALTH SVCS.PANAC CORP.false
MID-ATLANTIC MATERNAL FETAL INSTITUTE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232922471INACTIVEPANAC CORP.false
MID-ATLANTIC MATERNAL FETAL INSTITUTE PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107223536371INACTIVENJNAC CORP.false
JEFFERSON PHYSICIAN SVCS OF CALIFORNIA
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107371856786INACTIVECANAC CORP.false
925 WALNUT STREET CORP
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107841657497REAL ESTATEPANAS CORP.false
SYSTEM SERVICE CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232218944HOLDING CO.DENAC CORP.false
TF DEVELOPMENT LTD
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232197865REAL ESTATEPANAC CORP.false
HEALTH CARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107200214524HEALTH SVCS.PANAC CORP.false
KENNEDY MANAGEMENT GROUP INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107223347294MANAGEMENTNJNAC CORP.false
PROFESSIONAL MEDICAL MANAGEMENT INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222559690INACTIVENJNAC CORP.false
KENNEDY ACCESS INCORPORATED
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107472661672INVESTMENTSNJNAC CORP.false
JEFFERSON HLTH NJ DIRECT PRIMARY CARE PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107841980055HEALTH SVCS.NJNAC CORP.false
CMMC INC
1330 POWELL STREETNORRISTOWNPA19401232256479REAL ESTATEPANAC CORP.false
EINSTEIN HEALTHCARE SYSTEMS INC
101 EAST OLNEY AVENUEPHILADELPHIAPA19120232314938INACTIVEPANAC CORP.false
REHAB VENTURES INC
1200 WEST TABOR ROADPHILADELPHIAPA19141232619394INACTIVEPANAC CORP.false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS A MEMBER OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.ExplanationTxt