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KENNEDY MEDICAL GROUP PRACTICE PC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
KENNEDY MEDICAL GROUP PRACTICE PC (EIN 46-1420853)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202011959349300716
Schema version
2018v3.3
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)
Return2020-07-13T07:40:44-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO LOGAN SQUARE SUITE 2001AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191032726ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

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)
PersonPETER L DEANGELIS JRPersonNm
Person TitleEVP CFO/CAOPersonTitleTxt
Signature2020-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.124.179.218IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id22006220201955000148FederalOriginalSubmissionId
Federal Original Submission Id2020-07-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5A0BD2DD5A2D970DE880B7F69397A09FB042BB79AtSubmissionCreationDeviceId
At Submission Filing Device Id28131968D74BCEA433E306B5E7FB3C5959DCA57AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCARMAN CIERVO DO FACOFPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11099 WHITEHORSE ROADAddressLine1Txt
CityVOORHEESCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08043ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,584,795GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNEWJERSEY.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.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee679TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$288,756PYContributionsGrantsAmt
CY Contributions Grants$790,038CYContributionsGrantsAmt
PY Program Service Revenue$38,874,321PYProgramServiceRevenueAmt
CY Program Service Revenue$80,723,077CYProgramServiceRevenueAmt
PY Investment Income$372PYInvestmentIncomeAmt
CY Investment Income$2,502CYInvestmentIncomeAmt
PY Other Revenue$31,694PYOtherRevenueAmt
CY Other Revenue$69,178CYOtherRevenueAmt
PY Total Revenue$39,195,143PYTotalRevenueAmt
CY Total Revenue$81,584,795CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,357CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,537,229PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$68,262,882CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,782,835PYOtherExpensesAmt
CY Other Expenses$22,603,795CYOtherExpensesAmt
PY Total Expenses$39,320,064PYTotalExpensesAmt
CY Total Expenses$90,890,034CYTotalExpensesAmt
PY Revenues Less Expenses-$124,921PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,305,239CYRevenuesLessExpensesAmt
Total Assets BOY$16,923,414TotalAssetsBOYAmt
Total Assets EOY$21,366,377TotalAssetsEOYAmt
Total Liabilities BOY$15,976,019TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,308,977TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$947,395NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,057,400NetAssetsOrFundBalancesEOYAmt
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$81,803,364ExpenseAmt
Grant$23,357GrantAmt
Revenue$80,723,077RevenueAmt
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$81,803,364TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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
IRP Document96IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee679EmployeeCnt
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 DutiesfalseDelegationOfMgmtDutiesInd
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 OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CARMAN CIERVO DO FACOFP
TRUSTEE - EXECUTIVE DIRECTOR55.00.0Yes (X)Yes (X)$0$1,026,876$181,321
GLENN A ZIRBSER
SVP/CHIEF FINANCIAL OFFICER55.00.0Yes (X)$0$534,208$63,685
DAVID W GOLDSTEIN DO
RADIOLOGIST55.00.0$672,609$0$132,561Yes (X)
DOUGLAS B TSAI MD
RADIOLOGIST55.00.0$599,393$0$32,366Yes (X)
ROBERT PRINCIPATO DO
RADIOLOGIST55.00.0$582,707$0$187,609Yes (X)
MARC A NEFF MD
SURGEON55.00.0$538,508$0$22,358Yes (X)
MORRIS M EISEN DO
THORACIC SURGEON55.00.0$482,512$0$166,437Yes (X)
EDWARD SULLIVAN ESQ
FORMER OFFICER55.00.0$0$526,393$242,888Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,875,729TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,087,477TotReportableCompRltdOrgAmt
Total Other Compensation$1,029,225TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K126IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
MEDCENTRIX
3600 ROUTE 66 3RD FLOORNEPTUNENJ07753COLLECTION$2,632,521
ECLINICALWORKS LLC
PO BOX 847950BOSTONMA022847950IT$914,175
BWM CONSTRUCTION LLC
88 SOUTH LAKEVIEW DRIVE SUITE 3GIBBSBORONJ08026CONSTRUCTION$776,663
CONSIDER IT LLC
PO BOX 157MOORESTOWNNJ08054CONSULTING$475,907
DR MEDICAL BILLING CONSULTING
5070 ROUTE 42 TOP FLOORTURNERSVILLENJ08012BILLING$431,965
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$790,038AllOtherContributionsAmt
Total Contributions$790,038TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE541900$55,106,776$55,106,776
PHYSICIAN PRACTICE SUPPORT541900$9,322,622$9,322,622
OTHER HEALTHCARE RELATED REVENUE541900$16,293,679$16,293,679
FieldValueIRS element (for citing)
Total Program Service Revenue$80,723,077TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,502TotalRevenueColumnAmt
Exclusion$2,502ExclusionAmt

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$69,178RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$69,178RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,178TotalRevenueColumnAmt
Exclusion$69,178ExclusionAmt

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$81,584,795TotalRevenueColumnAmt
Related Or Exempt Func Income$80,723,077RelatedOrExemptFuncIncomeAmt
Exclusion$71,680ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$23,357TotalAmt
Program Services$23,357ProgramServicesAmt

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$61,789,166TotalAmt
Program Services$55,610,249ProgramServicesAmt
Management And General$6,178,917ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,255,289TotalAmt
Program Services$1,129,760ProgramServicesAmt
Management And General$125,529ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$969,938TotalAmt
Program Services$872,944ProgramServicesAmt
Management And General$96,994ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,248,489TotalAmt
Program Services$3,823,640ProgramServicesAmt
Management And General$424,849ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,107TotalAmt
Program Services$12,696ProgramServicesAmt
Management And General$1,411ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$141,170TotalAmt
Program Services$127,053ProgramServicesAmt
Management And General$14,117ManagementAndGeneralAmt

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$10,267,093TotalAmt
Program Services$9,240,383ProgramServicesAmt
Management And General$1,026,710ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,606TotalAmt
Program Services$7,745ProgramServicesAmt
Management And General$861ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$948,642TotalAmt
Program Services$853,778ProgramServicesAmt
Management And General$94,864ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,353,059TotalAmt
Program Services$2,117,753ProgramServicesAmt
Management And General$235,306ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$464,750TotalAmt
Program Services$418,275ProgramServicesAmt
Management And General$46,475ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,310TotalAmt
Program Services$41,679ProgramServicesAmt
Management And General$4,631ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$719,143TotalAmt
Program Services$647,228ProgramServicesAmt
Management And General$71,915ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,170,028TotalAmt
Program Services$1,953,025ProgramServicesAmt
Management And General$217,003ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,414,728$3,973,255$441,473
DUES & SUBSCRIPTIONS$307,146$276,432$30,714
REPAIRS & MAINTENANCE$95,489$85,940$9,549
OTHER EXPENSES$653,524$588,172$65,352

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$90,890,034TotalAmt
Program Services$81,803,364ProgramServicesAmt
Management And General$9,086,670ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,240BOYAmt
EOY$5,950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$425,581BOYAmt
EOY$851,031EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,873,985BOYAmt
EOY$9,358,023EOYAmt

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$153,800BOYAmt
EOY$582,750EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$752,364BOYAmt
EOY$975,145EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,230,636LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,118,158LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,910,469BOYAmt
EOY$5,112,478EOYAmt

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$4,802,975BOYAmt
EOY$4,481,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,923,414BOYAmt
EOY$21,366,377EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,951,556BOYAmt
EOY$2,682,765EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,168,048BOYAmt
EOY$1,582EOYAmt

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$10,856,415BOYAmt
EOY$11,624,630EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,976,019BOYAmt
EOY$14,308,977EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$947,395BOYAmt
EOY$7,057,400EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$947,395BOYAmt
EOY$7,057,400EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,923,414BOYAmt
EOY$21,366,377EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,305,239ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$15,415,244OtherChangesInNetAssetsAmt
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 RequiredfalseFederalGrantAuditRequiredInd

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$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,756CurrentTaxYearMinus1YearAmt
Current Tax Year$790,038CurrentTaxYearAmt
Total$1,078,794TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,797,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,852,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,801,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,874,321CurrentTaxYearMinus1YearAmt
Current Tax Year$80,723,077CurrentTaxYearAmt
Total$257,048,709TotalAmt

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$29,797,374CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,852,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,801,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,163,077CurrentTaxYearMinus1YearAmt
Current Tax Year$81,513,115CurrentTaxYearAmt
Total$258,127,503TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,089,561CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,564,623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,658,507CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,977,767CurrentTaxYearMinus1YearAmt
Current Tax Year$8,506,774CurrentTaxYearAmt
Total$56,797,232TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,089,561CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,564,623CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,658,507CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,977,767CurrentTaxYearMinus1YearAmt
Current Tax Year$8,506,774CurrentTaxYearAmt
Total$56,797,232TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$201,330,271PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,066CurrentTaxYearMinus1YearAmt
Current Tax Year$71,680CurrentTaxYearAmt
Total$284,517TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,066CurrentTaxYearMinus1YearAmt
Current Tax Year$71,680CurrentTaxYearAmt
Total$284,517TotalAmt

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$29,872,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,890,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,869,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,195,143CurrentTaxYearMinus1YearAmt
Current Tax Year$81,584,795CurrentTaxYearAmt
Total$258,412,020TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.77911PublicSupportCY509Pct
Public Support PY5090.72893PublicSupportPY509Pct
Investment Income CY0.00110InvestmentIncomeCYPct
Investment Income PY0.00124InvestmentIncomePYPct
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
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,311,872OtherCostOrOtherBasisAmt
Depreciation$249,125DepreciationAmt
Book Value$2,062,747BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,519,152OtherCostOrOtherBasisAmt
Depreciation$869,033DepreciationAmt
Book Value$2,650,119BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$399,612OtherCostOrOtherBasisAmt
Book Value$399,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,112,478TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescOTHER ASSETSDesc
Book Value$4,481,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,481,000TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED MALPRACTICE LIABILITY$5,332,000
DUE TO AFFILIATES$6,292,630
FieldValueIRS element (for citing)
Total Liability$11,624,630TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COLLINGSWOOD TRAVEL SOCCER CLUBBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1317B DAYTON AVEAddressLine1Txt
CityCOLLINGSWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08108ZIPCd
FieldValueIRS element (for citing)
Recipient EIN274283558RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,000CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I; QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.ExplanationTxt

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 PlanYes (true)SupplementalNonqualRtrPlanInd
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 (8 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
CARMAN CIERVO DO FACOFP
TRUSTEE - EXECUTIVE DIRECTOR$0$721,575$0$289,140$0$16,161$0$154,413$0$26,908$0$1,208,197$0$0
GLENN A ZIRBSER
SVP/CHIEF FINANCIAL OFFICER$0$327,286$0$85,226$0$121,696$0$31,334$0$32,351$0$597,893$0$47,392
DAVID W GOLDSTEIN DO
RADIOLOGIST$644,658$0$25,500$0$2,451$0$109,485$0$23,076$0$805,170$0$0$0
DOUGLAS B TSAI MD
RADIOLOGIST$565,340$0$17,000$0$17,053$0$0$0$32,366$0$631,759$0$0$0
ROBERT PRINCIPATO DO
RADIOLOGIST$570,445$0$8,500$0$3,762$0$155,237$0$32,372$0$770,316$0$0$0
MARC A NEFF MD
SURGEON$433,812$0$91,437$0$13,259$0$0$0$22,358$0$560,866$0$0$0
MORRIS M EISEN DO
THORACIC SURGEON$460,889$0$20,000$0$1,623$0$162,128$0$4,309$0$648,949$0$0$0
EDWARD SULLIVAN ESQ
FORMER OFFICER$0$384,807$0$100,147$0$41,439$0$220,144$0$22,744$0$769,281$0$25,113

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VII AND SCHEDULE JTAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2018 FORMS W-2.
SCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GLENN A. ZIRBSER, $75,192 AND EDWARD SULLIVAN, ESQ., $25,113. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CARMAN CIERVO, D.O., FACOFP, $43,497; GLENN A. ZIRBSER, $26,530 AND EDWARD SULLIVAN, ESQ., $24,857.
SCHEDULE J, PART I; QUESTION 7THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. ADDITIONALLY, THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: GLENN A. ZIRBSER, $47,392 AND EDWARD SULLIVAN, ESQ., $25,113.

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 MEMBER OF DIR/OFFRelationshipDescriptionTxt
Transaction$132,487TransactionAmt
TransactionEMPLOYEETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART I, LINES 8 - 19PLEASE NOTE, THE ORGANIZATIONS REVENUE AND EXPENSE SUMMARY FOR THE PRIOR YEAR REPRESENTS A SIX-MONTH PERIOD OF JANUARY 1, 2018 THROUGH JUNE 30, 2018.
CORE FORM, PART I, LINES 3 & 4 & PART VI, SECTION A; Q'S 1A & 1BTHE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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. 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 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 JEFFERSON/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 ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS WITHIN THE ORGANIZATION AND THE SYSTEM 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 ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER SYSTEM INDIVIDUALS FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FORM 990 WAS MADE AVAILABLE TO THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 RESPONDENTS 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 THE AUDIT, RISK AND 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 BOARDS EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE, BUT 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 JEFFERSON/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 INSTITUTIONS 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 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 BOARD OF TRUSTEES.
CORE FORM, PART VII AND SCHEDULE JEDWARD SULLIVAN, ESQ., FORMER OFFICER OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN THE SYSTEM AS THE SENIOR VICE PRESIDENT/GENERAL COUNSEL OF KENNEDY HEALTH SYSTEM D/B/A JEFFERSON HEALTH NEW JERSEY.
CORE FORM, PART VII, SECTION A, COLUMN BTHE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. 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 XI; QUESTION 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - TRANSFER FROM KENNEDY UNIVERSITY HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $15,415,244.
CORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 YEAR ENDED JUNE 30, 2019 AND JUNE 30, 2018; RESPECTIVELY, AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM. TJU'S AUDIT, RISK AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:9110948
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:673595
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:284544
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:197785
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY/TEMP FEES TOTAL FEES:221

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 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)509(A)(1)NAfalse
TJUH SYSTEM INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107263026795HEALTH SVCS.PA501(c)(3)509(A)(3)TJUfalse
THOMAS JEFFERSON UNIVERSITY HOSPITALS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232829095HEALTH SVCS.PA501(C)(3)HOSPITALTJUH SYSTEMfalse
JEFFERSON UNIVERSITY PHYSICIANS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232809585HEALTH SVCS.PA501(C)(3)509(A)(3)TJUH SYSTEMfalse
JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107464855345HEALTH SVCS.NJ501(C)(3)509(A)(3)JUPfalse
JEFFERSON PHYSICIAN SERVICES
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107233026939HEALTH SVCS.PA501(c)(3)509(A)(3)TJUH SYSTEMfalse
JEFFERSON MEDICAL CARE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232858320HEALTH SVCS.PA501(c)(3)509(A)(3)JPSfalse
METHODIST ASSOCIATES IN HEALTHCARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232678055HEALTH SVCS.PA501(c)(3)509(A)(3)TJUH SYSTEMfalse
METHODIST ASSOC IN HEALTHCARE OF NJ PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107233537847HEALTH SVCS.NJ501(c)(3)509(A)(2)MAHCfalse
JEFFEX INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622009HEALTH SVCS.PA501(c)(3)509(A)(3)TJUH SYSTEMfalse
EMERGENCY TRANSPORT ASSOCIATES INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622004HEALTH SVCS.PA501(c)(3)509(A)(2)JEFFEX INCfalse
WALNUT HOME THERAPEUTICS INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232622006HEALTH SVCS.PA501(c)(3)509(A)(2)JEFFEX 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)509(A)(3)TJUfalse
ABINGTON MEMORIAL HOSPITAL
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231352152HEALTH SVCS.PA501(c)(3)HOSPITALAHfalse
LANSDALE HOSPITAL CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107263359979HEALTH SVCS.PA501(c)(3)HOSPITALAHfalse
ABINGTON HEALTH FOUNDATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232188052FUNDRAISINGPA501(C)(3)509(A)(1)AHfalse
ARIA HEALTH SYSTEM
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232239131HEALTH SVCS.PA501(C)(3)509(A)(3)TJUfalse
ARIA HEALTH
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107230596940HEALTH SVCS.PA501(C)(3)HOSPITALAHSfalse
ARIA HEALTH PHYSICIAN SERVICES
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232691968HEALTH SVCS.PA501(C)(3)170B1AIIIAHSfalse
ARIA HEALTH ORTHOPAEDICS
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107460779942HEALTH SVCS.PA501(C)(3)509(A)(2)AHSfalse
PHILADELPHIA UNIVERSITY
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231352294EDUCATIONPA501(C)(3)509(A)(1)TJUfalse
KENNEDY HEALTH SYSTEM INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442036HEALTH SVCS.NJ501(C)(3)509(A)(1)TJUfalse
KENNEDY UNIVERSITY HOSPITAL INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107221773439HEALTH SVCS.NJ501(C)(3)HOSPITALKHSfalse
KENNEDY PROPERTY CORPORATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442034REAL ESTATENJ501(C)(3)509(A)(3)KHSfalse
STAT MEDICAL TRANSPORT INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222443981HEALTH SVCS.NJ501(C)(3)509(A)(2)KHSfalse
KENNEDY HEALTH CARE FOUNDATION INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107800550282FUNDRAISINGNJ501(C)(3)509(A)(1)KHSfalse
KENNEDY HEALTH FACILITIES INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222442032HEALTH SVCS.NJ501(C)(3)509(A)(3)KHSfalse
MAGEE REHABILITATION HOSPITAL
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107231476328HEALTH SVCS.PA501(C)(3)HOSPITALTJUfalse
JEFFERSON HEALTH - NORTHEAST FOUNDATION
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107237318683FUNDRAISINGPA501(C)(3)509(A)(3)AHfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 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
JEFF COMP CONC CTR
4050 S 26TH STPHILADELPHIAPA19145464254983HEALTH 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
JUNIATA MED BLD
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232450132MEDICAL OFFICEPANA
TMB ENTERPRISE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232400586MEDICAL OFFICEPANA
MED IMAGING ASSOC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232491498HEALTH SVCS.PANA
JEFFHEDGE LLC
1301 2ND AVESEATTLEWA98101453214379INVESTMENTSDENA
GARDEN ST RAD LLC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107471323463RADIOLOGYNJNA
KENNEDY CH SURG
11221 ROE AVELEAWOODKS66211472462625SURGICAL CTR.NJNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 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
JEFFERSON ACUTE CARE PHYSICIANS PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107472639286HEALTH SVCS.PANAC CORP.false
JEFFCARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232830152HEALTH SVCS.PANAC CORP.false
MID-ATLANTIC MATERNAL FETAL INSTITUTE
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232922471HEALTH SVCS.PANAC CORP.false
MID-ATLANTIC MATERNAL FETAL INSTITUTE PC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107223536371HEALTH SVCS.NJNAC CORP.false
JEFFERSON PHYSICIAN SVCS OF CALIFORNIA
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107371856786HEALTH SVCS.CANAC 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
HEALTH CARE INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107200214524HEALTH SVCS.PANAC CORP.false
TF DEVELOPMENT LTD
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107232197865REAL ESTATEPANAC CORP.false
KENNEDY MANAGEMENT GROUP INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107223347294MANAGEMENTNJNAC CORP.false
PROFESSIONAL MEDICAL MANAGEMENT INC
1101 MARKET STREET SUITE 2004PHILADELPHIAPA19107222559690COLLECTION SVCS.NJNAC 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
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
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
ExplanationTHOMAS JEFFERSON UNIVERSITY ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt