2019-11-14T09:30:34-06:00 2018-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-01-01 815178969 TJA ORTHOPEDIC SURGERY PC % RICHARD CROWLEY TJAO 2126061000 535 EAST 70TH STREET NEW YORK NY 10021 RICHARD CROWLEY SECRETARY 2126061224 2019-11-12 LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.253 35057220193185000001 2019-11-14 P AAA754B0CA19C5DE9A26DC2B34388A46D4CC24FA 2979594631CB5427DBABEAFA59DA989879D1FE14 2018 2020-03-31 21:24:44Z HSS ORTHOPEDICS STAMFORD Richard Crowley 535 EAST 70TH STREET NEW YORK NY 10021 5251196 false X N/A X 2016 NY TO ENGAGE IN THE PROFESSION OF MEDICINE AND TO OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES IN AFFILIATION WITH Hospital for Special Surgery ("HSS"). 1 0 0 0 0 0 0 0 913592 5251196 0 0 0 0 913592 5251196 0 0 0 0 1086013 5266870 0 0 0 592667 2181206 1678680 7448076 -765088 -2196880 0 0 765088 2961968 -765088 -2961968 TO ENGAGE IN THE PROFESSION OF MEDICINE AND TO OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES IN AFFILIATION WITH HOSPITAL FOR SPECIAL SURGERY ("HSS"). false false 7264142 0 5251196 TJA Orthopedic Surgery, P.C. ("TJA") has been formed to engage in the profession of medicine and to operate exclusively for charitable purposes in affiliation with Hospital for Special Surgery ("HSS"). TJA provides physician services to the public through employed and contracting physicians affiliated with HSS. TJA is a participant in a comprehensive collaboration between Stamford Hospital, a tax exempt hospital located in Stamford, Connecticut, and HSS, to create an orthopedic center of excellence. TJA provides the services of its physicians to patients at Stamford inpatient and outpatient facilities that are part of the collaboration. 7264142 true false false false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 1 0 false false false false true true true true true false false true true true true true true false false false X RICHARD CROWLEY 2126061224 535 EAST 70TH STREET NEW YORK NY 10021 TODD J ALBERT MD PRESIDENT, TREASURER 0.5 48.93 X X 0 1589779 65590 RICHARD CROWLEY SECRETARY 0.5 59.5 X 0 766836 59242 CHARLES CORNELL ATTENDING PHYSICIAN 34.25 15.75 X 961048 442943 72539 SAMUEL TAYLOR ASSISTANT ATTENDING PHYSICIAN 7.5 42.5 X 210689 1193910 60735 MOIRA MCCARTHY ASSISTANT ATTENDING PHYSICIAN 17.55 32.45 X 382479 707204 40952 ALEXANDER MCLAWHORN ASSISTANT ATTENDING PHYSICIAN 17.75 36.0 X 368325 669210 58671 JO A HANNAFIN ATTENDING PHYSICIAN 11.05 38.95 X 182485 643240 74408 2105026 6013122 432137 8 false true false EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 53288 EHR SYSTEM SRVS 262632 1 0 NET PATIENT SERVICE REVENUE 622110 5251196 5251196 5251196 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5251196 5251196 0 0 0 0 0 0 4506527 4506527 0 760343 760343 0 0 4063 4063 5637 5637 0 0 0 637891 463657 174234 0 0 0 0 643894 643894 51144 51144 0 0 0 0 0 323651 323651 MEDICAL/SURGICAL SUPPLIES 117744 117744 TEMP SERVICES 32096 32096 DUES & LICENSES 29719 29719 OTHER 335367 335367 7448076 7264142 183934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 765088 2961968 765088 2961968 X -765088 -2961968 0 0 0 0 -765088 -2961968 0 0 -2196880 X false true X true false X 0 0 0 0 0 0 913592 5251196 6164788 0 0 0 0 0 0 913592 5251196 6164788 0 2081833 2081833 2081833 2081833 4082955 0 0 0 0 0 0 0 0 913592 5251196 6164788 X 0.00000 0 DUE TO AFFILIATES 2961968 2961968 false false false false false false false false false TODD J ALBERT MD PRESIDENT, TREASURER 1182678 395750 11351 0 20625 0 44965 0 1655369 0 0 RICHARD CROWLEY SECRETARY 580094 180261 6481 0 24750 0 34492 0 826078 0 0 CHARLES CORNELL ATTENDING PHYSICIAN 639674 294157 321374 148786 16954 7796 32735 15054 1010737 465793 0 0 SAMUEL TAYLOR ASSISTANT ATTENDING PHYSICIAN 62825 356006 147864 837904 3094 17531 6017 34093 219800 1245534 0 0 MOIRA MCCARTHY ASSISTANT ATTENDING PHYSICIAN 137812 254815 244667 452389 7239 13386 7135 13192 396853 733782 0 0 ALEXANDER MCLAWHORN ASSISTANT ATTENDING PHYSICIAN 103355 187787 264970 481423 7322 13303 13506 24540 389153 707053 0 0 JO A HANNAFIN ATTENDING PHYSICIAN 102044 359692 80441 283548 5470 19280 10974 38684 198929 701204 0 0 FORM 990, PART VI, SECTION A - LINE 6 & 7A/B, STOCKHOLDER TJA Orthopedic Surgery, P.C. is a professional service corporation with a single stockholder. TODD ALBERT IS THE SOLE SHAREHOLDER AND SOLE DIRECTOR OF TJA ORTHOPEDIC SURGERY, P.C. Under its Bylaws, the stockholder elects the governing body (i.e., the Board of Directors) at each annual meeting of the stockholders. Under an agreement between the sole stockholder and Hospital for Special Surgery (HSS), only the stockholder and a nominee of HSS may serve as a Director or an officer of the corporation. The Bylaws prohibit certain conduct that would otherwise be within the authority of the corporation and its Board of Directors, and the bylaws may not be amended except with the consent of HSS. Such prohibited conduct includes, for example, the following: the corporation may not engage in conduct that is not permitted by a corporation exempt from federal income tax under Section 501(c)(3) of the IRC or a corporation to which contributions are deductible under Section 170(c)(2) of the IRC; no part of the net earnings or assets of the Corporation may inure to benefit of or be distributed to its stockholders, directors, officers or other private persons, except that reasonable compensation for services is permitted; and the corporation may not engage in lobbying efforts or intervene in any political campaign. FORM 990, PART VI, SECTION B - LINE 11B, REVIEW PROCESs The form 990 is prepared by an outside independent accounting firm. PRIOR TO SUBMITTING THE FORM 990 TO THE INTERNAL REVENUE SERVICE (IRS), THERE IS AN ESTABLISHED PROCESS FOR REVIEW OF THE DOCUMENT IN ITS ENTIRETY BY THE GOVERNING BODY WHOSE EVALUATIONS ARE MADE IN THE BEST INTEREST OF HSS. THE FORM 990 IS FIRST REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE REVIEWED FORM 990 IS THEN SUBMITTED TO THE FULL BOARD OF TRUSTEES. THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 VIA COMPACT DISK PRIOR TO SUBMISSION OF THE FORM. IN ADDITION, SIGNIFICANT AREAS OF FORM 990 ARE DISCUSSED AT A BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION B - LINE 12C, CONFLICT OF INTEREST POLICY TJA Orthopedic Surgery, P.C. has adopted the Hospital for Special Surgery's (HSS') Policies on Conflicts of Interest, and its officers, directors, and key employees are required to disclose to HSS annually interests that could give rise to conflicts. The process followed to monitor and enforce compliance is specified under the policy and is conducted by HSS on behalf of TJA Orthopedic Surgery, P.C. ON AN ANNUAL BASIS, FINANCIAL INTEREST DISCLOSURE STATEMENTS ARE SENT TO ALL DIRECTORS, OFFICERS AND OTHER KEY EMPLOYEES OF TJA ORTHOPEDIC SURGERY, P.C. THE POLICY ALSO REQUIRES THAT ANY CHANGE IN THE DISCSLOSURES BE COMMUNICATED TO THE OFFICE OF CORPORATE COMPLIANCE OF HSS WITHIN 30 DAYS. THE INFORMATION RECEIVED IS ENTERED INTO A DATABASE AND REVIEWED FOR POTENTIAL CONFLICTS OF INTEREST. THE DATABASE INFORMATION IS ALSO REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND CHIEF LEGAL OFFICER OF HSS, THE CHIEF EXECUTIVE OFFICER OF HSS, AND THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES OF HSS. HSS HAS A CONFLICT OF INTEREST TASK FORCE THAT MEETS THREE TIMES A YEAR, OR AS NECESSARY, TO REVIEW AND UPDATE THE CONFLICT OF INTEREST POLICIES AND PROCEDURES. THE POLICY ON CONFLICT OF INTERESTS IN DAY-TO-DAY OPERATIONS STATES THAT IF A CONTEMPLATED TRANSACTION POSSIBLY BENEFITS (OR APPEARS TO BENEFIT) A COVERED PERSON OR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY, THEN THE POTENTIAL BENEFIT OR CONFLICT MUST BE DISCLOSED TO, AND APPROVED BY, A DISINTERESTED OFFICER OF HSS BEFORE THE TRANSACTION MAY PROCEED. ACCORDINGLY, A COVERED PERSON MAY NOT PLACE BUSINESS WITH ANY THIRD PARTY (E.G., A VENDOR, COMPETITOR, OR OTHER ORGANIZATION) IN WHICH THAT PERSON OR ANY MEMBER OF HIS/HER IMMEDIATE FAMILY HAS AN INTEREST, UNLESS THAT INTEREST IS DISCLOSED TO, AND THE TRANSACTION IS APPROVED BY, THE VICE PRESIDENT FOR CORPORATE COMPLIANCE AND INTERNAL AUDIT ("CORPORATE COMPLIANCE OFFICER"). Form 990, Part VI, Sect B - Line 15A & 15B PROCESS FOR DETERMINING COMPENSATION TJA Orthopedic Surgery, P.C. does not directly compensate the CEO, Executive Director or other officers or key employees of TJA Orthopedic Surgery, P.C. Its current director, officers and key employees are employed by Hospital for Special Surgery (HSS) and leased to TJA Orthopedic Surgery, P.C. The compensation of these individuals is determined in accordance with HSS' compensation program, which utilizes procedures intended to satisfy the rebuttable presumption of reasonableness under Section 4958 of the IRC, and in connection with physicians is determined by HSS and validated as reasonable and fair market value. Form 990, Part VI, SECTION B - LINE 19 DISCLOSURE GOVERNING DOCUMENTS TJA ORTHOPEDIC SURGERY, P.C. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST FROM THE OFFICE OF LEGAL AFFAIRS OF HOSPITAL FOR SPECIAL SURGERY. TJA Orthopedic Surgery & Medicine PLLC 535 East 70th Street New York NY 10021 364867989 HEALTH SVCS NY 0 0 TJA Ortho PC NY SOC REL RUPT CRIPLD MAINTAING HSS 535 EAST 70TH STREET NEW YORK NY 10021 131624135 HEALTH CARE NY 501(C)(3) 3 NA false HSS PROPERTIES CORPORATION 535 EAST 70TH STREET NEW YORK NY 10021 133246249 REAL ESTATE NY 501(C)(3) 12 TYPE II HSS FUND INC false HSS HORIZONS INC 535 EAST 70TH STREET NEW YORK NY 10021 134152131 RESEARCH SUPP NY 501(C)(3) 12 TYPE I HSS FUND INC false HOSPITAL FOR SPECIAL SURGERY FUND INC 535 EAST 70TH STREET NEW YORK NY 10021 136714749 FUNDRAISING NY 501(C)(3) 7 NA false HSS ASC OF MANHATTAN LLC 47-1 1233 2ND AVE NEW YORK NY 10065 HEALTH CARE NY NA N/A HSS WESTSIDE ASC LLC 600 WEST 58TH STREET NEW YORK NY 10019 814351390 HEALTH CARE NY NA N/A HSS-FL PHYSICIANS LLC 535 EAST 70TH STREET NEW YORK NY 10021 824502169 HEALTH CARE FL NA N/A MEDICAL INDEMNITY ASSURANCE COMPANY LTD 535 EAST 70TH STREET NEW YORK NY 10021 981050215 SELF-INDEMNITY CJ N/A C false HSS VENTURES 535 EAST 70TH STREET NEW YORK NY 10021 061624300 HLTH CARE SERVICE NY N/A C false false false false false true false false false false false false false false false false false false false false HOSPITAL FOR SPECIAL SURGERY E 2196880 FMV