2013-05-14T15:51:19-05:00 2012-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2011-07-01 232809585 Jefferson University Physicians % THOMAS JEFFERSON UNIVERSITY JEFF 2159552562 1025 WALNUT STREET PHILADELPHIA PA 191075083 Alfred C Salvato 2013-05-02 true 2673303000 2011 2016-02-24 21:20:13Z MARK L TYKOCINSKI 1020 WALNUT STREET PHILADELPHIA PA 191070000 371775398 false X www.tju.edu X 1995 PA To provide physician services and support the educational and research mission of Thomas Jefferson University. 14 3 1761 3 0 0 0 336808684 371514802 361364 64346 65950 70850 337235998 371649998 0 0 0 0 209593157 237678255 0 0 0 130173323 139667821 339766480 377346076 -2530482 -5696078 127485493 231378466 93501859 203090910 33983634 28287556 TO PROVIDE PHYSICIAN SERVICES AND SUPPORT THE EDUCATIONAL AND RESEARCH MISSION OF THOMAS JEFFERSON UNIVERSITY. false false 374146709 371514802 The Faculty Practice Plan of Jefferson Medical College ("College") was originally developed in June, 1968 to permit certain members of the faculty of the College to use their professional expertise in the provision of patient care as well as in pursuit of the educational and research missions of Thomas Jefferson University ("University"). The Advisory Committee of the Clinical Practice Plan and the Board of Trustees of the University approved the formation of the Jefferson University Physicians ("JUP") on March 28th, 1995, and June 5th, 1995, respectively. The purpose of JUP is to allow certain clinicians ("Participants") to conduct their clinical practices while supporting the educational and research activities of the University. JUP is designed to encourage its Participants to support the charitable mission of the University while sharing the costs and responsibilities of their patient care responsibilities in an atmosphere that fosters the advancement of medical knowledge. JUP's goal is to create an integrated multi-specialty group practice that is responsive to the changing requirements of the marketplace and the needs of the public. 374146709 true false false false false false false false false false true false false true false false true true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false false true 108 0 true 1761 true false false false false false false false false false false X 14 3 false false false false false false false true true false false true true true true true true true true false PA X THOMAS JEFFERSON UNIVERSITY 2155038344 1020 WALNUT ST PHILADELPHIA PA 191075587 X ROBERT L BARCHI MD PHD 5.0 X X 0 1307239 143637 WILLIAM M KEANE MD 5.0 X X 892425 734459 117691 JOHN OGUNKEYE 5.0 X X 0 510470 52311 JAMES HARROP 5.0 X X 1070689 56869 36668 Mark L Tykocinski 5.0 X X 0 852035 101410 Ernest Rosato 5.0 X X 264007 110759 42764 DANIEL E KREMENS 5.0 X X 41667 125058 25453 David Binswanger 5.0 X ALAN T FORSTATER 5.0 X X 112645 96442 35660 CARIN F GONSALVES 5.0 X X 395413 98119 43195 BARRY ZIRING 5.0 X X 76309 150861 40414 KATHLEEN SQUIRES 5.0 X X 33734 248081 37060 CHRISTOPHER J KNEIZYS 5.0 X 0 0 0 BRITTON H MURDOCH 5.0 X 0 0 0 CRISTINA CAVALIERI ESQ 5.0 X 0 498014 46620 RICHARD J SCHMID 5.0 X 0 400725 33026 ALFRED C SALVATO 5.0 X 0 324378 40852 ROBERT ROSENWASSER 5.0 X 236700 1379860 168418 MARC ROSEN 5.0 X 1471243 107877 47131 CHARLES YEO 5.0 X 700500 430791 70969 CIRO RANDAZZO 5.0 X 874412 56866 35328 RICHARD PESTELL 5.0 X 0 904939 100398 GEORGE P VALKO MD 5.0 X 33530 129032 25181 THEODORE A CHRISTOPHER MD 5.0 X 150687 314732 54201 LAURENCE NEEDLEMAN MD 5.0 X 330131 81970 39301 ELISABETH KUNKEL MD 5.0 X 70641 171720 34451 JOHN C KAIRYS MD 5.0 X 100000 134004 32585 DAVID ANDREWS MD 5.0 X 625500 96345 45268 EDMUND PRIBITKIN MD 5.0 X 674776 94362 47773 ANTHONY J DIMARINO MD 5.0 X 307817 234342 63449 JOSEPH MONTELLA MD 5.0 X 152125 270502 57095 HOWARD H WEITZ MD 5.0 X 178764 278646 54681 GENO MERLI MD 5.0 X 36364 511329 49462 RANI P ANNE MD 5.0 X 211567 148095 40031 DAVID B NASH 5.0 X 0 564029 60873 MICHAEL J VERGARE MD 5.0 X 98269 611111 72885 9139915 12034061 1896241 433 true true false DIGITAL REALTY TRUST LP 13657 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 RENTAL SERVICES 2459167 615 CHESTNUT MASTER LEASE LP PO BOX 643036 PITTSBURGH PA 152643036 RENTAL SERVICES 640783 WALNUT TOWERS ASSOCIATES 150 NORTH BROAD STREET PHILADELPHIA PA 19107 RENTAL SERVICES 572140 BEN FRANKLIN HOTEL ASSOCIATES 834 CHESTNUT STREET STE 502 PHILADELPHIA PA 19107 RENTAL SERVICES 351705 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 INFORMATION TECHNOLO 452163 5 0 CLINICAL SERVICE 367779542 367779542 MEANINGFUL USE 3735260 3735260 371514802 64346 64346 0 0 0 196250 125400 70850 70850 0 0 0 371649998 371514802 135196 0 0 0 0 3326709 3326709 0 193549167 192166364 1382803 7022125 7022125 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984937 16005605 0 371649998 377346076 -5696078 -5696078 371681960 31962 31962 371649998 371649998 350394753 31951 31951 350362802 26983274 26983274 377346076 PART XII, LINE 2D OTHER CHANGES $31,962 PART XIII, LINE 2D OTHER CHANGES $31,951 PART XIII, LINE 4B TRANSFERS TO TJU $26,983,274 GOLF OUTING 196250 125400 70850 1 196250 125400 70850 70850 X X X X X false true false false false false false false false ROBERT L BARCHI MD PHD 0 882632 0 341334 0 83273 0 141373 0 2264 0 1450876 0 47906 WILLIAM M KEANE MD 884375 645708 8050 49500 0 39251 24500 75260 0 17931 916925 827650 0 17763 CRISTINA CAVALIERI ESQ 0 381313 0 81028 0 35673 0 43488 0 3132 0 544634 0 1425 RICHARD J SCHMID 0 318001 0 56592 0 26132 0 31829 0 1197 0 433751 0 0 JOHN OGUNKEYE 0 378050 0 98424 0 33996 0 45903 0 6408 0 562781 0 517 GEORGE P VALKO MD 33530 129032 0 0 0 0 3353 17110 0 4718 36883 150860 0 0 THEODORE A CHRISTOPHER MD 150107 252659 580 27500 0 34573 15069 32175 0 6957 165756 353864 0 0 LAURENCE NEEDLEMAN MD 330131 81970 0 0 0 0 22251 10967 0 6083 352382 99020 0 0 ELISABETH KUNKEL MD 70641 171720 0 0 0 0 7064 22741 0 4646 77705 199107 0 0 JOHN C KAIRYS MD 100000 126504 0 7500 0 0 10000 15299 0 7286 110000 156589 0 0 DAVID ANDREWS MD 625500 96345 0 0 0 0 24500 13001 0 7767 650000 117113 0 0 EDMUND PRIBITKIN MD 671386 94362 3390 0 0 0 24500 13169 0 10104 699276 117635 0 0 ANTHONY J DIMARINO MD 307817 234342 0 0 0 0 26318 30438 0 6693 334135 271473 0 0 JOSEPH MONTELLA MD 152125 223135 0 43735 0 3632 15213 34223 0 7659 167338 312384 0 0 HOWARD H WEITZ MD 178764 262389 0 0 0 16257 17876 31851 0 4954 196640 315451 0 0 GENO MERLI MD 36364 388860 0 98773 0 23696 3636 40785 0 5041 40000 557155 0 0 MICHAEL J VERGARE MD 98269 481409 0 92776 0 36926 9827 56826 0 6232 108096 674169 0 5419 RANI P ANNE MD 211567 148095 0 0 0 0 14914 18865 0 6252 226481 173212 0 0 ROBERT ROSENWASSER 236700 1289032 0 31500 0 59328 11275 154970 0 2173 247975 1537003 0 38352 MARC ROSEN 1437252 93342 9491 747 24500 13788 0 12870 0 9761 1471243 130508 0 0 JAMES HARROP 1065195 56869 5494 0 0 0 24500 6600 0 5568 1095189 69037 0 0 Mark L Tykocinski 0 644623 0 175759 0 31653 0 90973 0 10437 0 953445 0 2041 Ernest Rosato 260250 96755 3757 747 0 13257 26161 11002 0 5601 290168 127362 0 0 DAVID B NASH 0 473141 0 44925 0 45963 0 51541 0 9332 0 624902 0 0 DANIEL E KREMENS 41667 113237 0 11821 0 0 4167 14300 0 6986 45834 146344 0 0 ALAN T FORSTATER 111624 96442 1021 0 0 0 11264 13535 0 10861 123909 120838 0 0 CARIN F GONSALVES 392865 97372 2548 747 0 0 24843 11217 0 7135 420256 116471 0 0 BARRY ZIRING 74606 137073 1703 0 0 13788 7631 19259 0 13524 83940 183644 0 0 KATHLEEN SQUIRES 33734 232758 0 0 0 15323 3374 28747 0 4939 37108 281767 0 0 CHARLES YEO 697400 326291 3100 92300 0 12200 27975 39761 0 3233 728475 473785 0 0 CIRO RANDAZZO 836912 56866 37500 0 0 0 24500 5400 0 5428 898912 67694 0 0 RICHARD PESTELL 0 672310 0 176000 0 56629 0 94177 0 6221 0 1005337 0 0 ALFRED C SALVATO 0 255812 0 55620 0 12946 0 34466 0 6386 0 365230 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS LISTED IN FORM 990, PART VII PARTICIPATED IN OR RECEIVED PAYMENT FROM A SERP. THE AMOUNTS ACCRUED/PAID FOR THE YEAR ARE AS FOLLOWS: Barchi, Robert L 126,023 Tykocinski, Mark L 75,623 Keane, William M 59,910 Ogunkeye, John 30,553 Cavalieri, Cristina 28,138 Schmid, Richard J 16,400 Weitz, Howard H 2,419 Squires, Kathleen 1,759 Rosenwasser, Robert 139,620 Yeo, Charles 16,530 Pestell, Richard 78,827 Christopher, Theodore A 28,312 Merli, Geno 25,435 Montella, Joseph 1,139 Nash, David B 36,191 Vergare, Michael J. 42,708 SCHEDULE O DISCLOSURES FORM 990, PART VI, LINE 11a The Form 990 is prepared in conjunction with PriceWaterhouseCoopers LLP and reviewed internally by management. It is then sent to the board of trustees for their review. FORM 990, PART VI, SECTION B, LINE 12A Jefferson University Physicians Conflicts of Interest Policy for the Board of Trustees, set forth in Section XII of the University By-Laws, adopted by the Board of Trustees on September 14, 1998 and revised on November 10, 2004, requires members of the Board of Trustees to participate in an annual Conflicts of Interest Disclosure process. The summary provided here pertains to information retrieved from written and electronic questionnaires distributed to all voting members of the Board of Trustees and all Senior Management Officials employed by the University during fiscal year 2012 (July 1, 2011 through June 30, 2012). In certain instances, this summary report also includes information retrieved from other publicly filed documents pertaining to members of the University's Board of Trustees. This report outlines only those disclosed relationships and transactions that pertain to governance related questions contained within the 2011 Internal Revenue Service Form 990. The dollar amount of aggregate business with third-party organizations appears on this report only if the transaction exceeded $10,000.00 during fiscal year 2011. If the dollar amount of aggregate business with any entity exceeded $10,000.00, all transactions, regardless of their total dollar amount, are included in the report. A comprehensive report outlining all existing or potential financial or other interests maintained by members of the Board of Trustees and Senior Management Officials will be provided separately. All original disclosure forms remain on file in the Office of University Counsel. FORM 990, PART VI, SECTION B, LINE 12C JUP regularly and consistently monitors conflicts of interests pursuant to its annual disclosure process. JUP's conflicts of interest policy applies to all officers, directors and key employees of the organization and members of those individual's immediate family. Review of potential conflicts of interests and determinations if such exist, are within the jurisdiction of the Executive Committee. A person who may have a potential conflict is precluded from voting on decisions regarding any such transaction. FORM 990, PART VI, SECTION B, LINE 15A AND 15B Each year, the Human Resources Committee (the "HR Committee") of Thomas Jefferson University (TJU) reviews the President of TJU's determinations regarding his evaluation of the performance and compensation of the President of JUP. The Committee's deliberations and decisions regarding executive compensation and other matters are documented in contemporaneous minutes taken by the Chairman of the HR Committee and approved by the Committee. In reviewing the compensation recommended by the President of TJU for the President of JUP, the HR Committee takes into account its objective of attracting, retaining and motivating talented executives with appropriate experience and skill sets to achieve the institution's strategic objectives. In addition, the HR Committee reviews certain peer group information and pre-established quantitative and qualitative performance criteria which measures achievement and contributions to the strategic objectives of TJU and JUP. Since the President of JUP is also the Dean of Jefferson Medical College of TJU and reports directly to, and works on a daily basis with, the President of TJU, the Committee gives considerable weight to the President's evaluations of the President of JUP when reviewing the President of TJU's determinations regarding the President of JUP. The President of TJU bases his evaluation primarily on whether the President of JUP has met or exceeded the pre-established performance criteria. Each year, the President of JUP and the President of TJU agree upon goals and objectives for the ensuing year. The agreed-upon goals and objectives are documented and then reviewed annually by the President of TJU with the HR Committee. The President of TJU evaluates performance against targets, and determines compensation, which determination is then reviewed with the HR Committee. JUP also maintains a Compensation Committee for the purpose of reviewing and approving the compensation of all other officers of JUP. The Compensation Committee takes into consideration various industry benchmarks for physician compensation, as well as the clinical productivity and administrative responsibilities of each officer. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT L BARCHI MD PHD TITLE:CHAIRMAN HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM M KEANE MD TITLE:MEDICAL DIRECTOR, JUP HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN OGUNKEYE TITLE:EXECUTIVE DIRECTOR, JUP HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES HARROP TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark L Tykocinski TITLE:PRESIDENT HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ernest Rosato TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL E KREMENS TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALAN T FORSTATER TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CARIN F GONSALVES TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BARRY ZIRING TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN SQUIRES TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CRISTINA CAVALIERI ESQ TITLE:SECRETARY HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD J SCHMID TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT ROSENWASSER TITLE:PROFESSOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARC ROSEN TITLE:PROFESSOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES YEO TITLE:PROFESSOR, CHAIR OF SURGERY HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CIRO RANDAZZO TITLE:PROFESSOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD PESTELL TITLE:PROFESSOR HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE P VALKO MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THEODORE A CHRISTOPHER MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LAURENCE NEEDLEMAN MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELISABETH KUNKEL MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN C KAIRYS MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID ANDREWS MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDMUND PRIBITKIN MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY J DIMARINO MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH MONTELLA MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:HOWARD H WEITZ MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GENO MERLI MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RANI P ANNE MD TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID B NASH TITLE:TRUSTEE HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J VERGARE MD TITLE:INTERIM PRESIDENT HOURS:40 THOMAS JEFFERSON UNIVERSITY 1020 WALNUT STREET PHILADELPHIA PA 19107 231352651 EDUCATION PA 501(c)(3) 2 NA false false false false false false false false false false false false false true true false false false false