2012-05-11T17:28:38-04:00 2011-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-07-01 232809585 Jefferson University Physicians JEFF 2159552562 1025 WALNUT STREET PHILADELPHIA PA 191075083 RICHARD J SCHMID 2012-05-11 true 2673303000 2010 2016-02-24 21:20:13Z MARK L TYKOCINSKI 1020 WALNUT STREET PHILADELPHIA PA 191070000 337372398 false X www.tju.edu X 1995 PA To provide physician services and support the educational and research mission of Thomas Jefferson University. 15 3 1691 3 0 0 0 299322055 336808684 667224 361364 67250 65950 300056529 337235998 0 0 0 0 186613066 209593157 0 0 0 105428138 130173323 292041204 339766480 8015325 -2530482 111561272 127485493 75047156 93501859 36514116 33983634 X TO PROVIDE PHYSICIAN SERVICES AND SUPPORT THE EDUCATIONAL AND RESEARCH MISSION OF THOMAS JEFFERSON UNIVERSITY. false false 336806823 336808684 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. 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81395 43308 ELISABETH KUNKEL MD 5.0 X 57310 179507 35011 JOHN C KAIRYS MD 5.0 X 100000 120564 31180 HOWARD H WEITZ MD 5.0 X X 170305 273979 54054 JAMES HARROP 5.0 X X 1100007 57136 36716 Mark L Tykocinski 5.0 X X 0 830185 102148 Ernest Rosato 5.0 X 240909 97504 40190 DANIEL E KREMENS 5.0 X X 747360 111586 44268 David Binswanger 5.0 X 0 0 0 William A Landman 5.0 X 0 0 0 CRISTINA CAVALIERI ESQ 5.0 X 0 486284 49754 RICHARD J SCHMID 5.0 X 0 403228 40343 JOHN OGUNKEYE 5.0 X 0 483285 61070 ALAN T FORSTATER 5.0 X 100792 97789 33273 CARIN F GONSALVES 5.0 X 381789 96217 42629 BARRY ZIRING 5.0 X 69220 147130 38372 KATHLEEN SQUIRES 5.0 X 6818 260031 39538 DAVID ANDREWS MD 5.0 X 747360 112960 43245 ROBERT ROSENWASSER 5.0 X 369341 1325736 180176 MARC ROSEN 5.0 X 1401977 120607 46181 John Ratliff 5.0 X 788549 44804 37547 JAMES EVANS 5.0 X 792521 44481 38272 THEODORE A CHRISTOPHER MD 5.0 X 102567 312280 52683 EDMUND PRIBITKIN MD 5.0 X 610564 98307 44740 HERBERT E COHN 5.0 X 0 208289 29986 ANTHONY J DIMARINO MD 5.0 X 269089 195969 55500 JOSEPH MONTELLA MD 5.0 X 151620 169158 45486 ARTHUR M FELDMAN MD PHD 5.0 X 190909 476083 68356 ZVI GRUNWALD MD 5.0 X 308857 309169 66875 GENO MERLI MD 5.0 X 18182 475138 51170 JOSEPH L SELTZER MD 5.0 X 134125 145802 37292 RICHARD C WENDER MD 5.0 X 48223 305938 49959 RANI P ANNE MD 5.0 X 280847 118135 45993 DAVID B NASH 5.0 X 0 539684 60730 MICHAEL J VERGARE MD 40.0 X 78897 604284 72784 10597174 11350321 3254314 383 true true false DIGITAL REALTY TRUST LP 13657 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 RENTAL SERVICES 2489693 615 CHESTNUT MASTER LEASE LP PO BOX 643036 PITTSBURGH PA 152643036 RENTAL SERVICES 731948 WALNUT TOWERS ASSOCIATES 150 NORTH BROAD STREET PHILADELPHIA PA 19107 UTILITY SERVICES 554221 BEN FRANKLIN HOTEL ASSOCIATES 834 CHESTNUT STREET STE 502 PHILADELPHIA PA 19107 RENTAL SERVICES 541764 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 MANAGEMENT SOLUTIONS 297316 7 0 CLINICAL SERVICE 336808684 336808684 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178580 KATHLEEN SQUIRES 6818 257406 0 0 0 2625 682 31525 0 7331 7500 298887 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 2011 (July 1, 2010 through June 30, 2011). 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 15 15(b) 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. THOMAS JEFFERSON UNIVERSITY 1020 WALNUT STREET PHILADELPHIA PA 191070000 231352651 EDUCATION PA 501(C)(3) 2 NA false false false false false false false false false false false false true true false false false false