| FORM 990, PART VI, LINE 2 |
THE FOLLOWING TRUSTEES HAVE BUSINESS RELATIONSHIPS, NOT INVOLVING ANY TRANSACTIONS WITH TJUH: ROBERT ADELSON, WILLIAM LANDMAN, AND IRA BRIND MICHAEL HELLER AND MARK ALDERMAN MICHAEL HELLER AND DAVID BINSWANGER MICHAEL HELLER AND WILLIAM LANDMAN CHRISTOPHER KNEIZYS AND RICHARD RILEY R. RICHARD WILLIAMS AND IRA BRIND R. RICHARD WILLIAMS AND WILLIAM LANDMAN FORM 990, PART VI, LINE 4 On June 30, 2014, TJUH System separated from Jefferson Health System and affiliated with TJU to form a new affiliated group, hereafter referred to as the University, to enhance their tripartite mission of education, research and patient care. All TJUH System trustees joined the TJU board of trustees. TJU became the sole member of TJUH System, and TJUH System became the sole member of Jefferson University Physicians. |
| FORM 990, PART VI, LINES 6 & 7 |
TJUH SYSTEM IS THE SOLE MEMBER OF TJUH. THE BOARD OF TRUSTEES OF TJUH SHALL BE THOSE PERSONS WHO SERVE FROM TIME TO TIME ON THE TJUH SYSTEM BOARD. TJUH SYSTEM RECOMMENDS INDIVIDUALS FOR APPOINTMENT TO ITS BOARD OF TRUSTEES TO ITS SOLE MEMBER, TJU. TJU ELECTS MEMBERS TO THE TJUH SYSTEM BOARD OF TRUSTEES WHO AUTOMATICALLY BECOME MEMBERS OF THE TJUH BOARD OF TRUSTEES FOR RESOLUTION. |
| FORM 990, PART VI, LINE 11B |
THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN CONJUNCTION WITH TJUH FINANCE PERSONNEL AND IS REVIEWED INTERNALLY BY MANAGEMENT OF TJUH. IT IS THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND FINAL APPROVAL BEFORE FILING. FORM 990, PART VI, LINE 12C ANNUAL CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY THE BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND KEY REPRESENTATIVES OF TJUH. ALL CONFLICTS ARE REFERRED TO THE CORPORATE COMPLIANCE OFFICER FOR RESOLUTION. THE CHAIRMAN OF THE BOARD AND THE PRESIDENT OF TJUH ARE RESPONSIBLE FOR MONITORING THE CONDUCT OF AND DISCLOSURE BY KEY REPRESENTATIVES AND THEY IDENTIFY, ADDRESS, AND/OR RESOLVE ACTUAL OR POTENTIAL CONFLICTS IN CONSULTATION WITH LEGAL COUNSEL AND/OR THE CORPORATE COMPLIANCE OFFICER. IF DEEMED NECESSARY OR ADVISABLE, INDIVIDUAL CASES MAY BE REFERRED TO THE FULL BOARD OR A COMMITTEE THEREOF FOR RESOLUTION. |
| FORM 990, PART VI, LINE 15 |
The process for determining compensation of the officers and key employees of TJUH uses several external market survey data providers such as Mercer Sullivan Cotter, and Olney Associates. The salaries in the surveys are anonymous and contain several other participating organizations in healthcare. The TJU Board hires and determines the base and incentive compensation for the President of TJUH. (In his role as President for TJUH System). While presidents are not officers or employees of the TJU legal entity itself, they do report to the TJU CEO. TJUH formulates market data sheets by sharing the 25th, 50th, and 75th percentiles. For compensation, TJUH targets the 50th percentile of the market. However lower and higher percentiles may be used depending upon a candidate's depth of experience. TJUH also targets organizations such as teaching hospitals, those from northeastern U.S.A., and those with revenue greater than one billion dollars as a gauge for determining compensation ranges. |
| FORM 990, PART VI, LINE 19 |
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B - INDEPENDENT CONTRACTORS TJUH and TJU have maintained a close academic affiliation. Services provided by TJU to TJUH include physician and non-physician personnel and other support services necessary to preserve and maintain the tertiary care capacity of TJUH. TJU also provides office and clinical space, as well as administrative, finance, human resources, information technology, maintenance, security, education, temporary staffing and other ancillary services to TJUH. Expenses charged for these services aggregated $221,560,000 for the year ended June 30, 2014. Form 990, Part XI, Line 9 - Other Changes in Net Assets or Fund Balances INCREASE IN PENSION LIABILITY (22,642,985) CHANGE IN NONCONTROLLING INTEREST IN JOINT VENTURE 204,269 TEMPORARILY RESTRICTED UNREALIZED GAINS 2,490,037 CHANGE IN ASSETS HELD BY AFFILIATED FOUNDATION 774,353 DONATED CAPITAL RECEIVED 2,634,527 NET ASSETS RELEASED FROM RESTRICTION - PURCHSE OF P,P&E - UNRESTRICTED 250,636 NET ASSETS RELEASED FROM RESTRICTION - PURCHASE OF P,P&E - TEMPORARILY RESTRICTED (260,636) PERM. RESTRICTED UNREALIZED GAIN ON EXTERNALLY HELD TRUSTS 174,360 INVESTMENT IN FIVE POINTE (POST MERGER) 66,122,320 RECEIVABLE FROM ORIGINAL JHS CONTRIBUTION (POST MERGER) 5,000,000 ------------- TOTAL $ 54,746,881 ============= |
Attach to Form 990 or 990-EZ.