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ObjectId: 201641379349305804 - Submission: 2016-05-16
TIN: 23-3026795
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
Name of the organization
TJUH SYSTEM INC
Employer identification number
23-3026795
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
JEFFCARE ALLIANCE LLC
925 CHESTNUT STREET SUITE 310
PHILADELPHIA
,
PA
19107
47-3231121
INVESTMENTS
DE
0
0
TJUH SYSTEM
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
EMERGENCY TRANSPORT ASSOCIATES INC
441 NORTH 5TH STREET
PHILADELPHIA
,
PA
19107
23-2622004
HEALTHCARE
PA
501(C)(3)
9
JEFFEX INC
No
(2)
JEFFEX INC
925 CHESTNUT STREET SUITE 311
PHILADELPHIA
,
PA
19107
23-2622009
HEALTHCARE
PA
501(C)(3)
11, I
TJUH SYSTEM
Yes
(3)
WALNUT HOME THERAPEUTICS INC
919 WALNUT STREET 5TH FLOOR
PHILADELPHIA
,
PA
19107
23-2622006
HEALTHCARE
PA
501(C)(3)
9
JEFFEX INC
No
(4)
SUTHBREIT PROPERTIES LTD
2301 SOUTH BROAD STREET
PHILADELPHIA
,
PA
19148
23-2214351
REAL ESTATE
PA
501(C)(2)
JEFFEX INC
No
(5)
JEFFERSON PHYSICIAN SERVICES
111 SOUTH 11TH STREET
PHILADELPHIA
,
PA
19107
23-3026939
HEALTHCARE
PA
501(C)(3)
11, II
TJUH SYSTEM
Yes
(6)
THOMAS JEFFERSON UNIV HOSPITALS INC
111 SOUTH 11TH STREET
PHILADELPHIA
,
PA
19107
23-2829095
HEALTHCARE
PA
501(C)(3)
3
TJUH SYSTEM
Yes
(7)
METHODIST ASSOCIATES IN HEALTHCARE INC
2301 SOUTH BROAD STREET
PHILADELPHIA
,
PA
19148
23-2678055
HEALTHCARE
PA
501(C)(3)
11, I
TJUH SYSTEM
Yes
(8)
JEFFERSON MEDICAL CARE PC
111 SOUTH 11TH STREET
PHILADELPHIA
,
PA
19107
23-3537847
HEALTHCARE
PA
501(C)(3)
11, I
TJUH SYSTEM
Yes
(9)
JEFFERSON MEDICAL CARE
111 SOUTH 11TH STREET
PHILADELPHIA
,
PA
19107
23-2858320
HEALTHCARE
PA
501(C)(3)
11, I
TJUH SYSTEM
Yes
(10)
JEFFERSON UNIVERSITY PHYSICIANS
1025 WALNUT STREET
PHILADELPHIA
,
PA
19107
23-2809585
CLINICAL CARE
PA
501(C)(3)
11, I
TJUH SYSTEM
Yes
(11)
THOMAS JEFFERSON UNIVERSITY
601 WALNUT ST
PHILADELPHIA
,
PA
19106
23-1352651
EDUCATION
PA
501(C)(3)
2
NA
No
(12)
JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC
1020 WALNUT STREET 6TH FLOOR
PHILADELPHIA
,
PA
19107
46-4855345
CLINICAL CARE
NJ
501(C)(3)
11, I
JUP
No
(13)
ABINGTON HEALTH
1200 OLD YORK ROAD
ABINGTON
,
PA
19001
27-1243803
HEALTHCARE
PA
501(C)(3)
11, II
TJU
No
(14)
ABINGTON MEMORIAL HOSPITAL
1200 OLD YORK ROAD
ABINGTON
,
PA
19001
23-1352152
HEALTHCARE
PA
501(C)(3)
3
TJU
No
(15)
ABINGTON HEALTH FOUNDATION
1200 OLD YORK ROAD
ABINGTON
,
PA
19001
23-2188052
FUNDRAISING
PA
501(C)(3)
7
TJU
No
(16)
LANSDALE HOSPITAL CORPORATION
100 MEDICAL CAMPUS DRIVE
LANSDALE
,
PA
19446
26-3359979
HEALTHCARE
PA
501(C)(3)
3
TJU
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Page 2
Schedule R (Form 990) 2014
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
RIVERVIEW SURGERY CENTER LP
11221 ROE AVENUE SUITE 320
PHILADELPHIA
,
PA
19112
26-3910345
HEALTHCARE
PA
NA
N/A
(2)
RIVERVIEW SURGERY CENTER LLC
11221 ROE AVENUE SUITE 320
PHILADELPHIA
,
PA
19112
26-3911509
HEALTHCARE
PA
NA
N/A
(3)
1100 WALNUT ASSOC
1020 WALNUT STREET
PHILADELPHIA
,
PA
19107
23-2332396
MEDICAL OFFICE
PA
NA
N/A
(4)
JEFF UNIV RADIOLOGY
840 CRESCENT CENTRE DR
FRANKLIN
,
TN
37067
41-2043518
HEALTHCARE
PA
NA
N/A
(5)
JEFFERSON COMP CONCUSSION CTR
4050 S 26TH STREET
PHILADLEPHIA
,
PA
19122
46-4254983
HEALTHCARE
PA
NA
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
JEFFCARE INC
211 S 9TH STREET STE 305
PHILADELPHIA
,
PA
19107
23-2830152
HEALTHCARE
PA
NA
C CORPORATION
No
(2)
THE ATRIUM CORPORATION
925 CHESTNUT STREET SUITE 311
PHILADELPHIA
,
PA
19107
23-2075587
HEALTHCARE
PA
TJUH SYSTEM
C CORPORATION
-260,360
1,868,792
100.000 %
Yes
(3)
HEALTHMARK INC
2301 S BROAD STREET
PHILADELPHIA
,
PA
19148
23-2259593
HEALTHCARE
PA
NA
C CORPORATION
No
(4)
MID-ATLANTIC MATERNAL FETAL INSTITUTE
925 CHESTNUT STREET SUITE 311
PHILADELPHIA
,
PA
19107
23-2922471
HEALTHCARE
PA
NA
C CORPORATION
No
(5)
MID-ATLANTIC MATERNAL FETAL INSTITUTE PC
925 CHESTNUT STREET SUITE 311
PHILADELPHIA
,
PA
19107
22-3536371
HEALTHCARE
NJ
NA
C CORPORATION
No
(6)
WALNUT REALTY
1020 WALNUT ST 5TH FL
PHILADELPHIA
,
PA
19107
23-2332416
REAL ESTATE
PA
NA
C CORPORATION
No
(7)
TJU INC
1020 WALNUT ST 5TH FL
PHILADELPHIA
,
PA
19107
23-2146678
REAL ESTATE
PA
NA
C CORPORATION
No
(8)
925 WALNUT STREET CORPORATION
2711 CENTERVILLE ROAD SUITE 400
WILMINGTON
,
DE
19808
84-1657497
HEALTHCARE
PA
NA
S CORPORATION
No
(9)
JEFFERSON ACUTE CARE PHYSICIANS PC
111 S 11TH STREET SUITE 2210
PHILADELPHIA
,
PA
19107
47-2639286
HEALTHCARE
PA
NA
C CORPORATION
No
Schedule R (Form 990) 2014
Page 3
Schedule R (Form 990) 2014
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2014
Page 4
Schedule R (Form 990) 2014
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2014
Page 5
Schedule R (Form 990) 2014
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2014
Additional Data
Software ID:
Software Version: