Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
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| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
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| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
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| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
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| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
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8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
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| 1 Distributable amount for 2024 from Section C, line 6 | ||||
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2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
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i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
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5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | The taxpayer is recognized by the internal revenue service ("irs") as a tax-exempt organization under internal revenue code section 501(c)(3) and is also an affiliate of thomas jefferson university ("tju"). Tju is also recognized as a tax-exempt organization under internal revenue code section 501(c)(3) and is the tax-exempt parent organization of tju/jefferson health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("system"), with a tripartite mission of education, research and patient care. The system's tripartite mission of education, research and patient care. Jefferson health, in partnership with tju, is dedicated to discovering new treatments and therapies that will define the future of clinical care; providing exceptional primary through complex quaternary care to patients in the communities we serve throughout the delaware valley; and educating tomorrow's professionals through transdisciplinary and experiential learning designed for new and emerging fields for the 21st century. Jefferson has over 325 years of health care, innovation and education. Jefferson health, which added lehigh valley health network in august 2024, now Includes 32 hospitals with 5,500 licensed beds throughout eastern Pennsylvania And southern new jersey. They are: jefferson abington hospital, jefferson bucks hospital, jefferson cherry hill hospital, jefferson einstein philadelphia hospital, jefferson einstein montgomery hospital, jefferson frankford hospital, jefferson hospital for neuroscience, jefferson lansdale hospital, jefferson methodist hospital, jefferson moss-magee rehabilitation hospital - center city, jefferson moss-magee Rehabilitation - elkins park, jefferson stratford hospital, jefferson torresdale hospital, jefferson washington township hospital, lehigh valley hospital - carbon, lehigh valley hospital - cedar crest, lehigh valley hospital - 1503 n. Cedar crest, lehigh valley hospital - dickson city, lehigh valley hospital - gilbertsville, lehigh valley hospital - hazleton, lehigh valley hospital - hecktown oaks, lehigh valley Hospital - highland avenue, lehigh valley hospital - macungie, lehigh valley hospital-muhlenberg, lehigh valley hospital - pocono, lehigh valley hospital - schuylkill e. Norwegian st., lehigh valley hospital - schuylkill s. Jackson st., lehigh valley hospital - 17th street, lehigh valley hospital - tilghman, physicians care surgical hospital, rothman orthopedic specialty hospital, and thomas jefferson university hospital. Combined, jefferson health, thomas jefferson university and lehigh valley network have more than 65,000 employees, which includes over 10,200 employed physicians/advanced practice professionals, 13,700 full and part-time nurses and more than 1,800 full and part-time paid faculty. Jefferson is the second largest employer in philadelphia and the largest health system in philadelphia based on total licensed beds. Jefferson health includes over 700 outpatient and urgent care centers throughout eastern pennsylvania and southern new jersey; 4 mangnet-designated hospitals, a nci-designated comprehensive cancer center - sidney kimmel cancer center; and one of the largest faculty-based telehealth networks in the country that began more than 10 years ago. Jefferson health includes 32 hospitals throughout southeastern pennsylvania, lehigh valley and new jersey. Additional relevant tju and jefferson health information for the year ended june 30, 2025: - Licensed beds: 3,816 - Inpatient admissions: 160,254 - Observation cases: 48,777 - Total surgeries: 100,839 - Emergency dept. Visits: 584,121 - Ambulatory visits: 1,767,947 - Telehealth visits: 238,261 The system's hospitals' conformance with irs revenue ruling 69-545 The wholly owned hospitals in the system are recognized by the irs as internal revenue code section 501(c)(3) tax-exempt organizations. Pursuant to its charitable purposes, each of these hospitals provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, gender identity, sexual orientation, national origin, or ability to pay. Moreover, our hospitals operate consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Providing medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare, and medicaid patients. 2. Operating active emergency departments for all persons that are open 24 hours a day, 7 days a week, 365 days per year. 3. Maintaining open medical staffs, with privileges available to all qualified physicians. 4. Control positioned with hospital board of trustees and the board of trustees of tju, and all the boards are comprised of independent civic leaders and other prominent members of the represented communities; and 5. Using surplus funds to improve the quality of patient care, expand and renovate facilities/equipment and advance and improve medical care, programs and activities through patient care and medical training, education, and research. The operations of our wholly owned hospitals as shown through the factors outlined above and other information contained herein, clearly demonstrate the provision of substantial community benefit; both collectively and individually; and that the use and control of the respective hospital facilities are for the benefit of the public and that no part of the income or net earnings of any of the hospital organizations inures to the benefit of any private individual, nor is any private interest being served other than incidentally. The taxpayer individually provides substantial community benefit Of the net community benefit costs outlined above for fiscal years ended june 30, 2025 and 2024; the taxpayer contributed approximately $370 million and $341 million of net community benefit costs as defined by the irs and reflected in their respective form 990, schedule h, part i to the totals reported. These numbers are at estimated cost and are net of any federal, state or local remuneration or reimbursement. The corresponding combined community benefit percentages of the taxpayer were approximately 13.33% and 13.75% for the fiscal years ended june 30, 2025 and 2024; respectively. These percentages were derived by using the taxpayer's net community benefit costs as the numerator and the total taxpayer's operating expenses as the denominator. These costs and percentages do not include any estimated bad debt costs and any medicare shortfall incurred by the taxpayer for either fiscal years. Jefferson enterprise -------------------- Mission: we improve lives. Vision: reimagining health, education and discovery to create unparalleled value. Values: values guide our decisions, actions and culture. They create a common language that helps us come together as one jefferson. These values are: Put people first: - Build relationships - Engage with grace - Create moments Do what's right: - Prioritize what matters - Align on expectations - Act with integrity Pursue excellence: - Look and listen - Innovate with intent - Value lessons learned Our history ----------- Thomas jefferson university hospitals have major programs in a wide range of clinical specialties. Services are delivered at thomas jefferson university hospital (our teaching hospital, which was established in 1877) and jefferson hospital for neuroscience, both in center city philadelphia; jefferson's methodist hospital and at a variety of hospital-based outpatient sites. There are also various radiation therapy satellite locations throughout the region. Formerly a division of thomas jefferson university, the hospital was separated from the university to become a founding member of the jefferson health system in 1995. The hospital expanded its services to the community with the merger of methodist hospital as a division of thomas jefferson university hospitals in 1996. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | As an academic medical center, thomas jefferson university hospitals believe in the importance of an excellent clinical setting for our patients and as a foundation for the learning experience of jefferson students and residents. It is within our various clinical settings that scientists, residents and attending physicians, medical students, nursing and allied health students, and technologists learn their profession and learn to work together as a team and help define the future of clinical care. Jefferson university hospitals continue to take pride in the quality and variety of healthcare services provided to citizens of philadelphia and the delaware valley. The hospital is fully accredited by the joint commission and licensed by the department of health of the commonwealth of pennsylvania. Tjuh by the numbers ------------------- Tjuh - including both tjuh and jefferson hospital for neurosciences (for fiscal year 2025) - 716 licensed beds (632 at tjuh and 84 at jefferson hospital for neurosciences) - 28,869 total discharges - 11,343 inpatient surgeries - 88,149 emergency department visits Jefferson methodist hospital (for fiscal year 2025) - 168 licensed beds - 6,808 total discharges - 1,727 inpatient surgeries - 33,073 emergency department visits Awards & honors --------------- Thomas jefferson university hospitals: academic medical excellence As part of jefferson health, thomas jefferson university hospitals, inc. (tjuh) serves as the academic medical center for thomas jefferson university, a nationally recognized r2 doctoral university. The university is dedicated to transdisciplinary, experiential education that delivers high-impact learning and value across diverse fields, including architecture, business, design, engineering, fashion and textiles, health, science, and social science. National recognition -------------------- As an academic medical center, tjuh consistently ranks among the nation's best hospitals according to u.s. news & world report. With more than 30 years of nationally ranked care, tjuh is currently: - #2 in the philadelphia metro area - #2 in pennsylvania Specialty rankings ------------------ Nationally ranked in six specialties: - Ophthalmology (wills eye hospital) - #2 in the nation - Ear, nose & throat - #22 - Gastroenterology & gi surgery - #39 - Neurology & neurosurgery - #25 - Orthopedics - #19 - Pulmonology & lung surgery - #35 - Best in the region for ophthalmology (wills eye hospital) High-performing specialties: - Cancer - Geriatrics - Urology High-performing procedures and conditions Tjuh is recognized as high performing in numerous procedures and conditions, including: - Heart attack - Congestive heart failure - Abdominal aortic aneurysm repair - Aortic valve surgery - Heart arrhythmia - Knee replacement - Hip fracture - Colon cancer surgery - Lung cancer surgery - Prostate cancer surgery - Leukemia, lymphoma & myeloma - Chronic obstructive pulmonary disease (copd) - Pneumonia - Stroke - Diabetes - Kidney failure Physician excellence -------------------- Jefferson health is proud to have 700+ physicians named among the region's best by castle connolly in philadelphia magazine's 2025 top docsT issue. We are equally proud of all our physicians, nurses, pharmacists, technicians, and educators whose dedication ensures exceptional care for every patient. Maternity care recognition -------------------------- Jefferson health hospitals were named among the best in the nation in u.s. news & world report's annual best hospitals for maternity care rankings. Thomas jefferson university hospital earned the designation of high performing, the highest level achievable. Only 147 hospitals nationwide received this honor in 2025. Evaluations are based on quality measures such as newborn complication rates, c-section rates, and episiotomy rates. Stroke care excellence ---------------------- Jefferson health received the american heart association's get with the guidelines - stroke gold plus quality achievement award, demonstrating a commitment to evidence-based care that saves lives and reduces disability. Thomas jefferson university hospital: - Stroke gold plus - Target: type 2 diabetes honor roll - Target: stroke elite plus honor roll Jefferson methodist hospital: - Stroke gold plus - Target: type 2 diabetes honor roll Nursing excellence ------------------ The american nurses credentialing center's magnet recognition program distinguishes health care organizations that meet rigorous standards for nursing excellence. Thomas jefferson university hospitals received magnet recognition for the fourth time in february 2023 and has maintained this designation since 2009-the highest national honor for professional nursing practice. Tjuh has several clinical areas of distinction: - Level i trauma center - Bruce and robbi toll heart and vascular institute - Vickie & jack farber institute for neuroscience - Sidney kimmel cancer center - Rothman orthopedic institute - Korman respiratory institute - Solid organ & bone marrow transplant - Brain tumor center - Burn center Several clinical programs have also been recognized for outstanding performance and outcomes. The sidney kimmel cancer center, nationally ranked by u.s. news & world report, is one of only 57 designated national cancer institute (nci) centers, and one of only eight nci-designated prostate centers of excellence in the country. The center has also received accreditation from the american college of surgeons national accreditation program for breast centers (napbc) and has top outcomes in bone marrow and stem cell transplantation. The tjuh transplant institute achieved a 5/5 rating from the scientific registry of transplant recipients for one-year liver patient survival transplantation outcomes and is among the top 8 in the country. The kidney and pancreas transplant programs received a 4/5 rating - also placing them among the top-rated programs in the region for transplant outcomes. The united network for organ sharing (unos) has designated jefferson as a kidney transplant center for both living and deceased donor kidneys. The transplant institute is also part of the american society of transplantation's the living donor circle of excellence program that recognizes organizations with policies to support the wages of a living donor employee who donates a kidney, or a part of their liver. Rothman orthopaedics at jefferson health includes the philadelphia hand to shoulder center at jefferson, 3b orthopedics and the abington orthopedic & spine institute - jefferson health. Jefferson's orthopedic program located at tjuh is currently ranked #10 by u.s. news & world report and has been seated in the top 20 orthopedic programs. Jefferson's orthopedic program was also the first to earn the advanced joint commission certification for total hip & total knee replacement. The vickie & jack farber institute for neuroscience is nationally renowned for expertise in treating brain tumors, spinal cord injuries, aneurysms and arteriovenous malformations. The institute received the get with the guidelines-stroke gold-plus quality achievement award for consistent compliance with quality measures outlined by the american heart association/american stroke association for the diagnosis and treatment of stroke. It also received the association's target: stroke honor roll which recognizes hospitals that achieve improved stroke outcomes through reduced time to treatment with iv thrombolytic (clot buster). The institute is also home to the first and only center in philadelphia dedicated solely to als research - the frances & joseph weinberg research unit within the jefferson weinberg als center. Jefferson is an als association certified treatment center of excellence. The institute also includes a comprehensive parkinson's disease & movement disorder center - also recognized as a center of excellence by the parkinson's foundation. Among this year's u.s. news & world report's top-ranked programs in pulmonology, the jane & leonard korman respiratory institute, in partnership with national jewish health, the top respiratory program in the world, provides comprehensive respiratory care and treatment. The jane & leonard korman respiratory institute is also one of a select group of specialized centers in the country for the treatment of cystic fibrosis, and one of only two centers in the philadelphia region. Blue distinction award ---------------------- Thomas jefferson university hospitals earned blue distinction and blue distinction awards from blue cross and blue shield association for demonstrating expertise in delivering quality health care in the following specialties: bariatric surgery - blue distinction+, maternity care - blue distinction, transplant - blue distinction+, cardiac care - blue distinction. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Magnet recognition for nursing excellence ----------------------------------------- Thomas jefferson university hospitals center city campus has been granted magnet recognition for nursing excellence from the american nurses credentialing center (ancc). Ancc is a subsidiary of the american nurses association. Less than 7% of all hospitals in the united states have achieved ancc magnet recognition status. The magnet recognition program recognizes healthcare organizations for quality patient care, nursing excellence and innovations in professional nursing practice. Magnet hospitals enjoy higher percentages of improved patient care outcomes and improved patient satisfaction as well as attracting top notch nurses, physicians and healthcare professionals. Healthgrades ------------ Heath grades is a longstanding leader in making information on physicians and hospitals more accessible and transparent. They provide consumers with information about clinical outcomes, satisfaction, safety and health conditions. Health grades named thomas jefferson university hospital, jefferson hospital for neuroscience and jefferson methodist hospital as three of the best hospitals in pennsylvania, and among the nation's top 50 in 2025. Joint commission accreditation ------------------------------ Thomas jefferson university hospitals are fully accredited by the joint commission. Across the united states, the joint commission evaluates and accredits healthcare organizations. Accreditation from this independent, nonprofit organization is a recognized symbol of quality, demonstrating an organization's achievement of performance standards. Accreditation requires successful completion of an on-site survey at least every three years. The joint commission has recognized thomas jefferson university hospitals as improving in quality and safety in the areas of heart attacks, heart failure, pneumonia, spine surgery, surgical care, immunizations and perinatal care. They have also recognized jefferson with specific quality awards, including the medal of honor for organ donation and advanced certifications such as a primary stroke center and in ventricular assist device (vad). Tjuh achieved certification from the joint commission for jefferson as a sustainable healthcare organization, certifying our commitment to accelerate sustainability and reduce greenhouse gas emissions. Jefferson health - hospital profiles ------------------------------------ Jefferson health - center city has major programs in a wide range of growing clinical specialties that have been offered to the community for 200 years. Services are provided at thomas jefferson university hospital, inc., which includes thomas jefferson university hospital, jefferson hospital for neuroscience and jefferson methodist hospital. Cancer - sidney kimmel cancer center (skcc): - one of 57 designated national cancer institute (nci) centers and one of only 8t nci-designated prostate centers of excellence in the country. -the center has also received accreditation from the american college of surgeons national accreditation program for breast centers (napbc) and has top outcomes in bone marrow and stem - neu center for supportive medicine and cancer survivorship provides comprehensive, multidisciplinary physical & psychosocial support - acos national accreditation for breast centers; previous recipient of women's choice best hospital award for cancer & comprehensive breast center Transplant-jefferson transplant institute: - kidney transplant team and heart transplant team were recognized among the best in the region for one-year graft-survival outcomes according to the scientific registry of transplant recipients. - liver, kidney, pancreas, kidney/pancreas and heart transplant programs; longest continuously active liver transplant program in philadelphia - aetna institute of excellence & blue distinction center for kidney, liver, pancreas, pancreas-kidney & heart transplants; only blue distinction center for pancreas in philadelphia - the united network for organ sharing (unos) has designated jefferson as a kidney and liver transplant center for both living and deceased donor kidneys and livers. The transplant institute is also part of the american society of transplantation's the living donor circle of excellence program that recognizes organizations with policies to support the wages of a living donor employee who donates a kidney, or a part of their liver. Heart & vascular - jefferson heart institute: - advanced heart failure and transplant center at the jefferson heart institute in philadelphia - advanced joint commission certification for ventricular assist devices - designated blue distinction center & aetna institute of quality for cardiac care - usn&wr rated "high performing" for heart failure, aaa repair, aortic valve surgery, bypass surgery & heart attack - women's choice best hospital awardt for heart care - achieved the american heart association's "get with the guidelines - stroke" gold-plus status Musculoskeletal: - rothman institute at jefferson: usn&wr nationally ranked #20 and rated "high performing" for hip and knee replacement - at jmh: jefferson advanced spine center, shoulder and elbow center, headache center - blue distinction center for knee & hip replacement; women's choice best hospital award for orthopedics Neuroscience-vickie & jack farber institute: - advanced joint commission certification for acute stroke ready hospital & advanced comprehensive stroke center - aha/asa get with the guidelines stroke gold plus, target: stroke honor roll-elite & target: stroke honor roll w/ adv. Therapy - 1st in u.s. to enroll in the in vivo therapeutics inspire 2.0 study (acute spinal cord injury) - weinberg als center combines basic science with advanced multidisciplinary treatment; comprehensive parkinson's disease & movement disorder center is a parkinson's foundation center of excellence - largest neurosurgical training program in philadelphia - health grades specialty excellence award for cranial neurosurgery, neurosciences; 100 best hospitals for stroke care - the institute is also home to the first and only center in philadelphia dedicated solely to als research - the frances & joseph weinberg research unit within the jefferson weinberg als center. Jefferson is an als association certified treatment center of excellence. The institute also includes a comprehensive parkinson's disease& movement disorder center - also recognized as a center of excellence by the parkinson's foundation. Digestive health-digestive health institute: - nationally renowned specialists in endoscopy, motility, ibd, hpb diseases, celiac disease & gerd - jefferson barrett's esophagus treatment center is one of only a few dedicated centers in the u.s. & the 1st in philadelphia; regional leader in radiofrequency ablation procedures for barrett's - jefferson fatty liver center is philadelphia's first adult center with a multidisciplinary approach to nonalcoholic fatty liver disease - received accreditation by the metabolic and bariatric surgery accreditation and quality improvement program - methodist was designated as a comprehensive bariatric surgery center by the american college of surgeon's metabolic and bariatric surgery quality improvement program In the community ---------------- Thomas jefferson university hospitals offer trusted, compassionate care to our community - from center city to the suburbs. We are committed to improving the lives of the people we interact within our hospitals, clinics and in our neighborhoods. Thomas jefferson university hospitals defines its greatest achievements by working beyond the bedside and contributing to community benefit & services. At jefferson, community benefit is delivered in three distinct ways: charity care and financial aid for individuals and families who cannot afford the cost of hospital services; contribution towards healthcare providers; and a variety of programs and services offered to the community including support groups, health screenings, wellness education and programs that address social determinants of health. Service to the community and helping the underserved have been a part of jefferson's rich legacy. Last year, jefferson celebrated its bicentennial, and to mark this momentous occasion colleagues completed over 220,000 hours of volunteer service to make a positive impact in communities throughout southeastern pennsylvania, lehigh valley and southern new jersey. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | The jefferson community health collaborative -------------------------------------------- The jefferson community health collaborative addresses the complex issues related to health inequities facing our communities by aligning resources, building trusted and sustainable partnerships that create and drive sustainable change by: - Building on community strengths to improve health and well-being - Fostering the local ecosystems necessary to promote health equity - Partnering with well-established community organizations as collaborators - Recognizing and cultivating the assets in the community to improve health and well-being in the community - Integrating a health and social need infrastructure by cultivating community assets in support of community health screening, health education, resource navigation and community capacity building. The frazier family coalition for stroke education and prevention ---------------------------------------------------------------- Jefferson, in partnership with temple, operates the frazier family coalition for stroke education and prevention, a partner of the jefferson community health collaborative, to promote the health of north philadelphia residents through a multifaceted program aimed at reducing the number of strokes. The coalition is addressing an especially urgent need, as stroke is the fourth-highest cause of death in philadelphia. With its office located in the lowest-income zip code in the city, the coalition is countering the lack of access to providers, unmanaged chronic disease and limited awareness of risk factors that has allowed the rate of stroke to swell in north philadelphia. Jefferson center for refugee health (jcrh) and hansjrg wyss wellness center -------------------------------------------------------------------------- Jefferson is one of the largest providers in philadelphia for refugee health care and is one of only four programs in the nation recognized by the centers for disease control and prevention as a center of excellence. In addition, its center for refugee health, jefferson opened the hansjrg wyss wellness center in 2021. The center brings medical and social services to immigrant and refugee communities. Jefferson latina women's clinic ------------------------------- Part of the latina community health services within the puentes de salud organization, the latina women's clinic provides comprehensive pre & post-natal care with 24/7 access and support like medical-legal guidance and behavioral health counseling. Center for connected care ------------------------- The jefferson center for connected care was also launched to develop and test innovative approaches for a patient-responsive care delivery system. The center's core research initiatives focus on digital readiness, patient uncertainty, food as medicine, vaccine confidence, impact of telehealth on patient and system outcomes, and developing a patient-centered system design. A hub-and-spoke model has been developed to include patient navigators working across hospital, clinic, and community spoke sites to understand patient needs (hrsn screening). This is supported by a centralized team of referral specialists supporting optimized patient referrals based on patient needs, insurance benefits, and cbo eligibility. Ccs is a collaborative effort which includes center for connected care, enterprise quality and safety, population health (clinical), college of population health, office of community impact and belonging (jefferson community health collaborative). Promotion of community health through the chna implementation plan ------------------------------------------------------------------ Highlights of the implementation plan include: Jefferson opiate task force: Jefferson opiate task force focuses on reducing access to opiate pain killers and raising public awareness about addiction enterprise- wide. The task force successfully implemented Electronic methods to dramatically impact prescribing behavior and provide real-time feedback on guideline adherence. A multidisciplinary care program with staff, pharmacists and a behavioral health team was implemented. One hundred percent of primary care clinicians were certified on medication-assisted treatment. Patient education materials have been developed and delivered For patients and families regarding pain medication and other methods of pain management. Jefferson's onsite pharmacy continued to provide a drug take back program that is open to all Community members. Additionally, the stephen and sandra sheller consult and bridge program opened in february 2024, providing post-acute care coordination, moud, full spectrum primary care, sdoh support, and continued recovery support services. Community health education: In partnership with community organizations, jefferson brings healthcare services such as blood pressure screenings, health information and resources, flu vaccinations, and other services to community sites. The covid-19 pandemic prompted jefferson to increase its online educational workshops and address technology barriers for patients and community members. Many of the educational workshops have returned to in person activities, while others continued online to increase flexible offerings to community members. To review the list of programs and classes, please visit jeffersonhealth.org/events Diabetes prevention and management: Multiple programs are open to the community free of charge. Jeffpeers (people, empowered, educated, and ready to support) is a chronic disease self-management program designed to help adults better manage chronic medical conditions. Diabetes prevention program (dpp) supports participants in losing weight and preventing diabetes. Over five cohorts have benefited from this program in the three- year period. The jefferson collaborative for health equity developed free health education courses that are available to the public, including diabetes self-management, diabetes prevention, nutrition, hypertension, and smoking cessation. The learning to manage and live with diabetes program provides individuals and families living with diabetes and prediabetes with education tools and resources to better self-manage diabetes, reduce complications and improve quality of life. Housing support: Jefferson's better together at home program is a pilot project of the jefferson collaborative for health equity, focusing on housing repairs. By addressing housing repairs, the program seeks to improve food access and alleviate barriers to care that prevent individuals from focusing on their physical health and well-being. The innovative upstream program is done in partnership with manna and habitat for humanity, and has successfully rehabilitated 24 homes, fostering an environment where program participants can safely store and prepare food within their residences. Cancer screening and support: Through the healthy women grant, free mammograms are offered to uninsured and underinsured women. Our cancer welcome center serves patients, families and community members. Comprehensive services including support groups, educational workshops, fitness and wellness sessions, transportation, legal assistance and more are offered without charge. The dietz & watson and sidney kimmel comprehensive cancer center's mobile screening van provides preventive services and education at community events and other local venues, meeting community members where they are to provide critical services. Serving people who experience homelessness: The jeffhope (health opportunities, prevention & education) program supports four homeless shelters and one needle exchange harm reduction program in philadelphia every week. The team provides acute and basic medical care and helps individuals and families experiencing homelessness access other health and social resources and healthcare providers who are better equipped to care for them long-term. Jefferson also donated lab and pharmaceutical services to this program. The jeffhope clinics are responsible for over 5,000 patient visits per year. Workforce development and health: Jefferson's community health worker (chw) academy led by the jefferson community health collaborative, office of community impact and belonging, aims to transform the way community members engage with healthcare providers and the way healthcare providers engage with the community. Jefferson trained chws meet the unique medical and social needs of the patients and the communities they serve. Chws are in the jefferson emergency department to provide social determinants of health screenings and connect patients with needed resources, while helping them navigate health care and social service systems. Since the program's kick off in 2023, 10 hws have been trained, certified, and 8 have found clinical placements throughout the health system. A third cohort of new community members were recruited and onboarded in may 2025. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Community building: Jefferson has also engaged in a variety of community building activities to improve the community's health and safety by addressing poverty, food insecurity, homelessness, workforce development, built environment and substance abuse. Community building activities are also focused on providing opportunities for youth to explore careers in health care through health awareness education, mentoring and internships. The jeffcares mobile van is designed to support community engagement and community outreach operations. It comprises of a van and a repurposed airstream trailer, used to promote health, provide community education and awareness, and enhance jefferson's community presence through various activities, including: health screenings and educational programs, participation in community health fairs and events, conducting community health needs assessments, hosting community conversations and information sessions, organizing pop-up events, creating exhibits, engaging with community members, and addressing other jefferson healthy communities priorities. Jefferson connected care services opened its first community facing space in fall 2024. This location, which was formerly the jefferson cancer welcome center, functions as a social needs support center for patients and community members. The center is staffed by the jefferson center for connected care staff and graduates of the jefferson community health collaborative's community health worker academy. It is intended to be a place where individuals can be referred to by healthcare providers or just walk into off the street and get help with social needs, including screening and assistance with community resource navigation, healthcare navigation including appointment scheduling, and other referrals as appropriate. In the future it will also provide a space to login to and or receive assistance for mychart and other digital literacy support. Informational resources such as brochures for upcoming health education and screening events are kept on site. |
| CORE FORM, PART V, QUESTION 15 | CHARLES J. YEO, M.D., FACS IS A VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. DR. YEO IS AN EMPLOYED PHYSICIAN WHO PROVIDES LICENSED MEDICAL SERVICES, AS WELL AS NON-CLINICAL SERVICES. HE RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY WAS NOT REQUIRED TO FILE A 2024 FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO DR. YEO BECAUSE THE PORTION OF HIS COMPENSATION ATTRIBUTABLE TO NON-CLINICAL SERVICES WAS NOT IN EXCESS OF $1M AND THUS EXEMPT FROM EXCISE TAX AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. RICHARD J. WEBSTER, RN, MSN is a former officer of this organization. Mr. Webster received a federal form W-2 from Thomas Jefferson University Hospitals, Inc. His common law employer/employee relationship was with Thomas Jefferson University Hospitals, Inc. Accordingly, Thomas Jefferson University Hospitals, Inc. filed a 2024 Federal Form 4720 which included a remittance of excise tax related to Mr. Webster's compensation in excess of $1M. DIXIEANNE P. JAMES IS AN OFFICER/voting member OF THE ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MS. JAMES ALSO SERVES AS THE PRESIDENT OF CENTRAL REGION OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. SHE RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ALBERT EINSTEIN MEDICAL CENTER. ACCORDINGLY, ALBERT EINSTEIN MEDICAL CENTER FILED A 2024 FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO HER COMPENSATION IN EXCESS OF $1M. CRISTINA G. CAVALIERI, ESQ. IS AN OFFICER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MS. CAVALIERI IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2024 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HER COMPENSATION IN EXCESS OF $1M. Effective February 2025, Thomas J. Marchozzi, MBA, CPA became AN OFFICER/trustee OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. Mr. Marchozzi IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM Lehigh Valley Hospital; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. His COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH Lehigh Valley hospital. ACCORDINGLY, Lehigh Valley hospital FILED A 2024 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO His COMPENSATION IN EXCESS OF $1M. From July 2024 to February 2025, John P. Mordach was an officer OF THIS ORGANIZATION; an uncompensated position. MR. MORDACH RECEIVED A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP WAS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2024 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. Brian Sweeney, RN, MBA, FACHE is a former Key Employee OF THIS ORGANIZATION. MR. SWEENEY ALSO SERVES AS THE PRESIDENT OF NORTH REGION OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. MR. SWEENEY RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ABINGTON MEMORIAL HOSPITAL. ACCORDINGLY, ABINGTON MEMORIAL HOSPITAL FILED A 2024 FEDERAL FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | MICHAEL J. HELLER & MARK L. ALDERMAN, ESQ. - BUSINESS RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTION 3 | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY ("TJU") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM. AS THE PARENT ORGANIZATION OF THE SYSTEM TJU PROVIDES VARIOUS CORPORATE RELATED SERVICES FOR THE BENEFIT OF VARIOUS SYSTEM ENTITIES; INCLUDING THIS ORGANIZATION. THESE CORPORATE SERVICES, INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. TJU ALLOCATES A PERCENTAGE OF ITS TOTAL CORPORATE RELATED SERVICES COSTS TO VARIOUS SYSTEM ENTITIES, INCLUDING THIS ORGANIZATION, AS REIMBURSEMENT FOR THESE CORPORATE RELATED SERVICES. THE REIMBURSEMENT TO TJU IS REFLECTED AS AN EXPENSE FOR THESE ORGANIZATIONS. |
| Core Form, Part VI, Section A; Questions 4 | The governing documents of the organization were updated and amended during the year to ensure governance provisions are consistent across THOMAS JEFFERSON UNIVERSITY/Jefferson Health affiliates. The organization remains an internal revenue code section 501(c)(3) tax-exempt organization and its ultimate sole member remains Thomas Jefferson University; a related internal revenue code section 501(c)(3) tax-exempt organization. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | Jefferson health Corporation ("JHC") is the sole member of this organization. Thomas Jefferson University ("TJU") is the sole corporate member of JHC. TJU has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | The organization is an affiliate within Thomas Jefferson University/Jefferson Health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("System"), with a tripartite mission of education, research and patient care. The organization's federal form 990 was provided to each voting member of the organization's governing body prior to filing with the Internal Revenue Service ("IRS"). As part of the tax return preparation process the organization hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The CPA firm's tax professionals worked closely with the System's finance personnel and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal form 990 and furnished it to the System's internal working group for their review. The internal working group reviewed the draft Federal form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft Federal form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review. Following this review, the form 990 was provided to the organization's governing body prior to filing with the IRS. In addition, the form 990 was provided to the Thomas Jefferson University's finance, assurance & compliance committee and the CPA firm made presentation to the committee regarding the System's Forms 990 together with a healthcare industry tax update. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF TRUSTEES. THE CONFLICT OF INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, THEIR FAMILY MEMBER(S), A MEMBER OF A COMMITTEE OR SUBCOMMITTEE THAT EXERCISES BOARD-DELEGATED POWERS OF THE UNIVERSITY, OR SENIOR MANAGEMENT. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE SYSTEM'S CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT OF INTEREST PROCESS INCLUDES DISTRIBUTION OF AN ELECTRONIC DISCLOSURE TO ALL PERSONS WHO SERVED AS VOTING MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF SENIOR MANAGEMENT AND KEY EMPLOYEES DURING THE PREVIOUS FISCAL YEAR. THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENT'S ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH THEY ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT THEY WILL ABIDE BY THE SYSTEM'S CONFLICTS OF INTEREST AND OTHER RELEVANT POLICIES AND WILL DISCLOSE ALL INTERESTS AND ACTIVITIES RELATED TO THEIR ONGOING SERVICE ON THE BOARD OF TRUSTEES. MEMBERS OF SENIOR MANAGEMENT AND INDIVIDUALS IDENTIFIED AS KEY EMPLOYEES RECEIVE DISCLOSURE QUESTIONS REQUIRED OF MEMBERS OF THE BOARD OF TRUSTEES. ALL PERSONS COVERED UNDER THE ORGANIZATION'S BOARD OF TRUSTEES AND EMPLOYEE-RELATED CONFLICT OF INTEREST POLICIES MAINTAIN A CONTINUING OBLIGATION TO DISCLOSE ALL CHANGES IN INTERESTS, ACTIVITIES AND RELATIONSHIPS THROUGHOUT THE YEAR. THE SYSTEM MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE SYSTEM ALSO COMPILES AND ISSUES A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THEREAFTER, THE BOARD OF TRUSTEES ITSELF OR THROUGH DELEGATION TO THE FINANCE, ASSURANCE & COMPLIANCE COMMITTEE, EVALUATES ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO DETERMINE WHETHER ACTIVITIES OR ARRANGEMENTS REQUIRE MANAGEMENT, REDUCTION, OR ELIMINATION OF CERTAIN INTERESTS, ACTIVITIES OR RELATIONSHIPS. WHEN MANAGEMENT OF THE IDENTIFIED CONFLICT IS REQUIRED, THE AFFECTED PERSON(S), MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE, BUT MAY NOT BE LIMITED TO, RECUSAL FROM DELIBERATIONS AND VOTING WHEN APPROPRIATE. IN ADDITION TO THE ABOVE-OUTLINED INTERNAL REPORTING AND EVALUATION OF ACTIVITIES, TRANSACTIONS AND RELATIONSHIPS, ALL REQUIRED DISCLOSURES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S REGULATIONS AND INSTRUCTIONS ARE REPORTED ON THE ORGANIZATION'S FEDERAL FORM 990. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE ORGANIZATION IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST PRACTICES IN CORPORATE GOVERNANCE. THOMAS JEFFERSON UNIVERSITY'S BOARD OF TRUSTEES HAS A COMPENSATION AND HUMAN CAPITAL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE SYSTEM'S EXECUTIVE COMPENSATION, INCLUDING ARRANGEMENTS COVERING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR EXECUTIVES AND OTHER KEY EMPLOYEES (INCLUDING CLINICAL DEPARTMENT CHAIRS AND SELECT FACULTY). THE COMMITTEE MEETS MULTIPLE TIMES DURING THE YEAR AND IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT AND DO NOT HAVE CONFLICTS OF INTEREST WITH REGARD TO THE COMPENSATION ARRANGEMENTS THAT FALL WITHIN ITS PURVIEW. THE COMMITTEE'S PROCESS IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT IS AVAILABLE UNDER THE INTERMEDIATE SANCTIONS LAW, AND INCLUDES THE REVIEW OF COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF ITS DELIBERATIONS AND DECISIONS. THE COMMITTEE'S DECISIONS ARE MADE IN ACCORDANCE WITH SYSTEM'S COMPENSATION PHILOSOPHY, WHICH SUPPORTS THE OBJECTIVE OF ATTRACTING, RETAINING AND MOTIVATING TALENTED INDIVIDUALS WHO HAVE THE APPROPRIATE EXPERIENCE AND SKILLS TO ACHIEVE THE INSTITUTION'S OBJECTIVES. ON AN ANNUAL BASIS THE COMMITTEE REVIEWS APPROPRIATE COMPARABILITY DATA FOR SIMILAR INSTITUTIONS THAT REFLECT THE MISSION, SCOPE AND COMPLEXITY OF THE ORGANIZATION AND ITS CONSTITUENT ENTITIES. THE COMMITTEE ENGAGES QUALIFIED, INDEPENDENT CONSULTANTS AS NEEDED TO PROVIDE ADVICE ON COMPENSATION MATTERS AND TO PREPARE THE COMPARABILITY DATA, WHICH ARE REVIEWED BY THE COMMITTEE IN ADVANCE OF MAKING ITS DECISIONS. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND OTHER SENIOR EXECUTIVES BASED ON MARKET PRACTICES, AN ASSESSMENT OF PERFORMANCE AND OTHER BUSINESS JUDGMENT FACTORS. THE EXECUTIVE COMPENSATION INCLUDES INCENTIVE PAY, PURSUANT TO WHICH EXECUTIVES ARE REWARDED BASED ON THE ACHIEVEMENT OF THE SYSTEM, ENTITY AND INDIVIDUAL PERFORMANCE GOALS THAT ARE ESTABLISHED IN ADVANCE OF THE PERFORMANCE PERIOD. THESE GOALS ARE LINKED TO SYSTEM'S MISSION, STRATEGIC AND OPERATING OBJECTIVES, AND HAVE PREDETERMINED WEIGHTS. AT THE END OF THE YEAR, THE COMMITTEE APPROVES THE RESULTING AWARDS BASED ON A REVIEW OF PERFORMANCE ACHIEVEMENTS RELATIVE TO THE GOALS; IN APPROPRIATE CIRCUMSTANCES, OTHER DISCRETIONARY FACTORS MAY BE CONSIDERED WHEN INCENTIVES ARE DETERMINED. THE COMMITTEE MAKES A DETERMINATION OF THE REASONABLENESS OF COMPENSATION AND MAINTAINS MINUTES THAT DOCUMENT ITS DELIBERATIONS AND DECISIONS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. |
| CORE FORM, PART VII AND SCHEDULE J | CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S GOVERNING BODY. |
| CORE FORM, PART VII AND SCHEDULE J | DIXIEANNE P. JAMES IS A VOTING MEMBER/OFFICER OF THE ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MS. JAMES ALSO SERVES AS THE PRESIDENT OF CENTRAL REGION OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ALBERT EINSTEIN MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ALBERT EINSTEIN MEDICAL CENTER IS INCLUDED IN THE ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING RETURN AS A SUBORDINATE. ACCORDINGLY, HER REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING (EIN: 46-5338502) FEDERAL FORM 990. PLEASE REFER TO ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING FORM 990 FOR THIS INFORMATION. CRISTINA G. CAVALIERI, ESQ. IS AN OFFICER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MS. CAVALIERI IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, HER REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS IS REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. Effective February 2025, Thomas J. Marchozzi, MBA, CPA became AN OFFICER/trustee OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. Mr. Marchozzi IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM Lehigh Valley Hospital; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. His COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH Lehigh Valley hospital. ACCORDINGLY, His REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS IS REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE Lehigh Valley Hospital (EIN: 23-1689692) FEDERAL FORM 990. PLEASE REFER TO THE Lehigh Valley Hospital FEDERAL FORM 990 FOR THIS INFORMATION. From July 2024 to February 2025, John P. Mordach was AN OFFICER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MR. MORDACH WAS EMPLOYED BY AND RECEIVED A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP WAS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS IS REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. BRIAN SWEENEY, RN, MBA, FACHE, A FORMER KEY EMPLOYEE OF THIS ORGANIZATION. MR. SWEENEY ALSO SERVES AS THE PRESIDENT OF NORTH REGION OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. MR. SWEENEY RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY AND THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC.; RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ABINGTON MEMORIAL HOSPITAL. ACCORDINGLY, HIS REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL FEDERAL FORM 990 FOR THIS INFORMATION. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). CERTAIN BOARD OF TRUSTEE MEMBERS, KEY EMPLOYEES AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X; LINE 25 | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015C-G; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015H; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017A; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017B; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017C; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018A; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018B; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018D; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2019A; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2022A; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2022B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2024A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2024B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2024C; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2024D; AND - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2024E. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY THOMAS JEFFERSON UNIVERSITY; THE TAX-EXEMPT PARENT OF THE SYSTEM AND SOLE MEMBER OF VARIOUS TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM, TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES MAY REFLECT A TJU OBLIGATED GROUP LIABILITY. THE MEMBERS OF THE OBLIGATED GROUP CONSIST OF THE FOLLOWING: - THOMAS JEFFERSON UNIVERSITY, EIN: 23-1352651 - THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC., EIN: 23-2829095 - JEFFERSON UNIVERSITY PHYSICIANS, EIN: 23-2809585 - ABINGTON HEALTH FOUNDATION, EIN: 23-2188052 - ABINGTON MEMORIAL HOSPITAL, EIN: 23-1352152 - LANSDALE HOSPITAL, EIN: 26-3359979 - JEFFERSON HEALTH - NORTHEAST, EIN: 23-0596940 - PHILADELPHIA UNIVERSITY, EIN: 23-1352294 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 - KENNEDY HEALTH FACILITIES, INC., EIN: 22-2442032 - KENNEDY MEDICAL GROUP PRACTICE, P.C., EIN: 46-1420853 - THE MAGEE MEMORIAL HOSPITAL FOR CONVALESCENTS, EIN: 23-1476328 - JEFFERSON HEALTH CORPORATION, EIN: 23-2290323 - ALBERT EINSTEIN MEDICAL CENTER, EIN: 23-1396794 - EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC., EIN: 23-2760086 - EINSTEIN MEDICAL CENTER MONTGOMERY, EIN: 20-4193243 - EINSTEIN PRACTICE PLAN, INC., EIN: 23-2664784 - FORNANCE PHYSICIAN SERVICES, EIN: 23-2275991 - MONTGOMERY HEALTH FOUNDATION, EIN: 22-2456265 - LEHIGH VALLEY HOSPITAL, INC., EIN: 23-1689692 - LEHIGH VALLEY HOSPITAL - HAZELTON, EIN: 23-2421970 - LEHIGH VALLEY HOSPITAL - POCONO, EIN: 24-0795623 - LEHIGH VALLEY HOSPITAL - SCHUYLKILL, EIN: 23-1352202 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED WITHIN THOMAS JEFFERSON UNIVERSITY'S (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDED JUNE 30, 2025. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION - $6,841,432; - NET ASSETS RELEASED FOR CAPITAL - $1,579; - DISTRIBUTIONS TO NON-CONTROLLING INTERESTS - ($7,518,000); - OTHER CHANGES IN NET ASSETS (DONOR RESTRICTED) - $5,193; - NET ASSETS RELEASED FROM RESTRICTION (DONOR RESTRICTED) - ($16,036,359); - CHANGE IN NET ASSETS HELD BY AFFILIATED FOUNDATIONS (DONOR RESTRICTED) - $903,527; - CHANGE IN VALUE OF EXTERNAL TRUSTS (DONOR RESTRICTED) - $112,455; - NET ASSET TRANSFERS - ($19,986); AND - OTHER CHANGES IN NET ASSETS - $91,019,950. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2025 AND JUNE 30, 2024; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S FINANCE, ASSURANCE & COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:26192755 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING & COLLECTION FEES TOTAL FEES:11278886 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:8809964 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING FEES TOTAL FEES:8515232 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER SERVICES TOTAL FEES:14748187 |
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