Thomas Jefferson University Hospitals Inc

“The organization is an affiliate within jefferson/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 utilizes a common paymaster for this organization and jefferson university physicians; a related internal revenue code section 501(c)(3) tax-exempt organization. In accordance with the internal revenue service form 990 regulations and instructions, the organization treats amounts paid by a common paymaster for services performed for the organization as if paid directly by the organization. Similarly, the organization treats amounts paid by a common paymaster for services performed for a related organization as if paid directly by the related organization.”

“Michael j. Heller, charles g. Kopp, esq. & mark l. Alderman, esq. - business relationship michael j. Heller & ira lubert - business relationship hyman r. Kahn, m.d. & jack farber - business relationship.”

“The organization is an affiliate within jefferson/jefferson health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("system"), with a tripartite mission of education, research and patient care. Tjuh system, inc. Is the sole member of this organization. Thomas jefferson university ("tju") is the sole member of tjuh system, inc. Accordingly, tju has the ultimate right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within jefferson/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, its board of trustees, prior to filing with the internal revenue service ("irs"). The organization's governing body has assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process. As part of the system's federal form 990 tax return preparation process the system 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 individuals including, but not limited to, the executive vice president/chief financial & administrative officer, senior vice president of corporate finance & chief investment officer, vice president of corporate finance and the associate vice president & enterprise controller ("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 and approval. Following this review, the form 990 was then presented to the system's audit, risk and compliance committee and provided to the organization's governing body prior to filing with the irs.”

“The organization is an affiliate within jefferson/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 respondents 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 audit, risk and 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 boards 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.”

“The organization is an affiliate within jefferson/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 institutions 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.”

“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 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 board of trustees.”

“The organization is an affiliate within jefferson/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"). The system includes both for-profit and not for-profit organizations. 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.”

“Thomas jefferson university hospitals, inc. ("tjuhs") is recognized by the internal revenue service ("irs") as an internal revenue code section 501(c)(3) tax-exempt hospital organization. It includes thomas jefferson university hospital, jefferson hospital for neuroscience and methodist hospital (collectively referred to as tjuhs). Pursuant to its charitable purposes, tjuhs provides emergency and medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Moreover, the organization operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1) tjuhs provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2) tjuhs operates an active emergency department for all persons; which is open 24 hours a day, seven days a week, 365 days per year; 3) tjuhs maintains an open medical staff, with privileges available to all qualified physicians; 4) control of tjuhs rests with its board of trustees; which is comprised of independent civic leaders and other prominent members of the community; and 5) surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. The operations of tjuhs, as shown through the factors outlined above and other information contained herein, clearly demonstrate that tjuhs provides substantial community benefit and that the use and control of shore is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Background ========== jefferson university hospitals and thomas jefferson university are partners in providing excellent clinical and compassionate care for our patients in the philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care. We are 30,000+ people reimagining health care, education and discovery. We are many things, but every day all of us are dedicated to one thing: improving lives. Jefferson ranks as 16th best hospital on u.s. News & world report's honor roll list. We continue to top the list of hospitals in pennsylvania (3rd) and the philadelphia metro area (2nd) in u.s. News & world report's annual listing of the best hospitals and specialties. Jefferson also stands out as among the best in 11 specialty areas: - orthopedics - cancer - ear, nose & throat - gastroenterology & gi surgery - nephrology - neurology & neurosurgery - ophthalmology - diabetes & endocrinology - geriatrics - cardiology & heart surgery - urology thomas jefferson university hospitals has 951 licensed acute care beds, with major programs in a wide range of clinical specialties. Services are provided at five primary locations thomas jefferson university hospital (the main hospital facility, which was established in 1825) and jefferson hospital for neuroscience, both in center city philadelphia; jefferson's methodist hospital and jefferson at the navy yard, both in south philadelphia; and jefferson at voorhees in south jersey. To protect the health and well-being of our patients, visitors, employees, students and volunteers, jefferson is a smoke-free campus. Smoking is not permitted in all jefferson buildings and within 50 feet of any entryway to or exit from jefferson buildings, and within 50 feet of driveways, canopies, archways and plazas. We are also smoke free in campus parking areas. Thomas jefferson university hospitals statistics ------------------------------------------------ - licensed beds: 937 - admissions: 41,368 - outpatient visits: 1,350,317 - emergency room visits: 117,746 - employees (full and part-time): 9,500 - house staff: 873 - medi”

“At jefferson, we recognize that by providing quality health care to our patients, and education and outreach to our neighbors, we are also enriching the lives and future of our surrounding community. And when the community thrives, we all benefit. Awards & honors =============== jefferson university hospitals is consistently recognized both nationally and locally by various organizations and institutions in just about every aspect of patient care, patient safety and the quality of the healthcare experience. - u.s. News rates jefferson among the best in 2017-18 survey - becker's hospital review again names jefferson "great hospital" - a metabolic and bariatric surgery accredited center - hap excellence in care award - ace unit at methodist hospital earns silver beacon award for excellence - b5 medical-surgical unit receives amsn prism award - distinguished hospital award for clinical excellence recipients 2016 - philadelphia magazines 2017 top doctors - jefferson physicians rated top docs by castle connolly - national cancer institute (nci) designation - jefferson cardiac rehabilitation earns aacvpr certification - jefferson radiation oncology earns apex - magnet redesignation - american college of surgeons commission on cancer outstanding achievement award - the joint commission 2013 top performer on key quality measures - the joint commission certifications and advanced certifications - 2014 hr department of the year award - jefferson awarded 3-year accreditation with commendation - 2014 delaware valley patient safety & quality awards - jefferson recognized as leader in lgbt healthcare equality - orthopedic program earns recognition from becker's hospital review - a transplant centers of excellence network facility - aetna institute of excellence for transplant designation - medical cardiac care unit receives beacon award for excellence - get with the guidelines-stroke gold plus quality achievement award - pulmonary associates receives level 3 recognition as a patient-centered specialty practice - jefferson medical care south philadelphia receives national recognition for patient centered care - family and community medicine receives exceptional rating - internal medicine associates receives level 3 recognition for ppc-pcmh - sidney kimmel cancer center is a melanoma center of excellence - csi names jefferson a cancer centers of excellence network facility - jefferson designated aetna institutes of quality for spine surgery - blue distinction for bariatric surgery - blue distinction+ center for cardiac care - blue distinction center for knee and hip replacement - blue distinction center for maternity - blue distinction center for complex and rare cancers - blue distinction center for spine surgery - blue distinction center for transplants - chest pain center designation - commission on accreditation of rehabilitation facilities - sidney kimmel cancer center receives fertile hope center of excellence designation - united network for organ sharing (unos) certification - breast care center receives napbc accreditation - jefferson designated a neonatal centers of excellence network - model spinal cord injury center designation - transplantation program is a center for medicare and medicaid - jefferson honored with yitzhak rabin public service award quality & safety ================ since 1825, the physicians, nurses and staff at thomas jefferson university hospitals have made the safety of our patients and the quality of care we deliver top priorities. We recognize that the care we provide affects every patient and family member who comes through our doors. Our commitment to quality is measured in better patient outcomes and increased patient satisfaction. The result is generations of families turn to jefferson because they know that we deliver safe, superior and compassionate care, from diagnostics through follow-up care. At jefferson, we don't just talk about safety and quality: we set goals and benchmark our results to ensure”

“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 percent 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. National cancer institute-designated cancer center -------------------------------------------------- the sidney kimmel cancer center at jefferson is a national leader in cancer treatment, research and education and a national cancer institute (nci)-designated cancer center. It is among the top 20 centers in the country in grant funding from nci. Read more about the sidney kimmel cancer center and the nci. 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). A winner in the 2014 delaware valley patient safety & quality awards -------------------------------------------------------------------- jefferson's "do no harm: ensuring medication safety" initiative is a third place winner in the 2014 delaware valley patient safety and quality awards. Presented by the health care improvement foundation, we received the award for our work to reduce serious (level 5) adverse drug events each year for the past five years. The hospital achieved these results by building a culture of safety, standardizing protocols, and focusing on improving safety measures for high-risk medications, such as chemotherapy, anticoagulants, insulin and opiates. Our project was selected from hospitals and health systems across the philadelphia region. It received high scores on the award's evaluation criteria, including evidence of significant and sustained improvement in quality or patient safety; innovation; leadership and organizational commitment to improvement; a multidisciplinary approach; and the potential for replication in other healthcare organizations. Mastery award recognition for performance excellence ---------------------------------------------------- thomas jefferson university hospitals received the mastery award recognition from the keystone alliance for performance excellence (kape) program. The mastery award recognizes organizations that demonstrate significant progress toward performance excellence through commitment and practice. Jefferson participates in the kape program the statewide pennsylvania program which follows best practices as defined by the baldrige criteria for performance excellence. The program helps jefferson strive for excellence through continuous improvement, best practice sharing, and annual external review. Opportunities to improve outcomes and performance are identified and incorporated in”

“Certain reclassifications have been made to the prior year balances previously reported to conform to the current year presentation in the organization's audited consolidated financial statements. The restatement had no effect on the organization's net assets.”

“The organization is an affiliate within jefferson/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 2006b; - pennsylvania higher educational facilities authority series 2009a; - pennsylvania higher educational facilities authority series 2012; - pennsylvania higher educational facilities authority series 2012a; - pennsylvania higher educational facilities authority series 2012b; - 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; and - philadelphia authority for industrial development series 2017c. 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 reflects a tju obligated group liability. Accordingly, this tju obligated group liability is reflected on the balance sheet of the following subsidiary organizations: - thomas jefferson university hospitals, ein: 23-2829095 - tjuh system, inc., ein: 26-3026795 - jefferson university physicians, ein: 23-2809585 - abington health, ein: 27-1243803 - abington health foundation, ein: 23-2188052 - abington memorial hospital, ein: 23-1352152 - lansdale hospital corporation, ein: 26-3359979 - aria health, ein: 23-0596940 - aria health system, ein: 23-2239131 schedule k was prepared on a consolidated basis and is included in the form 990 of thomas jefferson university, ein: 23-1352651.”

“Other changes in net assets or fund balance include: - gain on swap agreement - $5,048,590; - distribution to minority interest - ($8,715,000); - net assets released from restriction to purchase property, plant & equipment - $428,770; - temporarily restricted net assets released from restriction to purchase property, plant & equipment - ($36,750); - donated capital received - ($47); and - change in temporary restricted net assets held by an affiliated foundation - $499,144.”

“The organization is an affiliate within jefferson/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, 2017 and june 30, 2016; respectively and issued a consolidated audited financial statement with consolidating schedules. An unqualified opinion was issued each year by the independent cpa firm. Tju's audit, risk and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes the selection of an independent auditor.”

“The organization is an affiliate within jefferson/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"). The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit under the single audit act and omb circular a-133.”