2024-05-15T10:40:13-05:00 2023-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 191032945 990EZ 2022-07-01 233026939 JEFFERSON MEDICAL GROUP % RONALD C KELLER CPA JEFF 2155038958 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 JOHN MORDACH EVP CFO 2155038958 2024-05-15 true JOHN MORDACH 000000000 Scott J Mariani P00642486 2155462140 3 2022 2023-04-26 12:10:37Z X X X www.jeffersonhealth.org X X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X Effective June 30, 2023, this organization became THE SOLE MEMBER and/or SOLE SHAREHOLDER (for tax purposes) of various RELATED TJU/JEFFERSON HEALTH IRC 501(C)(3) TAX-EXEMPT ORGANIZATIONs; other professional medical service professional corporations or limited liability companies previously owned or controlled by DIFFERENT RELATED TJU/JEFFERSON HEALTH entities. Effective June 30, 2023, this organization became THE SOLE MEMBER and/or SOLE SHAREHOLDER (for tax purposes) of various RELATED TJU/JEFFERSON HEALTH IRC 501(C)(3) TAX-EXEMPT ORGANIZATIONs; other professional medical service professional corporations or limited liability companies previously owned or controlled by DIFFERENT RELATED TJU/JEFFERSON HEALTH entities. 0 0 0 EDMUND PRIBITKIN M D MBA CHAIR - PRESIDENT 1.0 0 0 0 ANDREW NATHANS SECRETARY & TREAS. - TRUSTEE 1.0 0 0 0 DIXIEANNE P JAMES TRUSTEE; EX-OFFICIO 1.0 0 0 0 RICHARD J WEBSTER RN MSN TRUSTEE (TERM 6/23) 1.0 0 0 0 false true false false false 0 false false 0 0 0 false 0 0 false PA RONALD C KELLER CPA 1101 MARKET STREET STE 2004 PHILADELPHIA PA 19107 2155038344 false false false false false true false false false false false NONE 0 NONE 0 true X X 2 THOMAS JEFFERSON UNIVERSITY 231352651 2 true 0 0 THOMAS JEFFERSON UNIVERSITY HOSPITALS INC 232829095 3 true 0 0 2 0 0 true false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION C; QUESTION 1 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"). THIS ORGANIZATION IS A SUPPORTING ORGANIZATION OF TJU AND IS ULTIMATELY CONTROLLED BY TJU, WHICH IS GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS. The organization also supports THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. ("TJUH") and all the other TJU/JEFFERSON HEALTH IRC 501(C)(3) TAX-exempt hospitals within THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. TJUH SYSTEM IS THE SOLE MEMBER OF BOTH TJUH AND this organization. TJU is the sole member of TJUH SYSTEM and retains the ultimate POWER TO control all entities within THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH, including, but not limited to; TJUH System; TJUH AND this organization. CORE FORM, PART V, INFO REGARDING PERSONAL BENEFIT CONTRACTS THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. CORE FORM, PART V, QUESTION 34 EFFECTIVE JUNE 28, 2023, THE ORGANIZATION'S ARTICLES OF INCORPORATION WERE AMENDED AND RESTATED TO REFLECT THE ORGANIZATION'S LEGAL NAME CHANGE FROM JEFFERSON PHYSICIAN SERVICES TO JEFFERSON MEDICAL GROUP.