Thomas Jefferson University
Reports on Federal Awards in Accordance with
OMB Circular A-133
For the Year Ended June 30, 2015
Federal Identification Number 23-1352651
Thomas Jefferson University
Reports on Federal Awards
in Accordance with OMB Circular A-133
Index
June 30, 2015
Page(s)
Part I – Financial Statements
Independent Auditor’s Report ........................................................................................................................ i-ii
Combined Financial Statements and Notes to Combined Financial Statements .................................... 2–40
Part II – Schedule of Expenditures of Federal Awards
Schedule of Expenditures of Federal Awards .......................................................................................... 41–46
Notes to Schedules of Expenditures of Federal Awards .......................................................................... 47–49
Part III – Reports on Internal Control and Compliance
Independent Auditor’s Report on Internal Control Over Financial Reporting
and on Compliance and Other Matters Based on an Audit of Financial Statements
Performed in Accordance with Government Auditing Standards ......................................................... 50–51
Independent Auditor’s Report on Compliance with Requirements
That Could Have a Direct and Material Effect on Each Major Program and on
Internal Control Over Compliance in Accordance with OMB Circular A-133....................................... 52–53
Part IV – Findings
Schedule of Findings and Questioned Costs ............................................................................................ 54–55
Summary Schedule of Status of Prior Audit Findings ....................................................................................56
Independent Auditor’s Report
To the Board of Trustees
Thomas Jefferson University:
Report on the Combined Financial Statements
We have audited the accompanying combined financial statements of Thomas Jefferson University (the
“University”), which comprise the combined balance sheets as of June 30, 2015 and 2014, and the related
combined statement of operations and changes in unrestricted net assets, of changes in net assets and of
cash flows for the year ended June 30, 2015, and the related notes to the financial statements.
Management’s Responsibility for the Combined Financial Statements
Management is responsible for the preparation and fair presentation of the combined financial statements
in accordance with accounting principles generally accepted in the United States of America; this includes
the design, implementation, and maintenance of internal control relevant to the preparation and fair
presentation of combined financial statements that are free from material misstatement, whether due to
fraud or error.
Auditor’s Responsibility
Our responsibility is to express an opinion on the combined financial statements based on our audits. We
conducted our audits in accordance with auditing standards generally accepted in the United States of
America and the standards applicable to financial audits contained in Government Auditing Standards,
issued by the Comptroller General of the United States. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether the combined financial statements are free from
material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in
the combined financial statements. The procedures selected depend on our judgment, including the
assessment of the risks of material misstatement of the combined financial statements, whether due to
fraud or error. In making those risk assessments, we consider internal control relevant to the entity’s
preparation and fair presentation of the combined financial statements in order to design audit procedures
that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the
effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also
includes evaluating the appropriateness of accounting policies used and the reasonableness of significant
accounting estimates made by management, as well as evaluating the overall presentation of the combined
financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to
provide a basis for our audit opinion.
Opinion
In our opinion, the combined financial statements referred to above present fairly, in all material respects,
the combined financial position of Thomas Jefferson University as of June 30, 2015 and 2014, and the
results of their operations, changes in net assets and cash flows for the year ended June 30, 2015 in
accordance with accounting principles generally accepted in the United States of America.
PricewaterhouseCoopers LLP, Two Commerce Square, Suite 1800, 2001 Market Street, Philadelphia, PA 19103-7045
T: (267) 330 3000, F: (267) 330 3300, www.pwc.com/us
Other Matters
Other Information
Our audit was conducted for the purpose of forming an opinion on the combined financial statements as a
whole. The accompanying schedule of expenditures of federal awards for the year ended June, 30 2015 is
presented for purposes of additional analysis as required by the Office of Management and Budget
Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations and is not a required
part of the combined financial statements. Such information is the responsibility of management and was
derived from and relates directly to the underlying accounting and other records used to prepare the
combined financial statements. The information has been subjected to the auditing procedures applied in
the audit of the combined financial statements and certain additional procedures, including comparing
and reconciling such information directly to the underlying accounting and other records used to prepare
the combined financial statements or to the combined financial statements themselves, and other
additional procedures in accordance with auditing standards generally accepted in the United States of
America. In our opinion, the schedule of expenditures of federal awards is fairly stated, in all material
respects, in relation to the combined financial statements as a whole.
Other Reporting Required by Government Auditing Standards
In accordance with Government Auditing Standards, we have also issued our report dated October 23,
2015 on our consideration of the University’s internal control over financial reporting and on our tests of
its compliance with certain provisions of laws, regulations, contracts and grant agreements and other
matters. The purpose of that report is to describe the scope of our testing of internal control over financial
reporting and compliance and the results of that testing and not to provide an opinion on internal control
over financial reporting or compliance. That report is an integral part of an audit performed in accordance
with Government Auditing Standards in considering the University’s internal control over financial
reporting and compliance.
October 23, 2015
ii
Thomas Jefferson University
Combined Balance Sheets
June 30, 2015 and 2014
(In Thousands)
Assets
Current assets:
Cash and cash equivalents
Short-term investments
Accounts receivable, less allowance for doubtful accounts
of $39,076 in 2015 and $40,417 in 2014
Inventory
Pledges receivable
Insurance recoverable
Assets whose use is limited, current
Other current assets
Total current assets
2015
Long-term investments
Assets whose use is limited, noncurrent
Assets held by affiliated foundation
Pledges receivable
Goodwill, net
Insurance recoverable
Loans receivable from students, net
Land, buildings and equipment, net
Other noncurrent assets
Total assets
2014
$110,153
397,051
$107,994
291,036
303,699
33,990
18,226
19,054
20,050
17,391
919,614
294,134
31,510
16,757
18,239
40,583
17,648
817,901
782,054
136,285
8,781
72,447
11,971
99,886
26,417
916,512
14,613
$2,988,580
809,774
111,254
8,561
75,887
11,895
99,805
26,480
912,585
8,381
$2,882,523
$8,697
38,332
7,165
11,924
202,006
163,744
17,844
449,712
$10,142
37,754
7,484
10,628
175,178
141,213
15,563
352,805
7,029
757,796
Long-term obligations
Accrued pension liability
Federal student loan advances
Deferred revenues
Accrued professional liability claims
Accrued workers' compensation claims
Interest rate swap contracts
Other noncurrent liabilities
Total liabilities
639,651
145,496
18,247
8,040
265,275
15,978
29,826
5,836
1,578,061
258,203
132,715
18,114
8,577
274,316
12,974
28,574
4,882
1,496,151
Net assets:
Unrestricted
Noncontrolling interest in joint venture
Temporarily restricted
Permanently restricted
Total net assets
987,456
4,290
211,609
207,164
1,410,519
959,233
3,855
219,950
203,334
1,386,372
$2,988,580
$2,882,523
Liabilities and Net Assets
Current liabilities:
Current portion of:
Long-term obligations
Accrued professional liability claims
Accrued workers' compensation claims
Deferred revenues
Accounts payable and accrued expenses
Accrued payroll and related costs
Grant and contract advances
Notes payable
Other current liabilities
Total current liabilities
Total liabilities and net assets
The accompanying notes are an integral part of the combined financial statements.
2
Thomas Jefferson University
Combined Statement of Operations and Changes in Unrestricted Net Assets
For the Year Ended June 30, 2015
(In Thousands)
2015
Operating revenues, gains and other support:
Net patient service revenue
Provision for bad debts
Net patient service revenue less provision for bad debts
Grants and contracts
Tuition and fees, net
Investment income
Contributions
Other revenue
Net assets released from restrictions
Total operating revenues, gains and other support
$1,873,100
(78,997)
1,794,103
91,599
116,429
17,340
3,200
121,690
22,537
2,166,898
Operating expenses:
Salaries and wages
Employee benefits
Supplies
Purchased services
Depreciation and amortization
Interest
Insurance
Utilities
Rent
Other
Total operating expenses
948,255
262,657
366,661
91,291
111,220
18,315
37,781
34,186
34,553
221,421
2,126,340
Income from operations
40,558
Nonoperating items and other changes in unrestricted net assets, net:
Gain on investments, net
Investment loss net of amounts classified as operating revenue
Interest rate swap contracts
Reclassification of net assets
Contributions and government grants for capital projects
Change in noncontrolling interest in joint venture
Net assets released from restrictions used for purchase of
property and equipment
Increase in pension liability
Decrease in unrestricted net assets from nonoperating items and other changes in net assets
Increase in unrestricted net assets
14,798
(10,555)
(5,794)
15,618
4,032
438
391
(30,828)
(11,900)
$28,658
The accompanying notes are an integral part of the combined financial statements.
3
Thomas Jefferson University
Combined Statement of Changes in Net Assets
For the Year Ended June 30, 2015
(In Thousands)
2015
Unrestricted net assets:
Revenues, gains and other support
$2,166,898
Expenses
(2,126,340)
Nonoperating items and other changes in unrestricted net assets, net
(11,900)
Increase in unrestricted net assets
28,658
Temporarily restricted net assets:
Contributions
19,525
Gain on investments, net
8,875
Investment income
2,406
Net assets released from restrictions
(22,947)
Changes in net assets held by an affiliated foundation
220
Reclassification of net assets
(16,420)
Decrease in temporarily restricted net assets
(8,341)
Permanently restricted net assets:
Contributions
4,783
Net loss on externally held trusts
(1,755)
Reclassification of net assets
802
Increase in permanently restricted net assets
3,830
Increase in net assets
24,147
Net assets, beginning of year
1,386,372
Net assets, end of year
$1,410,519
The accompanying notes are an integral part of the combined financial statements.
4
Thomas Jefferson University
Combined Statement of Cash Flows
For the Year Ended June 30, 2015
(In Thousands)
2015
Cash flows from operating activities:
Increase in net assets
Adjustments to reconcile changes in net assets to net cash
provided by operating activities:
Increase in pension liability
Depreciation and amortization
Bond premium amortization
Provision for bad debts
Assets held by affiliated foundation
Gain on investments, net
Recognition of vesting in Premier stock
Net loss on interest rate swap contracts
Joint venture activities
Contributions and government grants designated for acquisition of long-term assets
Net change due to:
Accounts receivable
Pledges receivable
Inventory
Other current and noncurrent assets
Accounts payable and accrued expenses
Accrued payroll and related costs
Grant and contract advances
Deferred revenues
Accrued pension liability
Insurance recoverable
Accrued professional liability claims
Accrued workers' compensation claims
Dividend received from Five Pointe Professional Liability Insurance Company
Other current and noncurrent liabilities
Net cash provided by operating activities
$24,147
30,828
111,220
(796)
78,997
(220)
(27,701)
(7,967)
1,252
2,775
(18,865)
(88,562)
1,972
(2,480)
(12,291)
26,830
22,531
2,281
654
(18,047)
(897)
(8,464)
2,684
25,417
(42)
145,256
Cash flows from investing activities:
Assets whose use is limited increase
Assets whose use is limited decrease
Change in securities lending invested collateral
Purchase of land, buildings and equipment
Purchases of investments
Sales of investments
Student loans issued
Student loans repaid
Net cash used in investing activities
(25,182)
20,683
5,929
(112,157)
(124,639)
56,596
(4,944)
5,009
(178,707)
Cash flows from financing activities:
Distribution to minority interest
Contributions and government grants designated for acquisition of long-term assets
Federal student loan advances
Deferred financing fees
Change in securities lending payable
Proceeds from long-term obligations
Repayment of notes payable and long-term obligations
Net cash provided by financing activities
(2,775)
18,865
133
(4,741)
(5,929)
459,739
(429,682)
35,610
Net increase in cash and cash equivalents
2,159
Cash and cash equivalents at beginning of period
107,994
Cash and cash equivalents at end of period
$110,153
Supplemental disclosures:
Interest paid (net of amount capitalized)
Accounts payable related to buidings and equipment
The accompanying notes are an integral part of the combined financial statements.
5
$
$
19,680
16,961
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES
Nature of Operations and Organization
These financial statements represent the combined financial position, results of operations and
cash flows of Thomas Jefferson University, TJUH System (“TJUHS”) and subsidiaries of
Thomas Jefferson University and TJUHS as described below.
Thomas Jefferson University is an independent, non-profit corporation organized under the
laws of the Commonwealth of Pennsylvania and recognized as a tax-exempt organization
pursuant to Section 501(c)(3) of the Internal Revenue Code. Thomas Jefferson University has
a tripartite mission of education, research, and patient care. Thomas Jefferson University
conducts research and offers undergraduate and graduate instruction through the Sidney
Kimmel Medical College, and the Jefferson Colleges of Nursing, Pharmacy, Health
Professions, Population Health, and Biomedical Sciences. Thomas Jefferson University has
approximately 3,600 students and is located in Philadelphia, Pennsylvania.
TJUHS is an integrated healthcare organization that provides inpatient, outpatient, and
emergency care services through acute care, ambulatory care, physician, and other primary
care services for residents of the Greater Philadelphia Region. On June 30, 2014 TJUHS
merged with Thomas Jefferson University to form a new organization. This transaction was
accounted for as a merger. The new organization is hereinafter referred to as TJU or “the
University.”
Effective, May 1, 2015 TJU merged with Abington Health (“AH”) to further expand and
enhance TJU’s tripartite mission of education, research and patient care. AH is a not for profit
healthcare organization located in suburban Philadelphia and controlling entity of Abington
Memorial Hospital, Lansdale Hospital Corporation and Abington Health Foundation. The
merger of TJU and AH was effected by reconstituting the governing board of TJU to provide
for equal representation by both TJU and AH. Effective the date of the merger, TJU became a
new entity for financial reporting purposes.
These combined financial statements do not include the financial position, results of
operations or cash flows of AH. The combined financial statements are required pursuant to a
continuing disclosure agreement executed in connection with the issuance of TJU Revenue
Bonds. These financial statements do not purport to represent the consolidated financial
position, results of operations, or cash flows of Thomas Jefferson University on a
consolidated basis.
These combined financial statements include the accounts of subsidiaries of Thomas Jefferson
University including 1100 Walnut Associates; 925 Walnut Corporation; Delaware Health
Sciences Alliance, LLC; and the accounts of subsidiaries of TJUHS including Thomas
Jefferson University Hospitals, Inc.; Jefferson University Physicians (“JUP”); Jefferson
Physician Services; the Atrium Corporation; Jeffex, Inc.; Methodist Associates in Healthcare,
Inc.; JeffCare, Inc.; Jeffcare Alliance, LLC; Jefferson University Radiology Associates (an
6
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
80% owned joint venture), Jefferson Comprehensive Concussion Center ( a 66% owned joint
venture) and the Riverview Surgery Center at the Navy Yard, LP (a 51% owned joint
venture), Accountable Care Organization (“the ACO” a 44% owned joint venture), and Mount
Laurel Risk Retention Group, Inc. and Five Pointe (49% owned joint venture insurance
entities).
Principles of Combination
The accompanying combined financial statements contain the combined balance sheets of
TJU, excluding AH, as of June 30, 2015 and June 30, 2014. The combined statement of
operations and changes in unrestricted net assets and combined statement of cash flows
reflect activity for the fiscal year ending June 30, 2015 exclusive of the activity of AH. All
significant intercompany accounts and transactions have been eliminated.
Financial Statement Presentation
The accompanying combined financial statements have been prepared on an accrual basis.
The University classifies net assets as follows:
Unrestricted Net Assets are those assets that are available for the support of operations and
whose use is not externally restricted, although their use may be limited by other factors such
as by board designation.
Temporarily Restricted Net Assets are subject to legal or donor imposed restrictions that will
be met by actions of the University and/or the passage of time. These net assets include gifts
donated for specific purposes and capital appreciation on permanent endowment, which is
restricted by Pennsylvania law on the amounts that may be expended in a given year.
Permanently Restricted Net Assets are subject to donor-imposed restrictions that require the
original contribution be maintained in perpetuity by the University, but permits the use of the
investment earnings for general or specific purposes.
The University’s measure of operations in the combined statement of operations and changes
in net assets includes revenues from patient services, grants and contracts, tuition and fees,
unrestricted contributions, net assets released from restriction, distribution of investment
returns based on the University’s spending policy and other sources.
Non-operating activities presented in the combined statement of operations and changes in net
assets includes investment returns net of amounts classified as operating revenue in
accordance with the University’s spending policy, gains and losses on derivative financial
instruments, governmental grants for capital projects, net assets released from restriction for
capital purposes and the net actuarial loss of the defined benefit plan.
7
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Use of Estimates
The preparation of a financial statement in conformity with accounting principles generally
accepted in the United States of America requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and disclosures of
contingent assets and liabilities at the date of the financial statements. Management
considers critical accounting policies to be those that require more significant judgments and
estimates in the preparation of the financial statements including, but not limited to,
recognition of net patient services revenue, which includes contractual allowances and
provisions for bad debt; recognition of estimates for healthcare professional and general
liabilities; determination of fair values of certain financial instruments; and assumptions for
measurement of pension obligations. Management relies on historical experience and other
assumptions believed to be reasonable relative to the circumstances in making judgments and
estimates. Actual results could differ from those estimates.
Cash and Cash Equivalents
Cash and cash equivalents consist of cash and investments in highly liquid debt instruments
with maturity of three months or less when purchased and are carried at cost, which
approximates fair value, except that any such investments purchased with funds on deposit
with bond trustees or with funds held in self-insurance trust arrangements are classified as
assets whose use is limited or purchased by investment managers of the University’s pooled
investment fund are classified as investments.
Short-term investments
Short-term investments are comprised of debt instruments with maturities greater than three
months when purchased.
Charitable Medical Care Provided
TJUHS provides medically necessary services to all patients regardless of their ability to pay.
Some patients qualify for charity care based on policies established by TJUHS and are
therefore not responsible for payment for all or a part of their healthcare services. These
policies allow for the provision of free or discounted care in circumstances where requiring
payment would impose financial hardship on the patient. Charges for services rendered to
patients who meet TJUHS guidelines for charity care are not separately recorded in the
accompanying combined financial statements.
TJUHS maintains records to identify and monitor the level of charity care provided. These
records include the amount of charges foregone for services and supplies furnished. Such
amounts have been excluded from net patient service revenue. Management estimates that the
cost of charity care provided by TJUHS was $13.1 million for the year ended June 30, 2015.
These amounts do not include the provision for bad debts of $79.0 million in 2015, which are
reflected as deductions in net patient service revenue. The estimated costs of providing charity
services are based on a calculation which applies a ratio of costs to charges to the gross
uncompensated charges associated with providing care to charity patients. The ratio of cost to
charges is calculated based on the TJUHS total expenses divided by gross patient service
revenue.
8
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Net Patient Service Revenue
Net patient service revenue is reported at the estimated net realizable amounts from patients,
third-party payers and others for services rendered, including estimated retroactive
adjustments under reimbursement agreements with third-party payers. Retroactive
adjustments are considered in the recognition of revenue on an estimated basis in the period
the related services are rendered and are adjusted in future periods as final settlements are
determined.
Revenue from the Medicare and Medicaid fee-for-service programs accounted for
approximately 22.48% and 2.60%, respectively, of net patient service revenue in 2015. Most
payments to TJUHS from the Medicare and Pennsylvania Medicaid programs for inpatient
hospital services are made on a prospective basis. Under these programs, payments are made
at a pre-determined specific rate for each discharge based on a patient’s diagnosis. Additional
payments are made to TJUHS as a teaching and disproportionate share hospital, as well as for
cases that have an extremely long length-of-stay or unusually high costs. Laws governing the
Medicare and Medicaid programs are complex and subject to interpretation. Services billed to
the Medicare program are subject to external review for both medical necessity and billing
compliance. Medicare cost reports for all years, except 2011 and 2014 have been audited and
final settled, the latter of which are awaiting final settlement as of June 30, 2015. No
significant adjustments are expected. In addition, TJUHS received funds from the
Philadelphia Hospital Assessment program and the Medical Assistance Modernization ActQuality Care Assessment program in the amount of $69.9 million in 2015. TJUHS paid taxes
in respect to these programs amounting to $59.0 million in 2015, and are recorded in other
operating expenses. Both programs were designed to provide supplemental funding for
licensed acute care hospitals with the Philadelphia Hospital Assessment program specifically
designated for hospital emergency services. TJUHS has also entered into agreements with
certain commercial insurance carriers, health maintenance organizations and preferred
provider organizations. The basis for payment to TJUHS under these agreements includes
prospectively determined rates per discharge, discounts from established charges,
prospectively determined daily rates and capitated rates. Revenue from Blue Cross and Aetna
USHC amounted to 27.25% and 8.20% of TJUHS net patient service revenue in 2015.
Accounts Receivable, Allowance for Doubtful Accounts, Provision / Expense for Bad
Debts
TJUHS records an allowance for doubtful accounts and bad debt expense for estimated losses
resulting from non-payment for accounts receivable for services from patients. TJUHS
accounts for uncollectible accounts receivable balances from third-party commercial insurers
as reductions to net patient service revenue rather than bad debt expense. Management
routinely evaluates account collection history, economic conditions, and trends in health care
coverage in determining the sufficiency of the allowance for doubtful accounts and provision
for bad debts. Accounts receivable are written off against the allowance for doubtful accounts
when management determines that recovery is unlikely and collection efforts cease. The
allowance for doubtful accounts increased by the bad debt expense of $79.0 million in 2015.
The allowance for doubtful accounts decreased due to writeoffs of $80.3 million in 2015.
9
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Grants and Contracts
Grant and contract revenue primarily represents research activity sponsored by governmental
and private sources. The University recognized operating revenues based on direct
expenditures and related facilities and administrative cost rate (F&A) as follows for the year
ended June 30, 2015 (in thousands):
Federal agencies
Non-federal agencies
Total
Direct
Expenditures
$45,462
23,333
$68,795
F&A
Cost
$18,948
3,856
$22,804
Total
$64,410
27,189
$91,599
The University’s primary source of federal sponsored support is the Department of Health and
Human Services. Facilities and administrative costs recovered on federally sponsored
programs are generally based on predetermined rates negotiated with the Federal Government
while recovery on all other sponsored projects is based on rates negotiated with the respective
sponsor. Funds received for sponsored research activity are subject to audit. Based upon
information currently available, management believes that any liability resulting from such
audits will not materially affect the financial position or operations of the University.
Tuition and Fees
The University provides financial aid to eligible students in the form of direct grants, loans
and employment during the academic year. Tuition and fees have been reduced by certain
grants and scholarships in the amount of $8.6 million in 2015.
Contributions
Contributions, including unconditional promises to donate cash and other assets, are
recognized at fair value on the date of receipt, recognized as revenue in the period received
and are reported as increases in the appropriate net asset category based on donor restrictions.
All contributions are considered to be available for unrestricted use unless specifically
restricted by the donor. Pledges received which are to be paid in future periods, and
contributions restricted by the donor for specific purposes are reported as temporarily
restricted or permanently restricted support that increases those net asset classes. When a
donor restriction expires, that is, when a time restriction ends or stipulated purpose restriction
is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and
reported in the combined statement of operations and changes in net assets as net assets
released from restrictions.
The University capitalizes works of art, historical treasures, or similar assets (collectively,
Collections). Collections are recorded at fair value at the date of the contribution. Collections
of approximately $5.6 million are included in other noncurrent assets on the combined
balance sheet at June 30, 2015 and 2014.
10
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Investments
Investments are stated at fair value. The fair value of all debt and equity securities with a
readily determinable fair value are based on quotations obtained from national securities
exchanges. The alternative investments, which are not readily marketable, are carried at
estimated fair values as provided by the investment managers. As a practical expedient, the
University is permitted under the Fair Value Measurement standard to estimate the fair value
of an investment in an investment company at the measurement date using the reported net
asset value (NAV). Adjustment is required if the University expects to sell the investment at
a value other than NAV or if the NAV is not calculated in accordance with US generally
accepted accounting principles (US GAAP). The University’s investments are valued based
on the most current NAV adjusted for cash flows when the reported NAV is not at the
measurement date. This amount represents fair value of these investments at June 30, 2015.
The University performs additional procedures including due diligence reviews on its
alternative investments and other procedures with respect to the capital account or NAV
provided to ensure conformity compliance with valuation procedures in place, the ability to
redeem at NAV at the University’s measurement date and existence of certain redemption
restrictions at the measurement date. The University reviews the values as provided by the
investment managers and believes that the carrying amount of these investments is a
reasonable estimate of fair value. Because alternative investments are not readily marketable,
their estimated values are subject to uncertainty and therefore may differ from the value that
would have been used had a ready market for such investments existed.
The Commonwealth of Pennsylvania has not adopted the Uniform Management of
Institutional Funds Act (UMIFA) or the Uniform Prudent Management of Institutional Funds
Act (UPMIFA). Rather, the Pennsylvania Act governs the investment, use and management of
the University’s endowment funds. The Pennsylvania Act allows a nonprofit to elect to
appropriate for expenditure an investment policy that seeks the long-term preservation of the
real value of the investments. In accordance with the Pennsylvania Act, the objectives of the
University’s investment policy is to provide a level of spendable income which is sufficient to
meet the current and future budgetary requirements of the University and which is consistent
with the goal of protecting the purchasing power of the investments. The calculation of
spendable income is based on 75% of the prior year spendable income and 25% of the
calculated two year moving average of the portfolio’s market value multiplied by 4.75%; the
sum of which is adjusted by an inflation factor.
The University’s financial instruments that are exposed to concentrations of credit risk consist
primarily of cash and cash equivalents and investments. These funds are held in various highquality financial institutions managed by University personnel and outside advisors. The
University maintains its cash and cash equivalents in financial institutions, which at times
exceed federally insured limits.
Investment in Assets of Affiliated Foundation
The Methodist Hospital Foundation (the “Foundation”), a separate corporation not under the
control of TJUHS, accepts gifts and bequests and engages in fundraising activities for the
benefit of Methodist Hospital. The Board of Trustees of the Foundation, at its sole discretion,
11
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
is authorized to contribute Foundation funds to Methodist Hospital. Underlying investments
held by the Foundation with restrictions benefiting only Methodist Hospital amounting to
$8.8 million and $8.6 million at June 30, 2015 and 2014, respectively, are presented in the
combined balance sheet. While the sole purpose of the Foundation is to support Methodist
Hospital, this accounting treatment does not imply that the Foundation’s assets or investment
income are those of TJUHS. The combined financial statement does not reflect or establish
the legal relationship, agency or otherwise, between the Foundation and TJUHS, or any right
to assets owned by the Foundation. The by-laws of the Foundation provide that all assets held
by it shall not be subject to attachments, execution, or sequestration for any debt, obligation or
liability of TJUHS or any other person or entity. In particular, the Foundation is not party to
or obligated by any debt instrument of TJUHS, and assets owned by the Foundation are not
subject to the lien of any such debt instrument.
Split Interest Agreements
The University’s split-interest agreements consist of charitable gift annuities, pooled income
funds, charitable remainder trusts and a charitable lead trust. Contribution revenue for
charitable gift annuities and charitable remainder trusts is recognized at the date the
agreement is established, net of the liability recorded for the present value of the estimated
future payments. Contribution revenue for pooled income funds is recognized upon
establishment of the agreement at the fair value of the estimated future receipts discounted for
the estimated time period to complete the agreement.
Loans Receivable from Students
Many students receive financial aid that consists of scholarship grants, work-study
opportunities and student loans. The Univeristy participaties in various federal revolving loan
programs, in addition to administering institutional loan programs. Student loan programs are
funded by donor contributions, other institutional sources, and governmental programs,
primarily the Federal Perkins Loan Program. The amounts received from the federal
government’s portion of federal loan programs are ultimately refundable to the federal
government and are reported as a liability on the University’s combined balance sheet as
federal student loan advances. Determination of the fair value of student loans receivable is
not practicable.
Student loans receivable, net of allowance for doubtful accounts, consists of the following at
June 30, 2015 and 2014 (in thousands):
2015
2014
Direct student loans
Allowance for doubtful accounts
Net
Federally-sponsored student loans
Total
12
$20,476
(3,796)
$20,986
(4,473)
16,680
16,513
9,737
9,967
$26,417
$26,480
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The University assesses the adequacy of the allowance for doubtful accounts related to direct
student loans receivable by performing evaluations of the student loan portfolio, including a
review of the aging of the student loan receivable balances and of the default rate by loan
program in comparison to prior years. The level of allowance is adjusted based on the results
of this analysis. The federally-sponsored student loans receivable represents amounts due
from current and former students under various Federal Government loan programs. For
direct student loans it is the University’s policy to reserve 100% of a loan when the loan is
delinquent 2 years or more; a reserve of 85% is recorded for loans delinquent more than 270
days and less than 2 years. The University considers the allowance recorded at June 30, 2015
and 2014 to be reasonable and adequate to absorb potential credit losses inherent in the
student loan portfolio.
Land, Buildings, and Equipment, net
Land, buildings, and equipment are carried at cost on date of acquisition or fair value on the
date of donation in the case of gifts. Depreciation expense is computed on a straight-line
basis over the estimated useful lives of the assets, excluding land. All gifts of land, buildings,
and equipment are recorded as unrestricted nonoperating activities unless explicit donor
stipulations specify how the donated assets must be used. Interest expense on borrowed funds
used for construction, net of interest income earned on unexpended amounts, is capitalized
during the construction period.
Conditional Asset Retirement Obligation
A conditional asset retirement obligation is a legal obligation to perform an asset retirement
activity in which the timing and/or method of settlement are conditional on a future event that
may or may not be within the control of the entity. A conditional asset retirement obligation
of $2.9 million as of June 30, 2015 and 2014 is included within other current and noncurrent
liabilities in the combined balance sheet.
Non Controlling Interest
The University has a controlling interest in certain joint ventures in healthcare related
organizations. The amount not owned by the University is shown as a non controlling
interest.
New Accounting Standards
The Financial Accounting Standards Board ("FASB") issued an accounting standard update in
May 2014 regarding the accounting for and disclosure of revenue recognition. Specifically,
the update outlined a single comprehensive model for entities to use in accounting for revenue
arising from contracts with customers. The guidance was effective for annual periods
beginning after December 15, 2016, which allowed for full retrospective adoption of prior
period data or a modified retrospective adoption. Early adoption was not permitted. In July
2015, the FASB issued an update to delay the effective date of the new revenue standard by
one year, or, in other words, to be effective for annual and interim periods beginning after
December 15, 2018. Entities will be permitted to adopt the new revenue standard early, but
not before the original public organization effective date. The University is currently
evaluating the effects of this guidance.
13
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The FASB issued an accounting standard update in May 2015 regarding the required
disclosures for entities that elect to measure the fair value of certain investments using the net
asset value per share (or its equivalent) practical expedient in accordance with the fair value
measurement authoritative guidance. The update removes the requirement to categorize
within the fair value hierarchy, and also, limits the requirement to make certain other
disclosures, for all such investments. The amendments in this update are effective for fiscal
years beginning after December 15, 2016, and interim periods within those fiscal years, and
should be applied on a retrospective basis for the periods presented. Early adoption is
permitted. The University is currently evaluating the effects of this guidance.
The FASB issued an accounting standard update in April 2015 regarding the presentation of
debt issuance costs on the balance sheet. The update requires capitalized debt issuance costs
be presented on the balance sheet as a reduction to debt, rather than recorded as a separate
asset. The amendments in this update are effective for annual and interim periods beginning
after December 15, 2015 and should be applied on a retrospective basis for the periods
presented. Early adoption is permitted and the University’s combined balance sheets at June
30, 2015 and 2014 reflect capitalized debt issuance costs as a reduction of debt.
Reclassification of Net Assets
Prior to the merger with AH, the University had elected to imply a time restriction on
contributions restricted by the donor for the purchase of long-lived assets. Such contributions
were recorded as increases in temporarily restricted net assets and were released from
restriction over the useful lives of the related long-lived assets as depreciation expense was
recorded. At the date of the merger, the University elected to adopt the accounting policy of
AH related to contributions restricted for the purchase of long-lived assets, which is to release
such contributions from restriction when the related asset is placed in service.
The amount of reclassification of net assets reflected in the accompanying combined
statement of operations and changes in unrestricted net assets and combined statement of
changes in net assets include the following (in thousands):
Unrestricted
Temporarily
Restricted
Permanently
Restricted
Change in accounting policy for
contributions of long-lived assets
Matching contributions
Other reclassifications
$16,084
(466)
-
($16,084)
(336)
466
336
Total reclassification of net assets
$15,618
($16,420)
$802
14
$
-
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
2. NET ASSETS
Restricted net assets as of June 30, 2015 and 2014 are categorized as follows (in thousands):
2015
Temporarily restricted
Pledges
Gifts restricted for operating or capital purposes
and loan funds
Undistributed net gains on permanently restricted
assets
2014
$57,489
$56,454
61,725
70,536
92,395
92,960
Total – Temporarily restricted
211,609
219,950
Permanently restricted assets
207,164
203,334
$418,773
$423,284
Total restricted net assets
Temporarily restricted net assets are available for the following purposes at June 30, 2015 and
2014 (in thousands):
2015
2014
University operations
Clinical operations
Education
Research
Total temporarily restricted net assets
$12,245
40,532
138,832
20,000
$11,448
32,833
155,203
20,466
$211,609
$219,950
Permanently restricted net assets are restricted to investment in perpetuity, the income from
which is expendable to support the following at June 30, 2015 and 2014 (in thousands):
2015
University operations
Clinical operations
Education
Research
Total permanently restricted net assets
15
2014
$8,550
12,372
151,257
34,985
$8,469
12,472
147,187
35,206
$207,164
$203,334
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
3. ASSETS WHOSE USE IS LIMITED
Assets whose use is limited are presented in the combined balance sheets at June 30, 2015 and
2014 consist of the following (in thousands):
2015
Board designated funds for plant replacement and expansion
Board designated funds for self-insurance arrangements
Debt service funds
Women’s Board and Medical Staff funds
Escrow account-Inspira Health Network collaboration
Total
Less current portion
Noncurrent portion
2014
$126,113
19,707
14
493
10,008
$156,335
(20,050)
$136,285
$100,490
20,072
20,823
451
10,001
$151,837
(40,583)
$111,254
4. INVESTMENTS
A summary of investments held in pooled funds at June 30, 2015 and 2014 is as follows (in
thousands):
Cash and cash equivalents
Equity securities:
Domestic
Fixed income securities:
U.S. Treasuries
Funds:
Global equity
Fixed income
Private equity
Real estate funds
Hedge funds
Total
2015
2014
$11,570
$12,491
13
11
17,830
17,527
241,740
107,921
84,612
31,642
164,485
254,628
106,313
70,344
26,597
148,778
$659,813
$636,689
The University’s direct investments in equity and fixed income securities are considered
liquid assets because they are traded on established markets with enough participants to
absorb sale transactions without materially impacting the current price of the asset. The
underlying assets in the University’s investments in equity and fixed income funds are traded
on established markets with enough participants to absorb sale transactions without materially
16
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
impacting the current price. The funds are priced daily and provide next day availability on
all transaction requests. The University’s investment in real asset funds provide for monthly
liquidity on transaction requests.
The University has made commitments to various private equity and real asset limited
partnerships. The total amount of unfunded commitments is $114.3 million and $80.5 million
at June 30, 2015 and 2014, respectively, which represents 17.3% and 12.1% of the value of
the pooled investments at June 30, 2015 and 2014, respectively. The University expects these
funds to be called over the next 3 to 5 years.
2015
Private equity
Real estate
2014
$111,118
3,217
$72,922
7,621
$114,335
$80,543
The University’s pooled investments at June 30, 2015 and 2014 include $164.5 million and
$148.8 million, respectively, of hedge fund investments. These funds provide for quarterly or
annual redemptions and require between 60 and 90 day notice periods, limiting the
University’s ability to respond quickly to changes in market conditions.
Also included in investments at June 30, 2015 and 2014 were the following non-pooled
investments (in thousands):
2015
Short-term investments
Intermediate fixed income securities
Beneficial interest in perpetual trusts
Split interest agreements
Investment in Five Pointe under the equity method
Other
2014
$397,051
0
46,261
7,854
54,480
13,646
$291,036
39,702
48,021
8,214
66,122
11,026
$519,292
$464,121
Other includes TJUHS voting interest in Premier Healthcare Alliance, L.P., a group
purchasing organization.
Beneficial interests in perpetual trusts, which are administered by independent trustees, are
mainly comprised of domestic and international equity securities and domestic fixed income
securities.
17
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
A summary of investments held under split-interest agreements is as follows at June 30, 2015
and 2014 (in thousands):
2015
Charitable gift annuities
Pooled income funds
Charitable lead trust
Charitable remainder trusts
2014
$3,480
11
1,251
3,112
$3,620
11
1,363
3,220
$7,854
$8,214
At June 30, 2015 and 2014, respectively, investment securities with an aggregate fair value of
$0.0 and $5.8 million were loaned primarily on a short-term basis to various brokers in
connection with a securities lending program. These securities are returnable on demand and
are collateralized by cash deposits amounting to 103% of the market value of the securities
loaned. The University receives lending fees and continues to earn interest and dividends on
the loaned securities.
Investment income, realized gains and unrealized gains included in the combined statements
of operations and changes in net assets are comprised of the following in 2015:
Investment income included in operating income:
Interest and dividends
Endowment payout
Net realized gains on sales of investments
Bucks County Specialty Hospital, LLC
Deleware Valley Accountable Care Organization
Investment income included in nonoperating income:
Interest and dividends
Endowment payout
Change in unrealized gains on alternative investments
Rosh Realty, LP
Total
$4,770
13,494
168
788
(1,880)
$17,340
$685
(13,494)
1,499
755
($10,555)
$6,785
18
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
5. ENDOWMENT FUNDS
The University’s endowments consist of 795 individual funds established for a variety of
purposes. The endowment includes both donor-restricted endowment funds and funds
designated by the Board of Trustees to function as endowments. Net assets associated with
each of these groups of funds are classified and reported based upon the existence or absence
of donor-imposed restrictions.
At June 30, 2015, the endowment net asset composition by type of fund consisted of the
following (in thousands):
Donor-restricted funds
Quasi-endowment funds
Total funds
Temporarily Permanently
Unrestricted
Restricted
Restricted
$146,483
$203,816
($1,520)
272,671
$271,151
$146,483
$203,816
Total
$348,779
272,671
$621,450
Changes in endowment net assets for the fiscal year ended June 30, 2015, consisted of the
following (in thousands):
Temporarily Permanently
Unrestricted
Restricted
Restricted
Total
Endowment net assets,
$222,586
$146,165
$199,986
$568,737
beginning of year
Investment return:
Investment income
Net appreciation
(realized and unrealized)
Total investment gain (loss)
Contributions
Appropriation of endowment
assets for expenditure
Transfers of University
resources and matching gifts
Endowment net assets,
end of year
293
228
11,916
12,209
8,777
9,005
(1,755)
(1,755)
18,938
19,459
47
1,604
4,784
6,435
(12,691)
(10,295)
49,000
4
801
49,805
$271,151
$146,483
$203,816
$621,450
19
-
521
-
(22,986)
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
At June 30, 2014, the endowment net asset composition by type of fund consisted of the
following (in thousands):
Donor-restricted funds
Quasi-endowment funds
Total funds
Temporarily Permanently
Unrestricted
Restricted
Restricted
$146,165
$199,986
($1,447)
224,033
$222,586
$146,165
$199,986
Total
$344,704
224,033
$568,737
From time to time, the fair value of assets associated with individual donor-restricted
endowment funds may fall below the level that the donor requires the University to retain as a
fund of perpetual duration. Shortfalls of this nature, which are reported in unrestricted net
assets, were $1.5 million and $1.4 million as of June 30, 2015 and 2014, respectively. These
shortfalls resulted from unfavorable market fluctuations that occurred shortly after the
investment of new permanently restricted contributions and continued appropriation for
certain programs that was deemed prudent by the University.
6. FAIR VALUE MEASUREMENT
The fair value hierarchy prioritizes the inputs to valuation techniques used to measure fair
value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets
for identical assets or liabilities (Level 1 measurements) and the lowest priority to
unobservable inputs (Level 3 measurements). The three levels of the fair value hierarchy are
as follows:
Level 1 Inputs that reflect unadjusted quoted prices in active markets for identical assets or
liabilities that the University has the ability to access at the measurement date;
Level 2 Inputs other than quoted prices that are observable for the asset or liability either
directly or indirectly, including inputs in markets that are not considered to be
active;
Level 3 Inputs that are not currently observable.
Inputs are used in applying the various valuations techniques and broadly refer to the
assumption that market participants use to make valuation decisions. An investments level
within the fair value hierarchy is based on the lowest level of any input that is significant to
the fair value measurement. However, the determination of what constitutes “observable”
requires significant judgment. The categorization of an investment within the hierarchy is
based upon the pricing transparency of the instrument and does not necessarily correspond to
the University’s perceived risk of that instrument.
20
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Level 1 - Investments whose values are based on quoted market prices in active markets, are
therefore classified within Level 1. Typically, securities traded on the NYSE, AMEX,
NASDAQ and other major exchanges will be classified as Level 1. These assets include
active listed equities, certain U.S. government obligations, mutual funds and certain money
market securities. For investments regularly traded on any recognized securities or
commodities exchange, the closing price on such exchange (or, if applicable, as reported on
the consolidated transactions reporting system) on the last trading date at the end of the fiscal
year is used. In the case of securities regularly traded in the over-the-counter market, the
closing bid quotations for long positions and the closing asked quotation for short positions on
the trading date ending on or preceding the end of the fiscal year is used.
Level 1 Liquidity – Daily based on quoted market value at time of transaction or at daily
NAV.
Level 2 - Investments that trade in markets that are not considered to be active, but are valued
based on quoted market prices, dealer quotations or alternative pricing sources supported by
observable inputs are classified within Level 2. They include investment- common trust
equity and fixed income funds, corporate grade bonds, high yield bonds and certain mortgage
products. These assets are valued based on quoted market prices in active markets or dealer
quotations and are categorized as Level 2. There were no transfers between Levels 1, 2, and 3
during 2015 and 2014.
Level 2 Liquidity – Daily based on quoted market value at time of transaction or at daily
NAV.
Level 3- Investments classified within Level 3 have significant unobservable inputs, as they
trade infrequently or not at all. Level 3 instruments include private equity (direct and fund of
funds), real assets investments (real estate, natural resources - direct and fund of funds), hedge
funds (direct and fund of funds), and beneficial interests in perpetual trusts and charitable lead
trusts held by third parties. Within Level 3, the use of the market approach generally consists
of using comparable market transactions, while the use of the income approach generally
consists of the net present value of estimated of future cash flows, adjusted as appropriate for
liquidity, credit, market and/or other risk factors. The University uses the "market approach
value" valuation technique to value its investments in private equity and real estate (“private
investments”) and hedge funds.
The University estimates the fair value of an investment company at the measurement date
using the reported net asset value (“NAV”). Adjustment is required if the University expects
to sell the investment at a value other than NAV or if the NAV is not calculated in accordance
with US GAAP. The University uses the NAV to determine the fair value of all underlying
investments which (a) do not have readily determinable fair value and (b) prepare their
financial statements consistent with the measurement principles of an investment company or
have the attributes of an investment company.
21
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Most private investment funds (private equity, real asset funds) are structured as closed-end,
commitment-based investment funds where the University commits a specified amount of
capital upon inception of the fund (i.e., committed capital) which is then drawn down over a
specified period of the fund's life. Such funds generally do not provide redemption options
for investors and, subsequent to final closing, do not permit subscriptions by new or existing
investors. Accordingly, the University generally holds interests in such funds for which there
is no active market, although in some situations, a transaction may occur in the "secondary
market" where an investor purchases a limited partner’s existing interest and remaining
commitment. The fund managers may value the underlying pirate investment based on an
appraised value, discounted cash flow, industry comparable or some other method. The
University values these limited partnerships at NAV. These interests, in the absence of a
recent and relevant secondary market transaction, are classified as Level 3.
Unlike private investment funds, hedge funds are generally open-end funds as they typically
offer subscription and redemption options to investors. The frequency of such subscriptions or
redemptions is dictated by such fund's governing documents. The amount of liquidity
provided to investors in a particular fund is generally consistent with the liquidity and risk
associated with the underlying portfolio (i.e., the more liquid the investments in the portfolio,
the greater the liquidity provided to the investors). The fund managers invest in a variety of
securities which may not be quoted in an active market. Illiquid investments may be valued
based on appraise value, discounted cash flow, industry comparable or some other method.
The methods described above may produce a fair value calculation that may not be indicative
of a net realized value or reflective of future fair values. Furthermore, while the University
believes its valuation methods are appropriate and consistent with other market participants,
the use of different methodologies or assumptions to demine the fair value of certain financial
instruments could result in a different estimate of fair value at the reporting date.
Level 3 Liquidity (Private investments and hedge funds)
Private Investments - Private investment funds have limited liquidity or redemption options.
Liquidity for private investments can be accomplished via a secondary sale transaction.
When available, distributions typically take place on a quarterly basis.
Hedge funds – Hedge funds provide quarterly liquidity with (90) notice prior to the quarter’s
end. Liquidity of individual hedge funds vary based on various factors and may include
"gates", "holdbacks" and "side pockets" imposed by the manager of the hedge fund, as well as
redemption fees which may also apply. Depending on the redemption options available, it
may be possible that the reported NAV represents fair value based on observable data such as
ongoing redemption and/or subscription activity. In these cases, the NAV is considered as a
Level 2 input. Limited partnerships are valued at NAV. However, certain hedge funds may
provide the manager with the ability to suspend or postpone redemption (a "gate") or "hold
back" from the payment of redemption proceeds a portion of the redemption (e.g. 10%) until
the annual audited financial statements are distributed. In the case of the imposition of a gate,
22
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
the University does not have the ability to validate or verify the NAV through redemptions.
Therefore, the interest is generally classified as Level 3.
In the cases of a holdback, the University considers the significance of the holdback, its
impact on the overall valuation and the associated risk that the holdback amount will not be
fully realized based on a prior history of adjustments to the initially reported NAV. If the
holdback is significant, then the interest is generally classified as Level 3.
For those private equity, real estate limited partnerships, or hedge-fund of fund transactions
where valuations dated on the last business day of the year are available, the valuations will
be based on the most recent capital account statement (monthly/quarterly), adjusted for
interim cash flow activity (contributions, distributions, fees). Substantially all of the
University’s investments in such funds have been classified within Level 3.
The fair value of the University’s interest rate swaps related to its debt obligations are based
on third-party valuations independent of the counterparties. As the fair values of the hedges
are determined based on inputs that are readily available or can be derived from information
available in public markets, the University has categorized the hedges as Level 2.
The following table presents the short term and long term investments, and assets whose use
is limited carried on the combined balance sheet by level within the valuation hierarchy as of
June 30, 2015 (in thousands):
Cash and cash equivalents
Equity securities:
Domestic
Fixed income securities:
Domestic
Funds:
Global equity
Fixed income
Real asset
Other mutual funds
Private equity
Real estate
Hedge funds
External trusts
Total
Level 1
$35,364
3,492
Level 2
$0
Level 3
$0
Total
$35,364
-
2,500
5,992
148,854
379,676
5,675
$193,385
174,587
111,144
7,048
74,374
3,002
2,287
$752,118
87,139
22,537
169,398
45,226
$326,800
528,530
174,587
111,144
7,048
80,049
87,139
25,539
169,398
47,513
$1,272,303
Investments not subject to fair value leveling at June 30, 2015 totaled $63.1 million.
23
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The following table presents the other liabilities carried on the combined balance sheet by
level within the valuation hierarchy as of June 30, 2015 (in thousands):
Interest rate swaps
Level 1
-
Level 2
$29,826
Level 3
-
Total
$29,826
The following table presents the short term and long term investments, and assets whose use
is limited carried on the combined balance sheet by level within the valuation hierarchy as of
June 30, 2014 (in thousands):
Cash and cash equivalents
Equity securities:
Domestic
Fixed income securities:
Domestic
Funds:
Global equity
Fixed income
Real asset
Other mutual funds
Private equity
Real estate
Hedge funds
External trusts
Total
Level 1
$326,722
Level 2
$54,179
Level 3
$ -
Total
$380,901
3,689
-
2,500
6,189
96,483
130,133
6,296
$433,190
183,139
76,465
6,332
79,277
2,741
2,349
$534,615
72,495
18,338
153,328
46,996
$293,657
226,616
183,139
76,465
6,332
85,573
72,495
21,079
153,328
49,345
$1,261,462
The following table presents the other liabilities carried on the combined balance sheet by
level within the valuation hierarchy as of June 30, 2014 (in thousands):
Interest rate swaps
Level 1
-
24
Level 2
$28,574
Level 3
-
Total
$28,574
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The following table include a roll-forward of the amounts for the year ended June 30, 2015 (in
thousands) for investments classified within Level 3. The classification of an investment
within Level 3 is based upon the significance of the unobservable inputs to the overall fair
value measurement.
Balance at July 1, 2014
Acquisitions
Dispositions
Realized gain/(loss), net
Unrealized gain/(loss), net
Private
Equity
$74,995
31,683
(26,967)
12,864
(2,936)
Real
Estate
$18,338
6,380
(2,998)
(815)
1,632
Hedge
Funds
$153,328
9,840
6,230
External
Trusts
$46,996
(1,770)
Total
$293,657
47,903
(29,965)
12,049
3,156
$89,639
$22,537
$169,398
$45,226
$326,800
Balance at June 30, 2015
7. PLEDGES RECEIVABLE
A summary of pledges receivable is as follows at June 30, 2015 and 2014, respectively (in
thousands):
2015
2014
$18,226
34,619
78,000
130,845
$16,757
33,459
85,000
135,216
(40,169)
$90,676
(42,572)
$92,644
Unconditional promises expected to be collected in:
Less than one year
One year to five years
Over five years
Less: unamortized discount and allowance
for doubtful accounts
The discount rate ranges from 0.9% to 5.5%. The University’s largest pledge comprises 80%
and 87% of the pledge receivable at June 30, 2015 and 2014, respectively.
At June 30, 2015 the University was the recipient of a conditional pledge of $6.2 million for
the expansion of a clinical program.
25
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
8.
LAND, BUILDINGS AND EQUIPMENT
2015
Land and land improvements
Buildings and building improvements
Equipment
Leasehold improvements
Construction in progress
Less: accumulated depreciation
Total land, buildings and equipment, net
$76,459
1,131,616
903,606
65,962
31,637
(1,292,768)
$916,512
2014
$76,459
1,089,604
843,022
52,869
36,045
(1,185,415)
$912,584
The University uses straight-line depreciation over the assets’ estimated lives, which are as
follows:
Land improvements
Buildings and building improvements
Equipment
Leasehold improvements
10-20 years
20-40 years
3-10 years
5-20 years
9. NOTES PAYABLE
The Pennsylvania Higher Education Financing Authority issued the 2014 Series A and 2014
Series B notes (the Notes) as limited obligations of the authority payable from amounts
received under a loan agreement with the University. The principal amount of the 2014
Series A and 2014 Series B notes were $328.4 million and $24.4 million, respectively at June
30, 2014. The proceeds provided funds for the payment or defeasance of certain JHS bonds
pursuant to the TJUHS separation from JHS on June 30, 2014. The Notes were paid during
2015, primarily with the proceeds of the Series 2015 Revenue Bonds. There were no principal
amounts outstanding at June 30, 2015 for the 2014 Series A and 2014 Series B notes.
26
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
10. LONG-TERM OBLIGATIONS
June 30,
2015
June 30,
2014
Revenue bonds:
Fixed Rate Obligations
2006 Series A Revenue Bonds, due in varying amounts
from 2032 to 2040; average interest rate was 4.73%
in 2015 and 2014. Semi-annual interest payments
$25,500
$25,500
2006 Series B Revenue Bonds, due in varying amounts
from 2016 to 2032; average interest rate was 4.18%
in 2015 and 2014. Semi-annual interest payments.
40,405
45,265
2010 Series Revenue Bonds, due in varying amounts
from 2021 to 2040; average interest rate was 4.89% in
2015 in 2014. Monthly interest payments.
75,000
75,000
2012 Series Revenue Bonds, due in varying amounts from
2016 to 2042; average interest rate was 3.92% in 2015 and
3.94% in 2014. Semi-annual interest payments.
41,320
41,765
2015 Series A Revenue Bonds, due in varying amounts
from 2026 to 2051, interest rate was 4.91% at June 30,
2015.
301,805
-
Total fixed rate obligations
484,030
187,530
Variable Rate Obligations
1984 Commercial Revenue Bonds
-
600
2008 Series A Revenue Bonds
-
25,000
2008 Series B Revenue Bonds
-
2015 Series B Revenue Bonds, due in varying amounts
from 2042 to 2046, interest rate was 0.50% at June 30,
2015.
60,000
-
2015 Series C Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 0.86% at June 30,
2015.
8,885
-
8,820
-
2015 Series D Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 0.93% at June 30,
2015.
27
42,260
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
June 30,
2015
June 30,
2014
2015 Series E Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 0.86% at June 30,
2015.
8,880
-
2015 Series F Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 0.92% at June 30,
2015.
8,820
-
2015 Series G Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 0.87% at June 30,
2015.
5,965
-
2015 Series H Revenue Bonds, due in varying amounts
from 2017 to 2042, interest rate was 1.38% at June 30,
2015.
29,050
-
Total variable rate obligations
130,420
67,860
Total Revenue bonds
Original issue premiums
Capital lease obligations
Deferred financing fees
Other
614,450
32,776
7,812
(6,730)
40
255,390
6,057
11,526
(4,627)
-
$648,348
$268,346
All Revenue bonds were issued by certain financing authorities as limited obligations of the
authorities payable from amounts received under loan agreements with the University. The
bonds are subject to optional redemption by the University prior to maturity on specified dates
at a price equal to 100% of the principal amount, plus any accrued interest. The bond
agreements contain certain covenants, including financial covenants that require the
University to generate net revenue (as defined) at least equal to 110% of maximum annual
debt service requirements. The University was in compliance with this financial covenant
requirement at June 30, 2015.
The Series 2015 A through H Revenue Bonds were issued in February 2015. The proceeds
provided funds to refinance the Series 2008 A and B Revenue Bonds, Series 2014 A and B
Notes and to provide funds for certain capital projects. The Series 2015 C through G Revenue
Bonds were structured as drawdown bonds and purchased by certain financial institutions.
These financial institutions have agreed to advance funds available to be drawn through
September 1, 2016 up to the maximum principal amount of each of the Series 2015 C through
28
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
G Revenue Bonds. The principal amounts of each of the respective Series 2015 C through G
Revenue Bonds are increased as available funds are drawn. The following table summarizes
the principal amounts outstanding (funds drawn) and balance of funds available to be drawn
as of June 30, 2015, and maximum principal amount for each of the respective Series 2015 C
through G Revenue Bonds (in thousands):
Principal Amount
Outstanding
$8,885
8,820
8,880
8,820
5,965
$41,370
2015 Series C
2015 Series D
2015 Series E
2015 Series F
2015 Series G
Total
Balance
Available to be
Drawn
$26,240
26,055
26,245
26,055
14,985
$119,580
Maximum
Principal
Amount
$35,125
34,875
35,125
34,875
20,950
$160,950
The fair value of the University’s debt obligation was $652.9 million and $272.4 million at
June 30, 2015 and 2014, respectively. The fair value represents the quoted market value for
Revenue bonds (Level 2) and carrying amounts for all other debt, which approximates fair
value.
Maturities for long-term debt for each of the next five years are as follows (in thousands):
2016
2017
2018
2019
2020
Thereafter
$7,581
8,557
8,259
8,542
8,753
$580,611
The University had available unsecured lines of credit from various banks of $47.0 million
and $47.6 million at June 30, 2015 and 2014, respectively, under which there were no
borrowings at June 30, 2015 and 2014, respectively. No compensating balances are required
or maintained.
29
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
11. DERIVATIVE FINANCIAL INSTRUMENTS
The University entered into derivative transactions for the purpose of reducing the impact of
fluctuations in interest rates under the terms of various interest rate swap contracts. The fair
value of these derivative instruments at June 30, 2015 and 2014 in the combined balance
sheets is as follows (in thousands):
TJU Receives
TJU Pays
Notional
Amount at
June 30, 2015
Amended
2/15
SIFMA
4.01%
-
$67,260
Noncurrent
liability
-
$7,389
Expiration
2/1/34
67% of United
States Dollar
LIBOR (one
Month)
2.98%
$67,260
-
Noncurrent
liability
$7,634
-
Amended 2/15
68% of United
States Dollar
LIBOR (one
Month)
3.8570%
-
$19,570
Noncurrent
liability
-
$2,064
Expiration
5/1/18
67% of United
States Dollar
LIBOR (one
Month)
4.542%
$15,415
-
Noncurrent
liability
$1,527
-
Amended 2/15
68% of United
States Dollar
LIBOR (one
Month)
3.919%
-
$73,925
Noncurrent
liability
-
$13,905
Expiraton 9/1/45
67% of United
States Dollar
LIBOR (one
Month)
3.925%
$5,103
-
Noncurrent
liability
$14,977
-
Expiration
5/1/27
68% of United
States Dollar
LIBOR (one
Month)
3.980%
$42,325
$42,450
Noncurrent
liability
$8,022
$8,202
Expiration
5/1/27
68% of United
States LIBOR
(Five Year
minus 0.293%)
$73,700
$73,925
Noncurrent
liability
($1,777)
($2,473)
Expiration
5/1/27
68% of United
States LIBOR
(Five Year
minus 0.325%)
-
-
Noncurrent
liability
($557)
($513)
Amended /
Expiration Date
68% of
United
States Dollar
LIBOR (one
Month)
68% of
United
States Dollar
LIBOR (one
Month)
30
Notional
Amount at
June 30, 2014
Balance Sheet
Location
Fair Value at
June 30,
2015
Fair Value at
June 30,
2014
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The London InterBank Offered Rate (“LIBOR”) with a one month maturity ranged from
1.54% to 1.86% (average rate of 1.67%) in 2015. The LIBOR rate with a the five year
maturity ranged from 1.37% to 2.02% (average rate of 1.71%) in 2015. A nonoperating loss
of $1.3 million on the interest rate swap contracts is included in the combined statement of
operations and changes in net assets. Accumluated losses on interest rate swap contracts of
$29.8 million and $28.6 million at June 30, 2015 and 2014, respectively, are reflected in the
combined balance sheets. The University paid net settlements to counterparties for interest
rate swap contracts of $5.8 million in 2015.
12. OPERATING LEASES
The University has lease obligations for buildings, equipment and ambulatory facilities under
various operating leases. Lease expenses charged to operations were $32.8 million in 2015. At
June 30, 2015 the minimum future non-cancelable rental lease commitments are as follows (in
thousands):
2016
$26,170
2017
23,930
2018
22,131
2019
19,537
2020
16,631
Thereafter
102,019
$210,418
13. PENSION PLANS
Retirement benefits are provided to certain employees through direct payments to various
funds. Employees not subject to the University’s defined benefit plans may be eligible to
participate in one of the following defined contribution arrangements. The University’s share
of the cost of these benefits for the year ended June 30, 2015 was as follows (in thousands):
Plan
Faculty and senior
administrators
Description
9% to 13% of eligible compensation
based upon age
Non-faculty and non-union
4.5% of eligible compensation, plus
matching contribution of 25% of the first
6% of employee contributions
16,893
10% of eligible compensation for
physicians and 3.5% to 5.5% of eligible
compensation for non-physicians based
upon years of service
13,626
JUP
Total
2015
$17,597
$48,116
31
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The University also has non-contributory defined benefit pension plans for certain full-time
employees. The plans are frozen to new entrants. Commensurate with the freeze of each of
these plans to new entrants, existing employees that met certain age and years of service
threholds were eligible to remain in the plans and continue to earn benefits. Benefits under
the non-contributory defined benefit plans are based on the employee’s years of service and
compensation during the years preceding retirement. Contributions to the plan are designed
to meet the minimum funding requirements of the Employee Retirement Income Security Act
of 1974.
The accounting guidance for defined benefit pension plans requires employers to recognize
the overfunded or underfunded projected benefit obligation (“PBO”) of a defined benefit
pension plan as an asset or liability in the balance sheet. The PBO represents the actuarial
present value of benefits attributable to employee service rendered to date, including the
effects of estimated future salary increases. The accounting guidance also requires employers
to recognize annual changes in gains or losses, prior service costs, or other
credits that have not been recognized as a component of net periodic pension cost through
unrestricted net assets.
The components of the net pension plan financial position on the combined balance sheets are
as follows (in thousands):
2015
2014
Change in projected benefit obligation:
Benefit obligation, beginning of year
Service cost
Interest cost
Net experience loss
Benefits paid
Curtailment
Projected benefit obligation, end of year
$558,752
9,554
24,671
19,010
(15,224)
$596,763
$474,560
9,731
23,750
70,367
(13,708)
(5,948)
$558,752
Change in plan assets:
Fair value of plan assets, beginning of year
Actual return of plan assets
Employer contributions
Benefit payments
Fair value of plan assets, end of year
$426,037
12,318
28,135
(15,223)
$451,267
$367,384
48,137
24,224
(13,708)
$426,037
($145,496)
($132,715)
Plan funded status
32
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Amounts recognized in unrestricted net assets consist of:
Net actuarial loss
2015
2014
$190,229
$159,400
The accumulated benefit obligation at June 30 was as follows:
Accumulated benefit obligation
2015
2014
$560,852
$520,229
The components of pension expense for the plans for the year ended June 30, 2015 were as
follows (in thousands):
Service cost
Interest cost
Expected return on plan assets
Amortization of net actuarial loss
Net periodic benefit cost
$9,554
24,671
(32,004)
7,867
10,088
Other changes in plan assets and benefit
obligations recognized in unrestricted net assets:
Net actuarial loss
Amortization of net actuarial loss
Total recognized in unrestricted net assets
Total recognized in net periodic benefit cost and
unrestricted net assets
38,695
(7,867)
30,828
$40,916
The estimated actuarial loss that will be amortized from unrestricted net assets during the
upcoming fiscal year is $10.1 million.
The average assumptions used to estimate the June 30 pension obligation were as follows:
Discount rate
Rate of compensation increase
Expected return on plan assets
33
2015
2014
4.53%
3.00%
6.75%
4.49%
3.07%
7.42%
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The average assumptions used to determine periodic benefit costs for the year ended June 30,
2015 were as follows:
Discount rate
Rate of compensation increase
Expected return on plan assets
4.49%
3.07%
7.42%
A summary of the plans’ targeted and actual asset allocations are as follows:
Cash
Bonds
Global equity
Real estate and other
Percentage of
Plan Assets
June 30, 2015
1%
30%
55%
14%
100%
Targeted
Range
0-5%
30-35%
50-55%
10-15%
Percentage of
Plan Assets
June 30, 2014
2%
31%
55%
12%
100%
The portfolio utilizes a long-term asset allocation strategy that allows management to
rebalance the asset allocation back to target levels on a monthly basis. Short-term compliance
with the target ranges can be impacted by the severity of market conditions.
The expected long-term rate of return for the plan’s assets are based on the historical return of
each of the above categories, weighted based on the target allocations for each class.
The assets of the defined benefit pension plan are invested in a manner that is intended to
preserve the purchasing power of the plan’s assets and provide payments to beneficiaries.
Thus, a rate of return objective of inflation plus 5% is targeted.
The University expects to contribute $28.0 million during fiscal year 2016.
Projected benefit payments for the next ten years are as follows (in thousands):
2016
2017
2018
2019
2020
2021 – 2025
Total
$19,546
21,867
24,185
26,550
28,880
176,298
$297,326
34
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The following table present the plan assets by level within the valuation hierarchy, as
discussed in Note 6, as of June 30, 2015 (in thousands):
Level 1
Cash and cash equivalents
Fixed income securities:
U.S. Treasuries
Domestic
Funds:
Global equity
Fixed income
Hedge funds
Private equity
Real estate
Total
Level 2
Level 3
Total
$2,053
$4,161
$ -
$6,214
308
-
59,202
-
308
59,202
2,041
$4,402
249,636
74,783
52
$387,834
55,273
2,604
1,154
$59,031
249,636
74,783
55,273
4,697
1,154
$451,267
The following table present the plan assets by level within the valuation hierarchy, as
discussed in Note 6, as of June 30, 2014 (in thousands):
Level 1
Cash and cash equivalents
Fixed income securities:
U.S. Treasuries
Domestic
Funds:
Global equity
Fixed income
Hedge funds
Private equity
Real estate
Total
Level 2
Level 3
Total
$1,166
$5,917
$ -
$7,083
8,088
-
54,415
-
8,088
54,415
3,134
$12,388
233,809
67,481
51
$361,673
35
46,826
3,322
1,828
$51,976
233,809
67,481
46,826
6,507
1,828
$426,037
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
The following tables include a roll-forward of the amounts for the year ended June 30, 2015
(in thousands) for plan assets classified within Level 3. The classification of plan assets within
Level 3 is based upon the significance of the unobservable inputs to the overall fair value
measurement. There were no transfers between Levels 1, 2 and 3 during 2015.
Hedge
Funds
Balance at July 1, 2014
Acquisitions
Dispositions
Realized gain, net
Unrealized gain (loss), net
Balance at June 30, 2015
Private
Equity
$46,826
6,563
1,884
$55,273
Real
Estate
$3,322
215
(762)
394
(565)
$2,604
$1,828
633
(934)
(373)
$1,154
Total
$51,976
7,411
(1,696)
394
946
$59,031
Participation in Multiemployer Defined Benefit Pension Plan
The University is a participating employers in The Pension Fund for Hospital and Health Care
Employees – Philadelphia and Vicinity (the Pension Fund), a jointly-trusted multiemployer
defined benefit pension plan. The Pension Fund is operated for the benefit of Chapter 1199C
of the American Federation of State, County and Municipal Employees (the Union).
Information about the Pension Fund and the University’s participation is summarized as
follows.
The employer identification number for the Pension Fund is 23-2627428. At the date the
financial statements were issued Form 5500 was not available for the plan years ending in
2015. The University’s contribution to the Pension Fund was $5.8 million for the year ended
June 30, 2015. The contributions represent approximately 28% of the contributions to the
Pension Fund. A six year collective-bargaining agreement was approved by the Union
effective July 1, 2012. The University contributions as a percentage of covered payroll to the
Pension Fund over the remaining term of the agreement is as follows:
2016
2017
2018
17.25%
18.75%
20.50%
For the Plan Years beginning January 1, 2013 and January 1, 2014, the Pension Fund was
determined to be in endangered status (also referred to as yellow zone status) under the
Pension Protection Act of 2006. Accordingly, the Pension Fund is subject to a funding
improvement plan. The zone status is based on information that the University received from
the plan and is certified by the plan’s actuary. Among other factors, plans in the yellow zone
are generally less than 80 percent funding.
At January 1, 2014, the most recent date for which such information is available, the projected
benefit obligation of the Pension Fund exceeded the plan assets by $206.6 million.
36
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
14. PROFESSIONAL LIABILITY CLAIMS
TJU and TJUHS maintain professional liability insurance under both self-insured and
alternative risk financing insurance programs for the distinct services each provides. For all
self-insured programs TJU and TJUHS accrue for estimated retained risk liability arising from
both asserted and unasserted claims. The estimate of liability is based upon an analysis of
historical claims data as prepared by an independent actuary The professional liability
insurance program is administered through a policyholder-owned, Vermont-domiciled, risk
retention group, Mountain Laurel Risk Retention Group, Inc. (“RRG”) which was exclusively
owned by JHS until June 30, 2014. For the professional liability coverage only, the RRG is
100% reinsured by a non-profit captive protected cell insurance company, Five Pointe
Insurance Company, domiciled in Delaware. Until June 30, 2014, the former JHS held the
sole common membership in Five Pointe (“Five Pointe”). On June 30, 2014 the former JHS
transferred certain ownership interests to TJUHS and to the University in both Five Pointe
and RRG, respectively; the remaining interests in both corporations were transferred to other
former members of JHS. The University has accrued professional liability claims of $303.6
million and $312.1 million at June 30, 2015 and 2014 respectively, of which $38.3 million
and $37.8 million were current. The interest rate used to discount malpractice claims was 3%
at June 30, 2015 and 2014. The University has recognized professional liability expenses of
$32.7 million in 2015.
The first (“primary”) layer of coverage is claims-made coverage with limits of $500,000 per
medical incident and $2,500,000 annual aggregate per hospital and $500,000 per medical
incident and $1,500,000 annual aggregate per physician. The limits for this primary coverage
layer are statutorily prescribed in Pennsylvania. In addition, a $1,000,000 per medical
incident and $3,000,000 annual aggregate limit is provided for scheduled dentists, as well as
physicians and residents practicing in Delaware and New Jersey. At June 30, 2015, TJUHS
non-healthcare provider entities are provided with a shared $1,000,000 per incident and
$3,000,000 annual aggregate limit of liability. The RRG retains 100% of the general liability
coverage exposure.
The RRG provides a $2,000,000 per occurence and $4,000,000 annual aggregate general
liability coverage limit for TJU and TJUHS. The premiums charged for the primary
professional and general liability layers of coverage are determined by an independent
actuary, based on loss and loss adjustment expense experience and other factors, at a 65%
confidence level and a 3% discount rate for 2015 and include a charge for premium tax and
operating expenses.
The second layer of professional liability coverage is provided through Pennsylvania’s
Medical Care Availability and Reduction of Error Fund (the “MCARE Fund”). This second
layer, required by statute, consists of coverage with limits of $500,000 per claim and
$1,500,000 annual aggregate per hospital and per employed physician/resident at June 30,
2015. The annual assessments for MCARE Fund coverage are based on the schedule of
37
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
occurrence rates approved by the Insurance Commissioner of Pennsylvania for the
Pennsylvania Professional Liability Joint Underwriting Association multiplied by an annual
assessment percentage. This assessment is recognized as an expense in the period incurred.
No provision has been made for future MCARE Fund assessments as the unfunded portion of
the MCARE Fund liability cannot be reasonably estimated.
Liabilities for potential losses in excess of the primary and MCARE layers up to $5,000,000
each medical incident and $5,000,000 aggregate retention excess of a $7,000,000 each and
every medical incident retention are based on actuarially-determined estimates, which reflect
a 65% confidence level and a 3% discount rate for 2015. These estimates are based on
historical information along with certain assumptions about future events. Changes in
assumptions for such considerations as medical costs and actual experience could cause these
estimates to change.
TJUHS maintains claims-made excess catastrophic professional liability insurance coverage
through Five Pointe in the amount of $95,000,000 per medical incident and $95,000,000
annual aggregate after a $5,000,000 each medical incident and $5,000,000 aggregate retention
excess of a $7,000,000 each and every medical incident retention (inclusive of the primary
and MCARE layers of coverage). For TJU’s miscellaneous professional liability exposure the
excess professional liability insurance coverage attaches excess of $1,000,000 per claim and
$3,000,000 annual aggregate. Five Pointe reinsured 100% of this risk to seven currently Arated insurers (ACE, XL, Lloyd’s Syndicates, Berkley, Zurich, Endurance, and
Swiss Re). A separate limit of $95,000,000 per occurrence and $95,000,000 aggregate is also
maintained to provide liability insurance coverage excess of the primary general, auto,
employers and aviation liability coverages.
The University is required to reflect its "gross" exposure to claims liabilities with a
corresponding receivable for insurance recoveries. The amount recorded at June 30, 2015 and
2014 as a non-current asset and as a portion of non-current accrued professional liability
claims is $118.9 million and $118.0 million, respectively.
15. WORKERS’ COMPENSATION CLAIMS
The University is self-insured for its workers’ compensation exposures. The University
accrues for its workers’ compensation liability based upon actuarial estimates using a discount
rate of 3%. Accrued workers’ compensation liabilities were $23.1 million and $20.5 million
at June 30, 2015 and 2014, respectively. These amounts are presented in the accompanying
combined balance sheets.
38
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
16. COMMITMENTS AND CONTINGENCIES
Letters of Credit
At June 30, 2015 and 2014, the University had open letters of credit aggregating $25.1 million
and $93.0 million, respectively. The letters of credit provide additional security for the
following (in thousands):
2015
1984 Commercial Revenue Bonds
2008 Series A Revenue Bonds
2008 Series B Revenue Bonds
Self-insurance
(Expiration 12/31/2015)
-
2014
25,140
$625
25,000
42,260
25,140
$25,140
$93,025
Litigation
The University is involved in litigation and regulatory investigations arising in the ordinary
course of business. In the opinion of management, all such matters are adequately covered by
commercial insurance or by accruals, and if not so covered, are without merit or are of such
kind, or involve such amounts, as would not have a material adverse effect on the financial
position or results of operations of the University.
On November 20, 2009, a class action lawsuit was filed against the former JHS and its
members by certain hourly employees alleging restitution for unfair business practices,
injunctive relief for unfair business practices, failure to pay overtime wages, and penalties
associated therewith. On September 8, 2011, the Court granted the defendants’ motions to
dismiss all asserted claims but provided the plaintiffs with thirty days to file a second
complaint. Plaintiffs filed a second amended complaint on November 10, 2011. Plaintiffs
agreed to withdraw the RICO claim and their claims against individual defendants when they
were confronted with a Rule 11 letter related to the RICO claim. On February 10, 2012, they
filed a Third Amended Complaint. JHS filed a motion to dismiss the entire Third Amended
Complaint. On August 8, 2012, the Court dismissed the Third Amended Complaint with
prejudice to plaintiffs’ claim under the Fair Labor Standards Act. The Court dismissed the
state law claims without prejudice, allowing plaintiffs to file those claims in state court. On
September 15, 2012, plaintiffs appealed all orders in this matter. On August 26, 2014, the
Court of Appeals for the Third Circuit affirmed the District Court ruling.
39
Thomas Jefferson University
Notes to Combined Financial Statements
June 30, 2015 and 2014
Plaintiffs did not appeal the decision of the U.S. Court of Appeals for the Third Circuit or ask
for an enbanc hearing. After the affirmance by the Third Circuit, Plaintiffs requested that the
District Court Judge lift the stay of proceedings that had been imposed on the state court
claims during the appeal and remand them to state court. The Judge lifted the stay of
proceedings and requested additional briefing on the remand issues. The TJUHS argument
was that the judge should not remand and asserted the previously asserted federal preemption
arguments. All briefings were completed on October 31, 2014. No ruling or decision has
been made on this issue at the release date of this report.
17. FUNCTIONAL CLASSIFICATION
Clinical
Operations
Salaries and wages
Employee benefits
Purchased services
Insurance
Supplies
Utilities
Interest
Depreciation and amortization
Rent
Other expenses
Total
$732,963
198,303
86,702
35,395
342,770
19,977
9,558
79,939
22,503
149,435
$1,677,545
Instruction
$60,689
18,358
1,484
604
3,277
3,610
3,063
9,496
4,142
14,697
$119,418
Research and
Other
Sponsored
Programs
$67,915
19,350
2,231
79
13,098
4,896
3,011
10,976
1,443
13,515
$136,515
Auxiliary
Activities
$6,335
305
514
34
99
1,369
1,990
5,160
305
14,441
$30,552
Academic
Support
$3,040
969
54
134
17
5,556
79
1,563
$11,412
Student
Services
$2,890
926
306
245
339
92
63
210
$5,070
Institutional
Support
$74,422
24,447
1,669
7,038
3,979
695
6,019
27,561
$145,828
Total
$948,255
262,658
91,291
37,780
366,661
34,186
18,316
111,220
34,553
221,421
$2,126,340
18. SUBSEQUENT EVENTS
The University has evaluated subsequent events through October 23, 2015, the date the
financial statements were issued. There were no events that require adjustments to the
financial statements.
Between July 1, 2015 and October 23, 2015, additional draws on the 2015 Series C through G
Revenue Bonds were made aggregating $46.5 million.
On October 6, 2015 TJU and Aria Health System signed a letter of intent setting forth certain
non-binding understandings relating to a potential business combination.
40
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Student Financial Aid Cluster
Direct Program s
Departm ent of Health and Hum an Serv ices:
Scholarships for Health Professions Students from Disadv antaged Backgrounds
T otal Departm ent of Health and Hum an Serv ices
Departm ent of Education
Federal Supplemental Educational Opportunity Grants
Federal Work-Study Program
Federal Pell Grant Program
T otal Departm ent of Education
Agency or
Pass-through
Num ber
Federal
Ex penditures
93.925
285,000
285,000
84.007
84.033
84.063
1 58,997
608,37 0
7 1 2,585
1,47 9,952
T otal Student Financial Aid Cluster
1,7 64,952
Research and Dev elopm ent Cluster
Departm ent of Health and Hum an Serv ices
Health Resources and Serv ices Adm inistration
Direct Grants and Contracts
Maternal and Child Health Federal Consolidated Programs
Adv anced Nursing Education Grant Program
Geriatric Academic Career Awards
ARRA Grants for Training in Primary Care Medicine and Dentistry Training and Enhancement
Grants for Primary Care Training and Enhancement
PPHF Geriatric Education Centers
Total Health Resources and Serv ices Administration Direct Funds
Pass-through Funds
Children's Hospital of Philadelphia
Mazzoni Center
Philadelphia Corporation on Aging
Total Health Resources and Serv ices Administration Pass-through Funds
T otal Health Resources and Serv ices Adm inistration
National Institutes of Health
Direct Grants and Contracts
Tissue Purchase Order for NCI Cancer Genome Atlas program ARRA
Env ironmental Health
Research and Training in Complementary and Integrativ e Medicine
Mental Health Research Grants
Alcohol Research Programs
Drug Abuse and Addiction Research Programs
Discov ery and Applied Research for Technological Innov ations to Improv e Human Health
Minority Health and Health Disparities Research
Trans-NIH Research Support
Research Infrastructure Programs
Cancer Cause and Prev ention Research
Cancer Detection and Diagnosis Research
Cancer Treatment Research
Cancer Biology Research
Cancer Centers Support Grants
Cancer Research Manpower
Cardiov ascular Diseases Research
Lung Diseases Research
Blood Diseases and Resources Research
Arthritis, Musculoskeletal and Skin Diseases Research
Diabetes, Digestiv e, and Kidney Diseases Ex tramural Research
Ex tramural Research Programs in the Neurosciences and Neurological Disorders
Allergy , Immunology and Transplantation Research
Biomedical Research and Research Training
Child Health and Human Dev elopment Ex tramural Research
Aging Research
V ision Research
Total National Institutes of Health Direct Funds
93.1 1 0
93.247
93.250
93.403
93.884
93.969
1 5,492
7 9,408
1 53,61 4
233,951
7 55,238
47 8,267
1 ,7 1 5,97 0
93.1 1 0
93.1 53
93.403
H30MC24050
H1 2HA24852
1 -381 -50-31 1 5
93.
93.1 1 3
93.21 3
93.242
93.27 3
93.27 9
93.286
93.307
93.31 0
93.351
93.393
93.394
93.395
93.396
93.397
93.398
93.837
93.838
93.839
93.846
93.847
93.853
93.855
93.859
93.865
93.866
93.867
HHSN261 201 000038I
The accompanying notes are an integral part of this schedule.
41
1 4,532
1 66,822
2,1 66
1 83,520
1,899,490
27 ,345
7 25,901
21 2,982
7 86,324
1 ,01 0,425
820,327
231 ,520
37 6,01 1
300,383
1 ,7 53,1 7 7
57 2,065
1 ,47 0,637
1 ,902,01 9
4,452,844
2,7 21 ,327
526,21 8
3,600,7 28
1 ,408,07 0
1 ,580,380
4,1 23,41 7
2,41 8,31 3
5,842,504
5,57 1 ,323
4,849,805
58,67 0
938,1 64
1 ,666,7 7 6
49,947 ,655
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Pass-through Funds
Albert Einstein Healthcare Network
American College of Radiology
American College of Radiology
American College of Radiology Imaging Network
American College of Radiology Imaging Network
Beckman Research Institute
Boston Univ ersity
Case Western Reserv e Univ ersity
Children's Hospital of Philadelphia
Columbia Univ ersity
Cy nv enio Biosy stems
Duke Univ ersity
Duke Univ ersity
Duke Univ ersity
Duke Univ ersity
Duke Univ ersity
Fox Chase Cancer Center
Frontier Science & Technology Research Foundation, Inc.
Frontier Science & Technology Research Foundation, Inc.
George Washington Univ ersity
Georgia Regents Univ ersity
Immuv en Enterprise
JBS Science, Inc.
John Way ne Cancer Institute at Saint John's Hospital
Johns Hopkins Univ ersity
Johns Hopkins Univ ersity
Johns Hopkins Univ ersity
Leland Stanford Junior Univ ersity
May o Clinic
May o Clinic
May o Clinic
May o Clinic
Molecular Targeting Technologies, Inc.
Molecular Targeting Technologies, Inc.
Monell Chemical Senses Center
Mount Sinai School of Medicine
National Surgical Adjuv ant Breast and Bowel Project
Nemours Childen's Clinic-Jacksonv ille
New England Research Institute
New Y ork Blood Center
NRG Oncology Foundation Inc.
Oregon Health Sciences Univ ersity
Palmer College
Pathway s to Housing PA
Philadelphia Research & Education Foundation
Rutgers Univ ersity
Sloan-Kettering Institute for Cancer Research
Temple Univ ersity
Temple Univ ersity
Temple Univ ersity
Temple Univ ersity
93.847
93.395
93.395
93.395
93.395
93.866
93.31 0
93.853
93.839
93.1 1 3
93.
93.837
93.837
93.837
93.855
93.855
93.855
93.399
93.399
93.847
93.855
93.396
93.394
93.395
93.853
93.866
93.866
93.865
93.
93.
93.
93.399
93.855
93.855
93.1 7 3
93.866
93.395
93.847
93.
93.855
93.395
93.837
93.21 3
93.242
93.865
93.853
93.395
93.27 3
93.853
93.853
93.853
Agency or
Pass-through
Num ber
U01 K083027
U24CA1 80803
U1 0CA021 661
U1 0CA1 80820
UG1 CA1 89828
R01 AG037 07
U01 AR057 929
U01 NS090407
P01 HL1 1 0860
R01 ES01 097 5
HHSN261 201 300007 3C
U1 0HL084904
R01 HL1 05448
U1 0HL084904
U1 9AI056363
R01 AI1 1 0007
U1 9AI083008
PSATJU00
U1 0CA037 403
U01 DK096037
U01 AI083005
R41 CA1 7 6962
R44CA1 6531 2
P01 CA029605
U01 NS062851
R01 AG041 7 81
R01 AG04627 4
R01 HD049653
HHSN261 201 2000321
HHSN261 201 200042I
HHSN261 201 200042
U1 0CA1 49950
R42AI07 3064
R42AI081 334
R01 DC01 3626
U01 AG0461 7 1
TFED29-7 1 7
R01 DK080831
N01 -HC-45207
R01 AI07 831 4
U1 0CA1 80868
R01 HL1 1 1 033
R25AT003580
R01 MH1 0457
R21 HD068857
R01 NS038384
U1 0CA027 469
R21 AA023630
U01 NS062835
R01 NS07 9635
U01 NS062091
The accompanying notes are an integral part of this schedule.
42
Federal
Ex penditures
6,663
285,1 7 8
1 26,1 51
44,7 84
45,694
1 ,056
1 4,896
25,533
450,359
1 32,927
30,1 7 1
-6,440
35,930
42,423
2,01 7
1 24,7 32
1 6,7 05
68,935
4,834
298,467
60,947
1 1 1 ,51 5
20,27 4
4,61 5
1 8,033
1 7 ,226
1 0,248
3,438
52,606
1 5,009
85,329
0
27 1 ,433
42,303
1 6,903
3,584
-20,947
1 7 ,644
51 2
1 09,562
47 ,7 51
25,587
25,592
6,1 05
3,333
1 ,896
1 ,059
7 ,554
-590
1 22,1 27
72
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Univ ersity of Alabama
Univ ersity of California, San Diego
Univ ersity of California, San Francisco
Univ ersity of California, Santa Cruz
Univ ersity of Connecticut
Univ ersity of Delaware
Univ ersity of Delaware
Univ ersity of Michigan
Univ ersity of Michigan
Univ ersity of Minnesota
Univ ersity of North Carolina
Univ ersity of Oklahoma
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pennsy lv ania
Univ ersity of Pittsburgh
Univ ersity of Pittsburgh
Univ ersity of Rochester
Univ ersity of Rochester
Univ ersity of Tex as M.D. Anderson Cancer Center
Univ ersity of V irginia
Univ ersity of Washington
Wake Forest Univ ersity
Washington Univ ersity of St. Louis
Wistar Institute
Total National Institutes of Health Pass-through Funds
T otal National Institutes of Health
93.865
93.865
93.853
93.866
93.866
93.865
93286
93.31 0
93.
93.859
93.839
93.393
93.242
93.242
93.307
93.394
93.396
93.838
93.853
93.855
93.859
93.859
93.
93.351
93.394
93.1 1 3
93.837
93.
93.847
93.837
93.866
93.395
93.395
Centers for Disease Control and Prev ention
Direct Grants and Contracts
Centers for Disease Control and Prev ention_Inv estigations and Technical Assistance
Surv eillance for Diseases Among Immigrants and Refugees financed in part by Prev ention and Public Health Funds (PPHF)
Total Centers for Disease Control and Prev ention Direct Funds
Pass-through Funds
Children's Hospital of Philadelphia
Children's Hospital of Philadelphia
Health Care Improv ement Foundation
National Association of Chronic Disease Directors
Wills Ey e Hospital
Wills Ey e Hospital
Wills Ey e Hospital
Total Centers for Disease Control and Prev ention Pass-through Funds
T otal Centers for Disease Control and Prev ention
Agency or
Pass-through
Num ber
U01 HD045033
R24HD050837
U01 NS053998
R01 AG047 986
UCHC6544261 59
R01 HD065288
R01 EB01 7 7 66
R21 GM1 1 01 84
R01 AG047 986
R01 GM1 07 1 7 5
R01 HL1 06009
R01 CA1 6027 1
R01 MH055687
R01 MH061 97 5
P60MD006900
R01 CA1 29544
R01 CA092900
P01 HL1 1 447 1
R01 NS044266
R21 AI1 05856
RGM080396
P01 GM05587 6
R33AI1 05856
P50OD01 0996
U01 CA086402
R01 ES021 534
U01 HL096607
HHSN261 201 1 00039C
R01 DK088905
R01 HL1 1 47 60
R01 AG045551
U1 0CA1 80860
P01 CA1 40043
93.283
93.7 55
93.1 84
93.283
93.991
93.283
93.283
93.283
93.945
7 3,1 63
1 8,434
15
1 6,653
40,406
3,632
43,030
65,1 1 1
1 0,41 1
40,092
7 8,560
6,623
21 ,31 7
38,31 4
1 1 1 ,1 65
2,227
92,7 7 1
1 ,01 0,200
4,969
1 02,91 6
1 7 4,81 9
320,91 9
29,250
99,508
22,000
301 ,255
11
564
-27 9
7 2,847
27 6,994
8,404
1 57 ,463
6,07 5,499
56,023,154
96,498
1 2,1 09
1 08,607
U27 DD000862
U27 DD000862
SAP #41 00053824
U58DP0027 59
U01 DP0051 27
U58DP004060
U58DP002655
The accompanying notes are an integral part of this schedule.
43
Federal
Ex penditures
1 1 ,244
3,255
1 56,097
55,355
44,588
1 0,620
37 ,453
31 8,61 2
427 ,219
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Agency or
Pass-through
Num ber
Agency for Healthcare Research and Quality
Direct Grants and Contracts
Research on Healthcare Costs, Quality and Outcomes
Total Agency for Healthcare Research and Quality Direct Funds
T otal Agency for Healthcare Research and Quality
93.226
Centers for Medicare & Medicaid Serv ices
Pass-through Funds
Quality Insights of Pennsy lv ania
Quality Insights of Pennsy lv ania
Nemours Foundation
Total Centers for Medicare & Medicaid Serv ices Pass-through Funds
T otal Centers for Medicare & Medicaid Serv ices
93.
93.
93.61 0
HHSM-500-201 3-001 7 7 C
HHSM-500-201 3-1 301 1 1
1 C1 CMS331 01 7 -01 -00
Adm inistration for Children and Fam ilies
Pass-through Funds
Nemours Foundation
Total Administration for Children and Families Pass-through Funds
T otal Adm inistration for Children and Fam ilies
93.551
#90CB01 90-01 -00
Assistant Secretary for Preparedness and Response
Direct Funds
National Bioterrorism Hospital Preparedness Program
Total Assistant Secretary for Preparedness and Response Direct Funds
T otal Assistant Secretary for Preparedness and Response
93.889
IPA
Adm inistration for Com m unity Liv ing
Direct Funds
ACL National Institute on Disability , Independent Liv ing, and Rehabilitation Research
Total Administration for Community Liv ing Direct Funds
Pass-through Funds
Philadelphia Corporation on Aging
Total Administration for Community Liv ing Pass-through Funds
Total Administration for Community Liv ing
Substance Abuse and Mental Health Serv ices Adm inistration
Direct Grants and Contracts
Substance Abuse and Mental Health Serv ices_Projects of Regional and National Significance
Total Substance Abuse and Mental Health Serv ices Administration Direct Funds
Pass-through Funds
Commonwealth of Pennsy lv ania
Commonwealth of Pennsy lv ania
Total Substance Abuse and Mental Health Serv ices Administration Pass-through Funds
T otal Substance Abuse and Mental Health Serv ices Adm inistration
T otal Departm ent of Health and Hum an Serv ices
25,1 89
25,1 89
25,189
40,7 84
1 2,420
30,923
84,1 27
84,127
1 21 ,7 95
1 21 ,7 95
121,7 95
1 66,207
1 66,207
166,207
93.433
1 7 9,941
1 7 9,941
93.043
(1 ,1 7 5)
(1 ,1 7 5)
17 8,7 66
93.243
35,532
35,532
93.243
93.243
SM58356
U7 9SM061 7 50
The accompanying notes are an integral part of this schedule.
44
Federal
Ex penditures
68,580
1 04,690
1 7 3,27 0
208,802
59,134,7 49
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Departm ent of Education
Direct Grants and Contracts
National Institute on Disability and Rehabilitation Research
Total Department of Education Direct Funds
T otal Departm ent of Education
Departm ent of Defense
Direct Grants and Contracts
Military Medical Research and Dev elopment
Total Department of Defense Direct Funds
Pass-through Funds
Wills Ey e Hospital
Acorda Therapeutics
Univ ersity of Pennsy lv ania
Univ ersity of California, Dav is
National Marrow Donor Program
Sloan-Kettering Institute for Cancer Research
Christopher Reev e Foundation
Total Department of Defense Pass-through Funds
T otal Departm ent of Defense
Agency or
Pass-through
Num ber
Federal
Ex penditures
84.1 33
320,001
320,001
320,001
1 2.420
1 ,932,300
1 ,932,300
1 2.420
1 2.420
1 2.91 0
1 2.420
1 2.300
1 2.
1 2.
W81 XWH-1 2-2-0097
W81 XWH-1 2-2-01 36
#N66001 -1 4-4032
W81 XWH-1 4-1 -0589
N0001 4-1 4-1 -0028
W81 XWH-09-1 01 47
W81 WH-1 3-2-40
1 7 ,338
2,003
21 7 ,409
31 ,335
5,264
1 00,1 81
7 23
37 4,253
2,306,553
Departm ent of Agriculture
Pass-through Funds
Univ ersity of Arizona
Total Department of Agriculture Pass-through Funds
T otal Departm ent of Agriculture
1 0.21 7
#201 0-3841 1 -21 348
7 ,201
7 ,201
7 ,201
Departm ent of Veteran Affairs
Direct Grants and Contracts
Federal Contract
Total Department of V eteran Affairs Direct Funds
T otal Departm ent of Veteran Affairs
64.
#V A248-1 2-C-01 53
7 ,57 9
7 ,57 9
7 ,57 9
National Science Foundation
Direct Grants and Contracts
Biological Sciences
Total National Science Foundation Direct Funds
Pass-through funds
Rensselaer Poly technic Institute
Total National Science Foundation Pass-through Funds
T otal National Science Foundation
47 .07 4
National Aeronautics and Space Adm inistration
Direct Grants and Contracts
Ex ploration
Total National Aeronautics and Space Administration Direct Funds
T otal National Aeronautics and Space Adm inistration
94,608
94,608
47 .041
EEC-081 2056
1 66,687
1 66,687
261,295
43.003
NNX1 5AC1 4G
7 1 ,7 7 5
7 1 ,7 7 5
7 1,7 7 5
T otal Research and Dev elopm ent Cluster
62,109,153
The accompanying notes are an integral part of this schedule.
45
Thomas Jefferson University
Schedule of Expenditures of Federal Awards
Year Ended June 30, 2015
Federal
CFDA
Num ber
Federal Grantor/Pass-through Grantor
Program or Cluster T itle
Other Program s
Departm ent of Health and Hum an Serv ices
Health Resources and Serv ices Adm inistration
Pass-through Funds
City of Philadelphia
HIV Emergency Relief Project Grants
HIV Emergency Relief Project Grants
Access Matters
Maternal and Child Health Serv ices Block Grant to the States
Total Health Resources and Serv ices Administration Pass-through Funds
T otal Health Resources and Serv ices Adm inistration
Office of Population Affairs
Pass-through Funds
Access Matters
Family Planning_Serv ices
Family Planning_Serv ices
Family Planning_Serv ices
Family Planning_Serv ices
Family Planning_Serv ices
Total Office of the Population Affairs Pass-through Funds
T otal Office of Population Affairs
Adm inistration for Children and Fam ilies
Pass-through Funds
AccessMatters
Social Serv ices Block Grant
Total Administration for Children and Families Pass-through Funds
T otal Adm inistration for Children and Fam ilies
Centers for Disease Control
Pass-through Funds
AccessMatters
Centers for Disease Control and Prev ention_Inv estigations and Technical Assistance
Centers for Disease Control and Prev ention_Inv estigations and Technical Assistance
City of Philadelphia
HIV Prev ention Activ ities_Health Department Based
HIV Prev ention Activ ities_Health Department Based
Total Centers for Disease Control Pass-through Funds
T otal Centers for Disease Control
Substance Abuse and Mental Health Serv ices Adm inistration
Pass-through Funds
City of Philadelphia
Block Grants for Prev ention and Treatment of Substance Abuse
Block Grants for Prev ention and Treatment of Substance Abuse
Block Grants for Prev ention and Treatment of Substance Abuse
Total Substance Abuse and Mental Health Serv ices Administration Pass-through Funds
T otal Substance Abuse and Mental Health Serv ices Adm inistration
T otal Departm ent of Health and Hum an Serv ices
Departm ent of Justice
U.S. District Court
Pass-through Funds
Eastern District of Pennsy lv ania Probation Office
Total U.S. District Court Pass-through Funds
T otal U.S. District Court
Agency or
Pass-through
Num ber
Federal
Ex penditures
93.91 4
93.91 4
R4336
R5336
1 28,365
54,307
93.994
1 5-0401
4,1 96
1 86,868
186,868
93.21 7
93.21 7
93.21 7
93.21 7
93.21 7
1 5-0401
1 4-4001
1 4-401 1
1 5-4001
1 5-401 1
52,445
(24,37 4)
(647 )
45,563
27 ,866
1 00,853
100,853
93.667
1 5-0401
8,391
8,391
8,391
93.283
93.283
1 5-0401
1 5-0403
2,238
86,1 07
93.940
93.940
CPB4037
CPB5037
52,57 2
27 ,293
1 68,21 0
168,210
93.959
93.959
93.959
1 3-2051 2
1 3-2051 2
1 3-2051 1
253,27 6
34,991
364,97 0
653,237
653,237
1,117 ,559
1 6.
#031 3-0201 3-02
T otal Other Program s
36,002
36,002
36,002
1,153,561
T otal Ex penditures of Federal Awards
65,027 ,666
The accompanying notes are an integral part of this schedule.
46
Thomas Jefferson University
Notes to Schedules of Expenditures of Federal Awards
June 30, 2015
1.
Reporting Entity
Thomas Jefferson University (the “University”) is an independent, non-profit corporation
organized under the laws of the Commonwealth of Pennsylvania and recognized as a tax-exempt
organization pursuant to Section 501(c)(3) of the Internal Revenue Code. Thomas Jefferson
University has a tripartite mission of education, research, and patient care. Thomas Jefferson
University conducts research and offers undergraduate and graduate instruction through the
Sidney Kimmel Medical College, and the Jefferson Colleges of Nursing, Pharmacy, Health
Professions, Population Health, and Biomedical Sciences. TJU has approximately 3,600 students
and is located in Philadelphia, Pennsylvania. Thomas Jefferson University provides patient care
through TJUH System (TJUHS), an integrated healthcare organization providing inpatient,
outpatient, and emergency care services through acute care, ambulatory care, physician, and other
primary care services for residents of the Greater Philadelphia Region. Federal Identification
Numbers for reporting entities included in this report are 23-1352651 for TJU and 23-2829095 for
Thomas Jefferson University Hospital.
2.
Basis of Presentation
The accompanying Schedule of Expenditures of Federal Awards (the “Schedule”) presents a
summary of those activities of the University for the year ended June 30, 2015. Negative amounts
represent current year adjustments of amounts reported in prior years. CFDA and pass through entity
numbers are included when available. The information in this schedule is presented in accordance
with the requirements of the Office of Management and Budget (OMB) Circular A-133, Audits of
States, Local Governments, and Non-Profit Organizations. Therefore, some amounts presented in
this schedule may differ from amounts presented in, or used in the preparation of, the basic
combined financial statements of the University.
For purposes of the Schedule, federal awards include all grants, contracts and similar agreements
entered into directly by the University with agencies and departments of the federal government
and all sub awards to the University by nonfederal organizations pursuant to federal grants,
contract and similar agreements.
3.
Summary of Significant Accounting Policies
Expenditures reported in the Schedule are reported on the accrual basis of accounting.
Expenditures include a portion of costs associated with general university activities which are
allocated to awards under negotiated formulas commonly referred to as facilities and
administrative cost rates.
Expenditures for federal student financial aid programs are recognized as incurred and include
Federal Pell program grants to students, the federal share of students’ FSEOG program grants,
Federal Work-Study program earnings, loans to students under federally guaranteed programs and
certain other federal financial assistance grants for students and administrative cost allowances,
where applicable.
Expenditures for other federal awards of the University are determined using the cost accounting
principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational
Institutions, or Uniform Guidance as applicable. Under these cost principles, certain expenditures
are not allowable or are limited as to reimbursement.
47
Thomas Jefferson University
Notes to Schedules of Expenditures of Federal Awards
June 30, 2015
Expenditures for certain non-student financial aid awards include indirect costs. Indirect costs
allocated to such awards for the year ended June 30, 2015 were based on predetermined fixed rates
negotiated with the University’s cognizant federal agency, the U.S. Department of Health and
Human Services.
4.
Federal Student Loan Programs
The University directly administers the following federal loan programs:
Federal
CFDA #
Program T itle
Health Professions Student Loans, Including Primary Care
Loans/Loans for Disadv antaged Students
Nursing Student Loans
Perkins Loan Programs
93.342
Outstanding
Loan
Balance
$
93.364
84.038
1 ,063,1 7 5
1 ,31 4,988
7 ,358,7 31
Balances and transactions related to these programs are included in the University’s basic
combined financial statements.
Total loan disbursements of these loan programs for the fiscal year ended June 30, 2015 are
identified below:
Federal
CFDA #
Program T itle
Health Professions Student Loans, Including Primary Care
Loans/Loans for Disadv antaged Students
Nursing Student Loans
Perkins Loan Programs
93.342
93.364
84.038
Disbursem ents
$
1 03,1 00
257 ,000
1 ,556,040
The loan programs noted above are administered directly by the University and balances and
transactions relating to these programs are included in the University’s basic combined financial
statements.
48
Thomas Jefferson University
Notes to Schedules of Expenditures of Federal Awards
June 30, 2015
5.
Federal Direct Loan Program (FDLP)
During the fiscal year ended June 30, 2015 the University processed $66,750,579 of new loans to
students under the Direct Student Loan Program CFDA # 84.268, which includes subsidized and
unsubsidized Stafford Loans and Supplemental Loans for Students. The University is responsible
only for the performance of certain administrative duties with respect to the FDLP and,
accordingly, these loans are not included in the University's basic combined financial statements. It
is not practical to determine the balance of loans outstanding under these programs at June 30,
2015.
6.
Administrative Cost Allowance
Included in the Schedule of Federal Awards is an administrative cost allowance of $78,081 on the
Federal Work-Study Program, CFDA Number 84.033.
7.
Subrecipients
The University passed through $3,255,558 in federal awards to subrecipients under its Research
and Development Cluster for the year ended June 30, 2015.
49
Independent Auditor’s Report on Internal Control over Financial Reporting and on
Compliance and Other Matters Based on an Audit of Financial Statements Performed in
Accordance with Government Auditing Standards
To the Board of Trustees
Thomas Jefferson University:
We have audited, in accordance with auditing standards generally accepted in the United States of
America and the standards applicable to financial audits contained in Government Auditing Standards
issued by the Comptroller General of the United States, the combined financial statements of Thomas
Jefferson University (the “University”), which comprise the combined balance sheets as of June 30, 2015
and 2014, and the related combined statements of operations and changes in unrestricted net assets, of
changes in net assets and of cash flows for the year ended June 30, 2015, and the related notes to the
combined financial statements, and have issued our report thereon dated October 23, 2015.
Internal Control over Financial Reporting
In planning and performing our audit of the financial statements, we considered the University’s internal
control over financial reporting (“internal control”) to determine the audit procedures that are appropriate
in the circumstances for the purpose of expressing our opinion on the financial statements, but not for the
purpose of expressing an opinion on the effectiveness of the University’s internal control. Accordingly, we
do not express an opinion on the effectiveness of the University’s internal control.
A deficiency in internal control exists when the design or operation of a control does not allow
management or employees, in the normal course of performing their assigned functions, to prevent, or
detect and correct, misstatements on a timely basis. A material weakness is a deficiency, or a
combination of deficiencies, in internal control such that there is a reasonable possibility that a material
misstatement of the entity's financial statements will not be prevented, or detected and corrected on a
timely basis. A significant deficiency is a deficiency, or a combination of deficiencies, in internal control
that is less severe than a material weakness, yet important enough to merit attention by those charged
with governance.
Our consideration of internal control was for the limited purpose described in the first paragraph of this
section and was not designed to identify all deficiencies in internal control that might be material
weaknesses or significant deficiencies. Given these limitations, during our audit we did not identify any
deficiencies in internal control that we consider to be material weaknesses. However, material weaknesses
may exist that have not been identified.
Compliance and Other Matters
As part of obtaining reasonable assurance about whether the University’s financial statements are free
from material misstatement, we performed tests of its compliance with certain provisions of laws,
regulations, contracts and grant agreements, noncompliance with which could have a direct and material
effect on the determination of financial statement amounts. However, providing an opinion on
compliance with those provisions was not an objective of our audit, and accordingly, we do not express
such an opinion. The results of our tests disclosed no instances of noncompliance or other matters that
are required to be reported under Government Auditing Standards.
PricewaterhouseCoopers LLP, Two Commerce Square, Suite 1800, 2001 Market Street, Philadelphia, PA 19103-7045
T: (267) 330 3000, F: (267) 330 3300, www.pwc.com/us
Purpose of this Report
The purpose of this report is solely to describe the scope of our testing of internal control and compliance
and the results of that testing, and not to provide an opinion on the effectiveness of the entity’s internal
control or on compliance. This report is an integral part of an audit performed in accordance with
Government Auditing Standards in considering the entity’s internal control and compliance. Accordingly,
this communication is not suitable for any other purpose.
October 23, 2015
51
Independent Auditor’s Report on Compliance with Requirements
That Could Have a Direct and Material Effect on Each Major Program and on Internal
Control over Compliance in Accordance with OMB Circular A-133
To the Board of Trustees
Thomas Jefferson University:
Report on Compliance for Each Major Federal Program
We have audited Thomas Jefferson University’s (the “University”) compliance with the types of
compliance requirements described in the OMB Circular A-133 Compliance Supplement that could have a
direct and material effect on each of the University’s major federal programs for the year ended June 30,
2015. The University’s major federal programs are identified in the summary of auditor's results section of
the accompanying schedule of findings and questioned costs.
Management’s Responsibility
Management is responsible for compliance with the requirements of laws, regulations, contracts, and
grants applicable to its federal programs.
Auditor’s Responsibility
Our responsibility is to express an opinion on compliance for each of the University’s major federal
programs based on our audit of the types of compliance requirements referred to above. We conducted
our audit of compliance in accordance with auditing standards generally accepted in the United States of
America; the standards applicable to financial audits contained in Government Auditing Standards,
issued by the Comptroller General of the United States; and OMB Circular A-133, Audits of States, Local
Governments, and Non-Profit Organizations. Those standards and OMB Circular A-133 require that we
plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of
compliance requirements referred to above that could have a direct and material effect on a major federal
program occurred. An audit includes examining, on a test basis, evidence about the University’s
compliance with those requirements and performing such other procedures as we considered necessary in
the circumstances.
We believe that our audit provides a reasonable basis for our opinion on compliance for each major federal
program. However, our audit does not provide a legal determination of the University’s compliance.
Opinion on Each Major Federal Program
In our opinion, the University complied, in all material respects, with the types of compliance
requirements referred to above that could have a direct and material effect on each of its major federal
programs for the year ended June 30, 2015.
PricewaterhouseCoopers LLP, Two Commerce Square, Suite 1800, 2001 Market Street, Philadelphia, PA 19103-7045
T: (267) 330 3000, F: (267) 330 3300, www.pwc.com/us
Report on Internal Control over Compliance
Management of the University is responsible for establishing and maintaining effective internal control
over compliance with the types of compliance requirements referred to above. In planning and
performing our audit of compliance, we considered the University’s internal control over compliance with
the types of requirements that could have a direct and material effect on each major federal program to
determine the auditing procedures that are appropriate in the circumstances for the purpose of expressing
an opinion on compliance for each major federal program and to test and report on internal control over
compliance in accordance with OMB Circular A-133, but not for the purpose of expressing an opinion on
the effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the
effectiveness of the University's internal control over compliance.
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a
federal program on a timely basis. A material weakness in internal control over compliance is a
deficiency, or combination of deficiencies, in internal control over compliance, such that there is a
reasonable possibility that material noncompliance with a type of compliance requirement of a federal
program will not be prevented, or detected and corrected, on a timely basis. A significant deficiency in
internal control over compliance is a deficiency, or a combination of deficiencies, in internal control over
compliance with a type of compliance requirement of a federal program that is less severe than a material
weakness in internal control over compliance, yet important enough to merit attention by those charged
with governance.
Our consideration of internal control over compliance was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over
compliance that might be material weaknesses or significant deficiencies. We did not identify any
deficiencies in internal control over compliance that we consider to be material weaknesses. However,
material weaknesses may exist that have not been identified.
The purpose of this report on internal control over compliance is solely to describe the scope of our testing
of internal control over compliance and the results of that testing based on the requirements of OMB
Circular A-133. Accordingly, this report is not suitable for any other purpose.
March 21, 2016
53
Thomas Jefferson University
Schedule of Findings and Questioned Costs
Year Ended June 30, 2015
I. Summary of Auditor’s Results
Financial Statements
(i) Type of auditor’s report issued:
Unmodified
(ii) Internal control over financial reporting:
Material weakness(es) identified?
____ yes
X no
Significant deficiency(ies) identified that are not
considered to be material weaknesses?
____ yes
X none reported
____ yes
X no
(iii) Noncompliance material to financial statements
noted?
Federal Awards
(iv) Internal control over major programs:
Material weakness(es) identified?
___ yes
Significant deficiency(ies) identified that are not
considered to be material weaknesses?
X no
_ yes
(v) Type of auditor’s report issued on compliance
for major programs:
X none reported
Unmodified
(vi) Any audit findings disclosed that are required to be
reported in accordance with section 510(a) of OMB
Circular A-133?
yes
X _ no
(vii) Identification of major programs:
Name of Federal Program or Cluster
CFDA Number(s)
Research and Development Cluster
Block Grants for Prevention & Treatment of Substance Abuse
Various
93.959
(viii) Dollar threshold used to distinguish between type A
and type B programs
(ix) Auditee qualified as a low-risk auditee?
II.
$3,000,000
X
Financial Statement Findings
None noted.
54
yes
____ no
Thomas Jefferson University
Schedule of Findings and Questioned Costs
Year Ended June 30, 2015
III.
Schedule of Findings and Questioned Costs
None noted.
55
Thomas Jefferson University
Summary Schedule of Status of Prior Audit Findings
Year Ended June 30, 2015
Status of Prior Year Findings
There are no findings from prior year that require an update in this report.
56