HACKENSACK MERIDIAN HEALTH INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN HEALTH INC (EIN 22-1714106)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201913189349311471
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T13:49:25-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221714106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH CARRIER CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HMHC | BusinessNameControlTxt |
| Phone | 7327513361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O TAX DEPT 1350 CAMPUS PARKWAY | AddressLine1Txt |
| City | NEPTUNE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT L GLENNING | PersonNm |
| Person Title | PRES, FIN & IT SVCS, CFO | PersonTitleTxt |
| Phone | 7327513361 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 205.172.192.86 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-14 | IPDt |
| IP Tm | 13:49:17 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Federal Original Submission Id | 224975201931802igsms | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EEA7CFA7F54F0B183AC137AFF167329DDFC4C7B1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 01D72944816E49B67932DA5E4599F09606782E45 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | DONALD PARKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $92,206,124 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARRIERCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | HMH CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT AND ADOLESCENT RESIDENTIAL PSYCHIATRIC TREATMENT, SUBSTANCE ABUSE TREATMENT AND REHABILITATION, AND SPECIAL EDUCATION FOR ADOLESCENTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1251 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $428,291 | PYContributionsGrantsAmt |
| CY Contributions Grants | $76,699 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $75,888,284 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $77,112,617 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,600,537 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,430,770 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,688,232 | PYOtherRevenueAmt |
| CY Other Revenue | $927,569 | CYOtherRevenueAmt |
| PY Total Revenue | $79,605,344 | PYTotalRevenueAmt |
| CY Total Revenue | $79,547,655 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,149 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,727,382 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,798,423 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,960,994 | PYOtherExpensesAmt |
| CY Other Expenses | $20,207,726 | CYOtherExpensesAmt |
| PY Total Expenses | $78,689,376 | PYTotalExpensesAmt |
| CY Total Expenses | $82,007,298 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $915,968 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,459,643 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,132,105 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,369,061 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $35,064,333 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,489,180 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,067,772 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,879,881 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO INSPIRE HOPE AND RECOVERY THROUGH EXPERT TREATMENT, EDUCATION, COMPASSIONATE CARE AND OUTSTANDING SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $42,383,142 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $51,541,658 | RevenueAmt |
| Desc | PSYCHIATRIC HOSPITAL PROVIDED SPECIALIZED MENTAL HEALTH TREATMENT PROGRAMS TO 5,091 INPATIENTS AND HAD A TOTAL OF 55,991 PATIENTS DAYS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,533,900 | ExpenseAmt |
| Grant | $1,154 | GrantAmt |
| Revenue | $6,570,459 | RevenueAmt |
| Desc | EAST MOUNTAIN SCHOOL PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 218 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,681,101 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,511,558 | RevenueAmt |
| Desc | BLAKE RECOVERY CENTER PROVIDED SPECIALIZED TREATMENT AND REHABILITATION PROGRAMS FOR SUBSTANCE ABUSE TO 1,250 INPATIENTS AND HAD A TOTAL OF 10,610 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,243,484 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,488,942 | RevenueAmt |
| Desc | OTHER PROGRAMS OF NOTE TO THE COMMUNITY - RESIDENTIAL SERVICES, WHICH INCLUDE EAST MOUNTAIN YOUTH LODGE, SWAN LODGE, SUNFLOWER LODGE, AND LOTUS LODGE FOR EMOTIONALLY DISTURBED ADOLESCENTS, CARED FOR 112 RESIDENTS AND HAD A TOTAL OF 27,331 PATIENT DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,243,484 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $13,488,942 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $65,841,627 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1251 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONALD PARKER | PersonNm |
| Phone | 9082811560 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 252 RT 601 BLAWENBERG RD | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| THOMAS G AMATO | |||||||
| CHAIRPERSON | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL L HOLZER LCSW | |||||||
| VICE CHAIRPERSON | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY HOWES ESQ | |||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRSITIAN BORMANN | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN DAMSGAARD | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| NICK HILTON | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DONALD HUNT | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW LOMBARDI | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| GORDON PINGICER | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JAIME ROBERTSON-LAVALLE | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DONNA SIMON | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILOUISE VENDITTI MD | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN KOLLIGIAN PHD | |||||||
| TRUSTEE (RESIGNED 2/13/2018) | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY MARINO MD | |||||||
| MEDICAL STAFF PRESIDENT | 40.00 | Yes (X) | $311,395 | $0 | $18,861 | ||
| UMESH MEHTA MD | |||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | Yes (X) | $566,719 | $0 | $32,909 | Yes (X) | |
| DONALD PARKER | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $737,887 | $0 | $74,851 | Yes (X) | |
| RANDOLPH JACOBSON | |||||||
| VP & CFO | 40.00 | $342,749 | $0 | $66,668 | Yes (X) | ||
| PATRICIA TOOLE | |||||||
| VP & COMPLIANCE OFFICER | 40.00 | $315,901 | $0 | $46,324 | Yes (X) | ||
| SHAUN SWEENEY | |||||||
| VP, PATIENT CARE SERVICES | 40.00 | $180,045 | $0 | $29,623 | Yes (X) | ||
| SYED ALI MD | |||||||
| PSYCHIATRIST | 40.00 | $328,316 | $0 | $47,400 | Yes (X) | ||
| ABDUL KAZI MD | |||||||
| PSYCHIATRIST | 40.00 | $326,874 | $0 | $41,109 | Yes (X) | ||
| JOSEPH VERRET MD | |||||||
| PSYCHIATRIST | 40.00 | $316,549 | $0 | $42,560 | Yes (X) | ||
| ROBERT SAINT-VIL MD | |||||||
| PSYCHIATRIST | 40.00 | $310,521 | $0 | $26,670 | Yes (X) | ||
| JAGWINDER SANDHU MD | |||||||
| PSYCHIATRIST | 40.00 | $280,646 | $0 | $40,740 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,017,602 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $467,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC & AFFILIATES | |||||
| PO BOX 905374 | CHARLOTTE | NC | 282905374 | Dietary & Housekeeping | $2,780,692 |
| MCCARTER & ENGLISH LLP | |||||
| FOUR GATEWAY CENTER 100 MULBERRY ST | NEWARK | NJ | 071024056 | Legal Services | $822,653 |
| DRINKER BIDDLE & REATH LLP | |||||
| 500 CAMPUS DRIVE | FLORHAM PARK | NJ | 079321047 | Legal Services | $554,437 |
| NEW ADVANCED MEDICAL SERVICES GROUP | |||||
| 2087 KLOCKNER ROAD | TRENTON | NJ | 08690 | Internal Medicine | $473,575 |
| KPMG LLP | |||||
| LOCKBOX 890576 DEPT 0576 PO BOX 120 | DALLAS | TX | 753120576 | Auditing services | $224,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $76,699 | FundraisingAmt |
| Total Contributions | $76,699 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $70,021,114 | $0 | $0 |
| EDUCATIONAL PROGRAMS | 611710 | $6,570,459 | $0 | $0 |
| OTHER HEALTHCARE RELATED REVENUE | 624100 | $521,044 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $77,112,617 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $578,119 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $578,119 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $177,741 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $177,741 | RealAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,333,379 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,480,728 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $852,651 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $852,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $852,651 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,154 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $76,699 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,154 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,154 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MANAGEMENT FEE REVENUE | 900099 | $766,268 | $766,268 | $0 | $0 |
| SERVICES AGREEMENT | 900099 | $160,147 | $160,147 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $926,415 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,547,655 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,039,032 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,431,924 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,149 | TotalAmt |
| Program Services | $1,149 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,723,932 | TotalAmt |
| Program Services | $1,139,552 | ProgramServicesAmt |
| Management And General | $1,584,380 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,655,143 | TotalAmt |
| Program Services | $38,152,695 | ProgramServicesAmt |
| Management And General | $9,502,448 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,548,423 | TotalAmt |
| Program Services | $2,067,482 | ProgramServicesAmt |
| Management And General | $480,941 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,352,086 | TotalAmt |
| Program Services | $4,780,319 | ProgramServicesAmt |
| Management And General | $571,767 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,518,839 | TotalAmt |
| Program Services | $2,852,274 | ProgramServicesAmt |
| Management And General | $666,565 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,564 | TotalAmt |
| Program Services | $149,452 | ProgramServicesAmt |
| Management And General | $11,112 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,124,632 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,124,632 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,128 | TotalAmt |
| Program Services | $23,571 | ProgramServicesAmt |
| Management And General | $228,557 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,162 | TotalAmt |
| Program Services | $114,162 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,003,719 | TotalAmt |
| Program Services | $2,555,609 | ProgramServicesAmt |
| Management And General | $448,110 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,130 | TotalAmt |
| Program Services | $3,653 | ProgramServicesAmt |
| Management And General | $963,477 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $922,153 | TotalAmt |
| Program Services | $604,616 | ProgramServicesAmt |
| Management And General | $317,537 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,861 | TotalAmt |
| Program Services | $22,508 | ProgramServicesAmt |
| Management And General | $257,353 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,845 | TotalAmt |
| Program Services | $600,029 | ProgramServicesAmt |
| Management And General | $145,816 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,883 | TotalAmt |
| Program Services | $6,684 | ProgramServicesAmt |
| Management And General | $67,199 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,696 | TotalAmt |
| Program Services | $59,211 | ProgramServicesAmt |
| Management And General | $4,485 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,104 | TotalAmt |
| Program Services | $709,782 | ProgramServicesAmt |
| Management And General | $283,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,337,735 | TotalAmt |
| Program Services | $2,806,695 | ProgramServicesAmt |
| Management And General | $531,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875,764 | TotalAmt |
| Program Services | $78,342 | ProgramServicesAmt |
| Management And General | $797,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $2,305,105 | $2,203,433 | $101,672 | $0 |
| PHARMACY | $1,089,846 | $1,086,676 | $3,170 | $0 |
| OUTSIDE SERVICES | $1,047,171 | $764,306 | $282,865 | $0 |
| MAINTENANCE | $955,085 | $585,419 | $369,666 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,143 | TotalAmt |
| Program Services | $4,474,008 | ProgramServicesAmt |
| Management And General | -$3,577,865 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,007,298 | TotalAmt |
| Program Services | $65,841,627 | ProgramServicesAmt |
| Management And General | $16,165,671 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,331,156 | BOYAmt |
| EOY | $2,821,810 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,121,275 | BOYAmt |
| EOY | $22,341 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,747 | BOYAmt |
| EOY | $53,652 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,781,487 | BOYAmt |
| EOY | $7,983,252 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,628 | BOYAmt |
| EOY | $232,560 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,682 | BOYAmt |
| EOY | $632,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $66,227,560 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,891,310 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,810,905 | BOYAmt |
| EOY | $30,336,250 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,349,614 | BOYAmt |
| EOY | $26,460,009 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $875,111 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,819,611 | BOYAmt |
| EOY | $1,951,835 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,132,105 | BOYAmt |
| EOY | $71,369,061 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,417,660 | BOYAmt |
| EOY | $8,736,079 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $197,068 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,153,407 | BOYAmt |
| EOY | $17,540,957 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,493,266 | BOYAmt |
| EOY | $8,015,076 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,064,333 | BOYAmt |
| EOY | $34,489,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,616,567 | BOYAmt |
| EOY | $36,527,241 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,205 | BOYAmt |
| EOY | $352,640 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,067,772 | BOYAmt |
| EOY | $36,879,881 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,132,105 | BOYAmt |
| EOY | $71,369,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,459,643 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,731,538 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,290 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $3,729 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $3,729 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II-B Line 1 | FormAndLineReferenceDesc |
| Explanation | PART II-B LINE 1(G), OTHER LOBBYING ACTIVITIES: THIS EXPENSE REPRESENTS A PORTION OF HMH CARRIER CLINIC'S MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NJ HOSPITAL ASSOCIATION (NJHA) THAT BOTH ASSOCIATIONS HAD RECOGNIZED AS THEIR LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $451,205 | BeginningYearBalanceAmt |
| Contributions | $215,418 | ContributionsAmt |
| Other Expenditures | $313,983 | OtherExpendituresAmt |
| End Year Balance | $352,640 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $369,716 | BeginningYearBalanceAmt |
| Contributions | $413,410 | ContributionsAmt |
| Other Expenditures | $331,921 | OtherExpendituresAmt |
| End Year Balance | $451,205 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $561,426 | BeginningYearBalanceAmt |
| Contributions | $250,292 | ContributionsAmt |
| Other Expenditures | $442,002 | OtherExpendituresAmt |
| End Year Balance | $369,716 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $552,563 | BeginningYearBalanceAmt |
| Contributions | $356,664 | ContributionsAmt |
| Other Expenditures | $347,801 | OtherExpendituresAmt |
| End Year Balance | $561,426 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $505,721 | BeginningYearBalanceAmt |
| Contributions | $829,629 | ContributionsAmt |
| Other Expenditures | $782,787 | OtherExpendituresAmt |
| End Year Balance | $552,563 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $278,290 | OtherCostOrOtherBasisAmt |
| Book Value | $278,290 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,018,796 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,249,593 | DepreciationAmt |
| Book Value | $22,769,203 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,501,964 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,641,717 | DepreciationAmt |
| Book Value | $6,860,247 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $428,510 | OtherCostOrOtherBasisAmt |
| Book Value | $428,510 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,336,250 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO 3RD PARTIES | $547,331 |
| DEFERRED COMPENSATION | $1,172,294 |
| ACCRUED PENSION & BENEFITS | $6,295,451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,015,076 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $78,332,901 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $78,332,901 | RevenueSubtotalAmt |
| Other Revenues Not Included | $986,430 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $986,430 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $79,319,331 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $81,893,136 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $81,893,136 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $114,162 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $114,162 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $82,007,298 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XI, Line 4b | OTHER ADJUSTMENTS: INVESTMENT INCOME 1,316,608; FUNDRAISING EVENTS 76,699; RENTAL EXPENSE (177,741); NET ASSETS RELEASED (114,974); INVESTMENT MGMT FEES (114,162); TOTAL PART XI, LINE 4b 986,430 |
| Pt V, Line 4 | ENDOWMENT FUNDS ARE TO USED CONSISTENT WITH THE DONOR'S INTENT AND IN FURTHERANCE OF CARRIER CLINIC'S CHARITABLE TAX-EXEMPT PURPOSES. THE ENDOWMENT FUNDS ARE RESTRICTED FOR CAPITAL IMPROVEMENTS AND VARIOUS PATIENT CARE RELATED ACTIVITIES, AS SPECIFIED BY THE DONORS. |
| Pt X, Line 2 | HMH CARRIER CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(a) OF THE CODE. HMH CARRIER CLINIC IS ALSO EXEMPT FROM STATE INCOME TAXES. HMH CARRIER CLINIC RECOGNIZES INVOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED BE RECORDED. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $119,570 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $68,504 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $51,066 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $31,316 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $19,750 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $49,950 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $30,291 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $19,659 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $14,626 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $5,033 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $53,606 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $47,632 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $5,974 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $5,974 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $223,126 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $146,427 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $76,699 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $45,942 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,757 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $76,699 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 100.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $841,636 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $841,636 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,860,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,470,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,390,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,702,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,470,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,232,156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,664 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,240,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,573,475 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,667,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03250 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,301 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,301 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,284,614 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,573,475 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,711,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,987,140 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,043,845 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,943,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,874,298 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,342,003 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,560,182 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,743,494 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$183,312 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HMH CARRIER CLINIC INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 252 ROUTE 601 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CARRIERCLINIC.ORG | WebsiteAddressTxt |
| State License | 51806 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PSYCHIATRIC HOSPITAL | OtherDesc |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HMH CARRIER CLINIC, INC. Pt V Line 5 | AS AN ACTIVE PARTNER TO ASSESSING THE MENTAL HEALTH AND ADDICTION NEEDS IN OUR COMMUNITY, HMH CARRIER CLINIC HAS CONDUCTED INTERVIEWS WITH MENTAL HEALTH & ADDICTION ADMINISTRATORS AND OTHER MENTAL HEALTH & ADDICTION PROFESSIONALS IN EACH IDENTIFIED COUNTY. ADDITIONALLY, REPRESENTATIVES FROM HMH CARRIER CLINIC ATTEND MONTHLY COUNTY MENTAL HEALTH ADVISORY COMMITTEE AND PACADA MEETINGS, AND HAVE PARTICIPATED IN A COLLABORATIVE EFFORT WITH SOMERSET COUNTY HEALTH SERVICES STAKEHOLDERS THROUGH THE HEALTHIER SOMERSET INITIATIVE TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. |
| HMH CARRIER CLINIC, INC. Pt V Line 6a | IN AN EFFORT TO BE COST-EFFECTIVE, HMH CARRIER CLINIC CONDUCTED ITS CHNA IN CONJUNCTION WITH EAST MOUNTAIN HOSPITAL. HMH CARRIER CLINIC ALSO PARTNERED WITH SOMERSET MEDICAL CENTER FOR SOMERSET COUNTY'S DATA COLLECTION. THE CHNA WAS FIRST CONDUCTED IN 2013 AND THEN AGAIN IN 2016. |
| HMH CARRIER CLINIC, INC. Pt V Line 11 | IN 2016, CARRIER CLINIC UNDERWENT A COMPREHENSIVE DATA GATHERING PROCESS (COMMUNITY HEALTH NEEDS ASSESSMENT) TO IDENTIFY THE MENTAL HEALTH NEEDS OF THE COMMUNITIES WE SERVE. AS A SPECIALIZED, NOT-FOR-PROFIT PSYCHIATRIC HOSPITAL, OUR DEFINITION OF COMMUNITY IS UNLIKE MOST MEDICAL/SURGICAL CENTERS WHO PRIMARILY USE AN IMMEDIATE GEOGRAPHIC BOUNDARY TO DEFINE "COMMUNITY." CARRIER CLINIC IS CONTINUALLY ASSESSING THE PRIMARY COUNTIES WE SERVE IN THE STATE OF NEW JERSEY. AS SUCH, IN RESPONSE TO THE SHIFT TOWARDS INCLUDING ADDICTION ILLNESSES TO MENTAL HEALTH DATA COLLECTION/ REPORTING ON BOTH A LOCAL AND NATIONAL LEVEL, CARRIER CLINIC HAS EXPANDED ITS COMMUNITY DEFINITION IN 2016 TO NOW INCLUDE THOSE PERSONS SUFFERING FROM MENTAL HEALTH AND DUAL DIAGNOSIS ILLNESSES. CONVERSELY, DUE TO THE RESOURCE LIMITS OF AN INDEPENDENT BEHAVIORAL HEALTHCARE HOSPITAL, CARRIER CLINIC IS NARROWING ITS GEOGRAPHIC AREA FOR THE 2016-2019 PLAN, CONCENTRATING ON ITS TWO MAJOR COUNTIES (MIDDLESEX & SOMERSET, WHICH MADE UP APPROXIMATELY 35% OF CARRIER CLINIC ADMISSIONS IN 2015), AND DEFINING ITS SECONDARY AREA AS THE STATE OF NEW JERSEY. THEREFORE, FOR THE 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION STRATEGY, CARRIER CLINIC'S COMMUNITY IS DEFINED AS "ADULTS SUFFERING FROM ACUTE MENTAL HEALTH AND DUAL DIAGNOSIS ILLNESSES, RESIDING IN MIDDLESEX & SOMERSET COUNTIES." ADDITIONAL DATA HAS BEEN PROVIDED ON A STATE LEVEL FOR MENTAL HEALTH AND DUAL DIAGNOSIS NEEDS THROUGHOUT THE STATE OF NEW JERSEY. UTILIZING A COMPILATION OF COUNTY CHIP DATA, BRFSS PARTICIPATION, KEY INFORMANT INTERVIEWS, PATIENT FOCUS GROUPS AND OTHER SOURCES, WE HAVE IDENTIFIED THE MENTAL HEALTH AND DUAL DIAGNOSIS/ADDICTION EDUCATION AND INFORMATION NEEDS OF NEW JERSEY AND OUR TWO COUNTIES, AND HAVE PUT TOGETHER A PLAN TO MEET THOSE NEEDS, AS WE ARE ABLE, SPECIFIC TO EACH COUNTY IN OUR DEFINED COMMUNITY. AS "MENTAL ILLNESS" IS A TOP PRIORITY THROUGHOUT THE STATE, THERE ARE TREMENDOUS OPPORTUNITIES FOR CARRIER CLINIC TO PROVIDE EDUCATION AND INFORMATION TO NOT ONLY CONSUMER/COMMUNITY MEMBERS, BUT TO THE MENTAL HEALTH PROFESSIONALS IN THOSE COUNTIES AS WELL. THE CHNA PROCESS IDENTIFIED OTHER COMMUNITY NEEDS THAT WERE NOT INCLUDED IN THE IMPLEMENTATION STRATEGY DUE TO LIMITATIONS IN EXPERTISE AND RESOURCES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| EAST MOUNTAIN SCHOOL | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | PRIVATE SCHOOL FOR THE HANDICAPPED |
| EAST MOUNTAIN YOUTH LODGE | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | RESIDENTIAL TREATMENT FACILITY |
| BLAKE RECOVERY CENTER | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | SUBSTANCE ABUSE FACILITY |
| SWAN LODGE | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | INTENSIVE RESIDENTIAL TREATMENT FACILITY |
| SUNFLOWER LODGE | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
| LOTUS LODGE | ||||
| 252 ROUTE 601 | BELLE MEAD | NJ | 08502 | PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 6a | THE COMMUNITY BENEFIT REPORT AND IMPLEMENTATION STRATEGY ARE BOTH AVAILABLE ON THE WEBSITE: WWW.CARRIERCLINIC.ORG |
| Pt I Line 7 | BAD DEBT EXPENSE FOR 2018 IS $3,874,298 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. |
| Pt III Line 2 | ACCOUNTS THAT REACH THE END OF THE SELF-PAY BILLING CYCLE WITHOUT PAYMENTS OR FINANCIAL ASSISTAANCE APPROVAL ARE TRASFERRED TO BAD DEBT. UNINSURED PATIENT CHARGES ARE DISCOUNTED. BALANCES AFTER INSURANCE, SUCH AS DEDUCTIBLES, CO-PAYS, AND COINSURANCE ARE NOT DISCOUNTED. |
| Pt III Line 3 | THE RATIO OF PATIENT CARE COST-TO-CHARGE IS 60.45%, WHICH IS APPLIED TO THE BAD DEBT AMOUNT FOR AN ESTIMATED COST OF $2,342,003. |
| Pt III Line 4 | IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CLINIC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE CLINIC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CLINIC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAS BEEN EXHAUSTED. |
| Pt III Line 8 | THE AMOUNTS REPORTED ARE TAKEN FROM HMH CARRIER CLINIC'S FILED 2018 MEDICARE COST REPORT PURSUANT TO THE SCHEDULE H INSTRUCTIONS. THESE AMOUNTS DO NOT INCLUDE INCURRED LOSSES FROM PHYSICIAN SERVICES TOTALING OVER $497,000 AS FOLLOWS: PHYSICIAN COST (SALARIES, FRINGES AND MALPRACTICE INSURANCE) $1,336,000; REIMBURSEMENT RECEIVED FROM MEDICARE $839,000. THE HOSPITAL BELIEVES THAT IN YEARS OF A MEDICARE SHORTFALL, IT SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. THIS YEAR, MEDICARE ACCOUNTED FOR 20% OF HOSPITAL REVENUES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS. MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE OUR MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. TAX-EXEMPT HOSPITALS ARE EXPECTED TO PARTICIPATE IN THE MEDICARE PROGRAM. |
| Pt III Line 9b | THE HOSPITAL WILL MAKE DILIGENT EFFORT TO DETERMINE THE PATIENT FINANCIAL RESPONSIBILITY AS SOON AS REASONABLY POSSIBLE, THE DAY OF ADMISSION OR WITHIN FEW DAYS OF ADMISSION. ESTIMATED AMOUNT DUE WILL BE BASED ON THE INDIVIDUAL INSURANCE BENEFIT AND MAY INCLUDE DEDUCTIBLE, CO-PAY AND CO-INSURANCE. THE HOSPITAL WILL MAKE ITS BEST EFFORT TO ADVISE ALL PATIENTS AND/OR FAMILIES OF ANY FINANCIAL RESPONSIBILITY, COVERAGE LIMITATION, DISCUSS PAYMENT OPTIONS AND AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM. PATIENT STATEMENTS WILL INCLUDE NOTICES AS REQUIRED TO INFORM PATIENT OF THE AVAILABILITY AND MEANS TO ACCESS FINANCIAL ASSISTANCE. THE HOSPITAL WIDELY PUBLICIZES ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM, INCLUDING WHO TO CONTACT. GENERALLY, A PATIENT AND/OR GUARANTOR WILL HAVE A SELF-PAY RESPONSIBILITY INCLUDING AND NOT LIMITED TO THE FOLLOWING: THE PATIENT HAS INSURANCE COVERAGE BUT IT HAS BEEN ESTABLISHED THAT DEDUCTIBLE NOT MET AND PATIENT HAS CO-INSURANCE AND/OR DAILY COPAY, THE PATIENT HAS INSURANCE, HOWEVER HMH CARRIER CLINIC IS OUT OF NETWORK AND PATIENT DOES NOT HAVE OUT OF NETWORK BENEFITS, THE PATIENT HAS NO INSURANCE AND WHEN ASKED DOES NOT QUALIFY FOR MEDICAID, THE PATIENT HAS INSURANCE BUT NO BENEFITS FOR BEHAVIORAL HEALTH, THE PATIENT HAS INSURANCE, AND HAS OUT OF NETWORK BENEFITS WITH HIGH COINSURANCE, THE PATIENT HAS EXHAUSTED AVAILABLE BENEFITS, BENEFIT YEAR, CALENDAR YEAR, AND/OR LIFETIME MAXIMUM FREQUENT OCCURRENCE WITH MEDICARE PATIENTS WHO HAVE USED THEIR 190 LIFETIME PSYCHIATRIC BENEFIT OR LESS FREQUENTLY MAXED THEIR BENEFIT PERIOD. THE HOSPITAL WILL MAKE DILIGENT EFFORTS TO IDENTIFY PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED IN ORDER TO PROVIDE COUNSELING AND ASSISTANCE. THE PSR (PATIENT SERVICES REP) WILL PROVIDE FINANCIAL COUNSELING TO THESE PATIENTS AND THEIR FAMILIES, INCLUDING GUIDANCE FOR ELIGIBLY FOR OTHER SOURCES OF COVERAGE SUCH AS FEDERAL AND STATE GOVERNMENT PROGRAMS. IF ADDITIONAL FINANCIAL ASSISTANCE IS REQUIRED, PSR MAY EXTEND DISCOUNTS OR OTHER ADJUSTMENTS TO PATIENT IF THEY QUALIFY UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY. THE PATIENT HAS A NUMBER OF RESPONSIBILITIES IN ORDER TO QUALIFY FOR ASSISTANCE, INCLUDING THE OBLIGATION TO SUBMIT ALL NECESSARY AND ACCURATE DOCUMENTATION. THE HOSPITAL WIDELY PUBLICIZES INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM, INCLUDING WHERE TO GO FOR ASSISTANCE. IT SHOULD BE NOTED THAT SERVICES WHICH ARE SEPARATELY BILLED BY OTHER OUTSIDE PROVIDERS, SUCH AS PHYSICIANS ARE NOT ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY (FAP). CARRIER CLINIC UTILIZES ARCADIA RECOVERY FOR COLLECTION OF ALL PATIENT BALANCES AFTER INSURANCE PAYMENTS AND UNINSURED INDIVIDUALS. THE TOTAL BILLING CYCLE IS 120 DAYS BEFORE THE BALANCE IS SENT TO COLLECTION. IN CERTAIN SITUATIONS (EXCEPT FOR MEDICARE PATIENTS) ACCOUNT MAY BE REFERRED TO BAD DEBT (BD) PRIOR TO 120TH DAY. THE HOSPITAL WILL MAKE EVERY EFFORT TO PROVIDE PATIENTS WITH EVERY OPPORTUNITY TO MEET THEIR FINANCIAL OBLIGATION BEFORE ACCOUNT IS REFERRED TO A COLLECTION AGENCY. STEPS WILL BE TAKEN TO COMMUNICATE WITH PATIENTS WITH DELINQUENT ACCOUNTS ENCOURAGING THEM TO COMPLY WITH PAYMENT PLANS IN ORDER TO PREVENT REFERRAL TO OUTSIDE COLLECTION AGENCY. ARCADIA WILL PROVIDE INFORMATION ON FINANCIAL ASSISTANCE AND PAYMENT OPTIONS TO PATIENTS INFORMING THEM OF THE OUTSTANDING BALANCE DUE. THE FOLLOWING ACCOUNTS WILL BE REFERRED TO COLLECTION AGENCY WHEN ALL AVAILABLE EFFORTS WERE EXHAUSTED: DELINQUENT ACCOUNTS WITH NO PAYMENT ACTIVITY, ACCOUNTS WITH NO PAYMENT ACTIVITY AND INELIGIBLE FOR FINANCIAL ASSISTANCE, ACCOUNTS GRANTED % DISCOUNTS UNDER FINANCIAL ASSISTANCE BUT NO LONGER COOPERATING TO PAY REMAINING BALANCE, ACCOUNTS WERE PATIENTS HAVE MADE NO ARRANGEMENTS TO RESOLVE THEIR OUTSTANDING BALANCE, ACCOUNTS WITH RETURNED MAIL AND NO OTHER CONTACT INFORMATION. ACCOUNTS THAT CANNOT BE COLLECTED AFTER A SERIES OF LETTERS AND CALLS WILL BE REFERRED TO A COLLECTION AGENCY FOR FURTHER COLLECTION ACTION (121ST DAY OR LATER, ALL MEDICARE PATIENTS AND 120 DAYS OR LESS FOR NON-MEDICARE PATIENTS). BAD DEBT REFERRAL PRIOR TO 120TH DAY IS ACCOUNTS CLASSIFIED AS SKIP WHEN RETURNED BY THE USPS AS NOT DELIVERABLE. MEDICARE ACCOUNTS ARE NOT REFERRED TO BAD DEBT REGARDLESS OF THE SITUATION UNTIL 121ST DAY FROM THE FIRST STATEMENT DATE. HMH CARRIER CLINIC AND COLLECTION AGENCY EFFORTS DO NOT INCLUDE EXTRAORDINARY COLLECTION MEASURES. |
| Pt VI Line 2 | HMH CARRIER CLINIC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR 2017-2019 WHICH REFLECTED THE MENTAL HEALTH AND ADDICTION NEEDS OF ITS SURROUNDING COMMUNITY, AND A CORRESPONDING IMPLEMENTATION STRATEGY TO MEET THESE NEEDS. ADDITIONALLY, HMH CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 10 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES HMH CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. AS PART OF HMH CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, HMH CARRIER CLINIC GATHERS AND INCORPORATES NATIONAL, STATE AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. HMH CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS. READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY. HMH CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 99,000 IN 2018, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. HMH CARRIER CLINIC ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT HMH CARRIER CLINIC'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHICH SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. |
| Pt VI Line 3 | PATIENT EDUCATION AT TIME OF ADMISSION OR AS PRACTICAL THEREAFTER: PATIENTS ARE GIVEN A PATIENT HANDBOOK WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A PATIENT SERVICE REPRESENTATIVE (PSR) MEETS WITH THE PATIENTS, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN, INDIVIDUALLY, EITHER AT TIME OF ADMISSION OR DURING THE HOSPITALIZATION PRIOR TO DISCHARGE. THE PSR PROVIDES EDUCATION REGARDING INSURANCE COVERAGE AND PERSONAL FINANCIAL RESPONSIBILITIES. THE PATIENT IS INFORMED OF PAYMENT OPTIONS WHICH INCLUDE A FINANCIAL ASSISTANCE APPLICATION. THE PSR PROVIDES ASSISTANCE IN COMPLETING THE APPLICATION AND EXPLAINS WHAT SUPPORTING DOCUMENTATION IS NEEDED FOR CONSIDERATION. POST DISCHARGE: PATIENTS WHO INFORM COLLECTOR THAT THEY CANNOT MEET THEIR FINANCIAL OBLIGATION ARE PROVIDED THE APPLICATION TO COMPLETE WHICH WOULD THEN BE REVIEWED FOR CONSIDERATION. |
| Pt VI Line 4 | HMH CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2018 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE COUNTIES, AN AVERAGE OF 8.5% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2013 - 2017 CENSUS STATISTICS. |
| Pt VI Line 5 | IN ADDITION TO THE COUNTY-SPECIFIC PRESENTATIONS DONE EACH YEAR IN RESPONSE TO SATISFYING THE DELIVERABLES OF OUR IMPLEMENTATION STRATEGY, HMH CARRIER CLINIC OFFERS MULTIPLE PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE YEAR THROUGH ITS SPEAKERS' BUREAU, AS WELL AS THROUGH MULTIPLE COMMUNITY PARTNERSHIPS WHERE EXPERT SPEAKERS ARE PROVIDED WITHIN THE BUSINESS COMMUNITY AND MEDICAL COMMUNITY. HMH CARRIER CLINIC HAS A CERTIFIED MENTAL HEALTH FIRST AID TRAINER, AND OFFERS THIS TRAINING TO THE COMMUNITY AT LARGE FOR A SMALL FEE; HOWEVER MOST OF THE COST IS ABSORBED BY HMH CARRIER CLINIC. THIS TRAINING IS OFFERED TO LOCAL FIRST RESPONDERS FREE OF CHARGE AND IS PROVIDED UP TO 3 TIMES PER YEAR. HMH CARRIER CLINIC OFFERS WEEKLY SUPPORT GROUPS, ALCOHOL USE, AND DEPRESSION/ANXIETY SCREENINGS, AND OVER 60 EDUCATIONAL WHITEPAPERS AND VIDEOS ON ITS WEBSITE. ALL OF THESE SUPPORT GROUPS AND EDUCATIONAL MATERIALS AND SEMINARS ARE PROVIDED TO THE PUBLIC AT NO COST. ELECTRONIC AND HARD COPY INFORMATIONAL NEWSLETTERS ARE PROVIDED FREE OF CHARGE THROUGHOUT THE COMMUNITY, EACH NEWSLETTER SHARES INFORMATION AND UPDATES ON TOPICS RELATED TO MENTAL HEALTH AND ADDICTIONS. HMH CARRIER CLINIC HOSTS EVENTS SUCH AS THE WALK OF HOPE AWARENESS DAY, PROVIDING FREE EDUCATIONAL MATERIALS AS WELL AS THE OPPORTUNITY FOR ATTENDEES TO INTERACT WITH OTHER MENTAL HEALTH SERVICE PROVIDERS, FREE OF CHARGE TO OTHER NONPROFIT MENTAL HEALTH SERVICE PROVIDERS AS WELL AS TO THE COMMUNITY. ADDITIONALLY, AN ALUMNI GROUP, WITH MORE THAN 600 MEMBERS, IS INVITED TO BIMONTHLY PROGRAMS AND SOCIAL EVENTS THROUGHOUT THE YEAR, ALSO FREE OF CHARGE. HMH CARRIER CLINIC HAS THREE FIELD REPRESENTATIVES WHO WORK THROUGHOUT THE STATE HELPING THE COMMUNITY TO BETTER UNDERSTAND SERVICES THAT ARE AVAILABLE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY MARINO MD | |||||||||||||
| $238,076 | $0 | $0 | $0 | $73,319 | $0 | $8,200 | $0 | $10,661 | $0 | $330,256 | $0 | $0 | $0 |
| UMESH MEHTA MD | |||||||||||||
| $308,503 | $0 | $0 | $0 | $258,216 | $0 | $8,200 | $0 | $24,709 | $0 | $599,628 | $0 | $0 | $0 |
| DONALD PARKER | |||||||||||||
| $349,209 | $0 | $73,902 | $0 | $314,776 | $0 | $58,200 | $0 | $16,651 | $0 | $812,738 | $0 | $250,000 | $0 |
| RANDOLPH JACOBSON | |||||||||||||
| $243,451 | $0 | $15,000 | $0 | $84,298 | $0 | $43,200 | $0 | $23,468 | $0 | $409,417 | $0 | $0 | $0 |
| PATRICIA TOOLE | |||||||||||||
| $222,519 | $0 | $15,000 | $0 | $78,382 | $0 | $43,200 | $0 | $3,124 | $0 | $362,225 | $0 | $0 | $0 |
| SHAUN SWEENEY | |||||||||||||
| $165,679 | $0 | $10,000 | $0 | $4,366 | $0 | $8,200 | $0 | $21,423 | $0 | $209,668 | $0 | $0 | $0 |
| SYED ALI MD | |||||||||||||
| $227,528 | $0 | $10,000 | $0 | $90,788 | $0 | $15,000 | $0 | $32,400 | $0 | $375,716 | $0 | $0 | $0 |
| ABDUL KAZI MD | |||||||||||||
| $282,124 | $0 | $0 | $0 | $44,750 | $0 | $8,200 | $0 | $32,909 | $0 | $367,983 | $0 | $0 | $0 |
| JOSEPH VERRET MD | |||||||||||||
| $254,776 | $0 | $0 | $0 | $61,773 | $0 | $8,200 | $0 | $34,360 | $0 | $359,109 | $0 | $0 | $0 |
| ROBERT SAINT-VIL MD | |||||||||||||
| $256,577 | $0 | $0 | $0 | $53,944 | $0 | $8,200 | $0 | $18,470 | $0 | $337,191 | $0 | $0 | $0 |
| JAGWINDER SANDHU MD | |||||||||||||
| $245,987 | $0 | $0 | $0 | $34,659 | $0 | $8,200 | $0 | $32,540 | $0 | $321,386 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 3 | PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15B INCLUDED IN SCHEDULE O. |
| Pt I Line 4b | THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN PART II COLUMN (C) FOR RANDOLPH JACOBSON, PATRICIA TOOLE, AND DONALD PARKER INCLUDE BENEFITS IN AN INTERNAL REVENUE CODESECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE INDIVIDUALS WILL NOT EARN THE RIGHT TO RECEIVE THE DEFERRED COMPENSATION AMOUNTS UNLESS AND UNTIL THEY PROVIDE SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. WHEN THE FUTURE SERVICES REQUIREMENT IS MET, THE AMOUNTS WILL BECOME VESTED, WILL BE TAXED, WILL BE INCLUDED ON THE W-2, AND WILL BE REPORTED AGAIN ON THIS SCHEDULE. FOR 2018, REPORTABLE AMOUNTS FOR THE 457(F) PLAN ARE $35,000 FOR RANDOLPH JACOBSON AND PATRICIA TOOLE, RESPECTIVELY, AND $50,000 FOR DONALD PARKER. |
| Pt I Line 4b | THE AMOUNT REFLECTED IN PART II COLUMN B(III) FOR DONALD PARKER INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN DONALD PARKER'S 2018 FORM W-2 AS TAXABLE WAGES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 1a | THE EXECUTIVE COMMITTEE OF THE BOARD EXERCISES ALL POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF AFFAIRS OF HMH CARRIER CLINIC DURING INTERVALS BETWEEN BOARD MEETINGS. |
| Pt VI, Line 7a | SEE RESPONSE FOR PART VI, LINE 1a |
| Pt VI, Line 7b | SEE RESPONSE FOR PART VI, LINE 1a |
| Pt VI, Line 11b | HMH CARRIER CLINIC BECAME A SUBSIDIARY OF HACKENSACK MERIDIAN HEALTH, INC. ("HMH"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK, IN 2019. HMH'S FINANCE PERSONNEL, IN CONJUNCTION WITH HMH CARRIER CLINIC, PREPARED AND REVIEWED THE FEDERAL FORM 990, WHICH WAS THEN REVIEWED BY OTHER APPROPRIATE INTERNAL STAFF FOR ACCURACY. HMH'S BOARD OF TRUSTEES DESIGNATED THE AUDIT AND COMPLIANCE COMMITTEE ("ACC") TO REVIEW THE FORM 990 OF HMH'S SUBSIDIARIES. THE FORM 990 WAS PROVIDED TO THE MEMBERS OF THE ACC FOR REVIEW. THE FORM 990 WAS THEN PROVIDED TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE HMH BOARD OF TRUSTEES HAS THE FINAL GOVERNING AUTHORITY OVER THE SUBSIDIARIES OF HMH. |
| Pt VI, Line 12c | EACH TRUSTEE, OFFICER, AND MEDICAL STAFF MEMBER ANNUALLY COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE AND SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. IN DOING SO, EACH TRUSTEE, OFFICER, AND MEDICAL STAFF MEMBER UNDERSTANDS HMH CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEDMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. DURING THE YEAR, CORPORATE COMPLIANCE IN CONJUNCTION WITH THE GENERAL COUNSEL ALSO MONITORS ON-GOING ACTIVITIES TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY. |
| Pt VI, Line 15a | HMH CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS TO DETERMINE COMPENSATION. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTUVE COMPENSATION BASES. THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE SALARY STRUCTURE FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES, WHICH REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. |
| Pt VI, Line 15b | SEE RESPONSE ABOVE FOR PART VI, LINE 15a |
| Pt VI, Line 19 | HMH CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO AVAILABLE VIA THE INTERNET ON THE GUIDESTAR WEBSITE. |
| Other | PART VII, SECTION A AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM HMH CARRIER CLINIC. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| Other | Part IX, Line 24e: OTHER EXPENSES REPRESENT OVERHEAD ALLOCATION FOR FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO HMH CARRIER CLINIC'S VARIOUS PROGRAMS USING THE ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. |
| Pt XI | Part XI, Line 9: OTHER CHANGES IN NET ASSETS INCLUDE INVENTORY REVALUATION OF 2,540 AND SCHOLARSHIPS AWARDED OF 750 FOR A TOTAL OF 3,290. |
| Pt XII, Line 2c | HMH CARRIER CLINIC BOARD OF TRUSTEES AUDIT COMMITTEE MAINTAINS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. HMH CARRIER CLINIC BOARD OF TRUSTEES AUDIT COMMITTEE SELECTED KPMG, LLP TO SEPARATELY AUDIT THE ORGANIZATIONS FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2018. |
| Form 990, Part III, Line 4d | OTHER PROGRAMS OF NOTE TO THE COMMUNITY - RESIDENTIAL SERVICES, WHICH INCLUDE EAST 11243484. 0. 13488942. |