HARTWYCK WEST NURSING HOME INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HARTWYCK WEST NURSING HOME INC (EIN 22-1802017)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201803189349302970
- Schema version
- 2017v2.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T08:06:56-08:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221802017 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARTWYCK WEST NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HART | BusinessNameControlTxt |
| Phone | 7327513361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O TAX DEPT 1350 CAMPUS PARKAY | 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 | PRESIDENT, FINANCIAL & IT SVCS, CFO | PersonTitleTxt |
| Phone | 7327513361 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 205.172.192.80 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 08:06:32 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 01D72944816E49B67932DA5E4599F09606782E45 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EEA7CFA7F54F0B183AC137AFF167329DDFC4C7B1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | RAYMOND F FREDERICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 JAMES STREET | AddressLine1Txt |
| City | EDISON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,255,811 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JFKHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY CARE & MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, ADULT DAY CARE, HUNTINGTON'S DISEASE, HEAD INJURY REPROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING & ASSISTED LIVING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 177 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $18,910 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,722,962 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,230,694 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,621 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,207 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $9,727,583 | PYTotalRevenueAmt |
| CY Total Revenue | $9,255,811 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,547,119 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,678,545 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,430,107 | PYOtherExpensesAmt |
| CY Other Expenses | $2,970,561 | CYOtherExpensesAmt |
| PY Total Expenses | $9,977,226 | PYTotalExpensesAmt |
| CY Total Expenses | $9,649,106 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$249,643 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$393,295 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,449,496 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,479,987 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,000,729 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,509,214 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,448,767 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$29,227 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,311,776 | ExpenseAmt |
| Revenue | $9,230,694 | RevenueAmt |
| Desc | HARTWYCK WEST NURSING HOME, INC. PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO ITS RESIDENTS. | Desc |
| Total Program Service Expenses | $8,311,776 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | 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 | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| 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 | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 177 | 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 | false | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (true) | 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 | RICHARD C SMITH | PersonNm |
| Phone | 7323217747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 JAMES STREET | AddressLine1Txt |
| City | EDISON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JAY M JANEY | ||||||||
| TRUSTEE - CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID A BELOWICH | ||||||||
| TRUSTEE - VICE CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN O GRUN | ||||||||
| TRUSTEE - SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HELEN J PATERNITI | ||||||||
| TRUSTEE - TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBIN O WINTER MD | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $304,043 | $43,613 | |||
| FRAN YOREY | ||||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND F FREDERICKS | ||||||||
| TRUSTEE; EX-OFFICIO | 3.00 | Yes (X) | $0 | $2,644,770 | $46,859 | |||
| MICHAEL A KLEIMAN DMD | ||||||||
| TRUSTEE; EX-OFFICIO | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD C SMITH | ||||||||
| SENIOR VP & CFO | 3.00 | Yes (X) | $0 | $785,741 | $38,526 | |||
| THOMAS LANKEY | ||||||||
| SR VP & COO LONG TERM CARE | 3.00 | Yes (X) | $0 | $451,594 | $25,150 | |||
| RENEE LAKE | ||||||||
| VP HARTWYCKS | 3.00 | $0 | $326,272 | $33,449 | Yes (X) | |||
| YEN KWAY WU RN | ||||||||
| REGISTERED NURSE | 55.00 | $167,489 | $0 | $20,288 | Yes (X) | |||
| KELLIE CHICHESTER | ||||||||
| DIRECTOR | 55.00 | $130,388 | $0 | $9,154 | Yes (X) | |||
| AIMEE ALLEN | ||||||||
| ADMINISTRATOR | 55.00 | $127,948 | $0 | $28,101 | Yes (X) | |||
| NATIVIDAD MONTECLARO RN | ||||||||
| REGISTERED NURSE CHARGE | 55.00 | $122,712 | $0 | $22,386 | Yes (X) | |||
| SALVE BUNAG RN | ||||||||
| REGISTERED NURSE | 55.00 | $115,933 | $0 | $26,564 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $664,470 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,512,420 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $294,090 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DR STE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING | $517,061 |
| TENDER TOUCH REHAB SERVICES LLC | |||||
| 685 RIVER ROAD | LAKEWOOD | NJ | 08701 | PT, OT & SPEECH | $224,242 |
| PHARMCARE USA OF EDISON INC | |||||
| 95 NEWFIELD AVE STE B | EDISON | NJ | 08820 | PHARMACY | $110,549 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $18,910 | RelatedOrganizationsAmt |
| Total Contributions | $18,910 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $9,181,194 |
| OTHER REVENUE | 900099 | $49,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,230,694 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,207 | TotalRevenueColumnAmt |
| Exclusion | $6,207 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,255,811 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,230,694 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,207 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,235,300 | TotalAmt |
| Program Services | $4,502,358 | ProgramServicesAmt |
| Management And General | $732,942 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,795 | TotalAmt |
| Program Services | $57,444 | ProgramServicesAmt |
| Management And General | $9,351 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,234 | TotalAmt |
| Program Services | $829,241 | ProgramServicesAmt |
| Management And General | $134,993 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,216 | TotalAmt |
| Program Services | $354,506 | ProgramServicesAmt |
| Management And General | $57,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,888 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,888 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,418 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $37,418 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $759,819 | TotalAmt |
| Program Services | $653,444 | ProgramServicesAmt |
| Management And General | $106,375 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,640 | TotalAmt |
| Program Services | $22,050 | ProgramServicesAmt |
| Management And General | $3,590 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,779 | TotalAmt |
| Program Services | $238,030 | ProgramServicesAmt |
| Management And General | $38,749 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,502 | TotalAmt |
| Program Services | $278,212 | ProgramServicesAmt |
| Management And General | $45,290 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307 | TotalAmt |
| Program Services | $1,124 | ProgramServicesAmt |
| Management And General | $183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,942 | TotalAmt |
| Program Services | $1,670 | ProgramServicesAmt |
| Management And General | $272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,523 | TotalAmt |
| Program Services | $170,730 | ProgramServicesAmt |
| Management And General | $27,793 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,363 | TotalAmt |
| Program Services | $137,912 | ProgramServicesAmt |
| Management And General | $22,451 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROVIDER TAX ASSESSMENT | $344,345 | $344,345 | $0 | $0 |
| DIETARY SUPPLIES | $329,501 | $283,371 | $46,130 | $0 |
| MEDICAL SUPPLIES | $297,456 | $255,812 | $41,644 | $0 |
| REPAIRS & MAINTENANCE | $140,539 | $120,864 | $19,675 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,539 | TotalAmt |
| Program Services | $60,663 | ProgramServicesAmt |
| Management And General | $9,876 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,649,106 | TotalAmt |
| Program Services | $8,311,776 | ProgramServicesAmt |
| Management And General | $1,337,330 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,086,321 | BOYAmt |
| EOY | $573,939 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,077,884 | BOYAmt |
| EOY | $1,013,541 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,444 | BOYAmt |
| EOY | $37,598 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773 | BOYAmt |
| EOY | $773 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,853,162 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,046,326 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,909,574 | BOYAmt |
| EOY | $2,806,836 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,337,500 | BOYAmt |
| EOY | $46,300 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,449,496 | BOYAmt |
| EOY | $4,479,987 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,098,079 | BOYAmt |
| EOY | $1,202,710 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,582,174 | BOYAmt |
| EOY | $2,398,295 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,320,476 | BOYAmt |
| EOY | $908,209 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000,729 | BOYAmt |
| EOY | $4,509,214 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,448,767 | BOYAmt |
| EOY | -$29,227 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,448,767 | BOYAmt |
| EOY | -$29,227 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,449,496 | BOYAmt |
| EOY | $4,479,987 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$393,295 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$4,084,699 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $18,910 | CurrentTaxYearAmt |
| Total | $35,358 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,895,175 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,267,546 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,644,074 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,722,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,230,694 | CurrentTaxYearAmt |
| Total | $46,760,451 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,911,623 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,267,546 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,644,074 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,722,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,249,604 | CurrentTaxYearAmt |
| Total | $46,795,809 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $46,795,809 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $301 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,621 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,207 | CurrentTaxYearAmt |
| Total | $11,457 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $301 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,621 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,207 | CurrentTaxYearAmt |
| Total | $11,457 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,807,266 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,744,434 | OtherCostOrOtherBasisAmt |
| Book Value | $1,744,434 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,298,126 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,303,019 | DepreciationAmt |
| Book Value | $995,107 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $810,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $743,307 | DepreciationAmt |
| Book Value | $67,295 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,806,836 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $101,139 |
| DUE TO THIRD PARTY PAYOR | $807,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $908,209 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | BAKER TILLY AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HARTWYCK WEST NURSING HOME, INC. AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2017 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740):HARTWYCK WEST ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 AND 2016.BAKER TILLY ALSO AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF JFK HEALTH SYSTEM, INC. AND CONTROLLED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2017 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740):THE JFK HEALTH SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017 OR 2016. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (7 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBIN O WINTER MD | ||||||||||||
| $282,234 | $2,500 | $19,309 | $17,589 | $26,024 | $347,656 | |||||||
| RAYMOND F FREDERICKS | ||||||||||||
| $851,102 | $203,057 | $1,590,611 | $19,545 | $27,314 | $2,691,629 | $1,420,400 | ||||||
| RICHARD C SMITH | ||||||||||||
| $533,301 | $109,300 | $143,140 | $15,294 | $23,232 | $824,267 | $117,500 | ||||||
| THOMAS LANKEY | ||||||||||||
| $311,238 | $60,400 | $79,956 | $15,965 | $9,185 | $476,744 | $66,600 | ||||||
| RENEE LAKE | ||||||||||||
| $261,498 | $36,900 | $27,874 | $5,713 | $27,737 | $359,722 | |||||||
| YEN KWAY WU RN | ||||||||||||
| $162,224 | $5,265 | $364 | $19,924 | $187,777 | ||||||||
| AIMEE ALLEN | ||||||||||||
| $117,409 | $3,239 | $364 | $27,737 | $156,049 | $7,300 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 3 | PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15A INCLUDED IN SCHEDULE O. |
| Pt I Line 4b | THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RAYMOND F. FREDERICKS, $1,571,847; RICHARD C. SMITH, $133,098; THOMAS LANKEY, $74,473; AND RENEE LAKE, $24,127. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other | CORE FORM, PART III, LINE 1TO PROVIDE HIGH QUALITY CARE & MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG-TERM CARE, SUBACUTE CARE, ADULT DAY CARE, HUNTINGTON'S DISEASE, HEAD INJURY REPROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING. |
| Pt VI, Line 6 | JFK HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. JFK HEALTH SYSTEM, INC. HAS THE RIGHT TO APPOINT THE MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THE ORGANIZATION'S BYLAWS. |
| Pt VI, Line 7a | SEE RESPONSE TO PART VI, LINE 6 ABOVE. |
| Pt VI, Line 7b | SEE RESPONSE TO PART VI, LINE 6 ABOVE. |
| Pt VI, Line 11b | AS OF JANUARY 1, 2018, HACKENSACK MERIDIAN HEALTH, INC. ("HMH") ACQUIRED JFK HEALTH SYSTEM, INC. AND ALL OF ITS AFFILIATES. THIS ORGANIZATION IS A SUBSIDIARY OF HMH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. HMH'S FINANCE PERSONNEL 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 | ON AN ANNUAL BASIS, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND EMPLOYEES THAT ARE DEPARTMENT HEADS AND HIGHER LEVELS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHAIR OF THE JFK AUDIT AND COMPLIANCE COMMITTEE. ANY POTENTIAL CONFLICT OF INTEREST IS BROUGHT TO THE SAID COMMITTEE FOR REVIEW AND CONSIDERATION AND ANY APPROPRIATE ACTION DEEMED NECESSARY PURSUANT TO THE CONFLICT OF INTEREST POLICY. |
| Pt VI, Line 15a | THE JFK BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER.THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE TOTAL COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION. THE COMMITTEE CONSISTS ENTIRELY OF INDEPENDENT MEMBERS OF THE JFK HEALTH SYSTEM BOARD, THE COMMITTEE REVIEWS IN ADVANCE INDEPENDENT DATA SHOWING THE COMPENSATION PROVIDED BY NON-PROFIT ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS, AND THE COMMITTEE PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. ASSISTING THE COMMITTEE IS AN OUTSIDE COMPENSATION CONSULTANT ALONG WITH OUTSIDE LEGAL COUNSEL. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES:1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958; 2. THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND3. THE AUTHORIZED BODY ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS. |
| Pt VI, Line 15b | SEE RESPONSE TO PART VI, LINE 15A ABOVE. |
| Pt VI, Line 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST. |
| Other | CORE FORM, PART VII, SECTION ATHE ORGANIZATION IS AN AFFILIATE WITHIN JFK HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF GOVERNOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER SUBSIDIARIES AND CONTROLLED ENTITIES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THE ORGANIZATION TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED SUBSIDIARIES AND CONTROLLED ENTITIES IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. |
| Other | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF GOVERNORS. |
| Pt XI | LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - FORGIVENESS OF AMOUNTS DUE FROM AFFILIATES - ($4,084,699). |
| Pt XII, Line 2c | THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JFK HEALTH SYSTEM INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222421432 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(3) | NA | false |
| THE COMMUNITY HOSPITAL GROUP INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 226019101 | HEALTHCARE | NJ | 501(C)(3) | HOSPITAL | JFKHS | false |
| MUHLENBERG REGIONAL MEDICAL CENTER INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 221487258 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | JFKHS | false |
| MUHLENBERG FOUNDATION INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 510212678 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MRMC | false |
| JFK MEDICAL CENTER FOUNDATION INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222315044 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | JFKHS | false |
| JFK HEALTH SYSTEMS REALTY CORPORATION | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 521703518 | INACTIVE | NJ | 501(C)(2) | JFKHS | false | |
| ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222421433 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | JFKHS | false |
| JFK ASSISTED LIVING INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223715324 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | HWNH | Yes (true) |
| HARTWYCK AT OAK TREE INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222666023 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | JFKHS | false |
| HARTWYCK AT JFK INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 204144804 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | JFKHS | false |
| JFK MEDICAL ASSOCIATES PA | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 462219798 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | JFKHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDIPLEX SURGICAL CENTER ASSOCIATION LP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 JAMES STRET | AddressLine1Txt |
| City | EDISON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222846980 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC INSURANCE EXCHANGE LTD | ||||||||||||||
| CLARENDON HOUSE 2 CHURCH STREET | HAMILTON | BD | 981330735 | FINANCIAL VEHICLE | BD | NA | C | false | ||||||
| CENTRAL JERSEY MEDICAL GROUP PA | ||||||||||||||
| 223477610 | INACTIVE | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| JFK MEDICAL GROUP PC | ||||||||||||||
| 223482637 | HEALTHCARE | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| JFK HARTWYCK MANAGEMENT & CONSULTING INC | ||||||||||||||
| 223812130 | INACTIVE | HWNH | C | Yes (true) | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | 1.00000 | ||||
| JFK HEALTHSHARE INC | ||||||||||||||
| 222528967 | MANAGEMENT | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| MIDTOWN SHOPS INC | ||||||||||||||
| 221536954 | INACTIVE | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| THE PRIMARY CARE NETWORK INC | ||||||||||||||
| 522069919 | INACTIVE | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| JFK AMBULATORY CARE PA | ||||||||||||||
| 473018240 | HEALTHCARE | NA | C | false | 98 JAMES STREET | EDISON | NJ | 08820 | NJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |