2018-11-14T08:06:56-08:00 2017-12-31 990 2017-01-01 221802017 HARTWYCK WEST NURSING HOME INC HART 7327513361 C/O TAX DEPT 1350 CAMPUS PARKAY NEPTUNE NJ 07753 ROBERT L GLENNING PRESIDENT, FINANCIAL & IT SVCS, CFO 7327513361 2018-11-14 205.172.192.80 2018-11-14 08:06:32 PS P 01D72944816E49B67932DA5E4599F09606782E45 EEA7CFA7F54F0B183AC137AFF167329DDFC4C7B1 2017 2019-02-21 02:37:17Z X RAYMOND F FREDERICKS 80 JAMES STREET EDISON NJ 08820 9255811 false X WWW.JFKHEALTHSYSTEM.ORG X 1964 NJ 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. 8 6 177 0 0 18910 9722962 9230694 4621 6207 0 9727583 9255811 0 0 6547119 6678545 0 0 3430107 2970561 9977226 9649106 -249643 -393295 9449496 4479987 5000729 4509214 4448767 -29227 X SEE SCHEDULE O false false 8311776 9230694 HARTWYCK WEST NURSING HOME, INC. PROVIDES HOUSING, HEALTHCARE AND OTHER RELATED SERVICES TO ITS RESIDENTS. 8311776 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false true 17 0 true 177 true false false false false false false false false false false X 8 6 false false false false true true true true true false false true true true true true true true true false NJ X RICHARD C SMITH 7323217747 80 JAMES STREET EDISON NJ 08820 X JAY M JANEY TRUSTEE - CHAIR 3.00 X X 0 0 0 DAVID A BELOWICH TRUSTEE - VICE CHAIR 3.00 X X 0 0 0 JOHN O GRUN TRUSTEE - SECRETARY 3.00 X X 0 0 0 HELEN J PATERNITI TRUSTEE - TREASURER 3.00 X X 0 0 0 ROBIN O WINTER MD TRUSTEE 3.00 X 0 304043 43613 FRAN YOREY TRUSTEE 3.00 X 0 0 0 RAYMOND F FREDERICKS TRUSTEE; EX-OFFICIO 3.00 X 0 2644770 46859 MICHAEL A KLEIMAN DMD TRUSTEE; EX-OFFICIO 3.00 X 0 0 0 RICHARD C SMITH SENIOR VP & CFO 3.00 X 0 785741 38526 THOMAS LANKEY SR VP & COO LONG TERM CARE 3.00 X 0 451594 25150 RENEE LAKE VP HARTWYCKS 3.00 X 0 326272 33449 YEN KWAY WU RN REGISTERED NURSE 55.00 X 167489 0 20288 KELLIE CHICHESTER DIRECTOR 55.00 X 130388 0 9154 AIMEE ALLEN ADMINISTRATOR 55.00 X 127948 0 28101 NATIVIDAD MONTECLARO RN REGISTERED NURSE CHARGE 55.00 X 122712 0 22386 SALVE BUNAG RN REGISTERED NURSE 55.00 X 115933 0 26564 664470 4512420 294090 8 false true false HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DR STE 300 BENSALEM PA 19020 HOUSEKEEPING 517061 TENDER TOUCH REHAB SERVICES LLC 685 RIVER ROAD LAKEWOOD NJ 08701 PT, OT & SPEECH 224242 PHARMCARE USA OF EDISON INC 95 NEWFIELD AVE STE B EDISON NJ 08820 PHARMACY 110549 3 18910 18910 NET PATIENT SERVICE REVENUE 623000 9181194 OTHER REVENUE 900099 49500 9230694 6207 6207 9255811 9230694 6207 5235300 4502358 732942 0 66795 57444 9351 0 964234 829241 134993 0 412216 354506 57710 0 2888 0 2888 0 37418 0 37418 0 759819 653444 106375 0 25640 22050 3590 0 276779 238030 38749 0 323502 278212 45290 0 1307 1124 183 0 1942 1670 272 0 198523 170730 27793 0 160363 137912 22451 0 PROVIDER TAX ASSESSMENT 344345 344345 0 0 DIETARY SUPPLIES 329501 283371 46130 0 MEDICAL SUPPLIES 297456 255812 41644 0 REPAIRS & MAINTENANCE 140539 120864 19675 0 70539 60663 9876 0 9649106 8311776 1337330 0 1086321 573939 1077884 1013541 36444 37598 773 773 7853162 5046326 2909574 2806836 1000 1000 4337500 46300 9449496 4479987 1098079 1202710 2582174 2398295 1320476 908209 5000729 4509214 X 4448767 -29227 4448767 -29227 9449496 4479987 X -393295 -4084699 X X false true X true false X 0 0 0 16448 18910 35358 8895175 9267546 9644074 9722962 9230694 46760451 8911623 9267546 9644074 9722962 9249604 46795809 46795809 5 323 301 4621 6207 11457 5 323 301 4621 6207 11457 46807266 0.99980 0.99990 0.00020 0.00010 X 1744434 1744434 5298126 4303019 995107 810602 743307 67295 2806836 DUE TO AFFILIATES 101139 DUE TO THIRD PARTY PAYOR 807070 908209 X Pt X, Line 2 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. false true false false false false false false false ROBIN O WINTER MD 282234 2500 19309 17589 26024 347656 RAYMOND F FREDERICKS 851102 203057 1590611 19545 27314 2691629 1420400 RICHARD C SMITH 533301 109300 143140 15294 23232 824267 117500 THOMAS LANKEY 311238 60400 79956 15965 9185 476744 66600 RENEE LAKE 261498 36900 27874 5713 27737 359722 YEN KWAY WU RN 162224 5265 364 19924 187777 AIMEE ALLEN 117409 7300 3239 364 27737 156049 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. 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. 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 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 MEDIPLEX SURGICAL CENTER ASSOCIATION LP 98 JAMES STRET EDISON NJ 08820 222846980 REAL ESTATE NJ NA ATLANTIC INSURANCE EXCHANGE LTD CLARENDON HOUSE 2 CHURCH STREET HAMILTON BD 981330735 FINANCIAL VEHICLE BD NA C false CENTRAL JERSEY MEDICAL GROUP PA 98 JAMES STREET EDISON NJ 08820 223477610 INACTIVE NJ NA C false JFK MEDICAL GROUP PC 98 JAMES STREET EDISON NJ 08820 223482637 HEALTHCARE NJ NA C false JFK HARTWYCK MANAGEMENT & CONSULTING INC 98 JAMES STREET EDISON NJ 08820 223812130 INACTIVE NJ HWNH C 1.00000 true JFK HEALTHSHARE INC 98 JAMES STREET EDISON NJ 08820 222528967 MANAGEMENT NJ NA C false MIDTOWN SHOPS INC 98 JAMES STREET EDISON NJ 08820 221536954 INACTIVE NJ NA C false THE PRIMARY CARE NETWORK INC 98 JAMES STREET EDISON NJ 08820 522069919 INACTIVE NJ NA C false JFK AMBULATORY CARE PA 98 JAMES STREET EDISON NJ 08820 473018240 HEALTHCARE NJ NA C false false false true false false false false false false true false false false false true true false false false