HACKENSACK MERIDIAN OUTPATIENT SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN OUTPATIENT SERVICES INC (EIN 22-2666023)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201723179349306167
- Schema version
- 2016v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T14:33:22-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNERAMPER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 WOOD AVE SO STE 600 | AddressLine1Txt |
| City | ISELIN | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 088302700 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222666023 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARTWYCK AT OAK TREE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICHARD C SMITH | InCareOfNm |
| Business Name Control | HART | BusinessNameControlTxt |
| Phone | 7323217747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 JAMES STREET 4TH FLOOR | AddressLine1Txt |
| City | EDISON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08820 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD C SMITH CFO | PersonNm |
| Person Title | officer | PersonTitleTxt |
| Phone | 7323217747 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD A SACKIN | PreparerPersonNm |
| PTIN | P00184276 | PTIN |
| Phone | 7322437000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.238.150.11 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 20870020173175000006 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C0EEDA2444A110224212900A902B450F2B2E607C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 690194DC4597DFF8105A5806D7B479736E20441D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $41,432,022 | 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 | 1985 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | (SEE SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 590 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $118,047 | PYContributionsGrantsAmt |
| CY Contributions Grants | $110,721 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,923,322 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,935,676 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,601 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,875 | CYInvestmentIncomeAmt |
| PY Other Revenue | $376,364 | PYOtherRevenueAmt |
| CY Other Revenue | $372,750 | CYOtherRevenueAmt |
| PY Total Revenue | $43,427,334 | PYTotalRevenueAmt |
| CY Total Revenue | $41,432,022 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,822,108 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,124,624 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,031,701 | PYOtherExpensesAmt |
| CY Other Expenses | $18,447,569 | CYOtherExpensesAmt |
| PY Total Expenses | $43,853,809 | PYTotalExpensesAmt |
| CY Total Expenses | $43,572,193 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$426,475 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,140,171 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,777,319 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,224,105 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,266,015 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,852,972 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,488,696 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$14,628,867 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | JFK HARTWYCK NETWORK IS COMMITTED TO PROVIDING BOTH HIGH QUALITY CARE AND MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, ADULT DAY CARE, HUNTINGTON'S DISEASE, HEAD INJURY PROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING, IN A MANNER THAT PROMOTES RESIDENT DIGNITY AND CHOICE WITHIN THE CONTINUUM OF CARE IN THE JFK HEALTH SYSTEM. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $39,029,356 | ExpenseAmt |
| Revenue | $40,935,676 | RevenueAmt |
| Desc | Hartwyck at Oak Tree provides housing, healthcare, and other related services to its residents. | Desc |
| Total Program Service Expenses | $39,029,356 | 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 | Yes (true) | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 590 | 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 | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | 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 | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAY M JENEY | |||||||||
| CHAIRMAN | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID A BELOWICH | |||||||||
| VICE CHAIRMAN | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN O GRUN | |||||||||
| SECRETARY | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HELEN J PATERNITI | |||||||||
| TREASURER | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN O WINTER MD | |||||||||
| BOARD MEMBER | 0.0 | 40.0 | Yes (X) | $0 | $292,151 | $37,493 | Yes (X) | ||
| FRAN YOREY | |||||||||
| BOARD MEMBER | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A KLEIMAN DMD | |||||||||
| EX-OFFICIO | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND FREDERICKS | |||||||||
| CEO/EX-OFFICIO/PRESIDENT | 0.0 | 0.0 | Yes (X) | $0 | $1,189,397 | $329,342 | Yes (X) | ||
| RICHARD C SMITH | |||||||||
| SVP & CFO | 0.0 | 40.0 | $0 | $669,427 | $113,057 | Yes (X) | |||
| THOMAS LANKEY | |||||||||
| SVP | 0.0 | 40.0 | $0 | $503,841 | $65,325 | Yes (X) | |||
| RENEE LAKE | |||||||||
| VP, LONG TERM CARE | 0.0 | 40.0 | $0 | $290,461 | $58,461 | Yes (X) | |||
| CAROLINA MOLINA | |||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $159,274 | $0 | $16,074 | Yes (X) | |||
| ROBIN MATHEWS | |||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $137,550 | $0 | $6,895 | Yes (X) | |||
| EILEEN UST | |||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $113,940 | $0 | $481 | Yes (X) | |||
| JOSEPHINE ABELEDA | |||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $125,958 | $0 | $562 | Yes (X) | |||
| DAWN GIAKAS | |||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $136,227 | $0 | $16,683 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $672,949 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,945,277 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $644,373 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | 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 |
|---|---|---|---|---|---|
| CREATIVE MANAGEMENT NATIONAL INC | |||||
| 32 HEIDI DRIVE | FORDS | NJ | 08863 | DIETARY MANAGEMement | $2,182,557 |
| TENDER TOUCH HEALTHCARE SERVICES I | |||||
| 685 RIVER ROAD | LAKEWOOD | NJ | 08701 | PT, OT, & SPEECH | $2,667,937 |
| Partners Healthcare LLC | |||||
| 70 JACKSON DRIVE | CRANFORD | NJ | 07106 | PHARMACY SERVICES | $888,280 |
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING Mgmt | $1,264,524 |
| HR HEALTHCARE | |||||
| 1750 OAK ST | LAKEWOOD | NJ | 08701 | BED RENTALS | $238,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $110,721 | RelatedOrganizationsAmt |
| Total Contributions | $110,721 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $40,935,676 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,935,676 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,935,676 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,875 | TotalRevenueColumnAmt |
| Exclusion | $12,875 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $372,750 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $372,750 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $372,750 | TotalRevenueColumnAmt |
| Exclusion | $372,750 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,432,022 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,935,676 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $385,625 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,963,176 | TotalAmt |
| Program Services | $17,767,227 | ProgramServicesAmt |
| Management And General | $2,195,949 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,071 | TotalAmt |
| Program Services | $329,363 | ProgramServicesAmt |
| Management And General | $40,708 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,259,942 | TotalAmt |
| Program Services | $2,901,348 | ProgramServicesAmt |
| Management And General | $358,594 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,531,435 | TotalAmt |
| Program Services | $1,362,977 | ProgramServicesAmt |
| Management And General | $168,458 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,209 | TotalAmt |
| Management And General | $46,209 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,504 | TotalAmt |
| Management And General | $68,504 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,259,631 | TotalAmt |
| Program Services | $5,571,071 | ProgramServicesAmt |
| Management And General | $688,560 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,067 | TotalAmt |
| Program Services | $56,130 | ProgramServicesAmt |
| Management And General | $6,937 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,526 | TotalAmt |
| Program Services | $21,828 | ProgramServicesAmt |
| Management And General | $2,698 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,551 | TotalAmt |
| Program Services | $107,290 | ProgramServicesAmt |
| Management And General | $13,261 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,562 | TotalAmt |
| Program Services | $24,530 | ProgramServicesAmt |
| Management And General | $3,032 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,421 | TotalAmt |
| Program Services | $9,275 | ProgramServicesAmt |
| Management And General | $1,146 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,372 | TotalAmt |
| Program Services | $872,531 | ProgramServicesAmt |
| Management And General | $107,841 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,038,109 | TotalAmt |
| Program Services | $923,917 | ProgramServicesAmt |
| Management And General | $114,192 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $719,729 | TotalAmt |
| Program Services | $640,559 | ProgramServicesAmt |
| Management And General | $79,170 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,818,469 | $3,398,439 | $420,030 |
| BAD DEBT PROVISION | $1,932,920 | $1,932,920 | $0 |
| PROVIDER TAX ASSESSMENT | $1,218,808 | $1,218,808 | $0 |
| UTILITIES | $1,209,724 | $1,076,654 | $133,070 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $908,967 | TotalAmt |
| Program Services | $814,489 | ProgramServicesAmt |
| Management And General | $94,478 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,572,193 | TotalAmt |
| Program Services | $39,029,356 | ProgramServicesAmt |
| Management And General | $4,542,837 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,281,940 | BOYAmt |
| EOY | $1,538,112 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,347,464 | BOYAmt |
| EOY | $6,220,335 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,277 | BOYAmt |
| EOY | $153,085 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,514 | BOYAmt |
| EOY | $12,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,969,570 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,732,951 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,588,962 | BOYAmt |
| EOY | $11,236,619 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,162 | BOYAmt |
| EOY | $63,719 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,777,319 | BOYAmt |
| EOY | $19,224,105 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,806,554 | BOYAmt |
| EOY | $5,387,805 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,272,765 | BOYAmt |
| EOY | $14,051,960 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,186,696 | BOYAmt |
| EOY | $14,413,207 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,266,015 | BOYAmt |
| EOY | $33,852,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,488,696 | BOYAmt |
| EOY | -$14,628,867 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,488,696 | BOYAmt |
| EOY | -$14,628,867 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,777,319 | BOYAmt |
| EOY | $19,224,105 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,140,171 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,115 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $118,047 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $110,721 | CurrentTaxYearAmt |
| Total | $309,872 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,247,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,825,455 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,192,506 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,923,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,935,676 | CurrentTaxYearAmt |
| Total | $201,124,579 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,261,735 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,875,354 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,209,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,041,369 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,046,397 | CurrentTaxYearAmt |
| Total | $201,434,451 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $201,434,451 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $376,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $376,085 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $373,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $385,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385,625 | CurrentTaxYearAmt |
| Total | $1,897,592 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $376,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $376,085 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $373,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $385,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $385,625 | CurrentTaxYearAmt |
| Total | $1,897,592 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $29,854 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $29,854 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,637,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,251,439 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,613,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,427,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,432,022 | CurrentTaxYearAmt |
| Total | $203,361,897 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99052 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99039 | PublicSupportPY509Pct |
| Investment Income CY | 0.00933 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00946 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,873,614 | OtherCostOrOtherBasisAmt |
| Book Value | $3,873,614 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,830,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,805,996 | DepreciationAmt |
| Book Value | $6,024,254 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,265,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,926,955 | DepreciationAmt |
| Book Value | $1,338,751 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $11,236,619 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO THIRD PARTY PAY | $2,801,473 |
| FUNDS HELD FOR PATIENT NEEDS | $103,136 |
| NOTES PAYABLE TO JFKMC | $2,737,897 |
| DUE TO JFKMC | $5,161,528 |
| DUE TO JFK HEALTH SYSTEM, INC. | $2,829,885 |
| DUE TO HARTWYCK WEST NURSING H | $779,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,413,207 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $39,388,381 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,932,920 | OtherRevenueAmt |
| Revenue Not Reported | -$1,932,920 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,321,301 | RevenueSubtotalAmt |
| Other Revenues Not Included | $110,721 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $110,721 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $41,432,022 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $41,639,273 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $41,639,273 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,932,920 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,932,920 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $43,572,193 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI Line 4b - Other Adjustments | TRANSFER FROM JFK MEDICAL CENTER FOUNDATION, INC. 110,721. |
| Part X, Line 2 | Hartwyck at Oak Tree 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 occurs if the appropriate recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2016 or 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS | PROVISION FOR DOUBTFUL COLLECTIONS -1,932,920. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS | PROVISION FOR DOUBTFUL COLLECTIONS 1,932,920. |
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 | Yes (true) | 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 | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBIN O WINTER MD | ||||||||||||||
| BOARD MEMBER | $0 | $289,301 | $0 | $2,850 | $0 | $0 | $0 | $20,241 | $0 | $17,252 | $0 | $329,644 | $0 | $0 |
| RAYMOND FREDERICKS | ||||||||||||||
| CEO/EX-OFFICIO/PRESIDENT | $0 | $833,926 | $0 | $196,640 | $0 | $158,831 | $0 | $311,911 | $0 | $17,431 | $0 | $1,518,739 | $0 | $147,591 |
| RICHARD C SMITH | ||||||||||||||
| SVP & CFO | $0 | $525,742 | $0 | $91,100 | $0 | $52,585 | $0 | $94,064 | $0 | $18,993 | $0 | $782,484 | $0 | $50,945 |
| THOMAS LANKEY | ||||||||||||||
| SVP | $0 | $410,610 | $0 | $59,500 | $0 | $33,731 | $0 | $58,383 | $0 | $6,942 | $0 | $569,166 | $0 | $32,486 |
| RENEE LAKE | ||||||||||||||
| VP, LONG TERM CARE | $0 | $256,661 | $0 | $33,800 | $0 | $0 | $0 | $39,856 | $0 | $18,605 | $0 | $348,922 | $0 | $0 |
| CAROLINA MOLINA | ||||||||||||||
| HIGHEST COMPENSATED | $159,274 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,074 | $0 | $175,348 | $0 | $0 | $0 |
| DAWN GIAKAS | ||||||||||||||
| HIGHEST COMPENSATED | $128,227 | $0 | $8,000 | $0 | $0 | $0 | $364 | $0 | $16,319 | $0 | $152,910 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART II | FOR DR. ROBIN WINTER, THE SALARY REFLECTED REPRESENTS SALARY ON JFK AS EXECUTIVE MEDICAL DIRECTOR OF FAMILY MEDICINE CENTER. OTHER REPORTABLE COMPENSATION CONSISTS OF LONG TERM DISABILITY, AUTO ALLOWANCE, AND A 457(F) PLAN. THE AMOUNTS FOR THE 457(F) PLAN WERE ACCRUED IN PRIOR YEARS BUT PAID IN 2016.THE REPORTABLE AMOUNTS FOR LONG TERM DISABILITY CONSIST OF $1,640 FOR RICHARD C. SMITH, $1,245 FOR THOMAS LANKEY, AND $1,640 FOR RAYMOND FREDERICKS. THE REPORTABLE AMOUNT FOR AUTO ALLOWANCE IS $9,600 FOR RAYMOND FREDERICKS. THE REPORTABLE AMOUNTS FOR THE 457(F) PLAN CONSIST OF $147,590 FOR RAYMOND FREDERICKS, $50,945 FOR RICHARD SMITH, AND $32,486 FOR THOMAS LANKEY. |
| Schedule J, Part I, question 4b | THIS QUESTION WAS ANSWERED YES DUE TO THE TWO BENEFIT PLANS THAT SEVERAL KEY EXECUTIVES ARE PARTICIPANTS IN: A) A 457(F) plan that was established but not funded in 2010, service credits for 2014, 2015 and 2016 were funded in 2015, 2016 and 2017 respectively. B) A KESOP PLAN THAT WAS FROZEN TO NEW CONTRIBUTIONS SUBSEQUENT TO 2002. |
| SCHEDULE J, PART I, QUESTIONS 6B AND 7 | THE PURPOSE OF THE INCENTIVE PLAN IS TO PROVIDE FINANCIAL INCENTIVES FOR THE ACHIEVEMENT OF PERFORMANCE OBJECTIVES THAT ARE MOST IMPORTANT TO JFK'S MISSION AND FINANCIAL QUALITY AND OPERATIONAL SUCCESS. THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES ABOUT THE OVERALL FUNDING AS WELL AS THE PERFORMANCE MEASURES AND THE GOAL IN EACH OF THE FOLLOWING AREAS. THE PERFORMANCE MEASURES, GOALS AND WEIGHTS ARE INTENDED TO REFLECT OBJECTIVES FOR THE CURRENT FISCAL YEAR IN AREAS OF FINANCIAL, PATIENT CARE AND QUALITY OUTCOMES AND PATIENT SATISFACTION. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ HEALTHCARE FACILITIES FINANCING AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 221987084 | BondIssuerEIN |
| CUSIP | 64580AAT8 | CUSIPNum |
| Bond Issued | 2009-06-01 | BondIssuedDt |
| Issue Price | $13,934,409 | IssuePriceAmt |
| Purpose | SEE SCHEDULE O. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $0 | TotalProceedsAmt |
| In Reserve Fund | $13,934,409 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $226,712 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.00000 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (25 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | The organization uses outside management services for rehabilitation services, housekeeping/laundry services AND DIETARY SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS JFK HEALTH SYSTEM, INC. AS ITS SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE GOVERNING BODY OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | An Ad-hoc Committee, which includes the Chairman of the Audit and Compliance Committee and a selected designee of the Audit and Compliance Committee as well as designees from the Finance, Legal, Audit and Compliance departments, review the IRS 990 Tax Returns with EisnerAmper LLP, the tax accountant for JFK Health System, Inc. During this review, all comments and recommendations that are made are addressed by the Finance, Legal, and Audit and Compliance departments along with EisnerAmper. The final revised drafts are reviewed by the Ad-hoc Committee to ensure all comments and recommendations were addressed in the final drafts. THE Audit and Compliance committee has given the Ad-hoc Committee the authority to approve the IRS 990 Tax Returns. Once the IRS 990 Tax Returns are approved by the Ad-hoc Committee, all Board members are sent an e-mail with instructions on how to access the respective IRS 990 Tax Returns for their review and comments for 4 days on a secure website provided by EisnerAmper LLP. At the end of the 4 day review period, and after any comments have been addressed, the IRS 990 Tax Returns are finalized and filed. Also, after the IRS 990 Tax Returns are filed, the returns are posted on the JFK Health System Board Portal. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND EMPLOYEES THAT ARE DEPARTMENT HEAD AND HIGHER LEVELS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHAIR OF THE JFK HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE. ANY POTENTIAL CONFLICT OF INTEREST IS BROUGHT TO SAID COMMITTEE FOR REVIEW AND CONSIDERATION AND ANY APPROPRIATE ACTION DEEMED NECESSARY PURSUANT TO THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE JFK HEALTH SYSTEM 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | JFK HEALTH SYSTEMS' CONSOLIDATED AND THE ORGANIZATION'S CONSOLIDATING FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, QUESTION 2C | THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| FORM 990, PART I, QUESTION 1 | DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES. THE JFK HARTWYCK NETWORK IS COMMITTED TO PROVIDING BOTH HIGH QUALITY CARE AND MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, ADULT DAY CARE, HUNTINGTON'S DISEASE, HEAD INJURY PROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING, IN A MANNER THAT PROMOTES RESIDENT DIGNITY AND CHOICE WITHIN THE CONTINUUM OF CARE IN THE JFK HEALTH SYSTEM. |
| HARTWYCK AT OAK TREE'S PURPOSE. | Hartwyck at Oak Tree operates a licensed 120-bed skilled nursing, convalescent, and rehabilitation facility and a licensed 60-bed residential facility. In addition, Oak Tree operates Hartwyck at Edison Estates, a licensed 280-bed facility that provides sub-acute and conventional long-term care, as well as providing specific units dedicated to the care of Alzheimer and dementia care patients. HARTWYCK AT OAK TREE IS A MODERN, THREE-STORY FACILITY THAT OPENED IN 1987. THE CENTER IS HOME TO MANY SPECIALIZED SERVICES AND PROGRAMS, INCLUDING THOSE FOR HEAD INJURED PATIENTS, COMA PATIENTS AND INDIVIDUALS DEPENDENT ON VENTILATORS. THE RESIDENTIAL UNIT IS DESIGNED FOR ADULTS WHO ARE NO LONGER ABLE TO LIVE INDEPENDENTLY AT HOME BUT ENJOY THE COMFORT AND SECURITY OF 24-HOUR NURSING CARE WHENEVER IT'S NEEDED. HARTWYCK AT OAK TREE IS ACCREDITED BY THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS AS WELL AS THE COMMISSION FOR THE ACCREDITATION OF REHABILITATION HOSPITALS. Hartwyck at Edison Estates delivers sub-acute and long term care in a warm and inviting atmosphere. The spacious, well-tended grounds, elegant gazebo, cheerful dining areas, and comfortable, stylish bedrooms make patient stays pleasant and home-like. The multi-disciplinary team approach focuses on the patient's unique needs, with care provided by specialists including highly skilled nurses, physicians, physical therapists, recreation therapists, speech therapists, occupational therapists, social workers and support staff. Patients and residents focus on healing while enjoying an exceptional activities program with live entertainment, crafts, educational lectures, community integration/trips, an Adopt-A-Grandparent program, a large volunteer program, and much more. Specialized services at Edison Estates include: Sub-acute Care Unit with private rooms Physical, speech, occupational and recreation therapy Post-surgical care Post-hip/knee replacement therapy IV therapy Wound care Dementia Unit |
| HARTWYCK AT OAK TREE'S DEMOGRAPHICS. | HARTWYCK AT OAK TREE IS LOCATED IN EDISON - AN URBAN / SUBURBAN AREA OF MIDDLESEX COUNTY. |
| FORM 990, PART VII | METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES' TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. The officers of JFK Health System hours per week are allocated among many of the related organizations. |
| EXTENSION | DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED. AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN. |
| SCHEDULE R, PART V, LINE 1O | JFK HEALTH SYSTEM MAINTAINS A MASTER EMPLOYEE LEASING AGREEMENT THAT PROVIDES FOR THE LEASING OF PERSONNEL TO AND FROM VARIOUS JFK HEALTH SYSTEM ENTITIES. |
| SCHEDULE K, PART I | The refinancing of various series of bonds issued on behalf of, and other indebtedness of, JFK Medical Center, Hartwyck at Oak Tree and Muhlenberg Regional Medical Center, as described below, all in connection with the termination of the provision of hospital acute care services at Muhlenberg Regional Medical Center and pursuant to the State's Hospital Asset Transformation Program. Current refundings: 1993 Bonds $9,773,982 1998 Bonds $4,160,427 Costs of issuance $226,712 |
| SCHEDULE K, PART III | THE PRIVATE BUSINESS PART OF SCHEDULE K IS NOT APPLICABLE. SEE ABOVE EXPLANATION. |
| FORM 990, PAGE 1, BOX C | Hartwyck at Oak Tree Inc. includes the operations of Hartwyck at Oak Tree and Hartwyck at Edison Estates. |
| FORM 990, PART VI, SECTION A, LINE 7A | While the member cannot elect or appoint one or more members of the governing body, all board appointments are subject to approval by the member. THE DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, ARE ELECTED BY A VOTE OF THE BOARD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTOR MEMBERSHIP COMMITTEE SHALL NOMINATE A SLATE OF DIRECTORS TO SERVE AS OFFICERS TO REPLACE OR REELECT THOSE OFFICERS WHOSE TERMS ARE ENDING. |
| FORM 990, PART VII | DEFINITION OF EX-OFFICIO: People who hold a position by virtue of their office. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REHAB SERVICES TOTAL FEES:2358724 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HOUSEKEEPING/LAUNDRY TOTAL FEES:1257324 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIETARY SERVICES TOTAL FEES:2159786 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL DIRECTORS TOTAL FEES:246965 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY CONSULTANT TOTAL FEES:80763 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:156069 |
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) | 12a | NA | false |
| MUHLENBERG FOUNDATION INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 510212678 | FUNDRAISING | NJ | 501(C)(3) | 12a | MRMC | false |
| JFK MEDICAL CENTER FOUNDATION INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222315044 | FUNDRAISING | NJ | 501(C)(3) | 12a | jfkhs | false |
| JFK HEALTH SYSTEM REALTY CORPORATION | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 521703518 | INACTIVE | NJ | 501(C)(25) | jfkhs | false | |
| robert wood johnson jr lifestyle | ||||||||||
| 98 JAMES STREET | EDSION | NJ | 08820 | 222421433 | healthcare | NJ | 501(C)(3) | 10 | jfkhs | false |
| hARTWYCK wEST nURSING hOME iNC | ||||||||||
| 98 James Street | Edison | NJ | 08820 | 221802017 | healthcare | NJ | 501(C)(3) | 10 | jfkhs | false |
| JFK Assisted Living INC | ||||||||||
| 98 James Street | Edison | NJ | 08820 | 223715324 | PROMOTE healt | NJ | 501(C)(3) | 10 | Hartwyck Wes | false |
| Hartwyck at JFK Inc | ||||||||||
| 98 James Street | Edison | NJ | 08820 | 204144804 | healthcare | NJ | 501(C)(3) | 12b | jfkhs | false |
| Muhlenberg Regional Medical Center Inc | ||||||||||
| 98 James Street | Edison | NJ | 08820 | 221487258 | HEALTHCARE | NJ | 501(C)(3) | 10 | jfkhs | false |
| THE COMMUNITY HOSPITAL GROUP INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 226019101 | HEALTHCARE | NJ | 501(C)(3) | 3 | JFKHS | false |
| JFK MEDICAL ASSOCIATES PA | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 462219798 | PHYS PRACTICE | NJ | 501(C)(3) | 10 | JFKHS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|
| MSO - SEE PART VII | |||||
| INACTIVE | NJ | jfkhs | RELATED | false | false |
| MEDIPLEX - SEE PART VII | |||||
| REAL ESTATE | NJ | JFK HEALTHSHARE | RELATED | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC INSURANCE EXCHANGE LTD | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 999999999 | INSURANCE | BD | jfkmc | c-Corp | false | |
| CENTRAL JERSEY MEDICAL GROUP PA | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223477610 | INACTIVE | MRMC | c-Corp | false | NJ | |
| JFK MEDICAL GROUP PC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223482637 | medical | JFKMC | c-Corp | false | NJ | |
| JFK HARTWYCK MGT & CONSULTING INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223812130 | INACTIVE | HARTWYCK WEST | c-Corp | false | NJ | |
| JFK HEALTHSHARE INC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222528967 | MANAGEMENT | jfkhs | c-Corp | false | NJ | |
| mIDTOWN sHOPS iNC | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 221536954 | REAL ESTATE | MRMC | c-CORP | false | NJ | |
| PRIMARY CARE NETWORK | ||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 522069919 | health org. | JFKMC | c-CORP | false | NJ | |
| JFK Ambulatory Care PA | ||||||||||
| 98 James Street | Edison | NJ | 08820 | 473018240 | Health Org. | JFKHS | C-Corp | false | 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 | false | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HARTWYCK WEST NURSING HOME INC | ||
| Q | $175,000 | SEE PART VII |
| JFK HEALTH SYSTEM INC | ||
| P | $25,000 | SEE PART VII |
| JFK MEDICAL CENTER FOUNDATION INC | ||
| C | $110,721 | SEE PART VII |
| THE COMMUNITY HOSPITAL GROUP INC | ||
| P | $4,081,454 | SEE PART VII |
| JFK ASSISTED LIVING INC | ||
| Q | $186,020 | SEE PART VII |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART III | LINE 1 INFORMATION: MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY, LLC 98 JAMES STREET EDISON, NJ 08820 EIN: 22-3489091 LINE 2 INFORMATION: MEDIPLEX SURGICAL CENTER ASSOCIATES, LP 98 JAMES STREET EDISON, NJ 08820 EIN: 22-2846980 |
| SCHEDULE R, PART V, LINE 2 | ALL TRANSACTIONS WITH RELATED ORGANIZATIONS ARE VALUED AT ACTUAL AMOUNTS. |