2016-11-04T15:32:02-05:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2015-01-01 221487173 ENGLEWOOD HOSPITAL AND MEDICAL CENTER % ANTHONY T ORLANDO ENGL 2018943275 350 ENGLE STREET ENGLEWOOD NJ 07631 WARREN GELLER President/CEO 2018943280 2016-11-02 true LAURA Kielczewski P00740769 2127733000 2015 2017-02-10 21:41:12Z WARREN GELLER 350 ENGLE STREET ENGLEWOOD NJ 07631 505365590 false X englewoodhospital.com X 1888 NJ SEE SCHEDULE O 26 21 2858 770 0 4999441 3277063 446387113 494636698 442414 61377 7038137 7155728 458867105 505130866 22500 22500 0 0 162397325 176264883 0 0 0 280789748 315294724 443209573 491582107 15657532 13548759 440233069 489280714 304770207 331422127 135462862 157858587 X PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND THE COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. false false 407362265 22500 496667832 ABOUT ENGLEWOOD HOSPITAL AND MEDICAL CENTER A BRIEF HISTORY ENGLEWOOD HOSPITAL AND MEDICAL CENTER WAS INCORPORATED IN 1888 AS A NON-PROFIT, NON-SECTARIAN VOLUNTARY HEALTH CARE FACILITY DEVOTED TO "THE CARE, MAINTENANCE AND CURE OF THE SICK, INJURED AND THE INFIRMED," ADMITTING ITS FIRST PATIENT IN 1890. TO MEET THE NEEDS OF THE POPULATION GROWTH IN THE NORTHERN VALLEY, THE HOSPITAL CREATED A MAJOR NEW BUILDING PROGRAM IN 1923, AND EXPANDED TO A 200-BED HOSPITAL WITH AN OPERATING SUITE, LABORATORY, X-RAY FACILITIES, ENHANCED MATERNAL AND PEDIATRIC SERVICES, AND OUTPATIENT DEPARTMENTS BY THE 1930'S. THE HOSPITAL INCLUDED NEW TECHNOLOGY SERVICES AND THOSE NEEDED BY THE COMMUNITY THROUGHOUT ITS FIRST CENTURY OF SERVICE, INCLUDING ESTABLISHING A PLASMA BANKBERGEN COUNTYS FIRST BLOOD BANK FOR WHOLE BLOOD IN THE 1940S AS WELL AS GYNECOLOGICAL, BRONCHOSCOPY, GASTROSCOPY AND CARDIAC CLINICS. BY THE 1960S, THE HOSPITALS MEDICAL AND CARING REPUTATION GREW, AS DID ITS ROLE AS A TEACHING FACILITY. THE NURSING SCHOOL WAS WELL ESTABLISHED AND THE HOSPITAL HAD INTERNSHIPS FOR DOCTORS, DENTISTS, AND CHAPLAINS. BY THE 1980S, NEW PATIENT CARE PROGRAMS AND ENHANCED IMAGING AND DIAGNOSTIC TECHNIQUES WERE ESTABLISHED INCLUDING CT-SCAN AND MRI. ENGLEWOOD HOSPITAL NOW HAD A NEUROSCIENCE CENTER, DIABETES PROGRAM, VASCULAR SURGERY PROGRAM, NEW BIRTHING CENTER, AMONG OTHER. IT ALSO INCLUDED CATHETERIZATION, MAMMOGRAPHY, GENETIC COUNSELING, AND LAPAROSCOPY AND AMBULATORY SURGERY. THAT DECADE ALSO BROUGHT ALTERNATIVE DELIVERY SYSTEMS THAT WOULD REQUIRE HOSPITALS TO CONTEND WITH DECREASING OCCUPANCY RATES AND RISING COSTS, AND WITH NEW DEFINITIONS OF QUALITY AND COMPETITIVENESS. BY THE EARLY 2000S, ENGLEWOOD HOSPITAL HAD GROWN TO 547 BEDS -- THE LARGEST VOLUNTARY ACUTE CARE HOSPITAL IN BERGEN COUNTY AND THE THIRD LARGEST IN NEW JERSEY. ENGLEWOOD HOSPITAL WAS FULLY ACCREDITED AND ABOUT TO BECOME A MAJOR TEACHING HOSPITAL. A GROWING EMPHASIS ON QUALITY, PATIENT WELFARE, AND COMFORT LED TO THE DEVELOPMENT OF A PATIENT ADVOCACY PROGRAM, A MODEL FOR THE BERGEN COUNTY AREA. THE MEDICAL CENTER ALSO ESTABLISHED A DISCHARGE-PLANNING PROGRAM TO HELP EASE THE TRANSITION FROM HOSPITAL TO HOME. MEDICAL CENTER-BASED EFFORTS HELPED ENHANCE QUALITY AND MEASURE PERFORMANCE AS COMPARED TO OTHER ORGANIZATIONS. ENGLEWOOD HOSPITAL WORKED WITH OTHER STAKEHOLDERS, SHARING INFORMATION AND PARTICIPATING IN IMPORTANT HEALTHCARE INITIATIVES LIKE TRANSFORMING CARE AT THE BEDSIDE. IN 2004, THE HOSPITAL OPENED A NEW 90,000-SQUARE-FOOT OUTPATIENT PAVILION, DESIGNED TO ACCOMMODATE PATIENT CONVENIENCE, COMFORT, AND PRIVACY. THE RUSSELL AND ANGELICA BERRIE CENTER FOR HUMANISTIC CARE NOW HOUSED THE BREAST CENTER, THE AMBULATORY SURGERY CENTER, A RADIOLOGY AND IMAGING CENTER, AND REHABILITATION MEDICINE. THE EMERGENCY CARE CENTER IN THE KAPLEN PAVILION OPENED IN 2009 TO STREAMLINE SERVICES AND CREATE A MORE PRIVATE, COMFORTABLE, AND CONVENIENT EXPERIENCE FOR PATIENTS. IN RECENT YEARS, A MODERNIZATION PLAN, INCLUDING THE CANCER TREATMENT AND WELLNESS CENTER AND FAMILY BIRTH PLACE HAS REINVENTED THE CAMPUS. IN 2015, ENGLEWOOD HOSPITAL AND MEDICAL CENTER ANNOUNCED A STRATEGIC AFFILIATION WITH HACKENSACK UNIVERSITY HEALTH NETWORK. THAT SAME YEAR, A NURSING STAFF OF APPROXIMATELY 650 AND MEDICAL STAFF OF MORE THAN 1,000 PROFESSIONALS SERVED MORE THAN 17,500 ADMITTED PATIENTS AND OVER 49,000 EMERGENCY CASES. THERE WERE MORE THAN 4,700 INPATIENT SURGERIES, NEARLY 935,000 OUTPATIENT SURGERIES AND VISITS, AND MORE THAN 2,500 BABIES BORN. THE HOSPITAL'S WORKFORCE OF MORE THAN 2,500 MADE IT THE LARGEST EMPLOYER IN THE AREA. CORPORATE STRUCTURE ENGLEWOOD HEALTHCARE FOUNDATION D/B/A/ ENGLEWOOD HEALTHCARE SYSTEM (THE "SYSTEM"PARENT") IS A NEW JERSEY NONPROFIT CORPORATION, WHICH WAS ORGANIZED AS A 501(C)(3) TAX-EXEMPT HOLDING CORPORATION. IT IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE MEDICAL CENTER AND THE OTHER SUBSIDIARIES OF THE PARENT. THE PARENT COORDINATES PLANNING, HOSPITAL OPERATIONS, REAL ESTATE ACTIVITY, AND SERVICES THAT SUPPORT FOR-PROFIT VENTURES INCLUDING FUNDRAISING PROVIDED BY THE SYSTEM AND ITS AFFILIATES. THE PARENT SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER, ENGLEWOOD HEALTHCARE PROPERTIES, INC., ("PROPERTIES"), ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ("FOUNDATION") AND ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ("ENTERPRISES"); REFERRED TO COLLECTIVELY AS AFFILIATES ("AFFILIATES"). ENGLEWOOD MEDICAL ASSOCIATES, INC., IS A WHOLLY OWNED, 501(C)(3) NOT-FOR-PROFIT SUBSIDIARY OF THE MEDICAL CENTER. THE FOLLOWING IS A BRIEF DESCRIPTION OF EACH OF THE AFFILIATES OF THE PARENT OTHER THAN THE MEDICAL CENTER: ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION FOUNDED IN 1995, PERFORMS FUNDRAISING AND DEVELOPMENT ON BEHALF OF THE SYSTEM AND ITS AFFILIATES. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ENGLEWOOD HEALTHCARE PROPERTIES, INC., A NOT-FOR-PROFIT 501(C)(3) COMPANY, WAS FORMED FOR THE PURPOSE OF ACQUIRING REAL ESTATE TO BE USED BY THE MEDICAL CENTER AND AFFILIATES OF THE SYSTEM. IT OWNS PROPERTIES IN BERGEN AND HUDSON COUNTIES. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A FOR-PROFIT CORPORATION THAT PROVIDES HEALTHCARE-RELATED SERVICES WITHIN THE MEDICAL CENTER'S SERVICE AREA. IT CURRENTLY MAINTAINS A MANAGEMENT SERVICE ORGANIZATION FOR THE PRACTICES OF ENGLEWOOD MEDICAL ASSOCIATES. ENGLEWOOD MEDICAL ASSOCIATES, INC. ENGLEWOOD MEDICAL ASSOCIATES, INC. ("EMA"), IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION THAT PROVIDES HEALTHCARE-RELATED SERVICES WITHIN THE MEDICAL CENTERS SERVICE AREA. IT IS A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER. MEDICAL ASSOCIATES OF ENGLEWOOD, PC MEDICAL ASSOCIATES OF ENGLEWOOD, PC (MAE), IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION THAT EMPLOYS FULL-TIME FACULTY PHYSICIANS AND ACQUIRES PHYSICIAN PRACTICES IN THE PRIMARY AND SECONDARY MARKETS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER. GOVERNANCE THE AFFAIRS OF THE MEDICAL CENTER ARE GOVERNED BY A BOARD OF TRUSTEES COMPRISING UP TO 30 MEMBERS. THE PRESIDENT OF THE MEDICAL CENTER AND THE PRESIDENT, VICE PRESIDENT, AND IMMEDIATE PAST PRESIDENT OF THE MEDICAL STAFF SERVE EX OFFICIO WITH VOTING PRIVILEGES. THE BOARD OF TRUSTEES GENERALLY MEETS MONTHLY. COMMITTEES OF THE BOARD OF TRUSTEES COMMITTEES OF THE BOARD INCLUDE FACILITIES PLANNING, FINANCE, PERSONNEL, PROFESSIONAL AFFAIRS, AND STRATEGIC PLANNING. THE AUDIT AND COMPLIANCE, COMPENSATION, EXECUTIVE, INVESTMENT, STRATEGIC PLANNING AND GOVERNMENT AFFAIRS, AND NOMINATING AND GOVERNANCE, ARE COMMITTEES OF THE SYSTEM. ENGLEWOOD HOSPITAL AND MEDICAL CENTER TODAY ENGLEWOOD HOSPITAL AND MEDICAL CENTER, A COMMUNITY TEACHING HOSPITAL IN ENGLEWOOD, NEW JERSEY, IS NATIONALLY RECOGNIZED FOR CARDIAC SURGERY AND CARDIAC CARE, BREAST IMAGING AND CANCER CARE, SPINE SURGERY, ORTHOPEDIC SURGERY, AND MATERNITY CARE, AND IS AN INTERNATIONAL LEADER IN PATIENT BLOOD MANAGEMENT AND BLOODLESS SURGERY. OTHER AREAS OF EXCELLENCE INCLUDE DIAGNOSTIC IMAGING, OFFERING A 3T MRI MACHINE, A HYBRID OPERATING ROOM, AND OTHER STATE-OF-THE-ART TECHNOLOGY. CONSISTENTLY EARNING HIGH MARKS FOR CLINICAL EXCELLENCE AND PATIENT SAFETY, ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS THE ONLY HOSPITAL IN BERGEN COUNTY AND ONE OF fewer than 100 in the nation to earn the leapfrog group's "top hospital" award for safety and quality. since 2012, the hospital has earned a safety score "a" by leapfrog, a record of achievement MAINTAINED BY ONLY FIVE HOSPITALS IN NEW JERSEY. SINCE 2002, THE MEDICAL CENTER HAS BEEN RECOGNIZED BY THE MAGNET RECOGNITION PROGRAM FOR EXCELLENCE IN NURSING. NATIONALLY, ONLY 7 PERCENT OF HOSPITALS HAVE ACHIEVED MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER. ENGLEWOOD HOSPITAL AND MEDICAL CENTER OFFERS TRAINING PROGRAMS FOR STUDENTS AND PROFESSIONALS, INCLUDING AN INTERNAL MEDICINE RESIDENCY PROGRAM. FOUNDED IN 1890 AS A 12-BED FACILITY, ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS TODAY A FULLY ACCREDITED HOSPITAL WITH 531 LICENSED BEDS. THROUGH AN ONGOING CAMPUS MODERNIZATION PROJECT, A GROWING AND COMPREHENSIVE PHYSICIAN NETWORK, AND A STRATEGIC FOCUS ON OUTPATIENT SERVICES AND POPULATION HEALTH MANAGEMENT, ENGLEWOOD HOSPITAL AND MEDICAL CENTER CONTINUALLY INNOVATES AND ADAPTS IN ORDER TO MEET THE NEEDS OF THE COMMUNITY IT SERVES AND REMAIN ON THE FOREFRONT OF HIGH-QUALITY CARE. VISION STATEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL BE THE REGIONAL LEADER IN PROVIDING STATE-OF-THE-ART COMPASSIONATE CARE IN A HUMANISTIC ENVIRONMENT. MISSION STATEMENT PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. COMMUNITY SERVICES THE MEDICAL CENTER OPERATES AS A NON 407362265 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false true true false false false false false false true false false false false false false true true true true false true 276 0 true 2858 true false false false false false false false false false false X 26 21 true false false false true true true true true false false true true true true true true true true false NJ X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 07631 ANDREW F DURKIN TRUSTEE 1.0 1.0 X 0 0 0 DAVID A SHANKS Trustee (Term 1/1/15) 1.0 1.0 X 0 0 0 EDDIE R HADDEN ESQ TRUSTEE 1.0 1.0 X 0 0 0 EUGENE R DIAZ Trustee (Term 4/14/15) 1.0 1.0 X 0 0 0 GAYLE GERSTEIN TRUSTEE 1.0 0.0 X 0 0 0 GERALD LEE MD TRUSTEE 1.0 0.0 X 0 0 0 GREGG LOBEL MD TRUSTEE 1.0 0.0 X 0 0 0 HUGH E EVANS MD Trustee (Term 9/30/15) 1.0 0.0 X 0 0 0 IN JIN CHOI TRUSTEE 1.0 0.0 X 0 0 0 JAY C NADEL TRUSTEE 5.0 7.0 X 0 0 0 JEFFREY MATICAN MD TRUSTEE 1.0 55.0 X 34940 530429 6116 JONATHAN ABAD Trustee/Treasurer 2.0 1.0 X X 0 0 0 MARGARET R KAPLEN TRUSTEE 1.0 0.0 X 0 0 0 MARK METZGER Trustee (Term 9/30/15) 1.0 0.0 X 0 0 0 MARK SHAPIRO MD TRUSTEE 1.0 1.0 X 0 250000 0 MICHAEL B BRENNER Trustee (Term 9/30/15) 1.0 1.0 X 0 0 0 RICHARD J KURTZ TRUSTEE 1.0 4.0 X 0 0 0 RICHARD LERNER TRUSTEE 1.0 1.0 X 0 0 0 ROBERT F MANGANO trustee 2.0 2.0 X 0 0 0 RONALD GOLD TRUSTEE 1.0 1.0 X 0 0 0 SAM S KIM Vice Chairman (Term 11/23/15) 1.0 1.0 X X 0 0 0 STEPHEN BRUNNQUELL MD Trustee (Term 12/31/15) 3.0 0.0 X 0 100440 0 STEVEN RUDNITSKY TRUSTEE 1.0 0.0 X 0 0 0 STEVEN SIESSER VICE CHAIRMAN 1.0 1.0 X X 0 0 0 SUN CHONG KIM TRUSTEE 1.0 0.0 X 0 0 0 THOMAS C SENTER ESQ CHAIRMAN 14.0 2.0 X X 0 0 0 THOMAS J VOLPE TRUSTEE 1.0 1.0 X 0 0 0 WARREN GELLER PRESIDENT / CEO 55.0 8.0 X X 887295 189000 39166 YALE BLOCK TRUSTEE 2.0 1.0 X 0 0 0 DAVID GRAF Trustee (Eff. 9/30/15) 1.0 1.0 X 0 0 0 THOMAS JACKSON MD Trustee (Eff. 9/30/15) 1.0 0.0 X 0 0 0 LEON REDENSKY Trustee (Eff. 9/30/15) 1.0 0.0 X 0 0 0 ANTHONY T ORLANDO SENIOR VICE PRESIDENT / CFO 55.0 4.0 X 554147 23498 35180 MADELYN PEARSON RN SVP, Pt. Care SVC (Term 6/15) 55.0 0.0 X 209244 0 18398 MICHAEL PIETROWICZ SR. VP, PLANNING & DEVLOPMT 55.0 2.0 X 392405 0 35168 PATRICIA G WILSON SR. VP, HUMAN RESOURCES 55.0 0.0 X 362278 0 34247 KATHLEEN KAMINSKY SR.VICE PRES. POP HEALTH OFF. 55.0 0.0 X 280771 0 35367 ALICIA PARK VICE PRESIDENT, COMMUNICATIONS 55.0 0.0 X 250635 0 9288 HELENE WOLK SR. VICE PRESIDENT, OPERATIONS 55.0 0.0 X 363074 0 15956 3334789 1093367 228886 397 false true false ENGLEWOOD CARDIAC SURGERY ASSOCIATE 350 ENGLE STREET ENGLEWOOD NJ 07631 PHYSICIAN SERVICES 2801158 TEAMHEALTH ANESTHESIANORTHERN VAL 375 ENGLE STREET ENGLEWOOD NJ 07631 PHYSICIAN SERVICES 754149 ADVANCED MEDICAL IMAGING OF NORTH J 452 OLD HOOK ROAD SUITE 301 EMERSON NJ 07630 MANAGEMENT SERVICES 975000 DRINKER BIDDLE REATH LLP 18TH CHERRY STREETS PHILADELPHIA PA 19103 LEGAL SERVICES 888911 OBGYN ASSOCIATES OF TENAFLY 2 DEAN DRIVE TENAFLY NJ 07670 PHYSICIAN SERVICES 764428 34 2080736 1117527 78800 3277063 NET PATIENT SERVICE REVENUE 622110 494441598 494441598 AFFILIATED ORG RENT 531190 195100 195100 494636698 285176 285176 0 0 1041684 1041684 0 1041684 1041684 10925 234724 -223799 -223799 -223799 0 0 0 CAFETERIA SALES 722210 2419708 2419708 VOLUME PURCHASING DISCTS 900099 764523 764523 JOINT VENTURE 900099 1244757 1244757 1685056 1266611 418445 6114044 505130866 496667832 5185971 0 22500 22500 0 0 1778370 34940 1743430 75069 75069 142035275 117392007 24643268 5317202 4395970 921232 15981209 13212384 2768825 11077758 9158481 1919277 704437 704437 1542448 1542448 268038 268038 55718 55718 0 0 107269057 97648547 9620510 2703344 1796876 906468 4820651 3207663 1612988 0 9500270 660048 8840222 0 8904707 5059761 3844946 424148 314071 110077 0 241025 207910 33115 4374458 4374458 0 28012054 13426249 14585805 6729359 4622103 2107256 PROVISION FOR BAD DEBT 14271000 14271000 DRUGS AND PHARMACEUTICALS 34961184 34943550 17634 MEDICAL SUPPLIES 62063253 62063253 OUTSIDE/CONTRACTED SVCS 26143795 19423676 6720119 2305778 347312 1958466 491582107 407362265 84219842 0 27926669 44264071 12401222 11621015 0 0 49208332 49624560 0 0 0 0 2537521 2429417 10473047 10043234 4641915 6245338 633439754 356011709 250370230 277428045 11487530 11473659 0 0 5428012 5572770 0 0 65758591 70578605 440233069 489280714 61700925 62139940 0 0 501292 241192 0 0 0 0 0 0 143439136 181215248 0 0 99128854 87825747 304770207 331422127 X 100288405 115979928 32050599 38754801 3123858 3123858 135462862 157858587 440233069 489280714 X 13548759 -1129 8848095 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 55718 55718 55718 55718 491566889 491566889 491622607 491622607 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 19443 16953 18152 55718 110266 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 180588 180588 170393248 54950505 115442743 1636839 1601789 35050 435560114 299459415 136100699 25668965 0 25668965 277428045 DEFERRED BOND ISSUANCE COSTS 3543364 INTEREST IN NET ASSETS OF FDN 41878659 ASSETS WHOSE USE IS LIMITED 5369977 MORTGAGE ESCROW ACCOUNT 862303 REBATES & OTHER VENDOR CREDIT 694258 ESTIMATED WORKERS' COMP CLAIMS 1434079 ESTIMATED MALPRACTICE CLAIMS 11203566 DUE FROM AFFILIATES 3100081 OTHER RECEIVABLES 2492318 70578605 0 ESTIMATED AMOUNTS DUE TO PAYOR 32148502 RETIREE HEALTH BENEFITS PAYABLE 1671528 IBNR MALPRACTICE CLAIMS 4335033 ACCRUED PENSION LIABILITY 37033026 ESTIMATED WORKERS' COMP CLAIMS 1434079 ESTIMATED MALPRACTICE CLAIMS 11203566 OTHER LIABILITIES 13 87825747 X SCHEDULE D, PART X, LINE 2 ASC 740 (FIN 48) AUDIT FOOTNOTE The Medical Center accounts for uncertainty in income taxes using 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 recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2015 and 2014. true true true X true X 201. true true true false true true 17536008 1170000 16366008 0.03330 39073352 19796506 19276846 0.03920 56609360 20966506 35642854 0.07250 552772 0 552772 0.00090 11738955 2399091 9339464 0.01900 66835000 40716000 26119000 0.05310 432920 123800 309120 0.00090 331913 0 331913 0.00060 79891560 43238891 36652269 0.07450 136500920 64205397 72295123 0.14700 true 14271000 2402295 129088000 183504000 -54416000 X true true 1 1 ENGLEWOOD HOSPITAL AND MED CTR 350 ENGLE ST ENGLEWOOD NJ 07631 ENGLEWOODHOSPITAL.COM 10202 X X X X X ENGLEWOOD HOSPITAL AND MEDICAL CENTER 1 false false true X X X X X X X X 13 true true true true X WWW.HEALTHyBERGEN.ORG true 15 true WWW.HEALTHyBERGEN.ORG false false true X 201. 201. X X true true X X true X X X X true X false X X true X false false PART V, SECTION B, QUESTION 5 THE CHNA PROCESS INCLUDED INPUT FROM MORE THAN 80 INDIVIDUALS THAT REPRESENTED A CROSS-SECTION OF HOSPITAL CLINICAL AND ADMINISTRATIVE STAFF, OTHER HEALTH AND SOCIAL SERVICE PROVIDERS (INCLUDING PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH PROVIDERS, AND ELDER SERVICES PROVIDERS), LOCAL AND COUNTY PUBLIC HEALTH OFFICIALS, ELECTED AND APPOINTED PUBLIC OFFICIALS, COMMUNITY ADVOCATES, CLERGY AND COMMUNITY RESIDENTS. PART V, SECTION B, QUESTION 6A OTHER HOSPITALS THAT WERE A PART OF THE COLLABORATIVE EFFORT FOR THE CHNA: CHRISTIAN HEALTH CARE CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, HOLY NAME MEDICAL CENTER AND THE VALLEY HOSPITAL. Part V, Section B, question 6B other organizations that were a part of the collaborative effort for the CHNA: Bergen County Public Health Institutions and Leading Health and Social Service Organizations. PART V, SECTION B, QUESTION 11 ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS ANALYZING THE CHNA TO DETERMINE WHICH OF THE IDENTIFIED NEEDS IT CAN ADDRESS. THE NEEDS ARE FAIRLY BROAD BASED AND REQUIRE CAREFUL CONSIDERATION AND STRATEGIC PLANNING. ONE OF THE IDENTIFIED NEEDS IS ACCESS TO CARE/REDUCE TRANSPORTATION BARRIERS. THIS PARTICULAR NEED IS OUTSIDE THE DIRECT INFLUENCE OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER, AND SHOULD BE CONSIDERED BY THE STATE OF NEW JERSEY'S TRansit AGENCY AND THE SURROUNDING COMMUNITIES. PART I, LINE 3C IF A PATIENT IS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAS NO OTHER INSURANCE COVERAGE, THEY ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM. PART I, LINE 6A AS PART OF ITS ANNUAL FILING OF FORM 990, THE MEDICAL CENTER PREPARES A STATEMENT THAT PROVIDES A HISTORY OF THE MEDICAL CENTER, ITS CORPORATE STRUCTURE LISTING ITS AFFILIATED ORGANIZATIONS AND COMPANIES, A DESCRIPTION OF ITS GOVERNANCE AND STANDING COMMITTEES, ITS VISION STATEMENT, AND A DESCRIPTION OF ITS SERVICES PROVIDED TO THE COMMUNITY IN THE PRECEDING YEAR. THIS REPORT IS AVAILABLE TO ANYONE THAT REQUESTS A COPY OF THE MEDICAL CENTER'S FORM 990 AND IS LIKEWISE AVAILABLE TO INTERNET USERS THAT VISIT THE GUIDESTAR WEB SITE. PART I, LINE 7 COLUMN (F) THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. PART I, LINE 7 THE MEDICAL CENTER UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. THE ORGANIZATION DOES NOT UTILIZE A COST ACCOUNTING SYSTEM, NOR WAS A COST-TO-CHARGE RATIO UTILIZED TO DERIVE ANY OF THE AMOUNTS USED IN WORKSHEET 2. PART III, LINE 2 THE AMOUNT OF ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. PART III, LINE 3 THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE IS APPROXIMATELY 16.8% OF THE TOTAL BAD DEBT EXPENSE (AT COST), WHICH IS CONSISTENT WITH THE MEDICAL CENTER'S EXPERIENCE OF PATIENT ACCOUNT WRITE-OFFS. PART III, LINE 4 THE TEXT OF THE MEDICAL CENTER'S AUDIT REPORT FOOTNOTE IN REGARDS TO BAD DEBTS IS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE RESULT FROM HEALTH CARE SERVICES PROVIDED BY THE MEDICAL CENTER. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FURTHER, THE CURRENT NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CHARITY CARE GUIDELINES REQUIRE THE PARTICIPATION AND COOPERATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES UNDERSTATE THE MEDICAL CENTER'S CHARITY CARE AMOUNTS AND OVERSTATE THE LEVEL OF BAD DEBTS REPORTED BECAUSE OF THE DIFFICULTIES INVOLVED WITH OBTAINING PATIENT COOPERATION. DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM. DISCOUNTS TO THOSE PATIENTS WHO DID NOT QUALIFY UNDER THE CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE CHARITY CARE AMOUNTS. THE MEDICAL CENTER RECEIVES PARTIAL REIMBURSEMENT FOR THE CHARITY CARE IT PROVIDES. PART III, LINE 8 THE MEDICARE SHORTFALL REFLECTS THE "NET" PROVISION OF FULL SERVICES TO A CERTAIN POPULATION, AGE 65 AND OVER, THAT IS SUBSIDIZED BY THE MEDICAL CENTER. THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. PART III, LINE 9B IT IS THE POLICY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ENGLEWOOD HOSPITAL PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MEDICALLY POSSIBLE, FROM THE PATIENT. ALL PATIENT OR RESPONSIBLE PARTY DEMOGRAPHIC DATA IS COLLECTED AND DOCUMENTED. IDENTIFICATION, SUCH AS A DRIVER'S LICENSE OR A SOCIAL SECURITY CARD WILL BE REQUESTED AND COPIED IF AVAILABLE. IF IDENTIFICATION IS UNAVAILABLE, THE REGISTRATION FORM IS DOCUMENTED ACCORDINGLY. INSURANCE INFORMATION IS REQUESTED AND DOCUMENTED, AND IF AVAILABLE, INSURANCE IDENTIFICATION CARDS ARE COPIED. ALL PATIENTS OR RESPONSIBLE PARTIES ARE GIVEN A NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE FACT SHEET. IF HEALTH INSURANCE INFORMATION IS NOT GIVEN AT THE TIME OF REGISTRATION, OR HEALTH INSURANCE INFORMATION IS GIVEN THAT WILL NOT PROVIDE PAYMENT IN FULL, THE MEDICAL CENTER WILL REFER PATIENTS TO PUBLIC ASSISTANCE PROGRAMS IF APPROPRIATE. REFERRAL WILL BE BASED ON INCOME AND ASSETS INFORMATION GIVEN. IF THE PATIENT APPEARS TO BE ELIGIBLE BASED ON THE INFORMATION GIVEN, THE MEDICAL CENTER WILL PROVIDE THAT PATIENT WITH WRITTEN INFORMATION REGARDING THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE APPROPRIATE PUBLIC ASSISTANCE PROGRAM. PATIENTS ARE REFERRED TO PUBLIC ASSISTANCE PROGRAMS BASED ON INCOME THAT MEETS THE POVERTY INCOME GUIDELINES. ALL INCOME AND ASSETS INFORMATION IS DOCUMENTED AND KEPT WITH THE PATIENT'S BILLING FILE. PATIENTS WHO ARE FOUND TO BE ELIGIBLE FOR MEDICAID AND HAVE OUTSTANDING BILLS FROM THE THREE MONTHS PRIOR TO THE APPLICATION FOR MEDICAID, ARE GIVEN A RETROACTIVE MEDICAID APPLICATION FORM (FD74) TO COMPLETE AND MAIL. IF THE PATIENT DOES NOT APPEAR TO BE ELIGIBLE FOR A PUBLIC ASSISTANCE PROGRAM BASED ON INCOME AND ASSETS INFORMATION PROVIDED OR IF THE PUBLIC ASSISTANCE PROGRAM PROVIDES THE PATIENT WITH A WRITTEN DENIAL, THE PATIENT WILL BE SCREENED FOR CHARITY CARE. PERSONS WHO ARE NOT NEW JERSEY RESIDENTS MAY NOT BE SCREENED FOR CHARITY CARE UNLESS THE CARE IS RELATED TO AN EMERGENCY RESULTING IN AN INPATIENT ADMISSION. SIGNS PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH INDICATING THE AVAILABILITY OF CHARITY CARE IN ENGLISH, SPANISH, AND KOREAN ARE POSTED IN THE MEDICAL CENTER DEPARTMENTS: ADMITTING, EMERGENCY ROOM, OUTPATIENT REGISTRATION, CLINIC, AND ALL PATIENT ACCOUNTING DEPARTMENTS. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO PROVIDE PROPER IDENTIFICATION, PLACE OF EMPLOYMENT, INCOME, REAL PROPERTY, DURABLE PERSONAL PROPERTY, LIQUID ASSETS, AND BANK ACCOUNTS. A PERSON'S INCOME FOR PURPOSES OF DETERMINING ELIGIBILITY FOR CHARITY CARE ASSISTANCE SHALL BE THE LESSER OF THE ACTUAL GROSS INCOME FOR TWELVE MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME FOR THE THREE MONTHS PRECEDING THE SERVICES OR ONE MONTH'S GROSS INCOME MULTIPLIED BY TWELVE. INCOME INCLUDES A SPOUSE'S INCOME FOR AN ADULT AND PARENTAL INCOME FOR A MINOR CHILD. A PERSON'S LIQUID ASSETS MAY NOT EXCEED $7,500 AND A PERSON'S FAMILY ASSETS MAY NOT EXCEED $15,000 TO BE ELIGIBLE FOR CHARITY CARE. ASSETS INCLUDE SPOUSAL ASSETS FOR ADULT PATIENTS AND PARENTAL ASSETS FOR A MINOR CHILD. A COPY OF ALL INCOME AND ASSET INFORMATION IS MAINTAINED WITH THE PATIENT'S BILLING FILE. BASED ON THE INCOME AND ASSET INFORMATION PROVIDED, THE MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR CHARITY CARE USING THE ELIGIBILITY CRITERIA CHART PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO COMPLETE A CHARITY CARE APPLICATION. ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL ACCEPT CHARITY CARE APPLICATIONS BEYOND ONE YEAR FROM DATES OF SERVICE. THE MEDICAL CENTER WILL USE THE ELIGIBILITY CRITERIA IN EFFECT FOR THE DATES OF SERVICE FOR ALL DETERMINATIONS. AN ELIGIBILITY DETERMINATION FOR CHARITY CARE WILL BE MADE WITHIN TEN WORKING DAYS FOLLOWING THE DATE OF REQUEST. IF THE REQUEST DOES NOT INCLUDE SUFFICIENT DOCUMENTATION TO MAKE A DETERMINATION, THE REQUEST WILL BE DENIED. IF DENIAL OF ELIGIBILITY IS DUE TO LACK OF DOCUMENTATION, THE PATIENT SHALL BE PERMITTED TO PROVIDE THE ADDITIONAL DOCUMENTATION. THE MEDICAL CENTER SHALL PROMPTLY PROVIDE THE PATIENT WITH A WRITTEN COPY OF THE DETERMINATION. A COPY OF THE CHARITY CARE APPLICATION AND THE DETERMINATION IS KEPT WITH THE PATIENT'S BILLING FILE. IF THE AMOUNT A PATIENT IS DETERMINED TO BE RESPONSIBLE FOR EXCEEDS 30% OF THEIR INDIVIDUAL OR FAMILY INCOME, THIS EXCESS WILL BE ELIGIBLE FOR CHARITY CARE. ANY DETERMINATION THAT GRANTS CHARITY CARE WILL BE IN EFFECT FOR ONE YEAR FROM THE DATE OF SERVICE. ALL CHARITY CARE ALLOWANCES ON BALANCES AFTER MEDICARE PAYMENTS ENTERED INTO THE MEDICAL CENTER'S COMPUTERIZED BILLING SYSTEM WITH A SEPARATE "MEDICARE CHARITY CARE" TRANSACTION CODE. ANY PATIENT NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAVE NO OTHER INSURANCE COVERAGE, ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM. ANY PATIENT WHO IS NOT FOUND TO BE ELIGIBLE FOR CHARITY CARE WILL BE GIVEN THE OPPORTUNITY TO MAKE PAYMENT ARRANGEMENTS. THE MEDICAL CENTER WILL MAKE EVERY ATTEMPT TO MAKE ARRANGEMENTS WITH THE PATIENT OR RESPONSIBLE PARTY FOR PAYING THE BALANCE DUE WITHIN ONE YEAR. THE MEDICAL CENTER WILL ACCEPT CIRCUMSTANCES WHERE IT MAY TAKE A PATIENT OR RESPONSIBLE PARTY LONGER THAN ONE YEAR TO PAY THE DEBT. DEPOSITS ARE REQUESTED FROM PATIENTS OR RESPONSIBLE PARTIES AT THE TIME OF REGISTRATION WHEN THE PATIENT IS NOT COVERED BY INSURANCE OR THE SERVICE IS A NON-COVERED SERVICE (I.E. COSMETIC SURGERY). ONCE ALL INSURANCE BILLING AND FOLLOW-UP HAS BEEN EXHAUSTED AND THE PATIENT IS NOT ELIGIBLE FOR ANY TYPE OF PUBLIC OR CHARITY CARE, THE COLLECTION CYCLE BEGINS. THREE BILLING STATEMENTS ARE SENT AT THREE WEEK INTERVALS, FOLLOWED BY THREE COLLECTION LETTERS SENT AT TWO WEEK INTERVALS. IF A PAYMENT OR OTHER PERTINENT INFORMATION IS RECEIVED DURING THE COLLECTION CYCLE, THE CYCLE WILL STOP AND RESTART WHEN APPROPRIATE WITH THE THREE BILLING STATEMENTS PREVIOUSLY NOTED. MAIL RETURNS ARE DOCUMENTED IN THE PATIENT'S ACCOUNTS. AFTER THE COLLECTION CYCLE IS COMPLETED AND NO PAYMENT OR RESPONSE FROM THE PATIENT IS RECEIVED, THE ACCOUNT IS TURNED OVER TO AN OUTSIDE AGENCY AT THE END OF THE MONTH FOLLOWING THE COMPLETION OF THE COLLECTION CYCLE. ALL ACCOUNTS ARE REVIEWED AND SIGNED BY THE CREDIT SUPERVISOR PRIOR TO REFERRAL TO AN OUTSIDE COLLECTION AGENCY. Part VI, Line 2 - Needs Assessment DURING 2012 AND 2013, ENGLEWOOD HOSPTIAL AND MEDICAL CENTER PARTICIPATED IN BERGEN COUNTY'S COLLABORATIVE EFFORT TO PRODUCE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE COLLABORATIVE EFFORT WAS COMPLETED AMONG BERGEN COUNTY'S HOSPITALS, PUBLIC HEALTH INSTITUTIONS AND LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS. PRIOR COLLABORATIVE EFFORTS HELPED TO RANK BERGEN COUNTY AS THE FOURTH HEALTHIEST COUNTY OF NEW JERSEY'S 21 COUNTIES. THE COLLABORATIVE CHNA ASSESSES THE COMMUNITY HEALTH NEEDs, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATES A HEALTH IMPROVEMENT STRATEGY THAT ADDRESSES HOW HOSPITALS, IN COLLABORATION WITH THE COMMUNITY, WILL ADDRESS THE NEEDS AND PRIORITIES IDENTIFIED BY THE CHNA. IN ADDITION TO THE CHNA, THE ORGANIZATION UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE THIRD PARTY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. FURTHER, THE MEDICAL CENTER MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTH GRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE "REPORT CARDS" TO THE PUBLIC REGARDING THE MEDICAL CENTER'S PERFORMANCE. THE ORGANIZATION ALSO ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS IF THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE MEDICAL CENTER TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED. Part VI, Line 3 - Patient Education of Eligibility for Assistance ENGLEWOOD HOSPITAL AND MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MED true EDUCATIONAL SCHOLARSHIPS 18 22500 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS Form 990, Schedule I, Part I, Line 2 SCHOLARSHIPS ARE AWARDED BASED ON ACADEMIC PERFORMANCE AND THE TYPE OF HEALTHCARE RELATED CURRICULUM BEING STUDIED. X X X X false true false false false false false true false ANTHONY T ORLANDO SENIOR VICE PRESIDENT / CFO 433653 23498 75500 0 44994 0 28165 0 7015 0 589327 23498 0 0 JEFFREY MATICAN MD TRUSTEE 0 350596 0 167833 34940 12000 0 3635 0 2481 34940 536545 0 0 MADELYN PEARSON RN SVP, Pt. Care SVC (Term 6/15) 132919 0 45000 0 31325 0 14188 0 4210 0 227642 0 0 0 MARK SHAPIRO MD TRUSTEE 0 250000 0 0 0 0 0 0 0 0 0 250000 0 0 MICHAEL PIETROWICZ SR. VP, PLANNING & DEVLOPMT 315348 0 53300 0 23757 0 24760 0 10408 0 427573 0 0 0 PATRICIA G WILSON SR. VP, HUMAN RESOURCES 287221 0 48600 0 26457 0 26014 0 8233 0 396525 0 3440 0 WARREN GELLER PRESIDENT / CEO 576173 189000 205200 0 105922 0 26646 0 12520 0 926461 189000 0 0 KATHLEEN KAMINSKY SR.VICE PRES. POP HEALTH OFF. 228553 0 33800 0 18418 0 26242 0 9125 0 316138 0 0 0 ALICIA PARK VICE PRESIDENT, COMMUNICATIONS 224711 0 25000 0 924 0 346 0 8942 0 259923 0 0 0 HELENE WOLK SR. VICE PRESIDENT, OPERATIONS 315385 0 45100 0 2589 0 5660 0 10296 0 379030 0 0 0 SCHEDULE J, SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE J, PART I, LINE 4B CONTRIBUTIONS TO NONQUALIFIED PLAN (457F): PATRICIA WILSON, $58 THE PURPOSE OF THE MEDICAL CENTERS AND AFFILIATED ORGANIZATIONS 457(F) PLAN IS TO OFFER ELIGIBLE EXECUTIVE EMPLOYEES DEFERRED COMPENSATION BENEFITS TAXABLE UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE TO SUPPLEMENT SUCH EMPLOYEES RETIREMENT BENEFITS UNDER THE EMPLOYERS SECTION 403(B) AND 457(B) ELIGIBLE DEFERRED COMPENSATION PLANS. ELIGIBILITY IS LIMITED TO EMPLOYEES HOLDING CERTAIN TITLES AND DETERMINED ELIGIBLE BY THE MEDICAL CENTERS COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS THE ORGANIZATION PROVIDES THE OPPORTUNITY FOR ANNUAL INCENTIVE COMPENSATION TO SENIOR MANAGEMENT UNDER AN EXECUTIVE INCENTIVE COMPENSATION PLAN. THE PLAN IS DESIGNED TO OFFER OPPORTUNITIES FOR ADDITIONAL COMPENSATION TIED TO PERFORMANCE AGAINST PRE-DETERMINED QUALITY, FINANCIAL, PATIENT SATISFACTION, COMMUNITY SERVICE, PATIENT SAFETY, AND INDIVIDUAL GOALS APPROVED FOR IN ADVANCE BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. DURING THE TAXABLE YEAR, THE ORGANIZATION PAID OUT INCENTIVE COMPENSATION TO CERTAIN INDIVIDUALS AS REPORTED ON SCHEDULE J, PART II, COLUMN B(II). PATRICIA DURKIN SEE SCHEDULE L, PART V 75069 SEE SCHEDULE L, PART V false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS (1) Name: Patricia Durkin: Patricia Durkin is the sister-in-law of Andrew Durkin, Trustee. She is employed as a mammography technologist by Englewood Hospital and Medical Center. Amount: $75,069. Description: Employment. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND THE COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. DESCRIPTION OF RELATIONSHIPS Form 990, Part VI, Line 2 BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Line 6 ENGLEWOOD HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER. Description of Members, Stockholders, or other Persons who had the power to Elect or Approve One or More Members of the Governing Body Form 990, Part VI, Line 7a ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO: A)VOTE IN THE ELECTION OF TRUSTEES AND TO CAST ONE VOTE FOR EACH TRUSTEE ELECTED; B)ONE VOTE ON ALL OTHER MATTERS TO BE VOTED ON. Description of Governance Decisions of the Organization Reserved to Members, Stockholders, or Persons Other Than the Governing Body Form 990, Part VI, Line 7b ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO APPROVE: A)AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, B)SALE, LEASE OR EXCHANGE OF SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS, C)MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, D)DISSOLUTION, E)APPROVAL OF THE ANNUAL BUDGET, F)ANY SUBSTANTIAL TRANSFER OF FUNDS BY GRANT, GIFT OR LOAN, G)ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF THE MEMBER. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 Form 990, Part VI, Line 11b AT THE OCTOBER MEETING OF ENGLEWOOD HEALTHCARE SYSTEM, THE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Form 990, Part VI, Line 12c ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS CONFLICT OF INTEREST POLICIES THAT APPLY TO OFFICERS, DIRECTORS AND TRUSTEES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S NOMINATING AND GOVERNANCE COMMITTEE OF ITS BOARD OF TRUSTEES REVIEWS CONFLICT OF INTEREST STATEMENTS. IF ANY MATTER IS BROUGHT TO THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED TRUSTEE SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY THE TRUSTEE'S WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION, AND SHALL BE ALLOWED NO VOTE ON THE MATTER. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN Form 990, Part VI, Lines 15A AND 15B ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS A STANDING EXECUTIVE COMPENSATION COMMITTEE THAT MEETS THREE TO FIVE TIMES PER YEAR TO REVIEW MANAGEMENT'S PERFORMANCE AND APPROVE THEIR COMPENSATION LEVELS. REVIEW CRITERIA INCLUDES, BUT IS NOT LIMITED TO, OPERATING RESULTS, PERSONAL AND INSTITUTIONAL OBJECTIVES, ETC. THE COMMITTEE ALSO ENGAGES AN INDEPENDENT FIRM TO ASSESS COMPETITIVE COMPENSATION WITHIN THE LOCAL AREA COMMENSURATE WITH EXPERIENCE AND RESPONSIBILITY. FINALLY, DATA IS GATHERED FROM SEVERAL SOURCES REFLECTING LOCAL MARKET RATES AND COMPENSATION LEVELS FOR SIMILAR POSITIONS. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC Form 990, Part VI, Line 19 ENGLEWOOD HOSPITAL AND MEDICAL CENTER COMPLIES WITH ALL GOVERNMENT REQUIREMENTS RELATING TO THE DISCLOSURE OF THESE ITEMS. FINANCIAL INFORMATION IS AVAILABLE PUBLICLY VIA THE REQUIRED SUBMISSION OF DATA TO THE INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL'S OFFICE. REQUESTS FROM THE PUBLIC FOR ADDITIONAL INFORMATION ARE HANDLED ON A CASE-BY-CASE BASIS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN MINIMUM PENSION FUNDING $(2,143,893) CHANGE IN NET ASSETS OF FOUNDATION $ 6,704,202 -------------- TOTAL $(8,848,085) REQUIRED AUDIT FORM 990, PART XII, LINE 3B ENGLEWOOD HOSPITAL AND MEDICAL CENTER UNDERWENT THE REQUIRED AUDIT IN FULL COMPLIANCE WITH THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES - COMMUNITY TOTAL FEES:71783347 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES - HOSPITAL TOTAL FEES:22489527 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES - ADMIN TOTAL FEES:2366171 FORM 990 PART IX LINE 11G DESCRIPTION:NURSE PRACTITIONER FEES TOTAL FEES:3247576 FORM 990 PART IX LINE 11G DESCRIPTION:STATE OF NJ ADUSTED ADM FEE TOTAL FEES:2148504 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:2362379 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:486968 FORM 990 PART IX LINE 11G DESCRIPTION:ALL OTHER FEES TOTAL FEES:2384585 ENGLEWOOD HOSPITAL AND MEDICAL CTR FDTN 350 ENGLE STREET ENGLEWOOD NJ 07631 223367281 FUNDRAISING NJ 501(C)(3) 7 EHS true ENGLEWOOD HEALTHCARE SYSTEM INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222749097 HLTH ACTIVITY NJ 501(C)(3) 11b NA false ENGLEWOOD HEALTHCARE PROPERTIES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222943092 PROPERTY ACQ NJ 501(C)(2) EHS true ENGLEWOOD MEDICAL ASSOCIATES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 223446625 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true MEDICAL ASSOCIATES OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 452548322 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true EMERGENCY PHYSICIANS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 454604076 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true PHYSICIAN PARTNERS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 455597971 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 MEDICAL SERVICES NJ NA C Corp true false false true false false false false false false true false false false false true true true true false ENGLEWOOD HOSP & MED CTR FOUNDATION o 1018264 FMV ENGLEWOOD HOSP & MED CTR FOUNDATION j 40500 CASH ENGLEWOOD HOSP & MED CTR FOUNDATION c 2080736 CASH ENGLEWOOD HOSP & MED CTR FOUNDATION q 2302695 FMV ENGLEWOOD HEALTHCARE ENTERPRISES j 100000 CASH ENGLEWOOD HEALTHCARE ENTERPRISES q 305332 CASH ENGLEWOOD HEALTHCARE PROPERTIES j 206176 FMV ENGLEWOOD HEALTHCARE PROPERTIES q 3000 FMV ENGLEWOOD HEALTHCARE SYSTEM q 34400 CASH MEDICAL ASSOCIATES OF ENGLEWOOD PC p 7293644 CASH MEDICAL ASSOCIATES OF ENGLEWOOD PC q 772613 CASH MEDICAL ASSOCIATES OF ENGLEWOOD PC r 57958985 CASH