2016-05-31T14:50:22-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2014-01-01 221487166 EAST ORANGE GENERAL HOSPITAL EAST 9734146868 300 CENTRAL AVENUE EAST ORANGE NJ 07018 EDWARD BOND TREASURER 9734146868 2016-05-19 1 JAMES D WATSON P01450300 2156433900 2014 2016-08-17 19:52:53Z MARTIN BIEBER 300 CENTRAL AVENUE EAST ORANGE NJ 07018 110574380 0 X WWW.EVH.ORG X 1935 NJ TO IMPROVE THE HEALTH OF THE COMMUNITY BY WORKING COLLABORATIVELY TO PROVIDE EFFICIENT, SAFE AND ACCESSIBLE HEALTH CARE SERVICES WITH THE UTMOST RESPECT AND COMPASSION. 11 10 1226 58 0 0 5579463 3518169 91746794 88961959 1352944 1177441 2711683 2262417 101390884 95919986 3266472 3230839 0 0 68179623 64394714 0 0 0 38968295 45457638 110414390 113083191 -9023506 -17163205 77871542 65721278 46620075 52321258 31251467 13400020 TO IMPROVE THE HEALTH OF THE COMMUNITY BY WORKING COLLABORATIVELY TO PROVIDE EFFICIENT, SAFE AND ACCESSIBLE HEALTH CARE SERVICES WITH THE UTMOST RESPECT AND COMPASSION. 0 0 75967058 0 78420016 INPATIENT/OUTPATIENT MEDICAL, SURGICAL, & EMERGENCY: 211 BED ACUTE CARE HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF ESSEX COUNTY. THIS INCLUDES NUMEROUS OUTPATIENT AND AMBULATORY SERVICES AND EMERGENCY CARE. THERE WERE 32,653 ER VISITS IN 2014, 70,486 CLINICS, AND NUMEROUS ANCILLARY SERVICES. 6481947 3230839 6666118 MENTAL HEALTH: PROVIDE CHILD AND ADULT INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES. AS A STATE DESIGNATED CRISIS CENTER, WE TREATED 1,415 CRISIS CASES, 10,113 CHILDREN, AND 49,086 ADULTS IN 2014. 3768743 0 3875825 HEMODIALYSIS - OUTPATIENT: DIALYSIS IS PROVIDED TO ITS PATIENTS IN A CARING ENVIRONMENT. 22,036 DIALYSIS TREATMENTS WERE PERFORMED IN 2014. 86217748 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 325 0 1226 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X JACQUELINE CLYBURN 9734146868 300 CENTRAL AVENUE EAST ORANGE NJ 07018 LEONARD MURRAY II CHAIRMAN 2.00 2.00 X X 0 0 0 J MICHEAL ARMSTRONG VICE CHAIRMAN 2.00 2.00 X X 0 0 0 ROBERT L BOWSER SECOND VICE CHAIRMAN 2.00 2.00 X X 0 0 0 GEORGE JOHNSON MD SECRETARY & ASSOC. MEDICAL DIRECTOR 30.00 20.00 X X 86400 0 592 EDWARD BOND TREASURER 2.00 3.00 X X 0 0 0 GLORIA BOSEMAN PHD TRUSTEE 2.00 2.00 X 0 0 0 RAJENDRA DESAI MD TRUSTEE 2.00 2.00 X 0 0 0 RICHARD GRODECK ESQ TRUSTEE 2.00 3.00 X 0 0 0 JOYCE HARRIS TRUSTEE 2.00 2.00 X 0 0 0 AMIR HASHEMI TRUSTEE 2.00 3.00 X 0 0 0 WINSTON SCOTT MD TRUSTEE 2.00 2.00 X 0 0 0 KEVIN J SLAVIN FACHE PRESIDENT/CEO 20.00 30.00 X 465141 0 19431 MARTIN BIEBER INTERIM PRESIDENT/CEO 20.00 30.00 X 54462 0 0 LAURA ATKINS CHIEF HR OFFICER 30.00 0.00 X 177550 0 422 VALENTINE BURROUGHS MD CHIEF MEDICAL OFFICER 50.00 0.00 X 280385 0 4695 SUZETTE ROBINSON VP - PLANNING 50.00 0.00 X 119435 0 5745 TRINA PARKS VP- BEHAVIORIAL HEALTH 50.00 0.00 X 207692 0 14220 ALBERTO ABOUD SENIOR VP- FINANCE / CFO 50.00 0.00 X 332308 0 14627 DEIRDRE HENRY-TAYLOR CHIEF COMPLIANCE OFFICER 50.00 0.00 X 114231 0 12972 MARYANN MARRA CHIEF NURSING OFFICER 50.00 0.00 X 223269 0 14994 MACK ROTH ADMIN DIRECTOR- SUPPORT SERVICES 37.50 0.00 X 148228 0 4932 RUTH CLARK MD STAFF NEUROLOGIST 40.00 0.00 X 201521 0 7212 RINGGO VITUGG RNFA 37.50 0.00 X 117009 0 11890 JEANMARIE ZAHORE CIO 35.80 0.00 X 145755 0 13749 AUREA LOQUE STAFF NURSE 60.00 0.00 X 137844 0 8263 2811230 0 133744 63 0 1 0 CENTER FOR FAMILY GUIDANCE 765 EAST ROUTE 70 BUILDING A MARLTON NJ 08853 BEHAVIORAL HEALTH PHYSICIANS 1671447 EMERGENCY MEDICINE CONSULTANTS 11 MOLLY PITCHER ROAD MARLBORO NJ 07746 HOUSE PHYSICIANS 1513720 JEMA PHYSICIANS SERVICES LLC 11 MOLLY PITCHER ROAD MARLBORO NJ 07746 ANESTHESIA SERVICES 1202568 RAMAPO VALLEY ANESTHESIA ASSOCIATES LLC 133 LAFAYETTE AVENUE SUFFERN NY 10901 ER PHYSICIANS 982635 MCCARTER & ENGLISH LLP FOUR GATEWAY CENTER 100 MULBERRY ST NEWARK NJ 07102 LEGAL SERVICES 428583 15 3387232 130937 3518169 PATIENT SERVICE REVENUE 621400 73961689 73961689 SUBSIDIES 621400 15000270 15000270 88961959 43578 43578 661667 11598 650069 650069 650069 15770489 6170 14642796 0 1127693 6170 1133863 1133863 OTHER INCOME 900099 794726 794726 SUN RX - PHARMACY REVENUE 621400 416597 416597 CAFETERIA 621400 279635 279635 121390 121390 1612348 95919986 88961959 0 3439858 3230839 3230839 930763 698072 232691 52903671 39125479 13778192 7015462 5193158 1822304 3544818 2630329 914489 199055 149291 49764 1300670 974838 325832 116600 87450 29150 48757 36568 12189 8137015 6077168 2059847 194596 145947 48649 9842165 7376309 2465856 2499791 1874843 624948 136947 95844 41103 1329029 996772 332257 4674556 3505917 1168639 1268363 941495 326868 BAD DEBT EXPENSE 5621424 5621424 EQUIPMENT RENTAL AND MA 4820984 3615738 1205246 OTHER EXPENSES 3674589 2645444 1029145 PATIENT CARE EXPENSES 1593097 1194823 398274 113083191 86217748 26865443 0 4375568 2177306 280340 35579 7537407 13606056 386976 780700 1286421 1315315 531304 321854 99684751 59108669 42845342 40576082 20336367 6585636 47553 41547 244264 281203 77871542 65721278 19674615 23227026 779387 778911 11624128 10262154 2046271 1767939 12495674 16285228 46620075 52321258 X 31251467 13400020 31251467 13400020 77871542 65721278 X -17163205 -824134 135892 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3088237 3088237 61603693 32898831 28704862 149406 149406 0 26898000 26060432 837568 7945415 7945415 40576082 OTHER LIABILITIES 610586 DUE TO THIRD PARTY SETTLEMENTS 15674642 16285228 X 88661483 147490 147490 88513993 7405993 7405993 95919986 107473365 11598 11598 107461767 5621424 5621424 113083191 PART X, LINE 2: THE HOSPITAL HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE HOSPITAL FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: VALUATION CHANGE ON SWAP INSTRUMENT 135,892. RENT EXPENSE 11,598. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 5,621,424. INVESTMENT INCOME 1,184,636. OTHER INCOME 599,933. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 11,598. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 5,621,424. 1 1 X 1 X 1 X 1 1 0 0 13199507 11081453 2118054 0.01970 11103321 10225116 878205 0.00820 24302828 21306569 2996259 0.02790 403591 403591 0.00380 18117108 13783661 4333447 0.04030 18520699 13783661 4737038 0.04410 42823527 35090230 7733297 0.07200 1 5852938 0 32283915 31628386 655529 X 1 1 1 1 EAST ORANGE GENERAL HOSPITAL 300 CENTRAL AVE EAST ORANGE NJ 07017 WWW.EVH.ORG 10704 X X X EAST ORANGE GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X WWW.EVH.ORG/PRESS/EOGH%20CHNA.PDF X 1 13 0 0 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X X X 0 0 X X X X 1 X 0 0 EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 5: EAST ORANGE GENERAL HOSPITAL CONDUCTED A TOTAL OF 11 INTERVIEWS WITH KEY HOSPITAL AND COMMUNITY LEADERS. THE INTERVIEWS FOCUSED ON THE MOST PROMINENT HEALTH ISSUES AND CONCERNS, PROBLEMS AND BARRIERS TO ADDRESSING THESE CONCERNS, CONCERNS ABOUT THE FUTURE, AND THE BEST WAY TO ALLOCATE FUNDING FOR THE COMMUNITY'S BENEFIT. THE NAMES OF THOSE CONSULTED ARE LISTED IN THE APPENDIX OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE 2013 COMMUNITY HEALTH ADVISORY COMMITTEE WAS CONVENED TO OVERSEE THE DEVELOPMENT OF THE HOSPITAL'S CHNA. THE COMMITTEE WHICH WAS MADE UP OF KEY STAKEHOLDERS IN THE COUNTY FOCUSED ON IMPROVING THE HEALTH OF COMMUNITY RESIDENTS. THE FINDINGS AND RECOMMENDATIONS OF THE COMMUNITY HEALTH ADVISORY COMMITTEE LED TO THE SELECTION OF FOUR COMMUNITY HEALTH NEED FOCUS AREAS SPECIFIC TO THE POPULATIONS THE HOSPITAL'S SERVES. ONE OF THE FOCUS AREAS WAS IMPROVING PATIENT CARE AND REDUCING READMISSIONS. THIS WAS SELECTED, BECAUSE NEARLY ONE IN FIVE MEDICARE PATIENTS RETURN TO THE HOSPITAL WITHIN A MONTH OF DISCHARGE. THE EAST ORANGE GENERAL HOSPITAL'S MULTIDISCIPLINARY TRANSITION IN CARE TEAM SINCE THE INCEPTION OF THE PROGRAM FOCUSED ON THE BELOW:- ASSESS LANGUAGE BARRIERS, CULTURAL ISSUES AND RELIGIOUS BELIEFS AND THEIR IMPACT ON READMISSIONS.- EDUCATE THE PATIENT ABOUT HIS OR HER DIAGNOSIS THROUGHOUT THE HOSPITAL STAY.- MAKE APPOINTMENTS FOR CLINICAL FOLLOW-UP, TEST RESULTS, AND POST-DISCHARGE TESTING.- ORGANIZE ALL POST-DISCHARGE SERVICES TO HOME OR ALTERNATIVE CARE SETTING.- IDENTIFY THE CORRECT MEDICINE AND A PLAN FOR THE PATIENT TO OBTAIN THEM.- RECONCILE THE DISCHARGE PLAN TO NATIONAL GUIDELINES AND CLINICAL PATHWAYS.- TEACH A WRITTEN DISCHARGE PLAN THE PATIENT CAN UNDERSTAND.- REVIEW WITH THE PATIENT HOW TO RECOGNIZE PROBLEMS AND WHAT TO DO ABOUT THEM.- ASSESS THE PATIENT'S UNDERSTANDING OF THE DISCHARGE PLAN.- EXPEDITE TRANSITION OF THE DISCHARGE PLAN TO CLINICIANS ACCEPTING CARE OF THE PATIENT.- PROVIDE TELEPHONE REINFORCEMENT OF THE DISCHARGE PLAN.- MAKE VISITS TO THE PATIENT AT HOME BASED ON PATIENT ACUITY WITHIN 24 TO 72 HOURS OF DISCHARGE, OR AS NEEDED BASED ON PROBLEMS ENCOUNTERED AND NOTED VIA TELEPHONE CONTACTS.IMPROVING ACCESS TO PRIMARY CARE SERVICES AND ADDRESSING THE NEEDS OF FREQUENT FLYERS HAS ALSO BEEN A FOCUS AREA FOR THE HOSPITAL. WORKING WITH THE HOSPITAL'S FAMILY HEALTH CENTER, BLOCKED SCHEDULING WAS DEVELOPED TO ALLOW IMMEDIATE APPOINTMENTS FOR PATIENTS PRESENTING TO THE EMERGENCY ROOM OR BEING DISCHARGED FROM INPATIENT CARE. THIS HAS PROVED TO BE SUCCESSFUL AND HAS ALLOWED PATIENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PHYSICIAN. WE HAVE ALSO FOCUSED EFFORTS ON REDUCING CHRONIC DISEASE AND TO COORDINATE MENTAL HEALTH CARE THROUGH THE HOSPITAL'S COMMUNITY OUTREACH. IN THE CALENDAR YEAR 2014 WE EXPANDED OUR WORK WITH COMMUNITY PARTNERS TO PROVIDE HEALTH EDUCATION AND SCREENING PROGRAMS AIMED AT HEART DISEASE AND RELATED RISK FACTORS AND MENTAL HEALTH WHICH RESULTED IN 776 PEOPLE BEING SCREENED AND EDUCATED AT 29 COMMUNITY EVENTS. THE HOSPITAL WILL CONTINUE TO PLAY A SIGNIFICANT ROLE TO ENSURE THE HEALTH STATUS OF THE COMMUNITIES IT SERVES.THE UNMET NEEDS OF THE COMMUNITY EXTEND WELL BEYOND RESIDENTS' NEED FOR HEALTHCARE SERVICES AND INCLUDE THE NEED FOR HOUSING, TRANSPORTATION, JOB TRAINING, LINGUISTIC COMPETENCY, AND ACCESS TO PRIMARY CARE, PREVENTION AND DISEASE MANAGEMENT SERVICES. THE HOSPITAL ADDRESSED THE HEALTH NEEDS MOST LIKELY TO BENEFIT RESIDENTS OF THE AREAS SERVED BY THE HOSPITAL AND TO BE WITHIN ITS PURVIEW, COMPETENCY AND RESOURCES TO IMPACT THE NEEDS IN A MEANIGFUL MANNER. EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 16I: EAST ORANGE GENERAL HOSPITAL WRITTEN FINANCIAL ASSISTANCE POLICY DOES NOT SPECIFY THE METHODS REQUIRED TO BE USED TO PUBLICIZE THE INFORMATION IN THE FINANCIAL ASSISTANCE POLICY. INSTEAD, EAST ORANGE GENERAL HOSPITAL FOLLOWS NEW JERSEY CHARITY CARE REGULATIONS FOR PUBLICIZING ITS FINANCIAL ASSISTANCE INFORMATION. EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 20E: EAST ORANGE GENERAL HOSPITAL PROVIDED PEOPLE WITH REQUIREMENTS RELATED TO VARIOUS PROGRAMS FOR THE UNINSURED AND UNDERINSURED. EAST ORANGE GENERAL HOSPITAL PART V, SECTION B, LINE 22D: EAST ORANGE GENERAL HOSPITAL CHARGES PATIENTS WHO ARE UNINSURED AND WHOSE FAMILY INCOME IS LESS THAN 500% OF THE FEDERAL POVERTY LEVEL, AN AMOUNT NO GREATER THAN 115% OF THE APPLICABLE PAYMENT RATE UNDER THE FEDERAL MEDICARE PROGRAM ESTABLISHED PURSUANT TO PUB. L. 89-87 (42 U.S.C.S.1395 ET SEQ.) THE AMOUNT IS IN ACCORDANCE WITH THE SLIDING SCALE BASED ON INCOME DEVELOPED BY THE DEPARTMENT OF HEALTH & SENIOR SERVICES PURSUANT TO THIS ACT. PART I, LINE 7: THE COSTING METHOD USED TO CALCULATE THE AMOUNTS REPORTED WAS THE MEDICARE OPERATING COST-TO-CHARGE RATIO FOR BOTH OUTPATIENT AND INPATIENT SERVICES. PART I, LINE 7G: THE HOSPITAL DID NOT INCLUDE SUBSIDIZED HEALTH SERVICE ATTRIBUTABLE TO PHYSICIAN CLINICS. PART I, LN 7 COL(F): ON A PERIODIC BASIS, THE HOSPITAL EVALUATES ITS PATIENT ACCOUNTS RECEIVABLE AND ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLES BASED ON CONTRACTUAL ALLOWANCES, HISTORY OF PAST WRITE-OFFS AND COLLECTION AND CURRENT CREDIT CONSIDERATIONS. PAYMENTS FOR SERVICES IS GENERALLY REQUIRED WITHIN 30 DAYS RECEIPT OF INVOICE OR CLAIM SUBMITTED. SELF-PAY ACCOUNTS AND BALANCES AFTER INSURANCE PAST DUE MORE THAN 90 DAYS ARE CLASSIFIED AS UNCOLLECTIBLE. PART III, LINE 3: THE HOSPITAL DOES NOT HAVE A RELIABLE METHOD FOR ESTIMATING THE PORTION OF BAD DEBT ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DID NOT APPLY. THEREFORE, THIS AMOUNT IS REPORTED AS $0. PART III, LINE 4: SEE THE "CONCENTRATIONS OF CREDIT RISK" PARAGRAPHS IN NOTE 1 ON PAGE 7 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHOD USED TO DETERMINE ALLOWABLE COSTS ARE THE COSTS IN ACCORDANCE WITH MEDICARE REQUIREMENTS AND REGULATIONS. ONLY COSTS THAT ARE CONSISTENT WITH EFFICIENT, COST-EFFECTIVE MANAGEMENT AND OPERATIONS WERE ALLOWED. ALSO, ONLY OPERATING COSTS THAT ARE DIRECTLY RELATED TO THE DELIVERY OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS WERE ALLOWED. PART III, LINE 9B: THE EOGH COLLECTION POLICY PERTAINS TO ALL PATIENTS WITH A SELF PAY BALANCE. IF A PATIENT APPLIES FOR EITHER CHARITY CARE OR ANY OTHER ASSISTANCE PROGRAM SUCH AS MEDICARE AND MEDICAID ALL COLLECTION ACTIVITY IS PUT ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS THROUGH COMMUNITY OUTREACH, SCREENING, AND HEALTH FAIRS. PART VI, LINE 3: THE HOSPITAL PLACES HANGING SIGNS IN ALL OF THE MAJOR PATIENT AREAS IN BOTH ENGLISH & SPANISH. PATIENTS ARE GIVEN HANDOUTS EXPLAINING THE PROGRAM AND THEY PROVIDE FINANCIAL COUNSELORS THAT WORK DIRECTLY WITH THE PATIENTS. PART VI, LINE 4: EAST ORANGE GENERAL HOSPITAL PROVIDES SERVICES FOR OVER 100,000 PEOPLE IN ONE OF THE STATE'S LARGEST URBAN REGION WITH THE MEDIAN INCOME AT OR BELOW 60% OF THE STATE. PART VI, LINE 5: MEDICAL STAFF, MONTHLY HEALTH FAIR AND HEALTH SCREENING/OUTREACH, FREE TELEVISION, TELEPHONE AND INTERNET SERVICE TO ALL ADMITTED PATIENTS, SUBSIDIZED HOSPITAL BASED PRIMARY CARE AND MENTAL HEALTH CLINICS, AND SUBSIDIZED PATIENT DISCHARGE MEDICAL TRANSPORTATION SERVICE. PART VI, LINE 6: THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 GENERAL OPERATIONS MENTAL HEALTH GRANTS 59199 3230839 0 PART I, LINE 2: THE REQUEST FOR EXPENDITURES ARE PREPARED BY THE GRANT ACCOUNTANT BASED ON A SET OF SPREADSHEETS KEPT DURING THE YEAR WHICH GATHER THE INFORMATION NEEDED FOR THE REPORT. THESE STATEMENTS ARE A SUMMARY OF ITEMS THAT FLOWED THROUGH THE G/L FOR THE VARIOUS DEPARTMENTS THAT COMPRISE BEHAVIORAL HEALTH SERVICES THROUGH THE REGULAR INTERNAL CONTROL PROCEDURES FOLLOWED BY THE HOSPITAL. X X 1 0 X X X X X 0 0 0 0 0 1 0 0 0 KEVIN J SLAVIN FACHE PRESIDENT/CEO 400885 0 60000 0 4256 0 3056 0 16375 0 484572 0 0 0 LAURA ATKINS CHIEF HR OFFICER 177550 0 0 0 0 0 262 0 160 0 177972 0 0 0 VALENTINE BURROUGHS MD CHIEF MEDICAL OFFICER 280385 0 0 0 0 0 1410 0 3285 0 285080 0 0 0 TRINA PARKS VP- BEHAVIORIAL HEALTH 197692 0 10000 0 0 0 1038 0 13182 0 221912 0 0 0 ALBERTO ABOUD SENIOR VP- FINANCE / CFO 297308 0 35000 0 0 0 1231 0 13396 0 346935 0 0 0 MARYANN MARRA CHIEF NURSING OFFICER 213269 0 10000 0 0 0 1116 0 13878 0 238263 0 0 0 MACK ROTH ADMIN DIRECTOR- SUPPORT SERVICES 148228 0 0 0 0 0 737 0 4195 0 153160 0 0 0 RUTH CLARK MD STAFF NEUROLOGIST 187705 0 0 0 13816 0 1007 0 6205 0 208733 0 0 0 JEANMARIE ZAHORE CIO 145755 0 0 0 0 0 729 0 13020 0 159504 0 0 0 PART I, LINE 1A LEONARD MURRY II IS ALLOWED TO USE A CORPORATE CREDIT CARD TO PAY FOR FLIGHTS TO BOARD MEETINGS SINCE HE LIVES IN GEORGIA. HE IS ALLOWED TO TRAVEL FIRST-CLASS ON THESE FLIGHTS. THESE AMOUNTS ARE NOT INCLUDED IN HIS TAXABLE COMPENSATION. PART I, LINE 6 THE BOARD APPROVED EXECUTIVE COMPENSATION PROGRAM INCLUDES AN INCENTIVE COMPENSATION COMPONENT. THE AWARDS ARE BASED UPON ORGANIZATION PERFORMANCE RELATED TO QUALITY OF CARE OUTCOMES, FINANCIAL RESULTS, PATIENT SATISFACTION AND OTHER RESULTS. THE BOARD ENGAGES AN OUTSIDE CERTIFIED COMPENSATION CONSULTANT WHO PROVIDES A MARKET-BASE COMPARISON OF THE OVERALL PROGRAM AND TOTAL COMPENSATION FOR COMPLIANCE PURPOSES. KEVIN J. SLAVIN WAS PAID AN ANNUAL RETENTION (LONGEVITY) PAYMENT OF $60,000 EARNED IN 2014. ALBERTO ABOUD WAS PAID AN ANNUAL RETENTION (LONGEVITY) PAYMENT OF $35,000 EARNED IN 2014. TRINA PARKS WAS PAID AN ANNUAL RETENTION (LONGEVITY) PAYMENT OF $10,000 EARNED IN 2014. MARYANN MARRA WAS PAID $10,000 IN RETENTION PAYMENTS FOR 2014. A EAST ORANGE GENERAL HOSPITAL 221487166 64579FJPG 2006-11-22 6900000 2006 BONDS - REFINANCE 1990 1 1 0 B EAST ORANGE GENERAL HOSPITAL 221487166 64579FJPG 2006-11-22 6300000 2006 BONDS - FINANCING 0 0 0 A 3565000 6900000 54287 6845713 2021 1 0 1 1 B 2990000 6300000 22635 38210 6239155 2021 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 A 1 1 1 PNC BANK 15.000000000000 0 0 0 0 1 B 1 1 1 PNC BANK 15.000000000000 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE, OF WHICH THE CHAIRMAN OF THE BOARD OF TRUSTEES OR THE FIRST VICE CHAIRMAN SHALL BE CHAIRMAN, SHALL CONSIST OF THE OFFICERS OF THE BOARD OF TRUSTEES AND AT LEAST ONE (1) OTHER VOTING MEMBER OF THE BOARD OF TRUSTEES AS MAY BE APPOINTED BY THE CHAIRMAN OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE VESTED WITH POWER TO ATTEND TO ALL MATTERS REQUIRING BOARD ACTION IN THE INTERIM BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL MAKE RECOMMENDATIONS TO THE BOARD FOR THE ESTABLISHMENT OF POLICIES FOR THE HOSPITAL AND ITS COMMITTEES AND SHALL SERVE OTHER FUNCTIONS DELEGATED TO IT BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE HOSPITAL SHALL BE ESSEX VALLEY HEALTHCARE, INC., A NEW JERSEY NONPROFIT CORPORATION HAVING ITS PRINCIPAL OFFICE AT 300 CENTRAL AVENUE, EAST ORANGE, NEW JERSEY 07019, AND ITS CORPORATE SUCCESSORS BY MERGER, CONSOLIDATION OR OTHERWISE. THERE SHALL BE NO OTHER MEMBERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE PARENT CORPORATION HAS THE POWER AND RIGHTS TO DETERMINE THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD OF TRUSTEES AND TO APPROVE THE ELECTION, RE-ELECTION, APPOINTMENT AND REAPPOINTMENT OF ALL OFFICERS OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS AND POWERS SHALL BE RESERVED TO THE PARENT CORPORATION: - TO AMEND, REVISE OR RESTATE THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE HOSPITAL - TO APPROVE THE ADOPTION OF AND MONITOR ANY LONG RANGE PLAN OR AMENDMENT OF THE HOSPITAL - TO AUTHORIZE ANY TRANSACTION WHICH WOULD REQUIRE THE HOSPITAL TO FILE A CERTIFICATE OF NEED - TO AUTHORIZE THE HOSPITAL TO ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, LEASE,EXCHANGE, MORTGAGE, PLEDGE, CREATION OF A SECURITY INTEREST IN OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THEIR ASSETS. - TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET OF THE HOSPITAL - TO APPROVE THE INCURRENCE OF DEBT BY THE HOSPITAL; ANY GRANTS OR LOANS; AND THE ENTERING INTO ANY AGREEMENT NOT CONTEMPLATED IN THE ANNUAL CAPITAL OR OPERATING BUDGETS. - TO APPROVE ANY TRANSFER OF THE ASSETS HAVING AN AGGREGATE VALUE IN EXCESS OF $50,000.00 TO ANY OTHER ENTITY IN AND FOR ANY ONE FISCAL YEAR. - TO APPROVE THE QUALIFIED AUDIT FIRM AND OF THE ANNUAL AUDITS OF THE BOOKS AND RECORDS OF THE HOSPITAL. - TO DISSOLVE, DIVIDE, CONVERT OR LIQUIDATE THE HOSPITAL, TO CONSOLIDATE OR MERGE WITH ANOTHER HOSPITAL OR ENTITY, OR TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER HOSPITAL OR ENTITY. - TO APPROVE ANY JOINT VENTURE WHICH THE HOSPITAL UNDERTAKES. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES AND WAS REVIEWED IN DETAIL AT THE AUDIT AND COMPLIANCE COMMITTEE AND BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION B, LINE 12C EACH TRUSTEE AND OFFICER ON AN ANNUAL BASIS RESPONDS TO A QUESTIONNAIRE DISCLOSING ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST PER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ALL COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE PRESIDENT AND THE CHIEF COMPLIANCE OFFICER. A REPORT IS PREPARED AND PRESENTED TO THE CHAIRMAN OF THE BOARD AND THE REPORT IS REVIEWED AND ACTED UPON BY THE GOVERNANCE COMMITTEE. WHEN CONFLICTS OF INTEREST ARISES, THE INTERESTED PERSON IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD (INDEPENDENT TRUSTEES) AS THE AUTHORIZED BODY DETERMINES TOTAL COMPENSATION FOR THE CEO AND CFO BASED ON ITS COMPENSATION POLICY AND THROUGH A PROCESS THAT INCLUDES AN EXTENSIVE MARKET SURVEY OF LIKE ORGANIZATIONS CONDUCTED BY A CERTIFIED COMPENSATION CONSULTANT. THIS SURVEY IS UPDATED EVERY TWO YEARS AND WAS LAST CONDUCTED IN 2010 ESTABLISHING EXECUTIVE COMPENSATION FOR 2011 AND 2012. IN CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISIONS, MEETINGS WERE HELD DURING 2011 AND 2012, MINUTES RECORDED AND VOTES DOCUMENTED IN ADVANCE OF COMPENSATION CHANGES IMPLEMENTED FOR 2012. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: VALUATION CHANGE ON SWAP INSTRUMENT 135,892. ESSEX VALLEY REALTY FOUNDATION INC 300 CENTRAL AVENUE EAST ORANGE NJ 07018 222341006 PROPERTY HOLDING COMPANY NJ 501(C)(2) ESSEX VALLEY HEALTHCARE INC 0 ESSEX VALLEY HEALTHCARE INC 300 CENTRAL AVENUE EAST ORANGE NJ 07018 222787667 CONTROLLING ORGANIZATION NJ 501(C)(3) 11 N/A 0 THE FOUNDATION FOR EAST ORANGE GENERAL HOSPITAL INC 300 CENTRAL AVENUE EAST ORANGE NJ 07018 223099082 FUNDRAISING FOR HOSPITAL NJ 501(C)(3) 7 ESSEX VALLEY HEALTHCARE INC 0 ESSEX VALLEY SUPPORTIVE HOUSING LP 300 CENTRAL AVENUE EAST ORANGE NJ 07019 208893358 REAL ESTATE PA ESSEX VALLEY HOUSING INC EXCLUDED -25 799967 0 1 0.00010 ESSEX VALLEY HOUSING INC 300 CENTRAL AVE EAST ORANGE NJ 07018 208893253 HOMELESS HOUSING NJ EAST ORANGE GENERAL HOSPITAL C 1.00000 1 EAST ORANGE GENERAL HOLDING INC 300 CENTRAL AVE EAST ORANGE NJ 07018 222863230 PROPERTY HOLDING COMPANY NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 EAST ORANGE GENERAL HOSPITAL HAS SUFFERED SIGNIFICANT FINANCIAL LOSSES OVER SEVERAL YEARS AND ON MAY 28, 2014, ALONG WITH ITS PARENT ENTITY, ENTERED INTO AN ASSET PURCHASE AGREEMENT WITH PROSPECT MEDICAL HOLDINGS TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS AND ASSUME SUBSTANTIALLY ALL OF THE LIABILITIES OF THE HOSPITAL AND ITS PARENT. THE APPROVAL BY REGULATORY AUTHORITIES OF THE ASSET PURCHASE AGREEMENT WAS SIGNIFICANTLY DELAYED OVER THE COURSE OF 2014 THROUGH 2015 AND WAS NOT FINALIZED UNTIL 2016. DURING 2014 AND 2015, THERE WERE SEVERAL LAYOFFS AND TURNOVER OF KEY PERSONNEL INCLUDING THE MAJORITY OF THE EXECUTIVE OFFICERS. ADDITIONALLY, ON NOVEMBER 10, 2015 THE HOSPITAL AND ITS PARENT EACH FILED A VOLUNTARY PETITION OF RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. DURING THE PERIOD BEGINNING WITH THE ASSET PURCHASE AGREEMENT IN MAY 2014 THROUGH THE CLOSING OF THE SALE TO PROSPECT MEDICAL HOLDINGS IN MARCH 2016, ALL EFFORTS WERE FOCUSED ON ASSURING CRITICAL OPERATIONS IN THE DELIVERY OF CARE TO THE HOSPITAL'S PATIENTS WAS MAINTAINED WITH VERY MINIMAL CASH FLOW.