HACKENSACK MERIDIAN HEALTH INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN HEALTH INC (EIN 22-1714106)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201513179349306386
- Schema version
- 2014v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T13:44:52-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221714106 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DONALD PARKER | InCareOfNm |
| Business Name Control | CARR | BusinessNameControlTxt |
| Phone | 9082811000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 085020147 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONALD PARKER | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 9082811000 | PhoneNum |
| Signature | 2015-11-09 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONALD PARKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,075,442 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARRIERCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1026 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,339,289 | PYContributionsGrantsAmt |
| CY Contributions Grants | $773,962 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,941,554 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,916,117 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,548,687 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,737,017 | CYInvestmentIncomeAmt |
| PY Other Revenue | $254,028 | PYOtherRevenueAmt |
| CY Other Revenue | $722,990 | CYOtherRevenueAmt |
| PY Total Revenue | $66,083,558 | PYTotalRevenueAmt |
| CY Total Revenue | $70,150,086 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,767,640 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,670,952 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $216,462 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,937,873 | PYOtherExpensesAmt |
| CY Other Expenses | $16,507,619 | CYOtherExpensesAmt |
| PY Total Expenses | $61,706,513 | PYTotalExpensesAmt |
| CY Total Expenses | $66,179,571 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,377,045 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,970,515 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $59,429,280 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,303,600 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,922,257 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,184,355 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,507,023 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,119,245 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | REFER TO SCHEDULE O FOR MISSION STATEMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $39,191,870 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Revenue | $41,561,601 | RevenueAmt |
| Desc | PSYCHIATRIC HOSPITAL WHICH CARED FOR 4,301 INPATIENTS AND HAD A TOTAL OF 45,961 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,857,333 | ExpenseAmt |
| Revenue | $6,873,343 | RevenueAmt |
| Desc | EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 102 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2014 AVERAGE DAILY ENROLLMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,039,927 | ExpenseAmt |
| Revenue | $4,592,647 | RevenueAmt |
| Desc | BLAKE RECOVERY CENTER WHICH CARED FOR 1,570 INPATIENTS AND HAD A TOTAL OF 7,783 PATIENT DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,306,747 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $11,735,946 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $62,395,877 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1026 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONALD PARKER | PersonNm |
| Phone | 9082811560 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 252 ROUTE 601 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 085020147 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| NICK HILTON | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS G AMATO | ||||||||
| CHAIRMAN | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CAROL HOLZER | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GORDON PINGICER | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ANN DAMSGAARD | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN KOLLIGAN JR PHD | ||||||||
| VICE CHAIRMAN | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS R WILSON | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS HARTMANN | ||||||||
| SECRETARY | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DAVID BUCH MD | ||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | Yes (X) | $301,595 | $0 | $32,677 | Yes (X) | |
| MATTHEW LOMBARDI | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET HELMS | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTIAN BORMANN | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DONALD PARKER | ||||||||
| PRESIDENT & CEO | 40.0 | 0.0 | Yes (X) | $433,251 | $0 | $22,924 | Yes (X) | |
| ROBERT SAINT-VIL MD | ||||||||
| MEDICAL STAFF PRESIDENT | 40.0 | 0.0 | Yes (X) | $236,324 | $0 | $37,255 | Yes (X) | |
| JAIME ROBERTSON-LAVALLE | ||||||||
| TRUSTEE | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RANDOLPH JACOBSON | ||||||||
| VP & CFO | 40.0 | 0.0 | $275,878 | $0 | $25,725 | Yes (X) | ||
| PATRICIA TOOLE | ||||||||
| VP & COMPLIANCE OFFICER | 40.0 | 0.0 | $236,401 | $0 | $13,947 | Yes (X) | ||
| CAROL KOSZTYO | ||||||||
| VICE PRESIDENT | 40.0 | 0.0 | $226,332 | $0 | $2,997 | Yes (X) | ||
| UMESH MEHTA MD | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $450,253 | $0 | $38,884 | Yes (X) | ||
| ASMA NISAR MD | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $243,091 | $0 | $39,156 | Yes (X) | ||
| ABDUL KAZI MD | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $246,543 | $0 | $38,842 | Yes (X) | ||
| JAGWINDER SANDU MD | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $270,674 | $0 | $40,739 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,920,342 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,146 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC AFFILIATES | |||||
| PO BOX 905374 | CHARLOTTE | NC | 282905374 | DIETARY & HOUSEKEEP | $2,183,134 |
| DRINKER BIDDLE REATH LLP | |||||
| 500 CAMPUS DRIVE | FLORHAM PARK | NJ | 07932 | LEGAL SERVICES | $219,562 |
| KPMG LLP | |||||
| 150 JOHN F KENNEDY PARKWAY | SHORT HILLS | NJ | 07078 | AUDITING SERVICES | $149,127 |
| PRINCETON MEDICAL BEHAVIORAL HEAL | |||||
| 445 WHITEHORSE AVE SUITE 101 | HAMILTON | NJ | 08610 | INTERNAL MEDICINE | $339,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $58,530 | FundraisingAmt |
| All Other Contributions | $715,432 | AllOtherContributionsAmt |
| Noncash Contributions | $18,462 | NoncashContributionsAmt |
| Total Contributions | $773,962 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| NET PATIENT SERVICES | 624100 | $57,885,959 | $57,885,959 | |
| EDUCATIONAL PROGRAMS | 611710 | $6,877,578 | $6,877,578 | |
| SERVICES & MANAGEMENT | 561000 | $1,152,580 | $912,241 | $240,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,916,117 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $913,601 | TotalRevenueColumnAmt |
| Exclusion | $913,601 | 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 |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,322,306 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,498,890 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,823,416 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,823,416 | TotalRevenueColumnAmt |
| Exclusion | $1,823,416 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $152,271 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $58,530 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $80,419 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,852 | TotalRevenueColumnAmt |
| Exclusion | $71,852 | ExclusionAmt |
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 | $284,899 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $346,047 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$61,148 | TotalRevenueColumnAmt |
| Exclusion | -$61,148 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| RETAIL PHARMACY SALES | 900099 | $614,767 | $614,767 |
| INS SETTLEMENT/PHONE/VENDING | 900099 | $38,510 | $38,510 |
| PURCHASING DISCOUNTS | 900099 | $35,422 | $35,422 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,587 | TotalRevenueColumnAmt |
| Exclusion | $23,587 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $712,286 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,150,086 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,675,778 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,700,346 | 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 | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
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 | $1,626,892 | TotalAmt |
| Program Services | $207,924 | ProgramServicesAmt |
| Management And General | $1,418,968 | ManagementAndGeneralAmt |
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 | $38,808,325 | TotalAmt |
| Program Services | $33,298,140 | ProgramServicesAmt |
| Management And General | $5,358,838 | ManagementAndGeneralAmt |
| Fundraising | $151,347 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,029,500 | TotalAmt |
| Program Services | $1,681,715 | ProgramServicesAmt |
| Management And General | $340,189 | ManagementAndGeneralAmt |
| Fundraising | $7,596 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,911,849 | TotalAmt |
| Program Services | $3,241,497 | ProgramServicesAmt |
| Management And General | $655,709 | ManagementAndGeneralAmt |
| Fundraising | $14,643 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,294,386 | TotalAmt |
| Program Services | $2,729,846 | ProgramServicesAmt |
| Management And General | $552,209 | ManagementAndGeneralAmt |
| Fundraising | $12,331 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,865 | TotalAmt |
| Management And General | $601,865 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,659 | TotalAmt |
| Management And General | $217,659 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,632 | TotalAmt |
| Program Services | $50,576 | ProgramServicesAmt |
| Management And General | $154,056 | 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 | $61,155 | TotalAmt |
| Management And General | $61,155 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,758 | TotalAmt |
| Program Services | $813,935 | ProgramServicesAmt |
| Management And General | $642,823 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720,872 | TotalAmt |
| Management And General | $720,872 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,096,333 | TotalAmt |
| Program Services | $577,823 | ProgramServicesAmt |
| Management And General | $511,716 | ManagementAndGeneralAmt |
| Fundraising | $6,794 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,616 | TotalAmt |
| Program Services | $40,543 | ProgramServicesAmt |
| Management And General | $198,073 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140,208 | TotalAmt |
| Management And General | $1,140,208 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,345 | TotalAmt |
| Program Services | $112,175 | ProgramServicesAmt |
| Management And General | $7,170 | 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 | $98,337 | TotalAmt |
| Program Services | $51,712 | ProgramServicesAmt |
| Management And General | $44,413 | ManagementAndGeneralAmt |
| Fundraising | $2,212 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,002 | TotalAmt |
| Management And General | $229,002 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,471,870 | TotalAmt |
| Program Services | $47,528 | ProgramServicesAmt |
| Management And General | $1,424,342 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,217 | TotalAmt |
| Management And General | $751,217 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DIETARY/ENVIRONMENTAL SVCS | $2,327,650 | $2,830 | $2,323,064 | $1,756 |
| PATIENT-RELATED | $2,373,013 | $2,373,013 | ||
| BAD DEBTS | $1,769,011 | $1,769,011 | ||
| MAINTENANCE/EMPLOYEE | $1,630,076 | $350,397 | $1,263,430 | $16,249 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,179,571 | TotalAmt |
| Program Services | $62,395,877 | ProgramServicesAmt |
| Management And General | $3,567,232 | ManagementAndGeneralAmt |
| Fundraising | $216,462 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,184,765 | BOYAmt |
| EOY | $2,261,890 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,830 | BOYAmt |
| EOY | $2,235,710 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,712 | BOYAmt |
| EOY | $97,652 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,685,924 | BOYAmt |
| EOY | $8,358,908 | 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 | $162,026 | BOYAmt |
| EOY | $200,862 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $940,195 | BOYAmt |
| EOY | $914,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,587,633 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,919,200 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,722,679 | BOYAmt |
| EOY | $22,668,433 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,280,492 | BOYAmt |
| EOY | $24,519,783 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,471 | 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 | $5,915,186 | BOYAmt |
| EOY | $5,045,665 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,429,280 | BOYAmt |
| EOY | $66,303,600 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,466,854 | BOYAmt |
| EOY | $11,995,079 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $4,955,329 | BOYAmt |
| EOY | $6,570,003 | 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 | $7,500,074 | BOYAmt |
| EOY | $8,619,273 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,922,257 | BOYAmt |
| EOY | $27,184,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,001,302 | BOYAmt |
| EOY | $38,566,682 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,721 | BOYAmt |
| EOY | $552,563 | 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 | $38,507,023 | BOYAmt |
| EOY | $39,119,245 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,429,280 | BOYAmt |
| EOY | $66,303,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,970,515 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,740,708 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,617,585 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $52,397 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $52,397 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1 (I), OTHER LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | This expense represents RETAINER PAID TO KAUFMAN ZITA GROUP WHICH SERVES AS PUBLIC AFFAIRS COUNSEL TO CARRIER CLINIC AND ALSO a portion of Carrier Clinic's membership dues paid to the American Hospital Association (AHA) and NJ Hospital Association (NJHA) that both associations identified to pertain to their lobbying activities on behalf of their members. OTHER DUES ARE PAID TO THE NEW JERSEY ALLIANCE FOR CHILDREN, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEM (NAPHS) AND NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES (NJAMHAA). LOBBYING ACTIVITIES ARE PERFORMED BY THESE ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE SPECIFIC LOBBYING ALLOCATION IS NOT AVAILABLE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| 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 | $278,290 | OtherCostOrOtherBasisAmt |
| Book Value | $278,290 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,431,297 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,812,346 | DepreciationAmt |
| Book Value | $15,618,951 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,528,743 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,051,714 | DepreciationAmt |
| Book Value | $1,477,029 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,349,303 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,055,140 | DepreciationAmt |
| Book Value | $5,294,163 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,668,433 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $787,560 |
| ASSETS WHOSE USE IS LIMITED | $3,352,119 |
| CHARITABLE REMAINDER TRUST | $581,889 |
| FUNDED DEFERRED COMPENSATION | $324,097 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,045,665 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $469,097 |
| DUE TO THIRD-PARTY PAYORS | $1,120,605 |
| ACCRUED PENSION AND BENEFITS | $7,023,851 |
| OTHER LIABILITIES | $5,720 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,619,273 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $65,194,681 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $346,047 | OtherRevenueAmt |
| Revenue Not Reported | $346,047 | RevenueNotReportedAmt |
| Revenue Subtotal | $64,848,634 | RevenueSubtotalAmt |
| Other Revenues Not Included | $5,301,452 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,301,452 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $70,150,086 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $64,717,287 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $346,047 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $346,047 | ExpensesNotReportedAmt |
| Expenses Subtotal | $64,371,240 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,808,331 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,808,331 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $66,179,571 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2 | THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(a) OF THE CODE. THE CLINIC IS ALSO EXEMPT FROM STATE INCOME TAXES. THE CLINIC RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 346,047 TOTAL PART XI, LINE 2D 346,047 |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EMS FOOD RECOVERY REPORTED AS REVENUE 39,320 PATIENT BAD DEBTS 1,769,011 ACTUAL DONATIONS VS. INCOME STATEMENT 54,101 INVESTMENT INCOME 2,737,017 NET ASSETS RELEASED-CAPITAL 702,003 TOTAL PART XI, LINE 4B 5,301,452 |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 346,047 TOTAL PART XII, LINE 2D 346,047 |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EMS FOOD RECOVERY REPORTED AS REVENUE 39,320 PATIENT BAD DEBTS 1,769,011 TOTAL PART XII, LINE 4B 1,808,331 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $125,706 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $42,330 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $83,376 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $34,686 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $14,696 | OtherDirectExpensesEvent1Amt |
| Event2 | WALK OF HOPE | Event2Nm |
| Gross Receipts Event2 | $47,490 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $47,490 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $15,536 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $37,605 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $16,200 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $21,405 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $12,096 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,405 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $210,801 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $58,530 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $152,271 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $46,782 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $33,637 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $80,419 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $71,852 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 100 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $341,576 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $341,576 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,457,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,753,503 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $703,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,798,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,753,503 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,045,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,546 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,803,673 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,184,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,619,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02510 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,299 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $22,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,842,466 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,184,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,658,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,641,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,937,769 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,703,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04190 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,179 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $979,227 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $10,324,399 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,623,235 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $701,164 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1Txt |
| City | BELLE MEAD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08502 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CARRIERCLINIC.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.CARRIERCLINIC.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 100 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | WHILE CONDUCTING CARRIER CLINIC'S CHNA, A REPRESENTATIVE OF CARRIER CLINIC INTERVIEWED MENTAL HEALTH ADMINISTRATORS FROM MIDDLESEX, SOMERSET, MONMOUTH, OCEAN, MORRIS, HUNTERDON AND MERCER COUNTIES TO DISCUSS SERVICE GAPS IN THE COMMUNITY. THESE COUNTIES REPRESENT APPROXIMATELY 75% OF CARRIER CLINIC's ADMISSIONS. |
| PART V, SECTION B, LINE 6a | IN AN EFFORT TO BE COST-EFFECTIVE, CARRIER CLINIC CONDUCTED ITS CHNA IN CONJUNCTION WITH EAST MOUNTAIN HOSPITAL (EMH). CARRIER CLINIC ALSO PARTNERED WITH SOMERSET MEDICAL CENTER FOR SOMERSET COUNTY'S DATA COLLECTION. THE CHNA WAS CONDUCTED IN 2013. |
| PART V, SECTION B, LINE 11 | IN CARRIER CLINIC'S IMPLEMENTATION STRATEGY OF THE CHNA THAT WAS CONDUCTED, APPROVED BY ITS BOARD AND PUBLISHED IN 2013, CARRIER IDENTIFIED CERTAIN COMMUNITY NEEDS INCLUDING PUBLIC EDUCATION AND ACCESS TO MENTAL HEALTH CARE. CARRIER ADOPTED A TIMELINE AND STRATEGIES TO ADDRESS THESE NEEDS OVER A THREE-YEAR PERIOD. THE GOALS AND OBJECTIVES SET TO BE COMPLETED BY DECEMBER 31, 2014 HAVE BEEN MET. THE CHNA PROCESS IDENTIFIED OTHER COMMUNITY NEEDS THAT WERE NOT INCLUDED IN THE IMPLEMENTATION STRATEGY DUE TO LIMITATIONS IN EXPERTISE AND RESOURCES. |
| PART V, LINE 22d | PATIENTS WHO ARE RESIDENTS OF NEW JERSEY AND DO NOT HAVE INSURANCE ARE BILLED PURSUANT TO NEW JERSEY STATE BILLING REGULATIONS. ALL PATIENTS REGARDLESS OF RESIDENCY ARE ABLE TO APPLY FOR FINANCIAL ASSISTANCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| EAST MOUNTAIN SCHOOL | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PRIVATE SCHOOL FOR THE HANDICAPPED |
| EAST MOUNTAIN YOUTH LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL TREATMENT FACILITY |
| BLAKE RECOVERY CENTER | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL SUBSTANCE ABUSE FACILITY |
| SWAN LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | INTENSIVE RESIDENTIAL TREATMENT FACILITY |
| SUNFLOWER LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
| LOTUS LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 COLUMN F | BAD DEBT EXPENSE FOR 2014 IS $1,769,011 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. |
| PART I, LINE 7 | THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| PART III, LINE 4 | PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSABLE OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE CLINIC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE CLINIC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE CLINIC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE CLINIC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. |
| PART VI, SUPPLEMENTAL INFORMATION 2 | NEEDS ASSESSMENT AS PART OF CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, CARRIER GATHERS AND INCORPORATES NATIONAL, STATE AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS. ADDITIONALLY, CARRIER STAFF ATTENDS AN AVERAGE OF 13 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES US TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES OF IMPORTANCE. READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY. CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 104,000 IN 2014, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. CARRIER ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT CARRIER'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHAT SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. |
| PART VI, SUPPLEMENTAL INFORMATION 3 | PATIENT EDUCATION AT TIME OF ADMISSION OR AS PRACTICAL THEREAFTER: PATIENTS ARE GIVEN A PATIENT HANDBOOK WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A PATIENT SERVICE REPRESENTATIVE (PSR) MEETS WITH THE PATIENT, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN INDIVIDUALLY EITHER AT TIME OF ADMISSION OR DURING THE HOSPITALIZATION PRIOR TO DISCHARGE. THE PSR PROVIDES EDUCATION REGARDING INSURANCE COVERAGE AND PERSONAL FINANCIAL RESPONSIBILITIES. THE PATIENT IS INFORMED OF PAYMENT OPTIONS WHICH INCLUDE AN APPLICATION FOR COMPASSIONATE CARE. THE PSR PROVIDES ASSISTANCE IN COMPLETING THE APPLICATION AND EXPLAINS WHAT SUPPORTING DOCUMENTATION IS NEEDED FOR CONSIDERATION. PATIENT IS EXPECTED TO PROVIDE ALL RELEVANT SUPPORTING DOCUMENTATION FOR CONSIDERATION. POST DISCHARGE: PATIENTS WHO INFORM COLLECTOR THAT THEY CANNOT MEET THEIR FINANCIAL OBLIGATION ARE PROVIDED THE APPLICATION TO COMPLETE WHICH WOULD THEN BE REVIEWED FOR CONSIDERATION. |
| PART VI, SUPPLEMENTAL INFORMATION 4 | COMMUNITY INFORMATION CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2014 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER, HUNTERDON, MORRIS AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE COUNTIES, AN AVERAGE OF 7.74% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2009-2013 CENSUS STATISTICS. |
| PART VI, SUPPLEMENTAL INFORMATION 5 | COMMUNITY HEALTH,COMMUNITY BUILDING ACTIVITIES & COALITION BUILDING CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 13 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. CARRIER CLINIC SPONSORS A 60 SECOND "EMPOWERED MOMENT" ON LOCAL RADIO STATIONS TO EDUCATE THE PUBLIC ABOUT MENTAL HEALTH AND ADDICTION ISSUES. THIS SEGMENT IS AIRED 420 TIMES THROUGHOUT THE YEAR AND ENCOURAGES THE COMMUNITY TO CONTACT THEIR DOCTOR TO DISCUSS MENTAL HEALTH TREATMENT OPTIONS, IF NEEDED. |
| PART III, SECTION B | IN ADDITION TO THE AMOUNTS REPORTED IN LINES 5, 6 AND 7, WHICH ARE TAKEN FROM CARRIER CLINIC'S 2014 MEDICARE COST REPORT PURSUANT TO THE SCHEDULE H INSTRUCTIONS, CARRIER ALSO INCURRED LOSSES FROM PHYSICIAN SERVICES TOTALING OVER $626,000 AS FOLLOWS: PHYSICIAN COST (SALARIES, FRINGES, MALPRACTICE INSURANCE) $1,281,414 REIMBURSEMENT RECEIVED FROM MEDICARE $ 654,934 UNREIMBURSED COST $ 626,480 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RANDOLPH JACOBSON | ||||||||||||||
| VP & CFO | $256,478 | $0 | $10,000 | $0 | $9,400 | $0 | $0 | $0 | $25,725 | $0 | $301,603 | $0 | $0 | $0 |
| PATRICIA TOOLE | ||||||||||||||
| VP & COMPLIANCE OFFICER | $227,701 | $0 | $8,000 | $0 | $700 | $0 | $0 | $0 | $13,947 | $0 | $250,348 | $0 | $0 | $0 |
| CAROL KOSZTYO | ||||||||||||||
| VICE PRESIDENT | $203,932 | $0 | $8,000 | $0 | $14,400 | $0 | $0 | $0 | $2,997 | $0 | $229,329 | $0 | $0 | $0 |
| UMESH MEHTA MD | ||||||||||||||
| PSYCHIATRIST | $442,453 | $0 | $0 | $0 | $7,800 | $0 | $0 | $0 | $38,884 | $0 | $489,137 | $0 | $0 | $0 |
| ASMA NISAR MD | ||||||||||||||
| PSYCHIATRIST | $243,091 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $39,156 | $0 | $282,247 | $0 | $0 | $0 |
| DAVID BUCH MD | ||||||||||||||
| MEDICAL DIRECTOR | $289,695 | $0 | $5,000 | $0 | $6,900 | $0 | $0 | $0 | $32,677 | $0 | $334,272 | $0 | $0 | $0 |
| ABDUL KAZI MD | ||||||||||||||
| PSYCHIATRIST | $246,143 | $0 | $0 | $0 | $400 | $0 | $0 | $0 | $38,842 | $0 | $285,385 | $0 | $0 | $0 |
| DONALD PARKER | ||||||||||||||
| PRESIDENT & CEO | $363,251 | $0 | $70,000 | $0 | $0 | $0 | $0 | $0 | $22,924 | $0 | $456,175 | $0 | $0 | $0 |
| JAGWINDER SANDU MD | ||||||||||||||
| PSYCHIATRIST | $270,674 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $40,739 | $0 | $311,413 | $0 | $0 | $0 |
| ROBERT SAINT-VIL MD | ||||||||||||||
| MEDICAL STAFF PRESIDENT | $236,324 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $37,255 | $0 | $273,579 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. |
| PART II | OTHER REPORTABLE COMPENSATION REPRESENTS PENSION CONTRIBUTION THAT FAILED DISCRIMINATION TESTING. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 1, MISSION | PROVIDING CARING SOLUTIONS SINCE 1910, CARRIER CLINIC'S MISSION IS TO PROVIDE THE BEST CARE AND TREATMENT TO THESE PERSONS WHO COME TO US STRUGGLING WITH EMOTIONAL AND BEHAVIORAL DISTRESS AND ADDICTIVE AND PSYCHIATRIC DISORDERS. AS ONE OF NEW JERSEY'S LARGEST, NOT-FOR-PROFIT BEHAVIORAL HEALTHCARE ORGANIZATIONS, WE REMAIN DEDICATED TO HEALING, SUPPORTING AND TEACHING ADOLESCENTS, ADULTS AND THEIR FAMILIES IN A SAFE, COMPASSIONATE AND RESPECTFUL ENVIRONMENT. WITHIN OUR CONTINUUM OF CARE, HOPE IS RESTORED AND RECOVERY BEGINS. |
| PART III, LINE 4D, OTHER PROGRAMS | EAST MOUNTAIN YOUTH LODGE, SWAN LODGE, SUNFLOWER LODGE AND LOTUS LODGE FOR EMOTIONALLY DISTURBED ADOLESCENTS WHICH CARED FOR 115 RESIDENTS AND HAD A TOTAL OF 29,798 PATIENT DAYS. |
| PART VI, SECTION B, LINE 11 A&B | THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD OF TRUSTEES FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL REVIEW THE DOCUMENT IN ADVANCE OF THE FILING WITH THE IRS. THE FINANCE COMMITTEE WILL ACKNOWLEDGE AND REPORT ON THE STATUS OF ITS REVIEW PROCESS TO THE FULL BOARD IN ADVANCE OF THE FILING DEADLINE. THE BOARD OF TRUSTEES IS PROVIDED A COPY OF THE REVIEWED AND APPROVED 990 PRIOR TO FILING. |
| PART VI, SECTION B, LINE 12C | EACH TRUSTEE, OFFICER AND MEDICAL STAFF MEMBER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| PART VI, SECTION B, LINE 15B | CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTIVE COMPENSATION BASES. THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE SALARY STRUCTURE FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES AND REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. |
| PART VI, SECTION C, LINE 19 | CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO ACCESSIBLE FROM GUIDESTAR ON THE INTERNET. |
| PART VII, SECTION A | DRS. NISAR AND MEHTA RECEIVE COMPENSATION FOR ELECTRO-CONVULSIVE THERAPY (ECT) SERVICES IN ADDITION TO THEIR BASE SALARY. |
| PART IX, LINE 24E | OVERHEAD ALLOCATION REPRESENTS FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO CARRIER'S VARIOUS PROGRAMS USING ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. |
| PART XI, LINE 9 | CHANGES IN NET ASSETS: PLEDGES RECEIVABLE (7,060) MINIMUM PENSION LIABILITY (1,782,332) CHANGE IN DERIVATIVE INSTRUMENT 201,808 CHANGE IN TRUST (29,802) RESTRICTED EXPENSE INCLUDED IN CAPITAL 200 ROUNDING 1 TOTAL (1,617,585) |
| PART VI, QUESTION 1A | THE EXECUTIVE COMMITTEE OF THE BOARD EXERCISES ALL POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF AFFAIRS OF CARRIER CLINIC DURING INTERVALS BETWEEN BOARD MEETINGS. |
| PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. CARRIER CLINIC BOARD OF TRUSTEES AUDIT COMMITTEE MAINTAINS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |