HACKETTSTOWN COMMUNITY HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HACKETTSTOWN COMMUNITY HOSPITAL (EIN 22-6106281)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201403189349305075
- Schema version
- 2013v3.0
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T13:10:12-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 S COLLEGE STREET | AddressLine1 |
| City | CHARLOTTE | City |
| State | NC | State |
| ZIP Code | 28244 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 226106281 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HACKETTSTOWN COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HACK | BusinessNameControlTxt |
| Phone | 9088525100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 WILLOW GROVE STREET | AddressLine1 |
| City | HACKETTSTOWN | City |
| State | NJ | State |
| ZIP Code | 07840 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT PETERSON | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9088525100 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHELE MELCHIOR | PreparerPersonNm |
| PTIN | P00488037 | PTIN |
| Phone | 7046323500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HACKETTSTOWN REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT PETERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 WILLOW GROVE STREET | AddressLine1 |
| City | HACKETTSTOWN | City |
| State | NJ | State |
| ZIP Code | 07840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $128,807,563 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HRMCNJ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1955 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A (SEE SCH O) MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 995 | TotalEmployeeCnt |
| Total Volunteers | 108 | TotalVolunteersCnt |
| Total Gross UBI | $159,717 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $11,649 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $926,098 | PYContributionsGrantsAmt |
| CY Contributions Grants | $397,718 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,703,198 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,942,754 | CYProgramServiceRevenueAmt |
| PY Investment Income | $630,720 | PYInvestmentIncomeAmt |
| CY Investment Income | $503,863 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$51,628 | PYOtherRevenueAmt |
| CY Other Revenue | -$49,229 | CYOtherRevenueAmt |
| PY Total Revenue | $87,208,388 | PYTotalRevenueAmt |
| CY Total Revenue | $84,795,106 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $83,424 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $55,625 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $44,604,832 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,007,292 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $31,806 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $40,613,194 | PYOtherExpensesAmt |
| CY Other Expenses | $40,577,637 | CYOtherExpensesAmt |
| PY Total Expenses | $85,301,450 | PYTotalExpensesAmt |
| CY Total Expenses | $84,640,554 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,906,938 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $154,552 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $98,700,100 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,508,598 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,544,857 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $40,570,791 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $58,155,243 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $56,937,807 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | "WE DEMONSTRATE GOD'S CARE BY IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING." HRMC'S VISION IS TO BE "A LEADING RESOURCE FOR INNOVATIVE PATIENT-CENTERED HEALTHCARE." HRMC'S VALUES ARE "RESPECT, INTEGRITY, SERVICE, EXCELLENCE AND STEWARDSHIP (RISES)." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $69,359,478 | ExpenseAmt |
| Grant | $55,625 | GrantAmt |
| Revenue | $83,942,754 | RevenueAmt |
| Desc | HACKETTSTOWN REGIONAL MEDICAL CENTER, A NOT-FOR-PROFIT INTEGRATED HEALTH SERVICES ACUTE CARE HOSPITAL, SEEKS TO CONTRIBUTE VALUE TO THE COMMUNITY BY PROMOTING HEALTH AND WELLNESS. HRMC OFFERS ACUTE CARE INPATIENT SERVICES, PHYSICIAN-STAFFED 24-HOUR EMERGENCY SERVICES, A STATE-OF-THE-ART DIAGNOSTIC IMAGING CENTER AS WELL AS LABORATORY, PATHOLOGY, SURGICAL AND OUTPATIENT SERVICES AVAILABLE ON-AND-OFF-CAMPUS, THROUGH AFFILIATIONS AND LINKAGE AGREEMENTS. HRMC ALSO OFFERS WELLNESS PROGRAMS, INCLUDING EDUCATIONAL CLASSES AND SCREENINGS DESIGNED TO ENCOURAGE COMMUNITY MEMBERS TO ADOPT A HEALTHIER LIFESTYLE, AVOID ILLNESS AND LIVE LIFE TO ITS FULLEST.2013 YEAR IN REVIEWCHARITY CARE PROVIDED TO THE COMMUNITY $1,471,583UNREIMBURSED COSTS OF MEDICAID PROGRAM $404,148COMMUNITY HEALTH SERVICES $932,430HEALTH PROFESSIONS EDUCATION $248,399FINANCIAL AND IN-KIND CONTRIBUTIONS $46,786COMMUNITY BENEFITS OPERATIONS $1,850TOTAL $3,105,196*2013 TOTAL SERVICES PROVIDEDCOMMUNITY BENEFIT PROGRAMS INCLUDE: SCREENINGS, CLASSES, PROGRAMS, SUPPORT GROUPS, VACCINATIONS AND HEALTH PROFESSIONS EDUCATION.A TOTAL OF 10,080 PEOPLE WERE SERVED THROUGH COMMUNITY BENEFIT PROGRAMS IN 2013.*NOTE: IN 2013 HRMC PROVIDED AN ADDITIONAL $17 MILLION IN UNCOMPENSATED CARE ATTRIBUTABLE TO MEDICARE SHORTFALLS AND BAD DEBT. COMMUNITY BENEFIT ACTIVITIES INCLUDE INDIRECT COSTS FOR 2013. | Desc |
| Total Program Service Expenses | $69,359,478 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 128 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 995 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEITH AMMANN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9089798733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 WILLOW GROVE STREET | AddressLine1 |
| City | HACKETTSTOWN | City |
| State | NJ | State |
| ZIP Code | 07840 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM G ROBERTSON | |||||||||
| CHAIRMAN | 4.00 | 58.00 | Yes (X) | Yes (X) | $0 | $1,159,920 | $46,377 | ||
| JASON C COE | |||||||||
| SECRETARY & PRESIDENT HRMC | 45.00 | 15.00 | Yes (X) | Yes (X) | $0 | $379,726 | $46,132 | ||
| JAMES G LEE | |||||||||
| TRUSTEE | 4.00 | 58.00 | Yes (X) | Yes (X) | $0 | $671,139 | $30,612 | ||
| JOSE CORTES | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARIA DIGIOVANNI | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GLEN WAINEN MD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOGDEN BIENKO | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC CROSS | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL HALPIN | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL B LAVERY | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BARBARA-JAYNE LEWTHWAITE PHD | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY C MCDONOUGH | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAY NISIVOCCIA CPA | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES J TRAVIS | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| NORMAN WORTH JR | |||||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT PETERSON | |||||||||
| CHIEF FINANCIAL OFFICER | 50.00 | 10.00 | Yes (X) | $258,939 | $0 | $42,762 | |||
| STELLA VISAGGIO | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 10.00 | $275,542 | $0 | $47,636 | Yes (X) | |||
| JUDITH H WIEGAND | |||||||||
| EXE DIR BUS DEVELOPMENT | 40.00 | 10.00 | $188,950 | $0 | $40,629 | Yes (X) | |||
| KENNETH JANOWSKI | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 10.00 | $291,780 | $0 | $44,253 | Yes (X) | |||
| MARY ANN ANDERSON | |||||||||
| CNO | 40.00 | 10.00 | $250,399 | $0 | $23,856 | Yes (X) | |||
| JOSEPH MAUGERI | |||||||||
| STAFF PHYSICIAN | 40.00 | 10.00 | $211,316 | $0 | $32,225 | Yes (X) | |||
| SAMANTHA RAWLINS | |||||||||
| STAFF PHYSICIAN | 40.00 | 10.00 | $199,425 | $0 | $2,962 | Yes (X) | |||
| DARA FORRESTER | |||||||||
| STAFF PHYSICIAN | 40.00 | 10.00 | $180,348 | $0 | $326 | Yes (X) | |||
| ALISSA ANDOLINO | |||||||||
| STAFF PHYSICIAN | 40.00 | 10.00 | $148,907 | $0 | $3,104 | Yes (X) | |||
| ANTONELLA AUCIELLO | |||||||||
| STAFF PHYSICIAN | 40.00 | 10.00 | $144,105 | $0 | $1,981 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,149,711 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,210,785 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $362,855 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD MGMT SERVICES | $697,185 |
| SAINT CLARE'S HOSPITAL | |||||
| 400 W BLACKWELL ST | DOVER | NJ | 07801 | CLINICAL LABORATORIES | $461,704 |
| ZENITH PHYSICIANS LLC | |||||
| PO BOX 447 | HACKETTSTOWN | NJ | 07840 | HOSPITALIST GROUP | $420,000 |
| DRINKER BIDDLE & REATH LLP | |||||
| ONE LOGAN SQUARE SUITE 2000 | PHILADELPHIA | PA | 191036996 | LEGAL SERVICE | $404,539 |
| MEDASSETS INC | |||||
| PO BOX 405652 | ATLANTA | GA | 303845652 | REVENUE CYCLE SERVICE | $378,508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $212,952 | RelatedOrganizationsAmt |
| Government Grants | $38,179 | GovernmentGrantsAmt |
| All Other Contributions | $146,587 | AllOtherContributionsAmt |
| Total Contributions | $397,718 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 900099 | $79,219,818 | $79,219,818 |
| ANCILLIARY SERVICE REV | 900099 | $4,722,936 | $4,722,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,942,754 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $880,637 | TotalRevenueColumnAmt |
| Exclusion | $880,637 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $664,400 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,397,392 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$732,992 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$732,992 | TotalRevenueColumnAmt |
| Exclusion | -$732,992 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,217,902 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,594,676 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$376,774 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$376,774 | TotalRevenueColumnAmt |
| Exclusion | -$376,774 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $13,472 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,189 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,283 | TotalRevenueColumnAmt |
| Exclusion | $12,283 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $24,820 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $19,200 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,620 | TotalRevenueColumnAmt |
| Exclusion | $5,620 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA INCOME | 900099 | $500,152 | $500,152 | |
| MAINTENANCE INCOME | 900099 | $159,717 | $159,717 | |
| PHARMACY INCOME | 900099 | $5,991 | $5,991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $665,860 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,795,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $83,942,754 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $159,717 | UnrelatedBusinessRevenueAmt |
| Exclusion | $294,917 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,625 | TotalAmt |
| Program Services | $49,625 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464,746 | TotalAmt |
| Management And General | $1,464,746 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,849,943 | TotalAmt |
| Program Services | $29,568,426 | ProgramServicesAmt |
| Management And General | $4,281,517 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,071 | TotalAmt |
| Program Services | $581,823 | ProgramServicesAmt |
| Management And General | $84,248 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,125,575 | TotalAmt |
| Program Services | $4,477,266 | ProgramServicesAmt |
| Management And General | $648,309 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,900,957 | TotalAmt |
| Program Services | $2,534,029 | ProgramServicesAmt |
| Management And General | $366,928 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,432 | TotalAmt |
| Program Services | $70,000 | ProgramServicesAmt |
| Management And General | $135,432 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,505 | TotalAmt |
| Management And General | $77,505 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,578,474 | TotalAmt |
| Program Services | $4,999,372 | ProgramServicesAmt |
| Management And General | $1,578,999 | ManagementAndGeneralAmt |
| Fundraising | $103 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,404 | TotalAmt |
| Management And General | $343,404 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,617,270 | TotalAmt |
| Program Services | $6,778,959 | ProgramServicesAmt |
| Management And General | $1,828,879 | ManagementAndGeneralAmt |
| Fundraising | $9,432 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,485,178 | TotalAmt |
| Program Services | $3,408,735 | ProgramServicesAmt |
| Management And General | $1,076,443 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,502,757 | TotalAmt |
| Program Services | $2,946,287 | ProgramServicesAmt |
| Management And General | $535,335 | ManagementAndGeneralAmt |
| Fundraising | $21,135 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,154 | TotalAmt |
| Program Services | $25,809 | ProgramServicesAmt |
| Management And General | $12,224 | ManagementAndGeneralAmt |
| Fundraising | $121 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,072 | TotalAmt |
| Program Services | $38,494 | ProgramServicesAmt |
| Management And General | $12,573 | ManagementAndGeneralAmt |
| Fundraising | $1,005 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,122 | TotalAmt |
| Program Services | $1,388,122 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,208,776 | TotalAmt |
| Management And General | $2,208,776 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,883,542 | TotalAmt |
| Program Services | $4,845,759 | ProgramServicesAmt |
| Management And General | $37,783 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,204 | TotalAmt |
| Management And General | $538,204 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $7,426,423 | $7,426,413 | $10 | |
| RECRUITMENT | $232,324 | $214,359 | $17,965 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,640,554 | TotalAmt |
| Program Services | $69,359,478 | ProgramServicesAmt |
| Management And General | $15,249,270 | ManagementAndGeneralAmt |
| Fundraising | $31,806 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228 | BOYAmt |
| EOY | $1,228 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,703,092 | BOYAmt |
| EOY | $36,672,150 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,994 | BOYAmt |
| EOY | $89,107 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,864,064 | BOYAmt |
| EOY | $9,209,964 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $981,997 | BOYAmt |
| EOY | $607,833 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,080,791 | BOYAmt |
| EOY | $1,801,874 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $879,984 | BOYAmt |
| EOY | $739,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $124,484,343 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $81,753,169 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,178,152 | BOYAmt |
| EOY | $42,731,174 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,433,738 | BOYAmt |
| EOY | $2,793,642 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,168 | BOYAmt |
| EOY | $1,353,168 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $867,660 | BOYAmt |
| EOY | $867,660 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,232 | BOYAmt |
| EOY | $641,404 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,700,100 | BOYAmt |
| EOY | $97,508,598 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,581,530 | BOYAmt |
| EOY | $6,468,855 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,800 | BOYAmt |
| EOY | $649,670 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,489,527 | BOYAmt |
| EOY | $33,452,266 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,544,857 | BOYAmt |
| EOY | $40,570,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,942,038 | BOYAmt |
| EOY | $55,748,109 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,213,205 | BOYAmt |
| EOY | $1,189,698 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,155,243 | BOYAmt |
| EOY | $56,937,807 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,700,100 | BOYAmt |
| EOY | $97,508,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $154,552 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$530,960 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$841,028 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,145,121 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,145,121 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $50,992,800 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $28,521,580 | DepreciationAmt |
| Book Value | $22,471,220 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,460,503 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,973,174 | DepreciationAmt |
| Book Value | $4,487,329 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $60,184,727 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $47,760,062 | DepreciationAmt |
| Book Value | $12,424,665 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,701,192 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,498,353 | DepreciationAmt |
| Book Value | $2,202,839 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,731,174 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| CONSTRUCTION PAYABLE | $116,254 |
| ANNUITY PAYABLE | $142,284 |
| MOBII OCCUPANCY GUARANTEE LIAB | $867,660 |
| OTHER LONG TERM LIABILITY | $97,015 |
| DUE TO PARENT ORGANIZATION | $32,229,053 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,452,266 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FIN 48 NOTES THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,799,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $327,878 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,471,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752,957 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $348,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $404,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,552,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $676,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,875,731 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02220 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $931,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $833,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $248,624 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $248,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,135 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,279,344 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,181,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,831,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $774,760 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,057,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03620 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,797 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,194 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,624,228 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $24,946,680 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,495,264 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,548,584 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 HACKETTSTOWN DIAGNOSTIC ASSOCIATES LLC | ||
| IMAGING CENTER | 0.50000 | 0.50000 |
| 2 DYNAMIC IMAGING ASSOCIATES LLC | ||
| EQUIPMENT HOLDING COMPANY | 0.50000 | 0.50000 |
| 3 RADIOLOGY ASSOCIATES OF HACKETTSTOWN LLC | ||
| IMAGING CENTER | 0.33300 | 0.66700 |
| 4 HACKETTSTOWN REGIONAL MRILLC | ||
| EQUIPMENT HOLDING COMPANY | 0.33300 | 0.66700 |
| 5 MRI ASSOCIATES OF HACKETTSTOWN LLC | ||
| IMAGING CENTER | 0.50000 | 0.50000 |
| 6 GCM LLC | ||
| EQUIPMENT HOLDING COMPANY | 0.50000 | 0.50000 |
| 7 TRI MED ASSOCIATES | ||
| REAL ESTATE ENTITY | 0.33300 | 0.66700 |
| 8 GORDON HACKETTSTOWN MAB ASSOCIATES | ||
| MEDICAL OFFICE BUILDING VENTURE | 0.20000 | 0.22500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | HACKETTSTOWN COMMUNITY HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 651 WILLOW GROVE STREET | AddressLine1 |
| City | HACKETTSTOWN | City |
| State | NJ | State |
| ZIP Code | 07840 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HACKETTSTOWN COMMUNITY HOPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.HRMCNJ.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HACKETTSTOWN COMMUNITY HOPITAL | PART V, SECTION B, LINE 3: HACKETTSTOWN COMMUNITY HOSPITAL UNDERTOOK A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CONCLUDED IN 2012. THE PURPOSE OF THE STUDY WAS TO GATHER CURRENT STATISTICS AND QUALITATIVE FEEDBACK ON THE KEY HEALTH ISSUES FACING OUR SERVICE MARKET RESIDENTS. LOCAL RESIDENTS WERE ASKED TO PARTICIPATE IN A SURVEY AS WELL AS FOCUS GROUPS ADDRESSING THE ISSUES OF MEN, WOMEN AND DIABETICS. AFTER COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, APPROXIMATELY 25 LEADERS FROM HACKETTSTOWN COMMUNITY HOSPITAL, COMMUNITY AGENCIES AND AREA HEALTHCARE AND SOCIAL SERVICES ORGANIZATIONS MET TO REVIEW AND PRIORITIZE THE FINDINGS AND TO DEVELOP AN IMPLEMENTATION PLAN. THE FOLLOWING KEY STAKEHOLDERS PARTICIPATED IN THE PROCESS:PRESIDENT, HACKETTSTOWN REGIONAL MEDICAL CENTER;CHIEF MEDICAL OFFICER, HRMC;EXECUTIVE DIRECTOR, HRMC;CHIEF NURSING OFFICER;ADMINISTRATIVE DIRECTOR, HRMC;MANAGER, MARKETING AND PUBLIC RELATIONS, HRMC;MANAGER, EDUCATION, HRMC;MANAGER, CARE MANAGEMENT, HRMC;MANAGER, CENTER FOR HEALTHIER LIVING, HRMC;COORDINATOR, HEALTHLINK, HRMC;FINANCIAL COUNSELOR, HRMC;WARREN COUNTY HEALTH DEPARTMENT;WARREN COUNTY AGENCY ON AGING AND DISABILITY;WARREN COUNTY DEPARTMENT OF HUMAN SERVICES;KAREN ANN QUINLAN HOME CARE;KAREN ANN QUINLAN HOSPICE;HACKETTSTOWN POLICE DEPARTMENT;SUPERINTENDENT, HACKETTSTOWN PUBLIC SCHOOLS;COLONIAL MANOR, SENIOR LIVING;DOMESTIC ABUSE AND SEXUAL ASSAULT;FAMILY GUIDANCE CENTER;UNITED WAY OF NORTHERN NJ;WRNJ RADIO;ZUFALL, FEDERALLY QUALIFIED HEALTH CENTER. |
| HACKETTSTOWN COMMUNITY HOPITAL | PART V, SECTION B, LINE 7: HEALTH NEEDS IDENTIFIED AS LOW PRIORITY TO BE CONSIDERED FOR THE FUTURE DUE TO LACK OF RESOURCES AND/OR EXPERTISE AT THIS TIME:TRANSPORTATION BARRIERS;ELDER ABUSE;LIMITED SUBSTANCE ABUSE TREATMENT AND RESOURCES (ALSO NOTING CO-MORBIDITY WITH MENTAL HEALTH ISSUES);PROMINENT MENTAL HEALTH ISSUES (NOTING CONNECTION BETWEEN PHYSICAL AND MENTAL WELL-BEING;UNCOORDINATED CARE ACROSS PROVIDERS (FOR NON-CHRONIC CONDITIONS. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | HACKETTSTOWN COMMUNITY HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. PATIENTS BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR FREE CARE. PATIENTS BETWEEN 200% AND 300% OF THE FPG ARE ELIGIBLE FOR DISCOUNTED CARE. |
| PART I, LINE 7: | IN ORDER TO DETERMINE THE EXPENSE FOR CHARITY CARE AND OTHER COMMUNITY BENEFITS AT COST, HACKETTSTOWN COMMUNITY HOSPITAL UTILIZED COST TO CHARGE RATIOS TO DETERMINE THE COST OF THESE PROGRAMS. |
| PART I, LN 7 COL(F): | NO BAD DEBT IS INCLUDED IN THE FUNCTIONAL EXPENSES IN PART IX OF THE FORM 990 AND THEREFORE NO ADJUSTMENT WAS NECESSARY TO COMPUTE THE PERCENTAGES IN THE CHART FOR LINE 7. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING:THE HACKETTSTOWN COMMUNITY HOSPITAL ADMINISTRATIVE TEAM ACTIVELY PARTICIPATES AS MEMBERS OF THE HACKETTSTOWN ROTARY AND IN THEIR EFFORTS TO IMPROVE THE HEALTH AND SAFETY OF THE HACKETTSTOWN COMMUNITY.HACKETTSTOWN COMMUNITY HOSPITAL WORKS JOINTLY WITH STATE AND COUNTY AGENCIES TO COORDINATE DISASTER PREPAREDNESS POLICIES AND PROCEDURES IN THE EVENT OF A LARGE STAGE DISASTER AFFECTING HACKETTSTOWN AND THE SURROUNDING COMMUNITIES. HACKETTSTOWN COMMUNITY HOSPITAL HAS ALSO PARTNERED WITH WARREN COUNTY COMMUNITY COLLEGE TO EXPLORE THE DEVELOPMENT OF A HEALTHCARE EDUCATION AND TRAINING CENTER ON THE HOSPITAL'S CAMPUS. THIS EDUCATION CENTER WOULD PREPARE HEALTHCARE PROFESSIONALS TO SERVE HACKETTSTOWN AND THE SURROUNDING WARREN COUNTY COMMUNITY. |
| PART III, LINE 4: | BAD DEBT EXPENSEPATIENT ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL COLLECTIONS IS ESTIMATED BASED UPON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES.THE COST OF BAD DEBT EXPENSE IS DETERMINED BY USING THE COST TO CHARGE RATIOS AS CALCULATED BY THE HOSPITAL'S MEDICARE COST REPORT. |
| PART III, LINE 8: | MEDICARE IN ORDER TO DETERMINE THE COST OF PROVIDING MEDICARE SERVICES, HACKETTSTOWN COMMUNITY HOSPITAL UTILIZED COST TO CHARGE RATIOS AS DETERMINED BY THE HOSPITAL'S MEDICARE COST REPORT. THE TOTAL COST WAS COMPARED TO PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. THE SHORTFALL CALCULATED REPRESENTS UNREIMBURSED COSTS UNDER THE MEDICARE PROGRAM THAT THE HOSPITAL ABSORBS ON BEHALF OF THE PATIENTS THAT IT SERVES.THE SHORTFALL ON PART III, LINE 7 IS CONSIDERED TO BE A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | COLLECTION PRACTICESINDIVIDUALS THAT QUALIFY FOR 100% CHARITY CARE UNDER THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES GUIDELINES ARE NOT BILLED FOR ANY AMOUNTS. INDIVIDUALS THAT QUALIFY FOR PARTIAL CHARITY CARE UNDER THESE GUIDELINES ARE BILLED AT A REDUCED RATE. FINANCIAL COUNSELORS ARE AVAILABLE TO ALL PATIENTS TO DETERMINE WHETHER ANY PROGRAMS (E.G. CHARITY CARE, MEDICAID) ARE AVAILABLE TO ASSIST PATIENTS.FINANCIAL ASSISTANCE PROCESS AND COLLECTION PROTOCOL ARE WELL DEFINED WITH MANAGERS AVAILABLE TO GUIDE AND HANDLE EXCEPTION SITUATIONS. OUTSOURCED AGENCIES AND COLLECTIONS FIRMS ARE EXPECTED TO ADHERE TO AHC'S POLICY. BAD DEBT, CHARITY AND ADMINISTRATIVE WRITE OFF ARE CLEARLY DEFINED WITH PRE-DETERMINED AUTHORIZATION LEVELS DEPENDING ON THE MAGNITUDE GRANTED. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:ALTHOUGH THE STATE OF NEW JERSEY DOES NOT REQUIRE THAT A COMMUNITY BENEFIT REPORT BE FILED, HACKETTSTOWN COMMUNITY HOSPITAL (HCH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS POSTED ON ITS WEBSITE AND MAILED TO THE COMMUNITY UPON REQUEST.HCH HOSTS A COMMUNITY MEETING EACH YEAR. IN ADDITION, HCH COMPLETED A COMMUNITY NEEDS ASSESSMENT THE RESULTS WHICH, WERE MADE PUBLIC TO THE COMMUNITY IN NOVEMBER 2012. |
| PART VI, LINE 3: | PATIENT EDUCATION:ALL PATIENTS OF THE HOSPITAL THAT DO NOT HAVE INSURANCE ARE PROVIDED WITH INFORMATION REGARDING FINANCIAL ASSISTANCE. THE INFORMATION PROVIDES INFORMATION REGARDING THE REQUIREMENTS FOR QUALIFYING FOR CHARITY CARE AND OTHER ASSISTANCE PROGRAMS. IN ADDITION, THE HOSPITAL HAS A FULL TIME FINANCIAL COUNSELING OFFICE WITH DEDICATED FINANCIAL COUNSELORS THAT PROVIDE SCREENINGS AND INFORMATION TO ALL PATIENTS REQUESTING ASSISTANCE. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:HACKETTSTOWN COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA IS MADE UP OF 12 ZIP CODES THAT STRADDLE THE WESTERN PORTION OF MORRIS COUNTY AND THE CENTRAL AND EASTERN SIDE OF WARREN COUNTY, WITH ONE ADDITIONAL ZIP CODE LOCATED IN NEIGHBORING SUSSEX COUNTY TO THE NORTH. HRMC'S PSA COMPRISES A POPULATION BASE OF ALMOST 94,500.HACKETTSTOWN COMMUNITY HOSPITAL'S SECONDARY SERVICE AREA IS MADE UP OF SEVEN ZIP CODES THAT INCLUDE THE SOUTHERN TIP OF SUSSEX COUNTY AND PORTIONS OF THE SOUTH CENTRAL AND NORTHERN SECTIONS OF WARREN COUNTY. HRMC'S SSA COMPRISES A POPULATION BASE OF ALMOST 32,200. |
| PART VI, LINE 5: | COMMUNITY HEALTH PROMOTION:HACKETTSTOWN COMMUNITY HOSPITAL, DBA HACKETTSTOWN REGIONAL MEDICAL CENTER, OPENED IN 1973 AND IS A FULLY LICENSED 111 BED ACUTE CARE HOSPITAL THAT PROVIDES ACUTE CARE, EMERGENCY, DIAGNOSTIC, SURGICAL AND OUTPATIENT SERVICES TO RESIDENTS OF WARREN, MORRIS, SUSSEX AND HUNTERDON COUNTIES. HACKETTSTOWN COMMUNITY HOSPITAL IS A FAITH BASED, NOT FOR PROFIT ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF HACKETTSTOWN COMMUNITY RESIDENTS COMMITTED TO OUR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES THROUGH A MINISTRY OF PHYSICAL, MENTAL AND SPIRITUAL HEALING. MEMBERS OF THE HACKETTSTOWN COMMUNITY HOSPITAL ADMINISTRATION AND LEADERSHIP TEAM ARE ALSO ACTIVE IN THE COMMUNITY SERVING ON VARIOUS BOARDS, COALITIONS AND COMMITTEES TO HELP ADDRESS HEALTH ISSUES IN THE COMMUNITY.IN KEEPING WITH OUR MISSION, HACKETTSTOWN REGIONAL MEDICAL CENTER CONTINUES TO PROMOTE GOOD HEALTH THROUGH THE PROGRAMS OFFERED BY THE CENTER FOR HEALTHIER LIVING. A TOTAL OF 10,080 COMMUNITY RESIDENTS WERE SERVED THROUGH THE VARIOUS PROGRAMS OFFERED BY THE CENTER IN 2013.AT HACKETTSTOWN REGIONAL MEDICAL CENTER WE BELIEVE THAT EDUCATION IS THE FIRST AND OFTEN THE MOST IMPORTANT STEP IN ACHIEVING GOOD HEALTH. HACKETTSTOWN REGIONAL MEDICAL CENTER PROMOTES A LIFESTYLE CHANGE THAT EMPHASIZES REGULAR EXERCISE, GOOD NUTRITION, EARLY DETECTION OF ILLNESS AND THE KNOWLEDGE TO MAKE INFORMED HEALTH RELATED DECISIONS.IN ORDER TO HELP AREA RESIDENTS ACHIEVE OPTIMAL HEATH, HACKETTSTOWN REGIONAL MEDICAL CENTER, THROUGH THE CENTER FOR HEALTHIER LIVING, OFFERED A NUMBER OF HEALTH PROMOTION AND EDUCATION CLASSES AND HEALTH SCREENINGS IN 2013 INCLUDING:> A VARIETY OF HEALTH SCREENINGS INCLUDING CANCER SCREENINGS WERE OFFERED AT THE CENTER FOR HEALTHIER LIVING, COMMUNITY HEALTH FAIRS, A SENIOR EXPO AND SCHOOL HEALTH FAIRS AND AREA BUSINESSES.> HEALTH EDUCATION PROGRAMS WERE HELD AT THE CENTER FOR HEALTHIER LIVING, SEVERAL SENIOR GROUP MEETINGS, SENIOR HOUSING AND AREA BUSINESS. SENIOR EXERCISE PROGRAMS LIKE TAI CHI AND ARTHRITIS EXERCISE KEEP SENIORS ACTIVE AND FLEXIBLE. "BACK IN TIME" HISTORY SERIES PROVIDES SENIORS THE OPPORTUNITY TO ENGAGE IN LIFELONG LEARNING, USE CRITICAL THINKING SKILLS AND TO SOCIALIZE. > SUPPORT GROUPS HELPED ADDRESS THE NEEDS OF THOSE WITH CHRONIC ILLNESS INCLUDING PULMONARY DISEASE, CARDIAC ILLNESSES AND DIABETES AND BREAST CANCER.> DIABETES PREVENTION EFFORTS INCLUDED PRE-DIABETES WORKSHOPS. > INFLUENZA VACCINES WERE GIVEN AT NO CHARGE TO THE HOMELESS AND MEDICALLY UNDERSERVED THROUGH A FOOD PANTRY AND PROJECT HOMELESS CONNECT. > PRENATAL EDUCATION CLASSES WERE OFFERED AT NO COST TO UNDERINSURED WOMEN AND FAMILIES INCLUDING CHILDBIRTH EDUCATION, BREAST FEEDING CLASSES, SIBLING CLASSES AND BABY CARE CLASSES> HACKETTSTOWN COMMUNITY HOSPITAL OFFERS A VARIETY OF CPR AND FIRST AID CLASSES TO OUR COMMUNITY. CLASSES ARE OFFERED FREE OR FOR A NOMINAL FEE TO LOCAL POLICE, FIREFIGHTERS AND EMS. OVER 300 IN OUR COMMUNITY WERE INSTRUCTED IN "HANDS-ONLY" CPR AT A NUMBER OF HEALTH FAIRS.HACKETTSTOWN REGIONAL MEDICAL CENTER IS COMMITTED TO ENSURING THAT THE COMMUNITIES IT SERVES THRIVE IN A CULTURE OF WELLNESS AND HAVE ACCESS TO AND THE BENEFITS OF HIGH QUALITY, EQUITABLE HEALTHCARE THAT PROMOTES PHYSICAL, MENTAL AND SPIRITUAL WELLBEING. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE:HACKETTSTOWN COMMUNITY HOSPITAL IS A MEMBER OF THE ADVENTIST HEALTHCARE SYSTEM BASED IN ROCKVILLE, MARYLAND. ADVENTIST HEALTHCARE PROVIDES MANAGERIAL AND SHARED SERVICES TO HACKETTSTOWN COMMUNITY HOSPITAL IN SUPPORT OF ITS MISSION TO SERVE HACKETTSTOWN AND THE OTHER COMMUNITIES IN ITS PRIMARY AND SECONDARY SERVICE AREAS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NJ |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION | |||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 222333410 | 501(C)(3) | $15,250 | GENERAL SUPPORT FROM HOSPITAL AUXILIARY. |
| CENTENARY COLLEGE | |||||||
| 400 JEFFERSON STREET | HACKETTSTOWN | NJ | 07840 | 221500484 | 501(C)(3) | $12,500 | FUNDRAISING EVENT IN SUPPORT OF THE COLLEGE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS FOR TUITION | GrantTypeTxt |
| Recipient | 6 | RecipientCnt |
| Cash Grant | $6,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IN SUPPORT OF ITS MISSION AND VISION TO BE A LEADING RESOURCE FOR INNOVATIVE PATIENT -CENTERED HEALTHCARE, THE HOSPITAL AND ITS AUXILIARY WILL PROVIDE GRANTS AND ASSISTANCE TO AFFILIATED ENTITIES SUCH AS ITS FOUNDATION AND OTHER NON-PROFIT ORGANIZATIONS IN THE COMMUNITY. PRIOR TO PROVIDING THIS ASSISTANCE, HOSPITAL ADMINISTRATION REVIEWS AND APPROVES REQUESTS FOR NEEDS THAT FULFILL OUR MISSION AND SUPPORT THE COMMUNITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM G ROBERTSON | ||||||||||||||
| CHAIRMAN | $0 | $833,101 | $0 | $104,704 | $0 | $222,115 | $0 | $12,750 | $0 | $33,627 | $0 | $1,206,297 | $0 | $0 |
| JASON C COE | ||||||||||||||
| SECRETARY & PRESIDENT HRMC | $0 | $269,598 | $0 | $72,901 | $0 | $37,227 | $0 | $12,750 | $0 | $33,382 | $0 | $425,858 | $0 | $0 |
| JAMES G LEE | ||||||||||||||
| TRUSTEE | $0 | $477,313 | $0 | $81,595 | $0 | $112,231 | $0 | $12,750 | $0 | $17,862 | $0 | $701,751 | $0 | $0 |
| ROBERT PETERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $196,260 | $0 | $42,884 | $0 | $19,795 | $0 | $10,110 | $0 | $32,652 | $0 | $301,701 | $0 | $0 | $0 |
| STELLA VISAGGIO | ||||||||||||||
| CHIEF OPERATING OFFICER | $206,227 | $0 | $45,647 | $0 | $23,668 | $0 | $10,762 | $0 | $36,874 | $0 | $323,178 | $0 | $0 | $0 |
| JUDITH H WIEGAND | ||||||||||||||
| EXE DIR BUS DEVELOPMENT | $154,073 | $0 | $23,162 | $0 | $11,715 | $0 | $8,042 | $0 | $32,587 | $0 | $229,579 | $0 | $0 | $0 |
| KENNETH JANOWSKI | ||||||||||||||
| CHIEF MEDICAL OFFICER | $217,579 | $0 | $47,129 | $0 | $27,072 | $0 | $11,111 | $0 | $33,142 | $0 | $336,033 | $0 | $0 | $0 |
| MARY ANN ANDERSON | ||||||||||||||
| CNO | $194,057 | $0 | $17,888 | $0 | $38,454 | $0 | $3,975 | $0 | $19,881 | $0 | $274,255 | $0 | $0 | $0 |
| JOSEPH MAUGERI | ||||||||||||||
| STAFF PHYSICIAN | $210,350 | $0 | $0 | $0 | $966 | $0 | $3,461 | $0 | $28,764 | $0 | $243,541 | $0 | $0 | $0 |
| SAMANTHA RAWLINS | ||||||||||||||
| STAFF PHYSICIAN | $153,091 | $0 | $46,154 | $0 | $180 | $0 | $2,770 | $0 | $192 | $0 | $202,387 | $0 | $0 | $0 |
| DARA FORRESTER | ||||||||||||||
| STAFF PHYSICIAN | $179,993 | $0 | $0 | $0 | $355 | $0 | $0 | $0 | $326 | $0 | $180,674 | $0 | $0 | $0 |
| ALISSA ANDOLINO | ||||||||||||||
| STAFF PHYSICIAN | $145,355 | $0 | $0 | $0 | $3,552 | $0 | $2,778 | $0 | $326 | $0 | $152,011 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION DEFINED. THE COMPENSATION REPORTED FOR THE EMPLOYEES SET FORTH ON SCHEDULE J IS COMPRISED OF THE FOLLOWING: -BASE COMPENSATION INCLUDES NONDISCRETIONARY PAYMENTS, AGREED UPON IN ADVANCE, CONTINGENT ONLY UPON THE PAYEE'S PERFORMANCE OF AGREED UPON SERVICES (SUCH AS SALARY OR FEES). -INCENTIVE COMPENSATION INCLUDES PAYMENTS BASED ON SATISFACTION OF PRE-DETERMINED PERFORMANCE TARGETS SUCH AS QUALITY/PATIENT SAFETY GOALS, EMPLOYEE AND CUSTOMER ENGAGEMENT GOALS, ORGANIZATIONAL GROWTH, AND FINANCIAL PERFORMANCE, AMONG OTHER THINGS. -OTHER REPORTABLE COMPENSATION INCLUDES CERTAIN CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE. IN ADDITION, OTHER REPORTABLE COMPENSATION INCLUDES LONG-TERM DISABILITY COVERAGE, CELL PHONE ALLOWANCES, CASH-OUT OF UNUSED PAID TIME OFF (PTO) HOURS, IMPUTED VALUE OF LIFE INSURANCE BENEFITS, TAXABLE RELOCATION PAY, AND SEVERANCE, AS APPLICABLE. NON-TAXABLE BENEFITS INCLUDES PRE-TAX PAYROLL DEDUCTIONS (SUCH AS FLEXIBLE MEDICAL SPENDING, DEPENDENT CARE, AND EMPLOYEE HEALTH BENEFIT PREMIUM), AND THE EMPLOYER PORTION OF CERTAIN EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, DENTAL INSURANCE, VISION INSURANCE, LIFE INSURANCE, BASE CONTRIBUTIONS TO RETIREMENT PLANS, MATCHING OF EMPLOYEE RETIREMENT CONTRIBUTIONS, ETC. PAY PRACTICE: ADVENTIST HEALTHCARE UTILIZES A SINGLE EMPLOYER ID FOR ALL OF ITS AFFILIATED ENTITIES FOR EMPLOYMENT PURPOSES. AS SUCH, ACTUAL COMPENSATION AND BENEFITS ARE CHARGED TO THE RESPECTIVE ENTITIES AND THE RESULTING COMPENSATION AND BENEFITS ARE REPORTED ON EACH AFFILIATE'S IRS FORM 990 AS IF PAID DIRECTLY BY SUCH AFFILIATE. HACKETTSTOWN FOLLOWS AHC'S PAY PRACTICE. MR. COE'S COMPENSATION AND BENEFITS ARE PAID BY ADVENTIST HEALTHCARE AND NOT CHARGED BACK TO HACKETTSTOWN COMMUNITY HOSPITAL. AS APPLICABLE, THE SAME AND NON-ADDITIVE COMPENSATION AND EMPLOYMENT BENEFIT PLAN CONTRIBUTION AMOUNTS WERE ALSO DISCLOSED IN THE ADVENTIST HEALTHCARE INC.'S RELATED ENTITIES RETURNS. |
| PART I, LINE 4B | CUMULATIVE LUMP-SUM TAXABLE PAYMENTS MADE AS A RESULT OF TAX LAW CHANGES THAT AFFECTED THE ADMINISTRATION OF THE ADVENTIST HEALTHCARE'S CAPITAL ACCUMULATION ACCOUNT (CAA) PLAN ESTABLISHED PURSUANT TO SECTION 457(F) OF THE INTERNAL REVENUE CODE WERE AS FOLLOWS: WILLIAM G. ROBERTSON: $203,855 JAMES G. LEE: $105,670 JASON C COE: $33,836 ROBERT C. PETERSON: $16,910 STELLA VISAGGIO: $18,961 KENNETH JANOWSKI: $19,847 MARY ANN ANDERSON: $34,280 JUDITH H. WIEGAND: $8,042 |
| SCHEDULE J: PART I, LINE 3 | INDEPENDENT GUIDELINES WHEN SETTING COMPENSATION FOR THE "OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES," ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFE GUARDS EMBODIED IN IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE AND HACKETTSTOWN COMMUNITY HOSPITAL "OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES" IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE'S BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTH CARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND IN THE NEW JERSEY-NEW YORK REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE (OR MEDIAN) OF THE MARKET. PAY PHILOSOPHY FOR ALL HACKETTSTOWN COMMUNITY HOSPITAL EMPLOYEES INCLUDING THOSE LISTED ON SCHEDULE J, THE GOAL OF ADVENTIST HEALTHCARE IS TO OFFER COMPETITIVE SALARIES IN ORDER TO ATTRACT, HIRE AND RETAIN QUALIFIED AND TALENTED INDIVIDUALS. MAINTAINING A QUALITY, STABLE WORKFORCE HAS A POSITIVE IMPACT ON THE WORKPLACE AND ON THE CARE PROVIDED TO OUR PATIENTS/RESIDENTS AND THEIR FAMILIES. IN GENERAL, NON-EXECUTIVE EMPLOYEES ARE COMPENSATED UTILIZING THE FULL WAGE SCALE FOR THEIR RESPECTIVE POSITIONS, COMPARED TO THE MARKET. HOWEVER, EXECUTIVES ARE GENERALLY LIMITED TO THE MEDIAN OF THE MARKET FOR THEIR RESPECTIVE POSITIONS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BY LAWS, ARTICLE II: THERE SHALL BE A SINGLE CLASS OF CONSTITUENT MEMBERS OF THE HOSPITAL CORPORATION (INDIVIDUAL - MEMBER, COLLECTIVELY - MEMBERSHIP), WHICH SHALL CONSIST OF THE DULY ELECTED MEMBERS OF THE BOARD OF DIRECTORS OF ADVENTIST HEALTHCARE, INC., A NONPROFIT CORPORATION EXISTING UNDER AND OPERATING BY VIRTUE OF THE LAWS OF THE STATE OF MARYLAND. |
| FORM 990, PART VI, SECTION A, LINE 7A | BY LAWS, ARTICLES II AND III (VARIOUS PARTS) TRUSTEES OF THIS ORG ARE ELECTED BY THE MEMBER (I.E. MID-ATLANTIC ADVENTIST HC). |
| FORM 990, PART VI, SECTION A, LINE 7B | BY LAWS, ARTICLE II- RESERVED AUTHORITY AND RESPONSIBILITY: NOTWITHSTANDING ANY PROVISION OF THE CERTIFICATE OF INCORPORATION OR THESE BYLAWS TO THE CONTRARY, THE FOLLOWING ACTIONS ARE RESERVED TO THE MEMBERSHIP: 1. THE PURCHASE, SALE OR DISPOSITION OF REAL PROPERTY OF THE HOSPITAL CORPORATION; 2. THE ADOPTION, ALTERING, AMENDING OR REPLACING OF THE CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THE HOSPITAL CORPORATION; 3. THE LIQUIDATION, DISSOLUTION, WINDING UP OR ABANDONMENT OF THE HOSPITAL CORPORATION; AND 4. THE RETENTION AND EXERCISE OR DELEGATION OF VOTING RIGHTS ASSOCIATED WITH THE OWNERSHIP OF ANY SHARES OF STOCK OR INTEREST OWNED OR HELD BY THE HOSPITAL CORPORATION OR ANY ENTITY SUBSIDIARY TO OR CONTROLLED BY THE HOSPITAL CORPORATION ("SUBSIDIARY ORGANIZATION") IN CONNECTION WITH THE FOLLOWING ACTIONS: (A) THE AMENDMENT OF THE ORGANIZATIONAL DOCUMENTS OF A SUBSIDIARY ORGANIZATION; (B) THE CONSOLIDATION OF A SUBSIDIARY ORGANIZATION WITH ONE OR MORE ENTITIES TO FORM A NEW CONSOLIDATED CORPORATION; (C) THE MERGER OF A SUBSIDIARY ORGANIZATION INTO ANOTHER ENTITY OR THE MERGER OF ONE OR MORE OTHER ENTITIES INTO A SUBSIDIARY ORGANIZATION; (D) THE SALE, LEASE, EXCHANGE OR OTHER TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF A SUBSIDIARY ORGANIZATION, INCLUDING ITS GOODWILL AND FRANCHISES; (E) THE PARTICIPATION BY A SUBSIDIARY ORGANIZATION IN A SHARE EXCHANGE AS THE ENTITY THE STOCK/INTEREST OF WHICH IS TO BE ACQUIRED; (F) THE VOLUNTARY OR INVOLUNTARY LIQUIDATION, DISSOLUTION OR WINDING-UP OF A SUBSIDIARY ORGANIZATION. 5. APPOINTMENT OF MEMBERS OF THE BOARD OF THE HOSPITAL CORPORATION FROM NOMINEES SUBMITTED BY THE BOARD OF THE HOSPITAL CORPORATION; 6. REMOVAL OF MEMBERS OF THE BOARD OF THE HOSPITAL CORPORATION. 7. AUTHORIZE AND APPROVE THE ISSUANCE OF DEBT AND THE USE OF PROCEEDS OF SUCH DEBT FOR AND ON BEHALF OF THE HOSPITAL CORPORATION; 8. DEVELOP CAPITAL INVESTMENT, CAPITAL ALLOCATION AND BORROWING POLICIES FOR THE HOSPITAL CORPORATION; 9. CEASE PROVIDING HEALTH CARE SERVICES NECESSARY FOR OPERATION AS A LICENSED GENERAL ACUTE CARE FACILITY AT ANY SITE; 10. CHANGE THE STATED PURPOSES, MISSION OR PHILOSOPHY OF THE HOSPITAL CORPORATION, OR ANY CONTROLLED ENTITY AS FOUND IN THE ARTICLES OF INCORPORATION, BYLAWS, OR OTHER GOVERNING DOCUMENTS OF THE HOSPITAL CORPORATION; 11. ADOPTING THE HOSPITAL CORPORATION'S ANNUAL AND LONG-TERM CAPITAL AND OPERATION BUDGETS; 12. MAKING ANY MAJOR CHANGES IN ANY OF THE HOSPITAL CORPORATION'S INSURANCE PROGRAM; AND 13. RECOMMENDING ANY UNBUDGETED CAPITAL EXPENDITURE OF THE HOSPITAL CORPORATION'S CAPITAL BUDGET IN EXCESS OF $500,000. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING THE FORM 990, THE FORM WAS PREPARED BY THE INTERNAL FINANCE TEAM OF THE HEALTH SYSTEM WITH INPUT FROM MANY HOSPITAL DEPARTMENTS. IT WAS REVIEWED IN DETAIL BY THE HRMC CONTROLLER AND CFO. THE FORM WAS DISCUSSED AND REVIEWED IN DETAIL WITH THE ORGANIZATION'S OUTSIDE TAX ADVISORS. THE CFO THEN CONDUCTED A HIGHER LEVEL REVIEW OF THE FORM WITH THE HRMC PRESIDENT. THE 990 WAS THEN MADE AVAILABLE TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PURSUANT TO THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, EACH BOARD MEMBER, OFFICER, DIRECTOR AND ANY EMPLOYEE IN A POSITION THAT REQUIRES COORDINATION AND/OR NEGOTIATION WITH CONTRACTORS OR SUPPLIERS, IS REQUIRED ON AN ANNUAL BASIS TO DISCLOSE ANY BUSINESS OR FINANCIAL RELATIONSHIP OUTSIDE OF THE ORGANIZATION. COMPLIANCE WITH POLICY IS MONITORED AND ENFORCED BY THE HUMAN RESOURCES DEPARTMENT, INTEGRITY DEPARTMENT AND THE LEGAL DEPARTMENT IN THE EVENT THERE IS A CONFLICT OF INTEREST, BOARD MEMBERS WILL RECUSE THEMSELVES FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION FOLLOWS THE COMPENSATION GUIDELINES OF ITS SOLE MEMBER, ADVENTIST HEALTHCARE, INC. A TAX-EXEMPT AFFILIATE. INDEPENDENT GUIDELINES - WHEN SETTING COMPENSATION FOR THE CEO/PRESIDENT, ADVENTIST HEALTHCARE FULLY COMPLIES WITH THE PROCEDURAL SAFEGUARDS EMBEDDED IN THE IRS REGULATIONS. COMPENSATION FOR ADVENTIST HEALTHCARE'S CEO/PRESIDENT IS ENTIRELY SET BY A COMMITTEE OF ADVENTIST HEALTHCARE INC.'S BOARD OF TRUSTEES. IN SETTING COMPENSATION, THE GOVERNING BOARD COMMITTEE RELIES UPON MARKET COMPARABILITY DATA PROVIDED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT WHO PROVIDES A SUMMARY OF HEALTHCARE SALARIES AND BENEFITS FOR COMPARABLE SIZED ORGANIZATIONS BOTH NATIONALLY AND THE BALTIMORE-WASHINGTON REGION. TO FURTHER ENSURE REASONABLENESS, BOTH COMPENSATION AND BENEFITS ARE TARGETED AT THE 50TH PERCENTILE OF THE MARKET. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | NET ORGANIZATION TRANSFERS -841,028. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST HEALTHCARE INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521532556 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 3 | MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION | 0 | |
| ADVENTIST HEALTHCARE URGENT CARE CENTERS INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 461577511 | CLINIC - EMERGENCY CARE | MD | 501(C)(3) | LINE 3 | ADVENTIST HEALTHCARE INC | 0 | |
| ADVENTIST HOME HEALTH SERVICES INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 520986808 | HOME CARE SERVICES | MD | 501(C)(3) | LINE 9 | ADVENTIST HEALTHCARE INC | 0 | |
| ADVENTIST PHYSICIAN SERVICES INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 204600646 | PHYSICIAN SERVICES | MD | 501(C)(3) | LINE 9 | ADVENTIST HEALTHCARE INC | 0 | |
| ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 201486678 | REHABILITATION HOSPITAL | MD | 501(C)(3) | LINE 3 | ADVENTIST HEALTHCARE INC | 0 | |
| ADVENTIST REHABILITATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 300780513 | REHABILITATION HOSPITAL | MD | 501(C)(3) | LINE 3 | ADVENTIST REHABILITATION HOSPITAL OF MARYLAND INC | 0 | |
| HACKETTSTOWN REGIONAL MEDICAL CENTER EMERGENCY SERVICES INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 270820164 | AMBULANCE SERVICE | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | Yes (1) | |
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 222333410 | FUNDRAISING | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | Yes (1) | |
| MEDICAL CENTER PARTNERS INC | |||||||||||
| 651 WILLOW GROVE STREET | HACKETTSTOWN | NJ | 07840 | 454789273 | PHYSICIAN SERVICES | NJ | 501(C)(3) | LINE 11A, I | HACKETTSTOWN COMMUNITY HOSPITAL INC | Yes (1) | |
| MID-ATLANTIC ADVENTIST HEALTHCARE CORPORATION | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521884153 | HOLDING COMPANY | MD | 501(C)(3) | LINE 9 | 0 | N/A | |
| ADVENTIST BEHAVIORAL HEALTH FOUNDATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 205479860 | FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | ADVENTIST HEALTHCARE INC | 0 | |
| REGINALD S LOURIE CENTER FOR INFANTS AND YOUNG CHILDREN | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521255870 | BEHAVIORAL CARE | MD | 501(C)(3) | LINE 9 | ADVENTIST HEALTHCARE INC | 0 | |
| SHADY GROVE ADVENTIST HOSPITAL FOUNDATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521216429 | FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | ADVENTIST HEALTHCARE INC | 0 | |
| WASHINGTON ADVENTIST HOSPITAL FOUNDATION INC | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 521692158 | FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | ADVENTIST HEALTHCARE INC | 0 | |
| WASHINGTON ADVENTIST FITNESS CENTER | |||||||||||
| 820 W DIAMOND AVE SUITE 600 | GAITHERSBURG | MD | 208781419 | 274758462 | WELLNESS | MD | 501(C)(3) | LINE 9 | ADVENTIST HEALTHCARE INC | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PREMIER MEDICAL NETWORK INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 W DIAMOND AVE SUITE 600 | AddressLine1 |
| City | GAITHERSBURG | City |
| State | MD | State |
| ZIP Code | 208781419 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521952469 | EIN |
| Primary Activities | JOINT PHYSICIAN CONT | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVENTIST HEALTHCARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION | ||
| C | $212,952 | FMV |
| HRMC EMERGENCY MEDICAL SERVICES | ||
| L | $60,036 | FMV |
| MEDICAL CENTER PARTNERS INC | ||
| L | $42,156 | FMV |
| HACKETTSTOWN COMMUNITY HOSPITAL FOUNDATION | ||
| B | $15,250 | FMV |