2014-11-14T15:01:07-06:00 2013-12-31 EISNERAMPER LLP 111 WOOD AVE SO STE 600 ISELIN NJ 088302700 990 2013-01-01 221714106 CARRIER CLINIC INC % DONALD PARKER CARR 9082811000 PO BOX 147 Suite BELLE MEAD NJ 085020147 DONALD PARKER PRESIDENT & CEO 9082811000 2014-11-13 true RICHARD A SACKIN P00184276 9082811000 2013 2015-11-30 17:44:51Z DONALD PARKER PO BOX 147 BELLE MEAD NJ 08502 93828818 false X WWW.CARRIERCLINIC.ORG X 1910 NJ CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. 16 13 983 0 -13754 -1061 166460 1339289 59837958 61941554 1234130 2548687 225733 254028 61464281 66083558 750 1000 0 0 43703407 46767640 0 0 195377 15835565 14937873 59539722 61706513 1924559 4377045 55394874 59429280 22586661 20922257 32808213 38507023 X REFER TO SCHEDULE O FOR MISSION STATEMENT. false false 34870502 1000 36964604 PSYCHIATRIC HOSPITAL WHICH CARED FOR 3,962 INPATIENTS AND HAD A TOTAL OF 40,337 PATIENT DAYS. 6822467 6812303 EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 104 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2013 AVERAGE DAILY ENROLLMENT. 5265629 5600542 BLAKE RECOVERY CENTER WHICH CARED FOR 1,843 INPATIENTS AND HAD A TOTAL OF 9,500 PATIENT DAYS. 11035598 11487611 57994196 true true false true false false false false false false true false false true true true true false false false false false false false true false true true false false true false false false false false false false false true false false false false false false false false true 24 0 true 983 true false false false false false true true false false false false X 16 13 false false false false false false false true true false false true true true true true true true true false NJ X X DONALD PARKER 9082811000 252 ROUTE 601 BELLE MEAD NJ 085020147 X NICK HILTON TRUSTEE 0.0 X 0 0 0 THOMAS G AMATO CHAIRMAN 0.0 X 0 0 0 CAROL HOLZER TRUSTEE 0.0 X 0 0 0 GORDON PINGICER TRUSTEE 0.0 X 0 0 0 BRUCE HERDMAN PHD TRUSTEE 0.0 X 0 0 0 ANN DAMSGAARD TRUSTEE 0.0 X 0 0 0 JOHN KOLLIGAN JR PHD VICE CHAIRMAN 0.0 X 0 0 0 MARIE HASSON MD MEDICAL DIRECTOR 40.0 X X 294061 0 26931 THOMAS R WILSON TRUSTEE 0.0 X 0 0 0 THOMAS HARTMANN TRUSTEE 0.0 X 0 0 0 DONALD HUNT TRUSTEE 0.0 X 0 0 0 DAVID BUCH MD MEDICAL DIRECTOR 40.0 X X 242550 0 31373 MATTHEW LOMBARDI TRUSTEE 0.0 X 0 0 0 MARGARET HELMS TRUSTEE 0.0 X 0 0 0 CHRISTIAN BORMANN TRUSTEE 0.0 X 0 0 0 DONALD PARKER PRESIDENT & CEO 40.0 X X 342086 0 39065 TARA MCKINNEY MD MEDICAL STAFF PRESIDENT 40.0 X 218889 0 7836 C RICHARD SARLE PRESIDENT & CEO 0.0 X 86907 1577 RANDOLPH JACOBSON VP & CFO 40.0 X 311001 0 31612 MARY PAWLIKOWSKI VICE PRESIDENT 40.0 X 299204 0 21123 PATRICIA TOOLE VP & COMPLIANCE OFFICER 40.0 X 270662 0 38165 CAROL KOSZTYO VICE PRESIDENT 40.0 X 296960 0 15179 UMESH MEHTA MD PSYCHIATRIST 40.0 X 420126 0 37385 CLAIRE MARSH MD PSYCHIATRIST 40.0 X 230472 0 10012 ASMA NISAR MD PSYCHIATRIST 40.0 X 236167 0 35008 ABDUL KAZI MD PSYCHIATRIST 40.0 X 235285 0 37165 JAGWINDER SANDU MD PSYCHIATRIST 40.0 X 262900 0 37311 3747270 0 369742 41 false true false SODEXO INC AFFILIATES PO BOX 905374 CHARLOTTE NC 282905374 DIETARY & HOUSEKEEP 2098200 DRINKER BIDDLE REATH LLP 500 CAMPUS DRIVE FLORHAM PARK NJ 07932 LEGAL SERVICES 416197 GAMIL MAKAR LLC 20 RENSHAW DRIVE MONTVILLE NJ 07045 INTERNAL MEDICINE 200000 KPMG LLP 150 JOHN F KENNEDY PARKWAY SHORT HILLS NJ 07078 AUDITING SERVICES 197945 4 X 38910 48545 1251834 40307 1339289 NET PATIENT SERVICES 624100 54052757 54052757 EDUCATIONAL PROGRAMS 611710 6812303 6812303 SERVICES & MANAGEMENT 561000 1076494 839520 236974 61941554 936174 -1061 937235 0 0 0 0 0 28972221 27359708 1612513 1612513 -12693 1625206 118082 38910 50126 67956 67956 0 272515 335426 -62911 -62911 INSURANCE SETTLEMENT 900099 111804 111804 PHARMACY/PHONE/VENDING 900099 32211 32211 MISCELLANEOUS REVENUE 900099 104968 104968 248983 66083558 61704580 -13754 3053443 X 0 1000 1000 0 0 2072692 238282 1834410 0 35699820 30582724 4978319 138777 2022600 1650368 364801 7431 3872817 3160078 698509 14230 3099711 2529253 559070 11388 599921 599921 377860 377860 176847 43111 133736 0 0 56236 56236 1060970 492284 568086 600 793676 793676 1078945 592215 478841 7889 230539 33118 197421 0 1208065 1208065 124546 115145 9401 0 95072 38264 54163 2645 267594 267594 0 1245305 48280 1197025 1027650 1027650 DIETARY/ENVIRONMENTAL SVCS 2182336 2015 2177626 2695 PATIENT-RELATED 1556119 1556119 BAD DEBTS 1411222 1411222 MAINTENANCE/EMPLOYEE 1444970 323243 1115403 6324 61706513 57994196 3516940 195377 X 5256332 6184765 1586401 622830 58000 104712 4996127 4685924 0 0 0 0 0 0 130418 162026 989731 940195 46488809 32766130 11394503 13722679 23149096 26980492 1069605 110471 0 0 0 0 6764661 5915186 55394874 59429280 9151310 8516854 0 0 0 0 0 0 0 0 0 0 5721266 4955329 0 0 7714085 7450074 22586661 20922257 X 32384916 38001302 423297 505721 0 0 32808213 38507023 55394874 59429280 X 4377045 1081184 240581 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 51874 false false 51874 false PART II-B, LINE 1 (I), OTHER LOBBYING ACTIVITIES: 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. 278290 278290 26005281 17089785 8915496 10239188 9712516 526672 9966050 5963829 4002221 13722679 OTHER RECEIVABLES 1297129 ASSETS WHOSE USE IS LIMITED 3751949 CHARITABLE REMAINDER TRUST 611691 FUNDED DEFERRED COMPENSATION 254417 5915186 0 DEFERRED COMPENSATION 430371 DUE TO THIRD-PARTY PAYORS 1716213 ACCRUED PENSION AND BENEFITS 5289659 OTHER LIABILITIES 13831 7450074 X 61042453 382138 382138 60660315 5423243 5423243 66083558 60591769 335426 335426 60256343 1450170 1450170 61706513 PART X, LINE 2 THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(a) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL 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 335,426 PLEDGES RECEIVABLE 46,712 TOTAL PART XI, LINE 2D 382,138 PART XI, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 38,948 PATIENT BAD DEBTS 1,411,222 ACTUAL DONATIONS VS. INCOME STATEMENT 82,424 INVESTMENT INCOME 2,548,686 CONTRIBUTIONS RECEIVED 225,431 ROUNDING 2 TOTAL PART XI, LINE 4B 5,423,243 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 335,426 TOTAL PART XII, LINE 2D 335,426 PART XII, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY REPORTED AS REVENUE 38,948 PATIENT BAD DEBTS 1,411,222 TOTAL PART XII, LINE 4B 1,450,170 GALA 86395 26690 59705 20481 11261 GOLF OUTING 33485 12220 21265 10240 170 2 37112 37112 7974 156992 38910 118082 30721 19405 50126 67956 true true X true X true X 100 true true true false true true 415623 415623 0.00690 2734229 1803334 930895 0.01540 3149852 1803334 1346518 0.02230 5192 300 4892 0.00010 11722 11722 0.00020 289364 160034 129330 0.00210 16555 16555 0.00030 322833 160334 162499 0.00270 3472685 1963668 1509017 0.02500 10608 10608 0.00020 10608 10608 0.00020 true 766042 9541390 9318373 223017 X true false 1 1 CARRIER CLINIC INC PO BOX 147 BELLE MEAD NJ 08502 X CARRIER CLINIC INC 1 true X X X X X X X X X 13 true true true X www.carrierclinic.org X X X X false false true true 100 true 100 true X X X X true true X X true false true X X false false PART V, SECTION B, LINE 3 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 2012 ADMISSIONS. PART V, SECTION B, LINE 4 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. PART V, SECTION B, LINE 7 THE IMPLEMENTATION STRATEGY DEFINES THE NEEDS TO BE ADDRESSED AND WAS ADOPTED BY THE BOARD OF TRUSTEES IN DECEMBER 2013. CARRIER CLINIC IS WORKING TOWARDS TIMELY IMPLEMENTATION OF THE PLAN BASED ON THE TIMELINE IDENTIFIED IN THE PLAN. PART V, LINE 20d 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. 6 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 Part I, Line 7 COLUMN F BAD DEBT EXPENSE FOR 2013 IS $1,411,222 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 12 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 106,000 IN 2013, 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 2013 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER, HUNTERDON, MORRIS AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE COUNTIES, AN AVERAGE OF 6.87% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2008-2012 CENSUS STATISTICS. PART VI, SUPPLEMENTAL INFORMATION 5 COMMUNITY HEALTH,COMMUNITY BUILDING ACTIVITIES & COALITION BUILDING CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 12 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. X X X X false false false false false false false false false RANDOLPH JACOBSON VP & CFO 247441 0 63560 0 0 31612 342613 0 MARY PAWLIKOWSKI VICE PRESIDENT 241921 0 57283 0 0 21123 320327 0 PATRICIA TOOLE VP & COMPLIANCE OFFICER 214970 0 55692 0 0 0 0 0 38165 0 308827 0 CAROL KOSZTYO VICE PRESIDENT 193664 0 48796 54500 0 15179 312139 0 UMESH MEHTA MD PSYCHIATRIST 420126 0 0 0 0 37385 457511 0 CLAIRE MARSH MD PSYCHIATRIST 230472 0 0 0 0 10012 240484 0 ASMA NISAR MD PSYCHIATRIST 236167 0 0 0 0 35008 271175 0 MARIE HASSON MD MEDICAL DIRECTOR 294061 0 0 0 0 26931 320992 0 DAVID BUCH MD MEDICAL DIRECTOR 242550 0 0 0 0 31373 273923 0 ABDUL KAZI MD PSYCHIATRIST 235285 0 0 0 0 37165 272450 0 DONALD PARKER PRESIDENT & CEO 342086 0 0 0 0 39065 381151 0 JAGWINDER SANDU MD PSYCHIATRIST 262900 0 0 0 0 37311 300211 0 TARA MCKINNEY MD MEDICAL STAFF PRESIDENT 218889 0 0 0 0 7836 226725 0 0 PART I, LINE 3 THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. PART II CAROL KOSZTYO'S OTHER REPORTABLE COMPENSATION OF $54,500 REPRESENTS PENSION CONTRIBUTION THAT FAILED DISCRIMINATION TESTING. X OFFICE FURNITURE 1 30000 FMV X PERSONAL ITEMS FOR HOSPITAL UNITS 1 10307 FMV false true false 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 108 RESIDENTS AND HAD A TOTAL OF 29,479 PATIENT DAYS. PART VI, SECTION B, LINE 11A&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 46,712 MINIMUM PENSION LIABILITY (47,666) CHANGE IN DERIVATIVE INSTRUMENT 231,214 CHANGE IN TRUST 10,323 ROUNDING (2) TOTAL 240,581 PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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. BOX F & PART VI, SECTION C, LINE 20 & PART VII, SECTION A & SCHEDULE J C. RICHARD SARLE RETIRED AS CEO EFFECTIVE JANUARY 1, 2013 AND DONALD PARKER IS THE NEW CEO EFFECTIVE JANUARY 2, 2013. BOTH MARY PAWLIKOWSKI, VICE PRESIDENT AND MARIE HASSON, MD, MEDICAL DIRECTOR RESIGNED DURING 2013.