FORREST S CHILTON 3RD MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FORREST S CHILTON 3RD MEMORIAL HOSPITAL (EIN 22-1559402)
- Tax period
- 2013-01-01 to 2013-12-30
- Filed
- 2014-11-17
- IRS object ID
- 201413219349305431
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T12:59:42-06:00 | ReturnTs |
| Tax Period End | 2013-12-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | 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 | 221559402 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORREST S CHILTON 3RD MEMORIAL HOSPITAL | BusinessNameLine1 |
| Business Name Line2 | INC A NEW JERSEY NONPROFIT CORPORATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANNA DUNITZ | InCareOfNm |
| Business Name Control | FORR | BusinessNameControlTxt |
| Phone | 9738315202 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 97 WEST PARKWAY | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | POMPTON PLAINS | City |
| State | NJ | State |
| ZIP Code | 07444 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENNETH BUTKOWSKI | PersonNm |
| Person Title | OFFICER | PersonTitleTxt |
| Phone | 9738989494 | PhoneNum |
| Signature | 2014-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | DEBORAH K ZASTOCKI FACHE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 97 WEST PARKWAY | AddressLine1 |
| City | POMPTON PLAINS | City |
| State | NJ | State |
| ZIP Code | 07444 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $175,424,125 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHILTONHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1947 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1854 | TotalEmployeeCnt |
| Total Volunteers | 275 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,498,497 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,547,906 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $166,461,909 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $170,007,838 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,137,927 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,364,561 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,192 | PYOtherRevenueAmt |
| CY Other Revenue | -$323,610 | CYOtherRevenueAmt |
| PY Total Revenue | $169,100,525 | PYTotalRevenueAmt |
| CY Total Revenue | $174,596,695 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $92,453,404 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $92,632,514 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $71,128,786 | PYOtherExpensesAmt |
| CY Other Expenses | $77,102,420 | CYOtherExpensesAmt |
| PY Total Expenses | $163,582,190 | PYTotalExpensesAmt |
| CY Total Expenses | $169,734,934 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,518,335 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,861,761 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $169,708,974 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $118,067,086 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $51,641,888 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,974,356 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,899,830 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT AND OUTPATIENT PHARMACEUTICAL SUPPLIES AND SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,399,537 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,200,693 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT AND OUTPATIENT LABORATORY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,059,135 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $19,914,868 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $132,328,413 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $132,992,447 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $152,761,441 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 192 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1854 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNA DUNITZ | PersonNm |
| Phone | 9734512077 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SOUTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ELIOT CHODOSH MD | ||||||||
| CHAIRMAN - TRUSTEE | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AARON VAN DUYNE III | ||||||||
| VICE CHAIRMAN - TRUSTEE | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HENRY DRIESSE | ||||||||
| SECRETARY - TRUSTEE | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES VINCI | ||||||||
| TREASURER - TRUSTEE | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JORGE AMOR MD | ||||||||
| TRUSTEE - MED STAFF PRESIDENT | 1.0 | Yes (X) | $26,113 | $0 | $0 | |||
| MICHAEL DARA MD | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| LAURA KELLY ESQ | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES KLEIN | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DANNY LAM | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ELLIOT PENNER | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARIO ROSELLINI | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RUTH E SPELLMAN | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN WARE | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID WASHBURN | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH K ZASTOCKI FACHE | ||||||||
| TRUSTEE - PRESIDENT/CEO | 55.0 | Yes (X) | Yes (X) | $1,127,357 | $0 | $24,059 | ||
| MICHAEL A RICHETTI | ||||||||
| VP / CFO | 55.0 | Yes (X) | $574,303 | $0 | $15,579 | |||
| THOMAS SCOTT | ||||||||
| VP / COO | 55.0 | Yes (X) | $403,316 | $0 | $17,214 | |||
| MARK LEDERMAN | ||||||||
| VP / CIO | 55.0 | Yes (X) | $325,630 | $0 | $11,073 | |||
| JOAN BOOMSMA | ||||||||
| VP / CMO (EFF 11/4/13) | 55.0 | Yes (X) | $78,365 | $0 | $0 | |||
| JULIA MCGOVERN | ||||||||
| VP, HUMAN RESOURCES | 55.0 | Yes (X) | $614,676 | $0 | $14,025 | |||
| RICHARD WEINBERG MD | ||||||||
| VP, MEDICAL AFFAIRS | 55.0 | Yes (X) | $461,075 | $0 | $17,373 | |||
| JOANNE REICH | ||||||||
| VP, NURSING / CNE | 55.0 | Yes (X) | $277,923 | $0 | $12,213 | |||
| YOLANDA C GEHRINGTERM 1413 | ||||||||
| VP,CLINICAL SVCS & EXT AFFAIRS | 55.0 | Yes (X) | $19,736 | $0 | $0 | |||
| KAREN STUTZER | ||||||||
| EXECUTIVE DIRECTOR | 55.0 | Yes (X) | $161,061 | $0 | $10,691 | |||
| DAVID A GOURLEY | ||||||||
| EXECUTIVE DIRECTOR | 55.0 | Yes (X) | $156,194 | $0 | $9,223 | |||
| DONNA KIRBY | ||||||||
| ED - ACCESS SVCS & WELLNESS | 55.0 | $185,091 | $0 | $13,197 | Yes (X) | |||
| MARK KAVANAGH MD | ||||||||
| PHYSICIAN | 55.0 | $340,100 | $0 | $17,217 | Yes (X) | |||
| MICHELLE AZU MD | ||||||||
| PHYSICIAN | 55.0 | $329,601 | $0 | $8,562 | Yes (X) | |||
| JOSHUA NOCHUMSON MD | ||||||||
| PHYSICIAN | 55.0 | $244,004 | $0 | $13,710 | Yes (X) | |||
| DHINOJ PARIKH MD | ||||||||
| PHYSICIAN | 55.0 | $225,893 | $0 | $12,783 | Yes (X) | |||
| JUDITH PINTO NESS MD | ||||||||
| PHYSICIAN | 55.0 | $183,915 | $0 | $4,595 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,734,353 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $201,514 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 158 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OA PETERSON CONSTRUCTION CO INC | |||||
| 78 NORTH WILLOW STREET | MONTCLAIR | NJ | 07042 | CONSTRUCTION | $4,267,508 |
| SODEXO INC AND AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | MANAGEMENT | $3,488,056 |
| HOSPITAL BILLING AND COLLECTION | |||||
| 118 LUKENS DRIVE | NEW CASTLE | DE | 19720 | BILLING/COLLECTION | $2,457,487 |
| HOSPITAL MEDICINE ASSOCIATES | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | HOSPITALIST SERVICES | $1,616,727 |
| NAVINHAFFTY ASSOCIATES | |||||
| 1900 W Park Drive Ste 180 | WESTBOROUGH | MA | 01581 | ARCHITECTS/ENGINEERS | $1,510,557 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 76 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $2,486,999 | RelatedOrganizationsAmt |
| Government Grants | $60,907 | GovernmentGrantsAmt |
| Total Contributions | $2,547,906 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $165,135,152 | $165,135,152 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | $4,872,686 | $4,872,686 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $170,007,838 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,146,481 | TotalRevenueColumnAmt |
| Exclusion | $1,146,481 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,887 | TotalRevenueColumnAmt |
| Exclusion | $6,887 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $485,499 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $809,109 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$323,610 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$323,610 | TotalRevenueColumnAmt |
| Exclusion | -$323,610 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,229,514 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,321 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,229,514 | SecuritiesAmt |
| Other | -$18,321 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,211,193 | TotalRevenueColumnAmt |
| Exclusion | $1,211,193 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,596,695 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,007,838 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,040,951 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,555,757 | TotalAmt |
| Program Services | $4,100,181 | ProgramServicesAmt |
| Management And General | $455,576 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,802,409 | TotalAmt |
| Program Services | $64,622,168 | ProgramServicesAmt |
| Management And General | $7,180,241 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,197,537 | TotalAmt |
| Program Services | $3,777,783 | ProgramServicesAmt |
| Management And General | $419,754 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,481,785 | TotalAmt |
| Program Services | $5,833,607 | ProgramServicesAmt |
| Management And General | $648,178 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,595,026 | TotalAmt |
| Program Services | $5,035,523 | ProgramServicesAmt |
| Management And General | $559,503 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,601 | TotalAmt |
| Program Services | $185,941 | ProgramServicesAmt |
| Management And General | $20,660 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $981,793 | TotalAmt |
| Program Services | $883,614 | ProgramServicesAmt |
| Management And General | $98,179 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,899 | TotalAmt |
| Program Services | $17,009 | ProgramServicesAmt |
| Management And General | $1,890 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,517 | TotalAmt |
| Program Services | $164,265 | ProgramServicesAmt |
| Management And General | $18,252 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,794,299 | TotalAmt |
| Program Services | $18,714,869 | ProgramServicesAmt |
| Management And General | $2,079,430 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $972,287 | TotalAmt |
| Program Services | $875,058 | ProgramServicesAmt |
| Management And General | $97,229 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,007,094 | TotalAmt |
| Program Services | $6,306,385 | ProgramServicesAmt |
| Management And General | $700,709 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,374,570 | TotalAmt |
| Program Services | $1,237,113 | ProgramServicesAmt |
| Management And General | $137,457 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,881 | TotalAmt |
| Program Services | $36,793 | ProgramServicesAmt |
| Management And General | $4,088 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,041 | TotalAmt |
| Program Services | $55,837 | ProgramServicesAmt |
| Management And General | $6,204 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,160,690 | TotalAmt |
| Program Services | $1,944,621 | ProgramServicesAmt |
| Management And General | $216,069 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,576,050 | TotalAmt |
| Program Services | $10,418,445 | ProgramServicesAmt |
| Management And General | $1,157,605 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,122,934 | TotalAmt |
| Program Services | $1,910,641 | ProgramServicesAmt |
| Management And General | $212,293 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $23,956,453 | $21,560,808 | $2,395,645 | $0 |
| PLANNING EXPENSES | $1,989,432 | $1,790,489 | $198,943 | |
| TEMPORARY HELP | $1,452,891 | $1,307,602 | $145,289 | |
| DUES & SUBSCRIPTIONS | $160,454 | $144,409 | $16,045 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,042,534 | TotalAmt |
| Program Services | $1,838,280 | ProgramServicesAmt |
| Management And General | $204,254 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,734,934 | TotalAmt |
| Program Services | $152,761,441 | ProgramServicesAmt |
| Management And General | $16,973,493 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,653 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,000,087 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,863,195 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,790 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,734 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,542,866 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,327,878 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,291,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,138,771 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,708,974 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,474,137 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,892,348 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,700,601 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,067,086 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,308,304 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,212,951 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,120,633 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,641,888 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,708,974 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,861,761 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,747,383 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$58,251,032 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $18,899 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $18,899 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B; LINES 1I | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION EMPLOYS A VICE PRESIDENT OF CLINICAL SERVICES & EXTERNAL AFFAIRS OF WHICH APPROXIMATELY 5% OF HER TIME AND GROSS COMPENSATION IS ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF THE ORGANIZATION ON A FEDERAL AND STATE LEVEL ON MATTERS RELATED TO MEDICARE AND MEDICAID LEGISLATION AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THIS ALLOCATION AMOUNTED TO $987 IN 2013. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS PERFORMED ON BEHALF OF THIS ORGANIZATION. THIS ALLOCATION AMOUNTED TO $17,912 IN 2013. THE ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $10,000 IN 2013. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMEBER HOSPITALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,120,633 | BeginningYearBalanceAmt |
| End Year Balance | $2,120,633 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,120,633 | BeginningYearBalanceAmt |
| End Year Balance | $2,120,633 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,120,633 | BeginningYearBalanceAmt |
| End Year Balance | $2,120,633 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,120,633 | BeginningYearBalanceAmt |
| End Year Balance | $2,120,633 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,120,300 | BeginningYearBalanceAmt |
| Contributions | $333 | ContributionsAmt |
| End Year Balance | $2,120,633 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| SETTLEMENTS | $0 |
| ACCRUED PENSION COST | $0 |
| MALPRACTICE LIABILITY | $0 |
| ACCRUED INTEREST PAYABLE | $0 |
| OTHER LIABILITIES | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V; QUESTION 4 | THE HOSPITAL'S ENDOWMENT FUNDS CONSIST OF FUNDS ESTABLISHED TO SUPPORT VARIOUS OPERATIONS OF THE HOSPITAL. THE ENDOWMENTS INCLUDE ONLY DONOR-RESTRICTED ENDOWMENT FUNDS. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE ENDOWMENT FUNDS ARE INVESTED CONSISTENT WITH AN INVESTMENT POLICY STATEMENT THAT IS MONITORED BY THE HOSPITAL'S BOARD OF DIRECTORS. THE INVESTMENT POLICY EMPLOYED IS MEANT TO ACHIEVE LONG-TERM GROWTH WHILE PROVIDING MODEST INVESTMENT INCOME WHICH WOULD BE AVAILABLE FOR CURRENT FUNDING. FUNDS ARE PRIMARILY INVESTED IN CASH AND CASH EQUIVALENTS, FIXED INCOME SECURITIES, MUTUAL FUNDS AND EQUITIES. |
| SCHEDULE D, PART X | AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. AND ITS CONTROLLED AFFILIATE, CHILTON MEMORIAL HOSPITAL FOUNDATION, INC., FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S YEAR ENDED DECEMBER 31, 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE HOSPITAL 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 AND 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,793,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $727,249 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,066,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,013,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,457,210 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,556,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,806,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,184,459 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,622,082 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $982,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $231,625 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $750,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,829 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $402,452 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,626 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $314,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,105 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $206,105 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,654,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $319,251 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,335,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,460,968 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,503,710 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,957,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06420 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,178,638 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,847,865 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $55,780,990 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,763,711 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,982,721 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILTON HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 97 WEST PARKWAY | AddressLine1 |
| City | POMPTON PLAINS | City |
| State | NJ | State |
| ZIP Code | 07444 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CHILTONHEALTH.ORG | WebsiteAddressTxt |
| State License | 11401 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILTON HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CHILTONHEALTH.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 |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | 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 (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5C & 6I | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 3 | Community engagement and feedback were an integral part of the Community Health Needs Assessment ("CHNA") process. Chilton Hospital sought community input through focus groups with community members and inclusion of community leaders in the prioritization and implementation planning process. Public health and healthcare professionals shared knowledge and expertise about health issues, and leaders and representatives of non-profit and community-based organizations provided insight on the community served by Chilton Hospital including medically underserved, low income, and minority populations. |
| SCHEDULE H, PART V, SECTION B, QUESTION 4 | In an effort to better identify and address the regions healthcare needs, Chilton Medical Center worked with nine other hospital facilities in northwestern and central New Jersey to survey the community, including Overlook Hospital, Morristown Medical Center, Newton Medical Center, Trinitas Hospital, Robert Wood Johnson University Hospital Rahway, Saint Clare's (Boonton Township), Saint Clare's Hospital (Denville), Saint Clare's Hospital (Dover) and Saint Clare's Hospital (Sussex). |
| SCHEDULE H, PART V, SECTION B, QUESTION 7 | Chilton Hospital has not addressed the following two needs reported in the Community Health Needs Assessment: 1. Chewing tobacco habits - State provides programs and resources. 2. Alcohol consumption for males and Hispanics - higher need for adolescents and parents so Chilton Hospital aimed its resources for this population. |
| SCHEDULE H, PART V,SECTION B,QUESTIONS 10,11,12I,14G,16E,17E,18E,19D,21&22 | NOT APPLICABLE. |
| SCHEDULE H, PART V, SECTION B, QUESTION 20D | THE FACILITY USES 115% OF THE MEDICARE RATE AS THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILTON HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PIKES DRIVE | AddressLine1 |
| City | WAYNE | City |
| State | NJ | State |
| ZIP Code | 07470 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT PHYSICAL THERAPY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, QUESTION 3C | THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2013 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. |
| SCHEDULE H, PART I, QUESTION 6A | NOT APPLICABLE. |
| SCHEDULE H, PART I; QUESTION 7G | NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. |
| SCHEDULE H, PART I, QUESTION 7 | WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY CHILTON IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. CHILTON HOSPITAL OFFERS A WEALTH OF PROGRAMS, LECTURES AND SCREENINGS TO PEOPLE IN THE COMMUNITY AND THE HOSPITAL'S BROADER AREA AND ADDRESS A VARIETY OF HEALTH-RELATED ISSUES. THESE EVENTS ALSO HELP LESS-PRIVILEGED CITIZENS RECEIVE THE HEALTHCARE AND EDUCATION THAT THEY OTHERWISE WOULDN'T RECEIVE. A MAJOR COMPONENT OF COMMUNITY BENEFIT FROM CHILTON IS THE COMMUNITY OUTREACH DEPARTMENT. IT PROVIDED 1,250 PROGRAM SESSIONS FOR THE COMMUNITY IN 2013. COMMUNITY OUTREACH COMPRISES FOUR DIVISIONS: NEW VITALITY, COMMUNITY HEALTH, PARENT EDUCATION AND CORPORATE WELLNESS. THESE DIVISIONS DELIVER SPECIALIZED PROGRAMS AND SERVICES, MANY OF WHICH ARE FREE. CHILTON NEW VITALITY OFFERS MANY CLASSES FOR INDIVIDUALS OVER THE AGE OF 50. MEMBERS BENEFIT FROM NEW VITALITY'S EXTENSIVE ROSTER OF LECTURES, WORKSHOPS, CLASSES, SUPPORT GROUPS, TRIPS, HEALTH SCREENINGS AND SOCIAL EVENTS, EACH FOCUSED ON MEETING THE SOCIAL, PHYSICAL, EMOTIONAL, MENTAL AND/OR EDUCATIONAL NEEDS OF THE OLDER ADULT. MEMBERSHIP IS FREE AND INCLUDES ACCESS TO IN-HOME EMERGENCY-RESPONSE SYSTEMS, SUPPORT GROUPS AND EVEN PRESCRIPTION DRUG DISCOUNTS. CHILTON COMMUNITY HEALTH PARTNERS WITH 5 LOCAL HEALTH DEPARTMENTS TO PROVIDE COMMUNITY SCREENINGS, EXAMS AND EDUCATIONAL PROGRAMS DESIGNED TO ENCOURAGE PREVENTIVE CARE, FOSTER PARTICIPATION IN HEALTHCARE INITIATIVES AND PROMOTE GREATER AWARENESS OF COMMUNITY HEALTHCARE ISSUES. CHILTON HOSPITAL PARTNERS WITH THE FOLLOWING TOWNS TO DELIVER THESE PROGRAMS: POMPTON LAKES, RINGWOOD, WANAQUE, WAYNE AND WEST MILFORD. CHILTON PARENT EDUCATION SERVES AS A VALUABLE RESOURCE FOR FAMILY HEALTH. SEMINARS AND COURSES ARE OFFERED TO HELP NEW OR SEASONED PARENTS GAIN KNOWLEDGE AND INSIGHT ABOUT ALL ASPECTS OF PARENTING, FROM THE EARLY MONTHS OF PREGNANCY THROUGH THE CHILD'S PRE-SCHOOL YEARS. A VARIETY OF TOPICS SUCH AS DIET, SLEEP DISORDERS, DEALING WITH SIBLINGS, LIVING WITH PETS AND SAFETY LESSONS FOR BABYSITTERS CAN BE FOUND IN PARENT EDUCATION PROGRAMS FROM CHILTON. |
| SCHEDULE H, PART III, SECTION A; QUESTION 2,3 & 4 | BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF TO DETERMINE BAD DEBT EXPENSE AT COST. FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL AND ITS CONTROLLED AFFILIATE PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL, INC. AND AFFILIATE. ACCOUNTS RECEIVABLE, PATIENTS ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. 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. CHARITY CARE THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE ESTIMATED COSTS OF PROVIDING CHARITY CARE ARE BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC CHARITY CARE SERVICES PROVIDED. THE LEVEL OF CHARITY CARE PROVIDED BY THE HOSPITAL AMOUNTED TO APPROXIMATELY $5,997,000 IN 2013 AND $6,074,000 IN 2012. THE NEW JERSEY HEALTH CARE SUBSIDY FUND ("HCSF") WAS ESTABLISHED FOR VARIOUS PURPOSES, INCLUDING THE DISTRIBUTION OF CHARITY CARE PAYMENTS TO HOSPITALS STATEWIDE. NET PATIENT SERVICE REVENUES INCLUDE SUBSIDY AMOUNTS OF APPROXIMATELY $714,000 IN 2013 AND $693,000 IN 2012. |
| SCHEDULE H, PART III, SECTION B; QUESTION 8 | MEDICARE COSTS WERE DERIVED FROM THE 2013 MEDICARE COST REPORT. CH BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE A COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. HOWEVER, CONSISTENT WITH FORM 990, SCHEDULE H RULES AND REGULATIONS, THESE COSTS ARE NOT INCLUDED IN PART I BUT ARE PROPERLY REFLECTED IN PART III. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. CH BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. HOWEVER, CONSISTENT WITH FORM 990, SCHEDULE H RULES AND REGULATIONS, THESE COSTS ARE NOT INCLUDED IN PART I BUT ARE PROPERLY REFLECTED IN PART III. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FIND |
| SCHEDULE H, PART III, SECTION B; QUESTION 9B | ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF FORREST S. CHILTON, 3RD MEMORIAL HOSPITAL AND ALL ITS HOSPITAL AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER AND TELEPHONE CONTACT. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REQUIRED BY THE STATE OF NEW JERSEY. |
| SCHEDULE H, PART VI; QUESTION 2 | IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-8 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (CARDIOLOGY, OBSTETRICS, ONCOLOGY, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY MORRIS REGIONAL PUBLIC HEALTH PARTNERSHIP, THE NEW JERSEY HOSPITAL ASSOCIATION AND THE HEALTH RESEARCH EDUCATIONAL TRUST (HRET). THIS ORGANIZATIONS CONDUCT EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A REGIONAL COMMUNITY ADVISORY BOARD CALLED "CHILTON NEIGHBORS FOR BETTER HEALTH" FOR THE MORRIS AND PASSAIC AREAS HOSTED BY THE HOSPITAL WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, FIRST RESPONDERS AND OTHER COMMUNITY HEALTH LEADERS. |
| SCHEDULE H, PART VI; QUESTION 3 | CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. |
| SCHEDULE H, PART VI; QUESTION 4 | LOCATED IN POMPTON PLAINS, NEW JERSEY, AT THE CROSSROADS OF MORRIS AND PASSAIC COUNTIES, CHILTON MEMORIAL HOSPITAL IS A 260-BED FULLY ACCREDITED ACUTE CARE HOSPITAL WITH 1,854 EMPLOYEES AND MORE THAN 650 PHYSICIANS REPRESENTING 60 MEDICAL SPECIALTIES. |
| SCHEDULE H, PART VI; QUESTION 5 | CHILTON HOSPITAL ("CH") AND ITS AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. MOREOVER, CH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. |
| SCHEDULE H, PART VI; QUESTION 6 | NOT FOR-PROFIT ENTITIES: CHILTON MEMORIAL CORPORATION CHILTON MEMORIAL CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILTON MEMORIAL HOSPITAL FOUNDATION, INC. CHILTON FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CHILTON REALTY HOLDING, INC. CHILTON REALTY HOLDING, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION ACTS AS A REALTY HOLDING COMPANY FOR PROPERTY USED IN THE PROVISION BY FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR-PROFIT ENTITIES: CHILTON COMMUNITY CARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION'S PRIMARY OPERATIONAL FUNCTION IS TO PROVIDE CHILD CARE SERVICES. CHILTON PROFESIONAL PRACTICE CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. CHILTON SPORTS MEDICINE & REHABILITATION MANAGEMENT, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CMC. THE ORGANIZATION IS LOCATED IN POMPTON PLAINS, MORRIS COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES. |
| SCHEDULE H, PART VI; QUESTION 7 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBORAH K ZASTOCKI FACHE | ||||||||||||||
| TRUSTEE - PRESIDENT/CEO | $593,599 | $0 | $131,670 | $0 | $402,088 | $0 | $21,724 | $0 | $2,335 | $0 | $1,151,416 | $0 | $0 | $0 |
| MICHAEL A RICHETTI | ||||||||||||||
| VP / CFO | $379,888 | $0 | $82,999 | $0 | $111,416 | $0 | $11,476 | $0 | $4,103 | $0 | $589,882 | $0 | $0 | $0 |
| THOMAS SCOTT | ||||||||||||||
| VP / COO | $325,749 | $0 | $76,117 | $0 | $1,450 | $0 | $12,071 | $0 | $5,143 | $0 | $420,530 | $0 | $0 | $0 |
| MARK LEDERMAN | ||||||||||||||
| VP / CIO | $263,815 | $0 | $59,672 | $0 | $2,143 | $0 | $9,773 | $0 | $1,300 | $0 | $336,703 | $0 | $0 | $0 |
| JULIA MCGOVERN | ||||||||||||||
| VP, HUMAN RESOURCES | $253,129 | $0 | $56,961 | $0 | $304,586 | $0 | $14,025 | $0 | $0 | $0 | $628,701 | $0 | $0 | $0 |
| RICHARD WEINBERG MD | ||||||||||||||
| VP, MEDICAL AFFAIRS | $369,665 | $0 | $87,503 | $0 | $3,907 | $0 | $15,252 | $0 | $2,121 | $0 | $478,448 | $0 | $0 | $0 |
| JOANNE REICH | ||||||||||||||
| VP, NURSING / CNE | $220,778 | $0 | $55,002 | $0 | $2,143 | $0 | $10,656 | $0 | $1,557 | $0 | $290,136 | $0 | $0 | $0 |
| KAREN STUTZER | ||||||||||||||
| EXECUTIVE DIRECTOR | $159,230 | $0 | $0 | $0 | $1,831 | $0 | $10,050 | $0 | $641 | $0 | $171,752 | $0 | $0 | $0 |
| DONNA KIRBY | ||||||||||||||
| ED - ACCESS SVCS & WELLNESS | $183,201 | $0 | $0 | $0 | $1,890 | $0 | $12,913 | $0 | $284 | $0 | $198,288 | $0 | $0 | $0 |
| DAVID A GOURLEY | ||||||||||||||
| EXECUTIVE DIRECTOR | $154,551 | $0 | $0 | $0 | $1,643 | $0 | $8,582 | $0 | $641 | $0 | $165,417 | $0 | $0 | $0 |
| MARK KAVANAGH MD | ||||||||||||||
| PHYSICIAN | $338,671 | $0 | $0 | $0 | $1,429 | $0 | $12,616 | $0 | $4,601 | $0 | $357,317 | $0 | $0 | $0 |
| MICHELLE AZU MD | ||||||||||||||
| PHYSICIAN | $329,102 | $0 | $0 | $0 | $499 | $0 | $7,285 | $0 | $1,277 | $0 | $338,163 | $0 | $0 | $0 |
| JOSHUA NOCHUMSON MD | ||||||||||||||
| PHYSICIAN | $242,575 | $0 | $0 | $0 | $1,429 | $0 | $11,090 | $0 | $2,620 | $0 | $257,714 | $0 | $0 | $0 |
| DHINOJ PARIKH MD | ||||||||||||||
| PHYSICIAN | $221,986 | $0 | $0 | $0 | $3,907 | $0 | $10,163 | $0 | $2,620 | $0 | $238,676 | $0 | $0 | $0 |
| JUDITH PINTO NESS MD | ||||||||||||||
| PHYSICIAN | $183,405 | $0 | $0 | $0 | $510 | $0 | $2,647 | $0 | $1,948 | $0 | $188,510 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I; QUESTION 4B | THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"), WHICH AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DEBORAH K. ZASTOCKI, FACHE, $391,149; MICHEAEL A. RICHETTI, $109,861 AND JULIA MCGOVERN, $302,443. |
| SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 221987084 | BondIssuerEIN |
| CUSIP | 64579FZE6 | CUSIPNum |
| Bond Issued | 2009-11-01 | BondIssuedDt |
| Issue Price | $38,486,520 | IssuePriceAmt |
| Purpose | REFUND '93/REFINANCE LOC/CAP PROJ | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $38,529,104 | TotalProceedsAmt |
| In Reserve Fund | $2,806,863 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $928,625 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $33,393,039 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $1,400,577 | UnspentAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | Yes (true) | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SHARON VAN DUYNE | |||
| FAMILY MEMBER - TRUSTEE | $73,862 | EMPLOYEE | false |
| MICHELE SLOOTMAKER | |||
| FAMILY MEMBER - TRUSTEE | $31,891 | EMPLOYEE | false |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Of Assets Table | LiquidationOfAssetsTableGrp |
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | NET ASSETS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2013-12-30 | DistributionDt |
| Fair Market Value Of Asset | $76,387,107 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | FMV | MethodOfFMVDeterminationTxt |
| EIN | 521958352 | EIN |
| Person | AHS HOSPITAL CORP | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 SOUTH STREET | AddressLine1 |
| City | MORRISTOWN | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (true) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, QUESTION 2A | FormAndLineReferenceDesc |
| Explanation | PURSUANT TO AND IN ACCORDANCE WITH THE STATUTORY MERGER OF THIS ORGANIZATION INTO AHS HOSPITAL CORP., A NEW JERSEY NONPROFIT CORPORATION ("AHS") ON DECEMBER 30, 2013, THREE OF THIS ORGANIZATION'S BOARD OF TRUSTEE MEMBERS BECAME BOARD OF TRUSTEE MEMBERS OF AHS. THESE BOARD OF TRUSTEE MEMBERS ARE: - LAURA KELLY, - HENRY DRIESSE, AND - JORGE AMOR, M.D. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== CHILTON HOSPITAL ("CH") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. CH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CH OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) CH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) CH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3) CH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF CH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. HISTORY ======= THE FIRST CHAPTER OF CH'S HISTORY WAS WRITTEN IN 1947. FORREST S. CHILTON III, M.D., AND HIS WIFE, ELIZABETH, DONATED A TRACT OF LAND ON NEWARK-POMPTON TURNPIKE TO BUILD A HOSPITAL IN MEMORY OF THEIR SON WHOSE LIFE WAS LOST IN WORLD WAR II. THEIR ACTION SPARKED A SUCCESSFUL DRIVE TO BUILD A FACILITY THAT WOULD SERVE THE HEALTH NEEDS OF THE COMMUNITY AND BECAME A REALITY WITH A 50-BED FACILITY IN 1954, AND EXPANDED TO 119 BEDS IN 1961. IN AUGUST 1968, A 40-ACRE TRACT WAS PURCHASED ONE MILE WEST OF THE NEWARK-POMPTON TURNPIKE SITE AND ANOTHER BUILDING, THE WEST PARKWAY FACILITY, WAS DEDICATED NOVEMBER 20, 1971. THE NEXT GOAL WAS TO COMBINE THE TWO BUILDINGS ON WEST PARKWAY AND CONSTRUCTION OF AN EXPANDED HOSPITAL BEGAN IN 1981. THIS INCLUDED A NEW PATIENT WING, NEW GROUND FLOOR FACILITY, AND A COMPLETE REMODELING OF THE ORIGINAL BUILDING. THE "NEW" CH WAS DEDICATED IN JUNE 1984. TODAY, CH IS A 260-BED, ACUTE-CARE, NON-PROFIT COMMUNITY HOSPITAL WITH APPROXIMATELY 1,450 EMPLOYEES. IT FEATURES SOME OF THE MOST SOPHISTICATED DIAGNOSTIC AND THERAPEUTIC EQUIPMENT AVAILABLE. CH'S COMPASSIONATE HEALTH-CARE PROFESSIONALS PROVIDE ADVANCED, COST-EFFECTIVE CARE, AND ALL OF ITS RESOURCES, INCLUDING THE STAFF PATIENTS WILL MEET, AS WELL AS THOSE THEY MAY NOT, ARE DEDICATED TO ONE PURPOSE - RETURNING YOU TO THE BEST POSSIBLE HEALTH. MORE THAN 650 PHYSICIANS REPRESENTING MORE THAN 60 DIFFERENT SPECIALTIES HOLD STAFF PRIVILEGES AT CH. THEY ARE SUPPORTED BY ALLIED HEALTH PROFESSIONALS WHO UTILIZE THE MOST CURRENT TECHNOLOGIES AND ON-GOING EDUCATION IN TREATMENT, WHILE NEVER LOSING SIGHT OF THE IMPORTANCE AND DIGNITY OF EACH INDIVIDUAL PATIENT. CH IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND IS A MEMBER OF THE VOLUNTARY HOSPITAL ASSOCIATION OF AMERICA, AMERICAN HOSPITAL ASSOCIATION, AND NEW JERSEY HOSPITAL ASSOCIATION. MISSION STATEMENT ================= THE MISSION OF CH IS TO PROMOTE WELLNESS AND PROVIDE COMPASSIONATE CARE AND HEALING. VISION STATEMENT ================ CH WILL BECOME THE LOCAL PREFERRED PROVIDER OF HIGH QUALITY PERSONALIZED HEALTHCARE. AWARDS AND COMMENDATIONS ======================== CH RECEIVED THREE-YEAR APPROVAL WITH COMMENDATION FROM THE COMMISSION ON CANCER. CH'S SLEEP HEALTH INSTITUTE RECEIVED ACCREDITATION FROM THE AMERICAN ACADEMY OF SLEEP MEDICINE. HEALTHGRADES STUDY FINDS PATIENT OUTCOMES AT CH AMONG NATION'S BEST FOR STROKE CARE. ACCORDING TO HEALTHGRADES HOSPITAL QUALITY IN AMERICA STUDY, CH WAS RANKED AMONG THE TOP TEN PERCENT NATIONALLY FOR STROKE CARE AND FIVE STAR RATED FOR STROKE CARE, THE HIGHEST POSSIBLE. THE STUDY, THE LARGEST OF ITS KIND, ANALYZED PATIENT OUTCOMES AT VIRTUALLY ALL OF THE NATION'S 5,000 HOSPITALS OVER THE YEARS 2006, 2007 AND 2008. THE 2010 STUDY ALSO FOUND THAT CH IS THE HIGHEST RANKED HOSPITAL IN THE NORTH WESTERN AREA FOR STROKE CARE. CH RECEIVED PRIMARY STROKE CENTER DESIGNATION FROM THE STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. CH RECEIVED CERTIFICATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION FOR MEETING STRICT GUIDELINES FOR THE RAPID DIAGNOSIS AND TREATMENT OF STROKE, FROM THE EMERGENCY ROOM THROUGH REHABILITATION. PRIMARY STROKE CENTERS ADHERE TO NATIONAL STANDARDS FOR STROKE CARE THAT IMPROVE OUTCOMES FOR PATIENTS, AND HAVE ACUTE STROKE TEAMS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK, READY TO RAPIDLY ASSESS AND TREAT PATIENTS. THE PRIMARY STROKE CENTER CERTIFICATION PROGRAM WAS DEVELOPED IN COLLABORATION WITH THE AMERICAN STROKE ASSOCIATION. IN MARCH 2012, CH'S TOTAL JOINT CENTER RECEIVED JOINT COMMISSION CERTIFICATION FOR TOTAL KNEE AND TOTAL HIP REPLACEMENT SERVICES. THE TOTAL JOINT CENTER, LOCATED ON THE THIRD FLOOR, RENOVATED IN 2011, HAS 24 PRIVATE ROOMS AND A REHABILITATION GYM LOCATED WITHIN THE CENTER OF THE UNIT. THE CENTER PROVIDES A FULL SPECTRUM OF CARE BEGINNING WITH PRE-HOSPITALIZATION EDUCATION, ACUTE CARE DURING THE HOSPITALIZATION, AND POST-DISCHARGE EDUCATION AND SUPPORT. 2013 STATISTICS =============== DURING 2013 CH HAD 10,567 INPATIENT ADMISSIONS, 101,539 OUTPATIENT ADMISSIONS AND 47,597 EMERGENCY ROOM ADMISSIONS. CENTERS OF EXCELLENCE ===================== 1. CHILTON CANCER CENTER THE CANCER CENTER AT CH, AN AMERICAN COLLEGE OF SURGEONS APPROVED COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM, IS LOCATED ADJACENT TO THE HOSPITAL AT COLLINS PAVILION AND USES THE LATEST TECHNOLOGY TO DIAGNOSE, TREAT, AND PROVIDE SUPPORT TO CANCER PATIENTS. EVERY PHASE OF CANCER CARE - FROM REGISTRATION TO LAB WORK TO TREATMENT TO SUPPORT SERVICES - IS LOCATED UNDER ONE ROOF, ELIMINATING THE NEED FOR TRAVEL TO A LARGER CANCER FACILITY. THE CANCER CENTER FEATURES A CARING STAFF OF PROFESSIONALS WHO STRIVE TO PROVIDE THE HIGHEST LEVEL OF CARE AVAILABLE AND TREAT EACH PERSON AS AN INDIVIDUAL. RADIATION ONCOLOGY ------------------ RADIATION THERAPY IS ONE OF THE MOST COMMON TREATMENTS FOR CANCER AND IS USED IN MORE THAN HALF OF ALL CANCER CASES. RADIATION THERAPY USES A STREAM OF HIGH-ENERGY PARTICLES OR WAVES, SUCH AS X-RAYS, GAMMA RAYS, ELECTRONS, OR PROTONS TO DESTROY OR DAMAGE CANCER CELLS. THE CANCER CENTER AT CH FEATURES STATE-OF-THE-ART INTENSITY-MODULATED RADIATION THERAPY (IMRT), WHICH AIMS DIRECTLY AT THE TUMOR AND DELIVERS PRECISE RADIATION DOSES, SPARING ADJACENT NORMAL TISSUES. AT CH, IMRT IS USED TO TREAT PROSTATE AND HEAD AND NECK CANCER. ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY, EACH RADIATION TREATMENT TAKES APPROXIMATELY 10 MINUTES AND THE CANCER CENTER'S LOCATION ALSO AFFORDS PATIENTS THE OPPORTUNITY TO HAVE THEIR LAB WORK AND TREATMENT PLANNING ALL DONE IN THE SAME BUILDING. CHEMOTHERAPY/INFUSION THERAPY ----------------------------- THE CANCER CENTER AT CH FEATURES AN INFUSION THERAPY AREA. IN THIS AREA, CHEMOTHERAPY, BLOOD TRANSFUSIONS, ANTIBIOTICS, STEROIDS, REMICADE AND OTHER MEDICATIONS ARE ADMINISTERED TO AMBULATORY OUTPATIENTS. THIS IS AN OPEN ROOM AREA WHERE PATIENTS CAN RELAX IN RECLINERS OR IN A PRIVATE ROOM WHILE RECEIVING THEIR TREATMENT. EXPERIENCED REGISTERED NURSES WHO ARE ALSO CERTIFIED IN ONCOLOGY STAFF THE DEPARTMENT. REFRESHMENTS ARE AVAILABLE TO OUR PATIENTS, AND OUR LIBRARY HAS PATIENT EDUCATION MATERIALS AVAILABLE FOR THEIR USE. EVERY EFFORT IS MADE TO ENSURE THE EXPERIENCE AT CH'S CANCER CENTER IS A COMFORTABLE ONE. SUPPORT SERVICES ---------------- CH'S CANCER CENTER HAS AN ONCOLOGY SOCIAL WORKER ON-SITE TO PROVIDE EMOTIONAL SUPPORT, FINANCIAL ASSISTANCE AND TO ARRANGE TRANSPORTATION FOR PATIENTS. IN ADDITION, THE ONCOLOGY SOCIAL WORKER RUNS A WOMAN TO WOMAN SUPPORT GROUP DEDICATED TO THE PARTICULAR NEEDS OF WOMEN WHO ARE EXPERIENCING THE EMOTIONAL AND PHYSICAL EFFECTS OF CANCER SURGERY AND TREATMENT. THIS GROUP MEETS THE FIRST, THIRD AND FIFTH TUESDAY OF EVERY MONTH AND HELPS WOMEN TO ACQUIRE STRESS MANAGEMENT, COMMUNICATION AND COPING SKILLS, AND ACHIEVE A SENSE OF EMPOWERMENT. THIS SUPPORT GROUP PROVIDES WOMEN WITH A FORUM TO SHARE THEIR CONCERNS, STORIES, EXPERIENCES, FEELINGS AND PROBLEMS. NUTRITION --------- CH'S CANCER CENTER PROVIDES ACCESS TO A DIETITIAN WHO CONDUCTS IN-HOUSE OR PHONE SESSIONS TO PROVIDE EDUCATION ON HOW TO INCREASE CALORIC INTAKE TO PREVENT WEIGHT LOSS DURING TREATMENTS. THE DIETITIAN ALSO EDUCATES PATIENTS ON HOW TO PREVENT THE NAUSEA, VOMITING AND DIARRHEA THAT CAN SOMETIMES ACCOMPANY CHEMOTHERAPY TREATMENTS. THE DIETICIAN'S GOAL IS TO INCREASE EACH PATIENT'S OVERALL NUTRITIONAL STATUS AND HELP THE PATIENT MAINTAIN THAT STATUS DURING TREATMENTS. PARKING AND TRANSPORTATION -------------------------- CH'S CANCER CENTER OFFERS CONVENIENT, FREE PARKING AND A FREE OUTPATIENT TRANSPORTATION PROGRAM FOR THOSE WHO HAVE NO OTHER WAY TO GET TO THE CANCER CENTER. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | ADDITIONAL SERVICES ------------------- THE CANCER CENTER FEATURES PRIVATE CHANGING AREAS WITH LOCKERS TO STORE YOUR BELONGINGS. ACCESS TO A RESOURCE LIBRARY FEATURING BOOKS, A TOUCH SCREEN COMPUTER, AND A TELEVISION WITH VHS AND DVD PLAYER IS ALSO AVAILABLE. 2. EMERGENCY DEPARTMENT EXPECT THE BEST CARE FROM THE EMERGENCY DEPARTMENT AT CH. THE STATE-OF-THE-ART EMERGENCY DEPARTMENT OFFERS UNPRECEDENTED PRIVACY AND IS STAFFED 24- HOURS A DAY BY PHYSICIANS BOARD-CERTIFIED IN EMERGENCY MEDICINE. OUR CARING STAFF IS THERE TO HELP INDIVIDUALS AND THEIR FAMILIES IN THE TIME OF AN EMERGENCY. AN INDIVIDUAL'S VISIT TO THE EMERGENCY DEPARTMENT AREA MAY REQUIRE ADDITIONAL TESTING TO EVALUATE YOUR SITUATION. DEPENDING ON YOUR SITUATION, YOU MAY REQUIRE BLOOD TESTS, X-RAYS, CT SCANS OR VARIOUS OTHER TESTS TO DIAGNOSE YOUR CONDITION. AT CH, THESE ADDITIONAL SERVICES ARE LOCATED AT THE HOSPITAL SO THAT YOUR CONDITION WILL BE DIAGNOSED AS QUICKLY AS POSSIBLE AND THAT YOUR TREATMENT CAN BEGIN. FAST TRACK ---------- THE FAST TRACK OFFERS THE COMFORT OF THE HOSPITAL'S EMERGENCY DEPARTMENT WHILE TREATING PATIENTS IN A FAST AND EFFICIENT MANNER. PATIENTS WITH MINOR AILMENTS AND INJURIES ARE TREATED IN APPROXIMATELY ONE HOUR OR LESS BY EMERGENCY HEALTH-CARE PROFESSIONALS AND EMERGENCY MEDICINE BOARD CERTIFIED PHYSICIANS. FAST TRACK PATIENTS INCLUDE THOSE SUFFERING FROM INSECT BITES, SPRAINS, STRAINS, EAR ACHES, SORE THROATS, AND OTHER NON-LIFE THREATENING ILLNESSES. PEDIATRIC EMERGENCY DEPARTMENT ------------------------------ CH PEDIATRIC EMERGENCY PHYSICIANS STAFF THE EMERGENCY DEPARTMENT 24/7. CHILDREN UNDER 17 YEARS OF AGE WILL BE SEEN BY A PEDIATRIC EMERGENCY DOCTOR IN ABOUT 20 MINUTES FROM THE TIME OF REGISTRATION - SO PATIENTS DON'T HAVE TO WORRY ABOUT WAITING. BETWEEN THE HOURS OF 7:00 AM AND 11:30 PM, CHILDREN ARE SEEN IN THE PEDIATRIC EMERGENCY DEPARTMENT. AT ALL OTHER TIMES, THE CHILDREN ARE SEEN IN THE MAIN EMERGENCY DEPARTMENT. THE PEDIATRIC EMERGENCY DEPARTMENT IS EQUIPPED KID FRIENDLY TREATMENT AREAS WITH WALLS COVERED WITH CARTOON CANINES AND UNDER-THE-SEA MOTIFS, AS WELL AS A SEPARATE WAITING AREA WITH A CHILD-FRIENDLY ENVIRONMENT MAKE WHAT OTHERWISE BE A STRESSFUL VISIT TO AN EMERGENCY ROOM LESS INTIMIDATING. THE UNIT ALSO OFFERS SPECIAL EQUIPMENT THAT COMES IN ALL SIZES TO FIT THE NEEDS OF CHILDREN OF ALL SIZES. 3. MOTHER BABY CENTER THE MOTHER BABY CENTER IS OFTEN THE FIRST EXPERIENCE A FAMILY HAS WITH CH. AT THE MOTHER BABY CENTER, OVER 1,000 NEW BABIES ARE WELCOMED INTO THE WORLD EACH YEAR. THE CENTER, WHICH WAS COMPLETELY RENOVATED IN 2009, FEATURES PRIVATE LABOR/DELIVERY/RECOVERY ROOMS WITH STATE-OF-THE-ART EQUIPMENT, ANESTHESIOLOGISTS WHO ARE AVAILABLE 24 HOURS A DAY, AND TWO FULLY EQUIPPED OPERATING SUITES. ALONG WITH THE NEWBORN NURSERY, A FOUR-BED SPECIAL CARE NURSERY IS AVAILABLE. CH HAS THE STATE-OF-THE-ARE TECHNOLOGY IN ORDER TO KEEP FAMILIES TOGETHER, ALLOWING THAT IMPORTANT BOND TO FORM BETWEEN MOTHER AND BABY. THE CENTER OFFERS NUMEROUS OTHER SERVICES INCLUDING PRE-CONCEPTION COUNSELING, GENETIC COUNSELING AND PERINATOLOGY SERVICES, CHILDBIRTH EDUCATION, NEWBORN CARE, POSTPARTUM CARE, LACTATION SERVICES, AND PEDIATRICS AND AMENITIES SUCH AS MASSAGES AND FAMILY CELEBRATION MEAL. 4. HEART AND VASCULAR CARE CARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE UNITED STATES OF AMERICA. ACCORDINGLY, CH IS DEDICATED TO THE DIAGNOSIS AND TREATMENT OF ALL CARDIOVASCULAR DISORDERS. FROM CH'S EMERGENCY ROOM CARE, THROUGH ITS INPATIENT UNITS, AND IN ITS MULTITUDE OF OUTPATIENT SERVICES, CH'S TEAM OF SKILLED PROFESSIONALS DELIVERS SUPERIOR CARE AND TREATS EACH PATIENT AS AN INDIVIDUAL. CARDIOVASCULAR INTERVENTIONAL LAB --------------------------------- CARDIAC CATHETERIZATION SERVICES WERE INITIATED AT CH IN 1997. A DIAGNOSTIC CATHETERIZATION, ALSO KNOWN AS CORONARY ANGIOGRAPHY OR HEART CATHETERIZATION PROVIDES DETAILED INFORMATION ABOUT THE FUNCTION OF THE HEART AND ITS ARTERIES. CH HAS A STAFF OF PHYSICIANS WHO PERFORM THIS PROCEDURE. THE MAJORITY OF CH'S OUTPATIENTS RECEIVE CLOSURE DEVICES, WHICH ALLOW FOR AMBULATION IN 45 MINUTES AND DISCHARGE WITHIN ONE HOUR RATHER THAN THE TRADITIONAL SIX HOURS OF BED REST. PRIMARY ANGIOPLASTY ------------------- IN JUNE 2005, THE CATHETERIZATION LABORATORY AT CH WAS LICENSED TO PERFORM PRIMARY ANGIOPLASTY FOR PATIENTS SUFFERING FROM A HEART ATTACK. THIS MINIMALLY INVASIVE PROCEDURE HAS BEEN SHOWN TO BE APPROXIMATELY 25% MORE EFFECTIVE THAN TRADITIONAL MEDICATIONS AT PREVENTING DEATH FROM HEART ATTACK. CH HAS A STAFF OF INTERVENTIONAL CARDIOLOGISTS PERFORMING PRIMARY ANGIOPLASTY. THESE PHYSICIANS ALONG WITH A TEAM OF HIGHLY SKILLED NURSES AND TECHNOLOGISTS ARE AVAILABLE 24/7 TO PROVIDE LOCAL RESIDENTS WITH THE BEST AND MOST IMMEDIATE CARDIAC CARE, ELIMINATING THE NEED TO TRANSFER TO ANOTHER FACILITY. 5. OUTPATIENT SERVICES COMPREHENSIVE BREAST CENTER --------------------------- THE COMPREHENSIVE BREAST CENTER AT CH, ALSO LOCATED IN COLLINS PAVILION, IS A SPECIAL PLACE DEDICATED TO PARTNERING WITH PATIENTS FOR THEIR BREAST-CARE NEEDS. SINCE EVERY WOMAN'S NEEDS ARE DIFFERENT, THE COMPREHENSIVE BREAST CENTER CARES FOR EACH WOMAN IN A COMPLETELY PERSONAL WAY. CH'S BREAST CENTER SPECIALISTS PROVIDE VALUABLE SERVICES TO WOMEN WITH BREAST CANCER AND OFFER PREVENTATIVE SERVICES, INCLUDING DIGITAL SCREENING AND DIAGNOSTIC MAMMOGRAPHY, ULTRASOUNDS, STEREO TACTIC CORE BIOPSY AND ULTRASOUND-GUIDED CORE BIOPSY. THE BREAST CENTER ALSO OFFERS EDUCATION AND COUNSELING, INCLUDING BREAST SELF-EXAMINATION (BSE) INSTRUCTIONS, CARING, EMOTIONAL SUPPORT, AND PROMPT FOLLOW-UP WITH TEST RESULTS. IN ADDITION, THEY OFFER A FULL LINE OF BREAST PROSTHESES (SILICONE BREAST FORMS) AND BRAS FOR WOMEN WHO HAVE HAD A PARTIAL OR FULL MASTECTOMY. DIABETES EDUCATION PROGRAM -------------------------- THE DIABETES EDUCATION PROGRAM AT CH HELPS ADULTS WITH DIABETES TAKE STEPS THAT WILL MAKE THEM FEEL BETTER AND STAY HEALTHIER. THIS PROGRAM IS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR MEETING HIGH NATIONAL STANDARDS. THIS PROGRAM SERVES DIABETIC ADULTS AND THEIR SUPPORT GIVERS. OTHERS WHO WILL BENEFIT FROM THIS PROGRAM INCLUDE: - PEOPLE WHO WANT INFORMATION ON RECENT ADVANCES IN DIABETES MANAGEMENT, SUCH AS CARBOHYDRATE COUNTING - PEOPLE WHOSE MEDICAL THERAPY HAS CHANGED - FAMILY/SIGNIFICANT OTHERS WHO PROVIDE SUPPORT TO PEOPLE WITH DIABETES THE PROGRAM INCLUDES: - INDIVIDUAL ASSESSMENT BY CERTIFIED DIABETES EDUCATORS (A REGISTERED DIETICIAN AND REGISTERED NURSE) - HANDS-ON GROUP CLASSES WHERE INDIVIDUALS LEARN ABOUT: - DIET AND MEAL PLANNING - MEDICATIONS - IMPORTANCE OF PHYSICAL ACTIVITY - BLOOD GLUCOSE MONITORING - FOOT AND EYE CARE - DENTAL HYGIENE - HOW TO AVOID COMPLICATIONS PAIN MANAGEMENT --------------- THE PAIN MANAGEMENT CENTER AT CH IS A MULTIDISCIPLINARY PAIN CENTER DEDICATED TO TREATING INDIVIDUALS SUFFERING FROM PAIN. DESIGNED TO RESTORE PATIENTS TO A STRONGER PHYSICAL AND MENTAL STATE, CH'S PROGRAM UTILIZES DIAGNOSTIC, CURATIVE AND THERAPEUTIC STATE-OF-THE-ART PROCEDURES THAT SIGNIFICANTLY REDUCE AND ELIMINATE PAIN. WITH PHYSICIANS CREDENTIALED IN PAIN MANAGEMENT, CH'S CENTER IS HERE TO HELP INDIVIDUALS GET BACK TO A LIFE WITHOUT PAIN. SPECIALIZING IN BACK AND NECK PAIN, CH'S PHYSICIANS OFFER NUMEROUS PAIN MANAGEMENT OPTIONS: - NERVE BLOCKS - CRYO ANALGESIA - RADIO FREQUENCY RHIZOTOMY - SUBCUTANEOUS INFUSION PUMPS AND CATHETERS - TRIGGER POINT INJECTIONS - PATIENT-CONTROLLED ANALGESIA - CONTINUOUS EPIDURAL ANALGESIA TYPES OF PAIN TREATED INCLUDE: - CERVICAL, THORACIC, AND LOW BACK PAIN FROM DISK DISEASE, WHIPLASH, SCIATICA, FACET JOINT DISEASE, SPINAL CORD INJURY - NECK, SHOULDER, ARM AND HAND PAIN - MYOFASCIAL PAIN (MUSCLE, TENDON, LIGAMENT) - NEURALGIAS, POST-HERPETIC NEURALGIA (SHINGLES), DIABETIC NEUROPATHY, PAIN FOLLOWING NERVE INJURY, TRIGEMINAL NEURALGIA, - POST-SURGICAL PAIN (INCISIONAL, PHANTOM LIMB) - SYMPATHETICALLY MAINTAINED PAIN (REFLEX SYMPATHETIC DYSTROPHY, CAUSALGIA, CRPS 1 AND CRPS II) - FACIAL PAIN - PERIPHERAL VASCULAR ISCHEMIC PAIN - JOINT AND BONE PAIN - CANCER PAIN RADIOLOGY --------- THE RADIOLOGY DEPARTMENT AT CH PROVIDES A COMPREHENSIVE ARRAY OF ADVANCED STATE-OF-THE-ART IMAGING FOR INPATIENTS, OUTPATIENTS, AND EMERGENCY PATIENTS. THE IMAGING SERVICES AVAILABLE INCLUDE COMPUTED TOMOGRAPHY SCAN (CT SCAN), MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE, POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT), ULTRASOUND AND X-RAY. DIAGNOSTIC IMAGING CT SCANNER: CH HAS A SIXTY-FOUR (64) SLICE LIGHTSPEED CT SCANNER. A CT SCANNER IS A NON-INVASIVE TEST THAT CAPTURES ANATOMICAL IMAGES OF THE BODY. THIS EQUIPMENT CAN SCAN SPECIFIC SECTIONS OF THE BODY IN SECONDS AND THE ENTIRE BODY IN JUST MINUTES. IT IS USED FOR NUMEROUS PURPOSES, INCLUDING TRAUMA, CHEST/ABDOMEN/PELVIS EXAMS, ANGIOGRAPHY, CARDIAC, VASCULAR AND STROKE ASSESSMENT, AND MORE. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | MAGNETIC RESONANCE IMAGING: THE MAGNETIC RESONANCE IMAGING (MRI) SCANNER, WHICH SERVES BOTH INPATIENTS AND OUTPATIENTS, USES A MAGNETIC FIELD, RADIO WAVES, AND COMPUTERS TO PRODUCE DETAILED IMAGES OF THE BODY. WITH MRI, MANY DISEASES CAN NOW BE IDENTIFIED AT THEIR EARLIEST, MOST TREATABLE STAGES, RESULTING IN QUICKER TREATMENT, FASTER RECOVERY, AND, IN SOME CASES, LONGER LIFE. CH'S MAGNETOM AVANTO'S INVITING DESIGN MAKES IT ACCESSIBLE FOR MOST PATIENTS. THE SYSTEM'S FASTER SCANNING TIMES AND FEET-FIRST ENTRIES ALSO DECREASE THE ANXIETY OF PATIENTS WHO ARE UNCOMFORTABLE IN SMALL SPACES. ADDITIONALLY, THE SYSTEM FEATURES AUDIOCOMFORT, REDUCING ACOUSTICAL NOISE BY UP TO 97 PERCENT. WITH THE NEW STEREO CONNECTION, PATIENTS CAN ENJOY THE MUSIC OF THEIR CHOICE BY SUPPLYING THE TECHNICIAN WITH A CD UPON ARRIVAL. NUCLEAR MEDICINE NUCLEAR MEDICINE TESTING IS A SAFE AND PAINLESS WAY TO CAPTURE VALUABLE DIAGNOSTIC INFORMATION. THROUGH THE USE OF SMALL AMOUNTS OF RADIOACTIVE MATERIAL, CH'S DUAL HEAD NUCLEAR MEDICINE SCANNER PROVIDES IMPORTANT IMAGES OF BODY STRUCTURE AND FUNCTION. BECAUSE THE RADIOACTIVE MATERIAL IS ATTRACTED TO SPECIFIC ORGANS, BONES OR TISSUES, THE EMISSIONS THEY PRODUCE CAN PROVIDE CRUCIAL INFORMATION ABOUT A PARTICULAR TYPE OF CANCER OR DISEASE. INFORMATION GATHERED DURING A NUCLEAR MEDICINE EXAM IS MORE COMPREHENSIVE THAN OTHER IMAGING PROCEDURES BECAUSE IT DESCRIBES ORGAN FUNCTION, NOT JUST STRUCTURE. POSITRON-EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) SCANNER PET/CT OFFERS THE COMBINATION OF ANATOMICAL IMAGES SUPPLIED BY CT AND FUNCTIONAL INFORMATION SUPPLIED BY PET ALL IN A SINGLE NON-INVASIVE DIAGNOSTIC PROCEDURE. ACCLAIMED AS ONE OF THE MOST IMPORTANT HEALTHCARE INNOVATIONS, A PET/CT IS A NON-SURGICAL MEANS TO DETERMINE WHETHER A TUMOR IS MALIGNANT OR BENIGN. IT CAN ALSO PINPOINT THE LOCATION OF CANCER AND DETERMINE IF IT HAS RETURNED TO PREVIOUSLY AFFECTED ORGANS OR ELSEWHERE IN THE BODY. A PET/CT SCAN IS ESPECIALLY BENEFICIAL IN THE DIAGNOSIS, STAGING, AND RE-STAGING OF CANCER, AS WELL AS IN THE DIAGNOSIS OF HEART DISEASE. ULTRASOUND ULTRASOUND USES ULTRA HIGH FREQUENCY SOUND WAVES TO PRODUCE IMAGES FOR DIAGNOSTIC REPORTING. IT IS MAINLY USED FOR PREGNANCY, ABDOMINAL ORGANS, BLOOD FLOW TO THE EXTREMITIES AND NEEDLE PLACEMENT DURING BIOPSIES. X-RAY X-RAYS ARE USEFUL TOOLS FOR EXAMINING THE SKELETAL SYSTEM AND CERTAIN SOFT TISSUE DISEASES. CH OFFERS BOTH DIGITAL AND NON-DIGITAL EQUIPMENT. THE EMERGENCY DEPARTMENT IS EQUIPPED WITH DIGITAL X-RAY EQUIPMENT TO REDUCE THE TURNAROUND TIME FOR PATIENT NEEDING ROUTINE EXAMS. REHABILITATION SERVICES ----------------------- CH COMBINES TRAINED, EXPERIENCED THERAPISTS WITH THE MOST ADVANCED EQUIPMENT AVAILABLE TODAY. CH'S MULTI-DISCIPLINARY TEAM PROVIDES TREATMENT FOR WORK, HOME OR SPORTS-RELATED INJURIES AS WELL AS CONDITIONS STEMMING FROM ILLNESS OR ACCIDENTS. FROM INITIAL ASSESSMENT TO RECOVERY, CH'S STAFF CONSISTENTLY SCORES WELL ABOVE NATIONAL STANDARDS FOR CARE IN A VARIETY OF AREAS. PHYSICAL THERAPY - CH'S THERAPISTS APPLY PROVEN TECHNIQUES TO ENSURE THAT INJURED WORKERS RETURN TO THE JOB QUICKLY, AND ARE TRAINED TO AVOID INJURING THEMSELVES AGAIN. FOR SPORTS INJURIES, CH CONCENTRATES ITS EFFORTS ON HELPING ATHLETES GET BACK TO COMPETITION AS SOON AS POSSIBLE. IN CASES WHERE PROBLEMS HAVE RESULTED FROM ARTHRITIS, STROKE AND HEART DISEASE, CH'S TEAM'S MAIN GOAL IS TO RESTORE FUNCTION TO EACH PATIENT. OCCUPATIONAL THERAPY - OCCUPATIONAL THERAPISTS EVALUATE AND TREAT PATIENTS TO IMPROVE THEIR PHYSICAL, DEVELOPMENTAL OR COGNITIVE ABILITIES TO PERFORM DAILY ACTIVITIES. THE FOCUS IS TO PROMOTE INDEPENDENCE IN "LIFE SKILLS". CH OCCUPATIONAL THERAPISTS HAVE ALSO COMPLETED ADDITIONAL TRAINING AS CERTIFIED HAND THERAPISTS. THEY WORK CLOSELY WITH THE REFERRING PHYSICIANS TO HELP PATIENTS RECOVER FROM COMPLEX HAND INJURIES OR SURGERY. SPEECH-LANGUAGE PATHOLOGY - CH'S SPECIALLY TRAINED TEAM USES THE MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES AVAILABLE TO HELP PEOPLE WHO HAVE LOST THE ABILITY TO SPEAK OR SWALLOW, AND THOSE WITH DIMINISHED CAPABILITIES. 6. SLEEP HEALTH INSTITUTE THE SLEEP HEALTH INSTITUTE AT CH IS A COMPREHENSIVE DIAGNOSTIC AND TREATMENT CENTER SPECIALIZING IN THE CARE OF ADULTS AND CHILDREN WITH SLEEP PROBLEMS. THE STAFF AT THE SLEEP HEALTH INSTITUTE AT CH KNOWS THE IMPORTANCE OF A RESTFUL SLEEP. SLEEP IS A BASIC NECESSITY OF LIFE, AS IMPORTANT TO HEALTH AND WELL BEING AS AIR, FOOD AND WATER. A GOOD NIGHT'S SLEEP RESULTS IN HIGH LEVELS OF ENERGY AND ALERTNESS DURING THE WAKING HOURS. UNFORTUNATELY, HALF OF ALL AMERICANS WILL LACK THE BENEFITS OF SUFFICIENT SLEEP AT SOME POINT DURING THEIR LIVES. THERE ARE 84 DOCUMENTED SLEEP DISORDERS, WHICH MAY IMPACT AN INDIVIDUAL'S ABILITY TO SLEEP. THE SLEEP HEALTH INSTITUTE AT CH IS DEVOTED TO DIAGNOSING AND TREATING A FULL RANGE OF SLEEP DISTURBANCES IN ADULTS AND CHILDREN. THE SLEEP STUDY --------------- A COMPREHENSIVE SLEEP STUDY, WHICH IS PAINLESS, INVOLVES AN OVERNIGHT STAY IN CH'S COMFORTABLE, HOME LIKE SLEEP CENTER. EACH PATIENT IS PROVIDED WITH HIS/HER OWN PRIVATE BEDROOM WHERE THEIR SLEEP EVALUATION IS CARRIED OUT IN TOTAL PRIVACY. STATE-OF-THE-ART EQUIPMENT MONITORS BRAIN WAVES, EYE MOVEMENTS, BREATHING, BLOOD-OXYGEN LEVELS, HEART RATE AND MUSCLE ACTIVITY DURING SLEEP TO DETERMINE IF A SLEEP DISORDER IS PRESENT. A BOARD CERTIFIED SLEEP PHYSICIAN WILL REVIEW THE FINDINGS AND PROVIDE A COMPLETE REPORT INCLUDING CONCLUSIONS AND THERAPEUTIC RECOMMENDATIONS. IF REQUESTED, A REPORT WILL BE SENT TO A PATIENT'S PRIVATE PHYSICIAN. SNORING AND SLEEP APNEA ----------------------- SNORING MAY BE A SYMPTOM OF A SERIOUS SLEEP DISORDER CALLED SLEEP APNEA. PEOPLE WITH SLEEP APNEA HAVE PAUSES IN BREATHING FOR 10 TO 100 SECONDS DURING SLEEP. MOST EXPERIENCE LOUD SNORING, CHOKING, AND GASPING SOUNDS WHILE STRUGGLING TO BREATHE. THE PATIENT MAY NOT HAVE ANY SYMPTOMS AND BE UNAWARE OF HIS/HER PROBLEM AND IT MAY BE ONLY BROUGHT TO THEIR ATTENTION BY THEIR SPOUSE OR BED PARTNER. UN-REFRESHING SLEEP AND, SOMETIMES DAYTIME SLEEPINESS IS A SYMPTOM. NUMEROUS THERAPIES ARE AVAILABLE TO TREAT THIS DISORDER. IF LEFT UNTREATED, THE SNORING AND SLEEP APNEA FREQUENTLY HAS SERIOUS HEALTH CONSEQUENCES. THERE IS AN INCREASE INCIDENCE OF HEART ATTACK, STROKE, AND OTHER MEDICAL DISORDERS THAT MAY BE LIFE THREATENING. SLEEP DISORDERS IN CHILDREN --------------------------- THE SLEEP HEALTH INSTITUTE AT CH PROVIDES DIAGNOSTICS AND THERAPY FOR CHILDREN OF ALL AGES. THIS INCLUDES TODDLERS, PRE-TEENS AND TEENAGERS. PEOPLE OFTEN THINK OF SNORING AS LIMITED TO ADULTS ONLY; BUT SNORING IN CHILDREN AND ADOLESCENTS IS A SERIOUS PROBLEM THAT NEEDS MEDICAL ATTENTION. EVEN A FEW EPISODES OF SLEEP APNEA IN THIS AGE GROUP COULD HAVE A PROFOUND IMPACT ON THE DAILY LIFE AND SCHOOL PERFORMANCE. UNRECOGNIZED SLEEP APNEA MAY CONTRIBUTE TO SYMPTOMS OF HYPERACTIVITY, SCHOOL PROBLEMS, AND SOMETIMES THE YOUNG CHILD HAS BEEN LABELED WITH A DIAGNOSIS OF "ATTENTION DEFICIT DISORDER." THERE ARE NUMEROUS OTHER SLEEP DISORDERS WHICH ARE MORE PROMINENT IN CHILDREN AND ADOLESCENTS. THIS INCLUDES NIGHT TERRORS, NARCOLEPSY, NIGHTMARES, SLEEPWALKING, AND DELAYED SLEEP CYCLE SYNDROME. NARCOLEPSY ---------- NARCOLEPSY IS A DISORDER THAT OCCURS IN ALL AGE GROUPS BUT MORE PROMINENTLY IN THE TEENAGE AND EARLY TWENTIES. PATIENTS FREQUENTLY ARE EXCEPTIONALLY SLEEPY DURING THE DAY AND MAY HAVE DIFFICULTY WITH STAYING AWAKE DURING THE DAY. OTHER SYMPTOMS INCLUDE SLEEP PARALYSIS AND "DREAMING DURING THE DAY". NARCOLEPSY IS A NEUROLOGIC DISORDER THAT RESPONDS WELL TO TREATMENT ONCE DIAGNOSED. INSOMNIA -------- INSOMNIA CAN OCCUR FOR A VARIETY OF REASONS, WHICH RESULTS IN AN INDIVIDUAL NOT GETTING A FULL NIGHTS REST. THOSE WITH INSOMNIA MAY HAVE MULTIPLE SYMPTOMS INCLUDING TROUBLE FALLING ASLEEP OR STAYING ASLEEP, OR MAY AWAKEN TOO EARLY. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 7. WEIGHT-LOSS SURGERY CH HAS BEEN NAMED AN AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY ("ASMBS") BARIATRIC SURGERY CENTER OF EXCELLENCE. THE ASMBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC (WEIGHT LOSS) SURGERY. TO EARN A CENTER OF EXCELLENCE DESIGNATION, THE CH BARIATRIC SURGERY PROGRAM UNDERWENT A RIGOROUS SITE INSPECTION DURING WHICH ALL ASPECTS OF CH'S SURGICAL PROCESSES WERE CLOSELY EXAMINED AND DATA ON HEALTH OUTCOMES WAS COLLECTED. SURGICAL REVIEW CORPORATION ("SRC"), A SUBSIDIARY OF ASBMS, IS AN ORGANIZATION DEDICATED TO PURSUING SURGICAL EXCELLENCE IN THE FIELD OF BARIATRIC SURGERY. SRC FORMULATES AND ESTABLISHES THE RIGOROUS STANDARDS WITH WHICH CH MUST COMPLY. THE ORGANIZATION THOROUGHLY INSPECTS AND EVALUATES EACH CANDIDATE FOR DESIGNATION, AND UPON REVIEW, RECOMMENDS APPROVAL OF DESIGNATION FOR THOSE PHYSICIANS AND FACILITIES WHOSE PRACTICES AND OUTCOMES MEET THE STRINGENT DEMANDS SET FORTH BY SRC FOR ASMBS. AS A SERVICE TO THE COMMUNITY, CH SPONSORS ONE FREE MONTHLY WEIGHT-LOSS SURGERY SEMINAR. UNDERSTANDING THE ISSUES ASSOCIATED WITH WEIGHT-LOSS SURGERY BEGINS WITH FULLY EDUCATING YOURSELF ABOUT SEVERE OBESITY, INCLUDING ITS CAUSES AND POTENTIAL EFFECTS ON YOUR HEALTH, YOUR LIFESTYLE AND THE PEOPLE AROUND YOU. FOR CH, IT'S IMPORTANT TO MAKE SURE THAT A PATIENT KNOW AS MUCH AS THEY CAN ABOUT WEIGHT-LOSS SURGERY, SO THAT THEY CAN MAKE AN INFORMED DECISION ABOUT WHETHER IT'S RIGHT FOR THEM. 8. SENIOR HEALTH CH OFFERS AN ARRAY OF SERVICES, FROM DIAGNOSIS, TREATMENT, INPATIENT AND OUTPATIENT REHABILITATION. CH WILL PARTNER WITH INDIVIDUALS TO EDUCATE AND HELP THEM PRACTICE A HEALTHY LIFESTYLE AS THEY AGE, SUCH AS REGULAR PHYSICAL ACTIVITY AND HEALTHY NUTRITION, SCREENING FOR BREAST, CERVICAL, AND COLORECTAL CANCERS, EARLY DETECTION OF DIABETES, ITS COMPLICATIONS, AND DEPRESSION. CH RESPONDS TO YOUR NEEDS IF YOU OR YOUR LOVED ONE HAS AN AGE-RELATED CHRONIC DISEASE OR CONDITION, SUCH AS ALZHEIMER'S DISEASE, ARTHRITIS, DEPRESSION, OSTEOPOROSIS, URINARY INCONTINENCE, DIABETES, AND ITS COMPLICATIONS. THE JOHN A. HARTFORD FOUNDATION INSTITUTE FOR GERIATRIC NURSING DESIGNATED CH AS A NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS SITE. THIS NATIONAL DESIGNATION MEANS THAT CH IS COMMITTED TO PUTTING INTO ACTION A SYSTEMATIC CHANGE IN NURSING PRACTICE, WHICH WOULD RESULT IN SENSITIVE AND EXEMPLARY CARE THAT WILL BENEFIT ALL HOSPITALIZED OLDER PATIENTS. CH HAS EMBARKED ON A PROCESS TO ENSURE ALL OF ITS NURSES HAVE SPECIALIZED KNOWLEDGE IN GERIATRIC NURSING, INCLUDING SPECIFIC SYNDROMES AND GERIATRIC CARE. CLOSE TO 50% OF THE POPULATION SERVED BY CH IS OVER 65 YEARS OF AGE. CH EXPECTS TO CONTINUE TO GROW. CH RECOGNIZES THE GROWING AND COMPLEX NEEDS OF ITS SENIORS AND ARE COMMITTED TO CREATING AN OPTIMAL, ENVIRONMENT FOR ITS PATIENTS, WHILE CONTINUING TO BE INSTRUMENTAL IN HELPING THEM AGE SUCCESSFULLY. COMMUNITY SERVICES ------------------ THE DEPARTMENT OF NEW VITALITY SERVICES PROVIDES EDUCATION, SUPPORT, INFORMATION AND REFERRALS FOR OLDER ADULTS AND THEIR FAMILIES, THE CLERGY, HEALTH CARE PROFESSIONALS, LONG-TERM CARE FACILITIES, ASSISTED LIVING FACILITIES, AND OTHER SENIOR RESIDENCES. IN ADDITION, INFORMATION IS PROVIDED TO CORPORATIONS, SCHOOLS, MUNICIPALITIES, AND OTHER COMMUNITY AGENCIES. GERONTOLOGY SERVICES ALSO SPONSORS A FREE HEALTH AND WELLNESS PROGRAM FOR ADULTS 66 AND OLDER CALLED NEW VITALITY. NEW VITALITY ACTS AS A RESOURCE AND REFERRAL NETWORK FOR SENIORS AND THEIR CAREGIVERS INCLUDE: - ADULT DAY CARE - ADULT EDUCATION PROGRAMS - ADULT FOSTER CARE - ADULT RETIREMENT COMMUNITIES - ALZHEIMER'S - ASSISTED LIVING-GROUP HOMES - BOARDING HOMES - CASE MANAGEMENT - CONGREGATE APARTMENTS - CONTINUING CARE RETIREMENT - COMMUNITIES - COUNSELORS - ELDER ABUSE - GERIATRIC ASSESSMENT PROGRAMS - GERIATRICIANS - GROUP HOMES - HOME EMERGENCY RESPONSE SYSTEMS - HOMECARE - HOSPICES - INCOME RESOURCES - LEGAL SERVICES - LONG TERM CARE - MULTI-LEVEL FACILITIES - NUTRITION SITES - RESIDENTIAL CARE FACILITIES - SELF HELP GROUPS - SENIOR CENTERS - SENIOR TOWN HOUSING - SERVICES FOR THE BLIND AND VISUALLY HANDICAPPED - SHARED LIVING - TOWN WELFARE DIRECTORS CH'S NEW VITALITY STAFF IS AVAILABLE FOR PUBLIC SPEAKING ENGAGEMENTS. A SAMPLE OF THE TOPICS ADDRESSED IS: "AGING SENSITIVITY" "SLEEP WELL, FEEL BETTER" "MYTHS AND FACTS ABOUT AGING" "ENCOUNTERING THE STEREOTYPE" "MEDICATION MANAGEMENT" "NUTRITION AND AGING" "MEMORY AND AGING" 9. BREAST IMAGING CENTER OF EXCELLENCE THE CHILTON BREAST CENTER HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY. IT IS AWARDED TO BREAST IMAGING CENTERS THAT ACHIEVE EXCELLENCE BY SEEKING AND EARNING ACCREDITATION IN ALL OF THE ACR'S VOLUNTARY BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. 10. AMERICAN COLLEGE OF RADIOLOGY THE IMAGING DEPARTMENT AT CHILTON HOSPITAL HAS EARNED CERTIFICATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR) IN THE AREAS OF COMPUTER TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI), NUCLEAR MEDICINE, RADIATION ONCOLOGY, ULTRASOUND AND BREAST IMAGING. 11. TOTAL JOINT CENTER THE TOTAL JOINT CENTER PROVIDES ACUTE CARE TO MEET THE NEEDS OF ORTHOPEDIC AND SURGICAL ADULT AND GERIATRIC PATIENTS FROM THE ONSET OF ILLNESS THROUGH ACUTE RECOVERY AND /OR RESTORATIVE PHASES PROGRESSING TO DISCHARGE OR TO TRANSFER TO SKILLED NURSING OR REHABILITATIVE FACILITIES FOR CONTINUATION OF CARE. THE CENTER CONSISTS OF 24 SINGLE ROOMS AND A REHAB GYM. TWO ROOMS HAVE NEGATIVE PRESSURE CAPABILITY AND ONE ROOM IS A BARIATRIC ROOM. PRE-OPERATIVE JOINT REPLACEMENT PATIENT EDUCATION CLASSES ARE PROVIDED BY THE CLINICAL STAFF AND EDUCATION/SUPPORT CONTINUES THROUGH THE HOSPITALIZATION AND POST-DISCHARGE PHASES OF CARE. 12. WOUND CENTER CHILTON'S WOUND CENTER OFFERS A FULL SPECTRUM OF SERVICES AIMED AT RAPIDLY TREATING THE WOUND, REDUCING COMPLICATIONS AND PROMOTING RECOVERY. OUR UNIQUE PROGRAM HIGHLIGHTS A MULTI-DISCIPLINARY TEAM OF EXPERTS, INCLUDING DOCTORS AND NURSES WHO ARE CERTIFIED IN HYPERBARIC THERAPY, ALONG WITH THE NEWEST, MOST INNOVATIVE TECHNIQUES IN WOUND CARE. SINCE 2007, THE CENTER HAS GROWN TO ACCOMMODATE ABOUT 450 VISITS EACH MONTH. FURTHERMORE, WE BOAST AN OUTSTANDING TRACK RECORD OF SUCCESS. CHILTON'S WOUND CENTER HAS CONSISTENTLY ACHIEVED NATIONAL RECOGNITION FOR OUTSTANDING OUTCOMES AND PATIENT SATISFACTION. IN FACT, WE'VE BEATEN THE NATIONAL HEALING RATE AVERAGE SINCE 1999. OVERVIEW OF SERVICES -------------------- YOUR EXPERIENCE AT THE WOUNDCENTER BEGINS WITH A THOROUGH EVALUATION BY OUR CLINICAL SPECIALISTS, FOLLOWED BY AN INDIVIDUALIZED PLAN OF CARE DESIGNED TO RELIEVE PRESSURE, CONTROL PAIN AND ODOR, ENHANCE TISSUE GROWTH, PRESERVE FUNCTION AND ULTIMATELY HEAL THE WOUND. AT THE SAME TIME, WE ADDRESS THE UNDERLYING CAUSE OF THE WOUND TO MINIMIZE THE CHANCE OF RECURRENCE. RECENTLY, WE PURCHASED STATE-OF-THE-ART EQUIPMENT TO HELP US TEST DIABETIC PATIENTS, WHO REPRESENT NEARLY HALF OF THOSE WE SERVE. THIS MACHINE, CALLED A TRANSCUTANEOUS MONITORING SYSTEM (TCOM), PROVIDES VALUABLE INFORMATION ABOUT OXYGEN FLOW TO THE LEGS AND FEET, REPLACING MORE INVASIVE DIAGNOSTIC PROCEDURES AND DIRECTING THE BEST POSSIBLE COURSE OF TREATMENT. YOUR PROGRESS IS CLOSELY MONITORED DURING EACH VISIT TO ASSESS HEALING AND THE RESULTS OF YOUR THERAPY. HYPERBARIC OXYGEN THERAPY ------------------------- AS A CENTRAL COMPONENT OF OUR PROGRAM, THE WOUND CENTER OFFERS HYPERBARIC OXYGEN (HBO) THERAPY - AN ADVANCED, NON-INVASIVE METHOD OF ACCELERATING THE HEALING PROCESS. OFTEN USED IN CONJUNCTION WITH OTHER WOUND-HEALING STRATEGIES, IT WORKS BY ENCLOSING PATIENTS IN A TRANSPARENT CHAMBER THAT ALLOWS THEM TO BREATHE 100 PERCENT OXYGEN AT INCREASED ATMOSPHERIC PRESSURE. THIS RAISES THE CONCENTRATION OF OXYGEN IN THE BLOOD, WHICH SPEEDS CELL REPAIR AND ULTIMATELY HEALS THE WOUND. HBO THERAPY IS CURRENTLY USED TO TREAT MORE THAN 35 DIFFERENT KINDS OF WOUNDS AND MEDICAL CONDITIONS, SUCH AS CARBON MONOXIDE AND CYANIDE POISONING, DECOMPRESSION SICKNESS, CIRCULATORY PROBLEMS, THERMAL BURNS AND OTHER AILMENTS. AT CHILTON HOSPITAL, WE USE THE SEACHRIST 3600E MODEL, WHICH IS CAPABLE OF SUPPORTING UP TO 700 LBS. THIS ENABLES US TO TREAT LARGER PATIENTS AS WELL AS THOSE WHO SUFFER FROM CLAUSTROPHOBIA. FURTHERMORE, ALL SESSIONS ARE CLOSELY MONITORED BY HYPERBARIC-TRAINED PHYSICIANS AND REGISTERED NURSES. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | COMMUNITY OUTREACH ================== CH IS COMMITTED TO COMMUNITY OUTREACH AND EDUCATION, OFFERING NUMEROUS HEATH CARE RELATED PROGRAMS AND ACTIVITIES, INCLUDING COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION AND MEDICAL LECTURES AND SEMINARS ANNUALLY. CH NEIGHBORS FOR BETTER HEALTH ------------------------------- SINCE 1954, CH HAS BEEN TRULY DEVOTED TO THE COMMUNITY, CONTINUOUSLY SEEKING NEW METHODS OF IMPROVING HEALTH NEEDS. A HIGHLY EFFECTIVE PROCESS WAS ESTABLISHED WITH THE ONSET OF THE CH NEIGHBORS FOR BETTER HEALTH, AN ADVISORY BOARD COMPRISED OF: HEALTH OFFICERS, BUSINESS LEADERS, MEDICAL PROFESSIONALS, COMMUNITY AGENCY REPRESENTATIVES, EDUCATORS, CLERGY, ATTORNEYS AND RESIDENTS. BUILDING ON THE PERSONAL AND PROFESSIONAL EXPERIENCE OF THE ADVISORY BOARD MEMBERS, INNOVATIVE METHODS FOR IMPROVING COMMUNITY HEALTH HAVE RESULTED FROM THIS COLLABORATIVE. "NEIGHBORS FOR HEALTH/CH COMMUNITY COALITION" WAS THE PROJECT'S ORIGINAL NAME. IN THE BEGINNING, THE COALITION DISTRIBUTED 5,000 SURVEYS TO AREA RESIDENTS IN ORDER TO EVALUATE THE HEALTH STATUS AND NEEDS OF THE COMMUNITY. THE RESULTS LED TO THE CREATION OF PROGRAMS NOT ONLY TO ADDRESS THOSE NEEDS, BUT ALSO TO TEACH AND SUPPORT PREVENTATIVE MEASURES. BASED ON THE RESULTS OF THE TOP 10 PRIORITIES, THREE SUBCOMMITTEES WERE FORMED: PSYCHOLOGICAL HEALTH, RESPIRATORY HEALTH AND ADOLESCENT HEALTH. THESE SUBCOMMITTEES WERE RESPONSIBLE FOR DEVELOPING AT LEAST ONE PREVENTIVE HEALTH PROGRAM PER YEAR. EACH SUBCOMMITTEE'S GOAL WAS TO FIND THE BEST RESOURCE TO REACH THE MOST PEOPLE WITH A POSITIVE, EFFECTIVE MESSAGE. IN EACH AREA, GATEKEEPERS - PEOPLE IN THE COMMUNITY WHO CAN HELP OTHERS - WERE IDENTIFIED. THE THREE SUBCOMMITTEES EVOLVED OVER THE YEARS TO BECOME THE SINGLE TASK FORCE THAT CH HAS TODAY. IT MEETS ON A REGULAR BASIS TO DESIGN AND IMPLEMENT PROGRAMS TO ADDRESS VARIOUS HEALTH ISSUES. THE CURRENT TASK FORCE LOOKS AT CURRENT HEALTH PRIORITIES FACING THE COMMUNITIES. THE TASK FORCE SETS PRIORITIES FACING THE COMMUNITIES AND IT WAS DECIDED THAT THE FOLLOWING ISSUES GET ADDRESSED: CAREGIVERS SERIES, TEENAGE DEPRESSION, UNDERAGE DRINKING, INTERNET SAFETY, CYBER BULLYING AND SAFE DRIVING. ADDITIONALLY, THE TASKFORCE DEVELOPED A SERIES OF EDUCATIONAL WEBINARS THAT CAN BE ACCESSED THROUGH THE HOSPITAL WEBSITE AND CAN BE VIEWED IN THE COMFORT OF YOUR OWN HOME OR OFFICE. CH REALIZES THAT PREVENTION IS VITAL FOR MAINTAINING A HEALTHY COMMUNITY AND A HEALTHY FUTURE. EACH YEAR, THE MEMBERS SPEND COUNTLESS HOURS PLANNING, PROMOTING AND PRESENTING VARIOUS EVENTS AROUND THE AREA. EDUCATION AND COMMUNICATION ARE THE COMMON TOOLS THAT THE TASK FORCES EMPLOY TO STRENGTHEN THE COMMUNITY'S HEALTH AWARENESS. COMMUNITY HEALTH ---------------- IN PARTNERSHIP WITH CH, SEVERAL LOCAL HEALTH DEPARTMENTS IN NORTHERN NEW JERSEY OFFERS SCREENINGS, EXAMS, AND EDUCATIONAL PROGRAMS DESIGNED TO ENCOURAGE PREVENTIVE CARE, FOSTER PARTICIPATION IN HEALTH CARE INITIATIVES, AND PROMOTE GREATER AWARENESS OF COMMUNITY HEALTH CARE ISSUES. NEW VITALITY ------------ NEW VITALITY IS AN AWARD-WINNING HEALTH AND WELLNESS PROGRAM TAILORED TO MEET THE NEEDS OF TODAY'S MATURE ADULTS. MEMBERS BENEFIT SOCIALLY, PHYSICALLY, EMOTIONALLY, MENTALLY AND EDUCATIONALLY FROM NEW VITALITY'S EXTENSIVE ROSTER OF LECTURES, WORKSHOPS, CLASSES, SUPPORT GROUPS, TRIPS AND SOCIAL EVENTS. MEMBERSHIP IS FREE. NEW VITALITY OFFERS: - HEALTH SCREENINGS - EXERCISE PROGRAMS INCLUDING T'AI CHI CHIH, YOGA, BETTER BONES, AQUACISE, DANCING AND MALL WALKING - INFORMATION AND REFERRAL SERVICE - ACCESS TO SUPPORT GROUPS - EDUCATIONAL CLASSES AND COURSES ABOUT HEALTH, PERSONAL FINANCES, INSURANCE, ART, MUSIC, NUTRITION AND HISTORY NEW VITALITY OFFERINGS ARE HELD AT CH IN POMPTON PLAINS AND VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. ONGOING NEW VITALITY PROGRAMS AT CH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - ALZHEIMER'S DISEASE CAREGIVERS SUPPORT GROUP - BEREAVEMENT SUPPORT GROUP - MALL WALKER'S CLUB PARENT EDUCATION ---------------- CH'S PARENT EDUCATION DEPARTMENT OFFERS MANY SEMINARS AND COURSES WHERE PARENTS HAVE THE OPPORTUNITY TO GAIN KNOWLEDGE AND INSIGHT ABOUT ALL ASPECTS OF PARENTING, FROM THE EARLY MONTHS OF PREGNANCY THROUGH THE CHILD'S PRE-SCHOOL YEARS. THE SEMINARS AND COURSES OFFERED INCLUDE: - LAMAZE CHILDBIRTH PREPARATION - BREAST-FEEDING - INFANT CARE - PRENATAL YOGA - MOMMY AND ME YOGA - JUST FOR DADS - SIBLING PREPARATION: NEW ADDITIONS - BABY'S SIBLINGS AT BIRTH - GRANDPARENTS CLASS - NEW MOMS GROUP - BABIES AND PETS - SAFE SITTER - BABY'S FIRST 6 MONTHS - BABY BASICS TRAVEL VACCINATION PROGRAM -------------------------- CH'S TRAVEL VACCINATION PROGRAM OFFERS A COMPREHENSIVE AND AFFORDABLE MEANS FOR SAFE AND CONVENIENT TRAVEL AROUND THE WORLD. AVAILABLE VACCINES INCLUDE VARICELLA (CHICKENPOX), HEPATITIS A OR HEPATITIS B IMMUNE GLOBULIN, HEPATITIS B, JAPANESE ENCEPHALITIS, MEASLES-MUMPS-RUBELLA, MENINGOCOCCAL MENINGITIS, PNEUMOVAX, POLIO, RABIES, TETANUS AND DIPHTHERIA TOXOIDS, PERTUSSIS, TYPHOID FEVER AND YELLOW FEVER. IN ADDITION, PRESCRIPTIONS FOR ANTIBIOTIC PROPHYLAXIS, WHEN INDICATED, WILL BE PROVIDED TO THOSE TRAVELING TO ENDEMIC AREAS FOR MALARIA AND TRAVELER'S DIARRHEA. CPR --- CH PROVIDES CPR TRAINING TO INDIVIDUALS IN THE COMMUNITY. THROUGHOUT THE YEARS CH'S AWARD WINNING CPR TRAINING CENTER HAS TRAINED THOUSANDS OF PEOPLE IN CPR, AED, ACLS AND PALS. CH IS A DESIGNATED COMMUNITY TRAINING CENTER THROUGH THE AMERICAN HEART ASSOCIATION. THE TRAINING OFFERED HELPS TO STRENGTHEN THE CHAIN OF SURVIVAL, ESTABLISHED BY THE AHA, IN EVERY COMMUNITY. THE CHAIN OF SURVIVAL IS INTERLOCKING LINKS OF INTERVENTIONS THAT WILL IMPROVE THE OUTCOMES FOR VICTIMS OF CARDIAC AND RESPIRATORY EMERGENCIES AND STROKE. CH'S CPR TRAINING CENTER NOT ONLY OFFERS ON-SITE CLASSES TO ITS OWN EMPLOYEES BUT ALSO TO THE GENERAL PUBLIC. CH ALSO OFFERS PRIVATE CLASSES FOR THOSE INTERESTED IN TRAINING A GROUP OF INDIVIDUALS. SINCE PUBLIC ACCESS DEFIBRILLATION (PAD) IS A NATIONAL STANDARD, CH'S CPR TRAINING CENTER OFFERS AED CLASSES AS PART OF THE CURRICULUM. CALL CENTER & WEBSITE --------------------- IMMEDIATE ACCESS TO CH IS PROVIDED THROUGH A FREE CALL CENTER, WHICH OFFERS THE PUBLIC CONTACT INFORMATION FOR OVER 600 PHYSICIANS IN MORE THAN 60 SPECIALTIES, REGISTRATION FOR COMMUNITY HEALTH PROGRAMS, DIRECTIONS, AND INFORMATION ABOUT CH PROGRAMS AND SERVICES. CH'S WEBSITE (WWW.CHILTONHEALTH.ORG) BRINGS A WEALTH OF HEALTHCARE INFORMATION TO INDIVIDUALS WITH JUST THE CLICK OF A MOUSE. THE HOMEPAGE IS DESIGNED FOR EASY NAVIGATION, AND CH OFFERS EASY ACCESS HEALTH RESOURCES, INTERACTIVE FEATURES SUCH AS QUIZZES, POLLS, AND SURVEYS, ONLINE PHYSICIAN DIRECTORY WITH PHYSICIAN PHOTOS AND BIOS, AND LINKS TO NUMEROUS PATIENT RESOURCES. OTHER COMMUNITY BENEFIT PROGRAMS, CLASSES AND SUPPORT GROUPS ============================================================ OTHER PROGRAMS, LECTURES AND COURSES OFFERED TO THE COMMUNITY BY CH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - SMOKING CESSATION PROGRAMS - ALZHEIMER'S DISEASE CAREGIVERS SUPPORT GROUP - ARTHRITIS SUPPORT GROUP - BEREAVEMENT SUPPORT GROUP - CHOLESTEROL EDUCATION CLASS - COPD SUPPORT GROUP - CPR/EMT TRAINING CENTER - DIABETES EDUCATION & SUPPORT GROUP - DIABETES MANAGEMENT OUTPATIENT EDUCATION AND TEACHING PROGRAM - LIVING WILLS - MALL WALKERS CLUB - NEW VITALITY - NUTRITION COUNSELING - PARENT AND CHILDBIRTH EDUCATION - UNITED OSTOMATES OF NORTH JERSEY - WEIGHT LOSS SURGERY SEMINARS - WEIGHT LOSS SURGERY SUPPORT GROUP - WOMAN TO WOMAN - YOUR AGING PARENT AND YOU IN 2013, CH OFFERED 1,199 PROGRAMS, HEALTH SCREENINGS AND EDUCATIONAL CLASSES TO ALL MEMBERS OF THE COMMUNITY. |
| CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | DEBORAH K. ZASTOCKI, FACHE, MICHAEL A. RICHETTI AND AARON VAN DUYNE, III - BUSINESS RELATIONSHIP |
| CORE FORM, PART VI, SECTION A; QUESTION 4 | DURING 2013, THE ORGANIZATION ADHERED TO ITS OWN ORGANIZATIONAL DOCUMENTS INCLUDING ITS BYLAWS. THE ORGANIZATION WAS STATUTORILY MERGED INTO AHS HOSPITAL CORP., A NEW JERSEY NONPROFIT CORPORATION ("AHS") ON DECEMBER 30, 2013. AS A RESULT OF THE STATUTORY MERGER, THE ORGANIZATION, AS OF THE DATE OF THE MERGER, FOLLOWS THE ORGANIZATIONAL DOCUMENTS OF AHS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION WAS STATUTORILY MERGED INTO AHS HOSPITAL CORP., A NEW JERSEY NONPROFIT CORPORATION ("AHS") ON DECEMBER 30, 2013. ACCORDINGLY, THE GOVERNING BODY OF AHS, ITS BOARD OF TRUSTEES, BECAME THE GOVERNING BODY OF THIS ORGANIZATION EFFECTIVE DECEMBER 30, 2013. THIS FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF AHS' GOVERNING BODY PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE GOVERNING BODY OF AHS HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH AHS AND THIS ORGANIZATION'S FINANCE PERSONNEL INCLUDING THE CHIEF FINANCIAL OFFICER, DIRECTOR OF ACCOUNTING AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THEREAFTER, A COPY OF THIS FORM 990 WAS PROVIDED TO EACH VOTING MEMEBER OF AHS' GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER ("CEO") FOR REVIEW. THEREAFTER THE ORGANIZATION'S PRESIDENT/CEO PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON A QUARTERLY BASIS, IN COMPLIANCE WITH THE DISCLOSURE REQUIREMENTS OF THE TAX-EXEMPT BONDS. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | FOR THE YEAR 2013, THIS ORGANIZATION WAS AN AFFILIATE WITHIN CHILTON HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION USED FOR PROPERTY AND EQUIPMENT - $1,087,100; - PENSION LIABILITY ADJUSTMENT - $19,496,531; - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - ($475,557); - CONTRIBUTION FROM CHILTON MEMORIAL HOSPITAL FOUNDATION, INC. REFLECTED IN SCHEDULE B - ($1,971,999); and - TRANSFER OF NET ASSETS AS A RESULT OF STATUATORY MERGER ON 12/30/2013 - ($76,387,107). |
| CORE FORM, PART XII; QUESTION 2 | AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. AND ITS CONTROLLED AFFILIATE; CHILTON MEMORIAL HOSPITAL FOUNDATION, FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE FORREST S. CHILTON 3RD MEMORIAL HOSPITAL, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:17707222 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3087077 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILTON MEMORIAL CORPORATION | ||||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 222719339 | SUPPORT CMH | NJ | 501(C)(3) | 509(A)(1) | NA | false |
| CHILTON MEMORIAL HOSPITAL FDN INC | ||||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 223084817 | SUPPORT CMH | NJ | 501(C)(3) | 509(A)(3) | CMH | Yes (true) |
| CHILTON REALTY HOLDING INC | ||||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 223067739 | REAL ESTATE | NJ | 501(C)(3) | N/A | CMC | false |
| CHILTON MEMORIAL HOSPITAL AUXILIARY INC | ||||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 222883605 | SUPPORT CMH | NJ | 501(C)(3) | 501(A)(3) | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CHILTON COMMUNITY CARE INC | |||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 222869148 | CHILD CARE SVCS. | NJ | NA | C CORP. | false |
| CHILTON PROFESSIONAL PRACTICE CORP | |||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 223244165 | HEALTH SVCS. | NJ | NA | C CORP. | false |
| CHILTON SPORTS MED& REHAB MGMT INC | |||||||||
| 97 WEST PARKWAY | POMPTON PLAINS | NJ | 07444 | 223119481 | HEALTH SVCS. | NJ | NA | C CORP. | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILTON MEMORIAL HOSPITAL FOUNDATION | ||
| C | $1,971,999 | COST |
| CHILTON MEMORIAL HOSPITAL FOUNDATION | ||
| O | $385,800 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | FORREST S. CHILTON 3RD MEMORIAL HOSPITAL ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | ExplanationTxt |