HARTWYCK WEST NURSING HOME INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HARTWYCK WEST NURSING HOME INC (EIN 22-1802017)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201423189349304732
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T13:33:03-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNERAMPER LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 WOOD AVE SO STE 600 | AddressLine1 |
| City | ISELIN | City |
| State | NJ | State |
| ZIP Code | 088302700 | 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 | 221802017 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARTWYCK WEST NURSING HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RICHARD C SMITH | InCareOfNm |
| Business Name Control | HART | BusinessNameControlTxt |
| Phone | 7323217747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 JAMES STREET 4th floor | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 08820 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD C SMITH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7323217747 | PhoneNum |
| Signature | 2014-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD A SACKIN | PreparerPersonNm |
| PTIN | P00184276 | PTIN |
| Phone | 7323217747 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hartwyck At Cedar Brook | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYMOND F FREDERICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 JAMES STREET | AddressLine1 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 08820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,911,628 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | JFKHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 158 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,872 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,448 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,422,049 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,895,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $337 | PYInvestmentIncomeAmt |
| CY Investment Income | $5 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,433,258 | PYTotalRevenueAmt |
| CY Total Revenue | $8,911,628 | 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 | $5,772,628 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,027,595 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,356,664 | PYOtherExpensesAmt |
| CY Other Expenses | $3,381,927 | CYOtherExpensesAmt |
| PY Total Expenses | $9,129,292 | PYTotalExpensesAmt |
| CY Total Expenses | $9,409,522 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$696,034 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$497,894 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,306,537 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,879,901 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,110,741 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,082,271 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,195,796 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,797,630 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,206,485 | ExpenseAmt |
| Revenue | $8,845,675 | RevenueAmt |
| Desc | HARTWYCK WEST PROVIDES HOUSING, HEALTHCARE, AND OTHER RELATED SERVICES TO ITS RESIDENTS. | Desc |
| Total Other Prog Srvc Revenue | $49,500 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $8,206,485 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 158 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | RICHARD C SMITH | PersonNm |
| Phone | 7323217747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 JAMES STREET | AddressLine1 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 08820 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| lEONARD SENDELSKY | ||||||||||
| CHAIRMAN | 0.0 | 0.0 | Yes (X) | |||||||
| JAY M JENEY | ||||||||||
| VICE CHAIRMAN | 0.0 | 0.0 | Yes (X) | |||||||
| JOHN O GRUN | ||||||||||
| SECRETARY | 0.0 | 0.0 | Yes (X) | |||||||
| DAVID A BELOWICH | ||||||||||
| TREASURER | 0.0 | 0.0 | Yes (X) | |||||||
| VAL MESZAROS | ||||||||||
| BOARD MEMBER | 0.0 | 0.0 | Yes (X) | |||||||
| HELEN J PATERNITI | ||||||||||
| BOARD MEMBER | 0.0 | 0.0 | Yes (X) | |||||||
| ROBIN O WINTER MD | ||||||||||
| BOARD MEMBER | 0.0 | 40.0 | Yes (X) | Yes (X) | $257,965 | $35,496 | ||||
| FRAN YOREY | ||||||||||
| BOARD MEMBER | 0.0 | 0.0 | Yes (X) | |||||||
| RAYMOND FREDERICKS | ||||||||||
| CEO/EX-OFFICIO/PRESIDENT | 0.0 | 40.0 | Yes (X) | $962,476 | $317,565 | Yes (X) | ||||
| MICHAEL A KLEIMAN | ||||||||||
| EX-OFFICIO | 0.0 | 0.0 | Yes (X) | |||||||
| SEAN PATRICK MURPHY ESQ | ||||||||||
| ASST SECRETARY & SVP | 0.0 | 40.0 | $419,465 | $92,026 | Yes (X) | |||||
| RICHARD C SMITH | ||||||||||
| SVP & CFO | 0.0 | 40.0 | $524,298 | $94,070 | Yes (X) | |||||
| THOMAS LANKEY | ||||||||||
| SVP | 0.0 | 40.0 | $376,116 | $54,591 | Yes (X) | |||||
| RENEE LAKE | ||||||||||
| VP, LONG TERM CARE | 0.0 | 40.0 | Yes (X) | $228,939 | $47,873 | |||||
| YEN KWAY WU | ||||||||||
| HIGHEST COMPENSATED | 57.0 | 0.0 | $15,516 | Yes (X) | $106,897 | |||||
| KELLIE CHICHESTER | ||||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $12,112 | Yes (X) | $109,470 | |||||
| AIMEE ALLEN | ||||||||||
| HIGHEST COMPENSATED | 40.0 | 0.0 | $22,447 | Yes (X) | $102,151 | |||||
| JOHN P MCGEE | ||||||||||
| former officer | 0.0 | 0.0 | $405,264 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $318,518 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,174,523 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $691,696 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TENDER TOUCH HEALTHCARE SERVICES I | |||||
| 685 RIVER ROAD | LAKEWOOD | NJ | 08701 | PT, OT, SPEECH | $329,006 |
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DR SUITE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING | $454,691 |
| PARTNERS HEALTHCARE LLC | |||||
| 70 JACKSON DRIVE | CRANFORD | NJ | 07016 | PHARMACY SERVICES | $163,373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $16,448 | RelatedOrganizationsAmt |
| Total Contributions | $16,448 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 623000 | $8,845,675 | $8,845,675 |
| OTHER REVENUES | 900099 | $49,500 | $49,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,895,175 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5 | TotalRevenueColumnAmt |
| Exclusion | $5 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $8,911,628 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,895,175 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $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 | $0 | TotalAmt |
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 | $4,662,861 | TotalAmt |
| Program Services | $4,056,689 | ProgramServicesAmt |
| Management And General | $606,172 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,156 | TotalAmt |
| Program Services | $52,336 | ProgramServicesAmt |
| Management And General | $7,820 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $924,382 | TotalAmt |
| Program Services | $804,212 | ProgramServicesAmt |
| Management And General | $120,170 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,196 | TotalAmt |
| Program Services | $330,771 | ProgramServicesAmt |
| Management And General | $49,425 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | -$1,679 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | -$1,679 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,458 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $62,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,261 | TotalAmt |
| Program Services | $792,797 | ProgramServicesAmt |
| Management And General | $118,464 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,930 | TotalAmt |
| Program Services | $16,469 | ProgramServicesAmt |
| Management And General | $2,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,562 | TotalAmt |
| Program Services | $9,189 | ProgramServicesAmt |
| Management And General | $1,373 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,093 | TotalAmt |
| Program Services | $1,821 | ProgramServicesAmt |
| Management And General | $272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 | $1,721 | TotalAmt |
| Program Services | $1,497 | ProgramServicesAmt |
| Management And General | $224 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,278 | TotalAmt |
| Program Services | $87,242 | ProgramServicesAmt |
| Management And General | $13,036 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,246 | TotalAmt |
| Program Services | $179,434 | ProgramServicesAmt |
| Management And General | $26,812 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,571 | TotalAmt |
| Program Services | $115,337 | ProgramServicesAmt |
| Management And General | $17,234 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $853,341 | $742,407 | $110,934 | $0 |
| UTILITIES | $376,203 | $327,296 | $48,907 | $0 |
| PROVISION FOR BAD DEBT | $225,357 | $225,357 | $0 | $0 |
| PROVIDER TAX ASSESSMENT | $321,018 | $321,018 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,567 | TotalAmt |
| Program Services | $142,613 | ProgramServicesAmt |
| Management And General | $18,954 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,409,522 | TotalAmt |
| Program Services | $8,206,485 | ProgramServicesAmt |
| Management And General | $1,203,037 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,557,283 | BOYAmt |
| EOY | $794,151 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | 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 | $1,998,891 | BOYAmt |
| EOY | $1,476,990 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,976 | BOYAmt |
| EOY | $27,925 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,701,607 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,411,537 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,372,034 | BOYAmt |
| EOY | $3,290,070 | 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 | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,348,353 | BOYAmt |
| EOY | $4,289,765 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,306,537 | BOYAmt |
| EOY | $9,879,901 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,424 | BOYAmt |
| EOY | $1,055,181 | 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 | $1,800,000 | BOYAmt |
| EOY | $175,352 | 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 | $4,272,317 | BOYAmt |
| EOY | $3,851,738 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,110,741 | BOYAmt |
| EOY | $5,082,271 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,195,796 | BOYAmt |
| EOY | $4,797,630 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,195,796 | BOYAmt |
| EOY | $4,797,630 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,306,537 | BOYAmt |
| EOY | $9,879,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$497,894 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $99,728 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,872 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,448 | CurrentTaxYearAmt |
| Total | $27,320 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,066,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,172,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,434,682 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,422,049 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,895,175 | CurrentTaxYearAmt |
| Total | $44,990,766 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,066,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,172,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,434,682 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,432,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,911,623 | CurrentTaxYearAmt |
| Total | $45,018,086 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,018,086 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,067 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,633 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5 | CurrentTaxYearAmt |
| Total | $18,291 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,067 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,633 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5 | CurrentTaxYearAmt |
| Total | $18,291 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,073,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,178,258 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,439,315 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,433,258 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,911,628 | CurrentTaxYearAmt |
| Total | $45,036,377 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99959 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99911 | PublicSupportPY509Pct |
| Investment Income CY | 0.00041 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00089 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,744,434 | OtherCostOrOtherBasisAmt |
| Book Value | $1,744,434 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,324,939 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,927,028 | DepreciationAmt |
| Book Value | $1,397,911 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,632,234 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,484,509 | DepreciationAmt |
| Book Value | $147,725 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $3,290,070 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED FINANCING COSTS | $6,825 |
| FUNDS HELD FOR RESIDENTS | $63,199 |
| DUE FROM EDISON ESTATES | $22,817 |
| DUE FROM JFK ASSISTED LIVING | $10,592 |
| DUE FROM JFK HEALTH SYSTEM,INC | $4,154,766 |
| DUE FROM HARTWYCK MANAGEMENT | $1,914 |
| DUE FROM COMMUNITY HOSPITAL | $26,104 |
| OTHER RECEIVABLES | $3,548 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,289,765 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO THIRD PARTY PAYOR | $837,021 |
| FUNDS HELD FOR PATIENT NEEDS | $63,199 |
| LT PORTION DEBT PAYABLE | $2,948,729 |
| DUE TO HARTWYCK AT OAK TREE | $2,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,851,738 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,669,823 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$225,357 | OtherRevenueAmt |
| Revenue Not Reported | -$225,357 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,895,180 | RevenueSubtotalAmt |
| Other Revenues Not Included | $16,448 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $16,448 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,911,628 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,184,165 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,184,165 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $225,357 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $225,357 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,409,522 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, QUESTION 2: | HARTWYCK WEST NURSING HOME, INC. ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING 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 HAS BEEN MET. THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. |
| PART XI, LINE 4b - OTHER ADJUSTMENTS: | TRANSFER FROM JFK FOUNDATION: $16,448 |
| Part XI, Line 2D - Other Adjustments | Provision for doubtful collections: -225,357 |
| Part XII, Line 4B - Other Adjustments | Provision for doubtful collections: 225,357 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | Yes (true) | 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 | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| SEAN PATRICK MURPHY ESQ | ||||||
| ASST SECRETARY & SVP | $362,465 | $57,000 | $72,323 | $19,703 | $511,491 | |
| ROBIN O WINTER MD | ||||||
| BOARD MEMBER | $252,965 | $5,000 | $18,293 | $17,203 | $293,461 | |
| JOHN P MCGEE | ||||||
| former officer | $405,264 | $405,264 | ||||
| RAYMOND FREDERICKS | ||||||
| CEO/EX-OFFICIO/PRESIDENT | $778,038 | $184,438 | $297,327 | $20,238 | $1,280,041 | |
| RICHARD C SMITH | ||||||
| SVP & CFO | $440,718 | $63,600 | $74,982 | $19,088 | $618,368 | $19,980 |
| THOMAS LANKEY | ||||||
| SVP | $327,316 | $48,800 | $42,907 | $11,684 | $430,707 | |
| RENEE LAKE | ||||||
| VP, LONG TERM CARE | $206,939 | $22,000 | $30,260 | $17,613 | $276,812 | |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FOR DR. ROBIN WINTER | THE SALARY REFLECTED REPRESENTS SALARY ON JFK AS EXECUTIVE MEDICAL DIRECTOR OF FAMILY MEDICINE CENTER. |
| SCHEDULE J, PART I, QUESTION 4A | SEVERANCE PAYMENTS RECEIVED FROM RELATED ORGANIZATION JOHN MCGEE RECEIVED SEVERANCE PAYMENTS IN 2013. THESE AMOUNTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. HE RECEIVED $405,264 IN SEVERANCE PAYMENTS. He left the organization DURING 2011. |
| SCHEDULE J, PART I, QUESTION 4B | THIS QUESTION WAS ANSWERED YES DUE TO THE TWO BENEFIT PLANS THAT SEVERAL KEY EXECUTIVES ARE PARTICIPANTS IN: A) A 457 (F) plan that was established but not funded in 2010, service credits for 2010 and 2011 were funded in 2012 and service credits for 2012 were funded in 2013. B) A KESOP PLAN THAT WAS FROZEN TO NEW CONTRIBUTIONS SUBSEQUENT TO 2002. |
| SCHEDULE J, PART I, QUESTION 4C | EQUITY-BASED COMPENSATION RECEIVED FROM RELATED ORGANIZATION RICHARD C. SMITH RECEIVED $19,980 IN KESOP DISTRIBUTIONS IN 2013. IT IS REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. |
| SCHEDULE J, PART I, QUESTIONS 6B AND 7 | The purpose of the Incentive Plan is to provide financial incentives for the achievement of performance objectives that are most important to JFKs mission and financial, quality and operational success. The Executive Compensation Committee makes a recommendation to the Board of Trustees ABOUT the overall funding as well as the performance measures and the goals in each of these areas. The performance measures, goals and weights are intended to reflect objectives for the current fiscal year In areas of financial, patient care and quality outcomes and patient satisfaction. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 6 | THE ORGANIZATION HAS JFK HEALTH SYSTEM, INC. AS ITS SOLE MEMBER. |
| FORM 990, PART VI, SECTION A LINE 7B | CERTAIN DECISIONS OF THE GOVERNING BODY OF THE ORGANIZATION ARE SUBJECT TO APPROVAL BY THE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | An Ad-hoc Committee, which includes the Chairman of the Audit & Compliance Committee and a selected designee of the Audit and Compliance Committee as well as designees from the Finance, Legal and Audit and Compliance departments, review the IRS 990 Tax Returns with EisnerAmper LLP, the tax accountant for JFK Health System, Inc. During this review, all comments and recommendations that are made are addressed by the Finance, Legal, and Audit and Compliance departments along with EisnerAmper. The final revised drafts are reviewed by the Ad-hoc Committee to ensure all comments and recommendations were addressed in the final drafts. The Audit and Compliance committee has given the Ad-hoc Committee the authority to approve the IRS 990 Tax Returns. Once the IRS 990 Tax Returns are approved by the Ad-hoc Committee, all Board members are sent an e-mail with instructions on how to access the respective IRS 990 Tax Returns for their review and comments for 4 days on a secure website provided by EisnerAmper LLP. At the end of the 4 day review period, and after any comments have been addressed, the IRS 990 Tax Returns are finalized and filed. Also, after the IRS 990 Tax Returns are filed, the returns are posted on the JFK Health System Board Portal. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE DISTRIBUTED TO ALL BOARD MEMBERS AND EMPLOYEES THAT ARE DEPARTMENT HEADS AND HIGHER LEVELS. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHAIR OF THE JFK HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE. ANY POTENTIAL CONFLICT OF INTEREST IS BROUGHT TO SAID COMMITTEE FOR REVIEW AND CONSIDERATION AND ANY APPROPRIATE ACTION DEEMED NECESSARY PURSUANT TO THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE JFK HEALTH SYSTEM BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE MANAGEMENT OF THE ORGANIZATION. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE TOTAL COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION. THE COMMITTEE CONSISTS ENTIRELY OF INDEPENDENT MEMBERS OF THE JFK HEALTH SYSTEM BOARD, THE COMMITTEE REVIEWS IN ADVANCE INDEPENDENT DATA SHOWING THE COMPENSATION PROVIDED BY NON-PROFIT ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS, AND THE COMMITTEE PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. ASSISTING THE COMMITTEE IS AN OUTSIDE COMPENSATION CONSULTANT ALONG WITH OUTSIDE LEGAL COUNSEL. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. |
| FORM 990, PART VI, SECTION C, LINE 19 | JFK HEALTH SYSTEMS' CONSOLIDATED AND THE ORGANIZATION'S CONSOLIDATING FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE. ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, QUESTION 2C | THE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
| FORM 990, PART I, QUESTION 1 | DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES. WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES. THE JFK HARTWYCK NETWORK IS COMMITTED TO PROVIDING BOTH HIGH QUALITY CARE AND MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, HUNTINGTONS DISEASE, HEAD INJURY PROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING, IN A MANNER THAT PROMOTES RESIDENT DIGNITY AND CHOICE WITHIN THE CONTINUUM OF CARE IN THE JFK HEALTH SYSTEM. |
| FORM 990, PART VII | METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. THE OFFICERS OF JFK HEALTH SYSTEM HOURS PER WEEK ARE ALLOCATED AMONG MANY OF THE RELATED ORGANIZATIONS. |
| FORM 990, PART III, QUESTION I | BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION. WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES. THE JFK HARTWYCK NETWORK IS COMMITTED TO PROVIDING BOTH HIGH QUALITY CARE AND MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, HUNTINGTONS DISEASE, HEAD INJURY PROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING, IN A MANNER THAT PROMOTES RESIDENT DIGNITY AND CHOICE WITHIN THE CONTINUUM OF CARE IN THE JFK HEALTH SYSTEM. |
| HARTWYCK WEST NURSING HOME'S PURPOSE | HARTWYCK WEST NURSING HOME ("CEDAR BROOK") IS A 106 BED FACILITY THAT HAS PROVIDED QUALITY LONG-TERM CARE SINCE 1968. LOCATED NEXT TO SCENIC CEDAR BROOK PARK IN PLAINFIELD, THE NURSING CENTER HOUSES THE STATE'S FIRST UNIT DEDICATED TO THE CARE OF HUNTINGTON'S DISEASE PATIENTS. IN ADDITION TO COMPLETE SERVICES FOR GERIATRIC RESIDENTS, IT ALSO OFFERS LONG-TERM CARE FOR INDIVIDUALS IN PERSISTENT COMA. CEDAR BROOK IS BRIGHT AND CHEERFUL, WITH TWO SOLARIUMS IN EACH WING. A LARGE, BEAUTIFUL ALL-PURPOSE ROOM SERVES AS AN EXQUISITE DINING AREA. THERE ARE PLENTY OF AREAS FOR SOCIALIZING WITH FAMILY OR OTHER RESIDENTS, INCLUDING A LOBBY AND SEVERAL LOUNGES. |
| CEDAR BROOK'S DEMOGRAPHICS | CEDAR BROOK IS LOCATED IN PLAINFIELD - AN URBAN / SUBURBAN AREA OF UNION COUNTY. |
| EXTENSION | DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED. AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN. |
| SCHEDULE R, PART V, LINE 1O | JFK HEALTH SYSTEM MAINTAINS A MASTER EMPLOYEE LEASING AGREEMENT THAT PROVIDES FOR THE LEASING OF PERSONNEL TO AND FROM VARIOUS JFK HEALTH SYSTEM ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 7A | WHILE THE MEMBER CANNOT ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY, ALL BOARD APPOINTMENTS ARE SUBJECT TO APPROVAL BY THE MEMBER. THE DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, ARE ELECTED BY A VOTE OF THE BOARD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTOR MEMBERSHIP COMMITTEE SHALL NOMINATE A SLATE OF DIRECTORS TO SERVE AS OFFICERS TO REPLACE OR REELECT THOSE OFFICERS WHOSE TERMS ARE ENDING. |
| FORM 990, PART VII | DEFINITION OF EX-OFFICIO PEOPLE WHO HOLD A POSITION BY VIRTUE OF THEIR OFFICE |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | TRANSFER FROM JFKHS: $99,728. TOTAL $99,728. |
| FORM 990, PART VI, SECTION A, LINE 3 | The organization uses outside management services for rehabilitation services and housekeeping/laundry services. |
| FORM 990, PART VII, SECTION A | ELIZABETH SWALES IS NO LONGER A BOARD MEMBER |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JFK HEALTH SYSTEM INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222421432 | HEALTHCARE | NJ | 501(C)(3) | 11a | N/A | false | |
| THE COMMUNITY HOSPITAL GROUP INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 226019101 | HEALTHCARE | NJ | 501(C)(3) | 3 | false | JFKHS | |
| MUHLENBERG REGIONAL MEDICAL CENTER INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 221487258 | HEALTHCARE | NJ | 501(C)(3) | 9 | false | JFKHS | |
| MUHLENBERG FOUNDATION INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 510212678 | FUNDRAISING | NJ | 501(C)(3) | 11a | false | MRMC | |
| JFK MEDICAL CENTER FOUNDATION INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222315044 | FUNDRAISING | NJ | 501(C)(3) | 11a | false | JFKHS | |
| JFK HEALTH SYSTEM REALTY CORPORATION | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 521703518 | INACTIVE | NJ | 501(C)(25) | false | JFKHS | ||
| ROBERT WOOD JOHNSON JR LIFESTYLE | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222421433 | HEALTHCARE | NJ | 501(C)(3) | 9 | false | JFKHS | |
| JFK ASSISTED LIVING | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223715324 | HEALTHCARE | NJ | 501(C)(3) | 9 | Yes (true) | HARTWYCK WES | |
| HARTWYCK AT OAK TREE INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222666023 | HEALTHCARE | NJ | 501(C)(3) | 9 | false | JFKHS | |
| HARTWYCK AT JFK INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 204144804 | HEALTHCARE | NJ | 501(C)(3) | 11b | false | JFKHS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|
| MSO - SEE PART VII | |||||
| INACTIVE | NJ | JFKHS | RELATED | false | false |
| MEDIPLEX - SEE PART VII | |||||
| RENTALS | NJ | JFK HEALTHSHARE | EXCLUDED | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile StateLegalDomicileStateCd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC INSURANCE EXCHANGE LTD | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 999999999 | INSURANCE | BD | JFKHS | C Corp | false | ||
| CENTRAL JERSEY MEDICAL GROUP PA | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223477610 | INACTIVE | MRMC | C Corp | false | NJ | ||
| JFK MEDICAL GROUP PC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223482637 | CAPTIVE PR | JFKMC | C Corp | false | NJ | ||
| JFK HARTWYCK MGT & CONSULTING INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223812130 | INACTIVE | HARTWYCK WEST | C Corp | Yes (true) | NJ | 1.00000 | |
| JFK HEALTHSHARE INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222528967 | MANAGEMENT | JFKHS | C Corp | false | NJ | ||
| MIDTOWN SHOPS INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 221536954 | RETAIL COMPLEX | MRMC | C CORP | false | NJ | ||
| PRIMARY CARE NETWORK | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 522069919 | PHYSICIAN HEALTH | JFKMC | C CORP | false | NJ | ||
| JFK MEDICAL ASSOCIATES PA | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 462219798 | PHYSICIAN PRACTIC | JFKHS | C CORP | false | NJ | ||
| 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE COMMUNITY HOSPITAL GROUP INC | ||
| P | $862,771 | SEE PART VII |
| HARTWYCK AT OAK TREE INC | ||
| Q | $100,000 | SEE PART VII |
| JFK ASSISTED LIVING INC | ||
| Q | $974,500 | SEE PART VII |
| JFK MEDICAL CENTER FOUNDATION INC | ||
| C | $16,448 | SEE PART VII |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART III | LINE 1 INFORMATION: MANAGEMENT SERVICES ORGANIZATION OF CENTRAL JERSEY, LLC 98 JAMES STREET EDISON, NJ 08820 EIN: 22-3489091 LINE 2 INFORMATION: MEDIPLEX SURGICAL CENTER ASSOCIATION, LP 98 JAMES STREET EDISON, NJ 08820 EIN: 22-2846980 |
| SCHEDULE R, PART V, LINE 2 | ALL TRANSACTIONS WITH RELATED ORGANIZATIONS ARE VALUED AT ACTUAL AMOUNTS. |