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THE COMMUNITY HOSPITAL GROUP INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE COMMUNITY HOSPITAL GROUP INC (EIN 22-6019101)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349303931
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-13T15:08:51-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EISNERAMPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 WOOD AVE SO STE 600AddressLine1
CityISELINCity
StateNJState
ZIP Code088302700ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN226019101EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE COMMUNITY HOSPITAL GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RICHARD C SMITHInCareOfName
Name ControlCOMMNameControl
Phone7323217747Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line198 JAMES STREETAddressLine1
Address Line2SuiteAddressLine2
CityEDISONCity
StateNJState
ZIP Code08820ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD C SMITHName
TitleCFOTitle
Phone7323217000Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD A SACKINName
Phone7322437000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JFK MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND F FREDERICKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line180 JAMES STREETAddressLine1
CityEDISONCity
StateNJState
ZIP Code08820ZIPCode
FieldValueIRS element (for citing)
Gross Receipts462647675GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitejfkhealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees4289TotalNbrEmployees
Total Nbr Volunteers445TotalNbrVolunteers
Total Gross UBI689693TotalGrossUBI
Net Unrelated Business Txbl Income-199354NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year830103ContributionsGrantsPriorYear
Contributions Grants Current Year3779962ContributionsGrantsCurrentYear
Program Service Revenue Prior Year432458515ProgramServiceRevenuePriorYear
Program Service Revenue CY436803015ProgramServiceRevenueCY
Investment Income Prior Year1249518InvestmentIncomePriorYear
Investment Income Current Year1106539InvestmentIncomeCurrentYear
Other Revenue Prior Year13992921OtherRevenuePriorYear
Other Revenue Current Year18822693OtherRevenueCurrentYear
Total Revenue Prior Year448531057TotalRevenuePriorYear
Total Revenue Current Year460512209TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year236723689SalariesEtcPriorYear
Salaries Etc Current Year242375082SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year201746601OtherExpensePriorYear
Other Expenses Current Year203317795OtherExpensesCurrentYear
Total Expenses Prior Year438470290TotalExpensesPriorYear
Total Expenses Current Year445692877TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10060767RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14819332RevenuesLessExpensesCY
Total Assets BOY254943530TotalAssetsBOY
Total Assets EOY264153185TotalAssetsEOY
Total Liabilities BOY275647614TotalLiabilitiesBOY
Total Liabilities EOY269575607TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-20704084NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5422422NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57619122Expense
Revenue63224979Revenue
DescriptionJFK JOHNSON REHABILITATION INSTITUTE - During 2012, the JFK Johnson Rehabilitation Institute had 1,875 admissions resulting in 25,663 patient days. Please refer to Schedule O, JFK Medical Center Background and History for more information.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense104927986Expense
Revenue106711529Revenue
DescriptionINPATIENT SERVICE - During 2012, JFK Medical Center had 18,042 admissions resulting in 83,907 patient days. Please refer to Schedule O, JFK Medical Center Background and History for more information.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense93568444Expense
Revenue103205511Revenue
DescriptionOPERATING ROOM AND SAME DAY SURGERIES - During 2012, JFK Medical Center performed 3,752 inpatient surgeries, 5,835 same day stay surgical procedures and 3,434 surgical procedures at the Mediplex Surgery Center. Please refer to Schedule O, JFK Medical Center Background and History for more information.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp154805405TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev163660996TotalOfOtherProgramServiceRev
Total Program Service Expense410920957TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096339NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4289NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRICHARD C SMITHNamePerson
Telephone Number7323217747TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 JAMES STREETAddressLine1
CityEDISONCity
StateNJState
ZIP Code08820ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
PRAFUL RAJA
CHAIRMAN0.00.0X000
MICHAEL A KLEIMAN DMD
VICE CHAIRMAN0.00.0X0
JAY M JENEY
SECRETARY & TREASURER0.00.0X0
DAVID A BELOWICH
bOARD MEMBER0.00.0X0
SIMPSON YT CHOI
BOARD MEMBER0.00.0X0
DONALD GRIFFIN
BOARD MEMBER0.00.0X0
JOHN O GRUN
BOARD MEMBER0.00.0X0
KAREN L HAYS PHD
BOARD MEMBER0.00.0X0
DONALD KLINE MD
BOARD MEMBER0.00.0X0
WILLIAM J LOVETT
BOARD MEMBER0.00.0X0
JOHN G MCDONOUGH DMD
BOARD MEMBER0.00.0X0
VAL MESZAROS
BOARD MEMBER0.00.0X0
PARAG P PATEL ESQ
BOARD MEMBER0.00.0X0
ELAINE SANTOWASSO
BOARD MEMBER0.00.0X0
LEONARD SENDELSKY
BOARD MEMBER0.00.0X0
RAYMOND F FREDERICKS
CEO/PRESIDENT/EX-OFFICIO40.00.0X853885324790X
SCOTT GEBHARD
COO/EX-OFFICIO40.00.0X68447390731X
BARBARA BRAYNOCK
EX-OFFICIO0.00.0X0
JACQUELINE COESTER
EX-OFFICIO0.00.0X0
JASBIR S SARKARIA MD
EX-OFFICIO0.00.0X0
BHUDEV SHARMA
EX-OFFICIO0.00.0X0
SEAN PATRICK MURPHY ESQ
SVP LEGAL & ASST SEC40.00.037526494474X
RICHARD C SMITH
SENIOR VP & CFO40.00.045787686603X
LOUIS HERMANS
VP & CIO40.00.030003842029X
AMIE THORNTON
VP40.00.017002838014X
PATRICIA RACKOVAN
SVP NURSING & CN40.00.02250001131X
WILLIAM OSER
SVP MEDICAL AFFAIR40.00.0506963103705X
THOMAS STRAX MD
MED DIRECTOR EXEC.40.00.043245548198X
GREGORY PRZYBYLSKI MD
Med Director NeuROSUR40.00.067094726368X
martin gizzi MD
HIGHEST COMPENSATED40.00.045777220375X
STEPHEN BLOOMFIELD MD
HIGHEST COMPENSATED40.00.049705422245X
THOMAS STEINEKE MD
HIGHEST COMPENSATED40.00.052148325505X
ASIF BASHIR
HIGHEST COMPENSATED40.00.053071322818X
JOHN MCGEE
FORMER OFFICER0.00.046885338675X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7152804TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation985661TotalOtherCompensation
Number Individuals GT100 K346NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MCKESSON TECHNOLOGIES INC
PO BOX 98347CHICAGOIL60693SOFTWARE SVCS.5255621
GE HEALTHCARE
PO BOX 96483CHICAGOIL60693EQUIPMENT MAINT2851625
TRI COUNTY HEART NEW JERSEY LLC
10720 SIKES PLACE SUITE 300CHARLOTTENC28277CATH LAB MANAGEMENT2734845
ADICKMAN COMMUNICATIONS LLC
356 BLOOMFIELD AVENUEMONTCLAIRNJ07042MEDIA, ADVERTISING2041459
UNITEX TEXTILE RENTAL SERVICE
161 S MACQUESTEN PKWYMT VERNONNY10550LAUNDRY/LINEN1434973
FieldValueIRS element (for citing)
Number Of Contractors GT100 K113NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations3160577RelatedOrganizations
Government Grants619385GovernmentGrants
Noncash Contributions1459245NoncashContributions
Total Contributions3779962TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE900099435848801435848801
JRI GRANT INCOME900099337463337463
MEDICAL RECORDS900099147598147598
NEURO DRUG STUDY900099396773396773
LAMAZE9000993783637836

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column34544TotalRevenueColumn
Related Or Exempt Function Income34544RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue436803015TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1062019TotalRevenueColumn
Exclusion$1,062,019ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real380494Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real380494Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column380494TotalRevenueColumn
Exclusion$380,494ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2179986Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2135466Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities44520Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column44520TotalRevenueColumn
Exclusion$44,520ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CHILDCARE9000991407826834348573478
MEDICAID STIMULUS90009953313315331331
SCHOOL OF NURSING90009947193454719345

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6983697TotalRevenueColumn
Related Or Exempt Function Income6867482RelatedOrExemptFunctionIncome
Unrelated Business Revenue116215UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue18442199TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column460512209TotalRevenueColumn
Related Or Exempt Function Income454555521RelatedOrExemptFunctionIncome
Unrelated Business Revenue689693UnrelatedBusinessRevenue
Exclusion$1,487,033ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5343184Total
Program Services4808866ProgramServices
Management And General534318ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total200001940Total
Program Services180001746ProgramServices
Management And General20000194ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2796720Total
Program Services2517048ProgramServices
Management And General279672ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17468862Total
Program Services15721976ProgramServices
Management And General1746886ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16764376Total
Program Services15087938ProgramServices
Management And General1676438ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total628364Total
Program Services565528ProgramServices
Management And General62836ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total176678Total
Program Services159010ProgramServices
Management And General17668ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total1636817Total
Program Services1473135ProgramServices
Management And General163682ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2415793Total
Program Services2174214ProgramServices
Management And General241579ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11058821Total
Program Services9952939ProgramServices
Management And General1105882ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3332109Total
Program Services2998898ProgramServices
Management And General333211ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total763407Total
Program Services687066ProgramServices
Management And General76341ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5614752Total
Program Services5053277ProgramServices
Management And General561475ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15266644Total
Program Services13739980ProgramServices
Management And General1526664ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4946211Total
Program Services4451590ProgramServices
Management And General494621ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES6096687660966876
BAD DEBT2967712329677123
PURCHASE SERVICES33677270303095433367727
EQUIPMENT RENTAL & MAINT.84327677589490843277

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24724163Total
Program Services22984714ProgramServices
Management And General1739449ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total445692877Total
Program Services410920957ProgramServices
Management And General34771920ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37045782BOY
EOY36555313EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY50841007BOY
EOY57252909EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6096788BOY
EOY6064551EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5345625BOY
EOY9371598EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis376771467LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec266809407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY105680185BOY
EOY109962060EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16449218BOY
EOY16749981EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33484925BOY
EOY28196773EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY254943530BOY
EOY264153185EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY55933884BOY
EOY57610828EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2466048BOY
EOY2809416EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY119636336BOY
EOY117754855EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY97611346BOY
EOY91400508EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY275647614BOY
EOY269575607EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-27882590BOY
EOY-12198269EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7178506BOY
EOY5558221EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY1217626EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-20704084BOY
EOY-5422422EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY254943530BOY
EOY264153185EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14819332ReconcilationRevenueExpenses
Reconciliation Unrealized Invest30236ReconciliationUnrealizedInvest
Reconcilation Other Changes432094ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$176,231OtherActivitiesAmount
Total Lobbying Expenditures IIB176231TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1(I)Identifier
Return ReferenceOTHER LOBBYING ACTIVITIESReturnReference
ExplanationRETAINER WITH WASHINGTON STRATEGIC CONSULTING, TRAVEL & CONVENTIONS, MEALS & SPECIAL FUNCTIONS AND PAID STAFF OR MANAGEMENT. Also the hospital is a member of the New Jersey Hospital Association, the American Hospital Association, and the AMERICAN MEDICAL REHAB PROVIDERS ASSOCIATION. ALL THREE engage in lobbying efforts on behalf of their member hospitals AND A portion of the dues paid to these organizations has been allocated to lobbying activities performed on behalf of the organization. This allocation amounted to $45,271.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Total Number Of Easements1TotalNumberOfEasements
Total Acreage3.00TotalAcreage
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8446399OtherCostOrOtherBasis
Book Value8446399BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis164085232OtherCostOrOtherBasis
Depreciation97927766Depreciation
Book Value66157466BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis646022OtherCostOrOtherBasis
Depreciation368097Depreciation
Book Value277925BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis200999441OtherCostOrOtherBasis
Depreciation168513544Depreciation
Book Value32485897BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2594373OtherCostOrOtherBasis
Book Value2594373BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings109962060TotalOfBookValueLandBuildings

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS14364116
BENEFICIAL INT IN NET ASSETS6775847
NOTE REC. HARTWYCK AT OAK TREE2873343
DUE FROM JFK HEALTHSHARE, INC.476440
DUE FROM JFK FOUNDATION326064
DUE FROM ATLANTIC INSURANCE EX50757
DUE FROM RWJ JR LIFESTYLE INST41013
DUE FROM MUHLENBERG FOUNDATION43565
NOTE REC FROM JFK HEALTHSHARE93000
DEFERRED FINANCING COSTS3064745
DUE FROM HARTWYCK WEST NURSING87883
FieldValueIRS element (for citing)
Total Book Value Other Assets28196773TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$6,547,211
AMOUNTS DUE 3RD PARTY PAYORS$21,433,908
ACCRUED PENSION LIABILITY$54,451,182
ACCRUED POST RETIREMENT BENEFIT$811,453
CAPITAL LEASE OBLIGATIONS$3,842,867
CURRENT PORTION OF CAP LEASE OBLIG$2,432,406
CURRENT PORTION OF LONG-TERM DEBT$1,881,481
FieldValueIRS element (for citing)
Total Of Amounts91400508TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt427656299TotRevenueEtcAuditedFinclStmt
Other Revenues-29677123OtherRevenues
Revenue Not Rptd F990-29677123RevenueNotRptdF990
Revenue Subtotal457333422RevenueSubtotal
Other Revenues Not Included3178787OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3178787RevenueNotRptdOnFinStmt
Total Revenue Per Form990460512209TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt416015754TotExpensesEtcAuditedFinclStmt
Expenses Subtotal416015754ExpensesSubtotal
Other Expenses Not Included29677123OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt29677123ExpensesNotRptdOnFinStmt
Total Expenses Per Form990445692877TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (8 entries)

IdentifierIdentifierExplanationExplanation
PART II, LINE 5JFK MEDICAL CENTER CREATED THE CONSERVATION EASEMENT. THE LAND WAS NOT CONTRIBUTED TO JFK MEDICAL CENTER.
PART II, LINE 9JFK MEDICAL CENTER REPORTS CONSERVATION EASEMENTS WITHIN PROPERTY PLANT AND EQUIPMENT ON THE BALANCE SHEET.
PART II, LINE 8THE EASEMENT IS UNDEVELOPABLE RAW LAND.
PART XI, LINE 4B - OTHER ADJUSTMENTSINVESTMENT INCOME: 541,521 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES: 1,178,021 PROPERTY, PLANT & EQUIPMENT TRANSFERRED FROM MEDIPLEX SURGICAL CENTER ASSOCIATES: 1,459,245 TOTAL PART XI, LINE 4B: 3,178,787
PART X, QUESTION 2JFK Medical Center 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 2012 or 2011.
PART II, QUESTIONS 6 AND 7THE ONLY STAFF HOURS AND EXPENSES INCURRED FOR THE PROPERTY AND EASEMENT WOULD BE FOR ORDINARY LAND UPKEEP.
PART XI, LINE 2D - OTHER ADJUSTMENTSPROVISION FOR DOUBTFUL COLLECTIONS: -29,677,123
PART XII, LINE 4B - OTHER ADJUSTMENTSPROVISION FOR DOUBTFUL COLLECTIONS: 29,677,123

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense28997250TotalCommunityBenefitExpense
Direct Offsetting Revenue4849762DirectOffsettingRevenue
Net Community Benefit Expense24147488NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense31942285TotalCommunityBenefitExpense
Direct Offsetting Revenue25638663DirectOffsettingRevenue
Net Community Benefit Expense6303622NetCommunityBenefitExpense
Percent Of Total Expense0.01520PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense60939535TotalCommunityBenefitExpense
Direct Offsetting Revenue30488425DirectOffsettingRevenue
Net Community Benefit Expense30451110NetCommunityBenefitExpense
Percent Of Total Expense0.07320PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense515466TotalCommunityBenefitExpense
Net Community Benefit Expense515466NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense14654418TotalCommunityBenefitExpense
Direct Offsetting Revenue10318518DirectOffsettingRevenue
Net Community Benefit Expense4335900NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense30532158TotalCommunityBenefitExpense
Direct Offsetting Revenue25012756DirectOffsettingRevenue
Net Community Benefit Expense5519402NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1688885TotalCommunityBenefitExpense
Net Community Benefit Expense1688885NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense47390927TotalCommunityBenefitExpense
Direct Offsetting Revenue35331274DirectOffsettingRevenue
Net Community Benefit Expense12059653NetCommunityBenefitExpense
Percent Of Total Expense0.02900PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense108330462TotalCommunityBenefitExpense
Direct Offsetting Revenue65819699DirectOffsettingRevenue
Net Community Benefit Expense42510763NetCommunityBenefitExpense
Percent Of Total Expense0.10220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$29,677,123BadDebtExpenseAmount
Amount Attributable To19064643AmountAttributableTo
Amount Reimbursed By Medicare106690627AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare147916702CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-41226075MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities14NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (14 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOtherFacility Reporting GroupFacilityReportingGroup
THE COMMUNITY HOSPITAL GROUP INC
165 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXXXXXACUTE HOSPITAL1
THE COMMUNITY HOSPITAL GROUP INC
265 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXXXXREHAB FACILITY1
THE COMMUNITY HOSPITAL GROUP INC
3PARK RANDOLPH ROADSPLAINFIELDNJ07061JFKHEALTHSYSTEM.ORGXXSATELLITE ER1
THE COMMUNITY HOSPITAL GROUP INC
460 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXIMAGE/WOMEN CENTER1
THE COMMUNITY HOSPITAL GROUP INC
598 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXSURGERY CENTER1
THE COMMUNITY HOSPITAL GROUP INC
62048 OAKTREE ROADEDISONNJ08818JFKHEALTHSYSTEM.ORGXCOGNITIVE REHAB2
THE COMMUNITY HOSPITAL GROUP INC
72050 OAKTREE ROADEDISONNJ08818JFKHEALTHSYSTEM.ORGXPEDIATRIC REHAB2
THE COMMUNITY HOSPITAL GROUP INC
865 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXFAMILY MEDICINE1
THE COMMUNITY HOSPITAL GROUP INC
965 JAMES STREETEDISONNJ08820JFKHEALTHSYSTEM.ORGXBEHAV/OCCUPATIONAL HEALTH1
THE COMMUNITY HOSPITAL GROUP INC
10308 TALMADGE ROADEDISONNJ08817JFKHEALTHSYSTEM.ORGXP&O LAB1
THE COMMUNITY HOSPITAL GROUP INC
11481 MEMORIAL PARKWAYMETUCHENNJ08840JFKHEALTHSYSTEM.ORGXOUTPATIENT REHAB FACILITY2
THE COMMUNITY HOSPITAL GROUP INC
12300 OVERLOOK DRIVEMONROE TOWNSHIPNJ08831JFKHEALTHSYSTEM.ORGXOUTPATIENT REHAB FACILITY2
THE COMMUNITY HOSPITAL GROUP INC
132050 OAKTREE ROADEDISONNJ08818JFKHEALTHSYSTEM.ORGXCHILDCARE2
THE COMMUNITY HOSPITAL GROUP INC
143 PROGRESS STREETEDISONNJ08817JFKHEALTHSYSTEM.ORGXADULT DAY CARE2

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelInsurance StatusInsuranceStatusState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyMedicare RateMedicareRateAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesNo Emergency CareNoEmergencyCare
THE COMMUNITY HOSPITAL GROUP INC
1truetrue300.true500.trueXXXXtruetrueXXtruefalsetrueXfalsefalse
THE COMMUNITY HOSPITAL GROUP INC
2truetrue300.true500.trueXXXXtruetrueXXtruefalsefalseXfalsefalseX

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanation
PART I, LN 7 COL(F)The bad debt expense included on form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage in this column is $29,677,123.
Part I, Line 7WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
PART 1, LINE 3CJFK MEDICAL CENTER USES THE INCOME/ASSET CRITERIA AND SLIDING SCALE PROVIDED BY THE STATE OF NEW JERSEY WHEN SCREENING PATIENTS FOR FINANCIAL ASSISTANCE. ADDITIONALLY, JFK MEDICAL CENTER HAS A COMPASSIONATE CARE POLICY TO APPLY DISCOUNTS (WHEN APPLICABLE) IF A PATIENT DOES NOT QUALIFY OR ONLY QUALIFIES FOR PARTIAL CHARITY CARE.
PART 1, LINE 7GSubsidized health services represent clinical patient care services that are provided, despite a negative margin, because they are needed in the community. During 2012, the organization provided family practice, dental, adult day care, peds rehabilitation, cardiac rehabilitation, and cognitive rehabilitation services programs. The net community benefit expenses represents the total expenses offset by any patient and grant revenue.
PART III, LINE 4Accounts 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. The costing methodology used is the ratio of the cost to charges as described in Worksheet #2 instructions.
PART III, LINE 8Medicare costs were derived from the 2012 Medicare cost report. The organization's position is that Medicare underpayments and bad debt are community benefits and associated costs should be includable on Form 990, Schedule H, Part I as outlined more fully below. The organization believes that these services and related costs promote health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purpose 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 the Internal Revenue Code (IRC) 501(c)(3). The organization is recognized as a tax-exempt and charitable organization under the Internal Revenue Code (IRC) 501(c)(3). 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 the 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 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 an IRC 501(c)(3) charitable organization. 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 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. 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 a publically supported community hospital would normally qualify as a charitable organization because it serves the entire community, and a low level of charity care would not affect a hospitals exempt status if it was due to the surrounding community lack of charitable demands. In 1969, the IRS issued revenue ruling 69-545 which removed from ruling 56-185 the requirements relating to caring for patients without charge or at rates below costs. Under the standard developed in ruling 69-545, which is know as the "Community Benefit Standard", hospitals are judged on whether they promote 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 Treasury Regulation 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: o Its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research. o It was controlled by a Board of Trustees that consisted of independent civic leaders. o Hospital medical staff privileges were available to all qualified physicians. The organization believes that Medicare underpayments and bad debt are community benefits and associated costs should be includable on Form 990, Schedule H, Part I. The American Hospital Association's (AHA) position is that Medicare underpayments and bad debt are community benefits and associated costs should be includable on 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 as quantifiable community benefit for the following reasons; o Providing care for the elderly and serving Medicare patients is an essential part of the Community Benefit Standard. o Medicare, like Medicaid, does not pay the full cost of care. Medicare reimburses the hospital only 92 cents for every dollar they spend to take care of Medicare patients. o 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 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 the purposes of a hospitals community benefit and include the 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 Form 990, Schedule H, Part I. Like Medicare underpayment, there also are compelling reasons that patient bad debt should be counted as a quantifiable community benefit. 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 the hospital's Charity Care or Financial Assistance programs. A 2006 Congressional Budget Office 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 percent 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 their ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by auditing industry standards on reporting Charity Care, many patients cannot or do not provide the necessary extensive documentation required to be deemed Charity Care by the auditors. As a result, roughly 40% of bad debt is pending Charity Care.
PART III, LINE 9BJFK Medical Center recognizes the financial difficulty imposed on the self-pay patient who is least able to pay for healthcare services when billed at the Hospital's standard charges. Credit adjustments to the self-pay balance will be permitted for the purpose of billing and collecting from the self-pay patient. This policy does not affect any billings for services rendered by hospital based physicians groups, professional practice physicians, or parties providing other medical services to the patient not billed by the Hospital. This policy excludes billing for Obstetrics, Gynecology (selected), Newborn, and Cosmetic procedures (covered under separate policy). This policy does not cover amounts owed relating to copays, deductibles, and coinsurance. The cost and subsequent self-pay billing amount will be determined based upon a review of the most current Hospital Specific Medicare Cost Report and managed care commercial rate. All patients that present to the Hospital for medically necessary services who are identified as self-pay patients will be advised when appropriate, by the hospital registrar to contact the New Jersey Hospital Care Payment Assistance Program representative or a Patient Accounting department representative. The Hospital has a formal self-pay billing and collection practice in place to assist the patient with the payment of their account. A. All patients are to be made aware of the New Jersey Hospital Care Payment Assistance program and be provided with the appropriate notice of the availability of the program as required by the program's regulatory guidelines. B. Patients who are determined to be eligible for the New Jersey Hospital Care Payment Assistance Program will have their charges for services reduced using the program calculation and methodology. C. Patients found ineligible for the New Jersey Hospital Care Payment Assistance Program are advised of the uninsured eligibility criteria and are encouraged to apply. D. The billing practice shall be explained when appropriate to the patient to ensure that proper communication occurs regarding this policy. E. A determination will be made at the time of service or as soon as possible thereafter to access and identify any and all other 3rd party benefits available to the patient. This will ensure that all 3rd party payers are billed appropriately, prior to a self-pay adjustment being made on an account. F. The adjustment will be manually made through the hospital billing system and appear as a credit adjustment to the patient balance. G. If the patient expresses an inability to pay the account balance in full, a payment arrangement may be authorized by the Hospital at its discretion. Payment arrangements will be based upon the Hospital's credit and collection policy.
PART VI, NO. 2This organization reviewed key factors that by population (primary and secondary service areas) that included a representative cross-section of demographics by ethnicity and age. This was accomplished a number of ways. We performed extensive focus groups attended by our primary and secondary service area patient base. We asked questions about health needs, inpatient and outpatient experiences and needs, clinic needs, clinical service line needs and patient satisfaction. These focus groups were done at various times in order to accomplish our goal of having the representative base. We performed an independent telephone survey asking 1,000 residents similar questions regarding health care needs. We also worked with our local community based organizations, both faith based and non-faith based, to provide and identify health needs. Additionally, we were members of a Community Action Group in the Plainfield community to address the health needs of this primary service area.
PART VI, NO. 3FINANCIAL ASSISTANCE SIGNS ARE POSTED THROUGHOUT THE FACILITY, INCLUDING ADMITTING, Emergency room, Satellite emergency department, IMAGING CENTER AND OTHER PATIENT REGISTRATION AREAS. aLL ELIGIBLE PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO THE APPROPRIATE AGENCIES OR PROGRAMS. aLL PATIENTS THAT CONTACT THE HOSPITAL FOR PRICING ARE INFORMED OF THE CHARITY AND COMPASSIONATE CARE POLICIES OF THE MEDICAL CENTER.
PART VI, NO. 4According to the 2011 Census, the population of Middlesex County (where JFK is located) reached 814,217, an increase of 8% since the 2000 Census. Almost half the total population is comprised of minorities and 7.4% of families live in poverty. As a result of the closure of nearby Muhlenberg Regional Medical Center in August 2008, JFK'S primary service area has expanded as it has become the nearest full service hospital for residents of southwestern Union County, including the city of Plainfield, where over 76.5% of the 50,085 residents are minorities, more than 16.8% of families live in poverty and portions of the city are considered an Urban Enterprise Zone (an area where blighted neighborhoods receive encouragement through tax relief to businesses and entrepreneurs). In 2011, Plainfield'S median household income was $52,056, 34% lower than the state'S $69,811. In terms of ethnicity, Middlesex County has the highest percentage of Asian residents of all New Jersey counties (22.2%). African Americans account for 10.7% of the population, while Hispanics make up 18.9%. Over 7.4% of families live below the federal poverty level ($22,300 per year for a family of four). The County'S median income of $77,615 in 2011 (the most recent data available) was higher than the state, nevertheless, Middlesex County has pockets of working poor and unemployed persons who rely on JFK for care. According to the Middlesex County FreeholderS' website, "close to one third of the population still earns less than a living wage." Unemployment IN MIDDLEsEX COUNTY rose from 5% in 2008 to 8.2% in 2012. The Health Resources and Services Administration (HRSA) Area Resource File states that, in 2009 (most recent data available), there were 123,329 uninsured persons under age 65 and 65,053 Medicaid recipients in Middlesex County. HRSA also recorded 89,740 individuals 65 and older and 13,323 disabled individuals receiving Medicare. Immigrants make up 25.3% of the population and homeless persons numbered 796 men, women and children as of January 2009 - the most recent survey by the U.S. Department of Housing and Urban Development (HUD).
PART VI, NO. 5Community building activities undertaken by this organization are focused on improving both the well-being of our PRIMARY SERVICE AREA and SECONDARY SERVICE AREA and improving access to health care. We accomplish this through partnerships with local organizations like the YMCA, FEDERALLY QUALIFIED HEALTH CENTER, Religious and Cultural organizations and individuals who reside in the community. We participate in conferences, lectures, seminars, health fairs and sponsorships. We provide materials, professional and medical personnel, classrooms, social halls for the community benefit.
PART VI, NO. 6The parent organization performs community outreach as well as each affiliate. From health fairs and seminars, to speeches and tours, each affiliate goes into the community to reinforce and educate regarding access to health care and programs available.
PART VI, NO. 7NOT APPLICABLE
PART V, SECTION AALL ENTITIES LISTED IN THIS SECTION OPERATE UNDER THE COMMUNITY HOSPITAL GROUP LICENSE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementtrueEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
SEAN PATRICK MURPHY ESQ
SVP LEGAL & ASST SEC355264200007285621618469738
LOUIS HERMANS
VP & CIO29003810000338418188342067
AMIE THORNTON
VP14002830000361791835208042
PATRICIA RACKOVAN
SVP NURSING & CN2100001500011310226131
WILLIAM OSER
SVP MEDICAL AFFAIR441963650008484718858610668
RICHARD C SMITH
SENIOR VP & CFO402876550006923117372544479
GREGORY PRZYBYLSKI MD
Med Director NeuROSUR66094710000675019618697315
THOMAS STRAX MD
MED DIRECTOR EXEC.432455416136585480653
martin gizzi MD
HIGHEST COMPENSATED41727240500138786497478147
STEPHEN BLOOMFIELD MD
HIGHEST COMPENSATED497054661115634519299
THOMAS STEINEKE MD
HIGHEST COMPENSATED521483582319682546988
ASIF BASHIR
HIGHEST COMPENSATED51071350001781855353120000
RAYMOND F FREDERICKS
CEO/PRESIDENT/EX-OFFICIO70959510000030280721983117867544290
SCOTT GEBHARD
COO/EX-OFFICIO419664650007434816383775204199809
JOHN MCGEE
FORMER OFFICER02022118454507528468853

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE J, PART IIASIF BASHIR, MD OTHER REPORTABLE COMPENSATION WAS A LOAN FORGIVENESS INCLUDED IN BOX 5 OF FORM W-2.
SCHEDULE J, PART I, QUESTION 4BTHIS 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, LINE 4AJOHN MCGEE RECEIVED SEVERANCE PAYMENTS IN 2012. THIS AMOUNT IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. HE RECEIVED $468,853 IN SEVERANCE PAYMENTS. HE LEFT THE ORGANIZATION DURING 2011.
SCHEDULE J, PART I, QUESTION 4CTWO INDIVIDUALS RECEIVED KESOP DISTRIBUTIONS IN 2012. RAYMOND FREDERICKS RECEIVED $44,290 AND SCOTT GEBHARD RECEIVED $199,809. IT IS REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION.EQUITY-BASED COMPENSATION RECEIVED FROM THE ORGANIZATION
SCHEDULE J, PART I, QUESTIONS 6A 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 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NJ HEALTHCARE FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN221987084IssuerEIN
CUSIP Number64580AAT8CUSIPNumber
Date Issued2009-06-01DateIssued
Issue Price119623712IssuePrice
Description Of PurposeSEE SCHEDULE O.DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds119745700TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1946274IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures11538889CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent10353579AmountUnspent
Year Of Subst Completion2013YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuetrueNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART IV, QUESTION 2CIdentifier
Return Reference0ReturnReference
ExplanationTHE 2009 ISSUE WAS A MULTIPURPOSE ISSUE. SEE SCHEDULE O. THE REBATE AMOUNT IS NOT YET DUE FOR THE NEW MONEY AND LINE OF CREDIT REFINANCING PORTIONS. NO REBATE WAS DUE WITH RESPECT TO THE REFUNDING PORTIONS. THE COMPUTATIONS WERE DONE JULY 2013.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionPROPERTY, PLANT AND EQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901459245NoncashContribsRptdF990
Method Of Determining RevenuesBOOK VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (23 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3The organization uses outside management services for the following departments: Pharmacy, BIOMED SERVICES, Hemodialysis, Housekeeping management (Includes housekeeping, linen & patient transport) AND MRI SERVICES.
FORM 990, PART VI, SECTION A, LINE 6The organization has JFK HEALTH SYSTEM, INC. AS ITS SOLE member.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN decisions of the governing body of the organization are subject to approval by the member.
FORM 990, PART VI, SECTION B, LINE 11An 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 12COn an annual basis, Conflict of Interest Disclosure Statements are distributed to all Board Members and employees that are department head and higher levels. All disclosures are reviewed by the Compliance Officer and the Chair of the JFK Audit and Compliance Committee. Any potential conflict of interest is brought to the 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 15THE JFK 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 19THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETSPENSION/POST RETIREMENT LIABILITY ADJUSTMENT 1,023,587 TRANSFERS TO AFFILIATES -3,207,622 CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF JFK FOUNDATION -402,659 PROVISION FOR DOUBTFUL COLLECTIONS 3,018,788 TOTAL TO FORM 990, PART XI, LINE 9 432,094
FORM 990, PART XII, QUESTION 2CTHE PROCESS HAS NOT CHANGED SINCE LAST YEAR. JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
JFK MEDICAL CENTER BACKGROUNDJFK MEDICAL CENTER ("JFK") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. JFK IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PURSUANT TO ITS CHARITABLE PURPOSES, JFK PROVIDES MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY, MOREOVER, JFK OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 1) JFK PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS. 2) JFK OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR. 3) JFK MAINTAINS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4) CONTROL OF JFK RESTS WITH ITS BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. THE OPERATIONS OF JFK AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF JFK FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY.
JFK MEDICAL CENTER HISTORYJFK BEGAN IN THE 1960'S IN RESPONSE TO THE INCREASING DEMAND FOR HEALTH CARE SERVICES CREATED BY RAPID POPULATION GROWTH IN EDISON TOWNSHIP AND ITS SURROUNDING COMMUNITIES. THE LATE EDISON MAYOR ANTHONY M. YELENCSICS, FOR WHOM THE ORIGINAL COMMUNITY HOSPITAL WAS NAMED, LED A GRASSROOTS EFFORT TO OPEN A HOSPITAL TO MEET THIS DEMAND. FOLLOWING A FUNDRAISING CAMPAIGN PIONEERED BY TRUSTEES, PHYSICIANS, AUXILIANS AND COMMUNITY RESIDENTS, THE ORIGINAL 205-BED HOSPITAL OPENED ITS DOORS AND ADMITTED ITS FIRST PATIENT IN 1967. THE 1970'S REPRESENTED A PERIOD OF SIGNIFICANT GROWTH FOR JFK. ONE OF THE MOST IMPORTANT HIGHLIGHTS IN ITS HISTORY WAS THE OPENING OF THE JFK JOHNSON REHABILITATION INSTITUTE ("JRI") IN 1974 FOLLOWING A MERGER WITH MIDDLESEX REHABILITATION HOSPITAL. SINCE THAT TIME, JRI HAS FORGED A REPUTATION FOR EXCELLENCE IN PATIENT CARE AND HAS BECOME A NATIONAL LEADER IN PHYSICAL REHABILITATION MEDICINE. JRI WAS ONE OF THE FIRST REHABILITATION CENTERS IN THE NATION TO RECOGNIZE THAT INDIVIDUALS WITH ACQUIRED TRAUMATIC BRAIN INJURY REQUIRE A SPECIALIZED TREATMENT ENVIRONMENT. WITH ITS UNPRECEDENTED, COMPREHENSIVE APPROACH TO CARE, JRI'S CENTER FOR HEAD INJURIES IS REGARDED AS PIONEERING IN HEAD TRAUMA EVALUATION AND TREATMENT. IN ADDITION, JRI'S PEDIATRIC REHABILITATION DEPARTMENT PROVIDES CHILDREN WITH THE ADAPTIVE AND COPING SKILLS THEY NEED TO ACHIEVE SUCCESS IN EVERYDAY LIFE THROUGH PHYSICAL AND OCCUPATIONAL THERAPY. JRI ALSO OFFERS INPATIENT AND DAY REHABILITATION, OUTPATIENT THERAPIES, AND PROSTHETICS AND ORTHOTICS. JFK ALSO OPENED ITS RADIATION THERAPY CENTER AND ITS FAMILY PRACTICE CENTER DURING THIS DECADE. JFK REACHED A SIGNIFICANT MILESTONE IN 1992 WHEN IT OPENED THE NEW JERSEY NEUROSCIENCE INSTITUTE ("INSTITUTE"), WHICH IS A NATIONALLY RECOGNIZED COMPREHENSIVE CENTER FOR THE DIAGNOSIS, TREATMENT, AND STUDY OF NEUROLOGICAL DISEASE. THE INSTITUTE CONTINUES TO ATTRACT TOP NEUROSCIENCE EXPERTS FROM ACROSS THE UNITED STATES. IT ALSO WORKS TO PROMOTE INVESTIGATIVE EFFORTS IN BASIC AND CLINICAL RESEARCH. OTHER SIGNIFICANT ADDITIONS THAT OCCURRED OVER THE PAST THREE DECADES INCLUDED JFK'S CANCER CENTER, WHICH FEATURES STATE-OF-THE-ART CANCER DIAGNOSIS AND TREATMENT CAPABILITIES, HOSPICE CARE AND PARTICIPATION IN NATIONWIDE CANCER RESEARCH NETWORKS; JFK'S OUTPATIENT MEDIPLEX SURGERY CENTER WHICH PROVIDES SAME-DAY PROCEDURES, INCLUDING LASER, ENDOSCOPIC AND ARTHROSCOPIC SURGERY, JFK'S IMAGING CENTER AND BREAST CENTER. BOTH OFFER A FULL RANGE OF DIAGNOSTIC EXAMINATIONS, INCLUDING CAT SCAN AND MRI SERVICES.
JFK MEDICAL CENTER CURRENT INFORMATIONJFK MEDICAL CENTER ("JFK") IS a 493-BED HOSPITAL CONSISTING OF THE 399-acute care BED ANTHONY M. YELENCSICS COMMUNITY HOSPITAL AND THE ADJACENT 94-BED JFK JOHNSON REHABILITATION INSTITUTE. JFK FEATURES A COMPLETE ARRAY OF SERVICES, INCLUDING GENERAL SURGERY, EMERGENCY MEDICINE, BEHAVIORAL HEALTH, ORTHOPEDICS, MATERNITY AND PEDIATRIC CARE PROGRAMS. SPECIAL SERVICES AT THE MEDICAL CENTER INCLUDE THE NEW JERSEY NEUROSCIENCE INSTITUTE, A DIAGNOSTIC, TREATMENT, TEACHING AND RESEARCH CENTER FOR THE STUDY OF COMPLEX NEUROLOGICAL DISORDERS; THE REGIONAL CANCER CENTER, OFFERING COMPREHENSIVE MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES; THE JFK DIAGNOSTIC IMAGING CENTER WHICH HOUSES TRADITIONAL AND OPEN AIR MRI CAPABILITIES, HIGH SPEED COMPUTER TOMOGRAPHY (CT), ADVANCED BONE DENSITY TECHNOLOGY, AND THE BREAST CENTER, PROVIDING COMPLETE MAMMOGRAPHY SERVICES INCLUDING FULL-FIELD DIGITAL AND THE R2 IMAGE CHECKER TECHNOLOGY. OTHER SERVICES INCLUDE THE JFK FITNESS CENTER, OCCUPATIONAL HEALTH PROGRAM AND FAMILY MEDICINE CENTER. THE FAMILY MEDICINE CENTER WAS ESTABLISHED IN 1976 AND HAS SERVED THE SURROUNDING COMMUNITIES TO PROVIDE PRIMARY CARE SERVICES TO INSURED AND UNINSURED PATIENTS IN THE SERVICE AREA. STAFFED BY FACULTY AND RESIDENT PHYSICIANS, IT PROVIDES SERVICES WHICH INCLUDE: GENERAL MEDICINE, OB/GYN CARE, PEDIATRIC AND MINOR SURGERY. IN ADDITION, HEALTH EDUCATION/PROMOTION, NUTRITIONAL COUNSELING AND EMOTIONAL SUPPORT PROGRAMS ARE OFFERED. ANNUALLY JFK RECORDS OVER 18,000 ADMISSIONS, OVER 2,600 BIRTHS, AND MORE THAN 70,000 EMERGENCY ROOM VISITS. JFK IS AN AFFILIATE OF JFK HEALTH SYSTEM, A NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF CENTRAL NEW JERSEY WITH STRONG TIES TO THE LOCAL COMMUNITY, ESTABLISHED REGIONAL REPUTATION, EXCEPTIONAL EMPLOYEES, A COMMITMENT TO PATIENT SATISFACTION AND QUALITY MEDICAL STAFF TO PROVIDE HIGH QUALITY, COST-EFFECTIVE CARE. SPECIAL SUPPORT SERVICES ARE ALSO AVAILABLE SUCH AS DIAGNOSTIC IMAGING, GERIATRIC CARE AND COMMUNITY HEALTH AND FITNESS PROGRAMS. THROUGH COMMUNITY OUTREACH, JFK OFFERS HEALTH AND WELLNESS PROGRAMS, SCREENINGS, LECTURES AND EDUCATIONAL SEMINARS TO MORE THAN 22,000 AREA RESIDENTS ANNUALLY. THE HAROLD B. AND DOROTHY A. SNYDER SCHOOLS OF NURSING, RADIOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY, RADIATION THERAPY AND DIAGNOSTIC MEDICAL SONOGRAPHY ARE OPERATED BY AND FOR PURPOSES OF ACADEMIC ACCREDITATION, SPONSORED BY JFK. THE SCHOOLS CARRY ON A LONG TRADITION OF EDUCATING FUTURE HEALTH CARE PROFESSIONALS WITH MORE THAN 500 STUDENTS ENROLLED IN THE FIVE SCHOOLS ANNUALLY. THE SCHOOL OFFERS STUDENTS ACCESS TO JFK HEALTH SYSTEM'S STATE-OF-THE-ART EQUIPMENT AND EXPANSIVE CLINICAL FACILITIES.
JFK MEDICAL CENTER VISIONWE WILL BE RECOGNIZED FOR BEING RESPONSIVE AND SENSITIVE TO COMMUNITY NEEDS, EXTENDING BEYOND OUT TRADITIONAL BOUNDARIES, IN ORDER TO ACHIEVE HIGHER LEVELS OF COMMUNITY HEALTH AND ACCESS. WE WILL BE RECOGNIZED FOR A CULTURE DRIVEN BY TRUST, IN WHICH DEDICATED, CARING AND COMPASSIONATE INDIVIDUALS WORK TOGETHER WITH FAMILIES TO OVERCOME HEALTH CARE CHALLENGES. WE WILL BE RECOGNIZED FOR HIGH QUALITY SERVICES AND OUTSTANDING SAFETY PERFORMANCE BASED UPON NATIONAL STANDARDS. WE WILL BE RECOGNIZED AS AN EMPLOYER THAT EMPHASIZES PROFESSIONAL AND PERSONAL DEVELOPMENT IN ORDER TO MAXIMIZE THE POTENTIAL OF EVERY INDIVIDUAL. WE WILL BE RECOGNIZED FOR CLINICAL SUPERIORITY THROUGH THE EXPERTISE OF OUR MEDICAL STAFF AND THE CONTINUED APPLICATION OF CUTTING-EDGE TECHNOLOGIES.
JFK MEDICAL CENTER DEMOGRAPHICSJFK MEDICAL CENTER IS LOCATED IN EDISON - AN URBAN/SUBURBAN AREA OF MIDDLESEX COUNTY. ONE OF THE FASTEST GROWING COUNTIES IN THE STATE, MIDDLESEX COUNTY IS THE THIRD LARGEST COUNTY IN NEW JERSEY WITH MORE THAN 814,000 RESIDENTS.
FORM 990, PART 1, QUESTION 1WE ARE COMMITTED TO EXCELLENCE IN PROVIDING QUALITY AND COMPASSIONATE HEALTHCARE SERVICES TO OUR DIVERSE COMMUNITIES.DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES.
EXTENSIONAWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN.DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED
FORM 990, PART VIIDURING 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 and key employees of JFK Health System hours per week are allocated among many of the related organizations.METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK.
SCHEDULE R, PART V, LINE 1OJFK HEALTH system maintains a master employee leasing agreement that provides for the leasing of personnel to and from various JFK HEALTH SYSTEM entities.
SCHEDULE K, PART INew money -- $21,892,468.25 for various capital improvements to JFK Medical Center, including, but not limited to, expansion of inpatient bed capacity and unit renovations, emergency room expansion, operating room renovations and expansion, relocation of support departments, conversion of HVAC system and other necessary expansions, renovations and improvements, and the refinancing of various series of bonds issued on behalf of, and other indebtedness of, JFK Medical Center, Hartwyck at Oak Tree and Muhlenberg Regional Medical Center, as described below, all in connection with the termination of the provision of hospital acute care services at Muhlenberg Regional Medical Center and pursuant to the State's Hospital Asset Transformation Program. Current Refundings: 1995 Bonds $17,670,697 1998 Bonds $36,114,765 2003 Bonds $33,137,809 2005 Bonds $17,935,000 Line of credit $6,571,000 Capitalized Interest -- 1,761,145 Costs of issuance- -- 1,946,274
FORM 990, PART VI, SECTION A, LINE 7AWhile 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 VIIPeople who hold a position by virtue of their officeDEFINITION OF EX-OFFICIO
FORM 990, PART VI, QUESTION 16ADURING 2011, JFK ENTERED INTO A JOINT VENTURE TO PROVIDE MANAGEMENT SERVICES WITH EDISON IMAGING ASSOCIATES, P.A. TO CREATE EDISON IMAGING AT JFK MEDICAL CENTER, LLC.
FORM 990, PART VII, SECTION AWILLIAM J. LOVETT RESIGNED FROM THE BOARD DURING 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
JFK HEALTH SYSTEM INC
98 JAMES STREETEDISONNJ08820222421432HEALTHCARENJ501(C)(3)11aN/Afalse
MUHLENBERG REGIONAL MEDICAL CENTER INC
98 JAMES STREETEDISONNJ08820221487258HEALTHCARENJ501(C)(3)9falseJFKHS
MUHLENBERG FOUNDATION INC
98 JAMES STREETEDISONNJ08820510212678FUNDRAISINGNJ501(C)(3)11afalseMRMC
JFK MEDICAL CENTER FOUNDATION INC
98 JAMES STREETEDISONNJ08820222315044FUNDRAISINGNJ501(C)(3)11afalseJFKHS
JFK HEALTH SYSTEM REALTY CORPORATION
98 JAMES STREETEDISONNJ08820521703518INACTIVENJ501(C)(25)falseJFKHS
ROBERT WOOD JOHNSON JR INC LIFESTYLE
98 JAMES STREETEDISONNJ08820222421433HEALTHCARENJ501(C)(3)9falseJFKHS
HARTWYCK WEST NURSING HOME INC
98 JAMES STREETEDISONNJ08820221802017HEALTHCARENJ501(C)(3)9falseJFKHS
JFK ASSISTED LIVING INC
98 JAMES STREETEDISONNJ08820223715324HEALTHCARENJ501(C)(3)9falseHARTWYCK WES
HARTWYCK AT OAK TREE INC
98 JAMES STREETEDISONNJ08820222666023HEALTHCARENJ501(C)(3)9falseJFKHS
HARTWYCK AT JFK INC
98 JAMES STREETEDISONNJ08820204144804HEALTHCARENJ501(C)(3)11bfalseJFKHS

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
MSO - SEE PART VII
98 JAMES STREETEDISONNJ08820INACTIVENJJFKHSRELATEDfalsefalse
MEDIPLEX - SEE PART VII
98 JAMES STREETEDISONNJ08820RENTALSNJJFK HEALTHSHAREEXCLUDEDfalsefalse
TRI-COUNTY - SEE PART VII
98 JAMES STREETEDISONNJ08820HEALTHCARENJJFKHSRELATEDfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgLegal Domicile StateLegalDomicileStateShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncome
ATLANTIC INSURANCE EXCHANGE LTD
98 JAMES STREETEDISONNJ08820999999999INSURANCE CAPtiveBDJFKHSC CORPfalse
CENTRAL JERSEY MEDICAL GROUP PA
98 JAMES STREETEDISONNJ08820223477610INACTIVEMRMCC CORPfalseNJ
JFK MEDICAL GROUP PC
98 JAMES STREETEDISONNJ08820223482637MEDICAL SERVICESJFKMCC CORPtrueNJ226631.00000
JFK HARTWYCK MGT & CONSULTING INC
98 JAMES STREETEDISONNJ08820223812130INACTIVEHARTWYCK WESTC CORPfalseNJ
JFK HEALTHSHARE INC
98 JAMES STREETEDISONNJ08820222528967MANAGEMENT SVCS.JFKHSC CORPfalseNJ
MIDTOWN SHOPS INC
98 JAMES STREETEDISONNJ08820221536954RETAIL COMPLEXMRMCC CORPfalseNJ
PRIMARY CARE NETWORK
98 JAMES STREETEDISONNJ08820522069919HEALTH ORG.JFKMCC CORPtrueNJ2133641.00000118
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HARTWYCK AT OAK TREE INC
A1045990SEE PART VII
MEDIPLEX SURGICAL CENTER ASSOCIATION LP
K243747SEE PART VII
JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC
C1630946SEE PART VII
MEDIPLEX SURGICAL CENTER ASSOCIATION LP
P226777SEE PART VII
MUHLENBERG REGIONAL MEDICAL CENTER INC
K748000SEE PART VII
JFK HEALTH SYSTEM INC
P857939SEE PART VII
JFK HEALTHSHARE INC
P150000SEE PART VII
HARTWYCK AT OAK TREE INC
Q5065784SEE PART VII
HARTWYCK WEST NURSING HOME INC
Q825000SEE PART VII
JFK HEALTH SYSTEM INC
Q2947932SEE PART VII
ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE
Q325000SEE PART VII
JOHN F KENNEDY MEDICAL CENTER FOUNDATION INC
Q230024SEE PART VII
MUHLENBERG REGIONAL MEDICAL CENTER FOUNDATION
Q211062SEE PART VII
JFK ASSISTED LIVING INC
Q825000SEE PART VII
MUHLENBERG REGIONAL MEDICAL CENTER INC
A933006SEE PART VII
ROBERT WOOD JOHNSON JR LIFESTYLE INSTITUTE
C298000SEE PART VII
MEDIPLEX SURGICAL CENTER ASSOCIATION LP
C1459245SEE PART VII
MUHLENBERG REGIONAL MEDICAL CENTER INC
Q66994SEE PART VII
MUHLENBERG FOUNDATION INC
C70386SEE PART VII
HARTWYCK AT OAK TREE INC
K372000SEE PART VII
JFK HEALTHSHARE INC
K437438SEE PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII (3 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE R, PART IVDR. WILLIAM OSER IS THE LEGAL OWNER OF JFK MEDICAL GROUP. JFK MEDICAL CENTER IS THE BENEFICIAL OWNER.
SCHEDULE R, PART IIILINE 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 LINE 3 INFORMATION: TRI-COUNTY HEART NJ, LLC 98 JAMES STREET EDISON, NJ 08820 EIN: 26-1104379
SCHEDULE R, PART V, LINE 2ALL TRANSACTIONS WITH RELATED ORGANIZATIONS ARE VALUED AT ACTUAL AMOUNTS.