HACKENSACK MERIDIAN OUTPATIENT SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN OUTPATIENT SERVICES INC (EIN 22-2666023)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-28
- IRS object ID
- 201330289349300913
- Schema version
- 2011v1.3
- 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) |
|---|---|---|
| Timestamp | 2013-01-28T15:41:08-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNERAMPER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2015 LINCOLN HIGHWAY PO BOX 988 | AddressLine1 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 08818 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222666023 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARTWYCK AT OAK TREE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RICHARD C SMITH | InCareOfName |
| Name Control | HART | NameControl |
| Phone | 7323217747 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 98 JAMES STREET 4TH FLOOR | AddressLine1 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 08820 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD C SMITH | Name |
| Title | CFO | Title |
| Phone | 7323217747 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD SACKIN CPA | Name |
| Phone | 7322871000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Raymond F Fredericks | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 41427227 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.jfkhealthsystem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 613 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 40860 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 108965 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41060852 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40906496 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16995 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14881 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 372000 | OtherRevenuePriorYear |
| Other Revenue Current Year | 396885 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 41490707 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41427227 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 22737565 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23031506 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19496869 | OtherExpensePriorYear |
| Other Expenses Current Year | 19468227 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 42234434 | TotalExpensesPriorYear |
| Total Expenses Current Year | 42499733 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -743727 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1072506 | RevenuesLessExpensesCY |
| Total Assets BOY | 28778381 | TotalAssetsBOY |
| Total Assets EOY | 26412319 | TotalAssetsEOY |
| Total Liabilities BOY | 34960622 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 33667066 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -6182241 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -7254747 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | See Schedule O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 38114671 | Expense |
| Revenue | 40906496 | Revenue |
| Description | Hartwyck at Oak Tree provides housing, healthcare, and other related services to its residents. | Description |
| Total Program Service Expense | 38114671 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 42 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 613 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD C SMITH | NamePerson |
| Telephone Number | 7323217747 | TelephoneNumber |
Address US AddressUS
| 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 | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Average Hours Per WeekAverageHoursPerWeek | Key EmployeeKeyEmployee | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization |
|---|---|---|---|---|---|---|---|---|
| LEONARD SENDELSKY | ||||||||
| CHAIRMAN | X | |||||||
| JAY M JENEY | ||||||||
| VICE CHAIRMAN | X | |||||||
| JOHN O GRUN | ||||||||
| SECRETARY | X | |||||||
| DAVID A BELOWICH | ||||||||
| TREASURER | X | |||||||
| VAL MESZAROS | ||||||||
| BOARD MEMBER | X | |||||||
| HELEN J PATERNITI | ||||||||
| BOARD MEMBER | X | |||||||
| ELIZABETH SWALES | ||||||||
| BOARD MEMBER | X | |||||||
| ROBIN O WINTER MD | ||||||||
| BOARD MEMBER | X | 40.0 | X | 256300 | 36783 | |||
| FRAN YOREY | ||||||||
| BOARD MEMBER | X | |||||||
| MICHAEL A KLEIMAN DMD | ||||||||
| EX-OFFICIO | X | |||||||
| RAYMOND FREDERICKS | ||||||||
| President/CEO/Ex-Officio | X | 40.0 | 499699 | 41636 | X | |||
| SEAN PATRICK MURPHY ESQ | ||||||||
| ASSISTANT SECRETARY | 40.0 | 342685 | 35140 | X | ||||
| RICHARD C SMITH | ||||||||
| SVP & CFO | 40.0 | 351179 | 35474 | X | ||||
| THOMAS LANKEY | ||||||||
| SVP | 40.0 | 301673 | 29174 | X | ||||
| John McGee | ||||||||
| PRESIDENT/CEO/EX-OFFICIO | 40.0 | 608865 | 41792 | X | ||||
| RENEE LAKE | ||||||||
| VP, LONG TERM CARE | 40.0 | X | 180047 | 17718 | ||||
| CAROLINA MOLINA | ||||||||
| HIGHEST COMPENSATED | 64.0 | 18396 | X | 128202 | ||||
| DAWN GIAKAS | ||||||||
| HIGHEST COMPENSATED | 40.0 | 13869 | X | 114937 | ||||
| CRESENCIA MANABAT | ||||||||
| HIGHEST COMPENSATED | 40.0 | 12106 | X | 108666 | ||||
| Jocelyn Cabrera | ||||||||
| Highest Compensated | 40.0 | 11348 | X | 176181 | ||||
| Gloria M Lopez | ||||||||
| Highest Compensated | 40.0 | 6708 | X | 109872 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 637858 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2540448 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 300144 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TENDER TOUCH HEALTHCARE SERVICES I | |||||
| 685 RIVER AVENUE | LAKEWOOD | NJ | 08701 | PT, OT, & SPEECH | 3144994 |
| CREATIVE MANAGEMENT NATIONAL INC | |||||
| 32 HEIDI DRIVE | FORDS | NJ | 08863 | DIETARY MANAGEMement | 2314721 |
| HEALTHCARE SERVICES GROUP INC | |||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING Mgmt | 1312556 |
| Partners Healthcare | |||||
| 70 Jackson Drive | CRANFORD | NJ | 07016 | Pharmacy Services | 1184254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 108965 | RelatedOrganizations |
| Total Contributions | 108965 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 40906496 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40906496 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40906496 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14881 | TotalRevenueColumn |
| Exclusion | $14,881 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 396885 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 396885 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 396885 | TotalRevenueColumn |
| Exclusion | $396,885 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41427227 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40906496 | RelatedOrExemptFunctionIncome |
| Exclusion | $411,766 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18586884 | Total |
| Program Services | 16542327 | ProgramServices |
| Management And General | 2044557 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278594 | Total |
| Program Services | 247949 | ProgramServices |
| Management And General | 30645 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2754991 | Total |
| Program Services | 2451942 | ProgramServices |
| Management And General | 303049 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1411037 | Total |
| Program Services | 1255823 | ProgramServices |
| Management And General | 155214 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46120 | Total |
| Management And General | 46120 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41397 | Total |
| Management And General | 41397 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6775503 | Total |
| Program Services | 6030198 | ProgramServices |
| Management And General | 745305 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17233 | Total |
| Program Services | 15337 | ProgramServices |
| Management And General | 1896 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72077 | Total |
| Program Services | 64149 | ProgramServices |
| Management And General | 7928 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103922 | Total |
| Program Services | 92491 | ProgramServices |
| Management And General | 11431 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11401 | Total |
| Program Services | 10147 | ProgramServices |
| Management And General | 1254 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10176 | Total |
| Program Services | 9057 | ProgramServices |
| Management And General | 1119 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1022436 | Total |
| Program Services | 909968 | ProgramServices |
| Management And General | 112468 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1234262 | Total |
| Program Services | 1098493 | ProgramServices |
| Management And General | 135769 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474408 | Total |
| Program Services | 422223 | ProgramServices |
| Management And General | 52185 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 4136532 | 3681513 | 455019 |
| BAD DEBT PROVISION | 2025346 | 2025346 | |
| PROVIDER TAX ASSESSMENT | 1273271 | 1273271 | |
| UTILITIES | 1196553 | 1064932 | 131621 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1027590 | Total |
| Program Services | 919505 | ProgramServices |
| Management And General | 108085 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42499733 | Total |
| Program Services | 38114671 | ProgramServices |
| Management And General | 4385062 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3423153 | BOY |
| EOY | 3242657 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8908955 | BOY |
| EOY | 7785450 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 172478 | BOY |
| EOY | 143677 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23663 | BOY |
| EOY | 29378 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43574091 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28733200 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15773222 | BOY |
| EOY | 14840891 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 476910 | BOY |
| EOY | 370266 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28778381 | BOY |
| EOY | 26412319 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5057672 | BOY |
| EOY | 4694837 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16013664 | BOY |
| EOY | 16013664 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13889286 | BOY |
| EOY | 12958565 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34960622 | BOY |
| EOY | 33667066 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6182241 | BOY |
| EOY | -7254747 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6182241 | BOY |
| EOY | -7254747 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28778381 | BOY |
| EOY | 26412319 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1072506 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 16035 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 119664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40860 | CurrentTaxYearMinus1Year |
| Current Tax Year | 108965 | CurrentTaxYear |
| Total | 285524 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41113950 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41808996 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41275440 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41060852 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40906496 | CurrentTaxYear |
| Total | 206165734 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41113950 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41825031 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41395104 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41101712 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41015461 | CurrentTaxYear |
| Total | 206451258 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 206451258 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 170273 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 465436 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 394544 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 388995 | CurrentTaxYearMinus1Year |
| Current Tax Year | 411766 | CurrentTaxYear |
| Total | 1831014 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 170273 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 465436 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 394544 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 388995 | CurrentTaxYearMinus1Year |
| Current Tax Year | 411766 | CurrentTaxYear |
| Total | 1831014 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41284223 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 42290467 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41789648 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 41490707 | CurrentTaxYearMinus1Year |
| Current Tax Year | 41427227 | CurrentTaxYear |
| Total | 208282272 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99121 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99220 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00879 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00640 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3873614 | OtherCostOrOtherBasis |
| Book Value | 3873614 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31476037 | OtherCostOrOtherBasis |
| Depreciation | 21512940 | Depreciation |
| Book Value | 9963097 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8224440 | OtherCostOrOtherBasis |
| Depreciation | 7220260 | Depreciation |
| Book Value | 1004180 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 14840891 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| AMOUNTS DUE TO THIRD PARTIES - EST. | $2,826,229 |
| FUNDS HELD FOR PATIENT NEEDS | $91,007 |
| NOTES PAYABLE TO JFKMC | $3,059,343 |
| DUE TO JFKMC | $4,138,972 |
| DUE TO JFK HEALTH SYSTEM, INC. | $2,698,270 |
| DUE TO HARTWYCK WEST NURSING HOME | $144,744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12958565 | TotalOfAmounts |
| Total Revenue | 41427227 | TotalRevenue |
| Total Expenses | 42499733 | TotalExpenses |
| Excess Or Deficit For Year | -1072506 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -1072506 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 41318262 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 41318262 | RevenueSubtotal |
| Other Revenues Not Included | 108965 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 108965 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 41427227 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 42499733 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 42499733 | ExpensesSubtotal |
| Total Expenses Per Form990 | 42499733 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII Line 4b - Other Adjustments | TRANSFER FROM JFK MEDICAL CENTER FOUNDATION, INC. 108,965 |
| Part X, Line 2 | Hartwyck at Oak Tree 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 appropriate recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2011 or 2010. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SEAN PATRICK MURPHY ESQ | ||||||||||||
| 342685 | 0 | 0 | 15931 | 19209 | 377825 | |||||||
| ROBIN O WINTER MD | ||||||||||||
| 246300 | 10000 | 0 | 21074 | 15709 | 293083 | |||||||
| RICHARD C SMITH | ||||||||||||
| 351179 | 0 | 0 | 17960 | 17514 | 386653 | |||||||
| THOMAS LANKEY | ||||||||||||
| 301673 | 0 | 0 | 18846 | 10328 | 330847 | |||||||
| RENEE LAKE | ||||||||||||
| 180047 | 0 | 0 | 3694 | 14024 | 197765 | |||||||
| Jocelyn Cabrera | ||||||||||||
| 176181 | 0 | 0 | 500 | 10848 | 187529 | |||||||
| John McGee | ||||||||||||
| 57101 | 0 | 551764 | 25472 | 16320 | 650657 | 0 | ||||||
| RAYMOND FREDERICKS | ||||||||||||
| 499699 | 0 | 0 | 23531 | 18105 | 541335 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule J, Part I, Line 4a | Severance Payments received from related organization | John Mcgee received severance payments in 2011. THESE AMOUNTS ARE Included in schedule J, part II, Column B(III), other reportable compensation. He received $484,615 in severance payments, and $67,149 in the bank payout, TOTALING $551,764. HE LEFT THE ORGANIZATION DURING 2011. |
| Schedule J, Part I, question 4b | This question has been 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, 2010 and 2011 service credits were funded in 2011 and 2012 respectively. B) a kesop plan that was frozen to new contributions subsequent to 2002. | |
| SCHEDULE J, PART II | FOR DR. ROBIN WINTER, THE SALARY REFLECTED REPRESENTS SALARY ON JFK AS EXECUTIVE MEDICAL DIRECTOR OF FAMILY MEDICINE CENTER. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NJ Healthcare Facilities Financing Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 221987084 | IssuerEIN |
| CUSIP Number | 64580aat8 | CUSIPNumber |
| Date Issued | 2009-06-01 | DateIssued |
| Issue Price | 13934409 | IssuePrice |
| Description Of Purpose | see schedule o. | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 13934409 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 226712 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prcntge Prvt Business Use By Others | 0 | PrcntgePrvtBusinessUseByOthers |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, QUESTION 5 | Identifier |
| Return Reference | 0 | ReturnReference |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (22 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, Line 3 | The organization uses outside management services for physical therapy services. | |
| Form 990, Part VI, Section A, line 6 | THE ORGANIZATION HAS JFK HEALTH SYSTEM, INC. f/k/a solaris 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. 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 HEAD 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 XI, 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 | WE ARE COMMITTED TO EXCELLENCE 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. | DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES. |
| HARTWYCK AT OAK TREE'S PURPOSE. | Hartwyck at Oak Tree operates a licensed 120-bed skilled nursing, convalescent, and rehabilitation facility and a licensed 60-bed residential facility. In addition, Oak Tree operates Hartwyck at Edison Estates, a licensed 280-bed facility that provides sub-acute and conventional long-term care, as well as providing specific units dedicated to the care of Alzheimer and dementia care patients. HARTWYCK AT OAK TREE IS A MODERN, THREE-STORY FACILITY THAT OPENED IN 1987. THE CENTER IS HOME TO MANY SPECIALIZED SERVICES AND PROGRAMS, INCLUDING THOSE FOR HEAD INJURED PATIENTS, COMA PATIENTS AND INDIVIDUALS DEPENDENT ON VENTILATORS. THE RESIDENTIAL UNIT IS DESIGNED FOR ADULTS WHO ARE NO LONGER ABLE TO LIVE INDEPENDENTLY AT HOME BUT ENJOY THE COMFORT AND SECURITY OF 24-HOUR NURSING CARE WHENEVER IT'S NEEDED. HARTWYCK AT OAK TREE IS ACCREDITED BY THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS AS WELL AS THE COMMISSION FOR THE ACCREDITATION OF REHABILITATION HOSPITALS. Hartwyck at Edison Estates delivers sub-acute and long term care in a warm and inviting atmosphere. The spacious, well-tended grounds, elegant gazebo, cheerful dining areas, and comfortable, stylish bedrooms make patient stays pleasant and home-like. The multi-disciplinary team approach focuses on the patient's unique needs, with care provided by specialists including highly skilled nurses, physicians, physical therapists, recreation therapists, speech therapists, occupational therapists, social workers and support staff. Patients and residents focus on healing while enjoying an exceptional activities program with live entertainment, crafts, educational lectures, community integration/trips, an Adopt-A-Grandparent program, a large volunteer program, and much more. Specialized services at Edison Estates include: Sub-acute Care Unit with private rooms Physical, speech, occupational and recreation therapy Post-surgical care Post-hip/knee replacement therapy IV therapy Wound care Dementia Unit | |
| HARTWYCK AT OAK TREE'S DEMOGRAPHICS. | HARTWYCK AT OAK TREE IS LOCATED IN EDISON - AN URBAN / SUBURBAN AREA OF MIDDLESEX COUNTY. | |
| FORM 990, PART VII | 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. | METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. |
| FORM 990, PART III, QUESTION 1 | 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. | BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION. |
| EXTENSION | AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN. | DESCRIPTION ON WHY THE RETURN WAS NOT TIMELY FILED. |
| SCHEDULE R, PART V, LINE 1N | JFK 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 I | 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: 1993 Bonds $9,773,982 1998 Bonds $4,160,427 Costs of issuance $226,712 | |
| SCHEDULE K, PART III | THE PRIVATE BUSINESS PART OF SCHEDULE K IS NOT APPLICABLE. SEE ABOVE EXPLANATION. | |
| FORM 990, PAGE 1, BOX C | Hartwyck at Oak Tree Inc. includes the operations of Hartwyck at Oak Tree and Hartwyck at Edison Estates. | |
| 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 | People who hold a position by virtue of their office. | DEFINITION OF EX-OFFICIO. |
| Form 990, part VII, Section A | John McGee left the organization in 2011 and was replaced by Raymond Fredericks as CEO. | Change in Officer's Titles. |
| SCHEDULE K, PART V | Although no formal written policy was adopted as of 2011, the organization did engage special counsel to assist it to evaluate its Tax-Exempt Financing Compliance procedure under applicable Federal Tax Law and the organization has taken appropriate steps to safeguard the organizations tax exempt status with respect to such requirements. A written procedure will be adopted in 2012. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JFK Health System INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222421432 | healthcare | NJ | 501(C)(3) | 509(A)(3) | N/A | false | |
| THE COMMUNITY HOSPITAL GROUP INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 226019101 | healthcare | NJ | 501(c)(3) | 170(b)(1)(a | false | jfkhs | |
| MUHLENBERG FOUNDATION INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 510212678 | FUNDRAISING | NJ | 501(c)(3) | 509(a)(3) | false | MRMC | |
| JFK MEDICAL CENTER FOUNDATION INC | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222315044 | FUNDRAISING | NJ | 501(c)(3) | 509(a)(3) | false | jfkhs | |
| JFK HEALTH SYSTEMS REALTY CORPORATION | |||||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 521703518 | INACTIVE | NJ | 501(c)(25) | 509(A)(3) | false | jfkhs | |
| robert wood johnson jr lifestyle | |||||||||||
| 98 JAMES STREET | EDSION | NJ | 08820 | 222421433 | healthcare | NJ | 501(C)(3) | 509(a)(2) | false | jfkhs | |
| hARTWYCK wEST nURSING hOME iNC | |||||||||||
| 98 James Street | Edison | NJ | 08820 | 221802017 | healthcare | NJ | 501(C)(3) | 509(A)(2) | false | jfkhs | |
| JFK Assisted Living INC | |||||||||||
| 98 James Street | Edison | NJ | 08820 | 223715324 | PROMOTE healt | NJ | 501(c)(3) | 509(a)(2) | false | Hartwyck Wes | |
| Hartwyck at JFK Inc | |||||||||||
| 98 James Street | Edison | NJ | 08820 | 204144804 | healthcare | NJ | 501(C)(3) | 509(a)(2) | false | jfkhs | |
| Muhlenberg Regional Medical Center Inc | |||||||||||
| 98 James Street | Edison | NJ | 08820 | 221487258 | HEALTHCARE | NJ | 501(c)(3) | 509(a)(2) | false | jfkhs | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|
| MSO - SEE PART VII | ||||||
| INACTIVE | NJ | jfkhs | RELATED | false | $0 | false |
| MEDIPLEX - SEE PART VII | ||||||
| RENTALS | NJ | JFK HEALTHSHARE | excluded | false | $0 | false |
| TRI-COUNTY - SEE PART VII | ||||||
| healthcare | NJ | jfkhs | related | false | false | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|
| ATLANTIC INSURANCE EXCHANGE LTD | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 999999999 | INSURANCE | jfkmc | c-Corp | |
| CENTRAL JERSEY MEDICAL GROUP PA | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223477610 | INACTIVE | MRMC | c-Corp | NJ |
| JFK MEDICAL GROUP PC | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223482637 | medical | JFKMC | c-Corp | NJ |
| JFK HARTWYCK MGT & CONSULTING INC | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 223812130 | INACTIVE | HARTWYCK WEST | c-Corp | NJ |
| JFK HEALTHSHARE INC | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 222528967 | MANAGEMENT | jfkhs | c-Corp | NJ |
| mIDTOWN sHOPS iNC | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 221536954 | RETAIL COMPLEX | MRMC | c-CORP | NJ |
| PRIMARY CARE NETWORK | ||||||||
| 98 JAMES STREET | EDISON | NJ | 08820 | 522069919 | health org. | JFKMC | c-CORP | NJ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| THE COMMUNITY HOSPITAL GROUP INC | ||
| o | 4635707 | SEE PART VII |
| MUHLENBERG REGIONAL MEDICAL CENTER inc | ||
| o | 20867 | SEE PART VII |
| JFK MEDICAL CENTER FOUNDATION INC | ||
| c | 108965 | SEE PART VII |
| the commUNITY HOSPITAL GROUP INC | ||
| j | 1073245 | SEE PART VII |
| JFK HEALTH SYSTEM INC | ||
| O | 240000 | SEE PART VII |
| hARTWYCK WEST NURSING HOME INC | ||
| P | 25000 | SEE PART VII |
| THE COMMUNITY HOSPITAL GROUP INC | ||
| i | 27216 | SEE PART VII |
Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 LINE 3 INFORMATION: TRI-COUNTY HEART NJ, LLC 98 JAMES STREET EDISON, NJ 08820 EIN: 26-1104379 |
| SCHEDULE R, PART V, LINE 2 | ALL TRANSACTIONS WITH RELATED ORGANIZATIONS ARE VALUED AT ACTUAL AMOUNTS. |