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HACKENSACK MERIDIAN OUTPATIENT SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HACKENSACK MERIDIAN OUTPATIENT SERVICES INC (EIN 22-2666023)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349300223
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)
Timestamp2013-11-14T07:59:36-06:00Timestamp
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)
EIN222666023EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARTWYCK AT OAK TREE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% RICHARD C SMITHInCareOfName
Name ControlHARTNameControl
Phone7323217747Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line198 JAMES STREET 4TH FLOORAddressLine1
Address Line2SuiteAddressLine2
CityEDISONCity
StateNJState
ZIP Code08820ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD C SMITHName
TitleCFOTitle
Phone7323217747Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEISNERAMPER LLPName
Phone7322437000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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 Receipts37637952GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.jfkhealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees576TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year108965ContributionsGrantsPriorYear
Contributions Grants Current Year14115ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40906496ProgramServiceRevenuePriorYear
Program Service Revenue CY37247620ProgramServiceRevenueCY
Investment Income Prior Year14881InvestmentIncomePriorYear
Investment Income Current Year4217InvestmentIncomeCurrentYear
Other Revenue Prior Year396885OtherRevenuePriorYear
Other Revenue Current Year372000OtherRevenueCurrentYear
Total Revenue Prior Year41427227TotalRevenuePriorYear
Total Revenue Current Year37637952TotalRevenueCurrentYear
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 Year23031506SalariesEtcPriorYear
Salaries Etc Current Year22347009SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19468227OtherExpensePriorYear
Other Expenses Current Year17290576OtherExpensesCurrentYear
Total Expenses Prior Year42499733TotalExpensesPriorYear
Total Expenses Current Year39637585TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1072506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1999633RevenuesLessExpensesCY
Total Assets BOY26412319TotalAssetsBOY
Total Assets EOY24116492TotalAssetsEOY
Total Liabilities BOY33667066TotalLiabilitiesBOY
Total Liabilities EOY33370872TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7254747NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-9254380NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense35458464Expense
Revenue37247620Revenue
DescriptionHartwyck at Oak Tree provides housing, healthcare, and other related services to its residents.Description
Total Program Service Expense35458464TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
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
HospitalfalseHospital
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees576NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 VenturefalseInvestmentInJointVenture
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LEONARD SENDELSKY
CHAIRMAN0.00.0X
JAY M JENEY
VICE CHAIRMAN0.00.0X
JOHN O GRUN
SECRETARY0.00.0X
DAVID A BELOWICH
TREASURER0.00.0X
VAL MESZAROS
BOARD MEMBER0.00.0X
HELEN J PATERNITI
BOARD MEMBER0.00.0X
ELIZABETH SWALES
BOARD MEMBER0.00.0X
ROBIN O WINTER MD
BOARD MEMBER0.040.0XX024834241188
FRAN YOREY
BOARD MEMBER0.00.0X
MICHAEL A KLEIMAN DMD
EX-OFFICIO0.00.0X00
RAYMOND FREDERICKS
President/CEO/Ex-Officio0.040.0X0853885324790X
SEAN PATRICK MURPHY ESQ
ASSISTANT SECRETARY0.040.0037526494474X
RICHARD C SMITH
SVP & CFO0.040.0045787686603X
THOMAS LANKEY
SVP0.040.0034062254149X
RENEE LAKE
VP, LONG TERM CARE0.040.0X020699446509
CAROLINA MOLINA
HIGHEST COMPENSATED40.00.0110022017837X
DAWN GIAKAS
HIGHEST COMPENSATED40.00.0110118017843X
JOSEPHINE ABELEDA
HIGHEST COMPENSATED40.00.011882602235X
ROBIN MATHEWS
HIGHEST COMPENSATED40.00.011323406880X
EILEEN UST
HIGHEST COMPENSATED40.00.01068110986X
John McGee
FORMER OFFICER0.00.0046885338675X
FieldValueIRS element (for citing)
Total Reportable Comp From Org559011TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2951836TotalReportableCompFrmRltdOrgs
Total Other Compensation732169TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
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
TENDER TOUCH HEALTHCARE SERVICES I
685 RIVER AVENUELAKEWOODNJ08701PT, OT, & SPEECH2302752
CREATIVE MANAGEMENT NATIONAL INC
32 HEIDI DRIVEFORDSNJ08863DIETARY MANAGEMement1772661
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING Mgmt1147970
Partners Healthcare
70 Jackson DriveCRANFORDNJ07016Pharmacy Services1229483
GENERAL HEALTH SERVICES
282 LINCOLN BLVDMIDDLESEXNJ08846EQUIPMENT RENTAL165980
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations14115RelatedOrganizations
Total Contributions14115TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column37247620TotalRevenueColumn
Related Or Exempt Function Income37247620RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue37247620TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4217TotalRevenueColumn
Exclusion$4,217ExclusionAmount

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)
Real372000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real372000Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column372000TotalRevenueColumn
Exclusion$372,000ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37637952TotalRevenueColumn
Related Or Exempt Function Income37247620RelatedOrExemptFunctionIncome
Exclusion$376,217ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18126662Total
Program Services16132729ProgramServices
Management And General1993933ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total298828Total
Program Services265957ProgramServices
Management And General32871ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2570063Total
Program Services2287356ProgramServices
Management And General282707ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1351456Total
Program Services1202796ProgramServices
Management And General148660ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total52691Total
Management And General52691ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47304Total
Management And General47304ManagementAndGeneral

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)
Total5709811Total
Program Services5081732ProgramServices
Management And General628079ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18998Total
Program Services16908ProgramServices
Management And General2090ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total59511Total
Program Services52965ProgramServices
Management And General6546ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total114704Total
Program Services102087ProgramServices
Management And General12617ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total20648Total
Program Services18377ProgramServices
Management And General2271ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12355Total
Program Services10996ProgramServices
Management And General1359ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1019071Total
Program Services906973ProgramServices
Management And General112098ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1180888Total
Program Services1050990ProgramServices
Management And General129898ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total481864Total
Program Services428859ProgramServices
Management And General53005ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES37473903335177412213
BAD DEBT PROVISION11863831186383
PROVIDER TAX ASSESSMENT12236241223624
UTILITIES11749191045678129241

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1240415Total
Program Services1108877ProgramServices
Management And General131538ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39637585Total
Program Services35458464ProgramServices
Management And General4179121ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3242657BOY
EOY2152759EOY

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)
BOY7785450BOY
EOY7443098EOY

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)
BOY143677BOY
EOY130956EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY29378BOY
EOY15687EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43688862LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29695013LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14840891BOY
EOY13993849EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY370266BOY
EOY380143EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26412319BOY
EOY24116492EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4694837BOY
EOY5125320EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16013664BOY
EOY15761139EOY

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)
BOY12958565BOY
EOY12484413EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33667066BOY
EOY33370872EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7254747BOY
EOY-9254380EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7254747BOY
EOY-9254380EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26412319BOY
EOY24116492EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1999633ReconcilationRevenueExpenses
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)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16035CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108965CurrentTaxYearMinus1Year
Current Tax Year14115CurrentTaxYear
Total299639Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41808996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41275440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41060852CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40906496CurrentTaxYearMinus1Year
Current Tax Year37247620CurrentTaxYear
Total202299404Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41825031CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41395104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41101712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41015461CurrentTaxYearMinus1Year
Current Tax Year37261735CurrentTaxYear
Total202599043Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509202599043PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years465436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years394544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years388995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year411766CurrentTaxYearMinus1Year
Current Tax Year376217CurrentTaxYear
Total2036958Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years465436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years394544CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years388995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year411766CurrentTaxYearMinus1Year
Current Tax Year376217CurrentTaxYear
Total2036958Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42290467CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41789648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41490707CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41427227CurrentTaxYearMinus1Year
Current Tax Year37637952CurrentTaxYear
Total204636001Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99005PublicSupportPercentage509
Prior Year Support Percentage0.99121PriorYearSupportPercentage
Investment Income Percentage0.00995InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00879PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
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 Basis3873614OtherCostOrOtherBasis
Book Value3873614BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31484386OtherCostOrOtherBasis
Depreciation22330884Depreciation
Book Value9153502BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8330862OtherCostOrOtherBasis
Depreciation7364129Depreciation
Book Value966733BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings13993849TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
AMOUNTS DUE TO THIRD PARTY PAYORS$3,114,965
FUNDS HELD FOR PATIENT NEEDS$92,631
NOTES PAYABLE TO JFKMC$2,966,343
DUE TO JFKMC$3,366,420
DUE TO JFK HEALTH SYSTEM, INC.$2,580,326
DUE TO HARTWYCK WEST NURSING HOME$111,203
CURRENT PORTION OF LONG-TERM DEBT$252,525
FieldValueIRS element (for citing)
Total Of Amounts12484413TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt36437454TotRevenueEtcAuditedFinclStmt
Other Revenues-1186383OtherRevenues
Revenue Not Rptd F990-1186383RevenueNotRptdF990
Revenue Subtotal37623837RevenueSubtotal
Other Revenues Not Included14115OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt14115RevenueNotRptdOnFinStmt
Total Revenue Per Form99037637952TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38451202TotExpensesEtcAuditedFinclStmt
Expenses Subtotal38451202ExpensesSubtotal
Other Expenses Not Included1186383OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1186383ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039637585TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI Line 4b - Other AdjustmentsTRANSFER FROM JFK MEDICAL CENTER FOUNDATION, INC. 14,115.
Part X, Line 2Hartwyck 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 2012 or 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTSPROVISION FOR DOUBTFUL COLLECTIONS -1,186,383
PART XII, LINE 4B - OTHER ADJUSTMENTSPROVISION FOR DOUBTFUL COLLECTIONS 1,186,383

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 OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
SEAN PATRICK MURPHY ESQ
ASSISTANT SECRETARY03552640200000007285602161804697380
ROBIN O WINTER MD
BOARD MEMBER0248342000001915702203102895300
RICHARD C SMITH
SVP & CFO04028760550000006923101737205444790
THOMAS LANKEY
SVP03106220300000004360701054203947710
RENEE LAKE
VP, LONG TERM CARE01919940150000002828101822802535030
John McGee
FORMER OFFICER0000046885302022101845405075280
RAYMOND FREDERICKS
President/CEO/Ex-Officio070959501000000442900302807021983011786750

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE J, PART IIFOR DR. ROBIN WINTER, THE SALARY REFLECTED REPRESENTS SALARY ON JFK AS EXECUTIVE MEDICAL DIRECTOR OF FAMILY MEDICINE CENTER.
SCHEDULE J, PART 1, LINE 4AJOHN MCGEE RECEIVED SERVERANCE PAYMENTS IN 2012. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. HE RECEIVED $468,853 IN SEVERANCE PAYMENTS. HE LEFT THE ORGANIZATION DURING 2011.SEVERANCE PAYMENTS RECEIVED FROM RELATED ORGANIZATION
Schedule J, Part I, question 4bThis 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, service credits for 2010 and 2011 were funded in 2012 and service credits for 2012 were funded in 2013. B) a kesop plan that was frozen to new contributions subsequent to 2002.
SCHEDULE J, PART I, QUESTION 4CRAYMOND FREDERICKS RECEIVED $44,290 IN KESOP DISTRIBUTIONS IN 2012. IT IS REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION.EQUITY-BASED COMPENSATION RECEIVED FROM RELATED ORGANIZATION
SCHEDULE J, PART I, QUESTIONS 6B AND 7THE PURPOSE OF THE INCENTIVE PLAN IS TO PROVIDE FINANCIAL INCENTIVES FOR THE ACHIEVEMENT OF PERFORMANCE OBJECTIVES THAT ARE MOST IMPORTANT TO JFK'S MISSION AND FINANCIAL QUALITY AND OPERATIONAL SUCCESS. THE EXECUTIVE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES ABOUT THE OVERALL FUNDING AS WELL AS THE PERFORMANCE MEASURES AND THE GOAL 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 Price13934409IssuePrice
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 Proceeds13934409TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds226712IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
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
Prcntge Bond Financed Prop0.00000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
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 (2 entries)

IdentifierIdentifierReturn ReferenceReturnReference
Part IV, question 2:0
THE REBATE COMPUTATION WAS PERFORMED JULY 2013.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (26 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, Line 3The organization uses outside management services for rehabilitation services, housekeeping/laundry services AND DIETARY 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 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 15THE 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 19JFK HEALTH SYSTEMS' CONSOLIDATED AND THE ORGANIZATION'S CONSOLIDATING FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST.
FORM 990, PART XII, QUESTION 2CTHE 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 1THE JFK HARTWYCK NETWORK IS COMMITTED TO PROVIDING BOTH HIGH QUALITY CARE AND MANAGEMENT SERVICES FOR PEOPLE IN NEED OF LONG TERM CARE, SUBACUTE CARE, ADULT DAY CARE, HUNTINGTON'S DISEASE, HEAD INJURY PROGRAMMING, RESPIRATORY CARE, TRANSITIONAL LIVING AND ASSISTED LIVING, IN A MANNER THAT PORMOTES 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 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 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 1WE 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.
EXTENSIONAWAITING 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 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 IThe 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 IIITHE PRIVATE BUSINESS PART OF SCHEDULE K IS NOT APPLICABLE. SEE ABOVE EXPLANATION.
FORM 990, PAGE 1, BOX CHartwyck at Oak Tree Inc. includes the operations of Hartwyck at Oak Tree and Hartwyck at Edison Estates.
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 office.DEFINITION OF EX-OFFICIO.
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:REHAB SERVICES TOTAL FEES:2146286FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:HOUSEKEEPING/LAUNDRY TOTAL FEES:1155670FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:DIETARY SERVICES TOTAL FEES:1939442FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:MEDICAL DIRECTORS TOTAL FEES:262442FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:PHARMACY CONSULTANT TOTAL FEES:72150FORM 990 PART IX LINE 11G
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESDESCRIPTION:OTHER TOTAL FEES:133821FORM 990 PART IX LINE 11G

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
JFK Health System INC
98 JAMES STREETEDISONNJ08820222421432healthcareNJ501(C)(3)11aNAfalse
THE COMMUNITY HOSPITAL GROUP INC
98 JAMES STREETEDISONNJ08820226019101healthcareNJ501(C)(3)3jfkhsfalse
MUHLENBERG FOUNDATION INC
98 JAMES STREETEDISONNJ08820510212678FUNDRAISINGNJ501(C)(3)11aMRMCfalse
JFK MEDICAL CENTER FOUNDATION INC
98 JAMES STREETEDISONNJ08820222315044FUNDRAISINGNJ501(C)(3)11ajfkhsfalse
JFK HEALTH SYSTEM REALTY CORPORATION
98 JAMES STREETEDISONNJ08820521703518INACTIVENJ501(C)(25)jfkhsfalse
robert wood johnson jr lifestyle
98 JAMES STREETEDSIONNJ08820222421433healthcareNJ501(C)(3)9jfkhsfalse
hARTWYCK wEST nURSING hOME iNC
98 James StreetEdisonNJ08820221802017healthcareNJ501(C)(3)9jfkhsfalse
JFK Assisted Living INC
98 James StreetEdisonNJ08820223715324PROMOTE healtNJ501(C)(3)9Hartwyck Wesfalse
Hartwyck at JFK Inc
98 James StreetEdisonNJ08820204144804healthcareNJ501(C)(3)11bjfkhsfalse
Muhlenberg Regional Medical Center Inc
98 James StreetEdisonNJ08820221487258HEALTHCARENJ501(C)(3)9jfkhsfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
MSO - SEE PART VII
INACTIVENJjfkhsRELATEDfalsefalse
MEDIPLEX - SEE PART VII
RENTALSNJJFK HEALTHSHAREEXCLUDEDfalsefalse
TRI-COUNTY - SEE PART VII
healthcareNJjfkhsRELATEDfalsefalse

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 StateLegalDomicileState
ATLANTIC INSURANCE EXCHANGE LTD
98 JAMES STREETEDISONNJ08820999999999INSURANCEBDjfkmcc-Corpfalse
CENTRAL JERSEY MEDICAL GROUP PA
98 JAMES STREETEDISONNJ08820223477610INACTIVEMRMCc-CorpfalseNJ
JFK MEDICAL GROUP PC
98 JAMES STREETEDISONNJ08820223482637medicalJFKMCc-CorpfalseNJ
JFK HARTWYCK MGT & CONSULTING INC
98 JAMES STREETEDISONNJ08820223812130INACTIVEHARTWYCK WESTc-CorpfalseNJ
JFK HEALTHSHARE INC
98 JAMES STREETEDISONNJ08820222528967MANAGEMENTjfkhsc-CorpfalseNJ
mIDTOWN sHOPS iNC
98 JAMES STREETEDISONNJ08820221536954RETAIL COMPLEXMRMCc-CORPfalseNJ
PRIMARY CARE NETWORK
98 JAMES STREETEDISONNJ08820522069919health org.JFKMCc-CORPfalseNJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
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 OrgstrueRentalOfFacilitiesToOtherOrgs
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 (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HARTWYCK WEST NURSING HOME INC
Q150000SEE PART VII
THE COMMUNITY HOSPITAL GROUP INC
J27216SEE PART VII
JFK HEALTH SYSTEM INC
P240000SEE PART VII
JFK MEDICAL CENTER FOUNDATION INC
C14115SEE PART VII
THE COMMUNITY HOSPITAL GROUP INC
P1018774SEE PART VII
THE COMMUNITY HOSPITAL GROUP INC
P5065784SEE PART VII
JFK ASSISTED LIVING INC
Q125000SEE PART VII

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifierExplanationExplanation
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.