HACKENSACK MERIDIAN HEALTH INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN HEALTH INC (EIN 22-1714106)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349303404
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T11:40:30-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | 111 WOOD AVE SO STE 600 | AddressLine1 |
| City | ISELIN | City |
| State | NJ | State |
| ZIP Code | 088302700 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221714106 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DONALD PARKER | InCareOfName |
| Name Control | CARR | NameControl |
| Phone | 9082811000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 085020147 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DONALD PARKER | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 9082811000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD A SACKIN | Name |
| Phone | 7322437000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DONALD PARKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 08502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 76087485 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CARRIERCLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1910 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 902 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 4167 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 3167 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 133977 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 166460 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 56394493 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 59837958 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2380652 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1234130 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 415606 | OtherRevenuePriorYear |
| Other Revenue Current Year | 225733 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59324728 | TotalRevenuePriorYear |
| Total Revenue Current Year | 61464281 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1250 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 750 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41339134 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43703407 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 190342 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14797344 | OtherExpensePriorYear |
| Other Expenses Current Year | 15835565 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 56137728 | TotalExpensesPriorYear |
| Total Expenses Current Year | 59539722 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3187000 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1924559 | RevenuesLessExpensesCY |
| Total Assets BOY | 51742137 | TotalAssetsBOY |
| Total Assets EOY | 55394874 | TotalAssetsEOY |
| Total Liabilities BOY | 21997772 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22586661 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29744365 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32808213 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | REFER TO SCHEDULE O FOR MISSION STATEMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 33265854 | Expense |
| Grants | 750 | Grants |
| Revenue | 35887769 | Revenue |
| Description | PSYCHIATRIC HOSPITAL WHICH CARED FOR 3,754 INPATIENTS AND HAD A TOTAL OF 39,959 PATIENT DAYS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6784135 | Expense |
| Revenue | 6831017 | Revenue |
| Description | EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 106 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2012 AVERAGE DAILY ENROLLMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5532438 | Expense |
| Revenue | 5642302 | Revenue |
| Description | BLAKE RECOVERY CENTER WHICH CARED FOR 1,590 INPATIENTS AND HAD A TOTAL OF 10,063 PATIENT DAYS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 9816128 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 10367330 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 55398555 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 902 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD PARKER | NamePerson |
| Telephone Number | 9082811000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 252 ROUTE 601 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 085020147 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| C RICHARD SARLE | |||||||
| PRESIDENT & CEO | 40.0 | X | X | 413918 | 20518 | ||
| ALLAN CLELLAND | |||||||
| TRUSTEE | 0.0 | X | |||||
| THOMAS G AMATO | |||||||
| CHAIRMAN | 0.0 | X | |||||
| CAROL HOLZER | |||||||
| TRUSTEE | 0.0 | X | |||||
| JEAN M KRAUSS | |||||||
| TRUSTEE | 0.0 | X | |||||
| GORDON PINGICER | |||||||
| TRUSTEE | 0.0 | X | |||||
| BRUCE HERDMAN PHD | |||||||
| TRUSTEE | 0.0 | X | |||||
| SUSAN Q SWAIN DNP | |||||||
| TRUSTEE | 0.0 | X | |||||
| ANN DAMSGAARD | |||||||
| TRUSTEE | 0.0 | X | |||||
| JOHN KOLLIGAN JR PHD | |||||||
| VICE CHAIRMAN | 0.0 | X | |||||
| ASMA NISAR MD | |||||||
| MEDICAL STAFF PRESIDENT | 40.0 | X | 278665 | 36075 | 0 | ||
| MARIE HASSON MD | |||||||
| MEDICAL DIRECTOR | 40.0 | X | X | 294836 | 14512 | 0 | |
| THOMAS R WILSON | |||||||
| TRUSTEE | 0.0 | X | |||||
| THOMAS HARTMANN | |||||||
| TRUSTEE | 0.0 | X | |||||
| DONALD HUNT | |||||||
| TRUSTEE | 0.0 | X | |||||
| RANDOLPH JACOBSON | |||||||
| VP & CFO | 40.0 | X | 233774 | 35878 | 0 | ||
| MARY PAWLIKOWSKI | |||||||
| VICE PRESIDENT | 40.0 | X | 222748 | 25451 | 0 | ||
| PATRICIA TOOLE | |||||||
| VP & COMPLIANCE OFFICER | 40.0 | X | 202071 | 33687 | 0 | ||
| CAROL KOSZTYO | |||||||
| VICE PRESIDENT | 40.0 | X | 203611 | 20888 | 0 | ||
| UMESH MEHTA MD | |||||||
| PSYCHIATRIST | 40.0 | 429359 | 42188 | 0 | X | ||
| CLAIRE MARSH MD | |||||||
| PSYCHIATRIST | 40.0 | 236602 | 10423 | 0 | X | ||
| WOJCIECH SZULACZKOWSKI MD | |||||||
| PSYCHIATRIST | 40.0 | 270865 | 40811 | 0 | X | ||
| DAVID BUCH MD | |||||||
| PSYCHIATRIST | 40.0 | 231804 | 36663 | 0 | X | ||
| ABDUL KAZI MD | |||||||
| PSYCHIATRIST | 40.0 | 234394 | 37294 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3252647 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 354388 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SODEXO INC AFFILIATES | |||||
| PO BOX 905374 | CHARLOTTE | NC | 282905374 | DIETARY & HOUSEKEEP | 2031287 |
| DRINKER BIDDLE REATH LLP | |||||
| 500 CAMPUS DRIVE | FLORHAM PARK | NJ | 07932 | LEGAL SERVICES | 224433 |
| GAMIL MAKAR LLC | |||||
| 20 RENSHAW DRIVE | MONTVILLE | NJ | 07045 | INTERNAL MEDICINE | 202325 |
| LIFE HEALTH PHYSICAL THERAPY | |||||
| 245 TOWNSHIP LINE ROAD | BELLE MEAD | NJ | 08502 | PHYSICAL THERAPY | 141670 |
| KPMG LLP | |||||
| 150 JOHN F KENNEDY PARKWAY | SHORT HILLS | NJ | 07078 | AUDITING SERVICES | 136425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Fundraising Events | 39080 | FundraisingEvents |
| All Other Contributions | 127380 | AllOtherContributions |
| Total Contributions | 166460 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICES | 624100 | 51892316 | 51892316 | |
| EDUCATIONAL PROGRAMS | 611710 | 6836102 | 6836102 | |
| SERVICES & MANAGEMENT | 561000 | 1109540 | 871977 | $237,563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 59837958 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 727336 | TotalRevenueColumn |
| Unrelated Business Revenue | 2823 | UnrelatedBusinessRevenue |
| Exclusion | $724,513 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9047800 | Securities |
| Other | 5757808 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8620849 | Securities |
| Other | 5677965 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 426951 | Securities |
| Other | 79843 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 506794 | TotalRevenueColumn |
| Unrelated Business Revenue | 1344 | UnrelatedBusinessRevenue |
| Exclusion | $505,450 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 108739 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 39080 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 36941 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71798 | TotalRevenueColumn |
| Exclusion | $71,798 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 236896 | GrossSalesOfInventory |
| Cost Of Goods Sold | 287449 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -50553 | TotalRevenueColumn |
| Related Or Exempt Function Income | -50553 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| EASEMENT REVENUE | 900099 | 154517 | $154,517 |
| PHARMACY/PHONE/VENDING | 900099 | 24934 | $24,934 |
| MISCELLANEOUS REVENUE | 900099 | 25037 | $25,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 204488 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61464281 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59549842 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4167 | UnrelatedBusinessRevenue |
| Exclusion | $1,743,812 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
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 | 750 | Total |
| Program Services | 750 | ProgramServices |
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 | 1529522 | Total |
| Program Services | 178879 | ProgramServices |
| Management And General | 1350643 | ManagementAndGeneral |
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 | 34140807 | Total |
| Program Services | 29124097 | ProgramServices |
| Management And General | 4876952 | ManagementAndGeneral |
| Fundraising | 139758 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2374053 | Total |
| Program Services | 1950270 | ProgramServices |
| Management And General | 414481 | ManagementAndGeneral |
| Fundraising | 9302 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2736794 | Total |
| Program Services | 2248260 | ProgramServices |
| Management And General | 477810 | ManagementAndGeneral |
| Fundraising | 10724 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2922231 | Total |
| Program Services | 2400597 | ProgramServices |
| Management And General | 510185 | ManagementAndGeneral |
| Fundraising | 11449 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 574607 | Total |
| Management And General | 574607 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255281 | Total |
| Management And General | 255281 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191896 | Total |
| Program Services | 45836 | ProgramServices |
| Management And General | 146060 | 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 | 51548 | Total |
| Management And General | 51548 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1332578 | Total |
| Program Services | 889156 | ProgramServices |
| Management And General | 443422 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 789632 | Total |
| Management And General | 789632 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1068429 | Total |
| Program Services | 640077 | ProgramServices |
| Management And General | 419749 | ManagementAndGeneral |
| Fundraising | 8603 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228221 | Total |
| Program Services | 23288 | ProgramServices |
| Management And General | 204933 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1234792 | Total |
| Management And General | 1234792 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87042 | Total |
| Program Services | 83648 | ProgramServices |
| Management And General | 3394 | 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 | 74713 | Total |
| Program Services | 31744 | ProgramServices |
| Management And General | 38463 | ManagementAndGeneral |
| Fundraising | 4506 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305189 | Total |
| Management And General | 305189 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1226595 | Total |
| Program Services | 49371 | ProgramServices |
| Management And General | 1177224 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1214093 | Total |
| Management And General | 1214093 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DIETARY/ENVIRONMENTAL SVCS | 2146784 | 6564 | 2139924 | 296 |
| PATIENT-RELATED | 1518598 | 1518598 | ||
| BAD DEBTS | 1949884 | 1763531 | 186353 | |
| MAINTENANCE/EMPLOYEE | 1585683 | 324544 | 1258759 | 2380 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59539722 | Total |
| Program Services | 55398555 | ProgramServices |
| Management And General | 3950825 | ManagementAndGeneral |
| Fundraising | 190342 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2341989 | BOY |
| EOY | 5256332 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000482 | BOY |
| EOY | 1586401 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 58000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5036842 | BOY |
| EOY | 4996127 | 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 | 134328 | BOY |
| EOY | 130418 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1145969 | BOY |
| EOY | 989731 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 42915328 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31520825 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11277106 | BOY |
| EOY | 11394503 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21797920 | BOY |
| EOY | 23149096 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1030498 | BOY |
| EOY | 1069605 | 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 | 7977003 | BOY |
| EOY | 6764661 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51742137 | BOY |
| EOY | 55394874 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8731651 | BOY |
| EOY | 9151310 | 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 | 0 | BOY |
| EOY | 0 | 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 | 6447044 | BOY |
| EOY | 5721266 | 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 | 6819077 | BOY |
| EOY | 7714085 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21997772 | BOY |
| EOY | 22586661 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29481946 | BOY |
| EOY | 32384916 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262419 | BOY |
| EOY | 423297 | 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 | 29744365 | BOY |
| EOY | 32808213 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51742137 | BOY |
| EOY | 55394874 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1924559 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1887968 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -748679 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $4,488 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 4488 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1 (I), OTHER LOBBYING ACTIVITIES: | Identifier |
| Explanation | This expense represents a portion of Carrier Clinic's membership dues paid to the American Hospital Association (AHA) and NJ Hospital Association (NJHA) that both associations identified to pertain to their lobbying activities on behalf of their members. OTHER DUES ARE PAID TO THE NEW JERSEY ALLIANCE FOR CHILDREN, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEM (NAPHS) AND NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION AGENCIES (NJAMHAA). LOBBYING ACTIVITIES ARE PERFORMED BY THESE ASSOCIATIONS ON BEHALF OF THEIR MEMBERS. THE SPECIFIC LOBBYING ALLOCATION IS NOT AVAILABLE. | Explanation |
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 | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 278290 | OtherCostOrOtherBasis |
| Book Value | 278290 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24113126 | OtherCostOrOtherBasis |
| Depreciation | 16420238 | Depreciation |
| Book Value | 7692888 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10124659 | OtherCostOrOtherBasis |
| Depreciation | 9493773 | Depreciation |
| Book Value | 630886 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8399253 | OtherCostOrOtherBasis |
| Depreciation | 5606814 | Depreciation |
| Book Value | 2792439 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11394503 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 1783011 |
| ASSETS WHOSE USE IS LIMITED | 4041643 |
| CHARITABLE REMAINDER TRUST | 601367 |
| FUNDED DEFERRED COMPENSATION | 338640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6764661 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $690,548 |
| DUE TO THIRD-PARTY PAYORS | $1,751,164 |
| ACCRUED PENSION AND BENEFITS | $5,258,541 |
| OTHER LIABILITIES | $13,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7714085 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 58505264 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 345449 | OtherRevenues |
| Revenue Not Rptd F990 | 345449 | RevenueNotRptdF990 |
| Revenue Subtotal | 58159815 | RevenueSubtotal |
| Other Revenues Not Included | 3304466 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 3304466 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 61464281 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 58028591 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 287449 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 287449 | ExpensesNotRptdF990 |
| Expenses Subtotal | 57741142 | ExpensesSubtotal |
| Other Expenses Not Included | 1798580 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1798580 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 59539722 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART X, LINE 2 | THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(c)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(a) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 287,449 PLEDGES RECEIVABLE 58,000 TOTAL PART XI, LINE 2D 345,449 |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EMS FOOD RECOVERY REPORTED AS REVENUE 35,049 PATIENT BAD DEBTS 1,763,531 ACTUAL DONATIONS VS. INCOME STATEMENT 160,878 INVESTMENT INCOME 1,234,129 CONTRIBUTIONS RECEIVED 110,878 ROUNDING 1 TOTAL PART XI, LINE 4B 3,304,466 |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 287,449 TOTAL PART XII, LINE 2D 287,449 |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EMS FOOD RECOVERY REPORTED AS REVENUE 35,049 PATIENT BAD DEBTS 1,763,531 TOTAL PART XII, LINE 4B 1,798,580 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 89540 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 27800 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 61740 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 16500 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 5892 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 27880 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 11280 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 16600 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 9516 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 274 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 30399 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 30399 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 4759 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 147819 | GrossReceiptsTotal |
| Charitable Contributions Total | 39080 | CharitableContributionsTotal |
| Gross Revenue Total Events | 108739 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 26016 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 10925 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36941 | DirectExpenseSummaryEvents |
| Net Income Summary | 71798 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 100 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 381279 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 381279 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2666038 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2432204 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 233834 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3047317 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2432204 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 615113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5917 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5917 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7897 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7897 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 269549 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148476 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 121073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23088 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 23088 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 306451 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 148476 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 157975 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3353768 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2580680 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 773088 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01330 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15120 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15120 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15120 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15120 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $953,874 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10576155 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9309246 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1266909 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 08502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 100 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| EAST MOUNTAIN SCHOOL | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PRIVATE SCHOOL FOR THE HANDICAPPED |
| EAST MOUNTAIN YOUTH LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL TREATMENT FACILITY |
| BLAKE RECOVERY CENTER | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL SUBSTANCE ABUSE FACILITY |
| SWAN LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | INTENSIVE RESIDENTIAL TREATMENT FACILITY |
| SUNFLOWER LODGE | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7 COLUMN F | BAD DEBT EXPENSE FOR 2012 IS $1,763,531 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. | |
| PART I, LINE 7 | THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. | |
| PART III, LINE 4 | PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSABLE OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE CLINIC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE CLINIC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE CLINIC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE CLINIC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. | |
| PART V, LINE 20D | PATIENTS WHO ARE RESIDENTS OF NEW JERSEY AND DO NOT HAVE INSURANCE ARE billed pursuant to New Jersey State billing regulations. ALL PATIENTS REGARDLESS OF RESIDENCY ARE ABLE TO APPLY FOR FINANCIAL ASSISTANCE. | |
| PART VI, SUPPLEMENTAL INFORMATION 2 | AS PART OF CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, CARRIER GATHERS AND INCORPORATES NATIONAL, STATE AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS. ADDITIONALLY, CARRIER STAFF ATTENDS AN AVERAGE OF 15 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES US TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES OF IMPORTANCE. READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY. CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 94,000 PER YEAR, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. CARRIER ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT CARRIER'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHAT SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. | NEEDS ASSESSMENT |
| PART VI, SUPPLEMENTAL INFORMATION 3 | AT TIME OF ADMISSION OR PRIOR TO DISCHARGE: PATIENTS ARE GIVEN A PATIENT HANDBOOK UPON ADMISSION, OR AS PRACTICAL THEREAFTER, WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A PATIENT SERVICE REPRESENTATIVE MEETS WITH THE PATIENT, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN INDIVIDUALLY EITHER AT TIME OF ADMISSION OR DURING THE HOSPITALIZATION PRIOR TO DISCHARGE. THE REPRESENTATIVE PROVIDES EDUCATION REGARDING INSURANCE COVERAGE AND PERSONAL FINANCIAL RESPONSIBILITIES. THE PATIENT IS INFORMED OF PAYMENT OPTIONS WHICH INCLUDE AN APPLICATION FOR COMPASSIONATE CARE. THE REPRESENTATIVE PROVIDES ASSISTANCE IN COMPLETING THE APPLICATION AND EXPLAINS WHAT SUPPORTING DOCUMENTATION IS NEEDED FOR CONSIDERATION. PATIENT IS EXPECTED TO MAIL SUPPORTING DOCUMENTATION TO THE PATIENT ACCOUNT DEPARTMENT FOR CONSIDERATION. POST DISCHARGE: PATIENTS WHO INFORM COLLECTOR THAT THEY CANNOT MEET THEIR FINANCIAL OBLIGATION ARE ASKED IF THEY WOULD LIKE TO APPLY FOR CHARITY CARE. IF THEY AGREE, THE APPLICATION IS MAILED TO THE PATIENT FOR COMPLETION. | PATIENT EDUCATION |
| PART VI, SUPPLEMENTAL INFORMATION 4 | CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2012 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE FIVE COUNTIES, AN AVERAGE OF 7.58% OF THE POPULATION FALLS BELOW POVERTY LEVEL, BASED ON 2007-2011 CENSUS STATISTICS. | COMMUNITY INFORMATION |
| PART VI, SUPPLEMENTAL INFORMATION 5 | CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 15 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. | COMMUNITY BUILDING ACTIVITIES & COALITION BUILDING |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | 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 (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C RICHARD SARLE | |||||||||||||
| PRESIDENT & CEO | 413918 | 20518 | 434436 | ||||||||||
| RANDOLPH JACOBSON | |||||||||||||
| VP & CFO | 233774 | 35878 | 269652 | 0 | 0 | ||||||||
| MARY PAWLIKOWSKI | |||||||||||||
| VICE PRESIDENT | 222748 | 25451 | 248199 | 0 | 0 | ||||||||
| PATRICIA TOOLE | |||||||||||||
| VP & COMPLIANCE OFFICER | 202071 | 33687 | 235758 | 0 | 0 | ||||||||
| CAROL KOSZTYO | |||||||||||||
| VICE PRESIDENT | 182811 | 20888 | 224499 | 0 | 0 | 20800 | |||||||
| UMESH MEHTA MD | |||||||||||||
| PSYCHIATRIST | 429359 | 42188 | 471547 | 0 | 0 | ||||||||
| CLAIRE MARSH MD | |||||||||||||
| PSYCHIATRIST | 236602 | 10423 | 247025 | 0 | 0 | ||||||||
| ASMA NISAR MD | |||||||||||||
| MEDICAL STAFF PRESIDENT | 278665 | 36075 | 314740 | 0 | 0 | ||||||||
| MARIE HASSON MD | |||||||||||||
| MEDICAL DIRECTOR | 294836 | 14512 | 309348 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| WOJCIECH SZULACZKOWSKI MD | |||||||||||||
| PSYCHIATRIST | 270865 | 40811 | 311676 | 0 | 0 | ||||||||
| DAVID BUCH MD | |||||||||||||
| PSYCHIATRIST | 231804 | 36663 | 268467 | 0 | 0 | ||||||||
| ABDUL KAZI MD | |||||||||||||
| PSYCHIATRIST | 234394 | 37294 | 271688 | 0 | 0 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. |
| PART II | CAROL KOSZTYO'S OTHER REPORTABLE COMPENSATION OF $20,800 REPRESENTS PENSION CONTRIBUTION THAT FAILED DISCRIMINATION TESTING. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART III, LINE 1, MISSION | PROVIDING CARING SOLUTIONS SINCE 1910, CARRIER CLINIC'S MISSION IS TO PROVIDE THE BEST CARE AND TREATMENT TO THESE PERSONS WHO COME TO US STRUGGLING WITH EMOTIONAL AND BEHAVIORAL DISTRESS AND ADDICTIVE AND PSYCHIATRIC DISORDERS. AS ONE OF NEW JERSEY'S LARGEST, NOT-FOR-PROFIT BEHAVIORAL HEALTHCARE ORGANIZATIONS, WE REMAIN DEDICATED TO HEALING, SUPPORTING AND TEACHING ADOLESCENTS, ADULTS AND THEIR FAMILIES IN A SAFE, COMPASSIONATE AND RESPECTFUL ENVIRONMENT. WITHIN OUR CONTINUUM OF CARE, HOPE IS RESTORED AND RECOVERY BEGINS. |
| PART III, LINE 4D, OTHER PROGRAMS | EAST MOUNTAIN YOUTH LODGE, SWAN LODGE AND SUNFLOWER LODGE FOR EMOTIONALLY DISTURBED ADOLESCENTS WHICH CARED FOR 99 RESIDENTS AND HAD A TOTAL OF 27,192 PATIENT DAYS. |
| PART VI, SECTION B, LINE 11A&B | THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD OF TRUSTEES FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL REVIEW THE DOCUMENT IN ADVANCE OF THE FILING WITH THE IRS. THE FINANCE COMMITTEE WILL ACKNOWLEDGE AND REPORT ON THE STATUS OF ITS REVIEW PROCESS TO THE FULL BOARD IN ADVANCE OF THE FILING DEADLINE. THE BOARD OF TRUSTEES IS PROVIDED A COPY OF THE REVIEWED AND APPROVED 990 PRIOR TO FILING. |
| PART VI, SECTION B, LINE 12C | EACH TRUSTEE, OFFICER AND MEDICAL STAFF MEMBER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| PART VI, SECTION B, LINE 15B | CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTIVE COMPENSATION BASES. THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE SALARY STRUCTURE FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES AND REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. |
| PART VI, SECTION C, LINE 19 | CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO ACCESSIBLE FROM GUIDESTAR ON THE INTERNET. |
| PART VII, SECTION A | DRS. NISAR, MEHTA AND SZULACZKOWSKI RECEIVE COMPENSATION FOR ELECTRO-CONVULSIVE THERAPY (ECT) SERVICES IN ADDITION TO THEIR BASE SALARY. |
| PART IX, LINE 24E | OVERHEAD ALLOCATION REPRESENTS FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO CARRIER'S VARIOUS PROGRAMS USING ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. |
| PART XI, LINE 5 | CHANGES IN NET ASSETS: PLEDGES RECEIVABLE 58,000 MINIMUM PENSION LIABILITY (1,039,556) CHANGE IN DERIVATIVE INSTRUMENT 192,423 CHANGE IN TRUST 40,454 TOTAL (748,679) |
| PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| PART VI, QUESTION 1A | THE EXECUTIVE COMMITTEE OF THE BOARD EXERCISES ALL POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF AFFAIRS OF CARRIER CLINIC DURING INTERVALS BETWEEN BOARD MEETINGS. |
| BOX F & PART VI, SECTION C, LINE 20 & PART VII, SECTION A & SCHEDULE J | C. RICHARD SARLE RETIRED AS CEO EFFECTIVE JANUARY 1, 2013 AND DONALD PARKER IS THE NEW CEO EFFECTIVE JANUARY 2, 2013. |