ST MARY'S HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST MARY'S HOSPITAL (EIN 22-1494446)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349309319
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T15:43:56-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | 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 | 221494446 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 9735947835 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 BOULEVARD | AddressLine1 |
| City | PASSAIC | City |
| State | NJ | State |
| ZIP Code | 07055 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NICHOLAS LANZA | Name |
| Title | CFO | Title |
| Phone | 9735947835 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS C GREEN CPA JD | Name |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NICHOLAS LANZA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 BOULEVARD | AddressLine1 |
| City | PASSAIC | City |
| State | NJ | State |
| ZIP Code | 07055 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 168388389 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SMH-PASSAIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1895 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | ST. MARY'S IS A NON-PROFIT ACUTE CARE HOSPITAL OFFERING A BROAD RANGE OF HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1561 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4253847 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15193876 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 148139011 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 151867020 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -11119894 | InvestmentIncomePriorYear |
| Investment Income Current Year | 60104 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 847637 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1007597 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 142120601 | TotalRevenuePriorYear |
| Total Revenue Current Year | 168128597 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 92122651 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 89472595 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 83028129 | OtherExpensePriorYear |
| Other Expenses Current Year | 80344720 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 175150780 | TotalExpensesPriorYear |
| Total Expenses Current Year | 169817315 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -33030179 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1688718 | RevenuesLessExpensesCY |
| Total Assets BOY | 66531092 | TotalAssetsBOY |
| Total Assets EOY | 48308042 | TotalAssetsEOY |
| Total Liabilities BOY | 144227733 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 126949886 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -77696641 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -78641844 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SINCE 1895, WHEN THE SISTERS OF CHARITY OF ST. ELIZABETH FOUNDED THE HOSPITAL, ST. MARY'S HAS BEEN DEDICATED TO SERVING THE HEALTH NEEDS OF THE PEOPLE OF CLIFTON, PASSAIC AND THE SOUTH BERGEN COMMUNITIES. TODAY WE OFFER CONVENIENT ACCESS TO THE LATEST DIAGNOSTIC EQUIPMENT, A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES, AS WELL AS AN ARRAY OF EDUCATION, WELLNESS AND OUTREACH PROGRAMS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 165322400 | Expense |
| Revenue | 151875975 | Revenue |
| Description | HEALTHCARE SERVCIES RENDERED TO APPROXIMATELY 140,000 PATIENTS FOR APPROXIMATELY 50,000 PATIENT DAYS ON BOTH AN INPATIENT AND OUTPATIENT BASIS REGARDLESS OF AN INDIVIDUALS ABILITY TO PAY. THESE SERVICES INCLUDE ACUTE MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRICS, NURSERY, AS WELL AS BEHAVIORAL HEALTH. | Description |
| Total Program Service Expense | 165322400 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 159 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1561 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLAS LANZA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9733654300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 BOULEVARD | AddressLine1 |
| City | PASSAIC | City |
| State | NJ | State |
| ZIP Code | 07055 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SR BARBARA CONROY | ||||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | ||
| CRAIG BROWN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SR ELIZABETH CAHILL | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SR MAUREEN DUNNE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SR BARBARA GARLAND | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SR THOMAS MARY SALERNO | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 1.00 | ||
| VINCENT GIARDINO | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DOLORES HEALEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GEORGE JACOBS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| HAROLD JAWETZ MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN F LAEZZA JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CHARLES E LAROSA | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARIO MARGHELLA | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 1.00 | ||
| AHMED MEKKAWY MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 1.00 | ||
| RAVINDER NARANG MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARILYN POMEROY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM A WALSH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GABRIELLA WEISS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL J SNIFFEN | ||||||||
| PRESIDENT/CEO (JAN 1 - OCT 20) | 37.50 | X | X | 907768 | 0 | 0 | 1.00 | |
| WILLIAM CUSICK | ||||||||
| VP/CFO (JAN 1 - APR 30) | 37.50 | X | X | 453367 | 0 | 0 | 1.00 | |
| MOST REV ARTHUR J SERRATELLI | ||||||||
| HONORARY MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| EDWARD J CONDIT | ||||||||
| PRESIDENT/CEO (OCT 21 - DEC 31) | 37.50 | X | 275588 | 0 | 0 | 1.00 | ||
| NICHOLAS LANZA | ||||||||
| VP/CFO (MAY 1 - DEC 31) | 37.50 | X | 104231 | 0 | 0 | 1.00 | ||
| JOHN D ARCH | ||||||||
| CIO | 37.50 | X | 120497 | 0 | 0 | |||
| CHRISTINA FISCHER | ||||||||
| CNO | 37.50 | X | 201384 | 0 | 0 | 1.00 | ||
| HUZAIFA SHAKIR | ||||||||
| HOUSE PHYSICIAN | 37.50 | 212073 | 0 | 0 | X | |||
| DANIEL CONROY | ||||||||
| VP | 37.50 | 208069 | 0 | 0 | X | |||
| MARIE A KASSAI | ||||||||
| DIRECTOR INFECTION CONTROL | 37.50 | 206391 | 0 | 0 | X | |||
| KI SOOK YOO | ||||||||
| MEDICAL DIRECTOR | 37.50 | 204861 | 0 | 0 | X | |||
| CATHY LYNCH KILIC | ||||||||
| VP | 37.50 | 185654 | 0 | 0 | 1.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3079883 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 95 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AMERICHOICEBERGEN DRUG CORP | |||||
| PO BOX 642755 | PITTSBURGH | PA | 15264 | PHARMACEUTICAL | 6336894 |
| OWENS & MINOR | |||||
| PO BOX 8500-55182 | PHILADELPHIA | PA | 19178 | MEDICAL SUPPLY SERVICES | 3925155 |
| ALLSCRIPTS HEALTHCARE LLC | |||||
| 222 MERCHANDISE MART PLAZA SUITE 2 | CHICAGO | IL | 60654 | SOFTWARE PROGRAMING | 3381949 |
| MEDTRONIC | |||||
| 4642 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | CARDIAC SUPPLY SERVICES | 2407266 |
| RAMAPO VALLEY ANESTHESIA ASSOC | |||||
| 100 ROUTE 59 | SUFFERN | NY | 10901 | ANESTHESIA SERVICES | 2270830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 645282 | RelatedOrganizations |
| Government Grants | 12916321 | GovernmentGrants |
| All Other Contributions | 1632273 | AllOtherContributions |
| Total Contributions | 15193876 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 151867020 | TotalRevenueColumn |
| Related Or Exempt Function Income | 151867020 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 151867020 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60104 | TotalRevenueColumn |
| Exclusion | $60,104 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 207377 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 259792 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -52415 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -52415 | TotalRevenueColumn |
| Exclusion | -$52,415 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| JOINT COMMISSION RESOURCES | 900099 | 889481 | $889,481 |
| CAFETERIA | 722210 | 123874 | $123,874 |
| REBATES | 900099 | 21071 | $21,071 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25586 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8955 | RelatedOrExemptFunctionIncome |
| Exclusion | $16,631 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1060012 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 168128597 | TotalRevenueColumn |
| Related Or Exempt Function Income | 151875975 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,058,746 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72789692 | Total |
| Program Services | 71458688 | ProgramServices |
| Management And General | 1331004 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2598280 | Total |
| Program Services | 2551511 | ProgramServices |
| Management And General | 46769 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9366028 | Total |
| Program Services | 9197440 | ProgramServices |
| Management And General | 168588 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4718595 | Total |
| Program Services | 4633660 | ProgramServices |
| Management And General | 84935 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1167603 | Total |
| Management And General | 1167603 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125770 | Total |
| Management And General | 125770 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18470944 | Total |
| Program Services | 18470944 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185890 | Total |
| Program Services | 185890 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1570246 | Total |
| Management And General | 1570246 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642126 | Total |
| Program Services | 642126 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3777800 | Total |
| Program Services | 3777800 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175303 | Total |
| Program Services | 175303 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81212 | Total |
| Program Services | 81212 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2144735 | Total |
| Program Services | 2144735 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3328779 | Total |
| Program Services | 3328779 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1382675 | Total |
| Program Services | 1382675 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 26700070 | 26700070 |
| BAD DEBT EXPENSE | 16134990 | 16134990 |
| REPAIRS & MAINTENANCE | 1386778 | 1386778 |
| DIETARY | 1233872 | 1233872 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1835927 | Total |
| Program Services | 1835927 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169817315 | Total |
| Program Services | 165322400 | ProgramServices |
| Management And General | 4494915 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13411 | BOY |
| EOY | 13410 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289752 | BOY |
| EOY | 1091722 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18332587 | BOY |
| EOY | 18081815 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2706945 | BOY |
| EOY | 2724668 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1217667 | BOY |
| EOY | 239217 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 98350179 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 73859424 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24607496 | BOY |
| EOY | 24490755 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83898 | BOY |
| EOY | 83898 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19279336 | BOY |
| EOY | 1582557 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66531092 | BOY |
| EOY | 48308042 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29530872 | BOY |
| EOY | 28708985 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1290021 | BOY |
| EOY | 5047912 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41452547 | BOY |
| EOY | 40208208 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5444249 | BOY |
| EOY | 5243861 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212950 | BOY |
| EOY | 526671 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66297094 | BOY |
| EOY | 47214249 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144227733 | BOY |
| EOY | 126949886 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -77813885 | BOY |
| EOY | -78759088 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117244 | BOY |
| EOY | 117244 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -77696641 | BOY |
| EOY | -78641844 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66531092 | BOY |
| EOY | 48308042 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1688718 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 743515 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2350011 | OtherCostOrOtherBasis |
| Book Value | 2350011 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43948842 | OtherCostOrOtherBasis |
| Depreciation | 31173424 | Depreciation |
| Book Value | 12775418 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47222000 | OtherCostOrOtherBasis |
| Depreciation | 42686000 | Depreciation |
| Book Value | 4536000 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4829326 | OtherCostOrOtherBasis |
| Book Value | 4829326 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24490755 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $25,538,828 |
| ACCRUED REORGANIZATION COSTS | -$88,653 |
| ACCRUED PENSION LIABILITY | $19,553,307 |
| OTHER LONG-TERM LIABILITIES | $1,269,329 |
| CREDIT BALANCE PREPAID INVOICES | $941,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 47214249 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 168388389 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 168388389 | RevenueSubtotal |
| Other Revenues Not Included | -259792 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -259792 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 168128597 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 170820622 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1003307 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1003307 | ExpensesNotRptdF990 |
| Expenses Subtotal | 169817315 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 169817315 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE FINANCIAL STATEMENTS USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AS TO WHETHER THE UNCERTAINTY WILL BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD. THE HOSPITAL'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2009 THROUGH 2012 REMAIN SUBJECT TO EXAMINATION BY THE IRS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -259,792. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PENSION LIABILITY ADJUSTMENT 743,515. RENTAL EXPENSES 259,792. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 300.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10285228 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8776924 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1508304 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16794938 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16565954 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 228984 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27080186 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25432878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1647308 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54160352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50775756 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3384596 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02200 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54160352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50775756 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3384596 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02200 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $16,134,990 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 62692107 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 64538014 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1845907 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | ST MARY'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 BOULEVARD | AddressLine1 |
| City | PASSAIC | City |
| State | NJ | State |
| ZIP Code | 07055 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SMH-PASSAIC.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 300.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 16134990. | |
| PART III, LINE 4: ACCOUNTS ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY; IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE HOSPITAL. ACCOUNTS ARE DEEMED UNCOLLECTIBLE AFTER THREE ATTEMPTS ARE MADE TO COLLECT THE DEBT AND THE ACCOUNTS ARE RETURNED TO THE HOSPITAL FROM COLLECTION. BAD DEBT IS ASSUMED TO BE A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS ACCEPTED THIS LOSS. | |
| PART III, LINE 8: THE HOSPITAL CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THAN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE HOSPITAL A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT. THE HOSPITAL USES THE COST-TO-CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. | |
| PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS FOR THOSE WHO QUALIFY FOR CHARITY CARE ALL PATIENTS ARE SCREENED FOR FEDERAL AND GOVERNMENTAL PROGRAMS, MEDICARE, MEDICAID, AND NJ FINANCIAL ASSISTANCE. | |
| PART V, SECTION B, LINE 14G: THE HOSPITAL WILL PROVIDE THE ACTUAL POLICY AND PROCEDURES MANUAL TO PATIENT UPON REQUEST. INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED CLEARLY THROUGHOUT THE HOSPITAL. | ST. MARY'S HOSPITAL |
| PART VI, LINE 2: FOR THE PAST 4 YEARS THE COMMUNITY HEALTH DEPARTMENT HAS CONDUCTED A COMMUNITY HEALTH ASSESSMENT AS REQUIRED BY THE AFFORDABLE CARE ACT. THE MOST RECENT ASSESSMENT WAS COMPLETED IN 2012 AND IS BEING IMPLEMENTED.THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH A PAPER SURVEY AND SMALL GROUP QUESTIONS AND DISCUSSIONS AT: SENIOR CENTERS, CHURCH GROUPS, AND IMMIGRANT EDUCATIONAL PROGRAMS. WE DO ONE ON ONE INQUIRIES AS WE GO ALONG. WE ALSO HAVE STRONG CONNECTIONS WITH THE FEDERAL QUALIFIED CLINICS ON 8TH STREET, GARFIELD, AND MAIN STREET - THEY TOO HELP US TO MONITOR COMMUNITY NEEDS. | |
| PART VI, LINE 3: OUTREACH WORKERS EDUCATE PEOPLE IN THE COMMUNITIES WHENEVER POSSIBLE EXPLAINING ANY ASSISTANCE PROGRAMS THAT MAY BE AVAILABLE TO THEM. THE COMMUNITY HEALTH DEPARTMENT WILL THEN CONNECT THEM TO THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS ADVISORS WHO PROVIDE THE AVAILABILITY OF FINANCIAL ASSISTANCE ON A CASE BY CASE BASIS. | |
| PART VI, LINE 4: THE HOSPITAL SERVES PASSAIC, CLIFTON, WALLINGTON, LYNDHURST, RUTHERFORD, EAST RUTHERFORD, CARLSTADT, AND LODI, NEW JERSEY. THE MAJORITY OF THE POPULATION IS CONSIDERED LOW-INCOME. APPROXIMATELY 13.6% OF FAMILIES IN PASSAIC COUNTY ARE BELOW THE FAMILY POVERTY LEVELS. | |
| PART VI, LINE 5: ST MARY'S HOSPITAL HAS CONSISTENTLY WORKED IN PASSAIC AND ITS SURROUNDING TOWNS IN DESCRIBING PROGRAM, EDUCATIONAL NEEDS AND IN OFFERING FREE HEALTH CARE SCREENINGS. IN ADDITION, THE HOSPITAL CONDUCTS FOOD DRIVES AND PROVIDES CLOTHING AND GENERAL CARE FOR MANY LOW INCOME FAMILIES.SMH COMMUNITY HEALTH DEPARTMENT ENGAGES A COMMUNITY ADVISORY BOARD CONSISTING OF REPRESENTATIVES FROM LOCAL AND COUNTY HEALTH SERVICE AGENCIES. THIS GROUP SEEKS FUNDING /GRANT OPPORTUNITIES TO BENEFIT THE COMMUNITY WE SERVE.ANY SURPLUS FUNDS ARE REINVESTED IN THE CAPITAL OF THE HOSPITAL, USED FOR TECHNOLOGY PURCHASES FOR THE LATEST MEDICAL EQUIPMENT, AND HELD FOR FUTURE USES FOR CARE OF THE INDIGENT. | |
| PART VI, LINE 6: THE HOSPITAL IS NOT PART OF A HEALTH SYSTEM BUT COLLABORATES WITH OTHER HEALTH AGENCIES WHENEVER POSSIBLE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J SNIFFEN | ||||||||||||||
| PRESIDENT/CEO (JAN 1 - OCT 20) | 329856 | 0 | 0 | 0 | 577912 | 0 | 0 | 0 | 0 | 0 | 907768 | 0 | 0 | 0 |
| WILLIAM CUSICK | ||||||||||||||
| VP/CFO (JAN 1 - APR 30) | 241521 | 0 | 0 | 0 | 211846 | 0 | 0 | 0 | 0 | 0 | 453367 | 0 | 0 | 0 |
| EDWARD J CONDIT | ||||||||||||||
| PRESIDENT/CEO (OCT 21 - DEC 31) | 275588 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 275588 | 0 | 0 | 0 |
| CHRISTINA FISCHER | ||||||||||||||
| CNO | 201384 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 201384 | 0 | 0 | 0 |
| HUZAIFA SHAKIR | ||||||||||||||
| HOUSE PHYSICIAN | 212073 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 212073 | 0 | 0 | 0 |
| DANIEL CONROY | ||||||||||||||
| VP | 208069 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 208069 | 0 | 0 | 0 |
| MARIE A KASSAI | ||||||||||||||
| DIRECTOR INFECTION CONTROL | 206391 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 206391 | 0 | 0 | 0 |
| KI SOOK YOO | ||||||||||||||
| MEDICAL DIRECTOR | 204861 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 204861 | 0 | 0 | 0 |
| CATHY LYNCH KILIC | ||||||||||||||
| VP | 185654 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 185654 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS: MICHAEL SNIFFEN - $577,912 WILLIAM CUSICK - $211,846 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 221987084 | IssuerEIN |
| Date Issued | 2007-02-28 | DateIssued |
| Issue Price | 45150000 | IssuePrice |
| Description Of Purpose | PURCHASE CERTAIN ASSETS OF A MEDICAL CENTER; REFINANCE 1999 BONDS | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 4877635 | AmountRetired |
| Total Proceeds | 45150000 | TotalProceeds |
| Issuance Costs From Proceeds | 986851 | IssuanceCostsFromProceeds |
| Capital Expenditures | 36739000 | CapitalExpenditures |
| Other Spent Proceeds | 7424149 | OtherSpentProceeds |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE HOSPITAL WILL PROVIDE A COPY OF THE FORM 990 TO THE GOVERNING BODY AND PRESENT THE FORM IN DETAIL TO THE BOARD AT A REGULARLY SCHEDULED MEETING AFTER IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HOSPITAL HAS A CORPORATE COMPLIANCE POLICY, WHICH ADDRESSES CONFLICTS OF INTEREST, IN PLACE THAT THE BOARD MEMBERS AND OFFICERS READ AND SIGN OFF ON ANNUALLY. THE COMPLIANCE OFFICER REVIEWS AND MONITORS THE POLICY AND IS KEPT INFORMED OF ANY COMPLIANCE ISSUES. VIOLATIONS ARE HANDLED ON A CASE BY CASE BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF TRUSTEES IN EXECUTIVE SESSION REVIEWS THE COMPENSATION OF EXECUTIVES. AN ANALYSIS IS PRESENTED AND REVIEWED AS TO ACCOMPLISHMENTS AGAINST ESTABLISHED GOALS. THE FINANCIAL AND CLINICAL PERFORMANCE OF THE HOSPITAL IS REVIEWED AGAINST INDUSTRY BENCHMARKS. FINALLY, MARKET COMPENSATION DATA IS REVIEWED AND COMPARED TO EXECUTIVE COMPENSATION AS TO REASONABLENESS OF COMPENSATION LEVELS TO ENSURE COMPENSATION DOES NOT EXCEED FAIR MARKET VALUE. THE EXECUTIVES' SALARIES ARE APPROVED BY THE BOARD AND DOCUMENTED VIA EXECUTIVE SESSION MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL ALSO MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | NEO NATOLOGY - ON CALL: PROGRAM SERVICE EXPENSES 70,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,000. PODIATRY FEES: PROGRAM SERVICE EXPENSES 70,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,500. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 11,392,643. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,392,643. CONSULTING: PROGRAM SERVICE EXPENSES 1,938,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,938,776. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 450,518. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 450,518. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 3,350,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,350,416. OUTSIDE LAB TESTS: PROGRAM SERVICE EXPENSES 565,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 565,468. DIALYSIS SERVICE: PROGRAM SERVICE EXPENSES 6,700. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,700. CARDIAC SERVICES: PROGRAM SERVICE EXPENSES 89,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,940. PATHOLOGY SERVICES: PROGRAM SERVICE EXPENSES 29,506. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,506. OTHER FEES: PROGRAM SERVICE EXPENSES 506,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 506,477. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT 743,515. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | EINEIN |
|---|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTH CORPORATION | ||||||||||
| 350 BOULEVARD | PASSAIC | NJ | 07055 | ESTABLISH, MAINTAIN, AND PROMOTE EDUCATION AND RESEARCH TO HUMAN HEALTH | NJ | 501(C)(3) | LINE 4 | N/A | 0 | |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 350 BOULEVARD | PASSAIC | NJ | 07055 | FUNDRAISING ACTIVITIES AND SUPPORT TO HOSPITAL | NJ | 501(C)(3) | LINE 4 | N/A | 0 | 542116468 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |