MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL (EIN 22-3100321)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201223249349300417
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T12:05:50-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221914888 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NISIVOCCIA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 VALLEY RD SUITE 300 | AddressLine1 |
| City | MT ARLINGTON | City |
| State | NJ | State |
| ZIP Code | 07856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223100321 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL DENTAL STAFF OF | BusinessNameLine1 |
| Business Name Line2 | MORRISTOWN MEMORIAL HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | NameControl |
| Phone | 9739715151 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVENUE | AddressLine1 |
| City | MORRISTOWN | City |
| State | NJ | State |
| ZIP Code | 07962 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EARL F NIELSEN MD | Name |
| Title | PRESIDENT | Title |
| Phone | 9739715151 | Phone |
| Date Signed | 2012-11-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARCIA A GELTMAN CPA | Name |
| PTIN | P00294146 | PTIN |
| Phone | 9733281825 | Phone |
| Date Prepared | 2012-11-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EARL F NIELSEN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVENUE | AddressLine1 |
| City | MORRISTOWN | City |
| State | NJ | State |
| ZIP Code | 07962 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 331942 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF THE ORGANIZATION IS TO FACILITATE THE PROVISION OF DEVELOPMENT OF AN ENVIRONMENT OF PATIENT-ORIENTED CARE THAT SERVES THE HEALTH NEEDS OF MORRISTOWN MEMORIAL HOSPITAL PATIENTS. THE HEALTH NEEDS OF MORRISTOWN MEMORIAL HOSPITAL PATIENTS. THE ORGANIZATION MAINTAINS PHYSICIANS COMMITTED TO THE EXCELLENCE OF MORRISTOWN MEMORIAL HOSPITAL AND MONITORS THE QUALITY OF CARE RENDERED AT THE HOSPITAL. THE ORGANIZATION IDENTIFIES OPPORTUNITIES FOR IMPROVEMENT, FOSTERS MEDICAL EDUCATION, INFORMATIONAL PROGRAMS AND SUPPORTS HOSPITAL ENDEAVORS; THUS, RAISING THE QUALITY OF PATIENT CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15074 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 304563 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 315112 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2143 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1830 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 321780 | TotalRevenuePriorYear |
| Total Revenue Current Year | 331942 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 44642 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 28792 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 161921 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 165063 | 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 | 132027 | OtherExpensePriorYear |
| Other Expenses Current Year | 143328 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 338590 | TotalExpensesPriorYear |
| Total Expenses Current Year | 337183 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -16810 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5241 | RevenuesLessExpensesCY |
| Total Assets BOY | 356774 | TotalAssetsBOY |
| Total Assets EOY | 362898 | TotalAssetsEOY |
| Total Liabilities BOY | 13501 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 24866 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 343273 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 338032 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF THE ORGANIZATION IS TO FACILITATE THE PROVISION OF DEVELOPMENT OF AN ENVIRONMENT OF PATIENT-ORIENTED CARE THAT SERVES THE HEALTH NEEDS OF MORRISTOWN MEMORIAL HOSPITAL PATIENTS. THE HEALTH NEEDS OF MORRISTOWN MEMORIAL HOSPITAL PATIENTS. THE ORGANIZATION MAINTAINS PHYSICIANS COMMITTED TO THE EXCELLENCE OF MORRISTOWN MEMORIAL HOSPITAL AND MONITORS THE QUALITY OF CARE RENDERED AT THE HOSPITAL. THE ORGANIZATION IDENTIFIES OPPORTUNITIES FOR IMPROVEMENT, FOSTERS MEDICAL EDUCATION, INFORMATIONAL PROGRAMS AND SUPPORTS HOSPITAL ENDEAVORS; THUS, RAISING THE QUALITY OF PATIENT CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 198501 | Expense |
| Grants | 28792 | Grants |
| Revenue | 315112 | Revenue |
| Description | PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE QUARTERLY STAFF MEETINGS ON MEDICAL ISSUES BENEFITING MEDICAL STAFF AND HOSPITAL PERSONNEL AS WELL AS THE COMMUNITY. THE ORGANIZATION ALSO SUPPORTS A REGISTERED NURSE DAY AND PROVIDES EDUCATIONAL SEMINARS AND STIPENDS TO GUEST SPEAKERS FOR ADMINISTRATION AND PRESENTATIONS. | Description |
| Total Program Service Expense | 198501 | 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 | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | 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 | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 2 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5 | 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 | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | 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 | 1 | 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 | 0 | 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 | PATRICIA MURRAY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9739715151 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MADISON AVENUE | AddressLine1 |
| City | MORRISTOWN | City |
| State | NJ | State |
| ZIP Code | 07962 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (4 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| EARL F NIELSEN MD | ||||||
| PRESIDENT | 5.00 | X | X | 60000 | 0 | 0 |
| HARVEY GERHARD MD | ||||||
| VICE-PRESIDENT | 5.00 | X | X | 30000 | 0 | 0 |
| STEVEN A MASER MD | ||||||
| SECRETARY | 1.00 | X | X | 20000 | 0 | 0 |
| M VERONICA DALY MD | ||||||
| TREASURER | 1.00 | X | X | 20000 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 130000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 15000 | AllOtherContributions |
| Total Contributions | 15000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEMBERSHIP DUES | Description |
| Business Code | 561000 | BusinessCode |
| Total Revenue Column | 315112 | TotalRevenueColumn |
| Related Or Exempt Function Income | 315112 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 315112 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1830 | TotalRevenueColumn |
| Exclusion | $1,830 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 331942 | TotalRevenueColumn |
| Related Or Exempt Function Income | 315112 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,830 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28792 | Total |
| Program Services | 28792 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130000 | Total |
| Program Services | 45000 | ProgramServices |
| Management And General | 85000 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20610 | Total |
| Program Services | 2061 | ProgramServices |
| Management And General | 18549 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14453 | Total |
| Program Services | 5059 | ProgramServices |
| Management And General | 9394 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42240 | Total |
| Program Services | 42240 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14621 | Total |
| Management And General | 14621 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12886 | Total |
| Program Services | 12886 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8783 | Total |
| Management And General | 8783 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62463 | Total |
| Program Services | 62463 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2335 | Total |
| Management And General | 2335 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337183 | Total |
| Program Services | 198501 | ProgramServices |
| Management And General | 138682 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355900 | BOY |
| EOY | 361523 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 874 | BOY |
| EOY | 1375 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356774 | BOY |
| EOY | 362898 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13501 | BOY |
| EOY | 24866 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13501 | BOY |
| EOY | 24866 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343273 | BOY |
| EOY | 338032 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343273 | BOY |
| EOY | 338032 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356774 | BOY |
| EOY | 362898 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -5241 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 277790 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 292206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 306624 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 319637 | CurrentTaxYearMinus1Year |
| Current Tax Year | 315112 | CurrentTaxYear |
| Total | 1511369 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2450 | CurrentTaxYearMinus2Years |
| Total | 2450 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 277790 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 292206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 309074 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 319637 | CurrentTaxYearMinus1Year |
| Current Tax Year | 315112 | CurrentTaxYear |
| Total | 1513819 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1513819 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9899 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3768 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1830 | CurrentTaxYear |
| Total | 27245 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9899 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3768 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1830 | CurrentTaxYear |
| Total | 27245 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287395 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 302105 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 312842 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 321780 | CurrentTaxYearMinus1Year |
| Current Tax Year | 316942 | CurrentTaxYear |
| Total | 1541064 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98230 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97730 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01770 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02270 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 331942 | TotalRevenue |
| Total Expenses | 337183 | TotalExpenses |
| Excess Or Deficit For Year | -5241 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -5241 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 338142 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 6200 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 6200 | RevenueNotRptdF990 |
| Revenue Subtotal | 331942 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 331942 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 343383 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 6200 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 6200 | ExpensesNotRptdF990 |
| Expenses Subtotal | 337183 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 337183 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL IS AN ORGANIZATION DESCRIBED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS THEREFORE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT UNDER TITLE 15 OF THE STATE OF NEW JERSEY CORPORATIONS AND ASSOCIATIONS NOT FOR PROFIT ACT. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN PRESENTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL EVALUATES ITS REPORTING FOR INCOME TAXES IN ACCORDANCE WITH THE PROVISIONS OF INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION AS THEY RELATE TO THOSE TAX POSITIONS. MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL DOES NOT EXPECT A SIGNIFICANT INCREASE OR DECREASE TO THE TOTAL AMOUNTS OF UNRECOGNIZED TAX POSITIONS DURING THE FISCAL YEAR ENDED DECEMBER 31, 2011. HOWEVER, MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL IS SUBJECT TO REGULAR AUDIT BY TAX AUTHORITIES. MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE POSITIONS TAKEN ON ITS TAX RETURNS. NONETHELESS, THE AMOUNTS ULTIMATELY PAID, IF ANY, UPON RESOLUTION OF THE ISSUES RAISED BY THE TAXING AUTHORITIES MAY DIFFER MATERIALLY FROM THE AMOUNTS ACCRUED FOR EACH YEAR. AS REQUIRED BY LAW, MEDICAL-DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL FILES INFORMATIONAL RETURNS WITH BOTH THE UNITED STATES FEDERAL AND STATE OF NEW JERSEY JURISDICTIONS ON AN ANNUAL BASIS - FORM 990 WITH THE INTERNAL REVENUE SERVICE, AND FORM CRI-300R WITH THE STATE. THESE RETURNS ARE SUBJECT TO EXAMINATIONS BY THESE AUTHORITIES WITHIN THREE YEARS FROM THE LATEST FILING DATE FOR FEDERAL AND FOUR YEARS FROM THE LATEST FILING DATE FOR NEW JERSEY. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ATLANTIC HEALTH SYSTEM | |||||||
| 275 SOUTH STREET | MORRISTOWN | NJ | 07960 | 223380375 | 501 (C) (3) | 5000 | DONATION |
| MORRISTOWN MEMORIAL HOSPITAL | |||||||
| 100 MADISON AVENUE | MORRISTOWN | NJ | 07962 | 223392808 | 501 (C) (3) | 14647 | DONATION |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS AND DONATIONS ARE PAID TO ORGANIZATIONS WITHIN THE SCOPE OF THE BY-LAWS. THE ORGANIZATION AND AMOUNT TO BE PAID IS DISCUSSED AND VOTED ON BY THE BOARD. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | MEDICAL DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS PROVIDED TO THE MEMBERS OF THE ORGANIZATIONS GOVERNING BODY FOR ANY COMMENTS PRIOR TO ITS SUBMISSION. THE GOVERNING BODY IS PROVIDED WITH A REASONABLE AMOUNT OF TIME TO REVIEW THE FORM 990. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED THROUGH MANAGEMENT TO THE OUTSIDE ACCOUNTING FIRM. ANY APPLICABLE ISSUES ARE ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS AND OFFICERS SIGN OFF ON THE CONFLICT OF INTEREST POLICY. THEY ALSO SIGN OFF AT THE BEGINNING OF EACH SUCCEEDING BOARD YEAR THAT THEY HAVE READ THE POLICY TO CONFIRM THAT THERE ARE STILL NO CONFLICTS. A REPORT OF THE OUTCOME WILL THEN BE PRESENTED TO THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE AMOUNT OF COMPENSATION IS A FIXED AMOUNT PREVIOUSLY DETERMINED BY THE BOARD AND VOTED ON BY ALL MEMBERS. COMPENSATION IS COMPARATIVE TO OTHER ORGANIZATIONS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | MEDICAL DENTAL STAFF OF MORRISTOWN MEMORIAL HOSPITAL MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE UPON WRITTEN REQUEST AT THE ORGANIZATIONS OFFICE AT 100 MADISON AVENUE, MORRISTOWN, NJ 07962. IN ADDITION FORM 1023 AS WELL AS THE FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATIONS OFFICE AT 100 MADISON AVENUE, MORRISTOWN, NJ 07962. | |
| FORM 990, PART XII - LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. | DESCRIPTION OF PROCESS OF COMMITTEE OVERSEEING THE AUDIT, F/S AND AUDITOR: |