NEWTON MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NEWTON MEMORIAL HOSPITAL (EIN 22-1500572)
- Tax period
- 2011-01-01 to 2011-04-01
- Filed
- 2012-03-15
- IRS object ID
- 201240759349300309
- Schema version
- 2010v3.4
- 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 L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-15T08:45:48-05:00 | Timestamp |
| Tax Period End Date | 2011-04-01 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 STE 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221500572 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEWTON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWT | NameControl |
| Phone | 9735798301 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 HIGH STREET | AddressLine1 |
| City | NEWTON | City |
| State | NJ | State |
| ZIP Code | 07860 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS J SENKER | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 9735798301 | Phone |
| Date Signed | 2012-03-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS GREEN CPA | Name |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Terminated Return | X | TerminatedReturn |
| Name Of Principal Officer Person | THOMAS J SENKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 HIGH STREET | AddressLine1 |
| City | NEWTON | City |
| State | NJ | State |
| ZIP Code | 07860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 35564987 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NMHNJ.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1932 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE HOSPITAL'S VISION - BE RECOGNIZED AS A PREMIER PROVIDER OF HEALTHCARE SERVICES BY 2012 | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1233 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3809482 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 799188 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 125488572 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 34442477 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1553878 | InvestmentIncomePriorYear |
| Investment Income Current Year | 197862 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -88180 | OtherRevenuePriorYear |
| Other Revenue Current Year | -124589 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 130763752 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35314938 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6003930 | 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 | 70477406 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20165162 | 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 | 55424270 | OtherExpensePriorYear |
| Other Expenses Current Year | 14003155 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 131905606 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34168317 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1141854 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1146621 | RevenuesLessExpensesCY |
| Total Assets BOY | 130302920 | TotalAssetsBOY |
| Total Assets EOY | 0 | TotalAssetsEOY |
| Total Liabilities BOY | 48519935 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 81782985 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 0 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE EXCEPTIONAL CARE AND SERVICE AS WELL AS DEMONSTRATING THE FOLLOWING VALUES: PASSION - FOR EVERYTHING WE DO, COMPASSION - FOR YOU AND YOUR FAMILY, RESPECT - FOR EACH OTHER, INTEGRITY - ALWAYS, AND QUALITY - WITHOUT COMPROMISE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 25910699 | Expense |
| Revenue | 34442477 | Revenue |
| Description | TO PROVIDE HEALTHCARE SERVICES TO NEWTON AND THE SURROUNDING AREA. THE THREE LARGEST PROGRAM SERVICES ARE NET PATIENT SERVICE REVENUE OF $34,169,717; OTHER PROGRAM REVENUE OF $174,351 AND PSYCH REVENUE OF $68,464. THE COMMUNITY BENEFIT CONTRIBUTION OF NEWTON MEMORIAL HOSPITAL INCLUDES PROGRAMS AND ACTIVITIES THAT IMPROVE ACCESS TO, AND PROVISION OF, HEALTH CARE SERVICES AND PROGRAMS AND TO IMPROVE HEALTH IN OUR COMMUNITIES.SEE SCHEDULE H FOR ADDITIONAL INFORMATION REGARDING THE HOSPITAL'S COMMUNITY BENEFIT CONTRIBUTIONS. | Description |
| Total Program Service Expense | 25910699 | 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 | 1 | 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 | 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 1 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 82 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1233 | 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 | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAVID S RIKKOLA CFO | NamePerson |
| Telephone Number | 9735798301 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 HIGH STREET | AddressLine1 |
| City | NEWTON | City |
| State | NJ | State |
| ZIP Code | 07860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| MARK AVONDOGLIO | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| GLENN A CLARK | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| RICHARD I CLARK | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| CRAIG U DANA | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| PHILLIP D DEACON | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| DR NICK P DIBITETTO | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| BRIAN FITZPATRICK | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| WILLIAM I HOUGHTON III | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| CONSTANCE C MIERENDORF PHD | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| GEORGE W MORVILLE JR | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| PAUL J OWENS MD | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| JEFFREY J QUINN | |||||||
| BOARD MEMBER | 4.20 | X | 0 | 0 | 0 | ||
| ROBERT E MCCRACKEN | |||||||
| BOARD CHAIRMAN | 4.20 | X | 0 | 0 | 0 | X | |
| TAMMIE HORSFIELD | |||||||
| VICE CHAIRMAN | 4.20 | X | 0 | 0 | 0 | X | |
| JAMES S HUBLEY | |||||||
| SECRETARY | 4.20 | X | 0 | 0 | 0 | X | |
| CHRISTOPHER LYNCH | |||||||
| TREASURER | 4.20 | X | 0 | 0 | 0 | X | |
| E JANE BROWN | |||||||
| ASST TREASURER | 4.20 | X | 0 | 0 | 0 | X | |
| CLAUDETTE DELONG | |||||||
| AUXILIARY PRESIDENT | 4.20 | X | 0 | 0 | 0 | X | |
| THOMAS J SENKER | |||||||
| PRESIDENT & CEO | 37.50 | X | 202712 | 0 | 9347 | X | |
| SEAN O'ROURKE | |||||||
| COO | 37.50 | 103239 | 0 | 9596 | X | ||
| DAVID RIKKOLA | |||||||
| CFO | 37.50 | 101722 | 0 | 9821 | X | ||
| SHASHIDHAR REDDY MD | |||||||
| PHYSICIAN | 37.50 | 131003 | 0 | 6067 | X | ||
| JOHN O'BRIEN MD | |||||||
| PHYSICIAN | 37.50 | 107134 | 0 | 8239 | X | ||
| DONALD RUBINO MD | |||||||
| PHYSICIAN | 37.50 | 106314 | 0 | 9657 | X | ||
| DAVID LAZARUS | |||||||
| VP, MED AFFAIRS | 37.50 | 106296 | 0 | 9658 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 858420 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 62385 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | 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 |
|---|---|---|---|---|---|
| MEDICAL SEARCH LLC | |||||
| PO BOX 535213 | ATLANTA | GA | 303535213 | PHYSICIAN STAFFING SERVICES | 392126 |
| CERNER CORPORATION | |||||
| 2800 ROCKCREEK PKWY | KANSAS CITY | MO | 64117 | SOFTWARE SUPPORT & CONSULTING | 305979 |
| METZ & ASSOC | |||||
| TWO WOODLAND DRIVE | DALLAS | PA | 18612 | FOOD SERVICES | 226180 |
| REED SMITH LLP | |||||
| 136 MAIN STREET | PRINCETON | NJ | 08543 | LEGAL SERVICES | 213232 |
| AMERICAN RED CROSS | |||||
| PO BOX 33093 | NEWARK | NJ | 07188 | LAB SERVICES | 212552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Related Organizations | 7500 | RelatedOrganizations |
| Government Grants | 754781 | GovernmentGrants |
| All Other Contributions | 36907 | AllOtherContributions |
| Total Contributions | 799188 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SVC REV | 621990 | 34169717 | 34169717 |
| OTHER PATIENT SERVICES | 621990 | 174351 | 174351 |
| PSYCHIATRIC REV | 621300 | 68464 | 68464 |
| EDUCATION PROGRAMS | 611600 | 26500 | 26500 |
| LAB SERVICES | 621500 | 3445 | 3445 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 34442477 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 187754 | TotalRevenueColumn |
| Exclusion | $187,754 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30 | TotalRevenueColumn |
| Exclusion | $30 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 73528 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 218668 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -145140 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -145140 | TotalRevenueColumn |
| Exclusion | -$145,140 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10078 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10078 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10078 | TotalRevenueColumn |
| Exclusion | $10,078 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 29337 | GrossSalesOfInventory |
| Cost Of Goods Sold | 31381 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2044 | TotalRevenueColumn |
| Exclusion | -$2,044 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PURCHASE REBATES/DISC | 900099 | 17326 | $17,326 |
| CAFETERIA & VENDING | 722210 | 2702 | $2,702 |
| PHARMACY-EMPLOYEES | 446110 | 1319 | $1,319 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1248 | TotalRevenueColumn |
| Exclusion | $1,248 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 22595 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35314938 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34442477 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $73,273 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436438 | Total |
| Program Services | 218219 | ProgramServices |
| Management And General | 218219 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36125 | Total |
| Program Services | 36125 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13811171 | Total |
| Program Services | 11596733 | ProgramServices |
| Management And General | 2214438 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337201 | Total |
| Program Services | 279877 | ProgramServices |
| Management And General | 57324 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3897485 | Total |
| Program Services | 3233713 | ProgramServices |
| Management And General | 663772 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1646742 | Total |
| Program Services | 1366796 | ProgramServices |
| Management And General | 279946 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46072 | Total |
| Management And General | 46072 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185406 | Total |
| Management And General | 185406 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1516205 | Total |
| Program Services | 872126 | ProgramServices |
| Management And General | 644079 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144711 | Total |
| Management And General | 144711 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5250174 | Total |
| Program Services | 4451658 | ProgramServices |
| Management And General | 798516 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1475020 | Total |
| Management And General | 1475020 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634999 | Total |
| Program Services | 504679 | ProgramServices |
| Management And General | 130320 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34844 | Total |
| Program Services | 15163 | ProgramServices |
| Management And General | 19681 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281761 | Total |
| Program Services | 219774 | ProgramServices |
| Management And General | 61987 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1787597 | Total |
| Program Services | 1384930 | ProgramServices |
| Management And General | 402667 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 391942 | Total |
| Program Services | 305715 | ProgramServices |
| Management And General | 86227 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 1751492 | 1366164 | 385328 |
| HCCR FUND | 200496 | 200496 | |
| BILLING/COLLECTION EXPE | 195197 | 195197 | |
| CLEANING/GROUNDS MAINTE | 75676 | 59027 | 16649 |
| MISCELLANEOUS FEES | 19023 | 19023 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12540 | Total |
| Management And General | 12540 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34168317 | Total |
| Program Services | 25910699 | ProgramServices |
| Management And General | 8257618 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82202 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15396108 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12714916 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1506008 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1747714 | BOY |
| EOY | 0 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49621808 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35945591 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5593814 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7694759 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130302920 | BOY |
| EOY | 0 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17650885 | BOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22452235 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336669 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8080146 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48519935 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71603247 | BOY |
| EOY | 0 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6475186 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3704552 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81782985 | BOY |
| EOY | 0 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130302920 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1146621 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -82929606 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 35314938 | TotalRevenue |
| Total Expenses | 34168317 | TotalExpenses |
| Excess Or Deficit For Year | 1146621 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 491989 | NetUnrealizedGLOnInvestments |
| Other | -$83,421,595 | OtherAmount |
| Total Adjustments | -82929606 | TotalAdjustments |
| Excess Or Deficit Per FS | -81782985 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 33001927 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 491989 | NetUnrealizedGainsInvestments |
| Other Revenues | -3055049 | OtherRevenues |
| Revenue Not Rptd F990 | -2563060 | RevenueNotRptdF990 |
| Revenue Subtotal | 35564987 | RevenueSubtotal |
| Other Revenues Not Included | -250049 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -250049 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 35314938 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 34418366 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 250049 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 250049 | ExpensesNotRptdF990 |
| Expenses Subtotal | 34168317 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 34168317 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE AND LOCAL TAXES. WHEN APPLICABLE, A PROVISION FOR FEDERAL INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS AND IS INCLUDED IN SUPPLIES AND OTHER EXPENSES ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. A PROVISION FOR FEDERAL INCOME TAXES WAS NOT APPLICABLE FOR THE THREE MONTH PERIOD ENDED MARCH 31, 2011. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | WRITE OFF OF OTHER RECEIVABLE -3,163,008. CHANGE IN VALUE OF PERPETUAL TRUSTS 107,959. NET ASSETS TRANSFERRED TO AHS HOSPITAL CORP. ON 4/1/11 -80,366,546. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | WRITE OFF OF OTHER RECEIVABLE -3,163,008. CHANGE IN VALUE OF PERPETUAL TRUSTS 107,959. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GIFT SHOP EXPENSES -31,381. RENTAL EXPENSES -218,668. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | GIFT SHOP EXPENSES 31,381. RENTAL EXPENSES 218,668. | |
| SCHEDULE D, PART XI: THE AUDITED FINANCIAL STATEMENTS WERE FOR THE THREE MONTH PERIOD ENDED MARCH 31, 2011. THIS RECONCILIATION SECTION ON SCHEDULE D WAS PREPARED BASED ON THIS PERIOD, BUT ALSO INCLUDES THE TRANSFER OF NEWTON MEMORIAL HOSPITAL'S ASSETS AND LIABILITIES TO AHS HOSPITAL CORP. ON APRIL 1, 2011. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| 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 | 1788998 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1788998 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05520 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 112093 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 112093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1901091 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1901091 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05870 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31751 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2835 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 428065 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 137480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 290585 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 459816 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 140315 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 319501 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00990 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2360907 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 140315 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2220592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06860 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $270,313 | BadDebtExpenseAmount |
| Amount Attributable To | 103090 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10197641 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12148105 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1950464 | 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 | NEWTON MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 HIGH STREET | AddressLine1 |
| City | NEWTON | City |
| State | NJ | State |
| ZIP Code | 07860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 7: THE COSTING METHODOLOGY USED WAS BASED ON THE 2011 MEDICARE COST REPORT SCHEDULE S-10. | ||
| PART I, LINE 7G: THE ORGANIZATION INCLUDED $254,487 OF COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC IN SUBSIDIZED HEALTH SERVICES. | ||
| 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 $ 1751492. | ||
| AN ANNUAL REPORT IS PUBLISHED AND A PUBLIC MEETING WITH THE COMMUNITY IS HELD AND WHAT WE PROVIDE FOR THE COMMUNITY IS DISCUSSED OPENLY AT THIS MEETING. IN ADDITION TO THE VOLUNTEER BOARD OF DIRECTORS THERE IS A COMMUNITY ADVISORY COMMITTEE WITH REPRESENTATIVES OF VARIOUS COMMUNITY MEMBERS WHO MEET TWICE A YEAR, RECEIVE UPDATES ON THE HOSPITAL, AND GIVE THE HOSPITAL FEEDBACK. | PART I, LINE 6B | |
| QUANTIFIABLE COMMUNITY BENEFIT:THE FINANCIAL INFORMATION IN THIS REPORT WAS PREPARED IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES. THESE GUIDELINES RECOMMEND THE FOLLOWING:1) REPORT CHARITY CARE AT COST, NOT CHARGES.2) DO NOT INCLUDE BAD DEBT, CONTRACTUAL ALLOWANCES, AND QUICK PAY DISCOUNTS AS PART OF CHARITY CARE EXPENSE.3) DO NOT COUNT MEDICARE SHORTFALL AS A COMMUNITY BENEFIT.4) REPORT THE NET EXPENSE FOR COMMUNITY BENEFIT SERVICES, I.E., THE TOTAL COMMUNITY BENEFIT EXPENSE MINUS ANY ASSOCIATED REVENUE FROM PATIENTS, PAYERS, AND OTHER EXTERNAL SOURCES.THE GOAL OF THE REPORTING GUIDELINES IS TO PRODUCE COMMUNITY BENEFIT FINANCIAL REPORTS THAT REFLECT TRUE COSTS AND THAT DESCRIBE COMMUNITY BENEFIT ACTIVITIES THAT INCREASE ACCESS TO HEALTH CARE AND IMPROVE COMMUNITY HEALTH. | PART I, LINE 7 | |
| PART II: HOSPITAL STAFF PARTICIPATE IN THE UNITED WAY DAY OF CARING AND IN COLLECTING AND DONATING BACKPACKS TO UNITED WAY. THIS IS CONSIDERED A WORKING DAY FOR THOSE WHO PARTICIPATE. THE STAFF ALSO ARE ACTIVE ON THE BOARD OF UNITED WAY AND ON COMMITTEES FOR UNITED WAY.THE HOSPITAL'S PRESIDENT & CEO PARTICIPATES IN THE SUSSEX COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP OF SUSSEX COUNTY CHAMBER OF COMMERCE TO IMPROVE ECONOMIC QUALITY OF LIFE FOR SUSSEX COUNTY. THE PRESIDENT & CEO IS ALSO A MEMBER OF THE YMCA PIONEERING HEALTHY COMMUNITIES INITIATIVE AND SPENT TIME IN WASHINGTON, DC FOR TRAINING IN DECEMBER 2008. MEMBERS OF THE EDUCATION, OUTREACH, COMMUNITY BENEFITS DEPARTMENTS, AND BEHAVIORAL HEALTH AREAS PARTICIPATE ACTIVELY IN COALITION BUILDING WITH THE SUSSEX COUNTY COMMUNITY HEALTH PARTNERSHIP, COALITION FOR HEALTHY & SAFE FAMILIES, SUSSEX COUNTY HUMAN SERVICES ADVISORY COUNCIL, SUSSEX COUNTY CHAMBER OF COMMERCE WELLNESS COMMITTEE, SUSSEX COUNTY KEEP KIDS SAFE COUNCIL, SUSSEX COUNTY PROVIDER AND SENIOR PROVIDER GROUPS, SUSSEX COUNTY CHAMBER OF COMMERCE (SCCC), SCCC ECONOMIC DEVELOPMENT PARTNERSHIP, SCCC WELLNESS COMMITTEE; GINNIE'S HOUSE BOARD OF DIRECTORS, GINNIE'S HOUSE CHILD ADVOCACY CENTER, GINNIE'S HOUSE PROGRAM COMMITTEE, SUSSEX COUNTY MULTIDISCIPLINARY TREATMENT TEAM (MDT); CHAIR OF SUSSEX COUNTY SEXUAL ASSAULT RESOURCE TEAM; CO-CHAIR SUSSEX COUNTY DOMESTIC PREPAREDNESS TASK FORCE; NORTHWEST REGIONAL PARTNERSHIP & FIRST RECEIVER EDUCATION TEAM FOR AWARENESS & OPERATIONS; PIONEERING HEALTHIER COMMUNITIES, ACTIVATE AMERICA PROGRAM COMMITTEE, SUSSEX COUNTY SCHOOLS TASK FORCE FOR PIONEERING HEALTHIER COMMUNITIES; AMERICAN HEART ASSOCIATION REGIONAL FACULTY (BLS, ACLS, PALS); NEWTON ROTARY CLUB, BOARD OF DIRECTORS SUSSEX COUNTY COMMUNITY COLLEGE; GARDEN STATE ASSOCIATION OF DIABETES EDUCATORS; SUSSEX COUNTY CANCER COALITION; PIKE COUNTY CHILD DEATH REVIEW TEAM; & PIKE COUNTY INTERAGENCY COUNCIL.ONE FULL TIME HOSPITAL EMPLOYEE WHO HAS PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITHIN THE COUNTY AND STATE IN ADDITION TO CO-CHAIRING THE SUSSEX COUNTY DOMESTIC PREPAREDNESS TASK FORCE MANAGES THE COMMUNITY BENEFITS COORDINATION AND OPERATION. | ||
| PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS:PATIENT ACCOUNTS RECEIVABLE RESULTING FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL ARE STATED AT THE ESTIMATED NET AMOUNTS RECEIVABLE FROM PAYORS. ADDITIONS TO ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH COVERAGE AND OTHER COLLECTION INDICATORS.THE COSTING METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST AND THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS BAD DEBT EXPENSES TIMES COST TO CHARGE RATIO.IN DETERMINING BAD DEBT EXPENSE, PATIENT LIABILITIES ARE NET OF THIRD PARTY PAYMENTS AND PATIENT DISCOUNTS.THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY IS THAT UNINSURED DISCOUNTED SELF PAY PATIENTS THAT ARE CLASSIFIED AS BAD DEBT TIMES COST TO CHARGE RATIO.NEW JERSEY HOSPITALS PROVIDE CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THAT IS PART OF THE HOSPITAL'S CARING MISSION, AND IT IS ALSO A MANDATE WRITTEN IN STATE LAW. NEW JERSEY DOES NOT HAVE A PUBLIC HOSPITAL SYSTEM. | ||
| PART III, LINE 8: THE COSTING METHODOLOGY/SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS THE COST TO CHARGE RATIO PER THE 2011 MEDICARE COST REPORT SCHEDULE S-10.NEW JERSEY HOSPITALS PROVIDE CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THAT IS PART OF THE HOSPITAL'S CARING MISSION, AND IT IS ALSO A MANDATE WRITTEN IN STATE LAW. NEW JERSEY DOES NOT HAVE A PUBLIC HOSPITAL SYSTEM. | ||
| PART III, LINE 9B: ALL PATIENTS ARE PROVIDED WITH FREE AND BELOW COST CARE GUIDELINES VIA NOTICES AND SIGNS AT TIME OF SERVICE. UNINSURED INPATIENTS ARE QUALIFIED FOR CHARITY OR MEDICAID. OUTPATIENTS ARE SCREENED FOR ELECTIVE SERVICES. HOSPITAL PRE-COLLECTION AND COLLECTION AGENCIES ALSO PROVIDE INFORMATION TO PATIENTS ABOUT QUALIFICATION FOR UNCOMPENSATED CARE. | ||
| PART VI, LINE 2: THE LAST COMMUNITY ASSESSMENT WAS COMPLETED THROUGH THE SUSSEX COUNTY HUMAN SERVICES ADVISORY COUNCIL IN 2008. THIS WAS AN UPDATE OF THE 2003 ASSESSMENT WHICH THE HOSPITAL PARTNERED WITH AND CHAMPIONED FOR THE SUSSEX COUNTY DIVISION OF HEALTH & HUMAN SERVICES. THE DATA WAS BASED ON HOUSEHOLD SURVEYS AND UTILIZED VALIDATED QUESTIONS AS WELL AS TARGETED FOCUS GROUPS.NEWTON MEMORIAL HOSPITAL IS ALSO A PART OF THE COMMUNITY HEALTH PARTNERSHIP THAT RELEASED THE SUSSEX COUNTY HEALTH IMPROVEMENT PLAN IN JULY OF 2008. THE DATA WAS BASED ON SURVEYS COMPLETED IN 2005 AND UTILIZED VALIDATED QUESTIONS AS WELL AS TARGETED FOCUS GROUPS.NEWTON MEMORIAL HOSPITAL HAS BEEN VERY ACTIVE IN COMMUNITY ASSESSMENTS AND PARTICIPATES ACTIVELY IN THE SUSSEX COUNTY PIONEERING HEALTHIER COMMUNITIES WHICH IS A COALITION OF LEADERS TO ASSIST IN MAKING NECESSARY POLICY CHANGES TO PROMOTE HEALTHIER LIVING AND A HEALTHIER COMMUNITY WITHIN THE COUNTY. THE PRESIDENT & CEO AS WELL AS THE DIRECTOR OF EDUCATION, OUTREACH & COMMUNITY BENEFITS OF THE HOSPITAL PARTICIPATE ACTIVELY ON THE OVERSIGHT COMMITTEE AS WELL AS SUBCOMMITTEES OF THIS COALITION.NEWTON MEMORIAL HOSPITAL PROVIDES PROGRAMMING AND SERVICES BASED ON THESE ACTIVE/CURRENT COMMUNITY ASSESSMENTS TO RESIDENTS. NEWTON MEMORIAL HOSPITAL WORKS WITHIN COALITIONS AS WELL AS WITH PARTNERS TO MEET ASSESSED COMMUNITY NEEDS. THIS IS A MAJOR STRATEGIC INITIATIVE ADDRESSING IDENTIFIED NEEDS AND PROBLEMS. | ||
| PART VI, LINE 3: NEWTON MEMORIAL HOSPITAL PROVIDES FINANCIAL COUNSELING INFORMATION IN ENGLISH AND SPANISH TO THOSE IN NEED.NEWTON MEMORIAL HOSPITAL'S POLICY FOR THE PURPOSE OF PROVIDING INPATIENT AND/OR OUTPATIENT SERVICES TO THE MEDICALLY INDIGENT RESIDENTS OF NEW JERSEY STATES: "THE HOSPITAL'S FINANCIAL COUNSELOR WILL INTERVIEW ALL APPLICANTS TO DETERMINE ELIGIBILITY. INITIAL APPROVAL FOR REDUCED RATES WILL BE MADE BY THE DIRECTOR OF PATIENT ACCOUNTS. AN ELIGIBILITY DETERMINATION ON ANY APPLICATION WILL BE MADE WITHIN TEN (10) WORKING DAYS FOLLOWING THE APPLICANT'S COMPLETION AND SUBMISSIONS OF ALL REQUIRED INFORMATION." ELIGIBILITY REQUIREMENT: ALL APPLICANTS WILL BE SCREENED BY THE HOSPITAL'S FINANCIAL COUNSELOR TO ASSURE ELIGIBILITY IN THE FOLLOWING CATEGORIES PRIOR TO FORWARDING THE APPLICATION TO THE DIRECTOR OF PATIENT ACCOUNTS FOR INITIAL APPROVAL. 1. RESIDENCY: BELOW COST OR FREE CARE WILL BE AVAILABLE TO ALL ELIGIBLE NEW JERSEY RESIDENTS. 2. AGE: THE APPLICANT MUST HAVE REACHED THE AGE OF MAJORITY OR BE EMANCIPATED. UNDERAGE APPLICANTS REQUIRING SERVICES UNDER THIS POLICY MUST HAVE THEIR PARENT, GUARDIAN, OR RESPONSIBLE PARTY COMPLETE ALL APPLICATION FORMS. 3. THIRD PARTY ASSISTANCE: AN ELIGIBILITY ASSESSMENT WILL BE CONDUCTED BY THE FINANCIAL COUNSELOR UTILIZING CURRENT PUBLIC ASSISTANCE STANDARDS AS PUBLISHED BY THE NEW JERSEY DEPARTMENT OF INSTITUTIONS AND AGENCIES, DIVISION OF PUBLIC WELFARE. THE HOSPITAL'S FINANCIAL COUNSELOR WILL REFER APPLICANTS DEEMED ELIGIBLE FOR THIRD PARTY ASSISTANCE TO ONE OR MORE OF THE FOLLOWING APPROPRIATE PROGRAMS: A. PUBLIC ASSISTANCE MEDICAID B. SSI MEDICAID C. MEDICARE D. SOCIAL SECURITY DISABILITY E. NEW JERSEY STATE DISABILITY UNEMPLOYMENT F. DIRECT ENROLLMENT IN BLUE CROSS AND BLUE SHIELD G. OTHER MEDICAL INSURANCE (SCHOOL PROGRAMS, ETC.) FAILURE OF THE PATIENT TO APPLY FOR ELIGIBLE PUBLIC ASSISTANCE PROGRAMS WILL TERMINATE HIS/HER ELIGIBILITY FROM THE HOSPITAL'S INDIGENCE PROGRAM.ALL OBSTETRICAL APPLICANTS ELIGIBLE FOR MEDICAID ASSISTANCE WILL BE REFERRED TO THE FINANCIAL COUNSELOR. 4. INCOME TEST: THE PERSON'S INCOME FOR ELIGIBILITY DETERMINATIONS WILL BE THE LESSER OF THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY FOR THE TWELVE (12) MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME OF THE APPLICANT OR FAMILY OF THE THREE (3) MONTHS PRECEDING THE SERVICES. APPLICANTS ARE REQUIRED TO PRODUCE VERIFICATION OF INCOME AS A CONDITION OF ELIGIBILITY, E.G., TAX RETURNS, PAY STUBS, BANK STATEMENTS, ETC. 5. ASSET TEST: THE APPLICANT CAN BE DEEMED INELIGIBLE IF HE/SHE POSSESSES EITHER REAL OR PERSONAL PROPERTY WHICH WOULD ENABLE HIM/HER TO MEET HIS/HER MEDICAL FINANCIAL REQUIREMENTS. ASSETS WILL BE CONSIDERED IN THE ELIGIBILITY REQUIREMENTS FOR ALL CASES. ASSETS ARE DEFINED AS CASH, SAVINGS AND CHECKING ACCOUNTS, CERTIFICATES OF DEPOSIT, TREASURY NOTES, STOCKS AND BONDS, OTHER NEGOTIABLE PAPER, AND REAL ESTATE OTHER THAN THE APPLICANT'S PRIMARY RESIDENCE. INDIVIDUAL ASSETS MAY NOT EXCEED $7,500.00; FAMILY ASSETS MAY NOT EXCEED $15,000.00. HOSPITAL FEE SCHEDULE: FREE CARE OR BELOW COST CARE WILL BE DETERMINED BY USE OF THE NEW JERSEY STATE DEPARTMENT OF HEALTH FEE SCHEDULE.PERIODIC REVIEW: APPROVED APPLICANTS ARE ELIGIBLE FOR BELOW COST OR FREE CARE FOR A MAXIMUM PERIOD OF ONE (1) YEAR FROM THE APPLICATION DATE AFTER WHICH DATE THEIR ELIGIBILITY WILL AGAIN BE VERIFIED. | ||
| PART VI, LINE 4: NEWTON MEMORIAL HOSPITAL IS LOCATED IN SUSSEX COUNTY IN THE SKYLANDS REGION OF THE STATE AND APPROXIMATELY 60 MILES FROM MANHATTAN. NEWTON IS THE COUNTY SEAT AND PARTICIPATES IN THE NORTHWEST REGIONAL PARTNERSHIP FOR EMERGENCY PREPAREDNESS. IN ADDITION, NEWTON MEMORIAL HOSPITAL PROVIDES SERVICES TO RESIDENTS IN SUSSEX COUNTY, PART OF WARREN COUNTY, AND PIKE COUNTY, PENNSYLVANIA.FROM THE 2008 COMMUNITY ASSESSMENT, THERE ARE APPROXIMATELY 151,442 RESIDENTS. THE MINORITY POPULATION IS 9% AND THERE HAS BEEN APPROXIMATELY A 6% INCREASE IN POPULATION IN THE LAST 6 YEARS. THERE HAS BEEN AN INCREASE IN THE NUMBER OF HISPANIC POPULATION SEEN WITHIN THE HOSPITAL. PATIENTS IN THE WOMEN'S HEALTH CENTER AND ADULT MEDICAL CLINIC COME FROM TWO SOURCES OF THIS HISPANIC COMMUNITY--EL REFUGIO BASED IN NEWTON AND BLESSED KATERI MINISTRY BASED IN SPARTA.THE MEDIAN AGE FOR THE COUNTY IS 39 AND 60% OF RESIDENTS ATTENDED COLLEGE. THE MEDIAN INCOME IN 2008 IS $74,420. THE UNEMPLOYMENT RATE IS 3.9%, HIGHEST AMONG 16-19 YEAR OLDS AND THERE ARE 6,628 RESIDENTS LIVING IN POVERTY.THERE ARE 14,245 HOUSEHOLDS WITH AN INDIVIDUAL 65 AND OVER IN RESIDENCE. AT THE SAME TIME THE NUMBER OF BIRTHS DECREASED BY 10% FROM 1,778 TO 1,601.SUSSEX COUNTY RANKS FIRST IN THE PERCENTAGE OF WOMEN RECEIVING PRENATAL CARE DURING THE FIRST TRIMESTER (90%). IN FACT NEWTON MEMORIAL HOSPITAL PROVIDED PRENATAL CARE TO 99% OF THE PATIENTS IN THE WOMEN'S HEALTH CENTER.THE LEADING CAUSES OF DEATH ARE HEART DISEASE AND CANCER; THERE ARE 134 CASES OF HIV. THERE WAS A 33% INCREASE IN EMERGENCY SCREENING SERVICES AND A 7% DECREASE IN OUTPATIENT MENTAL HEALTH SERVICES.FOR THE SAME PERIOD, THERE WAS A 183% INCREASE IN INJECTION DRUG USERS, 14.6% OF THE ADULT POPULATION REQUIRED ALCOHOL/DRUG TREATMENT AND 37% HAD NO INSURANCE.THERE ARE 2,410 STUDENTS WHO RECEIVE FREE OR REDUCED COST LUNCHES. SCHOOL BASED INCIDENCES OF VIOLENCE/VANDALISM INCREASED 5%. INCIDENTS OF SUBSTANCE ABUSE INCREASED 23%. OVERALL ADMISSIONS TO THE JUVENILE DETENTION CENTER ARE DOWN 15%. HOWEVER, FEMALE ADMISSIONS ARE UP 116%.REPORTS OF CHILD ABUSE AND NEGLECT HAVE INCREASED 30%. SUSSEX COUNTY IS ONE OF 5 COUNTIES STATEWIDE THAT HAS INCREASED EVERY YEAR. OUT OF HOME PLACEMENTS ARE DOWN FOR THE SAME PERIOD OF TIME. THE NUMBER OF FAMILY CRISIS INTERVENTION UNIT CASES IS DOWN 35% EXCEPT FOR CASES INVOLVING A "SERIOUS THREAT TO THE SAFETY OF THE JUVENILE" WHICH ARE UP BY 12%.THE NUMBER OF DOMESTIC VIOLENCE OFFENSES IS DOWN 24%. THE OVERALL CRIME RATE IN SUSSEX COUNTY INCREASED BY 27% - LARGELY NON-VIOLENT CRIMES INCLUDING LARCENY, THEFT AND BURGLARY.NEWTON MEMORIAL IS THE LARGEST HOSPITAL IN SUSSEX COUNTY AND SAINT CLARE'S, SUSSEX IS A SMALLER HOSPITAL WITHIN THE COUNTY WHICH SEES PATIENTS. | ||
| PART VI, LINE 6: NEWTON MEMORIAL HOSPITAL:1. OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY; 2. HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA; 3. HAS A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY;4. WORKS WITH OTHER AFFILIATED OR CLINICALLY AFFILIATED STAFF AND THEIR FACILITIES TO PROVIDE MEDICAL OR SCIENTIFIC RESEARCH PROGRAMS;5. ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS FROM PASSAIC COMMUNITY COLLEGE IN NURSING, SUSSEX COUNTY COMMUNITY COLLEGE FOR ALLIED HEALTH FIELDS MEDICAL ASSISTANT STUDENTS, SURGICAL TECHNICIAN STUDENTS, RESPIRATORY THERAPY STUDENTS AS WELL AS WILLIAM PATERSON UNIVERSITY NURSING STUDENTS, DOVER BUSINESS COLLEGE FOR PRACTICAL NURSE STUDENTS, CENTRAL STERILE PROCESSING STUDENTS. IN ADDITION, INTERNS IN SOCIAL WORK, HEALTH EDUCATION, PHARMACY, EXERCISE PHYSIOLOGY, BEHAVIORAL HEALTH, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, HOSPITAL ADMINISTRATION, EMERGENCY MEDICAL TECHNICIAN CLINICAL TIME IN THE EMERGENCY DEPARTMENT AND OTHER PROGRAMS HAVE BEEN PROVIDED AT NEWTON MEMORIAL HOSPITAL; 6. PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS;7. THE BOARD OF DIRECTORS IS MADE UP OF PEOPLE WHO RESIDE WITHIN THE COMMUNITY WE SERVE AND VOLUNTEER THEIR TIME BECAUSE OF THEIR CONCERN FOR THE HOSPITAL AND THE COMMUNITY IT SERVES. | ||
| PART VI, LINE 7: NORTH JERSEY HEALTH CARE CORPORATION ("NJHCC") AND SUBSIDIARIES (COLLECTIVELY THE "CORPORATION") WERE INCORPORATED IN THE STATE OF NEW JERSEY AND, AS APPLICABLE, WERE ORGANIZED TO PROVIDE HOSPITAL, HOME HEALTH CARE AND OTHER COMMUNITY HEALTH CARE SERVICES TO PATIENTS FROM THE SUSSEX COUNTY, NEW JERSEY AND SURROUNDING COMMUNITIES OR TO PROVIDE FINANCIAL SUPPORT TO THE CORPORATION THROUGH LEASING ACTIVITIES RELATED TO INVESTMENT AND OWNERSHIP OF OFFICE BUILDINGS OR FUND-RAISING ACTIVITIES.NJHCC HAS THE FOLLOWING WHOLLY OWNED OR CONTROLLED SUBSIDIARIES:NEWTON MEMORIAL HOSPITAL ("HOSPITAL")PRIME CARE, INC. ("PRIME CARE")NORTH JERSEY HEALTH VENTURES, INC. ("VENTURES")NORTH JERSEY HEALTH CARE PROPERTIES, INC. ("PROPERTIES")NEWTON MEMORIAL HOSPITAL FOUNDATION, INC. ("FOUNDATION")NJHCC IS A NOT-FOR-PROFIT ORGANIZATION AND WAS ESTABLISHED TO OVERSEE THE POLICIES AND ACTIVITIES OF ITS SUBSIDIARIES. ITS SUBSIDIARIES PROVIDE A FULL RANGE OF HEALTH CARE AND OTHER SERVICES AS BRIEFLY DESCRIBED BELOW.THE HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION. THE HOSPITAL IS LOCATED IN NEWTON, NEW JERSEY AND PROVIDES REGIONAL HEALTH CARE SERVICES INCLUDING A BROAD RANGE OF ADULT, PEDIATRIC, REHABILITATION, PSYCHIATRIC, OBSTETRICAL/GYNECOLOGICAL, ONCOLOGY AND INTENSIVE CARE SERVICES TO PATIENTS FROM AND SURROUNDING THE SUSSEX COUNTY COMMUNITY. THE HOSPITAL ALSO PROVIDES NUMEROUS OUTPATIENT AMBULATORY SERVICES AND EMERGENCY CARE. IN ADDITION, THE HOSPITAL PROVIDES FAMILY COUNSELING, PERSONAL CARE, HOMELESS AND RESIDENTIAL PROGRAMS.PRIME CARE IS A NOT-FOR-PROFIT ORGANIZATION WHICH OPERATES A MEDICARE CERTIFIED HOME HEALTH AGENCY AND PROVIDES VARIOUS WELLNESS, HEALTH EDUCATION AND OTHER HEALTH PROMOTION SERVICES.VENTURES WAS INCORPORATED ON JANUARY 30, 1986 AND CARRIES ON FOR-PROFIT ACTIVITIES. CURRENTLY, VENTURES HOLDS INVESTMENTS IN CERTAIN HEALTH CARE RELATED JOINT VENTURES.PROPERTIES IS A NOT-FOR-PROFIT ORGANIZATION WHICH WAS FORMED TO OWN COMMERCIAL BUILDINGS AND CONDUCT LEASING ACTIVITIES. THE ORGANIZATION OWNS AND CONDUCTS LEASING OPERATIONS OF COMMERCIAL BUILDINGS IN SPARTA AND NEWTON, NEW JERSEY AND IN MILFORD, PENNSYLVANIA AND A CONDOMINIUM IN NEWTON, NEW JERSEY.FOUNDATION IS A NOT-FOR-PROFIT FUND-RAISING ORGANIZATION THAT SOLICITS FUNDS IN ITS GENERAL APPEAL TO SUPPORT THE HOSPITAL AND AFFILIATED ORGANIZATIONS AND THE HEALTH CARE NEEDS OF THE COMMUNITY, AS THE FOUNDATION'S BOARD MAY DEEM APPROPRIATE. | ||
| NJ | PART VI, LINE 7 | REPORTS FILED WITH STATES |
| DUE TO THE MERGER OF NEWTON MEMORIAL HOSPITAL INTO AHS HOSPITAL CORP. EFFECTIVE APRIL 1, 2011, FULL STATISTICAL COMMUNITY BENEFIT INFORMATION FOR THE 2011 YEAR COULD NOT BE PROVIDED ON THIS FINAL RETURN. COMMUNITY BENEFIT INFORMATION FOR NEWTON MEMORIAL HOSPITAL WILL BE INCLUDED ON THE 2011 FORM SCHEDULE H OF AHS HOSPITAL CORP. | ADDITIONAL COMMUNITY BENEFIT INFORMATION |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS J SENKER | NamePerson |
| Base Compensation Filing Org | 93178 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 86789 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 22745 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 6136 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 3211 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 212059 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | CONTRACTUALLY OBLIGATED COMPENSATION RELATED TO RETIREMENT WAS GROSSED UP TO MINIMIZE TAXABLE IMPACT TO PRESIDENT & CEO THOMAS SENKER. |
| PART I, LINE 4B | PRESIDENT & CEO THOMAS SENKER PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SPONSORED BY NEWTON MEMORIAL HOSPITAL. NO AMOUNT WAS PAID FROM THIS PLAN DURING THE SHORT PERIOD ENDED APRIL 1, 2011. |
| PART I, LINE 5 | NEWTON MEMORIAL HOSPITAL ACCRUED POTENTIAL BONUS PAYMENTS BASED ON NET REVENUE AND PERFORMANCE TARGETS AS DESCRIBED IN A FORMAL WRITTEN BONUS PROGRAM APPROVED BY THE BOARD. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BRIAN FITZPATRICK | |||
| WIFE (KATHLEEN FITZPATRICK) IS AN EMPLOYEE OF NEWTON MEMORIAL HOSPITAL | 23546 | COMPENSATION | 0 |
| GEORGE MORVILLE JR | |||
| SON-IN-LAW (JOHN BRAND) IS AN EMPLOYEE OF NEWTON MEMORIAL HOSPITAL | 12579 | COMPENSATION | 0 |
Schedule N IRS990ScheduleN
Liquidation Table LiquidationTable
Liquidation Detail LiquidationDetail (20 entries)
| Description Of AssetDescriptionOfAsset | Date Of DistributionDateOfDistribution | FMV Of AssetFMVOfAsset | Method Of FMV DeterminationMethodOfFMVDetermination | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|---|---|
| AHS HOSPITAL CORP | |||||||||
| CASH & CASH EQUIVALENTS | 2011-04-01 | 15276629 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| INVESTMENTS-MUTUAL FUNDS | 2011-04-01 | 36631090 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| PATIENT ACCOUNTS RECEIVABLE | 2011-04-01 | 13586331 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| OTHER RECEIVABLES | 2011-04-01 | 2335216 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| INVENTORIES | 2011-04-01 | 1492664 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| DUE FROM AFFILIATES | 2011-04-01 | 607808 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| PREPAID EXPENSES | 2011-04-01 | 1357786 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| DEPOSITS | 2011-04-01 | 15024 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| IBNR-INSURANCE RECOVERABLES | 2011-04-01 | 1822203 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| PROPERTY, PLANT AND EQUIPMENT, NET | 2011-04-01 | 48719348 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| BENEFICIAL INTEREST IN NET ASSETS OF NEWTON MEMORIAL HOSPITAL FOUNDATION | 2011-04-01 | 1889262 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| BENEFICIAL INTEREST IN PERPETUAL TRUSTS | 2011-04-01 | 3812511 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| DEFERRED FINANCING COSTS, NET | 2011-04-01 | 595585 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| ACCOUNTS PAYABLE AND ACCRUED EXPENSES | 2011-04-01 | -15286492 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| DUE TO AFFILIATES | 2011-04-01 | -9416 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| AMOUNTS DUE TO THIRD-PARTY PAYERS | 2011-04-01 | -7905902 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| OBLIGATIONS UNDER CAPITAL LEASE | 2011-04-01 | -198739 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| TAX-EXEMPT BOND LIABILITIES | 2011-04-01 | -22456284 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| AHS HOSPITAL CORP | |||||||||
| ACCRUED MALPRACTICE LIABILITY | 2011-04-01 | -1918078 | BOOK VALUE | 521958352 | 475 SOUTH STREET | MORRISTOWN | NJ | 07960 | 501(C)(3) |
| REED SMITH | |||||||||
| TRANSACTION EXPENSE - LEGAL FEES | 2011-04-01 | 118210 | COST | 250749630 | 136 MAIN STREET | PRINCETON | NJ | 08540 | LLP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | 1 | DirectorOfSuccessor |
| Employee Of Successor | 1 | EmployeeOfSuccessor |
| Owner Of Successor | 0 | OwnerOfSuccessor |
| Receive Compensation | 0 | ReceiveCompensation |
| Assets Distributed | 1 | AssetsDistributed |
| Required To Notify AG | 1 | RequiredToNotifyAG |
| AG Notified | 1 | AGNotified |
| Liabilities Paid | 1 | LiabilitiesPaid |
| Bonds Outstanding | 1 | BondsOutstanding |
| Bond Liabilities Discharged | 1 | BondLiabilitiesDischarged |
Form990 Schedule N Part III Form990ScheduleNPartIII (2 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 2E: THE FOLLOWING BOARD MEMBERS OF NEWTON MEMORIAL HOSPITAL BECAME BOARD MEMBERS OF AHS HOSPITAL CORP. AFTER THE MERGER:GLENN CLARKROBERT MCCRACKENPAUL OWENS, MDTHE FOLLOWING OFFICERS OF NEWTON MEMORIAL HOSPITAL BECAME EMPLOYEES OF AHS HOSPITAL CORP. AFTER THE MERGER:THOMAS SENKER REMAINED PRESIDENT OF NEWTON MEMORIAL HOSPITAL, WHICH BECAME A DIVISION OF AHS HOSPITAL CORP. AFTER THE MERGER.SEAN O'ROURKE BECAME THE DIRECTOR OF OPERATIONS AT NEWTON MEMORIAL HOSPITAL, WHICH BECAME A DIVISION OF AHS HOSPITAL CORP. AFTER THE MERGER.DAVID RIKKOLA BECAME THE DIRECTOR OF AHS INVESTMENT CORP. AFTER THE MERGER. |
| PART I, LINE 7C: UPON CONSUMMATION OF THE MERGER ON APRIL 1, 2011, THE NEWTON MEMORIAL HOSPITAL MASTER INDENDTURE WAS DISCHARGED AND TWO SEPARATE NOTES WERE ISSUED FOR THE NEWTON MEMORIAL HOSPITAL 1997 AND 2001 REVENUE BONDS UNDER THE AHS HOSPITAL CORP. MASTER INDENTURE. ON MAY 1, 2011, AHS EXECUTED A LOAN WITH NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY WITH A PORTION OF THE PROCEEDS USED TO REFUND THE OUTSTANDING NEWTON MEMORIAL HOSPITAL 1997 REVENUE BONDS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | EFFECTIVE APRIL 1, 2011, NEWTON MEMORIAL HOSPITAL ("NEWTON") MERGED INTO AHS HOSPITAL CORP. ("AHS"). AHS WAS THE SURVIVING CORPORATION. ALL PROPERTY OF NEWTON WAS TRANSFERRED TO AHS, AND AHS ASSUMED ALL LIABILITIES OF NEWTON. AHS IS AN ORGANIZATION EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 FILING WAS PREPARED BY THE FINANCE DEPARTMENT WITH THE ASSISTANCE OF TAX ADVISORS. THE COMPLETED FILING WAS REVIEWED BY THE CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. UPON FINALIZATION OF THE FORM 990, COPIES WERE MADE AVAILABLE TO BOARD MEMBERS. FORM 990 IS FILED WITH THE IRS AFTER THIS REVIEW PROCESS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH "INTERESTED PERSON" OF THE HOSPITAL SHALL ANNUALLY SIGN THE NEW JERSEY HEALTH CARE CORPORATION ("NJHCC") CONFLICT OF INTEREST DISCLOSURE STATEMENT (FORM #1885C) WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY OR THE NJHCC BY-LAWS, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THAT NJHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES UNDER IRC SECTION 501(C)(3) OR 501(C)(4) OF THE INTERNAL REVENUE CODE. ON THE CONFLICT OF INTEREST DISCLOSURE STATEMENT, ALL "INTERESTED PERSONS" MUST DETAIL ALL EXISTING OR POTENTIAL CONFLICTS OF INTEREST AND FILE THE FORM WITH THE CHIEF COMPLIANCE OFFICER ANNUALLY. INTERIM DISCLOSURES SHALL ALSO BE REQUIRED AS CONFLICTS DEVELOP SUBSEQUENT TO THE ANNUAL DISCLOSURES. TO ENSURE THAT NJHCC OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEW SHALL BE CONDUCTED BY THE CHIEF COMPLIANCE OFFICER. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULTS OF APPROPRIATE NEGOTIATIONS. B. WHETHER PHYSICIAN RECRUITMENT PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. C. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER NJHCC'S CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. D. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES AND THIRD PARTY PAYORS FURTHER NJHCC'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION REVIEWED AND DETERMINED THE TOTAL CASH COMPENSATION (CONSISTS OF BASE SALARY AND INCENTIVE AWARDS) OF THE PRESIDENT & CEO AND ALL EXECUTIVES (NAMELY, THE SVP-OPERATIONS/COO, VP-MEDICAL AFFAIRS/CMO, VP-FINANCE/CFO, VP-HR/CHIEF HR OFFICER AND CHIEF LEGAL OFFICER, VP-PATIENT CARE SERVICES/CNO, VP-FOUNDATION/CHIEF DEVELOPMENT OFFICER AND VP-MARKETING/BUSINESS DEVELOPMENT). THE ORGANIZATION ENGAGED INDEPENDENT CONSULTING FIRM, SULLIVAN COTTER AND ASSOCIATES, INC. TO PROVIDE GUIDANCE, ANALYSIS, RECOMMENDATIONS AND A REASONABLENESS OPINION. THIS PROCESS WAS LAST UNDERTAKEN IN 2008 FOR ALL OF THE AFOREMENTIONED EMPLOYEES. THE PROCESS INCLUDED SULLIVAN COTTER'S EVALUATION OF TOTAL CASH COMPENSATION FOR THESE EMPLOYEES BY USING COMPREHENSIVE COMPETITIVE MARKET DATA TO BENCHMARK SUCH COMPENSATION AGAINST OTHER HOSPITALS WITH SIMILAR NET REVENUE, COMPLEXITY, SCOPE, NON-PROFIT STATUS AND SIMILAR POSITIONS. MARKET DATA USED INCLUDES BOTH REGIONAL AND NATIONAL DATA. SULLIVAN COTTER DOCUMENTS ITS FINDINGS AND DELIVERS A WRITTEN REPORT AND OPINION TO THE ORGANIZATION. SULLIVAN COTTER'S FINDINGS AND RECOMMENDATIONS ARE REVIEWED BY THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF THE ORGANIZATION WHOSE REVIEW VIA ANALYSIS AND DELIBERATION IS DOCUMENTED IN THE MINUTE(S) OF ITS MEETINGS REGARDING SAME. UPON RECOMMENDATION OF THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE GOVERNANCE COMMITTEE, THE FINDINGS AND RECOMMENDATIONS ARE ULTIMATELY REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD'S FINDINGS AND DETERMINATIONS ARE DOCUMENTED IN THE MINUTES OF ITS MEETING(S) REGARDING SAME. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| AVERAGE HOURS PER WEEK | FORM 990, PART VII, SECTION A, COLUMN (B) | AVERAGE HOURS PER WEEK LISTED IN PART VII ARE FOR THIS LEGAL ENTITY ONLY. BOARD MEMBERS AND OFFICERS ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. TOTAL AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS: BOARD MEMBERS - 5.8 HOURS PER WEEK PRESIDENT & CEO THOMAS J. SENKER - 42.5 HOURS PER WEEK COO SEAN O'ROURKE - 42.5 HOURS PER WEEK CFO DAVID RIKKOLA - 42.5 HOURS PER WEEK |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 491,989. WRITE OFF OF OTHER RECEIVABLE -3,163,008. CHANGE IN VALUE OF PERPETUAL TRUSTS 107,959. NET ASSETS TRANSFERRED TO AHS HOSPITAL CORP. ON 4/1/11 -80,366,546. TOTAL TO FORM 990, PART XI, LINE 5: -82,929,606. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NEWTON MEMORIAL HOSPITAL FOUNDATION INC | |||||||||||
| 175 HIGH STREET | NEWTON | NJ | 07860 | 222618102 | ADMINISTERS DONATIONS, GRANTS & BEQUESTS AND PERFORMS FUNDRAISING | NJ | 501(C)(3) | LINE 7 | NORTH JERSEY HEALTH CARE CORPORATION | 0 | |
| NORTH JERSEY HEALTH CARE CORPORATION | |||||||||||
| 175 HIGH STREET | NEWTON | NJ | 07860 | 222618100 | OVERSEES POLICIES AND ACTIVITIES OF SUBSIDIARIES | NJ | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| NORTH JERSEY HEALTH CARE PROPERTIES INC | |||||||||||
| 175 HIGH STREET | NEWTON | NJ | 07860 | 223519709 | OWNS COMMERCIAL BUILDINGS AND CONDUCTS LEASING ACTIVITIES | NJ | 501(C)(2) | NORTH JERSEY HEALTH CARE CORPORATION | 0 | ||
| PRIME CARE INC | |||||||||||
| 175 HIGH STREET | NEWTON | NJ | 07860 | 222759566 | PROVIDES HOME AND HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 9 | NORTH JERSEY HEALTH CARE CORPORATION | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH JERSEY HEALTH VENTURES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 HIGH STREET | AddressLine1 |
| City | NEWTON | City |
| State | NJ | State |
| ZIP Code | 07860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222705732 | EIN |
| Primary Activity | INVESTMENTS IN HEALTH CARE RELATED JOINT VENTURES | PrimaryActivity |
| Legal Domicile State | NJ | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| 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 |
| 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH JERSEY HEALTH CARE PROPERTIES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionType |
| Amount Involved | 218668 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |