2011-11-02T10:12:24-05:00 2011-02-28 RSM MCGLADREY INC 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2010-03-01 222159336 SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC SOUT 6095670434 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 LINDA FLAKE 6095670434 2011-11-02 1 MARTIN GREIF 2123721000 2010 2016-03-07 17:11:31Z LINDA FLAKE 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 23404181 0 X WWW.SJMC.ORG X 1977 NJ A COMMUNITY HEALTH CENTER IN THE STATE OF NEW JERSEY THAT OPERATES IN THE COUNTIES OF ATLANTIC, BURLINGTON, AND SALEM THAT PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 12 12 294 0 0 0 5216298 6388830 15091380 16993366 14283 4722 34502 17263 20356463 23404181 0 0 0 0 12866216 14538054 0 0 0 6864285 7465068 19730501 22003122 625962 1401059 12554157 14062883 3773691 3881358 8780466 10181525 TO PROVIDE AND PROMOTE EFFECTIVE HIGH QUALITY, PRIMARY AND PREVENTIVE HEALTH AND DENTAL CARE SERVICES FOR RESIDENTS AND MIGRANT FARM WORKERS IN SOUTHERN JERSEY REGARDLESS OF THEIR ABILITY TO PAY, AND ELIMINATE BARRIERS TO CARE UPON RACE AND OTHER BELIEFS AND STATUS. 0 0 12421229 11998186 PROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $3,008,677. 3950466 3805882 PROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE DENTAL CARE SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $956,884. 1234479 1189298 PROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE OB SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $299,016. 17606174 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 57 0 1 294 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X RON KAPLAN VP OF FINANCECFO 6094813002 1 WHITE HOUSE CENTRE HAMMONTON NJ 08037 S KATHRYN RIGBY 1.00 X X 0 0 0 CHRISTOPHER COLON 1.00 X X 0 0 0 JOSE CAMACHO MD 1.00 X X 0 0 0 NORMAN KING 1.00 X X 0 0 0 ELIZABETH JETER-GREEN 1.00 X 0 0 0 REV REGINALD FLOYD ESQ 1.00 X 0 0 0 TERESA KELLY 1.00 X 0 0 0 CAROL RAMSEY 1.00 X 0 0 0 MIGUEL BERMUDEZ 1.00 X 0 0 0 JOSEPH YEOMAN 1.00 X 0 0 0 NELLIE RODRIGUEZ 1.00 X 0 0 0 JOCELYN TYSON 1.00 X 0 0 0 LINDA Y FLAKE 40.00 X 274133 0 42328 JOSEPH LEE 40.00 X 133049 0 8434 RONALD KAPLAN 40.00 X 101466 0 15773 JOSE MENDOZA 40.00 X 300780 0 7500 KENNETH IRVIS 40.00 X 243867 0 25628 NWOGO AGBASI 40.00 X 238763 0 16126 NANCY MERLE 40.00 X 196413 0 24328 JUAN BERJARAN 40.00 X 188789 0 24271 1677260 0 164388 22 0 1 0 INTERNATIONAL MANAGEMENT 1700 W IRVING PARK ROAD CHICAGO IL 60613 CONSTRUCTION CONTRACTOR 823889 BERGEN MEDICAL GROUP 26 WILSON DRIVE NORTHFIELD NJ 08225 CONTRACTED PHYSICIAN SERVICES 572315 LSQ FUNDING GROUP 2600 LUCIEN WAY SUITE 100 MAITLAND FL 32751 AGENCY 366025 HENRY SCHEIN INC 135 DURYEA ROAD MELVILLE NY 11747 DENTAL SUPPLIES 293513 KEYCARE 145 TALMADGE RD STE 10 EDISON NJ 08817 IT CONSULTING 276608 13 6245234 143596 6388830 MEDICAID 900099 10492326 10492326 NJ UNCOMPENSATED CARE 900099 4025658 4025658 SELF PAY 900099 1086185 1086185 OTHER THIRD PARTY 900099 792137 792137 MEDICARE 900099 597060 597060 16993366 4722 4722 OTHER REVENUE 900099 17263 17263 17263 23404181 16993366 0 21985 599935 480045 119890 11115015 8893870 2221145 124187 99361 24826 1913623 1531218 382405 785294 628366 156928 146921 117561 29360 101259 81024 20235 2397921 1918737 479184 108684 86965 21719 1656742 1325670 331072 207364 165926 41438 934212 747526 186686 90986 72804 18182 19015 15215 3800 120142 96134 24008 747473 598103 149370 174982 140015 34967 REPAIRS AND MAINTENANCE 230638 184549 46089 PROVISION FOR BAD DEBTS 214068 171290 42778 PERSONNEL RECRUITMENT 131004 104825 26179 DUES & SUBSCRIPTIONS 130033 104048 25985 LABORATORY 33991 27198 6793 19633 15724 3909 22003122 17606174 4396948 0 149271 1363696 1240684 2250506 304905 333515 3360321 2093772 120246 178023 12970874 5225053 7266851 7745821 111879 97550 12554157 14062883 1811906 2018931 70901 65352 1890884 1797075 3773691 3881358 X 8702424 10181525 78042 0 8780466 10181525 12554157 14062883 1401059 0 X X 0 1 1 X 1 1 X 4404792 4697733 4332683 5216298 6388830 25040336 4404792 4697733 4332683 5216298 6388830 25040336 25040336 55922 33292 4385 61030 4722 159351 3238 46790 80000 34502 17263 181793 25381480 66842506 0.98660 0.98400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 169955 169955 4424988 1153591 3271397 2083260 1159333 923927 4627768 2912129 1715639 1664903 1664903 7745821 23404181 22003122 1401059 0 1401059 23479181 75000 75000 23404181 0 23404181 22078122 75000 75000 22003122 0 22003122 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ON JANUARY 1, 2009, THE CENTER ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CODED IN ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2006, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. X X X 0 1 0 0 0 0 0 1 0 LINDA Y FLAKE 254133 0 20000 0 0 0 24500 0 26080 0 324713 0 0 0 JOSE MENDOZA 300780 0 0 0 0 0 7500 0 1630 0 309910 0 0 0 KENNETH IRVIS 243867 0 0 0 0 0 7800 0 20445 0 272112 0 0 0 NWOGO AGBASI 238763 0 0 0 0 0 8242 0 9687 0 256692 0 0 0 NANCY MERLE 196413 0 0 0 0 0 6500 0 22137 0 225050 0 0 0 JUAN BERJARAN 188789 0 0 0 0 0 1300 0 24546 0 214635 0 0 0 PART I, LINE 4B LINDA Y. FLAKE PARTIIPATED IN 457(F) AT THE AMOUNT OF $13,500 DURING THE YEAR. 457(F) IS DEFERRED COMPENSATION PLAN WHERE THE EMPLOYEE CAN DEFER SOME OF THEIR OWN EARNINGS. THE EMPLOYEE CAN ACCESS THESE FUNDS ONCE SEPARATED FROM SERVICE. SUPPLEMENTAL INFORMATION PART III PART I, LINE 7: THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED MRS. FLAKE'S ACCOMPLISHMENTS DURING THE YEAR AND MADE A RECOMMENDATION FOR HER PERFORMANCE BONUS WHICH WAS VOTED ON AND APPROVED BY THE FULL BOARD OF DIRECTORS BY UNANIMOUS VOTE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 RETURN IS REVIEWED WITH THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. ALL SCHEDULES ARE BRIEFLY REVIEWED WITH THE COMMITTEE AND ANY QUESTIONS THEY HAVE WILL BE ANSWERED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD, THE CEO AND ALL EMPLOYEES ARE OBLIGATED TO ADVISE THE BOARD AND CEO IF A PROPOSED PROCUREMENT OF GOODS, SPACE OR SERVICES BY SJFMC CREATES A POTENTIAL CONFLICT OF INTEREST (COI). THE BOARD MEMBERS OR EMPLOYEES INDICATING A COI MAY NOT THEREAFTER DELIBERATE AND OR VOTE ON ANY SUCH PROPOSAL OR OVERSEE THE PROCUREMENT OF GOODS, SPACE OR SERVICES ON BEHALF OF SJFMC. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE UTILIZED THE SERVICES OF AN INDEPENDENT CONSULTANT WHO PERFORMED A COMPARATIVE ANALYSIS OF THE COMPENSATION OF PRESIDENT/CEOS OF COMMUNITY HEALTH CENTERS AND OTHER HEALTH CARE ORGANIZATIONS IN THE REGION WITH COMPARABLE YEARS OF EXPERIENCE, EDUCATION, LENGTH OF SERVICE, AND SIZE AND COMPLEXITY OF THE ORGANIZATION. AT THAT TIME, THE CEO'S SALARY WAS ADJUSTED ACCORDING TO MARKET AND EACH YEAR THE CEO PER CONTRACT RECEIVES AN ANNUAL COST OF LIVING INCREASE. A PERFORMANCE BONUS IS ALSO AFFORDED THE CEO BASED UPON A PERFORMANCE EVALUATION THAT IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE CEO IS REQUIRED TO PROVIDE A REPORT TO THE EXECUTIVE COMMITTEE THAT INCLUDES A LISTING BY THE CEO OF ALL THE ACCOMPLISHMENTS OF THE PREVIOUS YEAR AND THE OBJECTIVES FOR THE UPCOMING YEAR. THE ACCOMPLISHMENTS ARE COMPARED TO THE OBJECTIVES FROM THE PREVIOUS YEAR AND A WRITTEN PERFORMANCE EVALUATION IS PREPARED AND SUBMITTED TO THE FULL BOARD FOR APPROVAL. THE PERFORMANCE BONUS, IF ANY, IS RECOMMENDED TO THE BOARD BY THE EXECUTIVE COMMITTEE, AND APPROVED BY THE MAJORITY VOTE OF THE FULL BOARD. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION: CFO, COO, MEDICAL DIRECTOR FORM 990, PART VI, SECTION C, LINE 19 SJFMC DOES NOT PUBLISH ITS PUBLIC DOCUMENTS ON THEIR WEBSITE. ANY REQUESTS FOR PUBLIC DOCUMENTS ARE SENT TO THE CEO FOR APPROVAL AND THE DOCUMENTS ARE RELEASED TO THE ORGANIZATION OR INDIVIDUALS. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.