HACKENSACK MERIDIAN HEALTH INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HACKENSACK MERIDIAN HEALTH INC (EIN 22-1714106)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201133189349303078
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T11:51:29-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EISNERAMPER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2015 LINCOLN HIGHWAY POBOX 988 | AddressLine1 |
| City | EDISON | City |
| State | NJ | State |
| ZIP Code | 088180988 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 221714106 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARR | NameControl |
| Phone | 9082811000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 085020147 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | C RICHARD SARLE | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 9082811000 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD A SACKIN | Name |
| Phone | 7322871000 | 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) |
|---|---|---|
| Name Of Principal Officer Person | C RICHARD SARLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 08502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 80987539 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CARRIERCLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1910 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | CARRIER CLINIC'S PRIMARY ACTIVITIES ARE INPATIENT PSYCHIATRIC AND ADDICTION, ADOLESCENT RESIDENTIAL AND SPECIAL EDUCATION FOR ADOLESCENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 901 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 39773 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 96716 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 53463576 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 56276879 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2363654 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1818106 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 270426 | OtherRevenuePriorYear |
| Other Revenue Current Year | 90950 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 51410121 | TotalRevenuePriorYear |
| Total Revenue Current Year | 58282651 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1250 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 38890817 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40762924 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 122680 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 14768538 | OtherExpensePriorYear |
| Other Expenses Current Year | 14615397 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 53660605 | TotalExpensesPriorYear |
| Total Expenses Current Year | 55379321 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2250484 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2903330 | RevenuesLessExpensesCY |
| Total Assets BOY | 49541328 | TotalAssetsBOY |
| Total Assets EOY | 53520532 | TotalAssetsEOY |
| Total Liabilities BOY | 26055125 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25894491 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23486203 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27626041 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDING CARING SOLUTIONS SINCE 1910, CARRIER CLINIC'S MISSION IS TO PROVIDE THE BEST CARE AND TREATMENT TO THESE PERSONS WHO COME TO US STRUGGLING WITH EMOTIONAL AND BEHAVIORAL DISTRESS AND ADDICTIVE AND PSYCHIATRIC DISORDERS. "REFER TO SCHEDULE O FOR CONTINUATION" | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 30917770 | Expense |
| Grants | 1000 | Grants |
| Revenue | 34394143 | Revenue |
| Description | PSYCHIATRIC HOSPITAL WHICH CARED FOR 3,442 INPATIENTS AND HAD A TOTAL OF 40,939 PATIENT DAYS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6707181 | Expense |
| Revenue | 6604011 | Revenue |
| Description | EAST MOUNTAIN SCHOOL WHICH PROVIDED QUALITY SPECIAL EDUCATION AND THERAPEUTIC SERVICES FOR 101 ADOLESCENTS AFFECTED BY BEHAVIORAL AND PSYCHIATRIC DISORDERS BASED ON 2010 AVERAGE DAILY ENROLLMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4763702 | Expense |
| Revenue | 4370466 | Revenue |
| Description | BLAKE RECOVERY CENTER WHICH CARED FOR 1,258 INPATIENTS AND HAD A TOTAL OF 9,208 PATIENT DAYS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9056568 | Expense |
| Revenue | 9886268 | Revenue |
| Description | EAST MOUNTAIN YOUTH LODGE, SWAN LODGE AND SUNFLOWER LODGE FOR EMOTIONALLY DISTURBED ADOLESCENTS WHICH CARED FOR 103 RESIDENTS AND HAD A TOTAL OF 25,403 PATIENT DAYS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 9056568 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 9886268 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 51445221 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | 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 | 1 | 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 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 901 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | C RICHARD SARLE | NamePerson |
| Telephone Number | 9082811000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 252 ROUTE 601 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 085020147 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| C RICHARD SARLE | |||||||
| PRESIDENT & CEO | 40.00 | X | X | 400688 | 0 | 49770 | |
| DAVID GREENSPAN MD | |||||||
| MEDICAL DIRECTOR | 40.00 | X | X | 284895 | 0 | 40105 | |
| ALLAN CLELLAND | |||||||
| CHAIRMAN | 0.00 | X | 0 | 0 | 0 | ||
| THOMAS G AMATO | |||||||
| VICE CHAIRMAN | 0.00 | X | 0 | 0 | 0 | ||
| ROBERT HENDRICKSON | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| CAROL HOLZER | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| JEAN M KRAUSS | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| LINDA LANG MD | |||||||
| MEDICAL STAFF PRESIDENT | 40.00 | X | 209122 | 0 | 26588 | ||
| GORDON PINGICER | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| MARK D SHERIDAN | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| BRUCE HERDMAN PHD | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| SUSAN Q SWAIN DNP | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| ANN DAMSGAARD | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| JOHN KOLLIGAN JR PHD | |||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | ||
| RANDOLPH JACOBSON | |||||||
| VP & CFO | 40.00 | X | 217189 | 0 | 32947 | ||
| MARY PAWLIKOWSKI | |||||||
| VICE PRESIDENT | 40.00 | X | 211795 | 0 | 22840 | ||
| PATRICIA TOOLE | |||||||
| VP/COMPLIANCE OFFICER | 40.00 | X | 184346 | 0 | 9293 | ||
| CAROL KOSZTYO | |||||||
| VICE PRESIDENT | 40.00 | X | 182512 | 0 | 29857 | ||
| UMESH MEHTA MD | |||||||
| PSYCHIATRIST | 40.00 | 371556 | 0 | 41340 | X | ||
| HUGO FRANCO MD | |||||||
| PSYCHIATRIST | 40.00 | 227753 | 0 | 40645 | X | ||
| CLAIRE MARSH MD | |||||||
| PSYCHIATRIST | 40.00 | 225883 | 0 | 32464 | X | ||
| PAUL GOODNICK MD | |||||||
| PSYCHIATRIST | 40.00 | 224265 | 0 | 32415 | X | ||
| ASMA NISAR MD | |||||||
| PSYCHIATRIST | 40.00 | 254224 | 0 | 33421 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2994228 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 391685 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | 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 |
|---|---|---|---|---|---|
| SODEXO INC & AFFILIATES | |||||
| PO BOX 905374 | CHARLOTTE | NC | 282905374 | DIETARY AND HOUSEKEEPING SERVICES | 1704885 |
| NASS TECH MECHANICAL LLC | |||||
| 1204 LOWER FERRY ROAD | EWING | NJ | 08618 | HVAC SERVICES | 254420 |
| MONTGOMERY MEDICAL ASSOCIATES | |||||
| 9 DUTCHTOWN ROAD | BELLE MEAD | NJ | 08502 | INTERNAL MEDICINE | 197240 |
| DRINKER BIDDLE & REATH LLP | |||||
| 500 CAMPUS DRIVE | FLORHAM PARK | NJ | 07932 | LEGAL SERVICES | 178759 |
| KPMG LLP | |||||
| 150 JOHN F KENNEDY PARKWAY | SHORT HILLS | NJ | 07078 | AUDITING SERVICES | 153265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 48545 | GovernmentGrants |
| All Other Contributions | 48171 | AllOtherContributions |
| Total Contributions | 96716 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICES | 624100 | 48642472 | 48642472 | |
| EDUCATIONAL PROGRAMS | 611710 | 6612416 | 6612416 | |
| SERVICES AND MANAGEMEN | 561000 | 1021991 | 799342 | $222,649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 56276879 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 560678 | TotalRevenueColumn |
| Exclusion | $560,678 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23636041 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22378613 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1257428 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1257428 | TotalRevenueColumn |
| Exclusion | $1,257,428 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 117470 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 31458 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86012 | TotalRevenueColumn |
| Exclusion | $86,012 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 192656 | GrossSalesOfInventory |
| Cost Of Goods Sold | 294817 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -102161 | TotalRevenueColumn |
| Related Or Exempt Function Income | -102161 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PURCHASING DISCOUNTS | 900099 | 37525 | $37,525 |
| VENDING/PHONE/PHARMACY | 900099 | 31921 | $31,921 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37653 | TotalRevenueColumn |
| Exclusion | $37,653 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 107099 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58282651 | TotalRevenueColumn |
| Related Or Exempt Function Income | 55952069 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,233,866 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1458570 | Total |
| Program Services | 166741 | ProgramServices |
| Management And General | 1291829 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31751988 | Total |
| Program Services | 26625311 | ProgramServices |
| Management And General | 5033835 | ManagementAndGeneral |
| Fundraising | 92842 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1050000 | Total |
| Program Services | 847070 | ProgramServices |
| Management And General | 199995 | ManagementAndGeneral |
| Fundraising | 2935 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3843263 | Total |
| Program Services | 3100487 | ProgramServices |
| Management And General | 732032 | ManagementAndGeneral |
| Fundraising | 10744 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2659103 | Total |
| Program Services | 2145186 | ProgramServices |
| Management And General | 506483 | ManagementAndGeneral |
| Fundraising | 7434 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540306 | Total |
| Management And General | 540306 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 348143 | Total |
| Management And General | 348143 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231821 | Total |
| Program Services | 44905 | ProgramServices |
| Management And General | 186916 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23145 | Total |
| Management And General | 23145 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1183976 | Total |
| Program Services | 867778 | ProgramServices |
| Management And General | 316198 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 815623 | Total |
| Management And General | 815623 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 857602 | Total |
| Program Services | 433397 | ProgramServices |
| Management And General | 421836 | ManagementAndGeneral |
| Fundraising | 2369 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 185228 | Total |
| Program Services | 18327 | ProgramServices |
| Management And General | 166901 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1244466 | Total |
| Management And General | 1244466 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82126 | Total |
| Program Services | 71044 | ProgramServices |
| Management And General | 11082 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101215 | Total |
| Program Services | 30976 | ProgramServices |
| Management And General | 66419 | ManagementAndGeneral |
| Fundraising | 3820 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 378282 | Total |
| Program Services | 1023 | ProgramServices |
| Management And General | 377259 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1154995 | Total |
| Program Services | 52986 | ProgramServices |
| Management And General | 1102009 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569133 | Total |
| Management And General | 1569133 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DIETARY/EVS | 2029209 | 37867 | 1991133 | 209 |
| PATIENT-RELATED | 1549781 | 1549781 | ||
| BAD DEBTS | 1224792 | 1224792 | ||
| MAINTENANCE-RELATED | 871685 | 166976 | 704652 | 57 |
| EMPLOYEE-RELATED/MISCEL | 223869 | 161223 | 62646 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Program Services | 13898351 | ProgramServices |
| Management And General | -13900621 | ManagementAndGeneral |
| Fundraising | 2270 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55379321 | Total |
| Program Services | 51445221 | ProgramServices |
| Management And General | 3811420 | ManagementAndGeneral |
| Fundraising | 122680 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1915073 | BOY |
| EOY | 3178862 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1906846 | BOY |
| EOY | 1812732 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3895857 | BOY |
| EOY | 5044820 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290324 | BOY |
| EOY | 298127 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124213 | BOY |
| EOY | 103019 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1321375 | BOY |
| EOY | 1084786 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 40020764 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29161447 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11298439 | BOY |
| EOY | 10859317 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20122014 | BOY |
| EOY | 22293310 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1045412 | BOY |
| EOY | 1064390 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7621775 | BOY |
| EOY | 7781169 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49541328 | BOY |
| EOY | 53520532 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8068865 | BOY |
| EOY | 8659088 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7868736 | BOY |
| EOY | 7140218 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10117524 | BOY |
| EOY | 10095185 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26055125 | BOY |
| EOY | 25894491 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23279051 | BOY |
| EOY | 27448068 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207152 | BOY |
| EOY | 177973 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23486203 | BOY |
| EOY | 27626041 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49541328 | BOY |
| EOY | 53520532 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2903330 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1236508 | 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 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amt Of4955 Tax | 0 | AmtOf4955Tax |
| Amt Of4955 Tax On Managers | 0 | AmtOf4955TaxOnManagers |
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $10,016 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 10016 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | THIS EXPENSE REPRESENTS A PORTION OF CARRIER CLINIC'S MEMBERSHIP DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NJ HOSPITAL ASSOCIATION (NJHA) THAT BOTH ASSOCIATIONS IDENTIFIED TO PERTAIN TO THEIR LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBERS. THIS EXPENSE ALSO INCLUDES A PORTION OF THE FEES PAID TO CARRIER'S RETAINED LEGAL COUNSEL RELATED TO LOBBYING ACTIVITIES ON BEHALF OF CARRIER. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 278290 | OtherCostOrOtherBasis |
| Book Value | 278290 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22931684 | OtherCostOrOtherBasis |
| Depreciation | 15103955 | Depreciation |
| Book Value | 7827729 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9823767 | OtherCostOrOtherBasis |
| Depreciation | 9051824 | Depreciation |
| Book Value | 771943 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6987023 | OtherCostOrOtherBasis |
| Depreciation | 5005668 | Depreciation |
| Book Value | 1981355 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10859317 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 1274490 |
| OTHER ASSETS | 47380 |
| CHARITABLE REMAINDER TRUST | 573976 |
| FUNDED DEFERRED COMPENSATION | 412553 |
| LAND | 5472770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7781169 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $1,812,553 |
| DUE TO THIRD-PARTY PAYORS | $1,350,747 |
| ACCRUED PENSION AND BENEFITS | $6,931,885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10095185 | TotalOfAmounts |
| Total Revenue | 58282651 | TotalRevenue |
| Total Expenses | 55379321 | TotalExpenses |
| Excess Or Deficit For Year | 2903330 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 887109 | NetUnrealizedGLOnInvestments |
| Other | $349,399 | OtherAmount |
| Total Adjustments | 1236508 | TotalAdjustments |
| Excess Or Deficit Per FS | 4139838 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 56651539 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 329146 | OtherRevenues |
| Revenue Not Rptd F990 | 329146 | RevenueNotRptdF990 |
| Revenue Subtotal | 56322393 | RevenueSubtotal |
| Other Revenues Not Included | 1960258 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1960258 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 58282651 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 55652882 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 299817 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 299817 | ExpensesNotRptdF990 |
| Expenses Subtotal | 55353065 | ExpensesSubtotal |
| Other Expenses Not Included | 26256 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 26256 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 55379321 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| ExplanationExplanation |
|---|
| PART X, LINE 2: THE CLINIC IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL IS ALSO EXEMPT FROM STATE INCOME TAXES. THE HOSPITAL RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: MINIMUM PENSION LIABILITY: 466,258 CHANGE IN DERIVATIVE INSTRUMENT: -160,727 CHANGE IN TRUST: 43,868 TOTAL PART XI, LINE 8: 349,399 PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD: 294,817 CONFERENCE EXPENSES: 5,000 ACTUAL DONATIONS VS I/S: 29,329 TOTAL PART XII, LINE 2D: 329,146 PART XII, LINE 4B - OTHER ADJUSTMENTS: CONFERENCE REVENUE: 150 EMS FOOD REC REPORTED AS REVENUE: 26,256 NET ASSETS RELEASED - CAPITAL: 29,884 INVESTMENT INCOME: 1,818,106 CONTRIBUTIONS RECEIVED: 85,862 TOTAL PART XII, LINE 4B: 1,960,258 PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD: 294,817 CONFERENCE EXPENSES: 5,000 TOTAL PART XIII, LINE 2D: 299,817 PART XIII, LINE 4B - OTHER ADJUSTMENTS: EMS FOOD RECOVERY: 26,256 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 112320 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 112320 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 18678 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 7780 | OtherDirectExpensesEvent1 |
| Name Of Event2 | PSYCH CONFERENCE | NameOfEvent2 |
| Gross Receipts Event2 | 5150 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 5150 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 5000 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 117470 | GrossReceiptsTotal |
| Gross Revenue Total Events | 117470 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 18678 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 12780 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 31458 | DirectExpenseSummaryEvents |
| Net Income Summary | 86012 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 100.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 275794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 275794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2807813 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2491903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 315910 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3083607 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2491903 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 591704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01090 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2843 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2843 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6994 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2953678 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2278434 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 675244 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01250 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19528 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 19528 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2983043 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2278434 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 704609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6066650 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4770337 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1296313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02400 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18703 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18703 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 18703 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18703 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $641,084 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10484349 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 8717833 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1766516 | 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 | 0 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 147 | AddressLine1 |
| City | BELLE MEAD | City |
| State | NJ | State |
| ZIP Code | 08502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIER CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CARRIER CLINIC RESIDENTIAL PROGRAMS | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL CHILDCARE FACILITY & PSYCHIATRIC COMMUNITY HOME FOR CHILDREN |
| EAST MOUNTAIN SCHOOL | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | PRIVATE SCHOOL FOR THE HANDICAPPED |
| BLAKE RECOVERY CENTER | ||||
| PO BOX 147 | BELLE MEAD | NJ | 08502 | RESIDENTIAL SUBSTANCE ABUSE FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 7: THE COST-TO-CHARGE RATIO USED FOR PART I, LINE 7 IS BASED ON WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| PART I, L7 COL(F): BAD DEBT EXPENSE FOR 2010 IS $1,224,792 AND IS EXCLUDED FROM TOTAL EXPENSES FOR CALCULATING THE PERCENTAGE OF TOTAL EXPENSE. |
| PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSABLE OR CONTRACTED AMOUNT AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE CLINIC'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE CLINIC'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE CLINIC DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE CLINIC REVIEWS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS PERIODICALLY. PAST DUE BALANCES ARE REVIEWED INDIVIDUALLY FOR COLLECTIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. |
| PART VI, LINE 2: AS PART OF CARRIER CLINIC'S STRATEGIC PLANNING PROCESS, CARRIER GATHERS AND INCORPORATES NATIONAL, STATE, AND CLINICAL INDUSTRY DATA IN THE DEVELOPMENT OF CLINICAL SERVICES AND EDUCATIONAL FORUMS. CARRIER CLINIC IS A PARTICIPATORY MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, NEW JERSEY ASSOCIATION OF MENTAL HEALTH AND ADDICTION, NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS, AND THE AMERICAN HOSPITAL ASSOCIATION. EACH OF THESE ORGANIZATIONS ALSO PROVIDES BEHAVIORAL HEALTH AND ADDICTION INFORMATION RELEVANT TO OUR COMMUNITY'S BEHAVIORAL HEALTH AND ADDICTION NEEDS.ADDITIONALLY, CARRIER STAFF ATTENDS AN AVERAGE OF 25 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES US TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES OF IMPORTANCE.READING INDUSTRY JOURNALS, NEWSLETTERS AND COMMUNITY NEWSPAPERS ALSO ALLOWS US TO HELP TAILOR FREE EDUCATIONAL EVENTS TO OUR SURROUNDING COMMUNITY.CARRIER CLINIC RECEIVES MANY TELEPHONE CALLS ON A REGULAR BASIS, IN EXCESS OF 59,000 PER YEAR, REQUIRING REFERRALS TO AND INFORMATION REGARDING COMMUNITY RESOURCES, OTHER TREATMENT CENTERS OUTSIDE THE AREA, SUPPORT GROUPS, SELF-HELP GROUPS, ETC. INFORMATION IS PROVIDED WITHOUT CHARGE. CARRIER ALSO MAINTAINS ITS WEBSITE, WHICH IN ADDITION TO PROVIDING INFORMATION ABOUT CARRIER'S PROGRAMS AND SERVICES, PROVIDES THE ABILITY TO REQUEST INFORMATION VIA E-MAIL AND LINKS TO OTHER MENTAL HEALTH RESOURCES. IT IS THROUGH THIS CONTACT WITH OUR COMMUNITY THAT WE ARE ABLE TO UNDERSTAND WHAT SERVICES ARE NEEDED THROUGHOUT OUR GEOGRAPHIC AREA. |
| PART VI, LINE 3: PATIENTS OF CARRIER CLINIC ARE GIVEN A PATIENT HANDBOOK WHICH INCLUDES INFORMATION FOR PATIENTS REGARDING THEIR FINANCIAL RESPONSIBILITY. A CARRIER CLINIC PATIENT SERVICE REPRESENTATIVE MEETS WITH THE PATIENT, IF THEY ARE MENTALLY CAPABLE, AND/OR A DESIGNATED FAMILY MEMBER OR GUARDIAN INDIVIDUALLY AND ADVISES THEM THAT THEY CAN APPLY FOR CHARITY CARE FOR THEIR SELF PAY BALANCES IF THEY HAVE LIMITED INCOME. THE PATIENT SERVICE REPRESENTATIVE PROVIDES CHARITY CARE APPLICATIONS TO THE PATIENT ACCORDINGLY. |
| PART VI, LINE 4: CARRIER CLINIC SERVES THE ENTIRE STATE OF NEW JERSEY; HOWEVER THE MAIN PATIENT POPULATION IS FROM SUBURBAN AREAS. THE MAIN SOURCE OF ADMISSIONS IN 2010 WAS FROM MIDDLESEX, SOMERSET, OCEAN, MERCER AND MONMOUTH COUNTIES, ALL LOCATED IN NEW JERSEY. OF THESE FIVE COUNTIES, AN AVERAGE OF 6.84% OF THE POPULATION FALLS BELOW POVERTY LEVEL. |
| PART VI, LINE 6: CARRIER CLINIC STAFF ATTENDS AN AVERAGE OF 25 COMMUNITY MEETINGS A MONTH THROUGHOUT THE STATE OF NEW JERSEY. DOING SO ENABLES CARRIER CLINIC TO BE EDUCATED ON EACH COUNTY'S MENTAL HEALTH AND ADDICTION NEEDS AND SPECIFIC ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C RICHARD SARLE | |||||||||||||
| 400688 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 49770 | 0 | 450458 | 0 | 0 | 0 |
| DAVID GREENSPAN MD | |||||||||||||
| 284895 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40105 | 0 | 325000 | 0 | 0 | 0 |
| LINDA LANG MD | |||||||||||||
| 209122 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 26588 | 0 | 235710 | 0 | 0 | 0 |
| RANDOLPH JACOBSON | |||||||||||||
| 217189 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32947 | 0 | 250136 | 0 | 0 | 0 |
| MARY PAWLIKOWSKI | |||||||||||||
| 211795 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22840 | 0 | 234635 | 0 | 0 | 0 |
| PATRICIA TOOLE | |||||||||||||
| 184346 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9293 | 0 | 193639 | 0 | 0 | 0 |
| CAROL KOSZTYO | |||||||||||||
| 182512 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 29857 | 0 | 212369 | 0 | 0 | 0 |
| UMESH MEHTA MD | |||||||||||||
| 371556 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 41340 | 0 | 412896 | 0 | 0 | 0 |
| HUGO FRANCO MD | |||||||||||||
| 227753 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40645 | 0 | 268398 | 0 | 0 | 0 |
| CLAIRE MARSH MD | |||||||||||||
| 225883 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32464 | 0 | 258347 | 0 | 0 | 0 |
| PAUL GOODNICK MD | |||||||||||||
| 224265 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32415 | 0 | 256680 | 0 | 0 | 0 |
| ASMA NISAR MD | |||||||||||||
| 254224 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 33421 | 0 | 287645 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I, LINE 3 THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR CARRIER CLINIC, INC. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| C RICHARD SARLE | ||||||
| PAYMENT OF WITHHELD TAXES RELATED TO DEFERRED COMPENSATION THROUGH 12/31/08 | X | $280,629 | 280629 | 0 | 1 | 1 |
| C RICHARD SARLE | ||||||
| PAYMENT OF WITHHELD TAXES RELATED TO DEFERRED COMPENSATION FOR 2009 | X | $9,695 | 9695 | 0 | 1 | 1 |
| C RICHARD SARLE | ||||||
| PAYMENT OF WITHHELD TAXES RELATED TO DEFERRED COMPENSATION FOR 2010 | X | $7,803 | 7803 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 298127 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | FORM 990, PART III, LINE 1, CONTINUATION OF ORGANIZATION MISSION STATEMENT: | AS ONE OF NEW JERSEY'S LARGEST, NOT-FOR-PROFIT BEHAVIORAL HEALTHCARE ORGANIZATIONS, WE REMAIN DEDICATED TO HEALING, SUPPORTING AND TEACHING ADOLESCENTS, ADULTS AND THEIR FAMILIES IN A SAFE, COMPASSIONATE AND RESPECTFUL ENVIRONMENT. WITHIN OUR CONTINUUM OF CARE, HOPE IS RESTORED AND RECOVERY BEGINS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO THE BOARD OF TRUSTEES FINANCE COMMITTEE. THE FINANCE COMMITTEE WILL REVIEW THE DOCUMENT IN ADVANCE OF THE FILING WITH THE IRS. THE FINANCE COMMITTEE WILL ACKNOWLEDGE AND REPORT ON THE STATUS OF ITS REVIEW PROCESS TO THE FULL BOARD IN ADVANCE OF THE FILING DEADLINE. THE BOARD OF TRUSTEES IS PROVIDED A COPY OF THE REVIEWED AND APPROVED 990 PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH TRUSTEE, OFFICER AND MEDICAL STAFF MEMBER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS CARRIER CLINIC IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | CARRIER CLINIC UTILIZES THE NEW JERSEY HOSPITAL ASSOCIATION, SULLIVAN AND COTTER, MODERN HEALTHCARE PUBLICATIONS AND OTHER VARIOUS SALARY SURVEYS FOR MARKET COMPARISONS. THE INFORMATION IS THEN PROVIDED TO THE BOARD OF TRUSTEES AND IS REVIEWED BY THE BOARD'S EXECUTIVE COMMITTEE TO ENSURE THE SALARIES ARE WITHIN APPROPRIATE MARKET AND NONPROFIT EXECUTIVE COMPENSATION BASES. THE BOARD OF TRUSTEE EXECUTIVE COMMITTEE SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE REASONABLENESS OF THE COMPENSATION FOR EXECUTIVES AND KEY TOP INDIVIDUALS WITHIN THE ORGANIZATION. THIS COMMITTEE IS ONLY COMPRISED OF COMMUNITY TRUSTEES AND REVIEWS AND ESTABLISHES THESE SALARIES ANNUALLY IN ACCORDANCE WITH THE REBUTTABLE PRESUMPTION OF REASONABLENESS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | CARRIER CLINIC PROVIDES DOCUMENTS TO THE PUBLIC UPON REQUEST. THE IRS FORM 990 IS ALSO ACCESSIBLE FROM GUIDESTAR ON THE INTERNET. | |
| FORM 990, PART IX, LINE 24F | OVERHEAD ALLOCATION REPRESENTS FACILITY SUPPORT AND CORPORATE COSTS ALLOCATED TO CARRIER'S VARIOUS PROGRAMS USING ACCEPTED MEDICARE COST REPORT ALLOCATION PRINCIPLES. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 887,109. MINIMUM PENSION LIABILITY 466,258. CHANGE IN DERIVATIVE INSTRUMENT -160,727. CHANGE IN TRUST 43,868. TOTAL TO FORM 990, PART XI, LINE 5: 1,236,508. |
| FORM 990, PART XII, QUESTION 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, PART VII, SECTION A | DRS. MEHTA AND NISAR RECEIVE COMPENSATION FOR ELECTRO-CONVULSIVE THERAPY (ECT) SERVICES IN ADDITION TO THEIR BASE SALARY. |