PRIME CARE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PRIME CARE INC (EIN 22-2759566)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349305519
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T14:53:44-06:00 | 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 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 46 PUBLIC SQUARE SUITE 400 | AddressLine1 |
| City | WILKESBARRE | City |
| State | PA | State |
| ZIP Code | 18701 | 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 | 222759566 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PRIM | NameControl |
| Phone | 9735798513 | 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 | SEAN O'ROURKE | Name |
| Title | COO | Title |
| Phone | 9735798513 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS GREEN CPA | Name |
| Phone | 5708200100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 5285017 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NMHNJ.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HOME HEALTH AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF SUSSEX COUNTY, NEW JERSEY AND SURROUNDING COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 101 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 24428 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 724518 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4988399 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4492221 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 346953 | InvestmentIncomePriorYear |
| Investment Income Current Year | 49045 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 27045 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19233 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5386825 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5285017 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 500450 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 750 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3416393 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3420910 | 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 | 1894780 | OtherExpensePriorYear |
| Other Expenses Current Year | 1837927 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5811623 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5259587 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -424798 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 25430 | RevenuesLessExpensesCY |
| Total Assets BOY | 3332905 | TotalAssetsBOY |
| Total Assets EOY | 3110484 | TotalAssetsEOY |
| Total Liabilities BOY | 2052389 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1804538 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1280516 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1305946 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PRIME CARE WAS ORGANIZED TO PROVIDE HOME HEALTH AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF SUSSEX COUNTY, NEW JERSEY AND SURROUNDING COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3159117 | Expense |
| Grants | 750 | Grants |
| Revenue | 4492221 | Revenue |
| Description | "IN HOME HEALTH SERVICES," A MEDICARE-CERTIFIED HOME HEALTH AGENCY, PROVIDES HOME CARE SERVICES TO THE RESIDENTS OF SUSSEX COUNTY, NEW JERSEY, PIKE COUNTY, PENNSYLVANIA, AND SURROUNDING COMMUNITIES. THE MISSION OF IN HOME HEALTH SERVICES IS TO PROVIDE COMPREHENSIVE, PROFESSIONAL, COST EFFECTIVE HOME HEALTHCARE TO PERSONS IN NEED THROUGH HIGHLY QUALIFIED STAFF IN A PROGRESSIVE, CARING ENVIRONMENT WITHOUT DISCRIMINATION. PROFESSIONAL AND SUPPORT SERVICES INCLUDE NURSING, CERTIFIED HOME HEALTH AIDES, MATERNAL/CHILD CARE, INFUSION THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL WORK, AND NUTRITION COUNSELING. MILFORD URGENT CARE, LOCATED AT THE MILFORD HEALTH & WELLNESS CENTER, PROVIDES QUALITY EPISODIC URGENT CARE FOR THE RESIDENTS OF PIKE COUNTY, PENNSYLVANIA AND SURROUNDING COMMUNITIES. MILFORD URGENT CARE IS A WALK-IN FACILITY AND PROVIDES SERVICES SEVEN DAYS A WEEK, WITH EXTENDED TWELVE HOUR DAYS INCLUDING WEEKEND AND HOLIDAY COVERAGE WHEN PRIMARY CARE PROVIDERS MAY NOT BE AVAILABLE. PHYSICIANS HAVE IMMEDIATE ACCESS TO LAB AND X-RAY SERVICES TO FACILITATE MEDICAL TREATMENT. | Description |
| Total Program Service Expense | 3159117 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | 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 | 0 | Hospital |
| 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 101 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID S RIKKOLA CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DR NICK P DIBITETTO | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| CRAIG U DANA | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| BRIAN FITZPATRICK | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| PAUL J OWENS MD | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| WILLIAM I HOUGHTON III | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| GLENN A CLARK | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| GEORGE W MORVILLE JR | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| PHILIP D DEACON | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| JEFFREY J QUINN | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| CONSTANCE C MIERENDORF PHD | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| MARK AVONDOGLIO | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| RICHARD I CLARK | ||||||
| DIRECTOR | 0.10 | X | 0 | 0 | 0 | |
| CLAUDETTE DELONG | ||||||
| AUXILIARY PRESIDENT | 0.10 | X | 0 | 0 | 0 | |
| ROBERT E MCCRACKEN | ||||||
| CHAIRMAN | 0.10 | X | 0 | 0 | 0 | X |
| TAMMIE HORSFIELD | ||||||
| VICE CHAIRMAN | 0.10 | X | 0 | 0 | 0 | X |
| JAMES S HUBLEY | ||||||
| SECRETARY | 0.10 | X | 0 | 0 | 0 | X |
| CHRISTOPHER LYNCH | ||||||
| TREASURER | 0.10 | X | 0 | 0 | 0 | X |
| E JANE BROWN | ||||||
| ASSISTANT TREASURER | 0.10 | X | 0 | 0 | 0 | X |
| THOMAS J SENKER | ||||||
| PRESIDENT & CEO | 1.00 | X | 0 | 501017 | 37387 | X |
| SEAN O'ROURKE | ||||||
| COO | 1.00 | 0 | 293818 | 38387 | X | |
| DAVID RIKKOLA | ||||||
| CFO | 1.00 | 0 | 268649 | 39286 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1063484 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 115060 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMCARE INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WITMER RD SUITE 220 | AddressLine1 |
| City | HORSHAM | City |
| State | PA | State |
| ZIP Code | 19044 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | URGENT CARE PHYSICIANS | DescriptionOfServices |
| Compensation | 558819 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 700000 | RelatedOrganizations |
| Government Grants | 24518 | GovernmentGrants |
| Total Contributions | 724518 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SVC REV | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 4492221 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4492221 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4492221 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49045 | TotalRevenueColumn |
| Exclusion | $49,045 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| BAD DEBT RECOVERY | 900099 | 19122 | $19,122 |
| MISC REVENUE | 900099 | 111 | $111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19233 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5285017 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4492221 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $68,278 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750 | Total |
| Program Services | 750 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2972861 | Total |
| Program Services | 1525399 | ProgramServices |
| Management And General | 1447462 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35779 | Total |
| Program Services | 19106 | ProgramServices |
| Management And General | 16673 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412270 | Total |
| Program Services | 221714 | ProgramServices |
| Management And General | 190556 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653477 | Total |
| Program Services | 580193 | ProgramServices |
| Management And General | 73284 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40535 | Total |
| Program Services | 40535 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246883 | Total |
| Program Services | 121913 | ProgramServices |
| Management And General | 124970 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86908 | Total |
| Program Services | 46409 | ProgramServices |
| Management And General | 40499 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250335 | Total |
| Program Services | 122251 | ProgramServices |
| Management And General | 128084 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168478 | Total |
| Program Services | 167676 | ProgramServices |
| Management And General | 802 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5185 | Total |
| Program Services | 5185 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64950 | Total |
| Program Services | 347 | ProgramServices |
| Management And General | 64603 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ADMINISTRATION OVERHEAD | 254260 | 254260 | |
| DUES & SUBSCRIPTIONS | 21452 | 19030 | 2422 |
| PHARMACEUTICALS | 17944 | 17944 | |
| LIFELINE EXPENSE | 12005 | 12005 | |
| REPAIRS AND MAINTENANCE | 6896 | 6896 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8619 | Total |
| Program Services | 4400 | ProgramServices |
| Management And General | 4219 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5259587 | Total |
| Program Services | 3159117 | ProgramServices |
| Management And General | 2100470 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198024 | BOY |
| EOY | 64648 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584802 | BOY |
| EOY | 430558 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 626055 | BOY |
| EOY | 581179 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2290903 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1163209 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1150636 | BOY |
| EOY | 1127694 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 765454 | BOY |
| EOY | 813554 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7934 | BOY |
| EOY | 92851 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3332905 | BOY |
| EOY | 3110484 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397252 | BOY |
| EOY | 382635 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185938 | BOY |
| EOY | 221259 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 925328 | BOY |
| EOY | 925328 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 543871 | BOY |
| EOY | 275316 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2052389 | BOY |
| EOY | 1804538 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1280516 | BOY |
| EOY | 1305946 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1280516 | BOY |
| EOY | 1305946 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3332905 | BOY |
| EOY | 3110484 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 25430 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287754 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 196117 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21296 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24428 | CurrentTaxYearMinus1Year |
| Current Tax Year | 24518 | CurrentTaxYear |
| Total | 554113 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4769269 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5029044 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5064657 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4988399 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4492221 | CurrentTaxYear |
| Total | 24343590 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5057023 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5225161 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5085953 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5012827 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4516739 | CurrentTaxYear |
| Total | 24897703 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 24897703 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 823117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 563093 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 554320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 346953 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49045 | CurrentTaxYear |
| Total | 2336528 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 823117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 563093 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 554320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 346953 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49045 | CurrentTaxYear |
| Total | 2336528 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 4877 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38774 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27045 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19233 | CurrentTaxYear |
| Total | 89929 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5880140 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5793131 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5679047 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5386825 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4585017 | CurrentTaxYear |
| Total | 27324160 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.91120 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.90860 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.08550 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.09190 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: BAD DEBT RECOVERY OTHER REVENUE EXPENSE REIMBURSEMENT | GeneralExplanation |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 357034 | BeginningOfYearBalance |
| Contributions | 14000 | Contributions |
| Investment Earnings Or Losses | 22149 | InvestmentEarningsOrLosses |
| End Of Year Balance | 393183 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 312268 | BeginningOfYearBalance |
| Contributions | 5000 | Contributions |
| Investment Earnings Or Losses | 39766 | InvestmentEarningsOrLosses |
| End Of Year Balance | 357034 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 314468 | BeginningOfYearBalance |
| Contributions | 60000 | Contributions |
| Investment Earnings Or Losses | -62200 | InvestmentEarningsOrLosses |
| End Of Year Balance | 312268 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77500 | OtherCostOrOtherBasis |
| Book Value | 77500 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 910552 | OtherCostOrOtherBasis |
| Depreciation | 22397 | Depreciation |
| Book Value | 888155 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2670 | OtherCostOrOtherBasis |
| Depreciation | 2670 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1300181 | OtherCostOrOtherBasis |
| Depreciation | 1138142 | Depreciation |
| Book Value | 162039 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1127694 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INV IN SPARTA CANCER CENTER | Description |
| Book Value | 813554 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 813554 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $56,498 |
| ESTIMATED THIRD-PARTY PAYER SETTLEMENTS | $218,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 275316 | TotalOfAmounts |
| Total Revenue | 5285017 | TotalRevenue |
| Total Expenses | 5259587 | TotalExpenses |
| Excess Or Deficit For Year | 25430 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 25430 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5265895 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 5265895 | RevenueSubtotal |
| Other Revenues Not Included | 19122 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 19122 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5285017 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5240465 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -19122 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -19122 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5259587 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5259587 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ENDOWMENT FUNDS ARE HELD BY NEWTON MEMORIAL HOSPITAL FOUNDATION FOR THE BENEFIT OF NEWTON MEMORIAL HOSPITAL. $250,000 OF THE BALANCE IN THE ENDOWMENT FUND IS DESIGNATED TO NEWTON HOSPITAL CARDIAC CATH. THE REMAINING BALANCE IN THE ENDOWMENT FUND IS NOT DESIGNATED. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | PRIME CARE 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. PRIME CARE 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 2010 OR 2009. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT RECOVERY 19,122. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT RECOVERY -19,122. |
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 | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 1 | 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS J SENKER | |||||||||||||
| 0 | 342900 | 0 | 89910 | 0 | 68207 | 0 | 7350 | 0 | 30037 | 0 | 538404 | 0 | 0 |
| SEAN O'ROURKE | |||||||||||||
| 0 | 248460 | 0 | 40627 | 0 | 4731 | 0 | 7350 | 0 | 31037 | 0 | 332205 | 0 | 0 |
| DAVID RIKKOLA | |||||||||||||
| 0 | 226600 | 0 | 37818 | 0 | 4231 | 0 | 7350 | 0 | 31936 | 0 | 307935 | 0 | 0 |
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 MR. THOMAS SENKER. |
| PART I, LINE 4B | PRESIDENT & CEO THOMAS J. SENKER PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SPONSORED BY NEWTON MEMORIAL HOSPITAL AND WAS PAID $48,428.14 IN 2010. |
| 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 O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 2010 FORM 990 FILINGS FOR NORTH JERSEY HEALTH CARE CORPORATION ("NJHCC") AND ALL SUBSIDIARIES, INCLUDING PRIME CARE, WERE PREPARED BY THE FINANCE DEPARTMENT WITH THE ASSISTANCE OF NJHCC TAX ADVISORS. THE COMPLETED FILINGS WERE REVIEWED BY NJHCC'S 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. | |
| EACH "INTERESTED PERSON" OF PRIME CARE, INC. SHALL ANNUALLY SIGN THE 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 12C | |
| ALL OFFICERS ARE COMPENSATED BY A RELATED ORGANIZATION. 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 B, LINE 15 | |
| THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AVERAGE HOURS PER WEEK | 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 | FORM 990, PART VII |
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 | |||||||||||
| 175 HIGH STREET | NEWTON | NJ | 07860 | 221500572 | PROVIDES HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 3 | NORTH JERSEY HEALTH CARE CORPORATION | 0 | |
| 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 | ||
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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | 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 | 75314 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |