2011-11-14T14:53:44-06:00 2010-12-31 PARENTEBEARD LLC 46 PUBLIC SQUARE SUITE 400 WILKESBARRE PA 18701 990 2010-01-01 222759566 PRIME CARE INC PRIM 9735798513 175 HIGH STREET NEWTON NJ 07860 SEAN O'ROURKE 9735798513 2011-11-14 1 JULIUS GREEN CPA 5708200100 2010 2016-03-07 17:11:31Z THOMAS J SENKER 175 HIGH STREET NEWTON NJ 07860 5285017 0 X WWW.NMHNJ.ORG X 1986 NJ PROVIDE HOME HEALTH AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF SUSSEX COUNTY, NEW JERSEY AND SURROUNDING COMMUNITIES. 19 14 101 0 0 0 24428 724518 4988399 4492221 346953 49045 27045 19233 5386825 5285017 500450 750 0 0 3416393 3420910 0 0 0 1894780 1837927 5811623 5259587 -424798 25430 3332905 3110484 2052389 1804538 1280516 1305946 X PRIME CARE WAS ORGANIZED TO PROVIDE HOME HEALTH AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF SUSSEX COUNTY, NEW JERSEY AND SURROUNDING COMMUNITIES. 0 0 3159117 750 4492221 "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. 3159117 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 101 1 0 0 0 0 0 0 0 0 0 0 X 19 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X DAVID S RIKKOLA CFO 9735798301 175 HIGH STREET NEWTON NJ 07860 X DR NICK P DIBITETTO 0.10 X 0 0 0 CRAIG U DANA 0.10 X 0 0 0 BRIAN FITZPATRICK 0.10 X 0 0 0 PAUL J OWENS MD 0.10 X 0 0 0 WILLIAM I HOUGHTON III 0.10 X 0 0 0 GLENN A CLARK 0.10 X 0 0 0 GEORGE W MORVILLE JR 0.10 X 0 0 0 PHILIP D DEACON 0.10 X 0 0 0 JEFFREY J QUINN 0.10 X 0 0 0 CONSTANCE C MIERENDORF PHD 0.10 X 0 0 0 MARK AVONDOGLIO 0.10 X 0 0 0 RICHARD I CLARK 0.10 X 0 0 0 CLAUDETTE DELONG 0.10 X 0 0 0 ROBERT E MCCRACKEN 0.10 X X 0 0 0 TAMMIE HORSFIELD 0.10 X X 0 0 0 JAMES S HUBLEY 0.10 X X 0 0 0 CHRISTOPHER LYNCH 0.10 X X 0 0 0 E JANE BROWN 0.10 X X 0 0 0 THOMAS J SENKER 1.00 X X 0 501017 37387 SEAN O'ROURKE 1.00 X 0 293818 38387 DAVID RIKKOLA 1.00 X 0 268649 39286 0 1063484 115060 0 0 1 0 EMCARE INC 100 WITMER RD SUITE 220 HORSHAM PA 19044 URGENT CARE PHYSICIANS 558819 1 700000 24518 724518 NET PATIENT SVC REV 621610 4492221 4492221 4492221 49045 49045 BAD DEBT RECOVERY 900099 19122 19122 MISC REVENUE 900099 111 111 19233 5285017 4492221 0 68278 750 750 2972861 1525399 1447462 35779 19106 16673 412270 221714 190556 653477 580193 73284 40535 40535 246883 121913 124970 86908 46409 40499 250335 122251 128084 168478 167676 802 5185 5185 64950 347 64603 ADMINISTRATION OVERHEAD 254260 254260 DUES & SUBSCRIPTIONS 21452 19030 2422 PHARMACEUTICALS 17944 17944 LIFELINE EXPENSE 12005 12005 REPAIRS AND MAINTENANCE 6896 6896 8619 4400 4219 5259587 3159117 2100470 0 198024 64648 584802 430558 626055 581179 2290903 1163209 1150636 1127694 765454 813554 7934 92851 3332905 3110484 397252 382635 185938 221259 925328 925328 543871 275316 2052389 1804538 X 1280516 1305946 1280516 1305946 3332905 3110484 25430 0 X 0 1 1 X 0 X 287754 196117 21296 24428 24518 554113 4769269 5029044 5064657 4988399 4492221 24343590 5057023 5225161 5085953 5012827 4516739 24897703 0 0 0 24897703 823117 563093 554320 346953 49045 2336528 823117 563093 554320 346953 49045 2336528 4877 38774 27045 19233 89929 5880140 5793131 5679047 5386825 4585017 27324160 0.91120 0.90860 0.08550 0.09190 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: BAD DEBT RECOVERY OTHER REVENUE EXPENSE REIMBURSEMENT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 357034 14000 22149 393183 312268 5000 39766 357034 314468 60000 -62200 312268 1.00000 0 1 1 77500 77500 910552 22397 888155 2670 2670 0 1300181 1138142 162039 1127694 INV IN SPARTA CANCER CENTER 813554 C 813554 DUE TO AFFILIATES 56498 ESTIMATED THIRD-PARTY PAYER SETTLEMENTS 218818 275316 5285017 5259587 25430 0 25430 5265895 0 5265895 19122 19122 5285017 5240465 -19122 -19122 5259587 0 5259587 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. X 0 0 X X X X X 0 1 0 0 1 0 0 0 0 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 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. 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS PER WEEK FORM 990, PART VII 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 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 N/A 0 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 NORTH JERSEY HEALTH VENTURES INC 175 HIGH STREET NEWTON NJ 07860 222705732 INVESTMENTS IN HEALTH CARE RELATED JOINT VENTURES NJ N/A C 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 NORTH JERSEY HEALTH CARE PROPERTIES INC J 75314 COST