2022-05-12T11:58:00-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 221482276 THE MATHENY SCHOOL AND HOSPITAL INC MATH 9082340011 65 HIGHLAND AVENUE PO BOX 339 PEAPACK NJ 07977 WILLIAM KENT PRESIDENT/CEO 9082340011 2022-05-12 1 WILLIAM KENT 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MATHENY MEDICAL & EDUCATIONAL CENTER WILLIAM KENT 65 HIGHLAND AVENUE PO BOX 339 PEAPACK NJ 07977 65061311 0 X WWW.MATHENY.ORG X 1950 NJ PROVIDE COMPREHENSIVE SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 19 17 733 18 0 0 839183 1575499 47379723 49854532 1318269 2424267 323072 195755 49860247 54050053 0 0 0 0 39289955 38497241 0 0 160241 9882216 10649017 49172171 49146258 688076 4903795 57189321 69499999 7284904 8213420 49904417 61286579 X THE MISSION OF MATHENY SCHOOL AND HOSPITAL IS TO OPTIMIZE THE QUALITY OF LIFE FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES AND SIGNIFICANT FUNCTIONAL IMPAIRMENTS. 0 0 27931391 0 32903991 PROFESSIONAL CARE AND NURSING - PRIMARY, SUBSPECIALTY AND REHABILITATIVE CARE TO PATIENTS WITH CHRONIC NEUROLOGICAL DISABLING CONDITIONS OF ALL AGES. PROVIDE SUPPORT FOR NURSING AND ALL CLINICAL, THERAPEUTIC AND EDUCATIONAL DISCIPLINES. PROVIDE THE SCHOOL HEALTH FUNCTIONS FOR THE MATHENY SCHOOL. STAFF THE INPATIENT AND OUTPATIENT UNITS OF MATHENY MEDICAL AND EDUCATIONAL CENTER. PROVIDE EACH PATIENT WITH THE HIGHEST LEVEL OF PROFESSIONAL NURSING AND PARAPROFESSIONAL PERSONAL CARE. BE AN INTEGRATED TEAM WHICH PROVIDES COMPREHENSIVE, TRANSDISCIPLINARY SERVICES TO INDIVIDUALS WITH DISABILITIES OF A DEVELOPMENTAL NATURE. CONTINUED ON SCHEDULE O.MAINTAIN WELLNESS BY CREATING AN ATMOSPHERE WHICH IS HARMONIOUS AND PROMOTES INDIVIDUAL GROWTH AND DEVELOPMENT. TO PROVIDE RELATED SERVICES TO THE MATHENY COMMUNITY, INCLUDING INFECTION CONTROL, ENTERSTOMAL THERAPY, EMPLOYEE HEALTH SERVICES, RESPIRATORY THERAPY AND PHLEBOTOMY SERVICES. ALSO CONSULT WITH THE ADULT LEARNING CENTER AT HILLSBORO (MALCH) AND THE CENTER OF MEDICINE AND DENTISTRY (MCMD). 7617652 0 8973816 EDUCATION AND PSYCHOLOGICAL CARE AND DIETARY - PROVIDE AN INTEGRATED EDUCATIONAL EXPERIENCE FOR STUDENTS WITH A DIVERSE RANGE OF ABILITIES AND DISABILITIES. EACH STUDENT IS GIVEN OPPORTUNITIES TO REACH HIS OR HER HIGHEST LEVEL OF ACADEMIC ACHIEVEMENT, TO OBTAIN MAXIMUM INDEPENDENCE, AND TO TRANSITION INTO POST-SECONDARY FUNCTIONAL AND COMMUNITY-BASED PROGRAMS. THE MATHENY SCHOOL IS A PREMIER LEARNING INSTITUTION FOR STUDENTS WITH DEVELOPMENTAL DISABILITIES, STRIVING FOR EXCELLENCE AND BEST PRACTICES IN EDUCATIONAL ADAPTATIONS AND LEARNING OUTCOMES. MATHENY FACILITATES CHANGE TO MAXIMIZE THE POTENTIAL OF PERSONS SERVED SO THAT THEY MAY ACHIEVE INDEPENDENCE AND INTEGRATION INTO THE COMMUNITY. 6771246 0 7976725 THERAPY - TO PROVIDE A CONTINUUM OF SERVICES IN THE AREAS OF OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH-LANGUAGE THERAPY, MUSIC THERAPY, RECREATION THERAPY AND ASSISTIVE TECHNOLOGY TO CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES IN BOTH MATHENY'S INTERNAL AND EXTERNAL PROGRAMS. 42320289 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 31 0 733 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X KATHLEEN F POWERS VP OF FINANCEC 9082340011 65 HIGHLAND AVENUE PEAPACK NJ 07977 WILLIAM A KRAIS ESQ CHAIRMAN 5.00 X X 0 0 0 PATRICK SCAGLIONE VICE CHAIRMAN 5.00 X X 0 0 0 WILLIAM M KENT MHA PRESIDENT & CEO (AS OF 3/21) 37.50 X X 0 0 0 VINCENT BARBA MD FACP FHM CHIEF MEDICAL OFFICER 37.50 X X 327237 0 36599 KENDELL R SPROTT MD JD PRESIDENT & CEO (UNTIL 4/2/21) 37.50 X X 441979 0 36080 PETER M HOLLOWAY TRUSTEE 1.00 X 0 0 0 ALAN E TUROVLIN CPA CGMA TRUSTEE 1.00 X 0 0 0 DANIEL F MCLAUGHLIN TRUSTEE 1.00 X 0 0 0 MADDALENA MINARDI TRUSTEE 1.00 X 0 0 0 R BRUCE FISHER TRUSTEE 1.00 X 0 0 0 KATHY SISTO TRUSTEE 1.00 1.00 X 0 0 0 ALBERT MEZZAROBA ESQ TRUSTEE 1.00 X 0 0 0 DAVID SZOTT TRUSTEE 1.00 X 0 0 0 ELLEN LAMBERT TRUSTEE 1.00 X 0 0 0 KIM CANIANO TRUSTEE 1.00 X 0 0 0 NANCY HAMSTRA FACHE TRUSTEE 1.00 X 0 0 0 CARLA M JARDIM MD TRUSTEE 1.00 X 0 0 0 PAUL FRASCELLA TRUSTEE 1.00 X 0 0 0 KRISTEN LABAZZO PHD MBA TRUSTEE 1.00 X 0 0 0 EDANA DESATNICK TRUSTEE 1.00 1.00 X 0 0 0 KATHLEEN F POWERS CPA CGMA VP OF FINANCE/CFO 37.50 X 222103 0 13055 RICARDO ALONSO VP OF OPERATIONS 37.50 X 155741 0 28089 NANCY PETRILLO VP OF HUMAN RESOURCES 37.50 X 170821 0 10110 SEAN MURPHY VP OF EDUCATION 37.50 X 122764 0 1665 ELIZABETH HULL BOARD SECRETARY 37.50 X 56765 0 17117 DR CHRISTINE MAND PHYSICIAN 37.50 X 300744 0 23168 DR SURBPARKASH SINGH PHYSICIAN 37.50 X 243310 0 20504 DR SUSAN ROELOFFS PHYSICIAN 37.50 X 182051 0 20964 MARIVIC SANTIAGO PHYSICIAN 37.50 X 153865 0 2471 KENNETH ROBEY PHD CPHQ ADMIN MGR. OF QUAL. IMPROV 37.50 X 182846 0 9491 2560226 0 219313 44 0 1 0 ACCURATE DIAGNOSTIC LABS 3000 HADLEY ROAD SOUTH PLAINFIELD NJ 07080 MEDICAL TESTING SERVICES 414045 PRESIDIO NETWORKED SOLUTIONS GROUP LLC PO BOX 677638 DALLAS TX 75267 DIGITAL SERVICES 291160 WITTKIEFFER 2015 SPRING ROAD SUITE 510 OAK BROOK IL 60523 EXECUTIVE SEARCH SERVICES 259670 BINSKY & SNYDER SERVICE 281 CENTENNIAL AVENUE PISCATAWAY NJ 08854 COMMERCIAL HVAC SERVICES 231271 KJ SESSA INC 1360 CLIFTON AVENUE CLIFTON NJ 07012 CONSTRUCTION CONTRACTOR SERVICES 144779 8 110793 100000 1018760 345946 42500 1575499 PROFESSIONAL CARE AND NURSING 623000 49854532 49854532 49854532 715967 715967 12692215 10983915 1708300 1708300 1708300 56151 110793 27343 28808 28808 STAFF HOUSING REVENUE 900099 114428 114428 ARTS ACCESS INCOME 713990 48778 48778 VENDING REVENUE 900099 3741 3741 166947 54050053 49854532 0 2620022 1790962 673476 1117486 30025482 27819942 2134671 70869 858287 790873 65772 1642 3586761 3245281 332947 8533 2235749 2047115 183221 5413 15000 15000 33153 33153 97000 97000 309513 309513 2049396 1540940 453901 54555 29044 29044 705527 165481 532369 7677 1071513 1071513 10241 6866 3375 14803 14803 1127354 1127354 1263468 1263468 SUPPLIES 2309672 2244028 54932 10712 MEDICATION EXPENSES 514790 514790 GRANT EXPENSES 493641 493641 FOOD & SUPPLIES 266656 266656 338246 297530 39876 840 49146258 42320289 6665728 160241 100 100 4314947 3621396 8278176 12537899 14690 14690 296601 224563 39930527 30197210 9517613 9733317 34546156 41980737 221038 1387297 57189321 69499999 6289425 7155812 800000 600000 175832 195479 281776 7284904 8213420 X 49307916 60685751 596501 600828 49904417 61286579 57189321 69499999 4903795 6478367 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35621985 8547938 44169923 34482655 1139330 35621985 33024914 1457741 34482655 30758537 2266377 33024914 27854779 2903758 30758537 0.99500 0.00000 0.00500 0 0 270094 270094 28751033 21451871 7299162 209107 191352 17755 9328379 7787250 1541129 1371914 766737 605177 9733317 SUNDRY LIABILITIES 281776 281776 X 60247050 6478367 800 -309513 6169654 54077396 -27343 -27343 54050053 48864888 800 27343 28143 48836745 309513 309513 49146258 PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNIZED THRESHOLD IN 2021 AND 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST REVENUE ON F/S -309,513. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -27,343. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 27,343. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST REVENUE ON F/S 309,513. MILES FOR MATHENY 139040 98719 40321 15468 GOLF OUTING 27904 12074 15830 8961 2914 166944 110793 56151 8961 18382 27343 28808 1 1 X 0 0 1 0 0 241072 15782 225290 0.00460 241072 15782 225290 0.00460 241072 15782 225290 0.00460 0 11739 11739 X 0 1 1 THE MATHENY SCHOOL & HOSPITAL INC 65 HIGHLAND AVENUE PEAPACK NJ 07977 21801 X SPECIALTY HOSPITAL THE MATHENY SCHOOL & HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://MATHENY.ORG/WP-CONTENT/UPLOADS/2019/07/CHNA-2019-FINAL-3-13-2019 X 1 18 1 HTTPS://MATHENY.ORG/WP-CONTENT/UPLOADS/2019/07/CHNA-2019-FINAL-3-13-2019 0 1 X X 0 1 X 1 X MATHENY.ORG/FINANCIAL-ASSISTANCE-POLICY/ X X X 1 X 0 X 1 X 0 0 THE MATHENY SCHOOL & HOSPITAL, INC. PART V, SECTION B, LINE 5: TO DETERMINE HOW THE HEALTH NEEDS OF PEOPLE WITH DISABILITIES IN THE STATE OF NEW JERSEY ARE BEING MET, MATHENY SURVEYED 51 AGENCIES. FOURTEEN OF THOSE AGENCIES (27.4%) RESPONDED, BUT ONLY SEVEN IDENTIFIED THEMSELVES. THEY ARE: ABILITIES OF NORTHWEST NEW JERSEY, INC.; ALTERNATIVES, INC.; CENTER FOR FAMILY SUPPORT NEW JERSEY; LADACIN NETWORK; NORTH JERSEY ELKS DEVELOPMENTAL DISABILITIES ASSOCIATION; PRINCETON CHILD DEVELOPMENT INSTITUTE; AND PROGRESSIVE COMPREHENSIVE SERVICES, LLC. THE MATHENY SCHOOL & HOSPITAL, INC. PART V, SECTION B, LINE 11: IN RECOGNITION OF THE IDENTIFIED UNMET NEEDS, PARTICULARLY THOSE IN THE AREAS OF MEDICAL AND DENTAL SERVICES, RESIDENTIAL SERVICES, THERAPEUTIC SERVICES, ADAPTIVE EQUIPMENT AND DEVICES, MATHENY HAS ATTEMPTED TO ADDRESS THOSE NEEDS THROUGH: (1) HEALTH CARE EDUCATION; (2) COLLABORATIVE ALLIANCES AND PARTNERSHIPS; (3) ORGANIZATIONAL TRANSFORMATION AND EXPANSION; AND (4) AWARENESS OF, AND ENGAGEMENT WITH, PROVIDERS OF RELATED AND COLLATERAL SERVICES.1. ADDRESSING UNMET NEEDS THROUGH HEALTH CARE EDUCATION: RECOGNIZING A NEED TO ENSURE THAT THE HEALTH CARE COMMUNITY BEYOND MATHENY'S WALLS IS PREPARED TO SERVE THIS POPULATION THAT, BY ITS NATURE, HAS A NARROWER MARGIN OF HEALTH, MATHENY ACTIVELY TRAINS FUTURE PROFESSIONALS IN THE FIELD TO WORK WITH THIS UNDERSERVED POPULATION. THIS INCLUDES TRAINING AND EDUCATION OF MEDICAL STUDENTS, NURSING STUDENTS, STUDENTS IN THE VARIOUS THERAPIES, AND STUDENTS IN OTHER ALLIED HEALTH DISCIPLINES.2. ADDRESSING UNMET NEEDS THROUGH COLLABORATION, ALLIANCES AND PARTNERSHIPS:- PLANNING IS COORDINATED WITH THE NJ DIVISION OF DEVELOPMENTAL DISABILITIES' PLANS FOR THE EXPANSION OF SERVICES ACROSS THE LIFESPAN, AND SELF-DIRECTED SERVICES. - MATHENY WORKS WITH ADVOCACY GROUPS AROUND NJ, SUCH AS THE ALLIANCE FOR BETTERMENT OF CITIZENS WITH DISABILITIES (ABCD), TO IMPROVE THE STANDING OF OUR POPULATION WITH REGARD TO STATE AND FEDERAL RESOURCES.- WE ENGAGE OTHER PROVIDERS AT A NATIONAL LEVEL THROUGH THE PEDIATRIC COMPLEX CARE ASSOCIATION (PCCA). PCCA PROVIDES A PLATFORM FOR DATA BENCHMARKING, INFORMATION SHARING, AND CONFERENCE-BASED EDUCATION. CLINICAL DATA ARE COLLECTED QUARTERLY AND SUBMITTED TO THE PEDIATRIC COMPLEX CARE ASSOCIATION; STATISTICAL REPORTS ARE PROVIDED AND ALLOW US TO COMPARE TO OTHER ORGANIZATIONS. THESE DATA ASSIST IN HELPING IDENTIFY AREAS OF STRENGTH AND OPPORTUNITIES FOR IMPROVEMENT.- OUR ARTS ACCESS PROGRAM COORDINATES WITH OTHER SIMILAR ORGANIZATIONS AROUND THE STATE FOR COLLABORATIVE PROGRAMMING AND EVENTS.3. ADDRESSING UNMET NEEDS THROUGH TRANSFORMATION AND EXPANSION:- WE CONTINUE TO TRANSFORM OUR HOSPITAL INTO A DATA DRIVEN HIGH RELIABILITY ORGANIZATION THAT DELIVERS EXQUISITELY SAFE, HIGH QUALITY CARE TO EVERY PATIENT EVERY DAY.- WE WORK TO DEVELOP OUR COMMUNITY PROGRAMS OUTREACH INTO A COORDINATED CROSS-DEPARTMENTAL SYSTEM TO EMBRACE MORE PATIENTS IN OUR IMMEDIATE AREA AND BEYOND.- WE WORK WITH NJ RESOURCES TO DEVELOP GROUP HOMES FOR CHILDREN AND ADULTS IN THE DEVELOPMENTALLY DISABLED COMMUNITY.- IN 2017, MATHENY'S ADULT DAY HEALTH SERVICES DEPARTMENT BEGAN THE PROCESS OF TRANSITIONING FROM AN ADULT MEDICAL DAY CARE PROGRAM INTO A DAY HABILITATION PROGRAM. MATHENY RECEIVED OUR PROVISIONAL CERTIFICATE TO OPERATE A DAY HABILITATION PROGRAM THROUGH THE NEW JERSEY DIVISION OF DEVELOPMENTAL DISABILITIES IN NOVEMBER 2017. WITH THIS APPROVAL, MATHENY WAS NOW LISTED AS A SERVICE PROVIDER THROUGH THE DDD WEBSITE. WE BEGAN GETTING INQUIRIES ABOUT OUR PROGRAM IN MAY OF 2018. IN ADDITION, THOSE ADULTS CURRENTLY ENROLLED IN THE ADULT MEDICAL DAY PROGRAM BEGAN FLIPPING INTO THE FEE FOR SERVICE SUPPORTS PROGRAM. THE FIRST CLIENTS FLIPPED IN MAY AND BY THE END OF THE YEAR, 24 OF THE 28 ADULTS HAVE SUCCESSFULLY TRANSITIONED. BY JUNE OF 2019, WE ANTICIPATE THE REMAINING CLIENTS WILL HAVE TRANSITIONED. WE CONTINUE TO RECEIVE REGULAR INQUIRIES ABOUT ENROLLMENT OPPORTUNITIES IN OUR DAY PROGRAM. NEW JERSEY'S ADOPTION OF THE FEE FOR SERVICE MODEL HAS PROVIDED INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES THE OPPORTUNITY TO CHOOSE THE SERVICES THEY WOULD LIKE TO RECEIVE. SUPPORT COORDINATORS CONTACT US REGULARLY LOOKING TO FIND DAY PROGRAMS THAT MEET THEIR CLIENT'S NEEDS. THE DAY PROGRAM ADMISSION COMMITTEE REVIEWS ALL INQUIRIES AND ENROLLS CLIENTS WHEN APPROPRIATE. IN 2018, WE ENROLLED ONE NEW CLIENT. TWO ADDITIONAL CLIENTS HAVE BEEN ENROLLED IN 2019 TO DATE.MATHENY HAS DEVELOPED PLANS TO BUILD TWO ADULT GROUP HOMES IN FAR HILLS NJ. THESE HOMES WILL SUPPORT EIGHT ADULTS IN THE COMMUNITY AND ARE SCHEDULED TO BE BUILT AND OCCUPIED IN LATE 2021. MATHENY'S ADULT DAY HABILITATION PROGRAM HAS EXPANDED TO SERVE APPROXIMATELY 60 INDIVIDUALS IN A COMMUNITY SETTING. IN AUGUST OF 2020, MATHENY ENTERED INTO AN AFFILIATION AGREEMENT WITH CHILDREN'S SPECIALIZED HOSPITAL (CSH). THROUGH THIS AFFILIATION, MATHENY IS WORKING WITH CSH TO DEVELOP A COMPREHENSIVE SYSTEM OF CARE FOR THE DEVELOPMENTALLY DISABLED POPULATION IN THE STATE OF NJ. THIS SYSTEM OF CARE ASPIRES TO SERVE THE I/DD COMMUNITY FROM BIRTH THROUGH ADULTHOOD BY EXPANDING MEDICAL CARE THROUGH THE NJ MAPS PROGRAM AND DEVELOPING ADDITIONAL GROUP HOMES FOR ADULTS.4. ADDRESSING UNMET NEEDS THROUGH AWARENESS OF, AND REFERRAL TO, PROVIDERS OF RELATED AND COLLATERAL SERVICES:MATHENY CANNOT POSSIBLY PROVIDE THE FULL EXTENT OF HEALTH CARE AND HUMAN SERVICES NEEDED BY ALL PEOPLE WITH DISABILITIES IN NEW JERSEY. THEREFORE WE HAVE IDENTIFIED AND COLLABORATED WITH OTHER FACILITIES THAT SERVE THOSE IN THE DISABLED COMMUNITY AND HAVE INFORMED OUR POTENTIAL INPATIENTS AND OUTPATIENTS ABOUT FACILITIES THAT CAN PROVIDE CARE THAT THEY NEED. THEY ARE AS BELOW:- THE ATLANTIC HEALTH DEVELOPMENTAL DISABILITIES CENTERS- THE ROBERT WOOD JOHNSON DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH CENTRE- THE SUMMIT MEDICAL GROUP- PLEASANT RUN FAMILY PHYSICIANS- THE RICHARD HALL COMMUNITY MENTAL HEALTH CENTER- TRINITAS HOSPITAL BEHAVIORAL HEALTH SERVICESMATHENY'S FOCUS ON HEALTH NEEDS IS FOCUSED ON THOSE WITH DEVELOPMENTAL DISABILITIES. WHILE SERVING MANY, THE ORGANIZATION IS LIMITED IN THE NUMBERS IT CAN SERVE BASED ON FUNDING AVAILABLE. THE MATHENY SCHOOL & HOSPITAL, INC. PART V, SECTION B, LINE 13H: THE HOSPITAL PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE; THEY RECEIVE THIS FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. THE HOSPITAL DOES NOT BILL NOR PURSUE PAYMENT FROM ANY HOSPITAL PATIENT. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT. IF THE PATIENT HAS INSURANCE, THE HOSPITAL DOES BILL THE PATIENT'S HEALTH INSURANCE PLAN, OR THIRD PARTY PAYER. THE HOSPITAL COVERS ALL TREATMENTS, COPAYS, DEDUCTIBLES, AND COINSURANCE AND ANY OTHER COST SHARING OBLIGATIONS THAT ARE NOT COVERED BY INSURANCE. THE HOSPITAL DOES NOT TAKE ACTION TO COLLECT FROM PATIENTS OR THEIR FAMILIES AND DOES NOT REPORT TO CREDIT AGENCIES. THE MATHENY SCHOOL & HOSPITAL, INC. PART V, SECTION B, LINE 15E: THE HOSPITAL PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE; THEY RECEIVE THIS FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. THE MATHENY SCHOOL & HOSPITAL, INC. PART V, SECTION B, LINE 20E: THE HOSPITAL PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE; THEY RECEIVE THIS FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. THE HOSPITAL DOES NOT BILL NOR PURSUE PAYMENT FROM ANY HOSPITAL PATIENT. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT. IF THE PATIENT HAS INSURANCE, THE HOSPITAL DOES BILL THE PATIENT'S HEALTH INSURANCE PLAN, OR THIRD PARTY PAYER. THE HOSPITAL COVERS ALL TREATMENTS, COPAYS, DEDUCTIBLES, AND COINSURANCE AND ANY OTHER COST SHARING OBLIGATIONS THAT ARE NOT COVERED BY INSURANCE. THE HOSPITAL DOES NOT TAKE ACTION TO COLLECT FROM PATIENTS OR THEIR FAMILIES AND DOES NOT REPORT TO CREDIT AGENCIES. PART I, LINE 3C: THE HOSPITAL PATIENTS ARE NOT REQUIRED TO APPLY FOR ASSISTANCE; THEY RECEIVE THIS FINANCIAL ASSISTANCE POLICY BY VIRTUE OF THEIR STATUS AS PATIENTS. THE HOSPITAL DOES NOT BILL NOR PURSUE PAYMENT FROM ANY HOSPITAL PATIENT. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT. IF THE PATIENT HAS INSURANCE, THE HOSPITAL DOES BILL THE PATIENT'S HEALTH INSURANCE PLAN, OR THIRD PARTY PAYER. THE HOSPITAL COVERS ALL TREATMENTS, COPAYS, DEDUCTIBLES, AND COINSURANCE AND ANY OTHER COST SHARING OBLIGATIONS THAT ARE NOT COVERED BY INSURANCE. THE HOSPITAL DOES NOT TAKE ACTION TO COLLECT FROM PATIENTS OR THEIR FAMILIES AND DOES NOT REPORT TO CREDIT AGENCIES. PART I, LINE 7: THE AMOUNTS REPRESENT REVENUE FROM OUR GROUP HOMES AND THE RELATED EXPENSES FOR THE GROUP HOMES AND RELATED BENEFITS. LINE H RESEARCH ARE THE EXPENSES FOR RESEARCH DEPARTMENT. PART III, LINE 4: THE CENTER CLOSELY MONITORS THE EXTENSION OF CREDIT TO ITS CUSTOMERS WHILE MAINTAINING ALLOWANCES FOR POTENTIAL CREDIT LOSSES. ON A PERIODIC BASIS THE CENTER EVALUATES ITS ACCOUNTS RECEIVABLE AND ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, BASED ON A HISTORY OF PAST WRITE-OFFS AND COLLECTIONS AND CURRENT CREDIT CONSIDERATIONS. PART III, LINE 9B: THE HOSPITAL DOES NOT BILL NOR PURSUE PAYMENT FROM ANY HOSPITAL PATIENT. A BILLING SYSTEM IS MAINTAINED FOR EACH PATIENT, BUT BILLS ARE NOT SENT TO ANY PATIENT. IF THE PATIENT HAS INSURANCE, THE HOSPITAL DOES BILL THE PATIENT'S HEALTH INSURANCE PLAN, OR THIRD PARTY PAYER. THE HOSPITAL COVERS ALL TREATMENTS, COPAYS, DEDUCTIBLES, AND COINSURANCE AND ANY OTHER COST SHARING OBLIGATIONS THAT ARE NOT COVERED BY INSURANCE. THE HOSPITAL DOES NOT TAKE ACTION TO COLLECT FROM PATIENTS OR THEIR FAMILIES AND DOES NOT REPORT TO CREDIT AGENCIES. PART VI, LINE 2: WE CONTINUALLY INTERACT WITH OTHER AGENCIES IN THE STATE OF NEW JERSEY SERVING PEOPLE WITH DISABILITIES. AMONG THOSE AGENCIES ARE OTHER PRIVATE NON-PROFITS AS WELL AS GOVERNMENT AGENCIES. SOME EXAMPLES: ALLIANCE FOR THE BETTERMENT OF CITIZENS WITH DISABILITIES, ARC OF NEW JERSEY, CEREBRAL PALSY OF NEW JERSEY, NJ DIVISION OF DEVELOPMENTAL DISABILITIES AND THE NJ DIVISION OF CHILDREN & FAMILIES. PART VI, LINE 3: INDIVIDUALS ARE ADMITTED TO MATHENY THROUGH A PROCESS THAT INCLUDES A BOTH PRE-ADMISSION SCREENING AND PRE-ADMISSION REVIEW WITH A MUTLI-DISCIPLINARY TEAM TO ASSESS PATIENT NEEDS. A MEMBER OF THE FINANCE TEAM MEETS WITH THE PATIENT AND PARENTS AND/OR LEGAL GUARDIAN TO REVIEW FINANCIAL STATUS. THE FINANCE TEAM MEMBER EDUCATES THE PATIENT, PARENT AND/OR GUARDIAN DURING THE PRE-ADMISSION REVIEW ABOUT NJ MEDICAID QUALIFICATION AND THE PROCESS TO OBTAIN MEDICAID ELIGIBILITY IF IT HAS NOT ALREADY BEEN OBTAINED.THE HOSPITAL IS CONSIDERED AN INSTITUTIONAL CARE SETTING WHICH IS PAID FOR THROUGH FUNDING FROM NJ MEDICAID. INDIVIDUALS ARE CARED FOR AT MATHENY REGARDLESS OF THEIR ABILITY TO PAY. ALL MATHENY PATIENTS ARE ELIGIBLE TO PARTICIPATE IN THE MATHENY'S FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 4: MATHENY SERVES THE POPULATION OF PEOPLE IN THE STATE OF NEW JERSEY WHO HAVE MEDICALLY COMPLEX DEVELOPMENTAL DISABILITIES. MATHENY SERVES INPATIENTS FROM 16 OF THE 21 COUNTIES IN NEW JERSEY, WITH THE LARGEST GROUPS COMING FROM SOMERSET (17.2%), ESSEX (6.2%) AND MORRIS (14.1). CURRENTLY, 99 OF THESE CLIENTS ARE INPATIENTS AT MATHENY'S SPECIAL HOSPITAL, WHICH IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND ACCREDITED BY THE JOINT COMMISSION. THIRTY ADULTS RESIDE IN MATHENY'S COMMUNITY RESIDENCES. ELEVEN STUDENTS ATTEND THE MATHENY SCHOOL BUT LIVE AT HOME. THE SCHOOLS' TOTAL ENROLLMENT IS 45 STUDENTS. WE ALSO CARE FOR OUTPATIENTS WHO UTILIZE OUR DENTAL SERVICES AND SUB-SPECIALTY MEDICAL SERVICES.THE GREAT MAJORITY OF MATHENY INPATIENTS AND GROUP HOME RESIDENTS HAVE CEREBRAL PALSY AS THEIR PRIMARY DIAGNOSIS. IN ADDITION TO CEREBRAL PALSY, OUR PATIENTS MAY HAVE OTHER ASSOCIATED CLINICAL CONDITIONS SUCH AS VISION AND HEARING DEFICITS, SEIZURE DISORDERS, INTELLECTUAL DISABILITIES AND DYSPHAGIA, WITH RESULTING ASPIRATION PROBLEMS. MATHENY ALSO CARES FOR PATIENTS WITH SPINA BIFIDA, LESCH-NYHAN DISEASE (LND) AND A WIDE RANGE OF UNCOMMON NEUROLOGICAL CONDITIONS INCLUDING RETT SYNDROME, ANGELMAN SYNDROME, CORNELIA DE LANGE SYNDROME, WOLF-HIRSHORN SYNDROME, AND 4Q DELETION SYNDROME. LESCH-NYHAN DISEASE IS A RARE X-LINKED RECESSIVE DISORDER ASSOCIATED WITH COGNITIVE IMPAIRMENT, HIGH LEVELS OF URIC ACID IN THE BLOOD, KIDNEY INVOLVEMENT, AND THE HALLMARK SYMPTOM INVOLUNTARY SELF-INJURIOUS BEHAVIORS. MATHENY IS RECOGNIZED AS ONE OF THE LEADING SOURCES OF INFORMATION ON CARE ISSUES REGARDING LESCH-NYHAN DISEASE. PART VI, LINE 5: PROMOTION OF HEALTH IN THE COMMUNITY:THE MATHENY INSTITUTE FOR RESEARCH IN DEVELOPMENTAL DISABILITIES CONDUCTS RESEARCH THAT HELPS PEOPLE WITH DEVELOPMENTAL DISABILITIES AND THEIR CAREGIVERS. WE PUBLISH OUR RESEARCH IN LEADING MEDICAL JOURNALS AND IN LEADING PUBLICATIONS IN THE FIELD OF DISABILITIES. WE PRESENT OUR RESEARCH AT REGIONAL, NATIONAL AND INTERNATIONAL CONFERENCES AND OFTEN ADDRESS MEDICAL SCHOOLS AND GOVERNMENT-SPONSORED MEETINGS. WE ALSO CREATE MULTIMEDIA TRAINING TOOLS TO HELP MEDICAL SCHOOLS IN PREPARING THEIR STUDENTS TO CARE FOR AND TREAT PERSONS WITH DISABILITIES.WE WERE RESPONSIBLE FOR THE PASSAGE OF A LAW IN NEW JERSEY THAT PROVIDES FAMILIES OF PERSONS WITH DEVELOPMENTAL DISABILITIES GREATER AUTONOMY IN MAKING DECISIONS ABOUT PARTICIPATION IN POTENTIALLY BENEFICIAL RESEARCH. BEING AWARE OF AN INCONSISTENCY REGARDING GUARDIAN REQUIREMENTS CONTAINED IN TWO PREVIOUS PIECES OF LEGISLATION, OUR RESEARCH DIRECTOR AND CORPORATE COUNSEL BROUGHT THIS ISSUE TO THE ATTENTION OF NEW JERSEY STATE SENATOR CHRISTOPHER BATEMAN. SENATOR BATEMAN, ALONG WITH SENATOR ROBERT W. SINGER AND ASSEMBLYWOMAN MILA M. JASEY, SPONSORED BILLS THAT RESULTED IN THE NEW LAW.IN ADDITION TO CLEARING UP THE PREVIOUS INCONSISTENCY, THE NEW LAW EXPANDED THE RANGE OF STUDIES THAT ARE ALLOWED TO INCLUDE ONES THAT MIGHT NOT HAVE DIRECT BENEFIT TO THE INDIVIDUAL PARTICIPANT, BUT MIGHT HAVE BROADER BENEFIT TO PERSONS WITH DISABILITIES. THE PRACTICAL BENEFIT OF THE NEW LAW IS THAT FAMILIES OF PERSONS WITH DEVELOPMENTAL DISABILITIES WILL HAVE THE FREEDOM THAT OTHER FAMILIES ENJOY TO WEIGH THE RISKS AND BENEFITS OF AN APPROPRIATELY REVIEWED AND APPROVED RESEARCH STUDY. THEY CAN NOW MAKE THEIR OWN INFORMED DECISIONS ABOUT WHETHER OR NOT THEIR FAMILY MEMBERS WILL PARTICIPATE.MATHENY HAS ALSO CREATED AN ONLINE DATABASE OF DENTISTS IN NEW JERSEY WHO SERVE PEOPLE WITH DEVELOPMENTAL DISABILITIES. THIS WAS MADE POSSIBLE BY A GRANT FROM THE NEW JERSEY COUNCIL ON DEVELOPMENTAL DISABILITIES (NJCDD). THAT DATABASE IS AVAILABLE AT WWW.DISABILITYHEALTH.ORG/DENTAL. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7: THERE ARE NO STATES IN WHICH THE COMMUNITY REPORT NEEDS TO BE FILED. X X X X 0 1 0 0 0 0 0 0 0 KENDELL R SPROTT MD JD PRESIDENT & CEO (UNTIL 4/2/21) 316774 0 125205 0 0 0 20713 0 15367 0 478059 0 0 0 VINCENT BARBA MD FACP FHM CHIEF MEDICAL OFFICER 327237 0 0 0 0 0 16053 0 20546 0 363836 0 0 0 DR CHRISTINE MAND PHYSICIAN 300744 0 0 0 0 0 15049 0 8119 0 323912 0 0 0 DR SURBPARKASH SINGH PHYSICIAN 243310 0 0 0 0 0 12385 0 8119 0 263814 0 0 0 KATHLEEN F POWERS CPA CGMA VP OF FINANCE/CFO 222103 0 0 0 0 0 11971 0 1084 0 235158 0 0 0 DR SUSAN ROELOFFS PHYSICIAN 182051 0 0 0 0 0 9054 0 11910 0 203015 0 0 0 KENNETH ROBEY PHD CPHQ ADMIN MGR. OF QUAL. IMPROV 182846 0 0 0 0 0 7935 0 1556 0 192337 0 0 0 RICARDO ALONSO VP OF OPERATIONS 155741 0 0 0 0 0 7565 0 20524 0 183830 0 0 0 NANCY PETRILLO VP OF HUMAN RESOURCES 170821 0 0 0 0 0 8226 0 1884 0 180931 0 0 0 MARIVIC SANTIAGO PHYSICIAN 153865 0 0 0 0 0 2471 0 0 0 156336 0 0 0 PART I, LINE 4B THERE WERE NO CONTRIBUTIONS TO OR DISTRIBUTIONS FROM THE 457F PLAN IN CALENDAR YEAR 2020. THE PLAN IS CURRENTLY FROZEN. A NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY 222845542 64579E8JE 2003-06-20 3500000 SEE PART VI 0 0 0 A 2900000 3500000 3500000 2003 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY (F) DESCRIPTION OF PURPOSE: CONSTRUCTION AND RENOVATION VARIOUS CAPITAL IMPROVEMENTS X 1 42500 APPRAISED VALUE 1 0 1 0 PART I, COLUMN (B): THE NUMBER IN COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER EDANA DESATNICK IS THE SISTER-IN-LAW OF BOARD MEMBER ALBERT MEZZAROBA. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE TAX RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY ALL MATHENY BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES AS WELL AS ANY IDENTIFIED STAFF. THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING THIS PROCESS. A COMMITTEE CONSISTING OF THE VP'S OF FINANCE, HR, OPERATIONS, PATIENT CARE, SAFETY AND THE COMPLIANCE OFFICER REVIEWS AND ADDRESSES ANY POTENTIAL CONFLICTS OF INTEREST IDENTIFIED. THE COMMITTEE SHALL MAKE A RECOMMENDATION TO THE PRESIDENT OR HIS/HER DESIGNEE REGARDING APPROPRIATE STEPS TO BE TAKEN TO ELIMINATE THE POTENTIAL EFFECT OF THE CONFLICT OF INTEREST ON INDEPENDENCE OF JUDGMENT OR PATIENT SAFETY AND QUALITY OF PATIENT CARE. THE PRESIDENT OR HIS/HER DESIGNEE SHALL EVALUATE THE COMMITTEE'S RECOMMENDATION AND SHALL DIRECT THE STEPS NECESSARY. THE COMMITTEE KEEPS WRITTEN MINUTES OF THEIR MEETINGS WHICH INCLUDE IDENTIFIED CONFLICTS, THE NATURE OF THE CONFLICT, THE CONTENT OF THE DISCUSSION, AND THE NECESSARY ACTIONS TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 MATHENY MEDICAL AND EDUCATIONAL CENTER HAS AN ESTABLISHED COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL CONSIST OF SUCH NUMBERS OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES AS MAY BE RECOMMENDED BY THE CHAIRPERSON AND APPOINTED BY A MAJORITY OF THE ENTIRE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE FOR OVERSIGHT OF MANAGEMENT COMPENSATION. COMPENSATION FOR THE PRESIDENT SHALL BE DETERMINED BY THE BOARD OF TRUSTEES, UPON RECOMMENDATION OF THE COMPENSATION COMMITTEE. COMPENSATION FOR OTHER SENIOR MANAGEMENT SHALL BE DETERMINED BY THE PRESIDENT, WHICH DETERMINATIONS SHALL BE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE SHALL MEET AT LEAST SEMIANNUALLY. THE CHAIR OF THE COMPENSATION COMMITTEE SHALL BE RESPONSIBLE FOR ENSURING THAT THE COMMITTEE UTILIZES THE APPROPRIATE PROCESSES IN ALL COMPENSATION EVALUATIONS, RECOMMENDATIONS AND OTHER ACTIONS. MATHENY MEDICAL AND EDUCATIONAL CENTER ALSO PARTICIPATES IN AN ANNUAL WAGE AND SALARY SURVEY WHICH IS USED TO BENCHMARK ALL POSITIONS TO MAINTAIN APPROPRIATE SALARY GUIDELINES. THIS PROCESS IS CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FRIENDS OF MATHENY PO BOX 89 PEAPACK NJ 07977 222512045 FUNDRAISING NJ 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0