ENGLEWOOD HOSPITAL AND MEDICAL CENTER A NEW JERSEY NONPROFIT CORP: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER A NEW JERSEY NONPROFIT CORP (EIN 22-1487173)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201703179349301200
Schema version
2016v3.1
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

FieldValueIRS element (for citing)
Return2017-11-13T08:15:40-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 Jefferson Park Suite 400AddressLine1Txt
CityWhippanyCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079811070ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN221487173EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ANTHONY T ORLANDOInCareOfNm
Business Name ControlENGLBusinessNameControlTxt
Phone2018943275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWARREN GELLERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone2018943280PhoneNum
Signature2017-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone9738989494PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address198.46.120.251IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id22006220173175000001FederalOriginalSubmissionId
Federal Original Submission Id2017-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id582F47EFACDD6166E52205D1FBFEA2601660FA18AtSubmissionCreationDeviceId
At Submission Filing Device IdB8BA16CFEDA17302B35ECB0C007529BABF51136AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWARREN GELLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$567,690,152GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ENGLEWOODHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1888FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPREHENSIVE, STATE-OF-THE- ART PATIENT SERVICES, EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee3112TotalEmployeeCnt
Total Volunteers770TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,277,063PYContributionsGrantsAmt
CY Contributions Grants$5,269,220CYContributionsGrantsAmt
PY Program Service Revenue$494,636,698PYProgramServiceRevenueAmt
CY Program Service Revenue$558,203,224CYProgramServiceRevenueAmt
PY Investment Income$61,377PYInvestmentIncomeAmt
CY Investment Income$269,464CYInvestmentIncomeAmt
PY Other Revenue$7,155,728PYOtherRevenueAmt
CY Other Revenue$3,869,088CYOtherRevenueAmt
PY Total Revenue$505,130,866PYTotalRevenueAmt
CY Total Revenue$567,610,996CYTotalRevenueAmt
PY Grants And Similar Paid$22,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$176,264,883PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$187,552,562CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$315,294,724PYOtherExpensesAmt
CY Other Expenses$358,105,975CYOtherExpensesAmt
PY Total Expenses$491,582,107PYTotalExpensesAmt
CY Total Expenses$545,666,787CYTotalExpensesAmt
PY Revenues Less Expenses$13,548,759PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,944,209CYRevenuesLessExpensesAmt
Total Assets BOY$489,280,714TotalAssetsBOYAmt
Total Assets EOY$554,470,152TotalAssetsEOYAmt
Total Liabilities BOY$331,422,127TotalLiabilitiesBOYAmt
Total Liabilities EOY$353,212,926TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$157,858,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$201,257,226NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide comprehensive, state-of-the-art patient services; emphasize caring and other human values in the treatment of patients and in relations with their families, and among employees, medical staff, and community; be a center of education and research; and provide employees and medical staff with maximum opportunities to achieve their personal and professional goals. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$451,707,400ExpenseAmt
Grant$8,250GrantAmt
Revenue$558,203,224RevenueAmt
DescEXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.Desc
Total Program Service Expenses$451,707,400TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document263IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3112EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANTHONY T ORLANDOPersonNm
Phone2018943280PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS C SENTER ESQ
CHAIRMAN - TRUSTEE14.02.0Yes (X)Yes (X)$0$0$0
STEVEN E SIESSER ESQ
VICE CHAIRMAN - TRUSTEE1.01.0Yes (X)Yes (X)$0$0$0
WARREN GELLER
SECRETARY - TRUSTEE; PRES/CEO55.08.0Yes (X)Yes (X)$983,309$195,000$187,502
JONATHAN ABAD
TREASURER - TRUSTEE2.01.0Yes (X)Yes (X)$0$0$0
YALE BLOCK
TRUSTEE2.01.0Yes (X)$0$0$0
IN JIN CHOI
TRUSTEE1.01.0Yes (X)$0$0$0
IRA COHEN
TRUSTEE (EFFECTIVE 10/01/16)1.00.0Yes (X)$0$0$0
ANDREW F DURKIN
TRUSTEE1.01.0Yes (X)$0$0$0
CHRIST ECONOMOUS
TRUSTEE (EFFECTIVE 10/01/16)1.00.0Yes (X)$0$0$0
GAYLE GERSTEIN
TRUSTEE1.00.0Yes (X)$0$0$0
RONALD GOLD
TRUSTEE1.01.0Yes (X)$0$0$0
DAVID GRAF
TRUSTEE1.00.0Yes (X)$0$0$0
EDDIE R HADDEN ESQ
TRUSTEE4.01.0Yes (X)$0$0$0
THOMAS M JACKSON ESQ
TRUSTEE1.00.0Yes (X)$0$0$0
MARGARET R KAPLEN
TRUSTEE1.00.0Yes (X)$0$0$0
SUN CHONG KIM
TRUSTEE1.01.0Yes (X)$0$0$0
RICHARD J KURTZ
TRUSTEE1.04.0Yes (X)$0$0$0
GERALD LEE MD
TRUSTEE1.01.0Yes (X)$0$0$0
RICHARD LERNER
TRUSTEE1.01.0Yes (X)$0$0$0
GREGG LOBEL MD
TRUSTEE - MED STAFF PRESIDENT1.00.0Yes (X)$0$0$0
ROBERT F MANGANO
TRUSTEE2.02.0Yes (X)$0$0$0
JEFFREY MATICAN MD
TRUSTEE1.055.0Yes (X)$25,004$432,966$25,676
JAY C NADEL
TRUSTEE5.03.0Yes (X)$0$0$0
LEON REDENSKY
TRUSTEE1.00.0Yes (X)$0$0$0
STEVEN RUDNITSKY
TRUSTEE1.00.0Yes (X)$0$0$0
MARK SAPIENZA MD
TRUSTEE (EFFECTIVE 01/01/16)3.00.0Yes (X)$0$0$0
MARK SHAPIRO MD
TRUSTEE1.01.0Yes (X)$0$250,000$0
THOMAS J VOLPE
TRUSTEE1.01.0Yes (X)$0$0$0
ANTHONY T ORLANDO
SVP FINANCE/CFO55.04.0Yes (X)$591,345$20,102$51,737
MARY ANN DONOHUE-RYAN PHD RN
VP, PCS & CNO (EFF 01/19/16)55.00.0Yes (X)$272,509$0$22,739
HELENE WOLK
SVP OPERATIONS55.00.0$405,042$0$19,153Yes (X)
MICHAEL PIETROWICZ
SVP PLANNING & DEVLOPMENT55.02.0$406,385$0$53,063Yes (X)
PATRICIA G WILSON
SVP HUMAN RESOURCES55.00.0$380,432$0$52,134Yes (X)
KATHLEEN KAMINSKY RN
SVP CHIEF POP HEALTH OFFICER55.00.0$343,097$0$54,056Yes (X)
ALICIA PARK
VP COMMUNICATIONS55.00.0$264,984$0$7,634Yes (X)
DIMITRI CRUZ
DIRECTOR INFO TECHNOLOGY/CIO55.00.0$264,554$0$22,210Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,936,661TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$898,068TotReportableCompRltdOrgAmt
Total Other Compensation$495,904TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K405IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROTHALL HEALTHCARE GROUP
1500 LIBERTY RIDGE DRIVE SUITE 210WAYNEPA19087ENVIRONMENTAL SVCS$5,003,355
ENGLEWOOD CARDIAC SURGERY ASSOCIATE
350 ENGLE STREETENGLEWOODNJ07631PHYSICIAN SERVICES$3,335,000
ABSOLUTE MEDIA INC
1150 SUMMER STREETSTAMFORDCT06905ADVERTISING$1,735,535
US SECURITY ASSOCIATES
PO BOX 931703ATLANTAGA31193SECURITY$1,684,346
TRIAGE CONSULTING GROUP
221 MAIN STREET SUITE 1100SAN FRANCISCOCA94105CONSULTING$1,459,463
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K102CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$3,971,916RelatedOrganizationsAmt
Government Grants$1,297,304GovernmentGrantsAmt
Total Contributions$5,269,220TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE622110$552,788,328$552,788,328
OTHER HEALTHCARE RELATED REVENUE622110$4,054,412$4,054,412
INCOME FROM JOINT VENTURE - VNA OF ENG.621610$1,159,826$1,159,826
RENTAL INCOME FROM AFFILIATES531190$200,658$200,658
FieldValueIRS element (for citing)
Total Program Service Revenue$558,203,224TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$269,364TotalRevenueColumnAmt
Exclusion$269,364ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,063,611RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,063,611RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,063,611TotalRevenueColumnAmt
Exclusion$1,063,611ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$79,256OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$79,156OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$100OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$100TotalRevenueColumnAmt
Exclusion$100ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/VENDING SALES722210$2,473,236$2,473,236
PARKING812930$323,743$323,743
TELEPHONE/TELEVISION900099$8,498$8,498
FieldValueIRS element (for citing)
Other Revenue Total$2,805,477OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$567,610,996TotalRevenueColumnAmt
Related Or Exempt Func Income$558,203,224RelatedOrExemptFuncIncomeAmt
Exclusion$4,138,552ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,250TotalAmt
Program Services$8,250ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,558,339TotalAmt
Program Services$25,004ProgramServicesAmt
Management And General$2,533,335ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$147,150,144TotalAmt
Program Services$123,092,508ProgramServicesAmt
Management And General$24,057,636ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,885,164TotalAmt
Program Services$8,270,714ProgramServicesAmt
Management And General$1,614,450ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,873,819TotalAmt
Program Services$13,281,299ProgramServicesAmt
Management And General$2,592,520ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,085,096TotalAmt
Program Services$10,111,352ProgramServicesAmt
Management And General$1,973,744ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$826,075TotalAmt
Program Services$826,075ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,041,827TotalAmt
Program Services$99,068ProgramServicesAmt
Management And General$942,759ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$265,816TotalAmt
Management And General$265,816ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$65,757TotalAmt
Management And General$65,757ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$136,741,036TotalAmt
Program Services$125,905,913ProgramServicesAmt
Management And General$10,835,123ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,434,565TotalAmt
Program Services$2,760,864ProgramServicesAmt
Management And General$1,673,701ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,694,904TotalAmt
Program Services$493,242ProgramServicesAmt
Management And General$1,201,662ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,572,762TotalAmt
Program Services$549,836ProgramServicesAmt
Management And General$11,022,926ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,338,651TotalAmt
Program Services$5,333,833ProgramServicesAmt
Management And General$4,004,818ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$438,952TotalAmt
Program Services$307,346ProgramServicesAmt
Management And General$131,606ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$288,841TotalAmt
Program Services$259,092ProgramServicesAmt
Management And General$29,749ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,155,636TotalAmt
Program Services$7,155,636ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,033,078TotalAmt
Program Services$14,377,286ProgramServicesAmt
Management And General$16,655,792ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,889,065TotalAmt
Program Services$3,201,246ProgramServicesAmt
Management And General$687,819ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$73,408,739$73,408,739$0$0
PHARMACEUTICALS/DRUGS$39,360,322$39,307,617$52,705$0
CONTRACTED SERVICES$29,443,431$21,767,012$7,676,419$0
OTHER EXPENSES$7,106,518$1,165,468$5,941,050$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$545,666,787TotalAmt
Program Services$451,707,400ProgramServicesAmt
Management And General$93,959,387ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,244,336BOYAmt
EOY$9,521,759EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,019,736BOYAmt
EOY$36,725,442EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,624,560BOYAmt
EOY$56,039,138EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,371,043BOYAmt
EOY$2,371,043EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,043,234BOYAmt
EOY$11,857,041EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,245,338BOYAmt
EOY$6,174,848EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$655,822,609LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$365,916,457LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$277,428,049BOYAmt
EOY$289,906,152EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$75,920,789BOYAmt
EOY$127,537,293EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,383,629BOYAmt
EOY$14,337,436EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$489,280,714BOYAmt
EOY$554,470,152EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,139,940BOYAmt
EOY$71,170,700EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$241,192BOYAmt
EOY$202,477EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$181,215,248BOYAmt
EOY$207,260,036EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,825,747BOYAmt
EOY$74,579,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$331,422,127BOYAmt
EOY$353,212,926EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$115,979,928BOYAmt
EOY$148,160,204EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,754,801BOYAmt
EOY$49,973,164EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,123,858BOYAmt
EOY$3,123,858EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$157,858,587BOYAmt
EOY$201,257,226EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,280,714BOYAmt
EOY$554,470,152EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,944,209ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$23,821NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$21,478,251OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$65,757FilingOrganizationsTotalAmt
Affiliated Group Total$65,757AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$65,757FilingOrganizationsTotalAmt
Affiliated Group Total$65,757AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$545,601,034FilingOrganizationsTotalAmt
Affiliated Group Total$545,601,034AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$545,666,791FilingOrganizationsTotalAmt
Affiliated Group Total$545,666,791AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$16,953CurrentYearMinus3Amt
Current Year Minus2$18,152CurrentYearMinus2Amt
Current Year Minus1$55,718CurrentYearMinus1Amt
Current Year$65,757CurrentYearAmt
Total$156,580TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-A, LINE 2CFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HOSPITAL AND MEDICAL CENTER ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2016, THE ORGANIZATION PAID AN OUTSIDE FIRM $36,000 FOR LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $29,757 DURING 2016. THIS ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 IN 2016. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$180,588OtherCostOrOtherBasisAmt
Book Value$180,588BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,486,262OtherCostOrOtherBasisAmt
Depreciation$58,936,383DepreciationAmt
Book Value$134,549,879BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$445,224,055OtherCostOrOtherBasisAmt
Depreciation$305,370,970DepreciationAmt
Book Value$139,853,085BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,931,704OtherCostOrOtherBasisAmt
Depreciation$1,609,104DepreciationAmt
Book Value$15,322,600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$289,906,152TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CASH & CASH EQUIVALENTS$15,217,174F
INCOME SECURITIES$13,091,000F
MORTGAGE RESERVE FUND$12,151,174F
LEASE AGREEMENTS$27,940,285F
INVESTMENTS IN JOINT VENTURES$6,040,638F
EHMC FOUNDATION$53,097,022F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$127,537,293TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO AFFILIATES$447,915
DUE TO THIRD PARTY PAYORS$29,903,031
ACCRUED PENSION LIABILITY$32,089,424
ESTIMATED MALPRACTICE CLAIMS$3,868,602
OTHER LIABILITIES$8,270,741
FieldValueIRS element (for citing)
Total Liability$74,579,713TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): The Medical 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 is met. Management determined there were no tax uncertainties that met the recognition threshold in 2016 and 2015.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other900.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,941,320TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$488,874DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,452,446NetCommunityBenefitExpnsAmt
Total Expense0.03380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,439,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,695,833DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,743,522NetCommunityBenefitExpnsAmt
Total Expense0.03070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,380,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,184,707DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,195,968NetCommunityBenefitExpnsAmt
Total Expense0.06450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,528,242TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,528,242NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,996,583TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,600,232DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,396,351NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,907,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,018,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,889,000NetCommunityBenefitExpnsAmt
Total Expense0.07680TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$460,688TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$148,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$311,838NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$331,961TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$331,961NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$111,224,474TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,767,082DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,457,392NetCommunityBenefitExpnsAmt
Total Expense0.10170TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$173,605,149TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,951,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,653,360NetCommunityBenefitExpnsAmt
Total Expense0.16620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,000,999BadDebtExpenseAmt
Bad Debt Expense Attributable$4,110,274BadDebtExpenseAttributableAmt
Reimbursed By Medicare$137,734,255ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$205,886,589CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$68,152,334MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.ENGLEWOODHEALTH.ORGWebsiteAddressTxt
State License10202StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.ENGLEWOODHEALTH.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.healthybergen.orgOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.ENGLEWOODHEALTH.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care9999999900.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ENGLEWOODHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ENGLEWOODHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ENGLEWOODHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 5While conducting its most recent community health needs assessment ("CHNA") Englewood Hospital and Medical Center ("EHMC") took into account input from persons who represent the broad interest of the community served by the hospital facility. The organizations CHNA incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for comparison to benchmark data at the county, state and national levels. Qualitative data input includes primary research gathered through an Online Key Informant Survey of various community stakeholders. Online Key Informant Survey --------------------------- In an effort to solicit input from key informants, those individuals who have a broad interest in the health of the community, the organization utilized an Online Key Informant Survey as part of its CHNA process. A list of recommended participants was provided by the Community Health Improvement Partnership of Bergen County; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 75 community stakeholders in Bergen County took part in the Online Key Informant Survey. Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations, or other medically underserved populations. Minority/medically underserved populations represented include: African-Americans, Asians, children, day laborers, the disabled, elderly population, foster children, those with high deductibles, Hispanics, the homeless, immigrants, Koreans, residents with low education level, low income residents, Medicare/Medicaid recipients, the mentally ill, MICA clients, Native Americans, non-English speaking persons, obese individuals, students attending schools in low income areas, teenage mothers, undocumented individuals, unemployed residents, the uninsured/underinsured, veterans. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such, and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included in EHMCs CHNA. Final participation included representatives of the organizations outlined below: - Bergen County Cancer Education and Early Detection; - Bergen County Department of Health Services; - Bergen County Department of Human Services; - Bergen County School Nurses Association; - Bergen County Special Services; - Bergen County United Way; - Bergen County Youth Services Commission; - Bergen Regional Medical Center; - Bergen Volunteer Center; - Bergenfield/Hackensack Health Departments; - Brightview Senior Living; - CancerCare; - Care Plus Medical Services; - Center for Dentistry at HUMC; - Children's Aid and Family Services; - Christian Health Care Center; - Edgewater Office of Public Health/Health Department; - Englewood Health Department; - Fair Lawn Senior Center; - Friends to Friends Community Church; - Geriatric Services, Inc.; - Gold's Gym; - Hackensack University Medical Center; - HARP of Hackensack University Medical Center; - Healthy Families North Jersey; - High Focus Centers; - Holy Name Medical Center; - Jewish Family Service of Bergen and North Hudson; - Metropolitan AME Zion Church; - Narcotics Anonymous; - North Hudson Community Action Corp Health Center; - Northern Valley ADC; - Paramus Board of Health and Human Services; - Partnership for Maternal and Child Health of North NJ; - Pascack Valley Meals on Wheels; - Senior Source; and - Teaneck Health Department/Social Services.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6BEHMC's CHNA was completed in collaboration with the Community Health Improvement Partnership ("CHIP") of Bergen County. The EHMC CHNA is part of a broader regional assessment made possible through the generous support of Christian Health Care Center (Ramapo Ridge Psychiatric Hospital), Hackensack University Medical Center, HackensackUMC at Pascack Valley, Holy Name Medical Center and The Valley Hospital. Representatives from each of these hospitals, along with representatives of the Bergen County Department of Health Services ("BCDHS") and the CHIP of Bergen County. The organizations worked collaboratively to guide assessments of health needs for Bergen County and for the specific communities served by each hospital. Additionally, EHMCs CHNA was conducted by Professional Research Consultants, Inc. ("PRC"). PRC is a nationally-recognized healthcare consulting firm with extensive experience conducting CHNAs such as this in hundreds of communities across the United States since 1994.
SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7BTHE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: www.englewoodhealth.org/about#community-health-needs-assessment Additionally, the Community Health Improvement Partnership of Bergen Countys CHNA, which includes this organization, is made widely available at the following URL: www.healthybergen.org
SCHEDULE H, PART V, SECTION B, QUESTION 10ADUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE AND CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: www.englewoodhealth.org/about#community-health-needs-assessment
SCHEDULE H, PART V, SECTION B, QUESTION 11The EHMC CHNA identified twenty-seven (27) Areas of Opportunity. These areas were determined after consideration of various criteria, including: standing in comparison with benchmark data (particularly national data); the preponderance of significant findings within topic areas; the magnitude of the issue in terms of the number of persons affected; and the potential health impact of a given issue. On August 4, 2016 EHMC, along with the Bergen County Department of Health Services and the other hospitals sponsoring the broader Bergen County assessment project, convened a group of community stakeholders (representing a cross-section of community-based agencies and organizations) to evaluate, discuss and prioritize health issues for Bergen County, based on findings of the countywide CHNA. The results of this prioritization will inform the selection of priorities for each of the hospitals in its respective service area. PRC began the meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research. Following the data review, PRC answered any questions and facilitated a group dialogue, allowing participants to advocate for any of the health issues discussed. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs (Areas of Opportunity), a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. Substance Abuse 2. Mental Health 3. Diabetes 4. Nutrition, Physical Activity, & Weight 5. Access to Healthcare Services 6. Heart Disease & Stroke 7. Dementias, Including Alzheimers Disease 8. Immunization & Infectious Diseases 9. Cancer EHMC is committed to achieving the "triple aim": improved health through better quality of care at lower costs. To address the needs of its community, EHMC allocated significant resources to ensure achievement of the CHNA implementation strategy goals. Additionally, EHMC has developed a Population Health Department which includes both clinical and support services. EHMC is dedicated to being a beacon of health for its community. EHMC has prioritized the significant needs identified into the following Goals: Goal 1: Increase Access to Health Care Through Population Health Management ---------------------------------------------------------------- 1) Expand primary and preventative care to meet the community needs; 2) Enhance access and convenience to meet consumer expectations; 3) Ensure adequate network of providers to meet needs of community; 4) Develop a system-wide care management program; 5) Develop population-specific programs to ensure access to care; and 6) Partner with local communities and community based agencies to provide resources and expertise in achieving healthy populations. Goal 2: Promote Behavioral Health --------------------------------- 1) Continue to offer behavioral health education and screenings to the community; 2) Integrate behavioral health into the primary care setting; 3) Increase population-specific programs and services; and 4) Collaborate with other providers on cross continuum initiatives. Goal 3: Improve Health Status Through Chronic Disease and Care Management Across the Continuum ------------------------------------------------------------------------- **Cardiovascular/Heart Disease and Stroke** 1) Continue outreach to the community with a focus on prevention and early diagnosis; 2) Ensure adequate network; and 3) Ensure access to providers. ** Cancer ** 1) Continue outreach to the community with a focus on prevention and early diagnosis; and 2) Continue to be a Commission on Cancer accredited hospital. ** Diabetes ** 1) Continue outreach to the community with a focus on prevention and early diagnosis. ** Nutrition, Physical Activity and Weight ** 1) Develop population-specific programs. Goal 4: Increase Access to Immunizations and Reduce Infectious Diseases ----------------------------------------------------------------------- 1) Increase preventative measures in primary care setting.
SCHEDULE H, PART V, SECTION B, QUESTION 13ADUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART V, SECTION B, QUESTION 13, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINES ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME.
SCHEDULE H, PART V, SECTION B, QUESTION 16DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: www.englewoodhealth.org/for-patients-visitors/billing-insurance

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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SCHEDULE H, PART I, LINE 3BDUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART I, LINE 3B, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINES ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME.
SCHEDULE H, PART I, LINE 3CIn addition to the Federal Poverty Guidelines, EHMC uses other factors in determining eligibility criteria for free and discounted care. Other factors to determine eligibility include: - Asset level; - Medical Indigency; - Insurance status; - Underinsurance status; and - Residency. Additional information with respect to EHMCs eligibility criteria for financial assistance is outlined below. New Jersey Hospital Care Payment Assistance Program ("Charity Care") ==================================================================== Charity Care is a New Jersey program in which free or discounted care is available to patients who receive inpatient and outpatient services at acute care hospitals throughout the State of New Jersey. Hospital assistance and reduced charge care are only available for necessary emergency or other medically necessary care. Patients may be eligible for Charity Care if they are New Jersey residents who: 1) Have no health coverage or have coverage that pays only part of the hospital bill (uninsured or underinsured); 2) Are ineligible for any private or governmental sponsored coverage (such as Medicaid); and 3) Meet the following income and asset eligibility criteria described below. Income Eligibility Criteria --------------------------- Patients with family gross income less than or equal to 200% of the Federal Poverty Guidelines are eligible for 100% Charity Care coverage. Patients with family gross income greater than 200% but less than or equal to 300% of the Federal Poverty Guidelines are eligible for discounted care. Asset Criteria -------------- Charity Care includes asset eligibility thresholds which states that individual assets cannot exceed $7,500 and family assets cannot exceed $15,000 as of the date of service. Residency Criteria ------------------ Charity Care may be available to non-New Jersey residents, requiring immediate medical attention for an emergency medical condition. ADDITIONALLY, PLEASE NOTE THAT THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME.
SCHEDULE H, PART I; QUESTION 6ANot applicable.
SCHEDULE H, PART I; QUESTION 7The organization's cost to charge ratio reflects total operating costs, excluding bad debt and other operating revenue, to gross charges. EHMC utilized Worksheet 2 of the Schedule H instructions to derive its cost-to-charge ratio.
SCHEDULE H, PART IINot applicable.
SCHEDULE H, PART III, QUESTIONS 2 & 3Bad debt expense was calculated using the providers' bad debt expense from its financial statement, which is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in medicare and medicaid health coverage and other collection indicators. Additions to the provision for doubtful accounts result from the provision for bad debts; deductions from the allowance for doubtful accounts result from accounts written off as uncollectible. The estimated bad debt expense attributable to patients eligible under the organizations financial assistance policy, reflected on Schedule H, Part III, Line 3, is approximately 27.40% of the total bad debt expense. This percentage represents the portion of self-pay individuals included within the bad debt expense amount. Had these individuals completed the requirements necessary to apply for financial assistance, they would have likely been eligible. The organization's allowance for doubtful accounts (bad debt expense) methodology and financial assistance policies are consistently applied.
SCHEDULE H, PART III, QUESTION 4EHMC and its Subsidiaries prepare and issue Audited Consolidated Financial Statements. The text below was obtained from the Englewood Hospital and Medical Center and Subsidiaries Audited Consolidated Financial Statements footnotes: Patient Accounts Receivable/Allowance for Doubtful Accounts ----------------------------------------------------------- Patient accounts receivable result from health care services provided by the Medical Center, EMA, MD Partners, PPE and EPE. The amount of the allowance for doubtful accounts is based upon managements assessment of historical and expected net collections, business and economic conditions, trends in Medicare and Medicaid health care coverage and other collection indicators. Additions to the allowance for doubtful accounts result from the provision for doubtful collections. Accounts written off as uncollectible are deducted from the allowance for doubtful accounts. Net Patient Service Revenue --------------------------- The Medical Center has agreements with third-party payors that provide for payments to the Medical Center at amounts different from its established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounts from charges and per diem payments. Net patient service revenue is reported at estimated net realizable amounts due from patients, third-party payors and others for services rendered and includes estimated retroactive revenue adjustments due to ongoing and future audits, reviews and investigations. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period that related services are rendered and adjusted in future periods as adjustments become known or as years are no longer subject to such audits, reviews and investigations. Charity Care and Community Benefit ---------------------------------- In accordance with its mission and philosophy, the Medical Center commits substantial resources to sponsor a broad range of services to both the indigent as well as the broader community. Community benefits provided to the indigent include the cost of providing services to persons who cannot afford health care due to inadequate resources and/or who are uninsured or underinsured. This type of community benefit includes the costs of: traditional charity care; unpaid costs of care provided to beneficiaries of Medicare and Medicaid and other indigent public programs. Charity care is provided by the Medical Center to patients who meet certain criteria defined by the New Jersey Department of Health ("DOH") without charge or at amounts less than established rates. The Medical Center reduces net revenues in accordance with these criteria. The Medical Center's records identify and monitor the level of charity care it provides. Community benefits provided to the broader community include the costs of providing services to other populations who may not qualify as indigent but may need special services and support. This type of community benefit includes the costs of: services such as health promotion and education, health screenings, all of which are not billed or can be operated only on a deficit basis; unpaid portions of training health professionals such as medical residents, students in allied health professions; and the unpaid portions of testing medical equipment and controlled studies of therapeutic protocols. The costs of charity care and other community benefit activities are derived from both estimated and actual data. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing the Medical Center's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. The Medical Center receives payments from the New Jersey Health Care Subsidy Funds for charity care and such amounts totaled approximately $489,000 and $1.1 million for the years ended December 31, 2016 and 2015, respectively. This amount is subject to change from year to year based on available State amounts and allocation methodologies. Charity care subsidies and distributions subsequent to June 30, 2017 are presently unknown. Other Third-Party Payors ------------------------ The Medical Center also has entered into payment agreements with certain commercial insurance carriers and health maintenance organizations. The basis for payment to the Medical Center under these agreements includes prospectively determined rates per discharge or days of hospitalization and discounts from established charges. Some of these agreements have retrospective audit clauses, allowing the payor to review and adjust claims subsequent to initial payment. The Medical Center recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of these established rates for the services rendered. For uninsured patients that do not qualify for charity care, the Medical Center recognizes revenues on the basis of its standard rates, discounted in accordance with the Medical Centers policy. On the basis of historical experience, a significant portion of the Medical Centers uninsured patients will be unable or unwilling to pay for the services provided. Thus, the Medical Center records a significant provision of bad debts related to uninsured patients in the period the services are provided. For the years ended December 31, 2016 and 2015, net patient service revenue was increased by approximately $10,906,000 and $5,894,000, respectively, for favorable adjustments and settlements related to prior years.
SCHEDULE H, PART III, SECTION B; QUESTION 8Medicare costs were derived from the 2016 Medicare cost report. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on the Form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by the department of treasury reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the Form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the AHA, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare payment advisory commission ("Medpac"), in its march 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the Form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or those who do not pay all, or a portion of the already discounted billed amounts under our financial assistance policy. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. The CBO concluded that its findings "support the validity of the use of u
SCHEDULE H, PART III, SECTION B; QUESTION 9BIt is the policy of Englewood Hospital and Medical Center to treat all patients, regardless of their ability to pay for all emergency and medically necessary healthcare services and to bill and collect accounts receivable in accordance with all federal and state billing and collection regulations. Additionally, in accordance with Internal Revenue Code Section 501(r)(6), the organizations billing and collection policy does contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance as further outlined below. The organizations billing and collection policy which is made widely available on its website (www.englewoodhealth.org/for-patients-visitors/billing-insurance). Included below are the procedures outlined within that policy: 1) The bills for all insured patients will be sent directly from EHMC to the patients insurance company. If the insurance company denies the claim for reasons such as: benefits exhausted, experimental, medical necessity, pre-existing condition, non-covered charges, etc. the patient will be billed at the uninsured rate of percentage of gross charges as outlined in the Financial Assistance Policy. 2) If a patients insurance pays the claim and there is a deductible, co-pay, or co-insurance amount due from the patient, EHMC will bill the patient the amount indicated as patient responsibility by the insurance company. 3) Bills for uninsured patients are reduced to a percentage of gross charges as described in the Financial Assistance Policy. 4) Patients will receive billing statements and collection letters from EHMC on all balances that are deemed patient responsibility. The billing statements and collection letters include information about financial assistance availability. 5) Employees from the Financial Counseling Department will attempt to contact the patient by telephone on unpaid balances of $5,000 or greater that are deemed patient responsibility. They will explain the availability of financial assistance when speaking with the patient. All calls are documented within the financial system. 6) In addition to financial assistance, payment plans will be offered to patients. Patients can make monthly payments on outstanding balances. Payment plans will be approved for a period of one year. Payment plans beyond one year must be approved by the Financial Counseling Manager. 7) All unpaid balances that are due from patients will be referred to outside collection agencies after collection attempts by EHMC have failed. The collection agencies will attempt to obtain payment from the patient. If full payment is not received, the collection agencies will notify the patient by mail that they may proceed with extraordinary collection actions ("ECAs") as defined in Internal Revenue Code Section 501(r) which can include filing of judgments that include wage garnishments, seizing bank accounts, and placing liens on property owned in the State of New Jersey. The collection agencies must notify the patient in writing at least 30 days before initiating ECAs. The collection agencies will refrain from engaging in ECAs until at least 120 days after the date of the first post-discharge billing statement sent by EHMC. 8) All referrals to outside collection agencies are approved by the Financial Counseling Manager. 9) Refer to the Financial Assistance Policy for EHMC Financial Assistance guidelines. 10) Refer to New Jersey Hospital Care Payment Assistance Program/Charity Care Policy for procedures on applying for assistance through the New Jersey Hospital Care Payment Assistance Program/Charity Care at EHMC. In addition, Englewood Hospital and Medical Center does not engage in any actions that discourage individuals from seeking emergency medical care, such as by demanding the emergency department patients pay before receiving treatment for emergency medical conditions or by permitting debt collection activities in the emergency department or other areas where such activities could interfere with the provision of emergency care on a non-discriminatory basis.
SCHEDULE H, PART VI; QUESTION 2In addition to the CHNA process outlined in Schedule H, Part V, Section B, Questions 1-12 and the narrative response to Schedule H, Part V, Section B, Question 5 included in Schedule H, Part V, Section C, the organizations CHNA assessed the healthcare needs of the community it serves by incorporating data from secondary sources (vital statistics and other existing health-related data). A variety of existing secondary data was obtained from the following sources to complement the research used for the organizations CHNA: - Center for Applied Research and Environmental Systems; - Centers for Disease Control & Prevention, Office of Infectious Disease, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; - Centers for Disease Control & Prevention, Office of Public Health Science Services, Center for Surveillance, Epidemiology and Laboratory Services, Division of Health Informatics and Surveillance; - Centers for Disease Control & Prevention, Office of Public Health Science Services, National Center for Health Statistics; - Community Commons; - ESRI ArcGIS Map Gallery; - National Cancer Institute, State Cancer Profiles; - OpenStreetMap; - Truven Health Analytics and Dignity Health; - US Census Bureau, American Community Survey; - US Census Bureau, County Business Patterns; - US Census Bureau, Decennial Census; - US Department of Agriculture, Economic Research Service; - US Department of Health & Human Services; - US Department of Health & Human Services, Health Resources and Services Administration; - US Department of Justice, Federal Bureau of Investigation; and - US Department of Labor, Bureau of Labor Statistics. Englewood Hospital and Medical Center also utilizes an independent market research company to solicit surveys and comments from all patients of the medical center regarding their patient care. The independent market research company analyzes and provides reports on the organization's performance in a variety of areas and procedures. Additionally, this organization monitors its performance on the internet web site referred to as healthgrades, which offers comparative data to other hospitals. The Centers for Medicare and Medicaid Services release "report cards" to the public regarding the Medical Center's performance. Englewood Hospital and Medical Center acquires demographic data for its surrounding communities and makes determinations as to whether the needs of any of the groups within the community are being served. All of these tools are utilized by the medical center to determine if the community is being fully served.
SCHEDULE H, PART VI; QUESTION 3Englewood Hospital and Medical Center informs and educates patients who may be billed for patient care about eligibility for financial assistance by widely publicizing the availability of financial assistance. In accordance with Internal Revenue Code Section 501(r)(4) the availability of financial assistance is widely publicized in the following ways: In an effort to ensure the community served by the organization is aware of the availability of financial assistance, informative signs and posters are posted in the following hospital locations: Emergency Room, Admitting Department, Outpatient Registration Department and the Financial Counseling Department. These signs and posters advise patients of the availability of financial assistance and provide additional information on how to apply for financial assistance. The organizations Financial Assistance Policy, Application and Plain Language Summary are available and may be obtained on the organizations website at the following URL: www.englewoodhealth.org/for-patients-visitors/billing-insurance. These documents are available upon request, free of charge in the patient registration areas and the Financial Counseling Department located at 350 Engle Street Englewood, NJ 07631. Paper copies may be requested by contacting (201)894-3031. Representatives are available Monday through Friday 9am to 5pm. Additionally, the organization has an employee of the Bergen County Board of Social Services on-site at the Medical Center at least three days per week to assist patients with Medicaid applications, if eligible. In accordance with Internal Revenue Code Section 501(r), these documents are also translated and available in the following Limited English Proficiency ("LEP") languages: Spanish, Korean, Chinese, Russian, Japanese, Italian, Tagalog, Arabic, Gujarati, Greek, Portuguese, Portuguese Creole, Serbio-Croatian and Armenian. it is important to note that any and all patients not eligible for charity care under the state of new jersey charity care guidelines, and who have no other insurance coverage are classified as a "self-pay" patient. such patients' bills are automatically discounted per our financial assistance policy (which approximates 115% of medicare rates).
SCHEDULE H, PART VI; QUESTION 4Englewood Hospital and Medical Center is located in Bergen County, New Jersey. Its primary service consists of various zip-codes within Bergen and Hudson County, New Jersey.
SCHEDULE H, PART VI; QUESTION 5Englewood Hospital and Medical Center ("EHMC") was founded in 1890. EHMC is a leading provider of high-quality, comprehensive, and humanistic care serving northern New Jersey and beyond. EHMC is a provider of general acute healthcare services in Bergen County, New Jersey. EHMC is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, EHMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, EHMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates an emergency department for all persons; which are open 24 hours a day, 7 days a week, 365 days per year; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of EHMC rests with its board of trustees which is comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. Surplus fundS are reinvested in the organization, principally through capital investment, and also to meet future programmatic needs, which meets the organization's commitment to meet the expectations of its patients by providing quality healthcare and therefore, makes these investments to secure its future of service delivery to the community. The operations of EHMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of EHMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Additionally, various community building activities undertaken by this organization improve the Medical and socio-economic well-being of the communities it serves. This is accomplished through numerous activities which are not a part of Part I, Charity Care and Other Community Benefits, and are not included elsewhere on Schedule H. These activities include programs that address the root causes of health problems such as education, poverty, unemployment, access to care, health advocacy and economic development. The organization provides numerous educational programs for the community which includes, but is not limited to: - Accelerated childbirth classes; - Breastfeeding classes; - Childbirth refresher classes; - Health fairs at various community events; and - Sibling preparation classes. Englewood Hospital and Medical Center also provides numerous health screenings for the community which includes, but is not limited to: - Blood drives; - Hospital screenings; - Skin cancer screenings; - Prostate cancer screenings; and - Vein screening. In addition, the organization provides various programs that promote good health these include, but are not limited to: - Flu/cover your mouth educational handouts and posters; - Hand hygiene public service announcements and posters; - Pilates (which promotes improved health); - Postnatal yoga; - Prenatal yoga; and - Weight Watchers at work (for employees). Englewood Hospital and Medical Center reaches out to notify the community about its various programs and services via a community newsletter published quarterly. Additionally, the organization advertises in community and regional newspapers. For additional information, please refer to Form 990, Schedule O, which contains the organization's Community Benefit Statement.
SCHEDULE H, PART VI; QUESTION 6Outlined below is a summary of the entities which comprises Englewood Healthcare System and its Affiliates: Not-For-Profit Englewood Healthcare System Entities =================================================== Englewood Healthcare System --------------------------- Englewood Healthcare System ("EHS") is the tax-exempt parent of Englewood Healthcare System and Affiliates ("System"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either EHS or another system affiliate controlled by EHS. The organization was founded in 1986 and is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3). Additionally, the organization is a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organizations purpose is to coordinate and support the planning and other activities related to the promotion of health of people in Englewood Hospital and Medical Centers service area of Bergen County. Englewood Hospital and Medical Center, Inc. ------------------------------------------- Englewood Hospital and Medical Center, Inc. ("EHMC") was founded in 1888 and is currently a 531-licensed bed, major teaching, acute care hospital located in Englewood, New Jersey. The organizations mission is to provide comprehensive, state-of-the-art patient services; emphasize caring and other human values in the treatment of patients and in relations with their families, and among employees, medical staff, and community; be a center of education and research; and provide employees and medical staff with maximum opportunities to achieve their personal and professional goals. EHMC is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, EHMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, EHMC operates consistently with the criteria outlined in IRS revenue ruling 69-545. Englewood Hospital and Medical Center Foundation, Inc. ------------------------------------------------------ Englewood Hospital and Medical Center Foundation, Inc. is not-for-profit organization founded in 1995. The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). Through fundraising and development activities the organization supports the charitable purposes, programs and services of EHMC; A related Internal Revenue Code 501(c)(3) tax-exempt hospital organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Medical Associates of Englewood, P.C. ------------------------------------- Medical Associates of Englewood, P.C. d/b/a MD Partners of Englewood Hospital & Medical Center is a not-for-profit organization founded in 2011. The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and is a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization is structured as a professional corporation pursuant to the provisions of the professional services corporation act of New Jersey. The organization's purpose is to provide physician services to further the charitable and healthcare purposes of the Englewood Healthcare System and its affiliates. By practicing medicine, engaging in medical education and working to improve the welfare of individuals in New Jersey, the organization comprises a component of the clinical service physician practice plans of Englewood Hospital and Medical Center and is an integral part of the System. Emergency Physicians of Englewood, P.C. --------------------------------------- Emergency Physicians of Englewood, P.C. is a not-for-profit organization founded in 2012. The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and is a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization is structured as a professional corporation pursuant to the provisions of the professional services corporation act of New Jersey. The organization's purpose is to provide emergency room services at Englewood Hospital and Medical Center; a related Internal Revenue Code 501(c)(3) tax-exempt hospital organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Physician Partners of Englewood, P.C. ------------------------------------- Physician Partners of Englewood, P.C. is a not-for-profit organization founded in 2012. The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and is a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization is structured as a professional corporation pursuant to the provisions of the professional services corporation act of New Jersey. The organization's purpose is to provide physician services for patients of Englewood Hospital and Medical Center; a related Internal Revenue Code 501(c)(3) tax-exempt hospital organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Englewood Medical Associates, Inc. --------------------------------- Englewood Medical Associates, Inc. is a not-for-profit organization founded in 1996. The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and is a supporting organization pursuant to Internal Revenue Code 509(a)(3). The organization was formed to acquire physician medical practices and employ full-time faculty physicians in support of Englewood Hospital and Medical Center; a related Internal Revenue Code 501(c)(3) tax-exempt hospital organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. The organization is currently inactive. Englewood Healthcare Properties, Inc. ------------------------------------- Englewood Healthcare Properties, Inc. is a not-for-profit organization founded in 1989. The organization is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(2). The organization's purpose is to manage real property in support of Englewood Hospital and Medical Centers primary tax-exempt purpose of providing quality healthcare services in Bergen County, New Jersey. EHMC Health Alliance ACO, LLC ----------------------------- EHMC Health Alliance ACO, LLC is a limited liability company formed in the State of new jersey whose sole member is Englewood Hospital and Medical Center. This organization is an accountable care organization formed with the purpose of promoting the provision of better care for individuals, improved health for populations and lower per capita growth in expenditures of Horizon beneficiaries. For-Profit Englewood Healthcare System Entities =============================================== Englewood Healthcare Enterprises, Inc. -------------------------------------- Englewood Healthcare Enterprises, Inc. is a wholly-owned for-profit subsidiary of Englewood Healthcare System. The organization was formed in 1988 for the purpose of providing healthcare services within the Systems primary service area. This organization provides clinical and administrative staff support the professional corporations within the Englewood Hospital and Medical Center Physician Integration Program.
SCHEDULE H, PART VI; QUESTION 7Not applicable this organization is located in the State of New Jersey. No community benefit report is required to be filed by this state.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE I, PART I; QUESTION 2GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
SCHEDULE I, PART IIPLEASE NOTE THAT ALL GIFTS, GRANTS AND CONTRIBUTIONS TO OTHER ORGANIZATIONS WERE LESS THAN OR EQUAL TO $5,000 EACH. THEREFORE, THERE ARE NO ORGANIZATIONS LISTED IN SCHEDULE I, PART II. THE TOTAL AMOUNTS PAID FOR CONTRIBUTIONS AND EVENT SPONSORSHIPS CAN BE FOUND ON CORE FORM, PART IX, LINE 1.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WARREN GELLER
SECRETARY - TRUSTEE; PRES/CEO$594,159$195,000$279,500$0$109,650$0$154,417$0$33,085$0$1,170,811$195,000$0$0
JEFFREY MATICAN MD
TRUSTEE$0$337,428$0$83,288$25,004$12,250$0$5,300$0$20,376$25,004$458,642$0$0
MARK SHAPIRO MD
TRUSTEE$0$250,000$0$0$0$0$0$0$0$0$0$250,000$0$0
ANTHONY T ORLANDO
SVP FINANCE/CFO$443,484$20,102$107,186$0$40,675$0$27,275$0$24,462$0$643,082$20,102$0$0
MARY ANN DONOHUE-RYAN PHD RN
VP, PCS & CNO (EFF 01/19/16)$267,280$0$0$0$5,229$0$0$0$22,739$0$295,248$0$0$0
HELENE WOLK
SVP OPERATIONS$315,729$0$83,628$0$5,685$0$5,300$0$13,853$0$424,195$0$0$0
MICHAEL PIETROWICZ
SVP PLANNING & DEVLOPMENT$312,986$0$74,502$0$18,897$0$24,760$0$28,303$0$459,448$0$0$0
PATRICIA G WILSON
SVP HUMAN RESOURCES$290,813$0$71,836$0$17,783$0$26,008$0$26,126$0$432,566$0$0$0
KATHLEEN KAMINSKY RN
SVP CHIEF POP HEALTH OFFICER$282,813$0$42,463$0$17,821$0$26,242$0$27,814$0$397,153$0$0$0
ALICIA PARK
VP COMMUNICATIONS$228,695$0$34,442$0$1,847$0$4,634$0$3,000$0$272,618$0$0$0
DIMITRI CRUZ
DIRECTOR INFO TECHNOLOGY/CIO$234,874$0$26,000$0$3,680$0$3,280$0$18,930$0$286,764$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4BTHE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNTS. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUALS 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WARREN GELLER, $128,790 AND PATRICIA WILSON, $58.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PATRICIA DURKIN
FAMILY MEMBER OF TRUSTEE$79,321EMPLOYEEfalse
DANIELLE VOLPE
FAMILY MEMBER OF TRUSTEE$15,622EMPLOYEEfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICAN FEES - COMMUNITY TOTAL FEES:95743488
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES - HOSPITAL TOTAL FEES:26435812
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES - ADMIN. TOTAL FEES:2295449
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3429619
FORM 990 PART IX LINE 11GDESCRIPTION:NJ ADJUSTED ADMISSION FEE TOTAL FEES:2333442
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING FEES TOTAL FEES:3006116
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:671381
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER FEES TOTAL FEES:2825729

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HEALTH ALLIANCE ACO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
EIN465759919EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$447,915EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1EHMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ENGLEWOOD HOSPITAL & MEDICAL CENTER FDN
350 ENGLE STREETENGLEWOODNJ07631223367281FUNDRAISINGNJ501(C)(3)509(A)(1)EHSfalse
ENGLEWOOD HEALTHCARE SYSTEM INC
350 ENGLE STREETENGLEWOODNJ07631222749097HEALTHCARENJ501(C)(3)509(A)(3)NAfalse
ENGLEWOOD HEALTHCARE PROPERTIES INC
350 ENGLE STREETENGLEWOODNJ07631222943092PROPERTY ACQNJ501(C)(2)EHSfalse
ENGLEWOOD MEDICAL ASSOCIATES INC
350 ENGLE STREETENGLEWOODNJ07631223446625HEALTHCARENJ501(C)(3)509(A)(3)EHMCYes (true)
MEDICAL ASSOCIATES OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631452548322HEALTHCARENJ501(C)(3)509(A)(3)EHMCYes (true)
EMERGENCY PHYSICIANS OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631454604076HEALTHCARENJ501(C)(3)509(A)(3)EHMCYes (true)
PHYSICIAN PARTNERS OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631455597971HEALTHCARENJ501(C)(3)509(A)(3)EHMCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HEALTHCARE ENTERPRISES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
EIN222872393EIN
Primary ActivitiesHEALTHCARE SVCS.PrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORP.EntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL ASSOCIATES OF ENGLEWOOD PC
E$1,549,122COST
MEDICAL ASSOCIATES OF ENGLEWOOD PC
J$54,600COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt

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