PALISADES MEDICAL ASSOCIATES LLC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PALISADES MEDICAL ASSOCIATES LLC (EIN 22-3814193)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201733179349305338
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T12:14:24-08:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223814193 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALISADES MEDICAL ASSOCIATES LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PALI | BusinessNameControlTxt |
| Phone | 7327513361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O TAX DEPT 1350 CAMPUS PARKWAY | AddressLine1Txt |
| City | NEPTUNE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNTHONY J PASSANNANTE JR MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7327513361 | PhoneNum |
| Signature | 2017-11-02 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 205.172.192.80 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 12:14:13 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 03E12B073B1B7C25047E1BC3139B392951978148 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2B8695E5C45FC68F632CB195CF8B6932458BEC04 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ANTHONY J PASSANNANTE JR MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7600 RIVER ROAD | AddressLine1Txt |
| City | NORTH BERGEN | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07047 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,217,219 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | THE COMPANY IS OPERATED EXCLUSIVELY FOR THE SOLE PURPOSE OF SUPPORTING AND FURTHERING THE CHARITBLE PURPOSE OF PROVIDING MEDICAL SERVICES TO THE PATIENTS OF PALISADES MEDICAL CENTER, INC. | ActivityOrMissionDesc |
| Voting Members Governing Body | 2 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 48 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,346,228 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,197,919 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $27,200 | PYOtherRevenueAmt |
| CY Other Revenue | $19,300 | CYOtherRevenueAmt |
| PY Total Revenue | $5,373,428 | PYTotalRevenueAmt |
| CY Total Revenue | $6,217,219 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,448,810 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,521,954 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,043,859 | PYOtherExpensesAmt |
| CY Other Expenses | $5,053,814 | CYOtherExpensesAmt |
| PY Total Expenses | $11,492,669 | PYTotalExpensesAmt |
| CY Total Expenses | $11,575,768 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,119,241 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,358,549 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,470,265 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,200,180 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,957,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,046,080 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,487,351 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$17,845,900 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,575,768 | ExpenseAmt |
| Revenue | $6,197,919 | RevenueAmt |
| Desc | EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF PALISADES MEDICAL CENTER AND ITS AFFILIATES WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $11,575,768 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 48 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 2 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | false | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT L GLENNING | PersonNm |
| Phone | 8488884405 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 343 THORNALL STREET | AddressLine1Txt |
| City | EDISON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08837 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANTHONY J PASSANNANTE JR MD | |||||||
| PRESIDENT - TRUSTEE | 3.00 | Yes (X) | Yes (X) | $0 | $673,132 | $40,119 | |
| EURICE R ROJAS | |||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $309,732 | $55,920 | ||
| MARK GABELMAN MD | |||||||
| PHYSICIAN | 55.00 | $644,631 | $0 | $31,951 | Yes (X) | ||
| CECILLA TRUJILLO-CARVALHO MD | |||||||
| PHYSICIAN | 55.00 | $252,400 | $0 | $29,925 | Yes (X) | ||
| JINGA PATEL MD | |||||||
| PHYSICIAN | 55.00 | $250,400 | $0 | $7,512 | Yes (X) | ||
| DUSAN PERISIC MD | |||||||
| PHYSICIAN | 55.00 | $250,400 | $0 | $15,024 | Yes (X) | ||
| SONAL PATHAK MD | |||||||
| PHYSICIAN | 55.00 | $225,744 | $0 | $29,588 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,623,575 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $982,864 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $210,039 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PHOENIX ADULT & GERIATRIC MEDICAL ASSOCIATES LLC | |||||
| 8100 KENNEDY BOULEVARD | NORTH BERGEN | NJ | 07047 | PHYSICIAN SERVICES | $1,627,623 |
| FRANCISCO GONZALEZ MD | |||||
| 420 38TH STREET | UNION CITY | NJ | 07087 | PHYSICIAN SERVICES | $520,834 |
| QUALITY SYSTEMS INC | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | IT SERVICES | $332,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $5,647,954 |
| OTHER HEALTH CARE RELATED REVENUE | 541900 | $549,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,197,919 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,300 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,300 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,300 | TotalRevenueColumnAmt |
| Exclusion | $19,300 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,217,219 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,197,919 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $19,300 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,534,886 | TotalAmt |
| Program Services | $5,534,886 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,538 | TotalAmt |
| Program Services | $182,538 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,333 | TotalAmt |
| Program Services | $521,333 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,197 | TotalAmt |
| Program Services | $283,197 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,000 | TotalAmt |
| Program Services | $170,000 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,018 | TotalAmt |
| Program Services | $2,140,018 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,346 | TotalAmt |
| Program Services | $23,346 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,773 | TotalAmt |
| Program Services | $175,773 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,160 | TotalAmt |
| Program Services | $322,160 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $643,179 | TotalAmt |
| Program Services | $643,179 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,031 | TotalAmt |
| Program Services | $13,031 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,231 | TotalAmt |
| Program Services | $375,231 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,373 | TotalAmt |
| Program Services | $487,373 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHYSICIAN BILLING EXPENSES | $447,551 | $447,551 | $0 | $0 |
| MEDICAL SUPPLIES | $215,500 | $215,500 | $0 | $0 |
| OTHER EXPENSES | $40,652 | $40,652 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,575,768 | TotalAmt |
| Program Services | $11,575,768 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,631 | BOYAmt |
| EOY | $218,072 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,265,995 | BOYAmt |
| EOY | $1,217,874 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,967 | BOYAmt |
| EOY | $68,478 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,511,048 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $858,654 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,337,592 | BOYAmt |
| EOY | $1,652,394 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,080 | BOYAmt |
| EOY | $43,362 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,470,265 | BOYAmt |
| EOY | $3,200,180 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,498 | BOYAmt |
| EOY | $1,512,584 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,816,118 | BOYAmt |
| EOY | $19,533,496 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,957,616 | BOYAmt |
| EOY | $21,046,080 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,487,351 | BOYAmt |
| EOY | -$17,845,900 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,487,351 | BOYAmt |
| EOY | -$17,845,900 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,470,265 | BOYAmt |
| EOY | $3,200,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,358,549 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,624,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,479,670 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,346,228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,197,919 | CurrentTaxYearAmt |
| Total | $18,648,709 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,624,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,479,670 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,346,228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,197,919 | CurrentTaxYearAmt |
| Total | $18,648,709 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,648,709 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $23,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,300 | CurrentTaxYearAmt |
| Total | $69,500 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $23,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,300 | CurrentTaxYearAmt |
| Total | $69,500 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,718,209 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,116,900 | OtherCostOrOtherBasisAmt |
| Book Value | $1,116,900 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $871,005 | OtherCostOrOtherBasisAmt |
| Depreciation | $858,654 | DepreciationAmt |
| Book Value | $12,351 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $523,143 | OtherCostOrOtherBasisAmt |
| Book Value | $523,143 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,652,394 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $19,533,496 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,533,496 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | PRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE SIX MONTH PERIOD ENDED DECEMBER 31, 2016. THE FOLLOWING DISCLOSURE IS INCLUDED IN THE ORGANIZATION'S INCOME TAX FOOTNOTE INCLUDED IN THE SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES FOOTNOTE OF THE 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740):ALL OF THE NOT-FOR-PROFIT ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS ARE CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. PER THE REQUIREMENT TO ASSESS FOR TAX UNCERTAINTY, MANAGEMENT HAS DETERMINED THAT IT DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRED TO BE ACCRUED OR REPORTED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY J PASSANNANTE JR MD | |||||||||||
| $461,106 | $90,000 | $122,026 | $15,900 | $24,219 | $713,251 | ||||||
| EURICE R ROJAS | |||||||||||
| $234,588 | $49,428 | $25,716 | $33,501 | $22,419 | $365,652 | ||||||
| MARK GABELMAN MD | |||||||||||
| $419,425 | $215,585 | $9,621 | $15,900 | $16,051 | $676,582 | ||||||
| CECILLA TRUJILLO-CARVALHO MD | |||||||||||
| $252,400 | $7,572 | $22,353 | $282,325 | ||||||||
| JINGA PATEL MD | |||||||||||
| $250,000 | $400 | $7,512 | $257,912 | ||||||||
| DUSAN PERISIC MD | |||||||||||
| $250,000 | $400 | $15,024 | $265,424 | ||||||||
| SONAL PATHAK MD | |||||||||||
| $225,399 | $345 | $13,524 | $16,064 | $255,332 | |||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt I Line 4b | SCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH IS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ANTHONY J. PASSANNANTE, JR., M.D., $102,462. |
| Pt I Line 7 | 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 COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 FORM W-2, BOXES 1 AND 5, AS TAXABLE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other | CORE FORM, PART III; LINE 1THE COMPANY IS OPERATED EXCLUSIVELY FOR THE SOLE PURPOSE OF SUPPORTING AND FURTHERING THE CHARITBLE PURPOSE OF PROVIDING MEDICAL SERVICES TO THE PATIENTS OF PALISADES MEDICAL CENTER, INC. |
| Pt VI, Line 6 | CORE FORM, PART VI, SECTION A; QUESTION 6PALISADES MEDICAL CENTER ("PMC") IS THE SOLE MEMBER OF THIS ORGANIZATION. PMC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF GOVERNORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| Pt VI, Line 7a | CORE FORM, PART VI, SECTION A; QUESTION 7ASEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 7b | CORE FORM, PART VI, SECTION A; QUESTION 7BSEE RESPONSE TO PART VI, QUESTION 6 ABOVE. |
| Pt VI, Line 8a | CORE FORM, PART VI, SECTION B; QUESTION 8ATHE BOARD OF TRUSTEES DID NOT RECORD MINUTES AT ANY BOARD MEETINGS. |
| Pt VI, Line 8b | CORE FORM, PART VI, SECTION B; QUESTION 8BTHE BOARD OF TRUSTEES DOES NOT HAVE ANY COMMITTEES. |
| Pt VI, Line 11b | CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE IN THE HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK. THE ORGANIZATION'S FINANCE PERSONNEL PREPARED AND REVIEWED THE FEDERAL FORM 990. THE ORGANIZATION'S FEDERAL FORM 990 WAS THEN PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION'S GOVERNING BODY IS ITS BOARD OF DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. |
| Pt VI, Line 12c | CORE FORM, PART VI, SECTION B; QUESTION 12CHACKENSACK MERIDIAN HEALTH, INC., THE TAX-EXEMPT PARENT ORGANIZATION OF HACKENSACK MERIDIAN HEALTH, A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY NETWORK, HAS ADOPTED A NETWORK-WIDE CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO ALL OF ITS SUBSIDIARY ORGANIZATIONS. THE ORGANIZATIONS REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH THE NETWORK'S CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND KEY EMPLOYEES OF EACH ORGANIZATION ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE WITH RESPECT TO ANY APPLICABLE TRANSACTIONS AND RELATIONSHIPS. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE NETWORK'S GENERAL COUNSEL FOR REVIEW. GENERAL COUNSEL THEN PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES, AND PRESENTS THE SUMMARY TO THE NETWORK'S GOVERNANCE AND BOARD DEVELOPMENT COMMITTEE FOR ITS REVIEW, DISCUSSION AND ACTION (IF NEEDED). DURING THE YEAR, GENERAL COUNSEL ALSO MONITORS ON-GOING TRANSACTIONS IN LIGHT OF THE SUMMARY TO ENSURE THAT ANY POTENTIAL CONFLICTS OF INTEREST ARE APPROPRIATELY HANDLED IN COMPLIANCE WITH THE POLICY. ALTHOUGH THIS ORGANIZATION IS NOT A SUBSIDIARY, ITS BOARD OF TRUSTEE MEMBERS ARE EMPLOYED BY SUBSIDIARIES OF HACKENSACK MERIDIAN HEALTH, INC. AND ARE BOUND BY THE POLICY DESCRIBED ABOVE. |
| Pt VI, Line 15a | CORE FORM, PART VI, SECTION B; QUESTION 15ATHE ORGANIZATION IS AN AFFILIATE WITHIN A TAX-EXEMPT INTEGRATED HEALTH CARE DELIVERY NETWORK IN WHICH HACKENSACK MERIDIAN HEALTH, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION. THE EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE ("COMMITTEE") OF HACKENSACK MERIDIAN HEALTH, INC. IS RESPONSIBLE FOR REVIEWING THE EXECUTIVE COMPENSATION OF THE PRESIDENT AND KEY EMPLOYEES (SENIOR MANAGEMENT) OF THE PARENT AND ALL OF THE SUBSIDIARY ORGANIZATIONS. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY, APPROVED BY THE GOVERNING BODY, WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES COMPENSATION AND BENEFITS.THE EXECUTIVE COMPENSATION PHILOSOPHY RECOGNIZES THE SIZE AND COMPLEXITY OF THE HEALTH CARE NETWORK AND THE CRITICAL NEED TO HAVE AND RETAIN EXECUTIVES THAT CONSISTENTLY DEMONSTRATE SUPERIOR LEVELS OF PERFORMANCE SO THAT THE HEALTH NETWORK CAN FULFILL ITS CHARITABLE MISSION.THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS, INCLUDING BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED ON AT LEAST AN ANNUAL BASIS TO ENSURE THAT THE "TOTAL COMPENSATION" OF THE PRESIDENT, OTHER OFFICERS AND EACH SENIOR MANAGEMENT KEY EMPLOYEE IS REASONABLE.TO ASSIST WITH THE REVIEW, THE COMMITTEE ENGAGES THE SERVICES OF A NATIONALLY RECOGNIZED INDEPENDENT CONSULTING FIRM SPECIALIZING IN EXECUTIVE COMPENSATION FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS, AND RECEIVES REGIONAL MARKET DATA FOR COMPARABLE ORGANIZATIONS, A REPORT SUMMARIZING SUCH DATA, AND AN OPINION LETTER RELATING TO THE REASONABLENESS OF EACH EXECUTIVE'S TOTAL COMPENSATION AND BENEFITS. ADDITIONALLY, A SENIOR MEMBER OF THE CONSULTING FIRM ATTENDS THE COMMITTEE'S MEETINGS TO PROVIDE INFORMATION AND TO RESPOND TO QUESTIONS BY THE MEMBERS OF THE COMMITTEE.THE INDEPENDENT COMMITTEE UTILIZES THE OUTSIDE MARKET DATA COMPARABILITY AND BASED UPON THE ORGANIZATION'S PERFORMANCE, BUSINESS JUDGMENT CONSIDERATIONS, AND THE INDIVIDUAL'S PERFORMANCE ESTABLISHES COMPENSATION FOR EACH INDIVIDUAL. THE COMPREHENSIVE REVIEW PROCESS UTILIZED BY THE COMMITTEE QUALIFIES FOR THE REBUTTABLE PRESUMPTION UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986:1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX EXEMPT ORGANIZATION, WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITHIN THE MEANING OF THE REGULATIONS UNDER SECTION 4958;2. THE AUTHORIZED BODY OBTAINS AND RELIES UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION, WHICH COMPARABILITY DATA IS PROVIDED AND ANALYZED BY SULLIVAN COTTER AND ASSOCIATES, INC., A WELL-REGARDED EXPERT IN THE AREA OF NOT-FOR-PROFIT HEALTH CARE COMPENSATION; AND 3. THE AUTHORIZED BODY ADEQUATELY DOCUMENTS THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AGAIN AS REQUIRED IN THE REGULATIONS. AS APPROPRIATE, THE AUTHORIZED BODY SUPPLEMENTS THE COMPARABILITY DATA WITH OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THE REASONABLENESS OF THE COMPENSATION PAID, INCLUDING AN ANALYSIS OF INDIVIDUAL GOALS AND OBJECTIVES, ORGANIZATIONAL PERFORMANCE, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS, AND WRITTEN OFFERS FROM COMPETING ORGANIZATIONS. THE APPROVED COMPENSATION ARRANGEMENTS BY THE EXECUTIVE COMMITTEE ARE REPORTED IN EXECUTIVE SESSION TO THE GOVERNING BOARD BY THE SENIOR MEMBER OF THE CONSULTING FIRM. |
| Pt VI, Line 15b | CORE FORM, PART VI, SECTION B; QUESTION 15BSEE RESPONSE TO PART VI, QUESTION 15A ABOVE. |
| Pt VI, Line 19 | CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| Other | CORE FORM, PART VII, SECTION ATHE ORGANIZATION IS AN AFFILIATE WITHIN HACKENSACK MERIDIAN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY NETWORK ("NETWORK"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF GOVERNOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION. |
| Pt VII, Col (E) | CORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| Other | CORE FORM, PART IX; LINE 11GOTHER FEES FOR SERVICES INCLUDE:- PHYSICIAN FEES, $1,986,216;- PROFESSIONAL FEES, $109,717;- CONSULTING FEES, $25,300; AND- CREDIT CARD FEES, $18,785. |
| Pt XII, Line 2c | CORE FORM, PART XII; QUESTION 2CPRICEWATERHOUSE COOPERS, L.L.P. AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HACKENSACK MERIDIAN HEALTH, INC. FOR THE SIX MONTH PERIOD ENDED DECEMBER 31, 2016, INCLUDING THIS ORGANIZATION. PRICEWATERHOUSE COOPERS, L.L.P. ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE HACKENSACK MERIDIAN HEALTH, INC. COMPLIANCE AND AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HACKENSACK MERIDIAN HEALTH INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223474145 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | NA | false |
| MERIDIAN HOSPITALS CORPORATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223471515 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| RARITAN BAY MEDICAL CENTER | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 221494442 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | MHC | false |
| HACKENSACK UNIVERSITY MEDICAL CENTER | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 221487576 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| PALISADES MEDICAL CENTER INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 221487278 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | HMH | false |
| SHORE REHABILITATION INSTITUTE INC | ||||||||||
| 425 JACK MARTIN BOULEVARD | BRICK | NJ | 08724 | 223274755 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | MHC | false |
| HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222339534 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| PALISADES MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223693169 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| MERIDIAN HEALTH FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 300107825 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222342452 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| RARITAN BAY HEALTHCARE FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222656665 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| RIVERVIEW MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222333524 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| OCEAN MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222361311 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| SOUTHERN OCEAN MEDICAL CENTER FOUNDATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222666099 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| BAYSHORE COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222367109 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | MHF | false |
| HACKENSACK MERIDIAN HOME CARE SERVICES INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222731440 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HEALTH INNOVATIONS UNLIMITED INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222581430 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMHCS | false |
| HACKENSACK MERIDIAN NURSING & REHABILITATION INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 521772578 | NURSING LTC | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HACKENSACK MERIDIAN HEALTH REALTY CORPORATION | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 223200147 | TITLE HOLDING | NJ | 501(C)(3) | 509(A)(3) | HMH | false |
| HACKENSACK MERIDIAN AMBULATORY VENTURES INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 461227706 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| BERGEN HEALTH MANAGEMENT SYSTEM INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222989731 | DAY CARE | NJ | 501(C)(3) | 509(A)(1) | HMH | false |
| PALISADES GENERAL CARE INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222587492 | NURSING LTC | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN PRACTICE INSTITUTE INC | ||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 061755235 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-RETAIL CLINIC PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755228 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-FACULTY PRACTICE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755230 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755233 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-PRIMARY CARE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 141981653 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 141981647 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN TRAUMA ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 141981651 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN OBGYN ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 061755239 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| MERIDIAN PEDIATRIC SURGICAL ASSOCIATES PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 770720131 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| SOMC MEDICAL GROUP PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 271412183 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
| HACKENSACK SPECIALTY CARE ASSOCIATES PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 201017013 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| HACKENSACK UNIVERSITY MEDICAL GROUP PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 223376459 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| HUMC CARDIOVASCULAR PARTNERS PC | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 270614861 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HUMC | false |
| HUMC MEDICAL OBSERVATION PA | ||||||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 272371424 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | HUMC | false |
| MERIDIAN OCCUPATIONAL HEALTH PC | ||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 272377326 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HMH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| HUMCUSP SURGERY CENTERS LLC | |||||||
| 30 PROSPECT AVENUE | HACKENSACK | NJ | 07601 | 383875474 | HEALTH SVCS | NJ | NA |
| OLD BRIDGE MEDICAL ASSOCIATES LLC | |||||||
| 1 HOSPITAL PLAZA | OLD BRIDGE | NJ | 08857 | 222894388 | HEALTH SVCS | NJ | NA |
| RARITAN BAY SURGICAL PARTNERS LLC | |||||||
| 530 NEW BRUNSWICK AVENUE | PERTH AMBOY | NJ | 08861 | 465153212 | HEALTH SVCS | NJ | NA |
| COASTAL CO-OP OF NJ | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 223603146 | PURCHASING | NJ | NA |
| MERIDIAN HEALTH VILLAGE REALTY ASSOC | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 274328412 | REAL ESTATE | NJ | NA |
| JACKSON VILLAGE IMAGING LLC | |||||||
| 840 CRESCENT CENTER DRIVE | FRANKLIN | TN | 37067 | 320443283 | HEALTH SVCS | NJ | NA |
| MERIDIAN AT STAFFORD LLC | |||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 472675296 | REAL ESTATE | NJ | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RARITAN MANAGEMENT CORPORATION | |||||||||||||
| 530 NEW BRUNSWICK AVENUE | PERTH AMBOY | NJ | 08861 | 222209778 | AMBULANCE SVCS | NJ | NA | C | false | ||||
| HACKENSACK MERIDIAN HEALTH VENTURES INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222550716 | HEALTH SVCS | NJ | NA | C | false | ||||
| MERIDIAN HEALTH MANAGEMENT INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222620595 | HEALTH SVCS | NJ | NA | C | |||||
| HACKENSACK MERIDIAN HEALTH MANAGEMENT INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222608891 | SVC MANAGEMENT | NJ | NA | C | |||||
| PALISADES CHILD CARE CENTER INC | |||||||||||||
| 343 THORNALL STREET | EDISON | NJ | 08837 | 222812623 | DAY CARE CENTER | NJ | NA | C | |||||
| HACKENSACKUMC CASUALTY COMPANY LTD | |||||||||||||
| 221487576 | FINANCIAL VEHICLE | NA | C | CHEVRON HOUSE 44 CHURCH STREET | HAMILTON | BD | BD | ||||||
| RARITAN INSURANCE LTD | |||||||||||||
| FINANCIAL VEHICLE | NA | C | 23 LIME TREE BAY AVENUE PO BOX 1363 | GRAND CAYMAN | CJ | CJ | |||||||
| COASTAL MEDICAL INSURANCE LTD | |||||||||||||
| 980166769 | FINANCIAL VEHICLE | NA | C | CHEVRON HOUSE 44 CHURCH STREET | HAMILTON | BD | BD | ||||||
| SOUTHERN OCEAN HEALTH ALLIANCE INC | |||||||||||||
| 1350 CAMPUS PARKWAY | NEPTUNE | NJ | 07753 | 223266544 | HEALTH SVCS | NJ | NA | C | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |