2016-11-14T10:45:49-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 222402959 MS COMPREHENSIVE CARE CENTER % RYAN KENNEDY CPA MSCO 2018337016 718 TEANECK ROAD TEANECK NJ 07666 RYAN KENNEDY CPA CFO 2018337016 2016-11-02 true Scott J Mariani P00642486 9738989494 2015 2017-02-10 21:41:12Z MICHAEL MARON 718 TEANECK ROAD TEANECK NJ 07666 941252 false X WWW.HOLYNAME.ORG X 1982 NJ TO SUPPORT THE CHARITABLE PURPOSES OF HOLY NAME MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION REGARDING MS SERVICES. 18 17 12 45 0 281979 236770 479255 617052 0 0 4802 7780 766036 861602 0 0 0 0 1199172 1197490 0 0 0 329562 341416 1528734 1538906 -762698 -677304 226592 227857 2990824 3669393 -2764232 -3441536 TO SUPPORT THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HOLY NAME MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. false false 1385016 0 617052 EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HOLY NAME MEDICAL CENTER SPECIFICALLY CENTERED ON MS SERVICES. HOLY NAME MEDICAL CENTER IS A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 1385016 true true false false false false false false false false true false false false true false false true false false false false false false true true false false false true false false false false false false false false false false false false false true false false false true 3 0 true 12 true false false false false false true true false false false false X 18 17 false false false false true true true true true false false true true true true true true true true false X RYAN KENNEDY CPA 2018337016 718 TEANECK ROAD TEANECK NJ 07666 X ROBERT G BRITZ CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 JOHN GERAGHTY VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 SISTER BARBARA MORAN CSJP SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 EDWIN H RUZINSKY CPA TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 ARNOLD BALSAM TRUSTEE 1.0 0.0 X 0 0 0 DAVID BUTLER MD TRUSTEE 1.0 0.0 X 0 0 0 TED A CARNEVALE CPA TRUSTEE 1.0 0.0 X 0 0 0 DALE A CREAMER TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH FRASCINO MD TRUSTEE 1.0 0.0 X 0 0 0 DAVID E LANDERS MD TRUSTEE 1.0 0.0 X 0 0 0 SALVATORE LARAIA MD TRUSTEE 1.0 0.0 X 0 0 0 DANIEL LEBER TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MARON TRUSTEE - PRESIDENT/CEO 55.0 0.0 X X 0 2212105 518467 SISTER ANTOINETTE MOORE CSJP TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH PARISI JR TRUSTEE 1.0 0.0 X 0 0 0 SISTER ANN TAYLOR CSJP TRUSTEE 1.0 0.0 X 0 0 0 LEON TEMIZ TRUSTEE 1.0 0.0 X 0 0 0 RONALD WHITE MD TRUSTEE - PRES MEDICAL STAFF 1.0 0.0 X 0 0 0 FRANK BRUNETTI ESQ TRUSTEE (1/1/15 - 10/15/15) 1.0 0.0 X 0 0 0 MARY ANN PICONE MD MEDICAL DIRECTOR 55.0 0.0 X 349117 0 32831 DAVID DUNCAN MD PHYSICIAN 55.0 0.0 X 248038 0 18635 ROSEMARIE A RAGUINDIN RN REGISTERED NURSE 55.0 0.0 X 115545 0 26612 REENA R MATHEW RN REGISTERED NURSE 55.0 0.0 X 102170 0 26256 814870 2212105 622801 12 false true false 0 X 211870 24900 236770 NET PATIENT SERVICE REVENUE 541900 453796 453796 OTHER HEALTHCARE RELATED REVENUE 541900 163256 163256 617052 0 0 0 0 0 0 0 70930 211870 70930 0 16500 8720 7780 7780 0 0 861602 617052 7780 0 0 0 0 381948 343753 38195 0 637756 573980 63776 18256 16430 1826 96070 86463 9607 63460 57114 6346 39000 35100 3900 0 0 0 0 0 49308 44377 4931 0 16748 15073 1675 0 0 79800 71820 7980 363 327 36 0 1722 1550 172 0 0 10551 9496 1055 43822 39440 4382 MEDICAL SUPPLIES 87551 78796 8755 0 REPAIRS & MAINTENANCE 7023 6321 702 PERMITS & DUES 3523 3171 352 OTHER EXPENSES 2005 1805 200 1538906 1385016 153890 0 50 50 61419 76611 0 0 46072 52270 0 0 0 0 0 0 0 0 14097 21000 255412 183672 82291 71740 0 0 0 0 0 0 0 0 22663 6186 226592 227857 85275 67891 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2905549 3601502 2990824 3669393 X -2764232 -3441536 0 0 0 0 -2764232 -3441536 226592 227857 -677304 X X false true X true false X 335927 208408 131656 220362 236770 1133123 441822 295419 402086 540872 704482 2384681 0 0 0 777749 503827 533742 761234 941252 3517804 0 0 0 3517804 0 0 0 0 0 777749 503827 533742 761234 941252 3517804 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 255412 183672 71740 71740 0 DUE TO HOLY NAME MEDICAL CENTER 3601502 3601502 FASHION SHOW 174930 132392 42538 23588 7150 11800 AWARDS DINNER 107870 79478 28392 16980 575 10837 0 282800 211870 70930 40568 7725 22637 70930 16500 8375 345 false 16500 8375 345 8720 7780 NJ true false true false 1.00000 HOLY NAME HEALTHCARE FOUNDATION STA 718 TEANECK ROAD TEANECK NJ 07666 false MOLLY MCGARRY 0 SALE OF TICKETS, KEEPER OF RECORDS X false SCHEDULE G, PART III; QUESTION 16 MOLLY MCGARRY IS A FULL-TIME EMPLOYEE OF HOLY NAME MEDICAL CENTER FOUNDATION, INC. BUT IS COMPENSATED FROM HOLY NAME MEDICAL CENTER. A SMALL PORTION OF HER TIME IS DEVOTED TO GAMING MANAGEMENT. PLEASE REFER TO THE HOLY NAME MEDICAL CENTER FOUNDATION, INC. FEDERAL FORM 990 FOR THE PORTION OF HER TOTAL COMPENSATION THAT IS DEVOTED TO GAMING MANAGEMENT. X X X X X false true false false false false false true false MICHAEL MARON TRUSTEE - PRESIDENT/CEO 0 1117058 0 550000 0 545047 0 496236 0 22231 0 2730572 0 512408 MARY ANN PICONE MD MEDICAL DIRECTOR 347569 0 0 0 1548 0 10600 0 22231 0 381948 0 0 0 DAVID DUNCAN MD PHYSICIAN 247486 0 0 0 552 0 9711 0 8924 0 266673 0 0 0 SCHEDULE J, PART I; QUESTION 4B THE AMOUNT INCLUDED IN COLUMN B(III) FOR MICHAEL MARON, THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER, INCLUDES PARTICIPATION IN THE MEDICAL CENTER'S DEFERRED INVESTMENT PLAN. THE DEFERRED INVESTMENT PLAN WAS IMPLEMENTED IN 2001 TO ATTRACT AND RETAIN THE HIGHEST QUALITY EMPLOYEES FOR POSITIONS OF SUBSTANTIAL RESPONSIBILITY AND TO PROVIDE INCENTIVES TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE MEDICAL CENTER SO AS TO PROMOTE THE SUCCESS OF THE MEDICAL CENTER. MICHAEL MARON WAS ISSUED OPTIONS UNDER THE PLAN PURSUANT TO AN OPTION AGREEMENT WHICH WERE EXERCISABLE UNDER THE PLAN ON THE DATE THEY WERE GRANTED AND UP TO 20 YEARS FOLLOWING THIS DATE. THE PLAN WAS FUNDED FROM 2002 THROUGH 2006. DURING 2015, MICHAEL MARON EXERCISED OPTIONS IN THE AMOUNT OF $512,408 WHICH WERE INCLUDED IN COLUMN B(III) HEREIN AND IN HIS 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL 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, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL MARON, $485,636. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII AN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN HIS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION. SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR MICHAEL MARON INCLUDES VESTED BENEFITS IN DEFERRED INVESTMENT PLAN AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS OTHER DEFERRED COMPENSATION ON THE FORMS 990 DURING THE YEARS IN WHICH THE CONTRIBUTIONS WERE ACCRUED. THIS AMOUNT, $512,408, WAS TREATED AS TAXABLE INCOME AND REPORTED IN HIS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. CORE FORM, PART III THE MS COMPREHENSIVE CARE CENTER AT HOLY NAME MEDICAL CENTER IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION PROVIDES MULTIPLE SCLEROSIS SERVICES, RESEARCH AND EDUCATION. THE ORGANIZATION IS AFFILIATED WITH HOLY NAME MEDICAL CENTER, AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S MISSION, SINCE INCEPTION, IS TO PROVIDE COMPREHENSIVE AND HUMANE CARE TO PATIENTS WITH MULTIPLE SCLEROSIS AND THEIR FAMILIES. THE OVERALL GOAL OF CARE IS MAINTENANCE OF THE PATIENT'S HIGHEST LEVEL OF INDEPENDENCE IN THEIR HOME AND WORK ENVIRONMENT WHILE MAINTAINING SAFETY AND COMFORT. THE BERNARD GIMBEL MS CENTER OPENED IN 1985 AT (THEN) HOLY NAME HOSPITAL AS AN INDEPENDENT ENTITY. THE CENTER WAS OPEN TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. AT THAT TIME THE STAFF CONSISTED OF A NEUROLOGIST, A NURSE AND A VOLUNTEER. MEDICAL CARE CENTERED ON DIAGNOSIS AND SYMPTOMATIC MANAGEMENT ON AN OUTPATIENT BASIS. THE COMPREHENSIVE INTERDISCIPLINARY CARE MODEL INVOLVED MEDICAL, NURSING, REHAB, PSYCH-SOCIAL SUPPORT AND COORDINATED SERVICES FROM THE MS SOCIETY. THE OVERALL GOAL OF CARE WAS MAINTENANCE OF THE PATIENT'S HIGHEST LEVEL OF INDEPENDENCE IN THEIR HOME AND WORK ENVIRONMENT WHILE MAINTAINING SAFETY AND COMFORT. A VOLUNTEER RUN LENDING LIBRARY OF MS BOOKS AND VIDEOS WAS ORGANIZED AND READILY AVAILABLE TO ALL PATIENTS. DURING THE 1990'S THE CENTER BECAME A RESEARCH SITE FOR MS DRUGS IN DEVELOPMENT. WITH THE ADVENT OF FDA APPROVED SELF-INJECTABLE IMMUNOMODULATING THERAPIES, MANAGEMENT OF MS PATIENTS BECAME MORE COMPLEX. THE NEED FOR ANCILLARY SUPPORT SYSTEMS WAS RECOGNIZED BY THE PHARMACEUTICAL INDUSTRY WHICH CREATED FINANCIAL AND NURSING SUPPORT TEAMS TO HELP PATIENTS BY PHONE OR IN THE HOME. PATIENTS RECEIVED EVER BROADENING EDUCATION FROM BOTH THE CENTER STAFF AND MS SOCIETY OUTREACH AND PUBLICATIONS ADDRESSING THE WIDE RANGING NEEDS OF MS PATIENTS. SELF-INJECTION TECHNIQUE AND ADHERENCE TO THERAPY QUICKLY BECAME AN EDUCATION PRIORITY FOR THE NURSING STAFF. TEACHING WAS DONE BOTH INDIVIDUALLY AND IN GROUPS. THE CENTER CLINICAL STAFF GREW TO FOUR NEUROLOGISTS (PART-TIME), TWO NURSE PRACTITIONERS AND FOUR PART-TIME NURSES. IN 1997, THE IOMS (INTERNATIONAL ORGANIZATION OF MS NURSES) WAS FORMED, IN WHICH ALL CENTER NURSES WERE MEMBERS. AN ENHANCEMENT INITIATED DURING THIS ERA WAS THE MONTHLY TEAM MEETING WHICH ENCOMPASSED MEDICAL, NURSING, SOCIAL WORK, HOME CARE AND REHAB STAFF WHO DISCUSSED ALL ASPECTS OF SELECT PATIENT CASES. ANOTHER COMPLEX MODALITY THAT EMERGED AT THIS TIME WAS THE INTRATHECAL BACLOFEN PUMP. THIS SURGICALLY IMPLANTED PUMP DELIVERS MEDICATION TO RELIEVE SPASTICITY WHICH CAN BE DISABLING. WE TEAMED UP WITH A SPECIALIZED HOME INFUSION AGENCY WHICH CONTINUES TO PROVIDE EXPERTISE AND INDIVIDUALIZED HOME CARE TO THESE PATIENTS. MEDICAL AND NURSING MANAGEMENT OF THESE PATIENTS TAKES A HIGH LEVEL OF SPECIALIZED KNOWLEDGE AND COMMUNICATION SKILL. STARTING IN 2000 MORE COMPLEX MEDICATIONS WERE PROVEN TO DELAY DISABILITY AND SLOW PROGRESSION OF MS. THESE INCLUDED CHEMOTHERAPY AND, EVENTUALLY, MONOCLONAL THERAPIES. WITH THE INCREASE IN EFFICACY CAME INCREASED SIDE EFFECTS AND RISKS WHICH NECESSITATED INCREASED VIGILANCE AND MONITORING BY THE MEDICAL AND NURSING STAFF. AS A RESULT, WE EXPANDED OUR TEAM TO INCLUDE ONCOLOGY DOCTORS AND NURSES TO HELP MANAGE OUR INFUSION PATIENTS. THE CENTER STAFF QUICKLY ATTAINED THE KNOWLEDGE REQUIRED TO TEACH AND SUPPORT THE PATIENTS WHO GRAVITATED TO THIS CENTER IN ORDER TO GET STATE OF THE ART TREATMENT FOR THEIR DISEASE. PHARMACEUTICAL INDUSTRY REPRESENTATIVES VISITED FREQUENTLY TO OFFER SUPPORT TO STAFF WITH MEDICAL UPDATES AND PATIENT SUPPORT SYSTEMS. IN 2006, THE MS COMPREHENSIVE CARE CENTER (FORMERLY KNOWN AS THE BERNARD GIMBEL MS CENTER) BECAME A PART OF HOLY NAME MEDICAL CENTER ("HNMC"). BY THE END OF 2010, THE FIRST ORAL THERAPY FOR MS WAS APPROVED AND MADE COMMERCIALLY AVAILABLE. THIS DRUG IS PROVEN SAFE AND EFFECTIVE BUT CARRIES RISKS THAT REQUIRE PATIENT INVOLVEMENT IN ONGOING TESTING AND MONITORING. THE FDA HAS MANDATED THAT THE FIRST DOSE OF THIS MEDICATION MUST BE ADMINISTERED IN A MEDICAL SETTING WITH SIX HOURS OF VITAL SIGN MONITORING, WHICH IS PROVIDED ON SITE. PATIENT SCREENING FOR THIS MEDICATION AND ONGOING TESTING REQUIRES NURSING CASE MANAGEMENT. A SECOND ORAL MEDICATION WAS APPROVED AT THE END OF 2012, WITH A THIRD EMERGING IN EARLY 2013. EMPHASIS ON DILIGENT PATIENT CARE MANAGEMENT BECAME THE PRIMARY FOCUS. ALL OF THE APPROVED THERAPIES ARE USED IN OUR PRACTICE. WHEELCHAIR CLINIC CONTINUES ON A MONTHLY BASIS; AS WELL AS WEEKLY MS EXERCISE CLASS, MS PATIENT SUPPORT GROUPS, NEWLY DIAGNOSED PATIENT GROUP (LED BY A PHYSICIAN) AND INTERMITTENT EDUCATIONAL SEMINARS. MS PATIENTS ARE FREQUENT USERS OF REHAB, INFUSION, LAB, MRI AND IN PATIENT SERVICES. BY JUNE OF 2012, THE CENTER'S CLINICAL STAFF CONSISTED OF ONE NEUROLOGIST, TWO STAFF NURSES, ONE RESEARCH NURSE AND ONE PART-TIME NEUROPSYCHOLOGIST. THE NURSES CONTINUE TO BE MS CERTIFIED BY IOMS. BY OCTOBER OF 2013, THE CENTER'S CLINICAL STAFF INCREASED TO TWO FULL-TIME NEUROLOGISTS, TWO PART-TIME NEUROLOGISTS, TWO STAFF NURSES, ONE RESEARCH NURSE AND A PART-TIME NEUROPSYCHOLOGIST. A THIRD NURSE WAS ADDED THE FOLLOWING YEAR. THE CENTERS HIGHLY EXPERIENCED, MULTIDISCIPLINARY TEAM OF NEUROLOGISTS AND EXPERTS PROVIDE A FULL SPECTRUM OF SERVICES TAILORED TO THE UNIQUE MEDICAL AND EMOTIONAL NEEDS OF MS PATIENTS. THESE SERVICES INCLUDE ADVANCED DIAGNOSTICS, NOVEL TREATMENT STRATEGIES, AND PSYCHOSOCIAL, REHABILITATIVE AND SUPPORTIVE CARE. IN LATE 2014, A DEDICATED MS INFUSION CENTER WAS OPENED. THE NEW CENTER NOW ADMINISTERS IN EXCESS OF 125 INFUSIONS EACH MONTH, AND IS SUPPORTED BY TWO RNS. WE CONTINUE TO PURSUE THE ORIGINAL MISSION OF COMPREHENSIVE AND HUMANE CARE TO PATIENTS WITH MULTIPLE SCLEROSIS AND THEIR FAMILIES. THIS CENTER CONTINUES TO BE A MODEL OF COMPREHENSIVE TERTIARY CARE FOR MS PATIENTS AND HAS BEEN RECOGNIZED WORLD-WIDE. 2015 BROUGHT ADDITIONAL SOCIAL WORK SERVICES AND ENHANCED PATIENT EDUCATION, AS WELL AS A PART-TIME (0.6 FTE) NEURO-REHABILITATION SPECIALIST PHYSICIAN. FUNDRAISING A VARIETY OF FUNDRAISING EVENTS CONTINUES TO OCCUR, INCLUDING AN ANNUAL FASHION SHOW, A GOLF OUTING, WALK-A-THONS, AND A CLASSICAL CONCERT. SUPPORT IS ALSO SOUGHT THROUGH GRANTS, CORPORATE MATCHING GIFTS AND CORPORATE SOLICITATION TO HELP SUPPORT THE MISSION. FOR THE PAST FIVE YEARS, THE MS CENTER HAS HONORD INSPIRATIONAL PATIENTS, VOLUNTEER LEADERS AND ADVOCATES WHO ARE THE "FACE" OF THE MS CENTER AND EXHIBIT COURAGE AND DETERMINATION IN THEIR FIGHT AGAINST MS. RESEARCH IN CONJUNCTION WITH MEDICAL CARE TO MS PATIENTS RESEARCH ACTIVITIES BEGAN AT THE CENTER IN THE 1980'S, WITH THE USE OF ANTIDEPRESSANT AND BLADDER MANAGEMENT MEDICATIONS FOR THE MS PATIENT. EFFORTS AT THAT TIME WERE SYMPTOM MANAGEMENT BASED, UNTIL THE DEVELOPMENT OF DISEASE MODIFYING THERAPIES (DMTS) EMERGED. THE FIRST GENERATION OF INJECTABLE DMTS BECAME AVAILABLE IN THE 1990'S, WITH THE APPROVAL OF BETASERON, AVONEX AND COPAXONE. THE PRIMARY FOCUS WAS ON THE RELAPSING REMITTING POPULATION. THE CENTER BEGAN ITS INVOLVEMENT WITH THE USE OF BETASERON IN THE SECONDARY PROGRESSIVE POPULATION IN THE LATE 90'S. COMPARATIVE STUDIES WITH APPROVED THERAPIES, AND EMERGING INTRAVENOUS THERAPIES SUCH AS NATALIZUMAB (TYSABRI) BEGAN IN THE EARLY 2000'S. CURRENTLY, THE CENTER'S PROVISION OF CARE TO MS PATIENTS INVOLVES BOTH THE INFLAMMATORY AND NEURO DEGENERATIVE PROCESS OF THE DISEASE. A NEW AND EMERGING THIRD GENERATION OF DISEASE MODIFYING THERAPIES INVOLVE ORAL MEDICATION, NEW FORMULATIONS OF EXISTING DMTS, COMBINATION THERAPIES, AND OTHER MONOCLONAL THERAPIES. RESEARCH HAS INVOLVED NOT ONLY IMPROVING TREATMENT OPTIONS FOR THE RELAPSING REMITTING MS PATIENT, BUT HAS EXPANDED TO DEVELOPMENT OF EFFECTIVE THERAPIES FOR THE PROGRESSIVE FORMS OF THE DISEASE. THE MAJORITY OF THE CURRENT RESEARCH EFFORTS HAVE BEEN FOCUSED IN THIS AREA. THE CENTER CONTINUES TO BE A MODEL OF COMPREHENSIVE TERTIARY CARE FOR MS PATIENTS. THE ORGANIZATION SERVES OVER 2,000 PATIENTS FROM THE GREATER NEW YORK METROPOLITAN REGION WITH MS ON AN ANNUAL BASIS AND HAS A CLINICAL AFFILIATION WITH THE NATIONAL MS SOCIETY. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 HOLY NAME MEDICAL CENTER ("HNMC") IS THE SOLE MEMBER OF THIS ORGANIZATION. HNMC HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11b THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HOLY NAME MEDICAL CENTER ("HNMC") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). HNMCS AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE SYSTEMS FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS INCLUDING, BUT NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, AVP OF FINANCE AND CONTROLLER ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PROVIDED TO HNMCS AUDIT COMMITTEE AND SUBSEQUENTLY TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HOLY NAME MEDICAL CENTER ("HNMC") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO HNMC'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO HNMCS GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HOLY NAME MEDICAL CENTER ("HNMC") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. HNMC'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF HNMC'S SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 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" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM HNMC'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECTS A TRUSTEE/OFFICER RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEE OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND KEY EMPLOYEES INCLUDED 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 SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. 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 SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HOLY NAME MEDICAL CENTER ("HNMC") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES, FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. HNMC'S 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. HOLY NAME HEALTH CARE FOUNDATION 718 TEANECK ROAD TEANECK NJ 07666 222737143 FUNDRAISING NJ 501(C)(3) 509(A)(3) HNMC false HOLY NAME REAL ESTATE CORP 718 TEANECK ROAD TEANECK NJ 07666 223412504 PROPERTY CO NJ 501(C)(3) 509(a)(3) HNMC false SISTERS OF ST JOSEPH OF PEACE 718 TEANECK ROAD TEANECK NJ 07666 223412084 RELIGIOUS ORD NJ 501(C)(3) 170B1AI NA false HOLY NAME MEDICAL CENTER 718 TEANECK ROAD TEANECK NJ 07666 221487322 HEALTHCARE NJ 501(C)(3) HOSPITAL SSP false HOLY NAME EMS INC 718 TEANECK ROAD TEANECK NJ 07666 270294681 HEALTHCARE NJ 501(C)(3) 509(A)(3) HNMC false THE CRUDEM FOUNDATION INC 718 TEANECK ROAD TEANECK NJ 07666 431660199 HEALTHCARE MO 501(C)(3) 509(A)(1) HNMC FDN false HEALTH PARTNERS SERVICES INC 718 TEANECK ROAD TEANECK NJ 07666 223618636 MGMT SERVICES NJ NA C CORP. false PEACE HEALTH PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 223618634 HLTHCARE SVCS NJ NA C CORP. false HOUSE PHYSICIANS PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 223808427 HLTHCARE SVCS NJ NA C CORP. false HEMATOLOGYONCOLOGY PHYSICIANS 718 TEANECK ROAD TEANECK NJ 07666 223808421 HLTHCARE SVCS NJ NA C CORP. false RIVERSIDE FAMILY CARE 718 TEANECK ROAD TEANECK NJ 07666 200446233 HLTHCARE SVCS NJ NA C CORP. false RADIATION ONCOLOGY PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 201104758 HLTHCARE SVCS NJ NA C CORP. false EXCELCARE MEDICAL ASSOCIATES 718 TEANECK ROAD TEANECK NJ 07666 203130405 HLTHCARE SVCS NJ NA C CORP. false BREAST IMAGING PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 753226059 HLTHCARE SVCS NJ NA C CORP. false HOLY NAME CARDIOLOGY ASSOCIATES PC 718 TEANECK ROAD TEANECK NJ 07666 753226063 HLTHCARE SVCS NJ NA C CORP. false BREAST CARE PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 113787403 HLTHCARE SVCS NJ NA C CORP. false HOLY NAME PULMONARY ASSOCIATES PC 718 TEANECK ROAD TEANECK NJ 07666 830511119 HLTHCARE SVCS NJ NA C CORP. false WOMEN'S CLINIC PARTNERS 718 TEANECK ROAD TEANECK NJ 07666 364635222 HLTHCARE SVCS NJ NA C CORP. false MULKAY CARDIOLOGY CONSULTANTS AT HNMC 718 TEANECK ROAD TEANECK NJ 07666 463392343 HLTHCARE SVCS NJ NA C CORP. false false false false false true false false false false false false false false true true false false false false HOLY NAME MEDICAL CENTER E 695952 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HOLY NAME MEDICAL CENTER ("HNMC") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. HNMC 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.