ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC (EIN 22-3367281)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-04
- IRS object ID
- 201643099349301924
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-04T17:52:36-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223367281 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ENGLEWOOD HOSPITAL & MED CTR FND INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANTHONY T ORLANDO | InCareOfNm |
| Business Name Control | ENGL | BusinessNameControlTxt |
| Phone | 2018943275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 ENGLE STREET | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07631 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WARREN GELLER | PersonNm |
| Person Title | president | PersonTitleTxt |
| Phone | 2127733000 | PhoneNum |
| Signature | 2016-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA KIELCZEWSKI | PreparerPersonNm |
| PTIN | P00740679 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WARREN GELLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 ENGLE STREET | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,211,269 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | englewoodhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 37 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 36 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 39 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $14,439,783 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,128,369 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,109,975 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,226,601 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$749,886 | PYOtherRevenueAmt |
| CY Other Revenue | -$646,128 | CYOtherRevenueAmt |
| PY Total Revenue | $14,799,872 | PYTotalRevenueAmt |
| CY Total Revenue | $12,708,842 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,013,276 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,080,736 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,496,176 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,280,224 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,011,248 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,159,694 | PYOtherExpensesAmt |
| CY Other Expenses | $1,520,121 | CYOtherExpensesAmt |
| PY Total Expenses | $5,669,146 | PYTotalExpensesAmt |
| CY Total Expenses | $4,881,081 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,130,726 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,827,761 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,386,631 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,167,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,212,173 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $288,575 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,174,458 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,878,659 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ESTABLISHED IN 1995, THE ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC, IS THE NOT-FOR-PROFIT ORGANIZATION THAT DEVELOPS PRIVATE RESOURCES TO SUPPORT THE CAPITAL, ENDOWMENT AND ANNUAL OPERATING NEEDS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THROUGH ITS FUNDRAISING PROGRAMS, SPECIAL EVENTS, AND OUTREACH ACTIVITIES, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN THE MEDICAL CENTERS HEALTHCARE PROGRAMS AND SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,080,736 | ExpenseAmt |
| Grant | $2,080,736 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION IS A WHOLLY-OWNED NON-PROFIT SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM, INC AND WAS FORMED FOR THE PURPOSE OF FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC AND ITS AFFILIATES. THE PRIMARY AFFILIATE IS ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. THROUGH ITS FUNDRAISING PROGRAMS, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN ENGLEWOOD HOSPITAL AND MEDICAL CENTERS HEALTHCARE FACILITIES, PROGRAMS AND SERVICES. THE GENEROSITY OF THE COMMUNITY HAS HELPED ENSURE QUALITY PATIENT CARE BY SUPPORTING OPERATING NEEDS, FUNDING NEW CLINICAL PROGRAMS, NURSING SCHOLARSHIPS, EQUIPMENT AND MAJOR CAPITAL PROJECTS. | Desc |
| Total Program Service Expenses | $2,080,736 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 37 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 36 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY T ORLANDO | PersonNm |
| Phone | 2018943280 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 ENGLE STREET | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07631 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| AMY SHIRVAN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW M CLARKE | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY T ORLANDO | ||||||||
| TRUSTEE | 1.0 | 58.0 | Yes (X) | $12,817 | $564,828 | $35,180 | ||
| BARRY M ZINGLER MD | ||||||||
| Trustee (Term 10/28/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BERNARD KOSTER | ||||||||
| TRUSTEE | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE HARPER | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DAVID GRAF | ||||||||
| Secretary (Term 10/28/15) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID L ABRAMSON MD | ||||||||
| TRUSTEE | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DIANE LUCIANNA | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DONALD DICKSTEIN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ELLEN GLANTZ-TUCKER | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ERIC MARGOLIS MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| EUN RAE JO | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| GRANT R SIMONS MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| J BRAD CAMPOLI | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JAMES C ACKERMAN | ||||||||
| Trustee (Term 10/28/15) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JAY C NADEL | ||||||||
| CHAIRMAN | 5.0 | 7.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN R STABILE MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH RUBACH | ||||||||
| TRUSTEE/TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LEE D EISENBERG MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARC ARGINTEANU | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARC BLATT | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARK SPIVAK | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MERLE FISH | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL B BRENNER | ||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL GUTTER | ||||||||
| TRUSTEE / TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MIRIAM R KASSEL | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| NANCY BROWN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD J KURTZ | ||||||||
| TRUSTEE | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT FEUERSTEIN | ||||||||
| TRUSTEE/SECRETARY | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SHELLEY TAUB | ||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| STANLEY SHIRVAN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN B BRAVERMAN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN KAPLAN | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS C SENTER ESQ | ||||||||
| TRUSTEE | 1.0 | 15.0 | Yes (X) | $0 | $0 | $0 | ||
| WENDY HURST MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| YAZ SHAH | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| ERICA PARK | ||||||||
| Trustee (Eff. 9/24/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| TED SIEBOLD | ||||||||
| Trustee (Eff. 9/24/15) | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MARTIN ZAIKOV | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA ALBANESE | ||||||||
| EXECUTIVE VICE PRESIDENT | 55.0 | 0.0 | $284,857 | $0 | $7,156 | Yes (X) | ||
| WARREN GELLER | ||||||||
| PRESIDENT | 5.0 | 58.0 | $189,000 | $887,295 | $39,166 | Yes (X) | ||
| TODD W BROOKS | ||||||||
| EXECUTIVE DIRECTOR | 50.0 | 0.0 | $172,847 | $0 | $2,694 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $659,521 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,452,123 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $84,196 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,631,265 | FundraisingAmt |
| All Other Contributions | $10,497,104 | AllOtherContributionsAmt |
| Noncash Contributions | $551,695 | NoncashContributionsAmt |
| Total Contributions | $12,128,369 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $370,428 | TotalRevenueColumnAmt |
| Exclusion | $370,428 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,462,022 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,605,849 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $856,173 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $856,173 | TotalRevenueColumnAmt |
| Exclusion | $856,173 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $250,450 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,631,265 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $896,578 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$646,128 | TotalRevenueColumnAmt |
| Exclusion | -$646,128 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,708,842 | TotalRevenueColumnAmt |
| Exclusion | $580,473 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,736 | TotalAmt |
| Program Services | $2,080,736 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,830 | TotalAmt |
| Management And General | $123,458 | ManagementAndGeneralAmt |
| Fundraising | $370,372 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,897 | TotalAmt |
| Management And General | $160,050 | ManagementAndGeneralAmt |
| Fundraising | $391,847 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,497 | TotalAmt |
| Management And General | $58,624 | ManagementAndGeneralAmt |
| Fundraising | $175,873 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,468 | TotalAmt |
| Management And General | $2,117 | ManagementAndGeneralAmt |
| Fundraising | $6,351 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,792 | TotalAmt |
| Management And General | $3,198 | ManagementAndGeneralAmt |
| Fundraising | $9,594 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,901 | TotalAmt |
| Management And General | $74,494 | ManagementAndGeneralAmt |
| Fundraising | $214,407 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,814 | TotalAmt |
| Fundraising | $78,814 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,037 | TotalAmt |
| Management And General | $74,759 | ManagementAndGeneralAmt |
| Fundraising | $224,278 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,857 | TotalAmt |
| Management And General | $3,557 | ManagementAndGeneralAmt |
| Fundraising | $8,300 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,500 | TotalAmt |
| Management And General | $9,720 | ManagementAndGeneralAmt |
| Fundraising | $30,780 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457 | TotalAmt |
| Management And General | $114 | ManagementAndGeneralAmt |
| Fundraising | $343 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,370 | TotalAmt |
| Management And General | $343 | ManagementAndGeneralAmt |
| Fundraising | $1,027 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,004 | TotalAmt |
| Management And General | $5,004 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CAPITAL FUND EXPENSES | $436,739 | $436,739 | |
| PROVISION FOR UNCOLL PLEDGES | $251,906 | $251,906 | |
| PLAQUES, ENGRAVING, RECOGNIT | $9,730 | $9,730 | |
| MEMBERSHIP DUES | $4,155 | $4,155 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,391 | TotalAmt |
| Management And General | $17,598 | ManagementAndGeneralAmt |
| Fundraising | $52,793 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,881,081 | TotalAmt |
| Program Services | $2,080,736 | ProgramServicesAmt |
| Management And General | $789,097 | ManagementAndGeneralAmt |
| Fundraising | $2,011,248 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,318 | BOYAmt |
| EOY | $1,169,743 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,134,424 | BOYAmt |
| EOY | $11,574,622 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,591,645 | BOYAmt |
| EOY | $13,130,528 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,270 | BOYAmt |
| EOY | $681,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $347,614 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,152 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,832 | BOYAmt |
| EOY | $172,462 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,221,538 | BOYAmt |
| EOY | $14,597,772 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,962 | BOYAmt |
| EOY | $537,595 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,642 | BOYAmt |
| EOY | $303,068 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,386,631 | BOYAmt |
| EOY | $42,167,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,350 | BOYAmt |
| EOY | $132,121 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,823 | BOYAmt |
| EOY | $156,454 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,212,173 | BOYAmt |
| EOY | $288,575 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,937,468 | BOYAmt |
| EOY | -$2,422,364 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,988,068 | BOYAmt |
| EOY | $41,177,165 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,123,858 | BOYAmt |
| EOY | $3,123,858 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,174,458 | BOYAmt |
| EOY | $41,878,659 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,386,631 | BOYAmt |
| EOY | $42,167,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,827,761 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,211,036 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $87,476 | DonatedServicesAndUseFcltsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,700,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,854,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,926,143 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,439,783 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,128,369 | CurrentTaxYearAmt |
| Total | $50,049,020 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,700,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,854,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,926,143 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,439,783 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,128,369 | CurrentTaxYearAmt |
| Total | $50,049,020 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $834,711 | SubstantialContributorsTotAmt |
| Public Support Total170 | $49,214,309 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $338,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $282,171 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $252,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $390,502 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $370,428 | CurrentTaxYearAmt |
| Total | $1,634,168 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $276,605 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $206,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $285,875 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $216,860 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $250,450 | CurrentTaxYearAmt |
| Total | $1,235,910 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $52,919,098 | TotalSupportAmt |
| Public Support CY170 | 0.92999 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91740 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,725,459 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$117,782 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $736,895 | OtherExpendituresAmt |
| Administrative Expenses | $15,690 | AdministrativeExpensesAmt |
| End Year Balance | $9,855,092 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,349,170 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $614,806 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $225,000 | OtherExpendituresAmt |
| Administrative Expenses | $13,517 | AdministrativeExpensesAmt |
| End Year Balance | $10,725,459 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,012,142 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,655,546 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $300,000 | OtherExpendituresAmt |
| Administrative Expenses | $18,518 | AdministrativeExpensesAmt |
| End Year Balance | $10,349,170 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,440,705 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $886,726 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $300,000 | OtherExpendituresAmt |
| Administrative Expenses | $15,289 | AdministrativeExpensesAmt |
| End Year Balance | $9,012,142 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,601,652 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $150,562 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $300,000 | OtherExpendituresAmt |
| Administrative Expenses | $11,509 | AdministrativeExpensesAmt |
| End Year Balance | $8,440,705 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.31700 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.68300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,500 | OtherCostOrOtherBasisAmt |
| Book Value | $170,500 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,071 | OtherCostOrOtherBasisAmt |
| Depreciation | $154,109 | DepreciationAmt |
| Book Value | $1,962 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,043 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $172,462 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFF-ENGLEWOOD HOSP & MED CTR | Desc |
| Amt | $156,454 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $156,454 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,836,723 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $87,476 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $896,578 | OtherRevenueAmt |
| Revenue Not Reported | $984,054 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,852,669 | RevenueSubtotalAmt |
| Other Revenues Not Included | $856,173 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $856,173 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,708,842 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,879,508 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $896,578 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $896,578 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,982,930 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,898,151 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,898,151 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,881,081 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| INTENDED USE OF ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 THE FOUNDATION'S ENDOWMENT FUNDS WERE CREATED FOR VARIOUS PURPOSES INCLUDING, BUT NOT LIMITED TO: A) MEDICAL RESEARCH INTO THE CAUSES AND CURES OF CANCER, B) THE CARE AND BENEFIT OF CHARITABLE PATIENTS, C) FACILITY MAINTENANCE OF THE MEDICAL CENTER, AND D) HEALTH EDUCATION AND RESEARCH. |
| FORM 990, SCHEDULE D, PART XI, LINE 2D & PART XII, LINE 2D | SPECIAL EVENTS EXPENSES - $896,578 Form 990, schedule D, part XI, line 4b realized gain below the line - $856,173 |
| FORM 990, SCHEDULE D, PART XII, LINE 4B | CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR OPERATIONS - $1,559,749 CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR CAPITAL - $1,338,402 -------------- TOTAL $2,898,151 |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Middle East and North Africa | RegionTxt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $250,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $250,000 | SubtotalSpentAmt |
| Total Spent | $250,000 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL GALA | Event1Nm |
| Gross Receipts Event1 | $1,381,981 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,171,381 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $210,600 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $225,899 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $150,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $303,821 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF/TENNIS | Event2Nm |
| Gross Receipts Event2 | $186,400 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $146,550 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $39,850 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $35,349 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $28,811 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $313,334 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $313,334 | CharitableContriOtherEventsAmt |
| Rent Fclty Costs Other Events | $47,637 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $105,061 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,881,715 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,631,265 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $250,450 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $308,885 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $150,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $437,693 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $896,578 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$646,128 | NetIncomeSummaryAmt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 ENGLE STREET | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07631 | ZIPCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER | |||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 221487173 | 501(c)(3) | $1,338,402 | CAPITAL EXPENDITURES |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER | |||||||
| 350 ENGLE STREET | ENGLEWOOD | NH | 07631 | 221487173 | 501(c)(3) | $717,334 | OPERATING EXPENSE REIMBURSEMENT |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER | |||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 221487173 | 501(c)(3) | $25,000 | SCHOLARSHIPS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING GRANTS | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE I, PART I, LINE 2 THE CURRENT YEAR GRANTS WERE MADE TO A RELATED TAX EXEMPT ORGANIZATION THAT THE ORGANIZATION SUPPORTS AND WILL BE USED TO FURTHER ITS EXEMPT PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY T ORLANDO | ||||||||||||||
| TRUSTEE | $12,817 | $444,334 | $0 | $75,500 | $0 | $44,994 | $0 | $28,165 | $0 | $7,015 | $12,817 | $600,008 | $0 | $0 |
| DEBRA ALBANESE | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $243,419 | $0 | $39,900 | $0 | $1,538 | $0 | $4,705 | $0 | $2,451 | $0 | $292,013 | $0 | $0 | $0 |
| TODD W BROOKS | ||||||||||||||
| EXECUTIVE DIRECTOR | $172,409 | $0 | $0 | $0 | $438 | $0 | $2,694 | $0 | $0 | $0 | $175,541 | $0 | $0 | $0 |
| WARREN GELLER | ||||||||||||||
| PRESIDENT | $189,000 | $576,173 | $0 | $205,200 | $0 | $105,922 | $0 | $26,646 | $0 | $12,520 | $189,000 | $926,461 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE J, PART I, LINE 4B THE PURPOSE OF THE MEDICAL CENTERS AND AFFILIATED ORGANIZATIONS 457(F) PLAN IS TO OFFER ELIGIBLE EXECUTIVE EMPLOYEES DEFERRED COMPENSATION BENEFITS TAXABLE UNDER SECTION 457(F) OF THE INTERNAL REVENUE CODE TO SUPPLEMENT SUCH EMPLOYEES RETIREMENT BENEFITS UNDER THE EMPLOYERS SECTION 403(B) RETIREMENT PLAN AND THE EMPLOYERS SECTION 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. IT IS AN UNFUNDED DEFERRED COMPENSATION PLAN. ELIGIBILITY IS LIMITED TO EMPLOYEES HOLDING CERTAIN TITLES AND DETERMINED ELIGIBLE BY ENGLEWOOD HOSPITAL AND MEDICAL CENTERS COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS THE ORGANIZATION PROVIDES THE OPPORTUNITY FOR ANNUAL INCENTIVE COMPENSATION TO SENIOR MANAGEMENT UNDER AN EXECUTIVE INCENTIVE COMPENSATION PLAN. THE PLAN IS DESIGNED TO OFFER OPPORTUNITIES FOR ADDITIONAL COMPENSATION TIED TO PERFORMANCE AGAINST PRE-DETERMINED QUALITY, FINANCIAL, PATIENT SATISFACTION, COMMUNITY SERVICE, PATIENT SAFETY, AND INDIVIDUAL GOALS APPROVED FOR IN ADVANCE BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. DURING THE TAXABLE YEAR, THE ORGANIZATION PAID OUT INCENTIVE COMPENSATION TO CERTAIN INDIVIDUALS AS REPORTED ON SCHEDULE J, PART II, COLUMN B(II). | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $498,655 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | GIFT CERTIFICATES | 45 | $21,937 | COST/SELLING PRICE |
| Yes (X) | JEWELRY | 18 | $20,053 | COST/SELLING PRICE |
| Yes (X) | GIFT BASKETS | 5 | $11,050 | COST/SELLING PRICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DESCRIPTION OF RELATIONSHIPS | FORM 990, PART V, LINE 2A ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON THE FORM 941 FILED BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 22-1487173. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ HAVE A BUSINESS RELATIONSHIP. |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | Form 990, Part VI, Line 6 ENGLEWOOD HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. |
| DESCRIPTION OF MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO HAD THE POWER | TO ELECT OR APPROVE ONE OR MORE MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, LINE 7A ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO: A)DETERMINE THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD OF TRUSTEES OF THE CORPORATION; B)ELECT TRUSTEES OF THE CORPORATION; C)REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD OF TRUSTEES, WITH OR WITHOUT CAUSE, AND TO REPLACE ANY SUCH REMOVED TRUSTEE FOR THE UNEXPIRED PORTION OF HIS/HER TERM. D)APPROVE THE ELECTION, REELECTION, APPOINTMENT, REAPPOINTMENT, AND REMOVAL OF ALL OFFICERS OF THE CORPORATION. |
| DESCRIPTION OF GOVERNANCE DECISIONS OF THE ORGANIZATION RESERVED TO | MEMBERS, STOCKHOLDERS, OR PERSONS OTHER THAN THE GOVERNING BODY FORM 990, PART VI, LINE 7B ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO APPROVE: A)AMENDMENT, REVISION OR RESTATEMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED BY THE BOARD OF TRUSTEES OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; B)DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY; C)ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, INCLUDING THE DISPOSITION OF ANY CONTRIBUTIONS OR OTHER NET FUNDS; D)INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF $50,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS; E)EXPENDITURES NOT PROVIDED FOR IN THE APPROVED BUDGETS IN EXCESS OF $50,000; F)CONTRACTUAL COMMITMENTS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; G)SALE, LEASE OR EXCHANGE OF ANY ASSET OF THE CORPORATION THAT IS VALUED IN EXCESS OF $50,000; H)TRANSFER, GRANT, GIFT, LOAN OR HYPOTHECATION OF ASSETS OF THE CORPORATION NOT PROVIDED FOR IN THE APPROVED BUDGETS, EXCEPT FOR TRANSFERS OF RESTRICTED FUNDS IN ACCORDANCE WITH THE DONOR'S WISHES. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | Form 990, Part VI, Line 11b AT THE OCTOBER MEETING OF ENGLEWOOD HEALTHCARE SYSTEM, THE ULTIMATE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL PROFESSIONAL PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | Form 990, Part VI, Line 12c ENGLEWOOD HOSPITAL AND MEDICAL CENTER, AN AFFILIATE OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, HAS CONFLICT OF INTEREST POLICIES THAT APPLY TO OFFICERS, DIRECTORS AND TRUSTEES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S NOMINATING AND GOVERNANCE COMMITTEE OF ITS BOARD OF TRUSTEES REVIEWS CONFLICT OF INTEREST STATEMENTS. IF ANY MATTER IS BROUGHT TO THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED TRUSTEE SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY THE TRUSTEE'S WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION, AND SHALL BE ALLOWED NO VOTE ON THE MATTER. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | Form 990, Part VI, Line 19 ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION COMPLIES WITH ALL GOVERNMENT REQUIREMENTS RELATING TO THE DISCLOSURE OF THESE ITEMS. FINANCIAL INFORMATION IS AVAILABLE PUBLICLY VIA THE REQUIRED SUBMISSION OF DATA TO THE INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL'S OFFICE. REQUESTS FROM THE PUBLIC FOR ADDITIONAL INFORMATION ARE HANDLED ON A CASE-BY-CASE BASIS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ENGLEWOOD HOSPITAL & MED CTR INC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 221487173 | HOSPITAL | NJ | 501(C)(3) | 3 | EHS | Yes (true) |
| ENGLEWOOD HEALTHCARE SYSTEM INC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 222749097 | HLTH ACTIVITY | NJ | 501(C)(3) | 11b | NA | false |
| ENGLEWOOD HEALTHCARE PROPERTIES INC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 222943092 | PROPERTY ACQ | NJ | 501(C)(2) | EHS | Yes (true) | |
| ENGLEWOOD MEDICAL ASSOCIATES INC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 223446625 | PHYSICIAN SVC | NJ | 501(C)(3) | 11a | EHMC | Yes (true) |
| MEDICAL ASSOCIATES OF ENGLEWOOD PC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 452548322 | PHYSICIAN SVC | NJ | 501(C)(3) | 11a | EHMC | Yes (true) |
| EMERGENCY PHYSICIANS OF ENGLEWOOD PC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 454604076 | PHYSICIAN SVC | NJ | 501(C)(3) | 11a | EHMC | Yes (true) |
| PHYSICIAN PARTNERS OF ENGLEWOOD PC | ||||||||||
| 350 ENGLE STREET | ENGLEWOOD | NJ | 07631 | 455597971 | PHYSICIAN SVC | NJ | 501(C)(3) | 11a | EHMC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ENGLEWOOD HEALTHCARE ENTERPRISES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 ENGLE STREET | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222872393 | EIN |
| Primary Activities | MEDICAL SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corp | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ENGLEWOOD HOSP & MED CTR | ||
| b | $2,080,736 | CASH |
| ENGLEWOOD HOSP & MED CTR | ||
| n | $1,018,264 | FMV |
Comments