2016-11-04T17:52:36-05:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2015-01-01 223367281 ENGLEWOOD HOSPITAL & MED CTR FND INC % ANTHONY T ORLANDO ENGL 2018943275 350 ENGLE STREET ENGLEWOOD NJ 07631 WARREN GELLER president 2127733000 2016-11-02 true LAURA KIELCZEWSKI P00740679 2127733000 2015 2017-02-10 21:41:12Z WARREN GELLER 350 ENGLE STREET ENGLEWOOD NJ 07631 18211269 false X englewoodhospital.com X 1995 NJ FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. 37 36 0 39 0 14439783 12128369 0 0 1109975 1226601 -749886 -646128 14799872 12708842 3013276 2080736 0 0 1496176 1280224 0 0 2011248 1159694 1520121 5669146 4881081 9130726 7827761 36386631 42167234 1212173 288575 35174458 41878659 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. false false 2080736 2080736 0 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. 2080736 true true false false false false false false false true true false false false true false true false false false true false false false true false false true false true false false false false false false false false true false false false false true true true false false true X 0 0 0 false false false false false true true false false false false X 37 36 true false false false true true true true true false false true true true true true true false false false NJ NY X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 07631 AMY SHIRVAN TRUSTEE 1.0 0.0 X 0 0 0 ANDREW M CLARKE TRUSTEE 1.0 0.0 X 0 0 0 ANTHONY T ORLANDO TRUSTEE 1.0 58.0 X 12817 564828 35180 BARRY M ZINGLER MD Trustee (Term 10/28/15) 1.0 0.0 X 0 0 0 BERNARD KOSTER TRUSTEE 3.0 0.0 X 0 0 0 BRUCE HARPER TRUSTEE 1.0 0.0 X 0 0 0 DAVID GRAF Secretary (Term 10/28/15) 1.0 1.0 X X 0 0 0 DAVID L ABRAMSON MD TRUSTEE 2.0 0.0 X 0 0 0 DIANE LUCIANNA TRUSTEE 1.0 0.0 X 0 0 0 DONALD DICKSTEIN TRUSTEE 1.0 0.0 X 0 0 0 ELLEN GLANTZ-TUCKER TRUSTEE 1.0 0.0 X 0 0 0 ERIC MARGOLIS MD TRUSTEE 1.0 0.0 X 0 0 0 EUN RAE JO TRUSTEE 1.0 0.0 X 0 0 0 GRANT R SIMONS MD TRUSTEE 1.0 0.0 X 0 0 0 J BRAD CAMPOLI TRUSTEE 1.0 0.0 X 0 0 0 JAMES C ACKERMAN Trustee (Term 10/28/15) 2.0 0.0 X 0 0 0 JAY C NADEL CHAIRMAN 5.0 7.0 X X 0 0 0 JOHN R STABILE MD TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH RUBACH TRUSTEE/TREASURER 1.0 0.0 X X 0 0 0 LEE D EISENBERG MD TRUSTEE 1.0 0.0 X 0 0 0 MARC ARGINTEANU TRUSTEE 1.0 0.0 X 0 0 0 MARC BLATT TRUSTEE 1.0 0.0 X 0 0 0 MARK SPIVAK TRUSTEE 1.0 0.0 X 0 0 0 MERLE FISH TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL B BRENNER TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL GUTTER TRUSTEE / TREASURER 1.0 0.0 X X 0 0 0 MIRIAM R KASSEL TRUSTEE 1.0 0.0 X 0 0 0 NANCY BROWN TRUSTEE 1.0 0.0 X 0 0 0 RICHARD J KURTZ TRUSTEE 1.0 4.0 X 0 0 0 ROBERT FEUERSTEIN TRUSTEE/SECRETARY 1.0 1.0 X X 0 0 0 SHELLEY TAUB TRUSTEE 1.0 1.0 X 0 0 0 STANLEY SHIRVAN TRUSTEE 1.0 0.0 X 0 0 0 STEVEN B BRAVERMAN TRUSTEE 1.0 0.0 X 0 0 0 STEVEN KAPLAN TRUSTEE 1.0 0.0 X 0 0 0 THOMAS C SENTER ESQ TRUSTEE 1.0 15.0 X 0 0 0 WENDY HURST MD TRUSTEE 1.0 0.0 X 0 0 0 YAZ SHAH TRUSTEE 1.0 0.0 X 0 0 0 ERICA PARK Trustee (Eff. 9/24/15) 1.0 0.0 X 0 0 0 TED SIEBOLD Trustee (Eff. 9/24/15) 1.0 0.0 X 0 0 0 MARTIN ZAIKOV TRUSTEE 1.0 0.0 X 0 0 0 DEBRA ALBANESE EXECUTIVE VICE PRESIDENT 55.0 0.0 X 284857 0 7156 WARREN GELLER PRESIDENT 5.0 58.0 X 189000 887295 39166 TODD W BROOKS EXECUTIVE DIRECTOR 50.0 0.0 X 172847 0 2694 659521 1452123 84196 3 false true false NONE 0 1631265 10497104 551695 12128369 0 370428 370428 0 0 0 0 0 5462022 4605849 856173 856173 856173 250450 1631265 896578 -646128 -646128 0 0 0 12708842 580473 2080736 2080736 0 0 0 493830 123458 370372 0 551897 160050 391847 0 234497 58624 175873 0 0 8468 2117 6351 12792 3198 9594 0 0 0 288901 74494 214407 78814 78814 299037 74759 224278 11857 3557 8300 0 40500 9720 30780 457 114 343 0 0 0 0 1370 343 1027 5004 5004 CAPITAL FUND EXPENSES 436739 436739 PROVISION FOR UNCOLL PLEDGES 251906 251906 PLAQUES, ENGRAVING, RECOGNIT 9730 9730 MEMBERSHIP DUES 4155 4155 70391 17598 52793 4881081 2080736 789097 2011248 184318 1169743 9134424 11574622 10591645 13130528 0 0 0 0 0 0 0 0 0 0 511270 681444 347614 175152 173832 172462 15221538 14597772 255962 537595 0 0 0 0 313642 303068 36386631 42167234 131350 132121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1080823 156454 1212173 288575 X -2937468 -2422364 34988068 41177165 3123858 3123858 35174458 41878659 36386631 42167234 7827761 -1211036 87476 X false true X true false X 7700336 5854389 9926143 14439783 12128369 50049020 0 0 7700336 5854389 9926143 14439783 12128369 50049020 834711 49214309 338891 282171 252176 390502 370428 1634168 0 276605 206120 285875 216860 250450 1235910 52919098 0.92999 0.91740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10725459 -117782 736895 15690 9855092 10349170 614806 225000 13517 10725459 9012142 1655546 300000 18518 10349170 8440705 886726 300000 15289 9012142 8601652 150562 300000 11509 8440705 0.31700 0.68300 false false 170500 170500 156071 154109 1962 21043 21043 0 172462 0 DUE TO AFF-ENGLEWOOD HOSP & MED CTR 156454 156454 12836723 87476 896578 984054 11852669 856173 856173 12708842 2879508 896578 896578 1982930 2898151 2898151 4881081 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 Middle East and North Africa Investments 250000 250000 250000 false false false false false false ANNUAL GALA 1381981 1171381 210600 225899 150000 303821 GOLF/TENNIS 186400 146550 39850 35349 28811 5 313334 313334 47637 105061 1881715 1631265 250450 308885 150000 437693 896578 -646128 350 ENGLE STREET ENGLEWOOD NJ 07631 true ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501(c)(3) 1338402 CAPITAL EXPENDITURES ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NH 07631 221487173 501(c)(3) 717334 OPERATING EXPENSE REIMBURSEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501(c)(3) 25000 SCHOLARSHIPS 1 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING GRANTS 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. false true false false false false false true false ANTHONY T ORLANDO TRUSTEE 12817 444334 0 75500 0 44994 0 28165 0 7015 12817 600008 0 0 DEBRA ALBANESE EXECUTIVE VICE PRESIDENT 243419 0 39900 0 1538 0 4705 0 2451 0 292013 0 0 0 TODD W BROOKS EXECUTIVE DIRECTOR 172409 0 0 0 438 0 2694 0 0 0 175541 0 0 0 WARREN GELLER PRESIDENT 189000 576173 0 205200 0 105922 0 26646 0 12520 189000 926461 0 0 SCHEDULE J, SUPPLEMENTAL INFORMATION 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). X 12 498655 COST/SELLING PRICE X GIFT CERTIFICATES 45 21937 COST/SELLING PRICE X JEWELRY 18 20053 COST/SELLING PRICE X GIFT BASKETS 5 11050 COST/SELLING PRICE false true false 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. ENGLEWOOD HOSPITAL & MED CTR INC 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 HOSPITAL NJ 501(C)(3) 3 EHS 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 true ENGLEWOOD MEDICAL ASSOCIATES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 223446625 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true MEDICAL ASSOCIATES OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 452548322 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true EMERGENCY PHYSICIANS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 454604076 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true PHYSICIAN PARTNERS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 455597971 PHYSICIAN SVC NJ 501(C)(3) 11a EHMC true ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 MEDICAL SERVICES NJ NA C Corp true false true true false false false false false false true false true false true true false false false false ENGLEWOOD HOSP & MED CTR b 2080736 CASH ENGLEWOOD HOSP & MED CTR n 1018264 FMV