2015-08-14T10:45:30-05:00 2014-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-01-01 221773439 KENNEDY UNIVERSITY HOSPITAL INC KENN 8566615185 500 MARLBORO AVENUE CHERRY HILL NJ 08002 JOSEPH DEVINE CHIEF EXECUTIVE OFFICER 8566615185 2015-08-14 1 JULIUS C GREEN CPA JD P00350393 2159720701 2014 2016-03-07 17:11:31Z JOSEPH DEVINE 1099 WHITEHORSE RD VOORHEES NJ 08043 539990157 0 X WWW.KENNEDYHEALTH.ORG X 1965 NJ KENNEDY UNIVERSITY HOSPITAL IS AN ACADEMIC MEDICAL CENTER PROVIDING THE FINEST HEALTHCARE SERVICES. 22 22 4521 300 0 0 6380575 270618 486436744 529314076 4117889 3400513 1949517 6693136 498884725 539678343 1542443 5328244 0 0 223711699 238589077 0 0 66934 249960607 250051827 475214749 493969148 23669976 45709195 461590670 518110906 191997743 217982229 269592927 300128677 KENNEDY UNIVERSITY HOSPITAL IS AN ACADEMIC MEDICAL CENTER THAT PROVIDES THE FINEST HEALTHCARE SERVICES WITH EXCELLENT OUTCOMES TO PEOPLE LIVING IN OUR COMMUNITY. 0 0 419635387 5328244 534453869 ESTABLISHED IN 1965, KENNEDY UNIVERSITY HOSPITAL PROVIDES OUTSTANDING MEDICAL SERVICES TO RESIDENTS IN OUR COMMUNITIES IN INPATIENT AND OUTPATIENT FACILITIES. KENNEDY HAS THREE ACUTE CARE HOSPITALS LOCATED IN SOUTHERN NEW JERSEY. KENNEDY OFFERS A WIDE VARIETY OF PROGRAMS AND SERVICES AT OUR OUTPATIENT FACILITIES INCLUDING A CANCER CENTER, DIALYSIS CENTERS, OUTPATIENT RADIOLOGY, FAMILY HEALTH CENTERS, CENTER FOR WOUND CARE, HOME HEALTH, WOMEN'S AND CHILDREN'S AND BEHAVIORAL HEALTH. 419635387 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 388 0 1 4521 1 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X J DAVID HYERS 8566615186 500 MARLBORO AVENUE CHERRY HILL NJ 08002 JOHN F DURANTE CHAIRMAN 1.00 2.00 X X 0 0 0 BRUCE J PAPARONE VICE CHAIR 1.00 3.00 X X 0 0 0 STANLEY JC GIBERSON SR SECRETARY 1.00 3.00 X X 0 0 0 JUSTICE JOHN E WALLACE JR TREASURER 1.00 X X 0 0 0 WILLIAM BAKER TRUSTEE 1.00 X 0 0 0 ROBERT I BARSKY DO TRUSTEE 1.00 X 0 0 0 ANTHONY BROWN DO TRUSTEE 1.00 X 0 0 0 RONALD L CAPUTO TRUSTEE 1.00 2.00 X 0 0 0 RHONDA COSTELLO TRUSTEE 1.00 X 0 0 0 DANIEL J DALTON TRUSTEE 1.00 3.00 X 0 0 0 MICHELE A FLETCHER CPA TRUSTEE 1.00 2.00 X 0 0 0 THOMAS GALLIA EDD TRUSTEE 1.00 1.00 X 0 0 0 HARRY T GAMBLE TRUSTEE 1.00 2.00 X 0 0 0 WANDA P HARDY EMBA TRUSTEE 1.00 1.00 X 0 0 0 JOHN LUCAS TRUSTEE 1.00 X 0 0 0 JOSEPH MARESSA JR ESQ TRUSTEE 1.00 2.00 X 0 0 0 DANIEL J RAGONE TRUSTEE 1.00 3.00 X 0 0 0 JOHN P SILVESTRI TRUSTEE 1.00 4.00 X 0 0 0 ALBERT E SMITH CPA TRUSTEE 1.00 3.00 X 0 0 0 ALI A HOUSHMAND PHD EX-OFFICIO 1.00 X 0 0 0 THOMAS A CAVALIERI DO EX-OFFICIO 1.00 X 0 0 0 JOSEPH W DEVINE PRESIDENT & CEO 35.00 5.00 X X 808096 0 105854 EDWARD SULLIVAN ESQ SVP/GENERAL COUNSEL, ASSIS 38.00 2.00 X 525434 0 47042 GARY TERRINONI EVP/CHIEF FINANCIAL OFFICE 35.00 5.00 X 809342 0 69539 CARMAN CIERVO SENIOR VP, CLINICAL SERVIC 38.00 2.00 X 635562 0 86219 RICHARD KOSS SVP/AMBULATORY & PRODUCT L 36.00 4.00 X 365931 0 32972 HELENE BURNS CHIEF NURSING EXEC/VP CLINICAL 40.00 X 305330 0 44984 ROBERT PRINCIPATO PHYSICIAN 40.00 X 538884 0 58776 DAVID GOLDSTEIN PHYSICIAN 40.00 X 542597 0 33073 FRITZ BECH PHYSICIAN 40.00 X 619317 0 58006 EDUARDO CAREAGA PHYSICIAN 40.00 X 372056 0 37144 KENNETH COVONE PHYSICIAN 40.00 X 359734 0 57190 LINDA CARRICK SENIOR VP, CNO 0.00 X 223888 0 15538 MARTIN BIEBER FORMER PRESIDENT & CEO 0.00 X 764131 0 23526 6870302 0 669863 22 1 1 0 RANCOCAS ANESTHESIOLOGY PA 15000 MIDLANTIC DRIVE SUITE 102 MT LAUREL NJ 08048 ANESTHESIOLOGISTS 4247778 MED METRIX LLC 9 ENTIN ROAD PARSIPPANY NJ 07504 BILLING SERVICES 2814546 HUNTER ROBERTS CONSTRUCTION GP 1717 ARCH ST 34TH FLOOR PHILADELPHIA PA 19103 CONSTRUCTION 2170603 GARDEN STATE INFECT DISEASE 709 HADDONFIELD BERLIN ROAD VOORHEES NJ 080433714 INFECTIOUS DISEASE SERVICES 1858666 HCSC LAUNDRY PO BOX 25092 LEHIHG VALLEY PA 180025092 LAUNDRY & LINEN 1735083 50 206918 63700 270618 NET PATIENT SERVICE REVENUE 621400 529314076 529314076 529314076 3414414 3414414 694394 297913 396481 396481 396481 13901 -13901 -13901 -13901 MEANINGFUL USE REVENUE 900099 4743312 4743312 CAFETERIA REVENUE 722210 1507886 1507886 VENDING MACHINES 722210 30735 30735 14722 14722 6296655 539678343 534453869 0 4953856 X 5328244 5328244 4998500 4998500 190635961 169910395 20663647 61919 7347795 6518937 828858 19782664 18058939 1723725 15824157 13803804 2015338 5015 313173 3985 309188 96113 96113 663525 663525 78247385 65950206 12297179 1719190 1645354 73836 7241172 4905398 2335774 9357876 9357876 8136444 7788088 348356 739478 537814 201664 3138765 2981827 156938 25879693 8281502 17598191 4968908 4967888 1020 MEDICAL SUPPLIES 75257008 75257008 BAD DEBT EXPENSE 24042876 24042876 MAINTENANCE & REPAIRS 6103544 6015956 87588 AMBULANCE EXPENSE 1856954 1856954 2289723 1780212 509511 493969148 419635387 74266827 66934 7950 7950 28857975 45517202 1056085 489006 53099686 56707930 8128642 8351685 3630799 4317397 562520409 343433316 217590962 219087093 129174796 165448588 20043775 18184055 461590670 518110906 88808719 100325664 1881013 1787914 68808453 67934411 1237484 917887 31262074 47016353 191997743 217982229 X 269188584 299755485 404343 373192 269592927 300128677 461590670 518110906 X 45709195 4714854 -19888299 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4379016 4379016 223181357 98817492 124363865 3811865 3677301 134564 326642597 239996062 86646535 4505574 942461 3563113 219087093 CAPITALIZED LEASES 13380387 LONG-TERM PENSION LIABILITY 33635966 47016353 X 499889492 4714854 -43931175 -39216321 539105813 663525 -90995 572530 539678343 469353742 90995 90995 469262747 663525 24042876 24706401 493969148 PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013. THE HOSPITAL'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2013, 2012, AND 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION ADJUSTMENT -19,888,299. BAD DEBT EXPENSE -24,042,876. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -297,913. TRANSFER FROM AFFILIATE NETTED ON F/S 206,918. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 297,913. TRANSFER FROM AFFILIATE NETTED ON F/S -206,918. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 24,042,876. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 13662619 10469273 3193346 0.00680 91746521 72346436 19400085 0.04130 105409140 82815709 22593431 0.04810 549650 201513 348137 0.00070 17261699 11989486 5272213 0.01120 2540300 1853353 686947 0.00150 93567 0 93567 0.00020 20445216 14044352 6400864 0.01360 125854356 96860061 28994295 0.06170 1 5991978 2097192 138628078 138738526 -110448 X 1 1 15 1 KENNEDY UNIVERSITY HOSPITAL 2201 CHAPEL AVENUE-WEST CHERRY HILL NJ 08002 X X X X A 2 KENNEDY UNIVERSITY HOSPITAL 18 EAST LAUREL ROAD STRATFORD NJ 08084 X X X X A 3 KENNEDY UNIVERSITY HOSPITAL 435 HURFFVILLE-CROSSKEYS ROAD TURNERSVILLE NJ 08012 X X X X A 4 KENNEDY DIAGNOSTIC & TREATMENT CENTER 900 MEDICAL CENTER DRIVE SUITE 100 SEWELL NJ 08080 RADIATION ONCOLOGY CENTER A 5 KENNEDY DIAGNOSTIC & TREATMENT CENTER 900 MEDICAL CENTER DRIVE SEWELL NJ 08080 MEDICAL IMAGING CENTER A 6 KENNEDY FAMILY HEALTH CTR-WASHINGTON TWP 445 HURFFVILLE CROSSKEYS ROAD TURNERSVILLE NJ 08012 FAMILY HEALTH CENTER A 7 KENNEDY FAMILY HEALTH CENTER - SOMERDALE 1 SOMERDALE SQUARE WHITE HORSE SOMERDALE NJ 08083 FAMILY HEALTH CENTER A 8 KENNEDY DIALYSIS CENTER - WASHINGTON TWP 300 MEDICAL CENTER DRIVE SEWELL NJ 08080 DIALYSIS CENTER A 9 KENNEDY DIALYSIS CENTER - VOORHEES 201 LAUREL OAK ROAD VOORHEES NJ 08043 DIALYSIS CENTER A 10 KENNEDY BEHAVIORAL HEALTH 454 HURFFVILLE CROSSKEYS ROAD TURNERSVILLE NJ 08012 BEHAVIORAL HEALTH SERVICES A 11 THE CENTER FOR WOUND HEALING 543 EGG HARBOR ROAD TURNERSVILLE NJ 08012 WOUND CARE CENTER A 12 KENNEDY SLEEP CENTER - WASHINGTON TWP 400 MEDICAL CENTER DRIVE SEWELL NJ 08080 SLEEP STUDY CENTER A 13 KENNEDY SLEEP CENTER - STRATFORD 19 EAST LAUREL ROAD STRATFORD NJ 08084 SLEEP STUDY CENTER A 14 KENNEDY SURGICAL CENTER 540 EGG HARBOR ROAD SEWELL NJ 08080 X SURGICAL CENTER A 15 KENNEDY PHYSICAL THERAPY AT WT 405 HURFFVILLE CROSSKEYS ROAD SEWELL NJ 08080 OUTPATIENT PHYSICAL THERAPY A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X 13 1 1 1 1 X WWW.KENNEDYHEALTH.ORG/ABOUT-US 1 13 1 WWW.KENNEDYHEALTH.ORG/ABOUT-US 0 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X X 1 X X X X 1 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: KENNEDY UNIVERSITY HOSPITAL, - FACILITY 2: KENNEDY UNIVERSITY HOSPITAL, - FACILITY 3: KENNEDY UNIVERSITY HOSPITAL, - FACILITY 4: KENNEDY DIAGNOSTIC & TREATMENT CENTER, - FACILITY 5: KENNEDY DIAGNOSTIC & TREATMENT CENTER, - FACILITY 6: KENNEDY FAMILY HEALTH CTR-WASHINGTON TWP, - FACILITY 7: KENNEDY FAMILY HEALTH CENTER - SOMERDALE, - FACILITY 8: KENNEDY DIALYSIS CENTER - WASHINGTON TWP, - FACILITY 9: KENNEDY DIALYSIS CENTER - VOORHEES, - FACILITY 10: KENNEDY BEHAVIORAL HEALTH, - FACILITY 11: THE CENTER FOR WOUND HEALING, - FACILITY 12: KENNEDY SLEEP CENTER - WASHINGTON TWP, - FACILITY 13: KENNEDY SLEEP CENTER - STRATFORD, - FACILITY 14: KENNEDY SURGICAL CENTER, - FACILITY 15: KENNEDY PHYSICAL THERAPY AT WT FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: HOUSEHOLD TELEPHONE SURVEY WAS CONDUCTED WITH 2,480 RANDOMLY-SELECTED COMMUNITY RESIDENTS IN CAMDEN, BURLINGTON, AND GLOUCESTER COUNTIES. THE SURVEY WAS MODELED AFTER THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) WHICH ASSESSES HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES, AND HEALTH CARE ACCESS.4 DATA COLLECTION SESSIONS WERE HELD WITH 165 CAMDEN CITY RESIDENTS FROM DIVERSE POPULATIONS. PARTICIPANTS WERE ADMINISTERED AN ABBREVIATED VERSION OF THE CUSTOMIZED BRFSS SURVEY TOOL. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY.KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 153 COMMUNITY STAKEHOLDERS AND LEADERS IN CAMDEN, BURLINGTON, AND GLOUCESTER COUNTIES. KEY INFORMANTS REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY PROVIDED INPUT ON HEALTH ISSUES AND BARRIERS TO CARE.6 FOCUS GROUP DISCUSSIONS WERE HELD WITH 65 COMMUNITY RESIDENTS IN CAMDEN, BURLINGTON, AND GLOUCESTER COUNTIES. FOCUS GROUP TOPICS ADDRESSED ACCESS TO HEALTH CARE & KEY HEALTH ISSUES AND NUTRITION/PHYSICAL ACTIVITY & OBESITY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: THE TRI-COUNTY HEALTH ASSESSMENT COLLABORATIVE, CONSISTING OF HOSPITALS, HEALTH SYSTEMS, AND HEALTH DEPARTMENTS WITHIN BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES CAME TOGETHER TO UNDERTAKE A COMPREHENSIVE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE TRI-COUNTY COLLABORATIVE INCLUDED THE FOLLOWING PARTNERS: COOPER UNIVERSITY HEALTH CARE, KENNEDY HEALTH SYSTEM, LOURDES HEALTH SYSTEM, INSPIRA MEDICAL CENTER-WOODBURY, VIRTUA HEALTH, AND THE HEALTH DEPARTMENTS OF BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: KENNEDY HEALTH SYSTEM REPRESENTATIVES REVIEWED FEEDBACK FROM THE PRIORITIZATION SESSION, IN CONJUNCTION WITH THE SERVICES AND PROGRAMS, AREAS OF EXPERTISE, RESOURCES, AND EXISTING COMMUNITY ASSETS TO DETERMINE WHICH PRIORITY AREAS IT COULD BEST ADDRESS. THE FOLLOWING NEEDS WERE IDENTIFIED BY KENNEDY AS ITS PRIORITY AREAS FOR THE FOLLOWING THREE-YEAR CYCLE:- ACCESS TO HEALTH CARE- CHRONIC HEALTH CONDITIONS- MENTAL HEALTH & SUBSTANCE ABUSEIN SUPPORT OF THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ONGOING COMMUNITY BENEFIT INITIATIVES, KENNEDY HEALTH SYSTEM PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES TO IMPACT AND MEASURE COMMUNITY HEALTH IMPROVEMENT. AS WITH ALL KENNEDY PROGRAMS, WE WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.STRATEGIES FOR ACCESS TO HEALTH CARE:- EDUCATE PATIENTS ABOUT OPTIONS FOR OBTAINING INSURANCE THROUGH EXISTING PROGRAMS AND THROUGH NEW OPTIONS AVAILABLE AS A RESULT OF THE AFFORDABLE CARE ACT.- CONDUCT FREE, PUBLIC SEMINARS QUARTERLY TO EDUCATE HEALTH CARE CONSUMERS ABOUT INSURANCE OPTIONS AVAILABLE AS A RESULT OF THE AFFORDABLE CARE ACT.- OPEN ADDITIONAL PRIMARY CARE OFFICE SITES.STRATEGIES FOR CHRONIC HEALTH CONDITIONS:- FOCUS DISCHARGE PLANNING AND CARE COORDINATION- STRUCTURE REFERRAL PROCESS- IMPROVE PATIENTS SELF CARE SKILLS SO THEY MAY MANAGE THEIR DISEASE MORE EFFECTIVELY- PLAN RESOURCE ALLOCATION- DEVELOP DISEASE MANAGEMENT EDUCATION PLAN FOR PATIENTS AND STAFF- MONITOR QUALITY IMPROVEMENT CONTINUOUSLY- COMMUNICATE THE GOALS, OBJECTIVES AND STRATEGIES TO ALL KEY STAKEHOLDERSSTRATEGIES FOR MENTAL HEALTH & SUBSTANCE ABUSE:- DISTRIBUTE A RESOURCE GUIDE FOR PATIENTS THROUGH KENNEDY'S EMERGENCY DEPARTMENT AND AMBULATORY NURSE NAVIGATORS, CASE MANAGERS- DISTRIBUTE THE RESOURCE GUIDE TO ALL PRIMARY CARE MEDICAL OFFICES IN THE TRI-COUNTY AREA- PLACE THE RESOURCE GUIDE IN EVERY PACKET OF DISCHARGE INSTRUCTIONS PROVIDED BY THE HEALTH SYSTEM- KENNEDY BEHAVIORAL HEALTH ASSOCIATES WILL PROVIDE EDUCATIONAL IN-SERVICES QUARTERLY TO BOTH KENNEDY HEALTH ALLIANCE PRIMARY CARE MEDICAL OFFICES AS WELL TO INDEPENDENT MEDICAL OFFICES IN THE TRI-COUNTY AREA- IMPLEMENT THE C.A.G.E. SCREENING TOO TO ALL PATIENTS ADMITTED TO INPATIENT HOSPITAL SERVICES- REPORT DATA TO THE STATE AGENCIES (MHA, COUNTY, D.O.H.) TO ASSIST WITH FUTURE PLANNING INITIATIVESKENNEDY WILL NOT FOCUS DIRECTLY ON THE FOLLOWING PRIORITIES BUT WILL CONTINUE TO ADDRESS THEM THROUGH EXISTING PROGRAM AND SERVICE OFFERINGS:- OVERWEIGHT/OBESITY - KENNEDY HEALTH SYSTEM WILL WORK TO ADDRESS OVERWEIGHT AND OBESITY THROUGH THE STRATEGIES WITHIN EXISTING SERVICES SUCH AS OUR BARIATRIC SURGERY PROGRAM AND SUPPORT GROUPS, FREE SEMINARS OPEN TO THE PUBLIC THAT ADDRESS HEALTHY EATING AND LIFESTYLES, AND ONLINE CHATS WITH PHYSICIANS AND OTHER HEALTH PROFESSIONALS ON THE SUBJECTS OF WEIGHT MANAGEMENT AND OBESITY. KENNEDY'S NETWORK OF PRIMARY CARE PHYSICIAN OFFICES, THE KENNEDY HEALTH ALLIANCE, WILL PROVIDE SUPPORTIVE PROGRAMS PROMOTING NUTRITION AND AN INCREASE IN PHYSICAL ACTIVITY FOR THEIR PATIENTS. KENNEDY WILL ALSO CONTINUE TO OFFER ONE-ON-ONE NUTRITIONAL MANAGEMENT COUNSELING DELIVERED BY REGISTERED DIETICIANS. 1 KENNEDY HOME HEALTH CARE CENTER 1099 WHITE HORSE ROAD VOORHEES NJ 08043 HOME HEALTH PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $24,042,876. PART III, LINE 2: THE TOTAL CHARGES FOR EACH PATIENT WRITTEN OFF TO BAD DEBT IN 2014 WERE SUMMED. THE 2014 COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT WAS APPLIED TO ESTIMATE THE COST OF THE BAD DEBT ACCOUNTS. PART III, LINE 3: THE ESTIMATED PERCENTAGE OF BAD PATIENTS THAT WOULD QUALIFY AS CHARITY CARE IF DOCUMENTATION WERE PROVIDED IS 35%. THIS ESTIMATE WAS DETERMINED THROUGH DISCUSSIONS WITH HEALTH ACCESS PERSONNEL WHO PROCESS BOTH THE CHARITY CARE APPLICATIONS AND BAD DEBT DETERMINATIONS. MANY PATIENTS REFUSE TO COMPLETE THE CHARITY CARE APPLICATION FOR REASONS OF PRIDE, PRIVACY, MOTIVATION AND COMPREHENSION. THE CHARITY CARE DOCUMENTATION REQUIREMENTS ARE SPECIFICALLY PRESCRIBED IN NEW JERSEY AND MUST BE FOLLOWED BY ALL HOSPITALS. THE BAD DEBT PROCESS FOR MANY PATIENTS WITHOUT HEALTH INSURANCE OR ASSETS, PROVIDES A MEANS TO ACCESS NEEDED HEALTH CARE SERVICES WITH NO OUT-OF-POCKET PAYMENTS SIMILAR IN MANY WAYS TO THE CHARITY CARE PROCESS. THIS IS CLEARLY A COMMUNITY BENEFIT FOR PATIENTS WHO WOULD HAVE QUALIFIED FOR CHARITY CARE SINCE THEY HAVE NO OR INADEQUATE HEALTH INSURANCE AND THEY HAVE FEW ASSETS YET REQUIRE HOSPITAL CARE. PART III, LINE 4: FOOTNOTE DISCLOSURE: FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PART III, LINE 8: THE ESTIMATED MEDICARE SHORTFALL WAS CALCULATED USING THE COST TO CHARGE RATIO AND IRS WORKSHEETS. ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO THE HEALTH CARE ACCESS PROVIDED TO OUR SENIOR CITIZENS WITH MEDICARE COVERAGE. ALL OF OUR HOSPITALS PROVIDE ACCESS TO MEDICARE PATIENTS REGARDLESS OF FINANCIAL GAINS OR LOSSES. IF THIS WERE NOT THE CASE, ACCESS TO CARE COULD BE LIMITED AS IT IS FOR CERTAIN PRIVATE PHYSICIAN OFFICES. PART III, LINE 9B: THE COLLECTION POLICY FOR ALL PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE IS BASED ON THE STATE OF NEW JERSEY REGULATIONS AND IS CONSISTENT WITH IRS GUIDELINES UNDER 501R. PART VI, LINE 2: THE HEALTH SYSTEM PURCHASES PROPRIETARY DATABASES INCLUDING PHYSICIAN SUPPLY AND DEMAND STUDIES AND UTILIZES PUBLICLY AVAILABLE HEALTH, NON HEALTH (DEMOGRAPHIC) AND NEW JERSEY STATE STATISTICS SUCH AS DISEASE SPECIFIC INCIDENCE AND PREVALENCE RATES TO IDENTIFY GAPS IN SERVICES. THE SYSTEM WORKS CLOSELY WITH THE SOUTHERN NEW JERSEY PRENATAL COOPERATIVE TO IDENTIFY AND IMPROVE MATERNAL, INFANT, AND PEDIATRIC HEALTH CARE IN THE REGION.SEE ALSO SCHEDULE H PART V FOR DISCUSSION OF COMMUNITY HEALTH NEEDS ASSESSMENT UNDERTAKEN IN 2013. PART VI, LINE 3: ALL UNINSURED PATIENTS ARE PRESENTED WITH INFORMATION REGARDING CHARITY CARE WHEN THEY PRESENT FOR SERVICES. ALSO, THE PARENTS OF UNINSURED CHILDREN ARE PROVIDED THE OPPORTUNITY TO COMPLETE A NEW JERSEY FAMILY CARE APPLICATION AT THE TIME THE SERVICES ARE PROVIDED. THE HOSPITAL'S REGISTRATION DEPARTMENT IDENTIFIES ALL PATIENTS THAT ARE UNINSURED AND REFERS THEM EITHER TO A HOSPITAL FINANCIAL COUNSELOR OR AN EXTERNAL COMPANY HIRED BY THE HOSPITAL ( ADREIMA ) TO INFORM THEM OF ELIGIBILITY FOR MEDICAID PROGRAMS AND THE NEW JERSEY CHARITY CARE PROGRAM. ADREIMA REPRESENTATIVES HAVE SPANISH SPEAKING PERSONNEL AND ALSO PROVIDES APPLICATIONS FOR ASSISTANCE IN SPANISH AND RUSSIAN AND A FOREIGN LANGUAGE LINE IS ALSO PROVIDED FOR ASSISTANCE TO PATIENTS WHO DO NOT SPEAK ENGLISH TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. PATIENTS CAN SET UP AN APPOINTMENT OR WALK IN TO SPEAK WITH A FINANCIAL COUNSELOR. PATIENTS THAT MAY QUALIFY FOR CHARITY ARE GIVEN AN APPLICATION THAT INCLUDES A LIST OF THE DOCUMENTS NECESSARY TO COMPLETE THE APPLICATION PROCESS. THE FINANCIAL COUNSELOR REVIEWS THE INFORMATION WITH THE PATIENT. APPLICATIONS ARE AVAILABLE IN ENGLISH, SPANISH AND RUSSIAN. FINANCIAL COUNSELORS WILL ALSO CALL THE LANGUAGE LINE AS APPROPRIATE. ACCOUNTS OVER 30 DAYS ARE REFERRED TO ADREIMA.SIGNAGE REGARDING NJHAP AND NJ FAMILY CARE ARE POSITIONED AT BOTH THE REGISTRATION AREA FOR ELECTIVE SERVICES AS WELL AS IN EACH OF THE EMERGENCY DEPARTMENTS. INFORMATION IS ALSO PROVIDED ON OUR WEBSITE. PART VI, LINE 4: KENNEDY UNIVERSITY HOSPITAL SERVICES PATIENTS FROM THE FOLLOWING SEVEN COUNTIES IN SOUTHERN NEW JERSEY: ATLANTIC, BURLINGTON, CAPE MAY, CUMBERLAND, GLOUCESTER, AND SALEM. THE SYSTEMS' PRIMARY SERVICE AREA INCLUDES CAMDEN AND GLOUCESTER COUNTIES. CAMDEN COUNTY IS A DENSELY POPULATED, ETHNICALLY DIVERSE, PRIMARILY URBAN COUNTY. ACCORDING TO THE 2011 CENSUS DATA, 60% OF THE POPULATION WAS NON-HISPANIC WHITE, 18% NON-HISPANIC BLACK, 14% HISPANIC, 5% ASIAN, AND 3% OTHER. PART VI, LINE 5: KUH IS CONTINUOUSLY INVESTING IN OUR PROGRAMS AND SERVICES TO PROVIDE THE FINEST HEALTHCARE TO THE INDIVIDUALS AND FAMILIES WHO MAKE UP OUR COMMUNITIES. AS PART OF OUR COMMITMENT TO ENHANCE THE HEALTH STATUS OF EVERYONE IN OUR COMMUNITIES, KUH OFFERS SEVERAL FREE OUTREACH PROGRAMS AND SUPPORT SERVICES INCLUDING HIV COUNSELING AND TREATMENT. KUH PROVIDES CARE TO ALL PATIENTS WHO PRESENT FOR SERVICES REGARDLESS OF THEIR ABILITY TO PAY AND WHERE REIMBURSEMENT IS LESS THAN COST.BOARD MEMBERS ARE ALL MEMBERS OF THE COMMUNITY THAT LIVE AND WORK IN THE COMMUNITY. THEY HAVE JOINED THE BOARD AS A WAY TO FURTHER SERVE THEIR COMMITMENT TO THE COMMUNITY. THE HOSPITAL SURPLUS FUNDS ARE MAINTAINED IN INVESTMENTS FOR FUTURE CAPITAL PROJECTS THAT BENEFIT THE HOSPITAL AND COMMUNITY. PART VI, LINE 6: KENNEDY HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH IS RESPONSIBLE FOR THE OVERALL POLICY, MANAGEMENT AND FINANCIAL SUPPORT OF ALL ENTITIES.STAT MEDICAL TRANSPORT, INC. IS A NOT-FOR-PROFIT AMBULANCE COMPANY WHICH OWNS AND OPERATES AMBULANCES THAT SERVICE THE HOSPITAL AND THE COMMUNITY.KENNEDY PROPERTY CORPORATION IS A NOT-FOR-PROFIT PROPERTY AND DEVELOPMENT COMPANY. THIS CORPORATION OWNS AND OPERATES BUILDINGS WITHIN THE SERVICE AREA OF THE HOSPITAL.KENNEDY HEALTH FACILITIES, INC. IS A NOT-FOR-PROFIT NURSING HOME COMPANY AND CURRENTLY HAS 190 BEDS CONSISTING OF 130 LONG-TERM CARE BEDS AND 60 SUB-ACUTE BEDS.KENNEDY MANAGEMENT GROUP, INC. IS A FOR-PROFIT CORPORATION THAT INVESTS IN FOR-PROFIT BUSINESSES TO FURTHER ITS MISSION. PROFESSIONAL MEDICAL MANAGEMENT, INC. IS A FOR-PROFIT COLLECTION SERVICE COMPANY WHICH HAS BEEN OPERATIONAL SINCE SEPTEMBER OF 1984. KENNEDY IMAGING, P.C. IS A PROFESSIONAL CORPORATION PROVIDING PROFESSIONAL IMAGING SERVICES TO THE SYSTEM.KENNEDY MEDICAL GROUP, INC.IS A NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS WITH OFFICES LOCATED THROUGHOUT THE SOUTH JERSEY REGION. PART VI, LINE 7, REPORTS FILED WITH STATES NJ 1 KENNEDY HEALTH SYSTEM INC 500 MALBORO AVENUE CHERRY HILL NJ 08002 222442036 501 (C)(3) 3738023 RELATED PARTY ASSISTANCE KENNEDY MEDICAL GROUP PRACTICE PC 500 MALBORO AVENUE CHERRY HILL NJ 08002 461420853 501 (C)(3) 1590221 RELATED PARTY ASSISTANCE RELATED PARTY ASSISTANCE 3 PART I, LINE 2: FUNDS WERE TRANSFERRED TO RELATED ORGANIZATIONS FOR FINANCIAL SUPPORT - USE OF FUNDS IS MONITORED THROUGH COMMON MANAGEMENT WITH RELATED ORGANIZATION. X X X X X 1 1 0 0 0 0 0 1 0 JOSEPH W DEVINE PRESIDENT & CEO 615015 0 169819 0 23262 0 68440 0 37414 0 913950 0 0 0 EDWARD SULLIVAN ESQ SVP/GENERAL COUNSEL, ASSIS 383143 0 97137 0 45154 0 21060 0 25982 0 572476 0 0 0 GARY TERRINONI EVP/CHIEF FINANCIAL OFFICE 546831 0 244815 0 17696 0 53871 0 15668 0 878881 0 0 0 CARMAN CIERVO SENIOR VP, CLINICAL SERVIC 470209 0 142392 0 22961 0 49993 0 36226 0 721781 0 0 0 RICHARD KOSS SVP/AMBULATORY & PRODUCT L 277307 0 68568 0 20056 0 31110 0 1862 0 398903 0 0 0 HELENE BURNS CHIEF NURSING EXEC/VP CLINICAL 248693 0 52264 0 4373 0 19609 0 25375 0 350314 0 0 0 ROBERT PRINCIPATO PHYSICIAN 528387 0 0 0 10497 0 22961 0 35815 0 597660 0 0 0 DAVID GOLDSTEIN PHYSICIAN 538940 0 0 0 3657 0 5200 0 27873 0 575670 0 0 0 FRITZ BECH PHYSICIAN 551345 0 57688 0 10284 0 21060 0 36946 0 677323 0 0 0 EDUARDO CAREAGA PHYSICIAN 341833 0 0 0 30223 0 19999 0 17145 0 409200 0 0 0 KENNETH COVONE PHYSICIAN 276398 0 0 0 83336 0 21060 0 36130 0 416924 0 0 0 LINDA CARRICK SENIOR VP, CNO 0 0 0 0 223888 0 0 0 15538 0 239426 0 0 0 MARTIN BIEBER FORMER PRESIDENT & CEO 0 0 142223 0 621908 0 0 0 23526 0 787657 0 0 0 PART I, LINES 4A-B FORMER OFFICER MARTIN BIEBER RECEIVED $621,908 IN SEVERENCE PAY. LINDA CARRICK RECEIVED $223,888 IN SEVERENCE PAY. THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EDWARD SULLIVAN - 22,046 SERP PAYMENT GARY TERRINONI - 32,811 DEFERRED JOSEPH DEVINE - 36,980 DEFERRED CARMAN CIERVO - 28,933 DEFERRED PART I, LINE 7 CERTAIN OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES WERE ELIGIBLE TO PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN. THE COMPENSATION COMMITTEE DETERMINES IF THE ELIGIBLE PARTICIPANTS HAVE ACHIEVED THE PREDETERMINED TARGETS OF BUDGETED FINANCIAL PERFORMANCE AND PATIENT QUALITY INDICATORS. A NEW JERSEY HEALTH CARE FACILITIES AUTHORITY 222845542 64579FZ63 2012-07-30 69906263 REFUND 1997 AND 2001 BONDS; FUND CAPITAL PROJECTS; PAY ISSUANCE COSTS 0 0 0 A 1660000 69906263 664835 16020444 49255623 3965361 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SOMERDALE EQUITIES ENTITY MORE THAN 35% OWNED BY JOHN SILVESTRI, BOARD TRUSTEE 201073 RENTAL OF REAL ESTATE PROPERTY. 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES OF THE BOARD ARE ELECTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS OF KENNEDY HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS OF KENNEDY HEALTH SYSTEM MAY AMEND OR REPEAL THE ORGANIZATION'S BYLAWS AND ADOPT NEW BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES HAVE BEEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. A COPY WAS ALSO PROVIDED TO THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE INTERNAL AUDIT DEPARTMENT DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE STATEMENTS ANNUALLY TO MANAGEMENT. THESE STATEMENTS ARE REVIEWED AND SUBMITTED TO THE AUDIT AND COMPLIANCE COMMITTEE. THE BOARD OF TRUSTEES AND CORPORATE OFFICERS ARE REQUIRED TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS TO LEGAL COUNSEL. TRUSTEES ARE REQUIRED TO ABSTAIN FROM DEBATE OR VOTE ON ANY ISSUES WHERE A CONFLICT ARISES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT IS COMPLETED ANNUALLY BY THE ORGANIZATIONS' COMPENSATION COMMITTEE, WHICH IS ESTABLISHED BY THE BOARD OF TRUSTEES OF THE HOSPITAL. THE COMPENSATION COMMITTEE REVIEWS ALL SALARY BENEFIT PACKAGES. THE COMMITTEE COMPILES VARIOUS SOURCES OF MARKET DATA TO SUBSTANTIATE THE COMPENSATION AND USES THE SERVICES OF INDEPENDENT EXPERTS, SULLIVAN COTTER AND MERCER TO VALIDATE THE REASONABLENESS OF COMPENSATION. THE SALARY RECOMMENDATIONS OF THE COMPENSATION COMMITTEE ARE REVIEWED AND APPROVED BY THE FULL BOARD. ANY INTERESTED PARTIES ARE EXCUSED FROM PARTICIPATION DURING DEBATE AND APPROVAL OF THE ACTUAL COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS CONTEMPORANEOUSLY DOCUMENTED VIA MINUTES OF THE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 KENNEDY UNIVERSITY HOSPITAL MAKES ITS AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC THROUGH EMMA, ELECTRONIC MUNICIPAL MARKET ACCESS. THIS WEBSITE PROVIDES A MEANS BY WHICH THE PUBLIC CAN ACCESS OFFICIAL STATEMENTS AND DISCLOSURES. ALL DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 34,041,474. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,041,474. COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 1,707,389. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,707,389. AGENCY FEES: PROGRAM SERVICE EXPENSES 1,611,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,611,938. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 28,589,405. MANAGEMENT AND GENERAL EXPENSES 8,958,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,547,820. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,338,764. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,338,764. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT -19,888,299. KENNEDY HEALTH SYSTEM INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442036 FUNDRAISING NJ 501(C)(3) LINE 7 N/A 0 STAT MEDICAL TRANSPORT INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222443981 MEDICAL TRANSPORT NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 KENNEDY HEALTH FACILITIES INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442032 NURSING HOME NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 KENNEDY PROPERTY CORPORATION 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442034 PROPERTY MANAGEMENT NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 KENNEDY MEDICAL GROUP PRACTICE PC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 461420853 MEDICAL SERVICES NJ 501(C)(3) LINE 9 KENNEDY HEALTH SYSTEM INC 0 GARDEN STATE RADIOLOGY LLC 500 MARLBORO AVE CHERRY HILL NJ 08002 471323463 RADIOLOGY SERVICES NJ N/A PROFESSIONAL MEDICAL MANAGEMENT INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222559690 COLLECTIONS NJ N/A C 0 KENNEDY MANAGEMENT GROUP INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 223347294 MANAGEMENT SERVICES NJ N/A C 0 KENNEDY IMAGING PC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 201512087 RADIOLOGY SERVICE NJ N/A C 0 KENNEDY MEDICAL GROUP 500 MARLBORO AVENUE CHERRY HILL NJ 08002 221980408 PHYSICIAN PRACTICE NJ N/A C 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 1