2015-11-12T08:13:30-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 223367281 ENGLEWOOD HOSPITAL & MED CTR FND INC % ANTHONY T ORLANDO ENGL 2018943275 350 ENGLE STREET ENGLEWOOD NJ 07631 WARREN GELLER PRESIDENT 2015-11-11 ANGELA M MOORE P00244342 3176817000 2014 2016-04-25 22:37:26Z WARREN GELLER 350 ENGLE STREET ENGLEWOOD NJ 07631 21029560 false X englewoodhospital.com X 1995 NJ FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. 38 37 0 37 0 10141167 14439783 0 0 424850 1109975 -639874 -749886 9926143 14799872 2940214 3013276 0 0 1577788 1496176 0 0 1806918 1636509 1159694 6154511 5669146 3771632 9130726 27613558 36386631 1288505 1212173 26325053 35174458 X 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 3013276 3013276 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. 3013276 true true false true 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 38 37 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 (EFF. 10-02-2014) 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 25566 473340 32951 BARRY M ZINGLER MD TRUSTEE 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 1.0 0.0 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 TUCKER TRUSTEE 1.0 0.0 X 0 0 0 ERIC D HERSCHMANN ESQ TRUSTEE (TERM. 06-12-2014) 1.0 0.0 X 0 0 0 ERIC MARGOLIS MD TRUSTEE 1.0 0.0 X 0 0 0 EUN RAE JO TRUSTEE (EFF. 10-02-2014) 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 2.0 0.0 X 0 0 0 JAY C NADEL CHAIRMAN 1.0 7.0 X X 0 0 0 JOHN R STABILE MD TRUSTEE 1.0 0.0 X 0 0 0 JOSEPH RUBACH 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 (EFF. 10-02-2014) 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 MARTIN ZAIKOV 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 2.0 X 0 0 0 MICHAEL GUTTER TRUSTEE 1.0 0.0 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 1.0 0.0 X 0 0 0 SHELLEY TAUB TRUSTEE 1.0 0.0 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 DEBRA ALBANESE EXECUTIVE VICE PRESIDENT 55.0 0.0 X 255144 0 6717 WARREN GELLER PRESIDENT 5.0 58.0 X 157978 781780 40085 TODD W BROOKS EXECUTIVE DIRECTOR 50.0 0.0 X 161377 0 2600 DOUGLAS A DUCHAK FORMER OFFICER 0.0 0.0 X 333333 0 0 933398 1255120 82353 4 true true false NONE 0 1574826 0 12864957 829976 14439783 0 390502 390502 0 0 0 0 0 5982415 5262942 719473 719473 719473 206360 1574826 962721 -756361 -756361 10500 4025 6475 6475 0 0 14799872 360089 3013276 3013276 0 0 0 0 0 0 445405 0 111351 334054 0 0 0 0 810381 0 235010 575371 0 0 0 0 240390 0 60098 180292 0 0 0 0 0 0 0 0 5492 0 1373 4119 10600 0 2650 7950 75000 0 75000 0 0 0 0 0 0 0 122481 33466 89015 121152 0 0 121152 244353 0 61088 183265 32839 0 9852 22987 0 0 0 0 40796 0 9791 31005 293 0 73 220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1795 0 449 1346 5004 0 5004 0 PROVISION FOR UNCOLL PLED 227099 0 227099 0 CAPITAL FUND EXPENSES 156389 0 156389 PLAQUES, ENGRAVING, RECOG 52388 52388 MEMBERSHIP DUES 860 860 63153 15788 47365 5669146 3013276 848952 1806918 0 124742 184318 4931557 9134424 7197259 10591645 0 0 0 0 0 0 0 0 0 0 552579 511270 347614 173782 5128 173832 14169863 15221538 255029 255962 0 0 0 0 377401 313642 27613558 36386631 109353 131350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1179152 1080823 1288505 1212173 X -3148239 -2937468 26349434 34988068 3123858 3123858 26325053 35174458 27613558 36386631 9130726 -370251 88930 X false true X true false X 5726982 7700336 5854389 9926143 14439783 43647633 0 0 5726982 7700336 5854389 9926143 14439783 43647633 1191508 42456125 184132 338891 282171 252176 390502 1447872 0 197775 276605 206120 285875 216860 1183235 46278740 0.91740 0.88533 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 75000 75000 false PART II-B, LINE 1i ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. PAID A FIRM THAT LOBBIES THE UNITED STATES CONGRESS ON BEHALF OF THE HOSPITAL INDUSTRY. 10349170 614806 225000 13517 10725459 9012142 1655546 300000 18518 10349170 8440705 886726 300000 15289 9012142 8601652 150562 300000 11509 8440705 7943220 973934 300000 15502 8601652 0.29130 0.70870 false false 170500 170500 156071 152739 3332 21043 21043 0 0 173832 0 DUE TO AFF-ENGLEWOOD HOSP & MED CTR 1080823 1080823 15136075 88929 966747 1055676 14080399 719473 719473 14799872 2750789 966746 966746 1784043 3885103 3885103 5669146 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 $962,721 GAMING EXPENSES $ 4,025 -------- TOTAL $ 966,746 Form 990, schedule D, part XI, line 4b realized gain below the line $719,473 FORM 990, SCHEDULE D, PART XII, LINE 4B CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR OPERATIONS $2,098,245 CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR CAPITAL $1,786,858 ---------- TOTAL $3,885,103 Middle East and North Africa Investments 250000 250000 250000 false false false false false false ANNUAL GALA 1290873 1128623 162250 368782 175000 157857 GOLF/TENNIS 160102 115992 44110 67021 37161 4 330211 330211 50187 106713 1781186 1574826 206360 485990 175000 301731 962721 -756361 NJ 350 ENGLE STREET ENGLEWOOD NJ 07631 true ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501(c)(3) 892531 0 OPERATING EXPENSE REIMBURSEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NH 07631 221487173 501(c)(3) 2098245 0 CAPITAL EXPENDITURES ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501(c)(3) 22500 0 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 THEIR EXEMPT PURPOSE. true true false false false false false false false ANTHONY T ORLANDO TRUSTEE 25566 382497 0 66370 0 24473 0 26600 0 6351 25566 506291 0 0 DEBRA ALBANESE EXECUTIVE VICE PRESIDENT 222595 0 30720 0 1829 0 4416 0 2301 0 261861 0 0 0 DOUGLAS A DUCHAK FORMER OFFICER 0 0 0 0 333333 0 0 0 0 0 333333 0 0 0 TODD W BROOKS EXECUTIVE DIRECTOR 160555 0 0 0 822 0 2600 0 0 0 163977 0 0 0 WARREN GELLER PRESIDENT 157978 506274 0 194786 0 80720 0 25300 0 14785 157978 821865 0 0 SCHEDULE J, SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE J, PART I, LINE 4A DOUGLAS A. DUCHAK TERMINATED HIS POSITION AS PRESIDENT EFFECTIVE JANUARY 1, 2013. UPON HIS TERMINATION, SEVERANCE PAYMENTS COMMENCED. MR. DUCHAKS SEVERANCE FOR 2014 WAS $333,333. 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. X 25 779683 COST/SELLING PRICE X GIFT CERTIFICATES 55 48841 COST/SELLING PRICE X GIFT BASKETS 7 1452 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. 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