2014-11-13T10:08:57-06:00 2013-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-01-01 221773439 KENNEDY UNIVERSITY HOSPITAL INC KENN 8566615185 500 MARLBORO AVENUE CHERRY HILL NJ 08002 JOSEPH DEVINE CHIEF EXECUTIVE OFFICER 8566615185 2014-11-13 1 JULIUS C GREEN CPA JD P00350393 2159720701 2013 2015-11-30 17:44:51Z JOSEPH DEVINE 1099 WHITEHORSE RD VOORHEES NJ 08043 499164637 0 X WWW.KENNEDYHEALTH.ORG X 1965 NJ KENNEDY UNIVERSITY HOSPITAL IS AN ACADEMIC MEDICAL CENTER PROVIDING THE FINEST HEALTHCARE SERVICES. 23 21 4399 300 0 0 1970593 6380575 482009247 486436744 2967224 4117889 2093823 1949517 489040887 498884725 0 1542443 0 0 219591517 223711699 0 0 62367 256286269 249960607 475877786 475214749 13163101 23669976 438183487 461590670 214183066 191997743 224000421 269592927 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 410477513 1542443 486842955 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. 410477513 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 1 377 0 1 4399 1 0 0 0 0 0 0 0 0 0 0 X 23 21 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 08034 WILLIAM BARKER TRUSTEE 1.00 X 0 0 0 DONALD A BARONE DO TRUSTEE 1.00 X 0 0 0 THOMAS J GALLIA ED D TRUSTEE 1.00 X 0 0 0 HARRY T GAMBLE TRUSTEE 1.00 2.00 X 0 0 0 STANLEY JC GIBERSON SR SECRETARY 1.00 3.00 X X 0 0 0 BRUCE J PAPARONE TRUSTEE 1.00 4.00 X 0 0 0 DANIEL J DALTON TRUSTEE 1.00 2.00 X 0 0 0 ANTHONY BROWN DO TRUSTEE 1.00 X 0 0 0 JOHN F DURANTE CHAIRMAN 1.00 3.00 X X 0 0 0 ALBERT E SMITH CPA TRUSTEE 1.00 2.00 X 0 0 0 JOHN P SILVESTRI TRUSTEE 1.00 4.00 X 0 0 0 JUSTICE JOHN E WALLACE JR TREASURER 1.00 X X 0 0 0 ROBERT I BARSKY DO TRUSTEE 1.00 X 0 0 0 RONALD L CAPUTO VICE CHAIR 1.00 3.00 X X 0 0 0 MICHELE A FLETCHER CPA TRUSTEE 1.00 2.00 X 0 0 0 WANDA P HARDY EMBA TRUSTEE 1.00 1.00 X 0 0 0 JOSEPH MARESSA JR ESQ TRUSTEE 1.00 2.00 X 0 0 0 DANIEL J RAGONE CPA TRUSTEE 1.00 3.00 X 0 0 0 JOHN LUCAS TRUSTEE 1.00 X 0 0 0 JOSEPH W DEVINE PRESIDENT & CEO 35.00 5.00 X X 468185 0 59637 DENISE V RODGERS MD EX-OFFICIO 1.00 X 0 0 0 THOMAS A CAVALIERI DO DEAN EX-OFFICIO 1.00 X 0 0 0 BARRY BANNETT TRUSTEE 1.00 1.00 X 0 0 0 EDWARD SULLIVAN ESQ SVP/GENERAL COUNSEL, ASSISTANT SECRETARY 40.00 X 471656 0 32824 GARY TERRINONI EVP/CHIEF FINANCIAL OFFICER, ASSISTANT TREASURER 37.00 5.00 X 596289 0 33862 MARTIN BIEBER PRESIDENT & CEO (UNTIL 10/31/13) 40.00 5.00 X 840611 0 46208 RICHARD KOSS SVP/AMBULATORY & PRODUCT LINE SERVICES 37.00 3.00 X 271123 0 31189 CARMAN CIERVO SENIOR VP, CLINICAL SERVICES 40.00 X 500807 0 42481 LINDA CARRICK SENIOR VP, CNO 40.00 X 458312 0 39511 THOMAS BALCAVAGE VP, INFORMATION SYSTEMS 40.00 X 294731 0 32842 JAMES D LINDSEY VP, REVENUE CYCLE 40.00 X 281807 0 40219 FRITZ BECH PHYSICIAN 40.00 X 598775 0 45803 EDUARDO CAREAGA PHYSICIAN 40.00 X 354810 0 27822 KENNETH COVONE PHYSICIAN 40.00 X 327659 0 48408 JAMES MCCABE PHYSICIAN 40.00 X 274620 0 43222 KASHMIRI CHOPRA PHYSICIAN 40.00 X 251591 0 48152 5990976 0 572180 173 0 1 0 RANCOCAS ANESTHESIOLOGY 700 ROUTE 130 N SUITE 203 CINNAMINSON NJ 08077 ANESTHESIOLOGISTS 5393216 MED METRIX LLC 100 PARAGON DRIVE SUITE 230 MONTVALE NJ 07645 BILLING SERVICES 2805971 VIRTUAL RADIOLOGIC PROFESSIONALS 25983 NETWORK PLACE CHICAGO IL 606731259 RADIOLOGISTS 2391922 PRICEWATERHOUSECOOPER LLP PO BOX 7247-8001 PHILADELPHIA PA 191708001 MATERIAL MANAGEMENT ASSESSMENT 1873365 GARDEN STATE INFECT DISEASE 709 HADDONFIELD BERLIN ROAD VOORHEES NJ 08043 INFECTIOUS DISEASE SERVICES 1861114 45 6159245 221330 6380575 NET PATIENT SERVICE REVENUE 621400 486436744 486436744 486436744 4117889 4117889 686123 279912 406211 406211 406211 CAFETERIA REVENUE 722210 1448752 1448752 INSURANCE COMPANY INTEREST 900099 50556 50556 VENDING MACHINES 722210 38013 38013 5985 5985 1543306 498884725 486842955 0 5661195 X 1542443 1542443 3655475 3655475 178584838 157996454 20530665 57719 8105370 7243382 861988 18699757 17009481 1690276 14666259 12751725 1909886 4648 1114590 1114590 125422 125422 511819 511819 77122756 65055531 12067225 1576437 1538351 38086 6728514 2630815 4097699 8175193 8175193 8505938 8139937 366001 640385 494417 145968 3331784 3165195 166589 27656003 18806082 8849921 6440310 6437510 2800 MEDICAL SUPPLIES 70231819 70231819 BAD DEBT EXPENSE 29451219 29451219 MAINTENANCE & REPAIRS 5135247 5067824 67423 AMBULANCE EXPENSE 1738232 1738232 1474939 1177096 297843 475214749 410477513 64674869 62367 7950 7950 14199242 28857975 741107 1056085 49727284 53099686 7544161 8128642 3599572 3630799 535349400 317758438 225942728 217590962 116446852 129174796 19974591 20043775 438183487 461590670 90376701 88808719 1233991 1881013 69852495 68808453 1544475 1237484 51175404 31262074 214183066 191997743 X 223554625 269188584 445796 404343 224000421 269592927 438183487 461590670 X 23669976 7301068 14621462 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4379016 4379016 216659762 93000569 123659193 3811865 3637281 174584 308420647 219891287 88529360 2078110 1229301 848809 217590962 CAPITALIZED LEASES 16625997 LONG-TERM PENSION LIABILITY 14636077 31262074 X 520575349 7301068 14621462 21922530 498652819 511819 -279913 231906 498884725 474982843 279913 279913 474702930 511819 511819 475214749 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 2013 AND 2012. THE HOSPITAL'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2012, 2011, AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION ADJUSTMENT 14,621,462. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -279,913. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 279,913. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 30575743 18462354 12113389 0.02730 59052653 43067553 15985100 0.03600 89628396 61529907 28098489 0.06330 490343 217354 272989 0.00060 17664824 12429687 5235137 0.01180 1775010 1463964 311046 0.00070 237909 237909 0.00050 20168086 14111005 6057081 0.01360 109796482 75640912 34155570 0.07690 1 6962818 2436986 126193023 125059312 1133711 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 1 X X X X X X X 13 1 1 1 X HTTP://WWW.KENNEDYHEALTH.ORG/ABOUT-US/ X X X X X X X X 0 0 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 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 3: 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 4: 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 7: KENNEDY 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 $29,451,219. PART III, LINE 2: THE TOTAL CHARGES FOR EACH PATIENT WRITTEN OFF TO BAD DEBT IN 2013 WERE SUMMED. THE 2013 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 DEBT 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 SPECIFIALLY 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 SIMILIAR 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 PROVIDES 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. 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) 1414443 RELATED PARTY ASSISTANCE KENNEDY PROPERTY CORPORATION 500 MALBORO AVENUE CHERRY HILL NJ 08002 222442034 501 (C)(3) 128000 RELATED PARTY ASSISTANCE 2 0 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 374625 0 74810 0 18750 0 30876 0 28761 0 527822 0 0 0 EDWARD SULLIVAN ESQ SVP/GENERAL COUNSEL, ASSISTANT SECRE 366622 0 86129 0 18905 0 20676 0 12148 0 504480 0 0 0 GARY TERRINONI EVP/CHIEF FINANCIAL OFFICER, ASSISTA 498272 0 77038 0 20979 0 20383 0 13479 0 630151 0 0 0 MARTIN BIEBER PRESIDENT & CEO (UNTIL 10/31/13) 515340 0 110661 0 214610 0 23226 0 22982 0 886819 0 0 0 RICHARD KOSS SVP/AMBULATORY & PRODUCT LINE SERVIC 230108 0 31922 0 9093 0 29424 0 1765 0 302312 0 0 0 CARMAN CIERVO SENIOR VP, CLINICAL SERVICES 421660 0 59517 0 19630 0 20666 0 21815 0 543288 0 0 0 LINDA CARRICK SENIOR VP, CNO 224537 0 60684 0 173091 0 20067 0 19444 0 497823 0 0 0 THOMAS BALCAVAGE VP, INFORMATION SYSTEMS 252613 0 37332 0 4786 0 30781 0 2061 0 327573 0 0 0 JAMES D LINDSEY VP, REVENUE CYCLE 246036 0 31109 0 4662 0 15576 0 24643 0 322026 0 0 0 FRITZ BECH PHYSICIAN 538204 0 50374 0 10197 0 16027 0 29776 0 644578 0 0 0 EDUARDO CAREAGA PHYSICIAN 354810 0 0 0 0 0 15576 0 12246 0 382632 0 0 0 KENNETH COVONE PHYSICIAN 261539 0 0 0 66120 0 20676 0 27732 0 376067 0 0 0 JAMES MCCABE PHYSICIAN 246840 0 23103 0 4677 0 15576 0 27646 0 317842 0 0 0 KASHMIRI CHOPRA PHYSICIAN 246863 0 0 0 4728 0 27403 0 20749 0 299743 0 0 0 PART I, LINES 4A-B FORMER OFFICER MARTIN BIEBER RECEIVED $104,281 IN SEVERENCE PAY. LINDA CARRICK RECEIVED $135,787 IN SEVERENCE PAY. THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EDWARD SULLIVAN - $21,634 SERP PAYMENT LINDA CARRICK - $39,454 SERP PAYMENT MARTIN BIEBER - $13,166 DEFERRED GARY TERRINONI - $28,865 DEFERRED JOSEPH DEVINE - $20,089 DEFERRED CARMEN CIERVO - $24,526 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 915000 69906263 659594 11248475 49260623 8737571 1 0 0 1 A 0 0 1 1 0 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 197660 RENTAL OF REAL ESTATE PROPERTY. 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 BY THE ORGANIZATIONS' COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS ALL SALARY BENEFIT PACKAGES. THE COMMITTEE COMPILES VARIOUS SOURCES OF MARKET DATA TO SUBSTANTIATE THE COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED. 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 35,380,681. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,380,681. COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 1,057,179. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,057,179. AGENCY FEES: PROGRAM SERVICE EXPENSES 559,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 559,289. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 28,058,382. MANAGEMENT AND GENERAL EXPENSES 9,269,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,328,092. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,797,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,797,515. FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT 14,621,462. 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 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 1 0 0 0 0 0 0 0 1 1 1 0 1 0 1 1 1