R W J BARNABAS HEALTH INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- R W J BARNABAS HEALTH INC (EIN 22-2783298)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201423219349303207
- Schema version
- 2013v3.1
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T10:16:49-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222783298 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERSEY CITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT VALENTINE | InCareOfNm |
| Business Name Control | JERS | BusinessNameControlTxt |
| Phone | 2015215920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Montgomery Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOMENIC SEGALLA | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Phone | 9738989494 | PhoneNum |
| Signature | 2014-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH F SCOTT FACHE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Montgomery Street | AddressLine1 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $363,773,627 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIBERTYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | the organization's mission is to offer healthcare services with compassion and dignity. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 2615 | TotalEmployeeCnt |
| Total Volunteers | 228 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $19,558,615 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,611,321 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $304,206,823 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $343,320,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $239,684 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,593,201 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,944,784 | PYOtherRevenueAmt |
| CY Other Revenue | $2,192,471 | CYOtherRevenueAmt |
| PY Total Revenue | $325,949,906 | PYTotalRevenueAmt |
| CY Total Revenue | $363,717,168 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $153,842,812 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $161,476,052 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $157,891,608 | PYOtherExpensesAmt |
| CY Other Expenses | $172,552,565 | CYOtherExpensesAmt |
| PY Total Expenses | $311,734,420 | PYTotalExpensesAmt |
| CY Total Expenses | $334,036,117 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,215,486 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,681,051 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $424,794,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $414,288,855 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $415,398,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $375,041,209 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,396,475 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $39,247,646 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO OFFER HEALTHCARE SERVICES WITH COMPASSION AND DIGNITY. LIBERTY HEALTH PROVIDES PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY HEALTH IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, CREED, SEX, GENDER, RELIGION, ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. LIBERTY HEALTH WILL BE GUIDED BY A BOARD OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. THROUGH DIFFERENTIATION, COORDI | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $37,296,047 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $48,161,965 | RevenueAmt |
| Desc | EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY CARDIAC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED CARDIAC SERVICES TO 2,593 PATIENTS FOR A TOTAL OF 9,289 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $35,366,582 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $33,104,033 | RevenueAmt |
| Desc | EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY PSYCHIATRIC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED PSYCHIATRIC SERVICES TO 18,795 PATIENTS FOR A TOTAL OF 12,682 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $25,880,553 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $20,550,866 | RevenueAmt |
| Desc | EXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED OBSTETRICS SERVICES TO 7,247 PATIENTS FOR A TOTAL OF 7,371 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $174,416,448 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $241,503,311 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $272,959,630 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| 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 | false | 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 | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 225 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2615 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT VALENTINE | PersonNm |
| Phone | 2017165733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 MONTGOMERY STREET | AddressLine1 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARVIN GLAZERMAN | ||||||||
| CHAIR/SECRETARY - TRUSTEE | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ABEGAIL DOUGLAS JOHNSON EDD | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| EDGAR MARTINEZ | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| W NEVINS MCCANN ESQ | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| HARRY MELENDEZ | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH A PANEPINTO JR | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| VERONICA PARK | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| IGNATIUS SCALIA DMD | ||||||||
| TRUSTEE - PRES MED STAFF | 55.0 | Yes (X) | Yes (X) | $130,944 | $0 | $17,377 | ||
| JOSEPH F SCOTT FACHE | ||||||||
| PRESIDENT/CEO - TRUSTEE | 55.0 | Yes (X) | Yes (X) | $0 | $1,252,204 | $145,877 | ||
| KABILI TAYARI | ||||||||
| TRUSTEE | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH GARAY MD | ||||||||
| CHIEF MEDICAL OFFICER | 55.0 | Yes (X) | $0 | $724,340 | $63,542 | |||
| PAUL GOLDBERG | ||||||||
| CHIEF FINANCIAL OFFICER | 55.0 | Yes (X) | $0 | $612,266 | $72,526 | |||
| STEPHEN LI | ||||||||
| CHIEF INFORMATION OFFICER | 55.0 | Yes (X) | $0 | $297,348 | $14,341 | |||
| PAUL R MURPHY ESQ | ||||||||
| SVP, GENERAL COUNSEL | 55.0 | Yes (X) | $0 | $409,772 | $37,769 | |||
| RITA V SMITH | ||||||||
| SVP, PATIENT CARE SVCS/CNO | 55.0 | Yes (X) | $397,448 | $0 | $56,978 | |||
| BRENDA HALL | ||||||||
| SVP, PATIENT SAFETY | 55.0 | Yes (X) | $0 | $393,706 | $22,130 | |||
| DOUGLAS RATNER MD | ||||||||
| VP, CHAIRMAN MEDICAL | 55.0 | Yes (X) | $377,295 | $0 | $25,141 | |||
| MARY CATAUDELLA | ||||||||
| VP, HUMAN RESOURCES | 55.0 | Yes (X) | $0 | $333,776 | $47,173 | |||
| KIRAT Y KHARODE | ||||||||
| VP, CLINICAL OPERATIONS | 55.0 | Yes (X) | $281,341 | $0 | $33,938 | |||
| SUSAN M WALSH MD | ||||||||
| VP, ACCOUNT CARE ORG. | 55.0 | Yes (X) | $280,239 | $0 | $20,215 | |||
| HENRY C IRVING MD | ||||||||
| VP, CHAIRMAN ORTHOPEDICS | 55.0 | Yes (X) | $266,047 | $0 | $4,239 | |||
| ANDREW T SUKALA | ||||||||
| VP, INTERNAL AUDITOR | 55.0 | Yes (X) | $0 | $200,667 | $18,380 | |||
| BARRY A MALTZMAN MD | ||||||||
| VP, OPTHAMOLOGY | 55.0 | Yes (X) | $162,270 | $0 | $17,343 | |||
| PAUL M ROTUNDA DMD | ||||||||
| VP, DENTISTRY/CHAIRMAN | 55.0 | Yes (X) | $123,422 | $0 | $11,155 | |||
| RITU CHANDAK MD | ||||||||
| CHAIRMAN DEPT OF PSYCHIATRY | 55.0 | Yes (X) | $343,051 | $0 | $25,711 | |||
| ROBERT VALENTINE | ||||||||
| CORPORATE CONTROLLER | 55.0 | Yes (X) | $0 | $297,007 | $3,413 | |||
| WILLIAM J COOK | ||||||||
| EXEC. DIR., FACILITIES & ENV. | 55.0 | Yes (X) | $197,936 | $0 | $2,423 | |||
| MICHAEL PEKAREK | ||||||||
| CORP DIRECTOR (TERM 10/4/13) | 55.0 | $0 | $181,191 | $16,642 | Yes (X) | |||
| SRINIVAS GONGIGREDDY MD | ||||||||
| CHIEF, HOSPITALIST | 55.0 | $314,591 | $0 | $9,702 | Yes (X) | |||
| MUHAMMAD UPPAL MD | ||||||||
| HOSPITALIST | 55.0 | $238,950 | $0 | $9,702 | Yes (X) | |||
| NIRMALA RAJAKUMAR MD | ||||||||
| STAFF PSYCHIATRIST | 55.0 | $232,307 | $0 | $12,012 | Yes (X) | |||
| ADRIANA GRIGORIU MD | ||||||||
| CHIEF DIR., INFECTIOUS DIS. | 55.0 | $225,559 | $0 | $24,960 | Yes (X) | |||
| ANTHONY LAMONACA MD | ||||||||
| DEPUTY CHAIR, DEPT PSYCHIATRY | 55.0 | $220,052 | $0 | $24,373 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,791,452 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,702,277 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $737,062 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 291 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHERIDAN ANESTHESIA SERVICES OF NJ | |||||
| 1613 NORTH HARRISON PARKWAY SUITE | SUNRISE | FL | 33323 | MEDICAL | $3,630,966 |
| EMERGENCY MEDICAL ASSOCIATES OF NJ | |||||
| 3 CENTURY DRIVE | PARSIPPANY | NJ | 33323 | MEDICAL | $2,260,552 |
| UNIVERSITY RADIOLOGY PC | |||||
| 579 CRANBURY ROAD | EAST BRUNSWICK | NJ | 08816 | MEDICAL | $1,800,000 |
| HUDSON COUNTY CARDIOVASCULAR CARE P | |||||
| 500 SUMMIT AVENUE | UNION | NJ | 07087 | MEDICAL | $1,139,459 |
| FTI HEALTHCARE LLC | |||||
| PO BOX 418005 | BOSTON | MA | 022418005 | CONSULTING | $1,132,798 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 69 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $211,548 | RelatedOrganizationsAmt |
| Government Grants | $13,399,773 | GovernmentGrantsAmt |
| Total Contributions | $13,611,321 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | $331,480,930 | $331,480,930 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | $11,839,245 | $11,839,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $343,320,175 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,593,201 | TotalRevenueColumnAmt |
| Exclusion | $4,593,201 | 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,459 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,459 | RealAmt |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PARKING REVENUE | 812930 | $1,168,887 | $1,168,887 |
| CAFETERIA REVENUE | 453220 | $655,592 | $655,592 |
| GIFT SHOP REVENUE | 722210 | $329,173 | $329,173 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,819 | TotalRevenueColumnAmt |
| Exclusion | $38,819 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,192,471 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $363,717,168 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $343,320,175 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,785,672 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Program Services | $7,500 | 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 | $2,774,513 | TotalAmt |
| Program Services | $2,694,052 | ProgramServicesAmt |
| Management And General | $80,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | 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 | $130,589,876 | TotalAmt |
| Program Services | $126,739,335 | ProgramServicesAmt |
| Management And General | $3,850,541 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,544 | TotalAmt |
| Program Services | $2,065,771 | ProgramServicesAmt |
| Management And General | $62,773 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,486,126 | TotalAmt |
| Program Services | $15,069,105 | ProgramServicesAmt |
| Management And General | $417,021 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,496,993 | TotalAmt |
| Program Services | $10,187,579 | ProgramServicesAmt |
| Management And General | $309,414 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,048,761 | TotalAmt |
| Program Services | $8,711,722 | ProgramServicesAmt |
| Management And General | $54,337,039 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,022 | TotalAmt |
| Program Services | $28,167 | ProgramServicesAmt |
| Management And General | $855 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $6,154,280 | TotalAmt |
| Program Services | $6,154,053 | ProgramServicesAmt |
| Management And General | $227 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,539 | TotalAmt |
| Program Services | $89,997 | ProgramServicesAmt |
| Management And General | $6,542 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,363,845 | TotalAmt |
| Program Services | $51,574,892 | ProgramServicesAmt |
| Management And General | $788,953 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,603,778 | TotalAmt |
| Program Services | $5,355,028 | ProgramServicesAmt |
| Management And General | $248,750 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,975 | TotalAmt |
| Program Services | $495,973 | ProgramServicesAmt |
| Management And General | $48,002 | ManagementAndGeneralAmt |
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 | $8,104,300 | TotalAmt |
| Program Services | $7,646,453 | ProgramServicesAmt |
| Management And General | $457,847 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,217,957 | TotalAmt |
| Program Services | $8,946,245 | ProgramServicesAmt |
| Management And General | $271,712 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,582,583 | TotalAmt |
| Program Services | $6,408,316 | ProgramServicesAmt |
| Management And General | $174,267 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $18,647,738 | $18,647,738 | $0 | $0 |
| PHYSICIAN & RESIDENT FEES | $1,155,743 | $1,136,852 | $18,891 | |
| LINEN | $895,749 | $895,749 | ||
| CONTRACTED SERVICES | $108,295 | $105,103 | $3,192 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,036,117 | TotalAmt |
| Program Services | $272,959,630 | ProgramServicesAmt |
| Management And General | $61,076,487 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,013,779 | BOYAmt |
| EOY | $19,112,643 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,022,517 | BOYAmt |
| EOY | $20,297,569 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,864,036 | BOYAmt |
| EOY | $1,727,299 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,825,912 | BOYAmt |
| EOY | $25,892,390 | 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 | $31,502,781 | BOYAmt |
| EOY | $15,053,619 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,479,890 | BOYAmt |
| EOY | $1,717,907 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,337 | BOYAmt |
| EOY | $1,808,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $265,545,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $107,287,901 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,173,143 | BOYAmt |
| EOY | $158,257,949 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,002,048 | BOYAmt |
| EOY | $157,012,827 | 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 | $11,217,447 | BOYAmt |
| EOY | $13,408,051 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,794,890 | BOYAmt |
| EOY | $414,288,855 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,494,353 | BOYAmt |
| EOY | $31,489,154 | 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 | $4,957,371 | BOYAmt |
| EOY | $4,995,883 | 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 | $299,452,057 | BOYAmt |
| EOY | $285,149,713 | 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 | $79,494,634 | BOYAmt |
| EOY | $53,406,459 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,398,415 | BOYAmt |
| EOY | $375,041,209 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,455,636 | BOYAmt |
| EOY | $34,081,149 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,940,839 | BOYAmt |
| EOY | $5,166,497 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,396,475 | BOYAmt |
| EOY | $39,247,646 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,794,890 | BOYAmt |
| EOY | $414,288,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $29,681,051 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,952,795 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,122,915 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | Yes (true) | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | Yes (true) | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B; LINES 1B, 1C & 1I | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE PARENT ENTITY OF THE SYSTEM. LHCS PAYS DUES TO THE NEW JERSEY HOSPITAL ASSOCIATION AND VARIOUS OTHER ORGANIZATIONS ON BEHALF OF JERSEY CITY MEDICAL CENTER. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $15,618. A PERCENTAGE OF THE 2013 TOTAL COMPENSATION FOR TWO INDIVIDUALS HAS BEEN ALLOCATED TOWARD FEDERAL AND STATE LOBBYING ACTIVITIES PERFORMED ON BEHALF OF LIBERTY HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. THESE ALLOCATIONS AMOUNTED TO $46,942 IN 2013. IN ADDITION, LHCS PAID AN OUTSIDE INDEPENDENT FIRM $120,000 TO PERFORM LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. LHCS SPENT $20,000 ON ADVERTISING FOR LOBBYING EFFORTS AND PAID AN OUTSIDE INDEPENDENT FIRM $71,200 FOR PUBLIC RELATIONS SERVICES WITH RESPECT TO LOBBYING EFFORTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,184,504 | OtherCostOrOtherBasisAmt |
| Book Value | $11,184,504 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $184,716,688 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,291,842 | DepreciationAmt |
| Book Value | $124,424,846 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,645,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,838,476 | DepreciationAmt |
| Book Value | $806,798 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,672,101 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,966,607 | DepreciationAmt |
| Book Value | $20,705,494 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,327,283 | OtherCostOrOtherBasisAmt |
| Depreciation | $190,976 | DepreciationAmt |
| Book Value | $1,136,307 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $158,257,949 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| USE | $8,030,210 | F |
| LIMITED USE | F | |
| USE | F | |
| USE | $148,982,617 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $157,012,827 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION COST | $18,707,096 |
| ESTIMATED MEDICAL MALPRACTICE | $7,897,000 |
| OTHER LIABILITIES | $21,929,527 |
| SETTLEMENTS | $3,372,836 |
| ACCRUED RESTRUCTURING COSTS | $0 |
| WORKERS COMPENSATION LIABILITY | $1,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $53,406,459 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE IN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). LIBERTY HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES YEAR ENDED DECEMBER 31, 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740): JCMC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. NO PROVISION FOR INCOME TAXES WAS REQUIRED FOR 2013. AN INDEPENDENT CPA FIRM ALSO AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF LIBERTY HEALTHCARE SYSTEM, INC. AND AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE LIBERTY HEALTHCARE SYSTEM, INC. AND AFFILIATES YEAR ENDED DECEMBER 31, 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740): LIBERTY HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. NO PROVISION FOR INCOME TAXES WAS REQUIRED FOR 2013. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,294,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,114,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,180,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,070,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,041,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,028,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02400 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $161,364,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,155,362 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,209,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $383,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $383,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,397,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,899,446 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,497,778 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01650 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,581,945 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,111,341 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,470,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,433 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,426,090 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,048,467 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,377,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $177,790,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $121,203,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,586,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07960 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,836,189 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,500,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $60,199,305 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $57,512,681 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,686,624 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERSEY CITY MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 GRAND STREET | AddressLine1 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.LIBERTYHEALTH.ORG | WebsiteAddressTxt |
| State License | 10904 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERSEY CITY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.LIBERTYHEALTH.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V; SECTION B,QUESTIONS 1J, 4, 5D & 6I | NOT APPLICABLE. |
| SCHEDULE H, PART V; SECTION B, QUESTION 3 | INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH PUBLIC HEALTH OFFICIALS, JERSEY CITY AND HUDSON COUNTY GOVERNMENT OFFICIALS, PHYSICIANS, HOSPITAL LEADERS AND OTHER COMMUNITY HEALTH LEADERS AND FOCUS GROUPS WITH MEDICALLY UNDERSERVED COMMUNITY MEMBERS. |
| SCHEDULE H, PART V; SECTION B, QUESTION 7 | THE FACILITY CONDUCTED A COMPREHENSIVE ASSESSMENT AND A MYRIAD OF HEALTH NEEDS WERE IDENTIFIED. GIVEN LIMITED RESOURCES, NEEDS WERE PRIORITIZED WITH CONSIDERATION OF SERVICE ARRAY OFFERED BY THE FACILITY AND ABILITY TO COLLABORATE. |
| SCHEDULE H, PART V;SECTION B,QUESTIONS 10,11,12I,14G,16E,17E,18E,19D,21&22 | NOT APPLICABLE. |
| SCHEDULE H, PART V; SECTION B, QUESTION 20d | THE ORGANIZATION DETERMINED THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE USING A RATE LOWER THAN ITS LOWEST COMMERCIAL RATE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| JERSEY CITY MEDICAL CENTER | ||||
| 953-961 GARFIELD AVENUE | JERSEY CITY | NJ | 07302 | OUTPATIENT CLINICS |
| JERSEY CITY MEDICAL CENTER | ||||
| 9 NUNDA AVENUE | JERSEY CITY | NJ | 07302 | RESIDENTIAL PSYCHIATRIC SERVICES |
| JCMC AMBULATORY CARE FACILITY | ||||
| 415 SUMMIT AVENUE | JERSEY CITY | NJ | 07306 | AMBULATORY CARE |
| JCMC AMBULATORY CARE FACILITY | ||||
| 377 JERSEY AVENUE | JERSEY CITY | NJ | 07302 | AMBULATORY CARE |
| JCMC AMBULATORY CARE FACILITY | ||||
| 395 GRAND STREET | JERSEY CITY | NJ | 07302 | AMBULATORY CARE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2013 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. |
| SCHEDULE H, PART I, LINE 6A | THE MEDICAL CENTER HAS PREPARED AN ANNUAL REPORT FOR 2013 REPORTING ON ITS ACCOMPLISHMENTS AND SERVICES PROVIDED. THE REPORT IS AVAILABLE TO THE PUBLIC. |
| SCHEDULE H, PART I, QUESTION 7G | NO COSTS RELATED TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. |
| SCHEDULE H, PART I, QUESTION 7 | THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY JERSEY CITY MEDICAL CENTER ("JCMC") IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. JCMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. WE ALSO PROVIDE TO SCHOOLS, SENIOR CENTERS AND OTHER COMMUNITY ORGANIZATIONS PROGRAMS ABOUT SAFETY AND TRAUMA PREVENTION INCLUDING PROPER USE OF CAR SEATS, BICYCLE SAFETY, AND FALL PREVENTION FOR SENIORS. SEVERAL TIMES A YEAR WORKING WITH LOCAL POLICE DEPARTMENTS WE PROVIDE THIS FREE EDUCATIONAL SERVICE AT LOCAL SHOPPING CENTERS, LIBRARIES AND POLICE DEPARTMENT HEADQUARTERS. THE HOSPITAL HOLDS AN ANNUAL COMMUNITY MEETING AS REQUIRED BY THE NJ DEPARTMENT OF HEALTH WHERE THE COMMUNITY CAN ASK QUESTIONS AND GIVE COMMENTS TO THE HOSPITAL LEADERSHIP AND BOARD OF TRUSTEES. PLEASE REFER TO THE FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. |
| SCHEDULE H, PART III, LINES 2, 3 & 4 | BAD DEBT EXPENSE WAS DERIVED FROM THE PROVIDERS' BAD DEBT EXPENSE AS REPORTED ON ITS AUDITED FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION: PATIENT ACCOUNTS RECEIVABLE JCMC ANALYZES ITS PAST COLLECTION HISTORY AND IDENTIFIES TRENDS BY EACH OF ITS MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE MAJOR PAYOR SOURCES OF PATIENT SERVICE REVENUE IN EVALUATING THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. JCMC ANALYZES CONTRACTUAL AMOUNTS DUE FROM PATIENTS WHO HAVE THIRD-PARTY COVERAGE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR PATIENT ACCOUNTS RECEIVABLE ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES THOSE PATIENTS WITHOUT INSURANCE COVERAGE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR A PORTION OF THE BILL, JCMC RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS FOR PATIENTS THAT ARE UNABLE OR UNWILLING TO PAY FOR THE PORTION OF THE BILL REPRESENTING THEIR FINANCIAL RESPONSIBILITY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER ALL MEANS OF COLLECTION HAS BEEN EXHAUSTED. CHARITY CARE JCMC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SINCE JCMC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE COSTS WERE DERIVED FROM THE 2013 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; |
| SCHEDULE H, PART III, LINE 9B | ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE LIBERTY HEALTHCARE SYSTEM BUSINESS OFFICE AND ITS HOSPITAL AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ALL ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING A MINIMUM OF THREE STATEMENTS WHICH INCLUDES A PRE-COLLECTION LETTER. WE HAVE CHARITY CARE AND HILL BURTON ACCESS POLICIES TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS OUR POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. AT THE TIME OF THE PATIENT'S VISIT AND AS PART OF THE REGISTRATION PROCESS, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE, INCLUDING MEDICAID AND SSI. - FINANCIAL COUNSELING TO EVALUATE ELIGIBILITY FOR A REDUCED PAYMENT RATE WHEN COVERAGE IS NOT AVAILABLE UNDER CHARITY CARE, MEDICAID, OR NEW JERSEY'S HOPSITAL CARE PAYMENT ASSISTANCE PROGRAMS (LIBERTY'S COMPASSIONATE CARE PROGRAM). - OTHER FINANCIAL ARRANGEMENTS WE OFFER INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS. |
| SCHEDULE H, PART VI; QUESTION 2 | LIBERTY ENGAGES A PLANNING CONSULTANT TO ASSIST US IN MONITORING UTILIZATION IN OUR SERVICE AREA SO WE CAN IDENTIFY TRENDS IN COMMUNITY HEALTH NEEDS. THE DATA WE GATHER IS SHARED WITH OUR PHYSICIAN LEADERSHIP AND OTHER COMMUNITY LEADERS TO CORROBORATE THE DATA WE GATHER AND TO RECEIVE FEEDBACK ON OTHER HEALTH ISSUES OF CONCERN. THESE ACTIVITIES CONTRIBUTE TO THE DEVELOPMENT OF A STRATEGIC PLAN FOR THE MEDICAL CENTER THAT WE FOLLOW TO EXPAND EXISTING SERVICES OR DEVELOP NEW SERVICES FOR OUR COMMUNITY. |
| SCHEDULE H, PART VI; QUESTION 3 | CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. |
| SCHEDULE H, PART VI; QUESTION 4 | JCMC IS LOCATED IN JERSEY CITY, NEW JERSEY AND SERVES THE GREATER HUDSON COUNTY COMMUNITY HUDSON COUNTY IS A DIVERSE SUBURBAN COMMUNITY AND ONE OF THE MOST POPULOUS COMMUNITIES IN NEW JERSEY. |
| SCHEDULE H, PART VI; QUESTION 5 | THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. |
| SCHEDULE H, PART VI; QUESTION 6 | NOT FOR-PROFIT AFFILIATES: LIBERTY HEALTHCARE SYSTEM, INC. LIBERTY HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE LIBERTY HEALTH CARE SYSTEM ("LHCS"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. LIBERTY HEALTHCARE SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). LIBERTY BEHAVIORAL HEALTH ASSOCIATES LIBERTY BEHAVIORAL HEALTH ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. LIBERTY CHILD HEALTH SERVICES LIBERTY CHILD HEALTH SERVICES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION CEASED OPERATIONS DURING 2009 AND IS IN THE PROCESS OF FINALIZING ALL OUTSTANDING TRANSACTIONS. LIBERTY HEALTHCARE SYSTEM FOUNDATION LIBERTY HEALTHCARE SYSTEM FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE LIBERTY HEALTHCARE SYSTEM. LIBERTY SURGICAL ASSOCIATES LIBERTY SURGICAL ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY SERVED BY ITS NOT FOR-PROFIT AFFILIATE, JERSEY CITY MEDICAL CENTER. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. NEW MARGARET HAGUE CENTER WOMENS JERSEY MEDICAL CENTER OB/GYN NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL OBSTETRICAL AND GYNECOLOGICAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. FOR-PROFIT AFFILIATES: LIBERTY HEALTHCARE MANAGEMENT, LLC A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY WHICH PROVIDES MANAGEMENT SERVICES. LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 99% AND 1% OWNERSHIP INTERESTS, RESPECTIVELY. LIBERTY HEALTHCARE CAPITAL A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LHCS. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO LIBERTY HEALTHCARE SYSTEM. LIBERTY/USP SURGERY CENTERS, LLC A PARTNERSHIP WHICH PROVIDES SURGERY SERVICES TO INDIVIDUALS. |
| SCHEDULE H, PART VI; QUESTION 7 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT STATEMENT WITH THE STATE OF NEW JERSEY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIBERTY HEALTHCARE SYSTEM FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 MONTGOMERY STREET | AddressLine1 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 223113911 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $7,500 | CashGrantAmt |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, QUESTION 2 | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH F SCOTT FACHE | ||||||||||||||
| PRESIDENT/CEO - TRUSTEE | $0 | $770,286 | $0 | $275,000 | $0 | $206,918 | $0 | $122,225 | $0 | $23,652 | $0 | $1,398,081 | $0 | $185,726 |
| KENNETH GARAY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $625,245 | $0 | $93,396 | $0 | $5,699 | $0 | $43,408 | $0 | $20,134 | $0 | $787,882 | $0 | $0 |
| PAUL GOLDBERG | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $496,987 | $0 | $115,279 | $0 | $0 | $0 | $59,849 | $0 | $12,677 | $0 | $684,792 | $0 | $0 |
| STEPHEN LI | ||||||||||||||
| CHIEF INFORMATION OFFICER | $0 | $296,638 | $0 | $0 | $0 | $710 | $0 | $1,225 | $0 | $13,116 | $0 | $311,689 | $0 | $0 |
| PAUL R MURPHY ESQ | ||||||||||||||
| SVP, GENERAL COUNSEL | $0 | $327,096 | $0 | $73,919 | $0 | $8,757 | $0 | $34,016 | $0 | $3,753 | $0 | $447,541 | $0 | $0 |
| RITA V SMITH | ||||||||||||||
| SVP, PATIENT CARE SVCS/CNO | $310,746 | $0 | $72,468 | $0 | $14,234 | $0 | $32,627 | $0 | $24,351 | $0 | $454,426 | $0 | $0 | $0 |
| BRENDA HALL | ||||||||||||||
| SVP, PATIENT SAFETY | $0 | $226,782 | $0 | $53,516 | $0 | $113,408 | $0 | $1,225 | $0 | $20,905 | $0 | $415,836 | $0 | $107,449 |
| DOUGLAS RATNER MD | ||||||||||||||
| VP, CHAIRMAN MEDICAL | $332,930 | $0 | $40,571 | $0 | $3,794 | $0 | $1,275 | $0 | $23,866 | $0 | $402,436 | $0 | $0 | $0 |
| MARY CATAUDELLA | ||||||||||||||
| VP, HUMAN RESOURCES | $0 | $274,224 | $0 | $58,277 | $0 | $1,275 | $0 | $29,122 | $0 | $18,051 | $0 | $380,949 | $0 | $0 |
| KIRAT Y KHARODE | ||||||||||||||
| VP, CLINICAL OPERATIONS | $230,019 | $0 | $50,967 | $0 | $355 | $0 | $24,375 | $0 | $9,563 | $0 | $315,279 | $0 | $0 | $0 |
| SUSAN M WALSH MD | ||||||||||||||
| VP, ACCOUNT CARE ORG. | $248,240 | $0 | $29,968 | $0 | $2,031 | $0 | $1,275 | $0 | $18,940 | $0 | $300,454 | $0 | $0 | $0 |
| HENRY C IRVING MD | ||||||||||||||
| VP, CHAIRMAN ORTHOPEDICS | $258,915 | $0 | $0 | $0 | $7,132 | $0 | $1,275 | $0 | $2,964 | $0 | $270,286 | $0 | $0 | $0 |
| ANDREW T SUKALA | ||||||||||||||
| VP, INTERNAL AUDITOR | $0 | $159,438 | $0 | $37,306 | $0 | $3,923 | $0 | $713 | $0 | $17,667 | $0 | $219,047 | $0 | $0 |
| BARRY A MALTZMAN MD | ||||||||||||||
| VP, OPTHAMOLOGY | $160,903 | $0 | $0 | $0 | $1,367 | $0 | $215 | $0 | $17,128 | $0 | $179,613 | $0 | $0 | $0 |
| RITU CHANDAK MD | ||||||||||||||
| CHAIRMAN DEPT OF PSYCHIATRY | $311,521 | $0 | $30,976 | $0 | $554 | $0 | $1,275 | $0 | $24,436 | $0 | $368,762 | $0 | $0 | $0 |
| ROBERT VALENTINE | ||||||||||||||
| CORPORATE CONTROLLER | $0 | $242,748 | $0 | $53,187 | $0 | $1,072 | $0 | $1,225 | $0 | $2,188 | $0 | $300,420 | $0 | $0 |
| WILLIAM J COOK | ||||||||||||||
| EXEC. DIR., FACILITIES & ENV. | $157,498 | $0 | $39,071 | $0 | $1,367 | $0 | $983 | $0 | $1,440 | $0 | $200,359 | $0 | $0 | $0 |
| MICHAEL PEKAREK | ||||||||||||||
| CORP DIRECTOR (TERM 10/4/13) | $0 | $155,705 | $0 | $21,692 | $0 | $3,794 | $0 | $901 | $0 | $15,741 | $0 | $197,833 | $0 | $0 |
| SRINIVAS GONGIGREDDY MD | ||||||||||||||
| CHIEF, HOSPITALIST | $314,491 | $0 | $0 | $0 | $100 | $0 | $0 | $0 | $9,702 | $0 | $324,293 | $0 | $0 | $0 |
| MUHAMMAD UPPAL MD | ||||||||||||||
| HOSPITALIST | $236,336 | $0 | $0 | $0 | $2,614 | $0 | $0 | $0 | $9,702 | $0 | $248,652 | $0 | $0 | $0 |
| NIRMALA RAJAKUMAR MD | ||||||||||||||
| STAFF PSYCHIATRIST | $230,215 | $0 | $0 | $0 | $2,092 | $0 | $1,153 | $0 | $10,859 | $0 | $244,319 | $0 | $0 | $0 |
| ADRIANA GRIGORIU MD | ||||||||||||||
| CHIEF DIR., INFECTIOUS DIS. | $224,565 | $0 | $0 | $0 | $994 | $0 | $1,139 | $0 | $23,821 | $0 | $250,519 | $0 | $0 | $0 |
| ANTHONY LAMONACA MD | ||||||||||||||
| DEPUTY CHAIR, DEPT PSYCHIATRY | $220,052 | $0 | $0 | $0 | $0 | $0 | $1,108 | $0 | $23,265 | $0 | $244,425 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I; QUESTION 4B | THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING AND DISTRIBUTIONS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. A PORTION OF THESE AMOUNTS WERE REPORTED AS EMPLOYEE BENEFIT PLAN CONTRIBUTIONS OF THE ORGANIZATION'S PRIOR YEARS' FORM 990. THE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOSEPH F. SCOTT, FACHE, $185,726 AND BRENDA HALL, $107,449. THE DEFERRED COMPENSATION AMOUNTS IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, AS TAXABLE WAGES: JOSEPH F. SCOTT, FACHE, $121,000; KENNETH GARAY, MD, $43,408; PAUL GOLDBERG, $59,849; PAUL R. MURPHY, ESQ, $32,791; RITA V. SMITH, $31,352; MARY CATAUDELLA, $27,897 AND KIRAT Y. KHARODE, $23,100. |
| SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. |
| SCHEDULE J, PART II, COLUMN F | THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED ON PRIOR YEARS' FORMS 990, SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOSEPH F. SCOTT, FACHE, $185,726 AND BRENDA HALL, $107,449. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| CORE FORM, PART III | LIBERTY HEALTHCARE SYSTEM, INC. ("LIBERTY") IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HUDSON COUNTY, NEW JERSEY. LIBERTY IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED LIBERTY AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). LIBERTY'S MISSION IS ENHANCING LIFE. THESE TWO WORDS ARE OUR COMMITMENT TO PROVIDE PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY, IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS, FQHC'S AND OTHER PROVIDERS. - LIBERTY WILL BE GUIDED BY VOLUNTEER BOARDS OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. LIBERTY PROVIDES THE REGION WITH A WIDE RANGE OF HEALTH SERVICES, FROM HIGH TECHNOLOGY INFANT AND ADULT CARE TO THE HIGHEST LEVEL OF TRAUMA CARE. LIBERTY AFFILIATES INCLUDE JERSEY CITY MEDICAL CENTER: JERSEY CITY MEDICAL CENTER ("JCMC") IS A REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE. JCMC ALSO OPERATES THE CRISTIE KERR WOMEN'S HEALTH CENTER. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED LIBERTY AND JERSEY CITY MEDICAL CENTER AS TAX-EXEMPT ORGANIZATIONS UNDER IRC SECTION 501(C) (3). PURSUANT TO ITS CHARITABLE PURPOSES, JCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. MOREOVER, JCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN REVENUE RULING 69-545: 1. MEDICALLY NECESSARY HEALTHCARE SERVICES ARE PROVIDED TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF PAY, MEDICARE, AND MEDICAID PATIENTS; 2. EMERGENCY ROOMS ARE OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR; 3. OPEN MEDICAL STAFFS ARE MAINTAINED, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF JCMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF LIBERTY HEALTH. THE BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. JCMC TREATS ALL ADULTS AND CHILDREN REGARDLESS OF AGE OR THEIR ABILITY TO PAY FOR SERVICES RENDERED. LIBERTY IS ONE OF THE LARGEST PROVIDERS OF CHARITY CARE SERVICES IN THE STATE OF NEW JERSEY. IN 2013 JCMC ADMITTED OVER 16,900 PATIENTS PROVIDING APPROXIMATELY 82,000 DAYS OF INPATIENT CARE. THE EMERGENCY DEPARTMENT DELIVERED EMERGENCY MEDICAL CARE TO OVER 84,000 INDIVIDUALS AND OUR OUTPATIENT PROGRAMS SERVICED OVER 142,000 VISITS. JCMC IS AN AFFILIATE OF LIBERTY. LIBERTY IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HUDSON COUNTY, NEW JERSEY. THE IRS HAS RECOGNIZED LIBERTY AS A TAX-EXEMPT ORGANIZATION UNDER IRC SECTION 501(C) (3). LIBERTY'S MISSION IS ENHANCING LIFE. LIBERTY PROVIDES PATIENTS, THEIR FAMILIES, AND ALL IN NEED WITH EXCELLENT HOSPITAL AND HEALTHCARE SERVICES THAT ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY COLLABORATES WITH ITS PHYSICIANS, NURSES AND STAFF TO: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION, OR ABILITY TO PAY. OUR CLINICAL SERVICES INCLUDE REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. - LIBERTY IS GUIDED BY BOARDS OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, HEALTHCARE PROFESSIONALS, AND OTHER PROFESSIONALS. JERSEY CITY MEDICAL CENTER - CARE CENTERS ========================================== THE CRISTIE KERR WOMEN'S HEALTH CENTER -------------------------------------- THE CRISTIE KERR WOMEN'S HEALTH CENTER OPENED IN 2010 OFFERING IMAGING AND OTHER DIAGNOSTIC SERVICES TO WOMEN IN OUR COMMUNITY. THE CENTER OFFERS BREAST CANCER SCREENING PROGRAMS INCLUDING MAMMOGRAMS AND EDUCATION TO WOMEN IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE CENTER IS THE FIRST FULL-SERVICE FACILITY IN HUDSON COUNTY TO PROVIDE DETECTION, HEALING, SUPPORT, AND RECOVERY SERVICES. THE EPILEPSY CENTER AT JERSEY CITY MEDICAL CENTER ------------------------------------------------- THE EPILEPSY CENTER AT JERSEY CITY MEDICAL CENTER OPENED IN 2010 AND PROVIDES DIAGNOSTIC, EVALUATION, AND TREATMENT PLANS ON AN INPATIENT AND OUTPATIENT BASIS. FANNIE E. RIPPEL FOUNDATION HEART INSTITUTE (THE "INSTITUTE") ------------------------------------------------------------- THE INSTITUTE FEATURES STATE-OF-THE-ART DIAGNOSTIC TECHNOLOGY TO PROVIDE EXEMPLARY OUTPATIENT CARDIAC CARE. THE INSTITUTE PROVIDES TWO HIGH-RISK CARDIAC CATHETERIZATION LABORATORIES, A SINGLE PLANE AND A THREE-DIMENSIONAL BI-PLANE ALONG WITH OTHER CRITICALLY IMPORTANT DIAGNOSTIC TECHNOLOGY. THE MEDICAL CENTER IS THE REGION'S "HIGH-RISK" DESTINATION FOR PATIENTS. IN 2011 WE ADDED ELECTROPHYSIOLOGY PROCEDURES IN THE CARDIAC CATHETERIZATION LABORATORY. CARDIAC CATHETERIZATION ------------------------------------------------- JCMC IS HUDSON COUNTY'S ONLY FULL-SERVICE HEART HOSPITAL. CARDIAC SERVICES PROVIDED INCLUDE: - ANGIOPLASTY - DIAGNOSTIC CARDIAC CATHETERIZATION - INTRAVASCULAR ULTRASOUND - PACEMAKER & IMPLANTABLE CARDIOVERTER DEFIBRILLATOR THERAPY - MINIMALLY INVASIVE VEIN HARVESTING AND CARDIAC ARTERY BYPASS GRAFT - THORACIC AND ABDOMINAL AORTIC ANEURYSM REPAIR - MITRAL AND AORTIC VALVE REPAIR AND REPLACEMENT - PERIPHERAL VASCULAR PROCEDURES, INCLUDING ENDO VASCULAR PROCEDURES - CARDIAC ABLATION |
| CORE FORM, PART III | PORT AUTHORITY HEROES OF SEPTEMBER 11 TRAUMA CENTER --------------------------------------------------- THIS REGIONAL TRAUMA CENTER IS THE STATE-DESIGNATED LEVEL II TRAUMA CENTER FOR HUDSON COUNTY. IN ADDITION TO SERVING THE GROWING COMMUNITIES OF JERSEY CITY, THE SERVICE COVERS HUDSON COUNTY NEW JERSEY WATERWAYS, NEW JERSEY TURNPIKE, THE HOLLAND AND LINCOLN TUNNELS, AND LIBERTY STATE PARK. THE TRAUMA CENTER PROVIDES 24 HOUR TRAUMA SURGERY FOR ADULTS AND CHILDREN. THE CENTER HAS BEEN ACTIVE IN ALL REGIONAL DISASTERS INCLUDING THE 1993 AND 2001 WORLD TRADE CENTER BOMBINGS; THE "MIRACLE ON THE HUDSON" PLANE LANDING; SEVERAL TRAIN DERAILMENTS, AND VARIOUS HAZMAT INCIDENTS. OUTPATIENT SERVICES ------------------- JCMC OPERATES AN AMBULATORY CARE CENTER ADJACENT TO THE HOSPITAL AS WELL AS TWO SATELLITE CLINICS TO ENSURE ACCESS FOR THOSE MOST IN NEED. OUR OUTPATIENT SERVICE OFFERINGS INCLUDE OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, DENTAL, PHYSICAL AND SPEECH THERAPY, AND AUDIOLOGY. WE PROVIDE NEEDED OUTPATIENT SERVICES TO SPECIAL NEEDS POPULATIONS IN OUR COMMUNITY, INCLUDING THE HOMELESS AND ADULTS AND CHILDREN REQUIRING BEHAVIORAL HEALTH SERVICES, HIV/AIDS PATIENTS, AND THOSE IN NEED OF DIALYSIS. JCMC IS THE REGIONAL PSYCHIATRIC REFERRAL CENTER PROVIDING CRISIS INTERVENTION AND EVALUATION, VOLUNTARY AND INVOLUNTARY IN-PATIENT SERVICES, COMMUNITY PSYCHIATRIC OUTREACH SERVICES, AND A FULL SPECTRUM OF OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES. VOLUNTEER SERVICES ------------------ JCMC HAS AN ACTIVE AND DIVERSE VOLUNTEER PROGRAM PROVIDING COMPANIONSHIP AND SUPPORT TO PATIENTS OF ALL AGES HOSPITALIZED ON OUR NURSING FLOORS, THE EMERGENCY DEPARTMENT, AND OTHER PATIENT AREAS. JCMC VOLUNTEERS ADVOCATE FOR PATIENT FAMILIES AND PROVIDE THEM WITH INFORMATION AND SUPPORT. THEY ALSO PROVIDE CLERICAL AND OTHER SUPPORT TO OUR STAFF. COMMUNITY --------- JCMC IS ACTIVELY ENGAGED IN COMMUNITY EDUCATION INCLUDING OUTREACH TO SCHOOLS, CHURCHES, AND COMMUNITY GROUPS TO ADDRESS TARGETED, APPROPRIATE EDUCATION NEEDS. HEALTH FAIRS ARE HELD ANNUALLY IN CONJUNCTION WITH BUSINESSES AND COMMUNITY GROUPS TO PROVIDE A WIDE RANGE OF SCREENING AND EDUCATION. A DINNER WITH THE DOCTOR PROGRAM WAS IMPLEMENTED IN 2009 AND OVER THE PAST FIVE YEARS PHYSICIANS HAVE ADDRESSED THE COMMUNITY ON VARIOUS HEALTH ISSUES AND THE PREVENTION OF DISEASE. WE ALSO PROVIDE RECURRING SAFETY PROGRAMS IN OUR COMMUNITY SCHOOLS TO EDUCATE CHILDREN ON WELLNESS, TRAUMA PREVENTION, CAR SEAT INSPECTIONS, AND BICYCLE SAFETY. WE ALSO VISIT SENIOR CENTERS TO EDUCATE SENIORS ON FALL PREVENTION, AND OUR EMS SERVICE PROVIDES MEDICAL CARE AT COMMUNITY EVENTS DURING THE YEAR. WE SUPPORTED A TURKEY DROP PROGRAM IN JERSEY CITY TO PROVIDE THANKSGIVING MEALS FOR THOSE IN NEED IN OUR COMMUNITY. POPULATION HEALTH ======================= JERSEY CITY MEDICAL CENTER HAS CREATED THE WEALTH FROM HEALTH PROGRAM ("WFH") TO ASSIST PATIENTS WHO SUFFER FROM CHRONIC DISEASE TO BE ABLE TO BETTER SELF-MANAGE THROUGH THE SUPPORT OF PHYSICIANS AND SUPPORT STAFF WORKING IN THIS PROGRAM, AS WELL AS PROVIDE ACCESS TO THE MEDICAL CENTER OR FQHC'S IN THE COMMUNITY. THE WEALTH FROM HEALTH NAVIGATOR TEAM HAS BECOME AN INTEGRAL PART OF THE JCMC COMMUNITY ACTIVITY CALENDAR. SPECIFICALLY, THERE ARE BIWEEKLY OR MONTHLY HEALTH SCREENINGS AT CHURCHES AND JOINT EVENTS WITH THE JERSEY CITY DEPARTMENT OF HEALTH. IN ADDITION, THE TEAM PARTICIPATES WITH SHOPRITE TO SCHEDULE NUTRITIONAL ORIENTED VISITS FOR MEMBERS OF THE WEALTH FROM HEALTH PROGRAM. IN 2013, THE WEALTH FROM HEALTH TEAM ALSO MET WITH SCHOOL NURSES AT AN AREA HIGH SCHOOL TO IMPLEMENT A BLOOD PRESSURE SCREENING EVENT FOR STAFF AND ADOLESCENTS. FOR JCMC STAFF, WFH NAVIGATORS HAVE IMPLEMENTED IN-HOUSE WEIGHT LOSS TEAMS. WFH HAS ALSO PROVIDED FREE OF CHARGE ENVIRONMENTAL HOME REVIEWS FOR ASTHMA TRIGGERS. AS JCMC EMPLOYEES, MEMBERS OF THE WFH PROGRAM HAVE ALSO PARTICIPATED AS VOLUNTEERS FOR COMMUNITY HALF MARATHONS, ASSEMBLED TEAMS FOR WALK-A-THONS FOR BREAST CANCER, HEART DISEASE, EPILEPSY, AND INFANT HEALTH. AWARDS AND DESIGNATIONS ======================= JCMC HAS BEEN RECOGNIZED FOR ITS EXCELLENCE IN PROVIDING CARE AND SUPPORT FOR THE HEALTH AND WELLNESS OF OUR COMMUNITY. THE FOLLOWING IS A LISTING OF AWARDS AND DESIGNATIONS RECENTLY RECEIVED BY THE JERSEY CITY MEDICAL CENTER IN RECOGNITION OF ITS SERVICE TO THE COMMUNITY: - DNV FULLY ACCREDITED HOSPITAL - FIVE CONSECUTIVE "A" RATINGS IN HOSPITAL SAFETY FROM THE INDEPENDENT LEAPFROG GROUP - US NEWS & WORLD REPORT - BEST REGIONAL HOSPITAL LISTING (HIGH PERFORMANCE IN NEPHROLOGY 2012-2013) - MAGNET DESIGNATION FOR EXCELLENCE IN PATIENT CARE BY THE AMERICAN NURSES CREDENTIALING CENTER - RECOGNIZED BY THE AMERICAN COLLEGE OF SURGEONS FOR "EXCELLENCE IN TRAUMA" 2013 - STATE DESIGNATED REGIONAL TRAUMA CENTER - FIRST EMERGENCY MEDICAL SERVICE ("EMS") IN THE US TO EARN TRIPLE ACCREDITATION IN DISPATCH, EDUCATION AND EMERGENCY MEDICAL SERVICE - CEO CANCER ROUNDTABLE - GOLD STANDARD - GOLD PLUS ACHIEVEMENT AWARD IN STROKE QUALITY CARE FROM THE AMERICAN HEART AND STROKE ASSOCIATION, 2012 & 2013 - STATE DESIGNATED REGIONAL HEART CENTER - 100 BEST PLACES TO WORK IN HEALTHCARE, RANKED NATIONALLY BY MODERN HEALTHCARE MAGAZINE 2011 - 100 BEST PLACES TO WORK IN THE HEALTHCARE FIELD BY BECKER'S HOSPITAL REVIEW, 2012-2013 - CASTLE CONNOLLY "TOP HOSPITAL IN NJ" UNDER 350 BEDS, 2010 AND 2011 - CHF BRONZE AWARD FROM AMERICAN HEART AND STROKE ASSOCIATION - AMERICAN HEART ASSOCIATION NAMED JCMC A "GOLD FIT-FRIENDLY" COMPANY IN 2013 - STATE DESIGNATED REGIONAL NEONATAL INTENSIVE CARE ("NICU") CENTER FOR DIAGNOSIS AND TREATMENT OF MOST CRITICALLY ILL NEWBORNS - CRISTIE KERR WOMEN'S HEALTH CENTER IS LOCATED IN OUR MEDICAL OFFICE BUILDING ON THE JCMC CAMPUS - PRIMARY STROKE CENTER APPROVED BY THE NJ DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7 | LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE SOLE MEMBER OF THIS ORGANIZATION. LHCS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. ON MAY 16, 2013, LIBERTY HEALTHCARE SYSTEM, INC., JERSEY CITY MEDICAL CENTER AND BARNABAS HEALTH, INC. SIGNED A DEFINITIVE AGREEMENT WHEREBY JERSEY CITY MEDICAL CENTER WILL BECOME A MEMBER OF BARNABAS HEALTH, INC. AS A WHOLLY OWNED SUBSIDIARY OF BARNABAS HEALTH, INC. (BUT NOT A MEMBER OF BARNABAS HEALTH, INC.'S OBLIGATED AND COMBINED GROUP WITH RESPECT TO BARNABAS HEALTH, INC.'S BOND AND BANK OBLIGATIONS). NO MEMBER OF BARNABAS HEALTH, INC. WILL BECOME LIABLE FOR THE CURRENT LIBERTY HEALTHCARE SYSTEM, INC. OR JERSEY CITY MEDICAL CENTER BOND OR MORTGAGE FINANCINGS. THE CONSUMMATION OF THE TRANSACTION CONTEMPLATED BY THE DEFINITIVE AGREEMENT REQUIRES PRIOR APPROVALS FROM OR NOTIFICATIONS TO STATE AND FEDERAL REGULATORY AUTHORITIES AND CERTAIN JERSEY CITY MEDICAL CENTER STAKEHOLDERS, AMONG OTHERS. IT IS ANTICIPATED THAT THIS TRANSACTION WILL BE COMPLETED IN THE SECOND QUARTER OF 2014. |
| CORE FORM, PART VI, SECTION b; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN LIBERTY HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE PARENT OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE IRS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING IN HOUSE COUNSEL, VICE-PRESIDENT OF FINANCE, DIRECTOR OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS THEN HELD WITH THE SYSTEM'S EXECUTIVE/FINANCE COMMITTEE TO REVIEW THE FINAL DRAFT OF THIS ORGANIZATION'S FEDERAL FORM 990. AT THIS MEETING A FORM 990 PRESENTATION WAS MADE BY THE TAXPAYER'S CPA FIRM. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VP RISK MANAGEMENT/CORPORATE COMPLIANCE FOR REVIEW. THEREAFTER THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE OF THE ORGANIZATION PRESENTS ANY CONFLICT CONCERNS TO THE ORGANIZATION'S AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE FOR ITS REVIEW AND DISCUSSION. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | The organization is AN AFFILIATE IN the LIBERTY HEALTHCARE SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE parent entity of THE SYSTEM IS Liberty HealthCare System, Inc. ("LHS"). LHS' Board of Trustees maintains a Compensation and Performance Committee (the "Committee") consisting entirely of independent trustees. The Committee has a written executive compensation philosophy which it follows when it reviews the compensation and benefits of senior management and key employees. The Committee approves the compensation of the Chief Executive Officer. The Chief Executive Officer, in consultation with the Committee, approves the compensation of the Senior Vice-President and General Counsel, and the Chief Financial Officer. The Committee relies upon comparison data provided by a nationally recognized independent benefits consulting firm to determine fair market value. The Committee also reviews the compensation of other senior management and key employees as recommended by the Chief Executive Officer in consultation with the human resources department on the basis of comparison data provided by independent sources to determine fair market value. In performing these reviews, the Committee takes into account the total compensation payable to each individual, including both current and deferred compensation and all employee benefits, both qualified and non-qualified. The Committee's review is done annually. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN LHS SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | Part VII and Schedule J reflect a board member and officer receiving compensation from THIS ORGANIZATION OR a related organization. Please note that this remuneration was for services rendered as full-time employees of THIS ORGANIZATION OR A related organization and not for services rendered as A voting member or officer of this organization's board of trustees. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF LIBERTY HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR PER WEEK. THE HOURS REFLECTED ON PART VII OF THIS FORM 990 FOR PAID OFFICERS AND KEY EMPLOYEES REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF LIBERTY HEALTHCARE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X | DURING 2013, MANAGEMENT DETERMINED THAT CERTAIN UNRESTRICTED NET ASSETS SHOULD HAVE BEEN REPORTED AS TEMPORARILY RESTRICTED NET ASSETS. A RECLASSIFICATION HAS BEEN MADE TO CORRECT AN IMMATERIAL ERROR IN THE BEGINNING BALANCES OF NET ASSETS (DEFICIT). THE EFFECT ON THE 2012 CONSOLIDATED STATEMENT OF CHANGES IN NET ASSETS (DEFICIT) WAS IN THE AMOUNT OF $4,940,839 AND IS REFLECTED AS A DECREASE IN UNRESTRICTED NET ASSETS (DEFICIT) AND AN INCREASE IN TEMPORARILY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2012. THIS RECLASSIFICATION HAS NO IMPACT ON TOTAL NET ASSETS (DEFICIT) OR THE OPERATING INDICATOR. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY & EQUIPMENT - $222,600 - PENSION LIABILITY ADJUSTMENT - $5,962,811 - POSTRETIREMENT LIABILITY ADJUSTMENT - $1,637,503 - TRANSFER TO AFFILIATE - ($4,925,657) - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $225,658 |
| CORE FORM, PART XII; QUESTION 2B | THE ORGANIZATION IS AN AFFILIATE WITHIN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS LIBERTY HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM ANNUALLY. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITS THE FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND ITS AFFILIATES ANNUALLY. THE LIBERTY HEALTHCARE SYSTEM, INC. AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF BOTH THE CONSOLIDATED FINANCIAL STATEMENTS REFERENCED ABOVE AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LIBERTY BEHAVIORAL HEALTH ASSOCIATES | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223506358 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(3) | JCMC | Yes (true) |
| LIBERTY CHILD HEALTH SERVICES | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223386849 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(3) | JCMC | Yes (true) |
| LIBERTY HEALTHCARE SYSTEM FOUNDATION | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223113911 | FUNDRAISING | NJ | 501(c)(3) | 509(a)(2) | LHCS | false |
| LIBERTY HEALTHCARE SYSTEM INC | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223113960 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(3) | NA | false |
| LIBERTY HOME CARE | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223327677 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(2) | LHCS | false |
| LIBERTY REHAB CTR FACULTY PRACTICE PLAN | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223605610 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(3) | JCMC | Yes (true) |
| LIBERTY SURGICAL ASSOCIATES | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223386850 | HEALTH SVCS. | NJ | 501(c)(3) | 509(a)(3) | JCMC | Yes (true) |
| MEADOWLANDS HOSPITAL MEDICAL CENTER | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223284894 | HEALTH SVCS. | NJ | 501(c)(3) | HOSPITAL | LHCS | false |
| NEW MARGARET HAGUE CTR WOMENS JCM OBGYN | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223363012 | HEALTH SVCS. | NJ | 501(c)(3) | 509(A)(3) | JCMC | Yes (true) |
| JERSEY CITY FAMILY HEALTH CENTER | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 223579538 | HEALTH SVCS. | NJ | 501(c)(3) | HOSPITAL | LHCS | false |
| GREENVILLE HOSPITAL | ||||||||||
| 350 MONTGOMERY STREET | JERSEY CITY | NJ | 07302 | 220963805 | HEALTH SVCS. | NJ | 501(c)(3) | HOSPITAL | LHCS | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| LIBERTY HEALTHCARE MANAGEMENT | |||||||
| 350 Montgomery Street | JERSEY CITY | NJ | 07302 | 223597891 | MANAGEMENT | NJ | NA |
| LIBERTYUSP SURGERY CENTERS LLC | |||||||
| 15305 DALLAS PKWY SUITE 1600 LB 28 | ADDISON | TX | 75001 | 264756962 | HEALTHCARE SVCS. | NJ | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIBERTY HEALTHCARE CAPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 Montgomery Street | AddressLine1 |
| City | JERSEY CITY | City |
| State | NJ | State |
| ZIP Code | 07302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223444345 | EIN |
| Primary Activities | LEASE/FINANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NJ | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | 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 | Yes (true) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | JERSEY CITY MEDICAL CENTER RECEIVES SERVICES FROM VARIOUS AFFILIATES WITHIN THE LIBERTY HEALTHCARE SYSTEM IN THE ORDINARY COURSE OF BUSINESS AND PROVIDES FUNDS AS NEEDED TO SUPPORT THOSE SERVICES. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | ExplanationTxt |
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