FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR MORRISTOWN MEDICAL CENTER INC (EIN 22-3392808)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-12
- IRS object ID
- 201433169349301783
- Schema version
- 2013v3.0
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-12T10:05:43-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Monument Circle Suite 4000 | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 46204 | 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 | 223392808 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation for Morristown Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FOUN | BusinessNameControlTxt |
| Phone | 9735932400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Lenahan | PersonNm |
| Person Title | VP of Finance-CFO | PersonTitleTxt |
| Phone | 9735932400 | PhoneNum |
| Signature | 2014-11-12 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00032493 | PTIN |
| Phone | 3176817000 | 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 | Kevin Lenahan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,298,636 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.f4mmc.org | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | 501c3 | OtherOrganizationDsc |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | The Foundation for Morristown Medical Center is a not-for-profit fundraising organization which solicits funds in its general appeal to support both Morristown Medical Center , which is a division of AHS Hospital Corporation, and the community as the Foundation's Board may deem appropriate. | ActivityOrMissionDesc |
| Voting Members Governing Body | 34 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 223 | TotalVolunteersCnt |
| Total Gross UBI | $20,522 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $19,522 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,627,013 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,054,855 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,309,286 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,905,125 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$185,302 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,553 | CYOtherRevenueAmt |
| PY Total Revenue | $22,750,997 | PYTotalRevenueAmt |
| CY Total Revenue | $20,958,427 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,006,466 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,043,030 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,098,357 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,309,469 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $345,860 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $238,765 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,274,543 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $121,790 | PYOtherExpensesAmt |
| CY Other Expenses | $290,693 | CYOtherExpensesAmt |
| PY Total Expenses | $8,572,473 | PYTotalExpensesAmt |
| CY Total Expenses | $7,881,957 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,178,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,076,470 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $101,311,235 | TotalAssetsBOYAmt |
| Total Assets EOY | $118,850,144 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,008,014 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,149,375 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $98,303,221 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $115,700,769 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To inspire community philanthropy to advance exceptional health care for patients at Morristown Medical Center. The objective is to use philanthropy to preserve and expand the Medical Center's programs and services in patient care, clinical research, medical and public health education, and preventive medicine. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,421,992 | ExpenseAmt |
| Grant | $5,043,030 | GrantAmt |
| Desc | This return consists of a standalone Foundation which is a not-for-profit fundraising organization which solicits funds in its general appeal to support both Morristown Medical Center and the Community as deemed appropriate. | Desc |
| Total Program Service Expenses | $5,421,992 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 34 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 24 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DE | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ken Butkowski | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9734512005 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Madison Avenue - Box 920 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Christopher J Baldwin | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William D Bruen Jr | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William Conger | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Abbie Giordano | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William Ju MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Daniel Lehrhoff | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Gaines Mimms MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Trish O'Keefe | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $391,111 | $65,298 | 37.50 | ||
| Grant Van Siclen Parr MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $55,995 | $0 | 25.00 | ||
| Leslie C Quick III | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Marc Robinson | ||||||||
| trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Anne S Rooke | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| J Peter Simon | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark J Simon | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| David Shulkin MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $993,612 | $33,544 | 37.50 | ||
| Karen Walsh | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Finn Wentworth | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Shari Bunks Geller | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Harvey Gerhard MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Goryeb | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William Greenblatt | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Damion A Martins MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $555,054 | $102,575 | 37.50 | ||
| Daniel Pyo MD | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Gil Santaliz | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Paul Sturman | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Susan Walter | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Edward B Deutsch | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Gregory J Mulford | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $317,578 | $3,099 | 37.50 | ||
| Guy Taylor | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrk D Widmann | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| John A Gerson | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Derek T Malmberg | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| George Saunders | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Beth Wipperman | ||||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| James F Quinn | ||||||||
| Chief Development Officer | 37.50 | $0 | $313,466 | $110,800 | Yes (X) | |||
| Cynthia W O'Donnell JD | ||||||||
| Director of Gift Planning | 37.50 | $0 | $153,640 | $11,164 | Yes (X) | |||
| Hyona Revere | ||||||||
| Director of Major Gifts | 37.50 | $0 | $151,031 | $9,053 | Yes (X) | |||
| Christine Hajsok | ||||||||
| Director of Finance | 37.50 | $0 | $149,123 | $11,783 | Yes (X) | |||
| Regina Diverio | ||||||||
| Director-Communications | 37.50 | $0 | $127,993 | $5,574 | Yes (X) | |||
| Bonnie Gannon | ||||||||
| Director-Relations | 37.50 | $0 | $118,785 | $11,183 | Yes (X) | |||
| Susan Johns | ||||||||
| Major Gifts | 37.50 | $0 | $106,548 | $4,343 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,433,936 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $368,416 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $150,220 | FundraisingAmt |
| All Other Contributions | $14,904,635 | AllOtherContributionsAmt |
| Noncash Contributions | $64,437 | NoncashContributionsAmt |
| Total Contributions | $15,054,855 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,663,112 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $20,522 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,642,590 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,473,676 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,231,663 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,242,013 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,242,013 | TotalRevenueColumnAmt |
| Exclusion | $3,242,013 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $88,789 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $150,220 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $108,298 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,509 | TotalRevenueColumnAmt |
| Exclusion | -$19,509 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $18,204 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $248 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,956 | TotalRevenueColumnAmt |
| Exclusion | $17,956 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,958,427 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $20,522 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,883,050 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,326,330 | TotalAmt |
| Program Services | $4,326,330 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,700 | TotalAmt |
| Program Services | $716,700 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,999,599 | TotalAmt |
| Program Services | $378,962 | ProgramServicesAmt |
| Fundraising | $1,620,637 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,870 | TotalAmt |
| Fundraising | $309,870 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,382 | TotalAmt |
| Management And General | $14,382 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,765 | TotalAmt |
| Fundraising | $238,765 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,781 | TotalAmt |
| Fundraising | $41,781 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,490 | TotalAmt |
| Fundraising | $63,490 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,766 | TotalAmt |
| Management And General | $88,766 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,730 | TotalAmt |
| Management And General | $24,730 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,824 | TotalAmt |
| Management And General | $51,824 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,720 | TotalAmt |
| Management And General | $5,720 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,881,957 | TotalAmt |
| Program Services | $5,421,992 | ProgramServicesAmt |
| Management And General | $185,422 | ManagementAndGeneralAmt |
| Fundraising | $2,274,543 | FundraisingAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,329,033 | BOYAmt |
| EOY | $12,750,632 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,959,754 | BOYAmt |
| EOY | $50,971,863 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,111,789 | BOYAmt |
| EOY | $41,723,462 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,700,736 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,910,659 | BOYAmt |
| EOY | $2,703,451 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,311,235 | BOYAmt |
| EOY | $118,850,144 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,337 | BOYAmt |
| EOY | $1,577,190 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,581,677 | BOYAmt |
| EOY | $1,572,185 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,008,014 | BOYAmt |
| EOY | $3,149,375 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,008,102 | BOYAmt |
| EOY | $29,558,786 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,835,412 | BOYAmt |
| EOY | $53,515,660 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,459,707 | BOYAmt |
| EOY | $32,626,323 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,303,221 | BOYAmt |
| EOY | $115,700,769 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,311,235 | BOYAmt |
| EOY | $118,850,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,076,470 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,823,936 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,502,858 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,056,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,881,492 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,766,658 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,441,711 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,053,302 | CurrentTaxYearAmt |
| Total | $71,199,508 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,056,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,881,492 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,766,658 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,441,711 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,053,302 | CurrentTaxYearAmt |
| Total | $71,199,508 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,260,835 | SubstantialContributorsTotAmt |
| Public Support Total170 | $66,938,673 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,198,917 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,797,866 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,511,954 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,140,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,663,112 | CurrentTaxYearAmt |
| Total | $10,312,453 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $81,511,961 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.82120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81560 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $74,295,119 | BeginningYearBalanceAmt |
| Contributions | $12,998,553 | ContributionsAmt |
| Investment Earnings Or Losses | $5,394,199 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,545,888 | OtherExpendituresAmt |
| End Year Balance | $86,141,983 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,179,353 | BeginningYearBalanceAmt |
| Contributions | $18,844,913 | ContributionsAmt |
| Investment Earnings Or Losses | $4,371,231 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,100,378 | OtherExpendituresAmt |
| End Year Balance | $74,295,119 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,633,886 | BeginningYearBalanceAmt |
| Contributions | $12,989,768 | ContributionsAmt |
| Investment Earnings Or Losses | $148,154 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,592,455 | OtherExpendituresAmt |
| End Year Balance | $60,179,353 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $57,108,691 | BeginningYearBalanceAmt |
| Contributions | $9,557,598 | ContributionsAmt |
| Investment Earnings Or Losses | $4,280,237 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,312,640 | OtherExpendituresAmt |
| End Year Balance | $60,633,886 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $54,655,373 | BeginningYearBalanceAmt |
| Contributions | $7,307,198 | ContributionsAmt |
| Investment Earnings Or Losses | $3,030,613 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,884,493 | OtherExpendituresAmt |
| End Year Balance | $57,108,691 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.38000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $10,700,736 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,700,736 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Annuities Payable | Desc |
| Amt | $1,572,185 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,572,185 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,958,427 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,958,427 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,958,427 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,881,957 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,881,957 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,881,957 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The Foundation for Morristown Medical Center(the "Foundation")is a not-for-profit fundraising organization which solicits funds in its general appeal to support both Morristown Medical Center, which is a divison of AHS Hospital Corporation, and the community as the Foundation's Board may deem appropriate. The by-laws of the Foundation were amended on September 27, 2007, to provide that funds received by the Foundation after the date of the amendment may be used for the benefit of the Overlook Division of AHS Hospital Corporation upon approval of the Executive Committee of the Board of the Foundation. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| Jay Angeletti Group | ||||||||
| 17 Village Road | New Vernon | NJ | 07976 | Consulting and Fundraising | 0 | $8,090,811 | $38,000 | $8,052,811 |
| Harris Connect | ||||||||
| 1511 Route 22 | Brewster | NY | 10509 | Direct Mail/Internet/Phone | 0 | $322,876 | $200,765 | $122,111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $8,413,687 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $238,765 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $8,174,922 | TotalNetToOrganizationAmt |
| Licensed States | NJ | LicensedStatesCd |
| Licensed States | NY | LicensedStatesCd |
| Licensed States | PA | LicensedStatesCd |
| Licensed States | FL | LicensedStatesCd |
| Licensed States | DE | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Event | NameOfEvent1Amt |
| Gross Receipts Event1 | $110,500 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $60,500 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $50,000 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $50,784 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $319 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Craniofacial Gala | NameOfEvent2Amt |
| Gross Receipts Event2 | $41,911 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $33,136 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,775 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $7,617 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $8,597 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $9,191 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 4 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $86,598 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $56,584 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $30,014 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $437 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $27,638 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $48 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $475 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,192 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $239,009 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $150,220 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $88,789 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $8,054 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $78,422 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $8,645 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $475 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $12,702 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $108,298 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$19,509 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $18,204 | GrossRevenueOtherGamingAmt |
| Rent Fclty Costs Other Gaming | $40 | RentFcltyCostsOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $208 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (1) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 1.00000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $18,204 | GrossRevenueTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $40 | RentFcltyCostsTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $208 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $248 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $17,956 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NJ | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.50000 | GamingOwnFacilityPct |
| Gaming Other Facility | 0.50000 | GamingOtherFacilityPct |
| Individual With Books | Christine Hajsok | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 South Street | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | Christine Hajsok | GamingManagerPersonNm |
| Gaming Manager Compensation | $149,123 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | The Director of Finance for the Foundation for Morristown Medical Center. She manages and oversees all fundraising activities for this entity. | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | Yes (1) | CharitableDistributionRqrInd |
| Distributed | $0 | DistributedAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morristown Medical Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Madison Avenue | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 07960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 521958352 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $4,326,330 | CashGrantAmt |
| Purpose Of Grant | Program Services. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Project Independence | 108 | $702,200 |
| Nursing School Tuition Grants | 7 | $14,500 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2: | The organization uses due diligence in the process for reviewing and selecting grant recipients and is comfortable that the grants are used for their intended purpose. The grants issued were made to related organizations to further their exempt purpose. |
| Schedule I, Part III, Line 1 | Project Independence is a grant funding project to help Morristown Medical Center patients over a temporary financial hardship. It is overseen by a volunteer committee made up of care providers from different areas of the Medical Center. They meet every two months to review detailed applications. An application can only be submitted by a case worker who would be aware of the financial position of the patient and is working with them to secure other types of help including prescription assistance, food stamps, Social Security disability, etc. Most of the recommenders are social workers or patient liaisons. Grants up to $7,000 are made payable directly to the individual. |
| Schedule I, Part III, Line 2 | 2012-2013 WAMMC Scholarship The Women's Association of Morristown Medical Center (WAMMC) is a dynamic, volunteer-based organization with a legacy of service that encompasses over a century. Its mission is to support Morristown Medical Center in advancing the quality of healthcare it offers, through fundraising. WAMMC established the Scholarship Trust Fund in 1995. Our Scholarship Trust Fund awards financial aid to qualified MMC or ARI employees pursuing studies in the healthcare field. Submitting an application does not obligate WAMMC to award a scholarship. In the 2014 calendar year, WAMMC anticipates awarding a total of $20,000 in scholarships. WAMMC Scholarship Award Criteria Award criteria must include but are not limited to: 1. The applicant being a full time, on-site MMC or ARI employee who is providing direct patient care or involved in other activities that impact patient care. Applicant, whose employment status changes during the award year, will not receive funding. 2. Supervisor (the person responsible for your performance review) and colleague recommendation(s) as this information is critical in our decision making process. 3. Hospital, community and professional activities. 4. Request for aid should be for studies not covered by Atlantic Healths tuition reimbursement plan. 5. Nursing credentials held by applicant. 6. MD and DDS degrees are not supported. WAMMC Scholarship Funds What can they be used for? 1. WAMMC will award scholarship funds for courses that are specific for healthcare, i.e., English, art, history, math, physical education courses are not supported. 2. WAMMC will award scholarship funds for books needed for a specific course, prep or review courses. 3. MD, MBA and DDS degrees are not supported. Applicants Responsibilities: Applications will be available as of October 1 and must be completed and submitted, along with the necessary recommendations, on or before February 1. 1. Applicant must be a current employee of MMC or ARI, and remain a full time employee and work on site at AHSs Morristown Medical Center. 2. The applicant must enroll in a course with a recognized health care program accreditation, review program, or be accepted for a clinical experience at MMC or ARI department to be able to apply for a WAMMC scholarship. 3. It is the responsibility of the applicant to ensure that by February 1 the WAMMC Scholarship Committee has received all information required for their decision. Scholarship Application Process Submitting a completed application does not obligate WAMMC, a volunteer based organization, to award a scholarship. Completed applications are due February 1. No application received after February1 will be considered. A complete application requires the following items: 1. Completed application. Please do not use abbreviated form or acronyms and remember to include a course description. 2. Completed Reference Form(s). This information is critical in our decision making process. The WAMMC Scholarship Committee will notify the applicant of its decision by March 1. The Scholarship Committee may award the total amount of aid requested or a portion of the aid requested. Requirements for Reference Form Ask your supervisor to complete and forward the WAMMC Reference Form. Additional references may be submitted and is recommended. All references are due February 1. Requirements for Scholarship Payments WAMMC scholarship payments will be made only after the semester, course or clinical experience is successfully completed. To receive scholarship award payment for the approved course, you must: 1. Must still be a full time employee and work on site at AHS Morristown Medical Center. 2. Supply a formal school transcript for the approved course(s) with grade(s). A graded course is only reimbursed if the applicant has received a minimum of 2.0 on a 4.0 scale. 3. For education that does not have a grade, supply a certificate or letter from the provider showing satisfactory completion of classes (e.g. pass/fail). 4. If aid was for a clinical experience, provide a letter from your MMC or ARI Department Supervisor, or MMC or ARI Program Coordinator stating that your work met their expectations. 5. An official itemized tuition bill must accompany the formal school transcript. 6. The above information must be received by the WAMMC Scholarship Committee no later than 90 days after course completion. 7. It is the responsibility of the applicant to ensure that the WAMMC Scholarship Committee has received all the required information for the scholarship payment. Requirements for Book Scholarship Payments To receive scholarship award payment for the approved book(s), you must: 1. Supply a formal school transcript or certificate or letter from the provider of the course showing satisfactory completion of classes. 2. Provide a receipt for the book(s). Receipt must show the school bookstore name, the specific title of the book and the course name. If a book is purchased from another source, the receipt must have the name of the vendor, specific title of the book and information from the school, teacher or vendor, stating the book was required. 3. The above information must be received by the WAMMC Scholarship Committee no later than 90 days after course completion. 4. It is the responsibility of the applicant to ensure that the WAMMC Scholarship Com |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trish O'Keefe | ||||||||||||||
| Trustee | $0 | $327,776 | $0 | $59,200 | $0 | $4,135 | $0 | $63,200 | $0 | $2,098 | $0 | $456,409 | $0 | $59,200 |
| David Shulkin MD | ||||||||||||||
| Trustee | $0 | $666,467 | $0 | $300,700 | $0 | $26,445 | $0 | $29,211 | $0 | $4,333 | $0 | $1,027,156 | $0 | $300,700 |
| Damion A Martins MD | ||||||||||||||
| Trustee | $0 | $459,434 | $0 | $95,200 | $0 | $420 | $0 | $97,600 | $0 | $4,975 | $0 | $657,629 | $0 | $95,200 |
| Gregory J Mulford | ||||||||||||||
| Trustee | $0 | $317,095 | $0 | $0 | $0 | $483 | $0 | $0 | $0 | $3,099 | $0 | $320,677 | $0 | $0 |
| James F Quinn | ||||||||||||||
| Chief Development Officer | $0 | $263,652 | $0 | $35,700 | $0 | $14,114 | $0 | $106,217 | $0 | $4,583 | $0 | $424,266 | $0 | $35,700 |
| Cynthia W O'Donnell JD | ||||||||||||||
| Director of Gift Planning | $0 | $147,818 | $0 | $4,500 | $0 | $1,322 | $0 | $5,900 | $0 | $5,264 | $0 | $164,804 | $0 | $4,500 |
| Hyona Revere | ||||||||||||||
| Director of Major Gifts | $0 | $147,328 | $0 | $3,400 | $0 | $303 | $0 | $5,500 | $0 | $3,553 | $0 | $160,084 | $0 | $3,400 |
| Christine Hajsok | ||||||||||||||
| Director of Finance | $0 | $144,069 | $0 | $4,600 | $0 | $454 | $0 | $5,700 | $0 | $6,083 | $0 | $160,906 | $0 | $4,600 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 6 | FormAndLineReferenceDesc |
| Explanation | An annual incentive plan exists for the Foundation's Director. The incentive plan distributes bonuses to the Director based on performance results on various performance measurements. The performance measurements include: - Total Philanthropy - Cost per dollar raised - Budget - Soliciatations of $100K or more - General Gifts - Renewal - Mail & Phone - Special Gifts - Acquisition and Renewal - Major Gifts - Donor Renewal - Cost - Operating Gain/(Loss) - Cost - Expense per Adjusted Admission/CMIA System - Service - Patient Satisfaction Overall - Growth - IP Admissisions - Growth - OP Visits - People - Employee Engagement Index - Quality & Safety - Nosocomial Infection Maker - Quality & Safety - Mortality - Individual Goals The above performance measures have the following three specific performance goals in order to determine any incentive award: Threshold Target Maximum These above amounts were paid by a related organization. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Hess Corp | |||
| Refer to below. | $6,063,089 | Performance. Christopher J Baldwin (Board Member-Trustee) is an Executive Officer of Hess Corp. AHS Hospital Corp (A related organization) paid Hess Corp. $6,063,089 during 2013 for applicable goods. Transaction is considered to be negotiated at arms-length. | 0 |
| Pfizer | |||
| Refer to below. | $422,794 | Performance. Paul Sturman (Board Member-Trustee) is an employee of Pfizer. AHS Hospital Corp (A related organization) paid Pfizer $422,794 during 2013 for applicable goods. Transaction is considered to be negotiated at arms-length. | 0 |
| Robert Rooke | |||
| Refer to below. | $22,287 | Peformance. Robert Rooke is the son of Ann Rooke(Trustee and Officer-AHS and F4MMC). AHS (A related organization) compensated Robert Rooke $22,287 during 2013. Transaction is considered to be negotiated at arms-length. | 0 |
| Deloitte | |||
| Refer to below. | $523,868 | Performance. Derek Malmberg (Board Member-Trustee) is a Partner at Deloitte. AHS Hospital Corp (A related organization) paid Deloitte $523,868 during 2013 for applicable services. Transaction is considered to be negotiated at arms-length. | 0 |
| MidAtlantic Neonatiology Associates | |||
| Refer to below. | $1,316,596 | Performance. Gaines Mimms, MD (Board Member-Trustee) is a Neonatologist at MidAtlantic Neonatiology Assoc, AHS Hospital Corp (A related organization) paid MidAtlantic Neonatiology $1,316,596 during 2013 for applicable services. Transaction is considered to be negotiated at arms-length. | 0 |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,035 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Sale of comp property | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $6,450 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Sale of comp property | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,499 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Sale of comp property | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Toys | 88 | $26,637 | Sale of comp propert |
| Yes (X) | Electronics | 9 | $8,335 | Sale of comp propert |
| Yes (X) | Entertainment | 2 | $7,596 | Cash value of gift |
| Yes (X) | Gift Cards | 3 | $3,885 | Cash value of cards |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | As per the by-laws, each of the entities has one "member", that being Atlantic Health System, Inc. There are no other members or classes of membership whatsoever as indicated in the by-laws. |
| Form 990, Part VI, Section A, line 7a | Atlantic Health System, Inc. is the only "member" which wholly owns the Foundation for Morristown Medical Center. As a result, Atlantic Health System, Inc. may elect the members of the governing bodies for each of the entities. |
| Form 990, Part VI, Section A, line 7b | Atlantic Health System, Inc. is the only "member" which wholly owns the Foundation for Morristown Medical Center. As a result, Atlantic Health System, Inc. approves the decisions of the governing bodies. |
| Form 990, Part VI, Section B, line 11 | The final draft of the IRS 990 was distributed to the "Accounting Sub-Committee" for their review. The "Accounting Sub-Committee" then presents it to the Financial Oversight Committee who will then present it to the Board of Directors. |
| Form 990, Part VI, Section B, line 12c | In conjunction wtih Atlantic Health System (Parent), the Foundation for Morristown Medical Center requires disclosure of potential conflicts. This policy governs all personnel at the Foundation, including Board Members. Additionally, the Board Committee members must fill out annual disclosures with specific questions regarding potential conflicts. For potential conflicts involving employees, conflicts involving business relationships require prior disclosure and approval by the Compliance Officer (General Counsel). Conflicts involving Board members require approval from the Compliance Officer and the head of the Audit Committee, who may refer those conflicts to the Compliance Committee of the Board. Restrictions are fact-dependent, but may include recusal from deliberations regarding subject matter affected by the conflict. |
| Form 990, Part VI, Section B, line 15 | In conjunction with Atlantic Health System (Parent): Line 15A: - A review of officer compensation by an independent 3rd party (Integrated Healthcare Strategies) is completed every year. The most recent survey was conducted in 2013. Officers include President and CEO AH, VP HR & CAO, VP Finance & CFO, VP Legal Affairs, VP Quality & Chief Medical Officer, AHS; VP Government Affairs; VP, Behavioral & Integrative Medicine & CIO, VP Finance & Treasurer, VP AHS & President OH, VP AH & President MMC, and VP AHS & President NMC; VP, System Development & Chief Strategy Officer. In 12/15/2013, VP AHS & President CCM. - On behalf of Atlantic Health, Integrated Healthcare Strategies conducts an annual total compensation survey based on appropriate comparability data for like positions in like organizations. - The results of the survey are presented to the Executive Compensation Committee of the board which documents the findings and recommendations in committee minutes. Line 15b: - Compensation for key physicians is determined by soliciting salary data from 3 to 4 published sources. These salary recommendations are then reviewed with the MD Contract Committee and approved by the Physician Compensation Committee of the board. |
| Form 990, Part VI, Section C, line 18 | Currently the Foundation for Morristown Medical Center retains copies of the filed IRS 990 for the last three years and IRS Form 1023 with the most senior management's assistant. Public disclosure of these IRS 990's can be made at any time at each of the organization's sites. In addition, the 990 is posted on the website "www.foundationcenter.org" and "guidestar.org". |
| Form 990, Part VI, Section C, line 19 | The organization does not currently make it's financial statements open to public disclosure but the statement of financial position is available by accessing the Form 990 from the website. The governing documents and conflict of interest polices are not currently made available to the public. |
| Form 990, Part XI, line 9: | Distributions to Morristown Division-Capital -2,798,914. Beneficial Interest in Charitable Remainder Unitrust 1,296,056. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AHS Hospital Corp | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 521958352 | Healthcare | NJ | 501(c)(3) | Line 3 | Atlantic Health System Inc | Yes (1) | |
| Atlantic Ambulance Corporation | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223820288 | Healthcare Transportation | NJ | 501(c)(3) | Line 9 | Atlantic Health System Inc | Yes (1) | |
| Atlantic Health System Inc | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 223380375 | Human Health through AHS Hospital Corp. | NJ | 501(c)(3) | Line 11a, I | 0 | N/A | |
| Newton Medical Center Foundation | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 222618102 | Administers donations, grants and bequets and performs fundraising | NJ | 501(c)(3) | Line 7 | Atlantic Health System Inc | Yes (1) | |
| Prime Care Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 222759566 | Provides home health and other healthcare services | NJ | 501(c)(3) | Line 9 | Atlantic Health System Inc | Yes (1) | |
| North Jersey Health Care Properties Inc | |||||||||||
| 175 High Street | Newton | NJ | 07860 | 223519709 | Owns commercial buildings and conducts leasing activities | NJ | 501(c)(2) | Atlantic Health System Inc | Yes (1) | ||
| PRACTICE ASSOCIATES MEDICAL GROUP | |||||||||||
| 475 South Street | Morristown | NJ | 07960 | 202088165 | PHYSICIAN SERVICES | NJ | 501(c)(3) | Line 11a, I | Atlantic Health System Inc | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|
| Morris Photopheresis | ||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223314012 | Healthcare Research | NJ | 0 | 0 |
| Affiliated Collection Services LLC | ||||||||
| 17 Prospect Street | Morristown | NJ | 07960 | 270555659 | Colelction Services | NJ | 0 | 0 |
| Morristown Medical Investors | ||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 650840535 | Real Estate | NJ | 0 | 0 |
| Primary Care Partners LLC | ||||||||
| 475 South Street | Morristown | NJ | 07960 | 274980253 | Physician Services | NJ | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Atlantic Health Management Corp and Subsidiaries | ||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 223538027 | Health | NJ | N/A | C | 0 | |
| AHS Insurance Company LTD | ||||||||||
| 200 American Road | Morris Plains | NJ | 07950 | 223380375 | Insurance | NJ | C | 0 | Atlantic Health System Inc | |
| Nutley Medical Care PA | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645010 | Healthcare | NJ | C | 0 | Atlantic Health System Inc | |
| Non-Invasice Diagnstics PA | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 202027439 | Healthcare | NJ | C | 0 | Atlantic Health System Inc | |
| Speciality Care of Practice Associates PA | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 030376428 | Healthcare | NJ | C | 0 | Atlantic Health System Inc | |
| Maternal Fetal Medicine of PRactice Associates PA | ||||||||||
| 100 Madison Avenue | Morritown | NJ | 07960 | 030376421 | Healthcare | NJ | C | 0 | Atlantic Health System Inc | |
| Madison Pediatrics PA | ||||||||||
| 100 Madison Avenue | Morristown | NJ | 07960 | 223645007 | Healthcare | NJ | C | 0 | Atlantic Health System Inc | |
| North Jersey Health Ventures Inc | ||||||||||
| 175 High STreet | Newton | NJ | 07860 | 222705732 | Investments in healthcare related joint ventures | NJ | C | 0 | AHS Investment Corp | |
| AHS ACO LLC | ||||||||||
| 475 South Street | Morristown | NJ | 07960 | 273800813 | Physician Practice | NJ | C | 0 | AHS Investment Corp | |
| The Northwest New Jersey MedicalSurgicalAlliance PC | ||||||||||
| 175 High Street | Newton | NJ | 07860 | 450577942 | Healthcare Services | NJ | C | 0 | AHS Investment Corp | |
| The Northwest New Jersey Urgent Care Alliance PC | ||||||||||
| 175 High Street | Newton | NJ | 07860 | 830492357 | Healthcare Services | NJ | C | 0 | Atlantic Health System Inc | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AHS Hospital Corp | ||
| Q | $10,301,910 | Actual amount of transaction. |
| AHS Hospital Corp | ||
| B | $22,443,905 | Actual amount of transaction. |
| AHS Hospital Corp | ||
| B | $2,798,914 | Actual amount of transaction. |
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