ENGLEWOOD HOSPITAL AND MEDICAL CENTER A NEW JERSEY NONPROFIT CORP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER A NEW JERSEY NONPROFIT CORP (EIN 22-1487173)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349304630
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T14:16:35-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221487173EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ANTHONY T ORLANDOInCareOfName
Name ControlENGLNameControl
Phone2018943275Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
Address Line2SuiteAddressLine2
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWARREN GELLERName
TitlePRESIDENTTitle
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWARREN GELLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode
FieldValueIRS element (for citing)
Gross Receipts390916793GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Siteenglewoodhospital.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionHEALTHCARE SERVICES (AN ACUTE CARE HOSPITAL).ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees2742TotalNbrEmployees
Total Nbr Volunteers745TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6182175ContributionsGrantsPriorYear
Contributions Grants Current Year6149788ContributionsGrantsCurrentYear
Program Service Revenue Prior Year342118744ProgramServiceRevenuePriorYear
Program Service Revenue CY375065275ProgramServiceRevenueCY
Investment Income Prior Year8901238InvestmentIncomePriorYear
Investment Income Current Year499022InvestmentIncomeCurrentYear
Other Revenue Prior Year7810772OtherRevenuePriorYear
Other Revenue Current Year9200008OtherRevenueCurrentYear
Total Revenue Prior Year365012929TotalRevenuePriorYear
Total Revenue Current Year390914093TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year16550GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7800GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year164565417SalariesEtcPriorYear
Salaries Etc Current Year164406792SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year184329098OtherExpensePriorYear
Other Expenses Current Year220789502OtherExpensesCurrentYear
Total Expenses Prior Year348911065TotalExpensesPriorYear
Total Expenses Current Year385204094TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16101864RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5709999RevenuesLessExpensesCY
Total Assets BOY351965887TotalAssetsBOY
Total Assets EOY346212199TotalAssetsEOY
Total Liabilities BOY272137799TotalLiabilitiesBOY
Total Liabilities EOY256145448TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY79828088NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY90066751NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND THE COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH AS DEMONSTRATED BY ITS AFFILIATION WITH THE MOUNT SINAI SCHOOL OF MEDICINE; PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense321556011Expense
Grants7800Grants
Revenue380295857Revenue
DescriptionABOUT ENGLEWOOD HOSPITAL AND MEDICAL CENTER A BRIEF HISTORY ENGLEWOOD HOSPITAL WAS INCORPORATED IN 1888 AS A NON-PROFIT, NON-SECTARIAN VOLUNTARY HEALTH CARE FACILITY DEVOTED TO "THE CARE, MAINTENANCE AND CURE OF THE SICK, INJURED AND THE INFIRMED." THE FIRST BUILDING WAS DEDICATED ON JUNE 14, 1890, AND HOUSED TWELVE BEDS. ENGLEWOOD HOSPITAL ADMITTED ITS FIRST PATIENT ON JUNE 25, 1890. OVER THE YEARS, POPULATION GROWTH IN THE NORTHERN VALLEY RESULTED IN SEVERE OVER-CROWDING, WHICH INDUCED A MAJOR NEW BUILDING PROGRAM IN 1923. IN 1925, THE HOSPITAL MOVED INTO WHAT IS NOW THE EAST WING. ENGLEWOOD HOSPITAL HAD GROWN TO A 200-BED HOSPITAL WITH LABORATORY, X-RAY FACILITIES, AN OPERATING SUITE, PEDIATRIC, MATERNITY AND OUTPATIENT DEPARTMENTS, INCLUDING A PUBLIC HEALTH NURSING SERVICE, AND A MEDICAL STAFF OF 30 DOCTORS INCLUDING SPECIALISTS IN EYE, EAR, NOSE AND THROAT, PEDIATRICS, SURGERY, RADIOLOGY AND LABORATORY. THROUGHOUT THE 1940S, THE HOSPITAL CONTINUED TO INTRODUCE NEW SERVICES NEEDED BY THE COMMUNITY OR AVAILABLE BECAUSE OF TECHNOLOGY. IT FORMALIZED THE RADIOLOGY DEPARTMENT, EQUIPPED WITH CURRENT TECHNOLOGY AND STARTED ITS "PLASMA BANK", BERGEN COUNTY'S FIRST BLOOD BANK FOR WHOLE BLOOD. IT ALSO ESTABLISHED GYNECOLOGICAL, BRONCHOSCOPY, GASTROSCOPY AND CARDIAC CLINICS. THE SPECIALIZATION TREND IN THE 1960S BRED A HOST OF NEW SERVICES, REFLECTING TECHNOLOGY ADVANCES IN EQUIPMENT AND PROCEDURES. AS THE MEDICAL AND CARING REPUTATION OF THE HOSPITAL GREW, SO DID ITS ROLE AS A TEACHING FACILITY; ITS NURSING SCHOOL WAS WELL ESTABLISHED, AND THE HOSPITAL NOW HAD INTERNSHIPS FOR DOCTORS AND DENTISTS, AND FOR CHAPLAINS. NEW PATIENT CARE PROGRAMS REFLECTED THE NEEDS OF THE 1970S: A NEUROSCIENCE CENTER, A DIABETES PROGRAM, A VASCULAR SURGERY PROGRAM AND A CHILD HEALTH CLINIC. A NEW CARDIOLOGY LABORATORY PROVIDED STRESS TESTING, ECHOCARDIOGRAPHY AND OTHER SOPHISTICATED SCREENINGS FOR CORONARY PATIENTS. A CRISIS INTERVENTION CENTER, A NEW BIRTHING CENTER AND A NETWORK OF SERVICES SUPPORTED THE NEW EMPHASIS ON "FAMILY". THE 1980S ALSO BROUGHT A NEW VOCABULARY OF SERVICES AND EQUIPMENT TO THE HOSPITAL. CAT SCAN, MRI, GENETIC COUNSELING, IMAGING, CATHETERIZATION, GERIATRICS, MAMMOGRAPHY, LAPAROSCOPY AND AMBULATORY SURGERY. THE DECADE ALSO INTRODUCED A NEW ARRAY OF ALTERNATIVE DELIVERY SYSTEMS THAT WOULD REQUIRE HOSPITALS ACROSS THE NATION TO CONTEND WITH DECREASING OCCUPANCY RATES AND RISING COSTS, AND WITH NEW DEFINITIONS OF QUALITY AND COMPETITIVENESS. AT THE CLOSE OF ITS FIRST CENTURY OF SERVICE, ENGLEWOOD HOSPITAL HAD GROWN TO 547 BEDS-THE LARGEST VOLUNTARY ACUTE CARE HOSPITAL IN BERGEN COUNTY AND THE THIRD LARGEST IN NEW JERSEY. ENGLEWOOD HOSPITAL WAS FULLY ACCREDITED AND ABOUT TO BECOME A MAJOR TEACHING HOSPITAL. IN 2012, A NURSING STAFF OF APPROXIMATELY 650 AND MEDICAL STAFF OF MORE THAN 600 PROFESSIONALS SERVED MORE THAN 17,000 ADMITTED PATIENTS AND OVER 47,000 EMERGENCY CASES. THERE WERE 12,000 OPERATIONS AND SOME 2,300 BABIES BORN. THE HOSPITAL'S WORKFORCE OF ALMOST 2,000 MADE IT THE LARGEST EMPLOYER IN THE AREA. SUCH MASSIVE GROWTH SPURRED OTHER CHANGES, TOO. A GROWING EMPHASIS ON QUALITY, PATIENT WELFARE AND COMFORT LED TO THE DEVELOPMENT OF A PATIENT ADVOCACY PROGRAM-A MODEL FOR THE BERGEN COUNTY AREA. THE MEDICAL CENTER ALSO ESTABLISHED A DISCHARGE-PLANNING PROGRAM TO HELP EASE THE TRANSITION FROM HOSPITAL TO HOME. IN 1990, ENGLEWOOD HOSPITAL CELEBRATED ITS 100TH ANNIVERSARY. MEDICAL CENTER-BASED EFFORTS HELPED ENHANCE QUALITY AND MEASURE PERFORMANCE AS COMPARED TO OTHER ORGANIZATIONS. THE MEDICAL CENTER ALSO WORKED WITH OTHER STAKEHOLDERS ACROSS THE COUNTRY, SHARING INFORMATION AND IDEAS, AND PARTICIPATING IN IMPORTANT INITIATIVES SUCH AS TRANSFORMING CARE AT THE BEDSIDE AND 5 MILLION LIVES CAMPAIGN. CORPORATE STRUCTURE ENGLEWOOD HEALTHCARE FOUNDATION D/B/A/ ENGLEWOOD HEALTHCARE SYSTEM (THE "SYSTEM" OR "PARENT") IS A NEW JERSEY NONPROFIT CORPORATION, WHICH WAS ORGANIZED AS A 501(C)(3) TAX EXEMPT HOLDING CORPORATION. IT IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE MEDICAL CENTER AND THE OTHER SUBSIDIARIES OF THE PARENT. THE PARENT COORDINATES PLANNING, HOSPITAL OPERATIONS, REAL ESTATE ACTIVITY, AND SERVICES THAT SUPPORT FOR PROFIT VENTURES INCLUDING FUND RAISING PROVIDED BY THE SYSTEM AND ITS AFFILIATES. THE PARENT SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER, ENGLEWOOD HEALTHCARE PROPERTIES, INC., ("PROPERTIES"), ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (THE "FOUNDATION") AND ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ("ENTERPRISES"); REFERRED TO COLLECTIVELY AS AFFILIATES ("AFFILIATES"), ENGLEWOOD MEDICAL ASSOCIATES, INC., IS A WHOLLY OWNED, 501(C)(3) NOT FOR PROFIT SUBSIDIARY OF THE MEDICAL CENTER. FOLLOWING IS A BRIEF DESCRIPTION OF EACH OF THE AFFILIATES OF THE PARENT OTHER THAN THE MEDICAL CENTER: ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, A NOT FOR PROFIT 501(C)(3) ORGANIZATION FOUNDED IN 1995, PERFORMS FUND RAISING AND DEVELOPMENT ON BEHALF OF THE SYSTEM AND ITS AFFILIATES. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ENGLEWOOD HEALTHCARE PROPERTIES, INC, A NOT FOR PROFIT 501(C)(3) COMPANY, WAS FORMED FOR THE PURPOSE OF ACQUIRING REAL ESTATE TO BE USED BY THE MEDICAL CENTER AND AFFILIATES OF THE SYSTEM. IT OWNS PROPERTIES IN BERGEN AND HUDSON COUNTIES. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A FOR PROFIT CORPORATION THAT PROVIDES HEALTHCARE RELATED SERVICES WITHIN THE MEDICAL CENTER'S SERVICE AREA. IT CURRENTLY MAINTAINS A MANAGEMENT SERVICE ORGANIZATION FOR THE PRACTICES OF ENGLEWOOD MEDICAL ASSOCIATES. ENGLEWOOD MEDICAL ASSOCIATES, INC. ENGLEWOOD MEDICAL ASSOCIATES, INC. ("EMA"), IS A 501(C)(3) NOT FOR PROFIT CORPORATION EMPLOYING FULL-TIME FACULTY PHYSICIANS. IT IS A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER. MEDICAL ASSOCIATES OF ENGLEWOOD, PC MEDICAL ASSOCIATES OF ENGLEWOOD, PC ("MAE"), IS A 501(C)(3) NOT FOR PROFIT CORPORATION THAT EMPLOYS FULL-TIME FACULTY PHYSICIANS AND ACQUIRES PHYSICIAN PRACTICES IN THE PRIMARY AND SECONDARY MARKETS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER. PHYSICIAN PARTNERS OF ENGLEWOOD, PC PHYSICIAN PARTNERS OF ENGLEWOOD, PC IS A 501(C)(3) NOT FOR PROFIT CORPORATION THAT EMPLOYS FULL-TIME FACULTY PHYSICIANS. EMERGENCY PHYSICIANS OF ENGLEWOOD, PC EMERGENCY PHYSICIANS OF ENGLEWOOD, PC IS A 501(C)(3) NOT FOR PRFIT CORPORATION THAT EMPLOYS FULL-TIME EMERGENCY MEDICINE PHYSICIANS. GOVERNANCE THE AFFAIRS OF THE MEDICAL CENTER ARE GOVERNED BY A 26 MEMBER BOARD OF TRUSTEES. THE PRESIDENT OF THE MEDICAL CENTER AND THE PRESIDENT, VICE PRESIDENT AND IMMEDIATE PAST PRESIDENT OF THE MEDICAL STAFF SERVE EX OFFICIO WITH VOTING PRIVILEGES. THE BOARD OF TRUSTEES GENERALLY MEETS MONTHLY. COMMITTEES OF THE BOARD OF TRUSTEES COMMITTEES OF THE BOARD INCLUDE FACILITIES PLANNING, FINANCE, PERSONNEL, PROFESSIONAL AFFAIRS, AND STRATEGIC PLANNING. THE AUDIT AND COMPLIANCE, COMPENSATION, EXECUTIVE, INVESTMENT, GOVERNMENT AFFAIRS AND NOMINATING AND GOVERNANCE, ARE COMMITTEES OF THE SYSTEM. ENGLEWOOD HOSPITAL AND MEDICAL CENTER TODAY ENGLEWOOD HOSPITAL AND MEDICAL CENTER, A NON PROFIT ORGANIZATION, HAS CONTINUALLY RESPONDED TO THE NEEDS OF THE COMMUNITIES IT SERVES SINCE 1888. IT PROVIDES QUALITY HEALTHCARE TO AREA RESIDENTS AND FREQUENTLY TO PEOPLE FROM ACROSS THE NATION, ESPECIALLY THROUGH OUR BLOODLESS MEDICINE PROGRAM. ENGLEWOOD RECOGNIZES THE CONSTANT CHALLENGES OF DELIVERING QUALITY HEALTHCARE AND HAS DEVELOPED A CULTURE WHEREIN WE TREAT THE PATIENT, NOT JUST THE PATIENT'S ILLNESS. ENGLEWOOD HOSPITAL AND MEDICAL CENTER STRIVES TO BE THE REGIONAL LEADER IN PROVIDING STATE OF THE ART COMPASSIONATE CARE, IN A HUMANISTIC ENVIRONMENT. VISION STATEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL BE THE REGIONAL LEADER IN PROVIDING STATE-OF-THE-ART COMPASSIONATE CARE IN A HUMANISTIC ENVIRONMENT. THE MISSION OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS TO: PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES. EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND COMMUNITY. -BE A CENTER OF EDUCATION AND RESEARCH, AS DEMONSTRATED BY ITS AFFILIATION WITH THE NEW YORK'S MOUNT SINAI SCHOOL OF MEDICINE. -PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. THE MEDICAL CENTER OPERATES AS A NON PROFIT ORGANIZATION, AND AS SUCH ANSWERS NOT TO SHAREHOLDERS, BUT TO THE COMMUNITIES IT SERVES. EXCESS OF REVENUE OVER EXPENSE IS RE-INVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, BUT ALSO TO MEET FUTURE PROGRAMMATIC NEEDS. ENGLEWOOD IS COMMITTED TO MEETING THE EXPECTATION OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE, AND THEREFORE MUST MAKE THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE MEDICAL CENTER IS COMMITTED TO TREAT ALL PATIENTS REGARDLESS OF THEIR FINANCIAL ABILITY AND HAS IN PLACE A FORMAL CHARITY CARE POLICY; AS PER THIS POLICY THE MEDICALDescription
Total Program Service Expense321556011TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096222NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2742NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANTHONY T ORLANDONamePerson
Telephone Number2018943280TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
CityENGLEWOODCity
StateNJState
ZIP Code076311898ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS A DUCHAK
PRESIDENT/SECRETARY/CEO55.08.0XX77890616955750560
JAY C NADEL
CHAIR./TRUSTEE (EFF 10-01-12)5.03.0XX
THOMAS C SENTER ESQ
VCE CHAIR/CHAIR (EFF 10-01-12)14.02.0XX
ROBERT F MANGANO
TREASURER2.02.0XX
YALE BLOCK
TRUSTEE2.01.0X
MICHAEL B BRENNER
TRUSTEE1.02.0X
EUGENE R DIAZ
TRUSTEE1.01.0X
ANDREW F DURKIN
TRUSTEE1.02.0X
HUGH E EVANS MD
TRUSTEE1.0X
GAYLE GERSTEIN
TRUSTEE1.0X
RONALD GOLD
TRUSTEE1.0X
EDDIE R HADDEN ESQ
TRUSTEE1.01.0X
MARGARET R KAPLEN
TRUSTEE1.0X
SAM S KIM
TTEE/VICE CHAIR (EFF 10-01-12)1.01.0XX
RICHARD J KURTZ
TRUSTEE1.04.0X
MARK METZGER
TRUSTEE1.0X
DANIEL RUBIN
TRUSTEE1.0X
MIGUEL A SANCHEZ MD
TRUSTEE2.01.0X
STEVEN SIESSER
TRUSTEE1.01.0X
ARYEH SHANDER MD
TRUSTEE1.0X50000
DAVID A SHANKS
TRUSTEE1.01.0X
IN JIN CHOI
TRUSTEE1.0X
BARRY SUSSMAN MD
TRUSTEE2.01.0X
THOMAS J VOLPE
TRUSTEE1.01.0X
BARBARA DILL MD
TRUSTEE (TERM. 01-01-12)1.0X
JONATHAN ABAD
TRUSTEE (EFF. 10-01-12)3.0X
PAUL T FADER
TRUSTEE1.0X
WARREN GELLER
EXECUTIVE VICE PRESIDENT/COO55.0X481711041712
ANTHONY T ORLANDO
SENIOR VICE PRESIDENT/CFO55.04.0X3769387728033067
MADELYN PEARSON RN
SR VP PATIENT CARE SERVICES55.0X273998030305
PATRICIA G WILSON
SENIOR VP HUMAN RESOURCES55.0285254030442X
MICHAEL PIETROWICZ
SR VP PLANNING & DEVELOPMENT55.02.0322991033584X
RONALD FUSCHILLO
VICE PRESIDENT, INFO. TECH55.029330102474X
THOMAS GRECO
VICE PRESIDENT, GENERAL SVCS55.0241967015104X
LORI FURNARI
DIR.OF PHYSICIAN INTEGRATTION55.022981201975X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3334878TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs246837TotalReportableCompFrmRltdOrgs
Total Other Compensation239223TotalOtherCompensation
Number Individuals GT100 K285NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ENGLEWOOD CARDIAC SURGERY ASSOCIATE
350 ENGLE STREETENGLEWOODNJ07631PHYSICIAN SERVICES2800000
NORTHERN VALLEY ANESTHESIOLOGY PA
375 ENGLE STREETENGLEWOODNJ07631PHYSICIAN SERVICES2542897
ADVANCED MEDICAL IMAGING OF NORTH J
452 OLD HOOK ROAD SUITE 301EMERSONNJ07630MANAGEMENT SERVICES960000
ENGLEWOOD RADIOLOGY GROUP
350 ENGLE STREETENGLEWOODNJ07631PHYSICIAN SERVICES751600
ENT AND ALLERGY ASSOCIATES LLP
560 WHITE PLAINS ROADTARRYTOWNNY10591PHYSICIAN SERVICES742052
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations2675613RelatedOrganizations
Government Grants3435174GovernmentGrants
All Other Contributions39001AllOtherContributions
Total Contributions6149788TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE622110374902025374902025
AFFILIATED ORGANIZATION RENT531190163250163250
FieldValueIRS element (for citing)
Total Program Service Revenue375065275TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column416785TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$416,785ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1029346Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1029346Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1029346TotalRevenueColumn
Exclusion$1,029,346ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities58650Securities
Other26287Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other2700Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities58650Securities
Other23587Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column82237TotalRevenueColumn
Exclusion$82,237ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES7222102170797$2,170,797
GAIN ON DEBT MODIFICATION90009928658642865864
VOLUME PURCHASING DISCOUNTS900099664560664560

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2469441TotalRevenueColumn
Related Or Exempt Function Income1700158RelatedOrExemptFunctionIncome
Exclusion$769,283ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8170662TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column390914093TotalRevenueColumn
Related Or Exempt Function Income380295857RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,468,448ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total7800Total
Program Services7800ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2131813Total
Program Services50000ProgramServices
Management And General2081813ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total99919Total
Program Services67172ProgramServices
Management And General32747ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total129946082Total
Program Services109196729ProgramServices
Management And General20749353ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6959857Total
Program Services5851208ProgramServices
Management And General1108649ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14975581Total
Program Services12590093ProgramServices
Management And General2385488ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10293540Total
Program Services8653863ProgramServices
Management And General1639677ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total647350Total
Program Services647350ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1523396Total
Program Services196313ProgramServices
Management And General1327083ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total166239Total
Management And General166239ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total19443Total
Management And General19443ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total58711371Total
Program Services52632086ProgramServices
Management And General6079285ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2360851Total
Program Services1685737ProgramServices
Management And General675114ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4644777Total
Program Services3344022ProgramServices
Management And General1300755ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5964998Total
Program Services414292ProgramServices
Management And General5550706ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7911550Total
Program Services4522935ProgramServices
Management And General3388615ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total373132Total
Program Services270296ProgramServices
Management And General102836ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total182112Total
Program Services171590ProgramServices
Management And General10522ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3591391Total
Program Services3591391ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19864355Total
Program Services10197376ProgramServices
Management And General9666979ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6391919Total
Program Services4930942ProgramServices
Management And General1460977ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES5134174751341747
DRUGS AND PHARMACEUTICALS211460512112342022631
OUTSIDE/CONTRACTED SERVICES22769966188029313967035
PROVISION FOR BAD DEBT1100000011000000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2178854Total
Program Services266718ProgramServices
Management And General1912136ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total385204094Total
Program Services321556011ProgramServices
Management And General63648083ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1517243BOY
EOY16413307EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36404148BOY
EOY17105090EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44387773BOY
EOY39914897EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3523018BOY
EOY3466102EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8880402BOY
EOY8525088EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4563262BOY
EOY5189343EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis479736537LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec285375496LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY185948921BOY
EOY194361041EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9016064BOY
EOY9788372EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4526500BOY
EOY4842328EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY53198556BOY
EOY46606631EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY351965887BOY
EOY346212199EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61286231BOY
EOY57381680EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY839772BOY
EOY288594EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY78043733BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY31355222BOY
EOY105335430EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100612841BOY
EOY93139744EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY272137799BOY
EOY256145448EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60681940BOY
EOY68918035EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16022290BOY
EOY18024858EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3123858BOY
EOY3123858EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY79828088BOY
EOY90066751EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY351965887BOY
EOY346212199EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5709999ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-53614ReconciliationUnrealizedInvest
Reconcilation Other Changes4582278ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals19443FilingOrganizationsTotals
Affiliated Group Totals19443AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals19443FilingOrganizationsTotals
Affiliated Group Totals19443AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals385184966FilingOrganizationsTotals
Affiliated Group Totals385184966AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals385204409FilingOrganizationsTotals
Affiliated Group Totals385204409AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus321985CurrentYearMinus3
Current Year Minus226220CurrentYearMinus2
Current Year Minus117753CurrentYearMinus1
Current Year19443CurrentYear
Total85401Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Current Year Minus20CurrentYearMinus2
Total0Total

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis180588OtherCostOrOtherBasis
Book Value180588BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis115871843OtherCostOrOtherBasis
Depreciation46627010Depreciation
Book Value69244833BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1614079OtherCostOrOtherBasis
Depreciation1572633Depreciation
Book Value41446BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis357887533OtherCostOrOtherBasis
Depreciation237175853Depreciation
Book Value120711680BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4182494OtherCostOrOtherBasis
Book Value4182494BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings194361041TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED6892516
INT IN NET ASSETS OF EHMC FDN21148716
DUE FROM AFFILIATED COMPANIES5208681
UNPAID MALPRACTICE CLAIMS5938211
DEFERRED DEBT ISSUANCE COSTS2881869
MED RESIDENT FICA REFUNDS DUE1030053
UNPAID WORKERS' COMP CLAIMS1171085
MDCAID ELEC HLTH REIMB DUE504290
REBATES & OTHER VENDOR CREDIT349477
OTHER RECEIVABLES1481733
FieldValueIRS element (for citing)
Total Book Value Other Assets46606631TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION LIABILITY$46,877,419
ESTIMATED AMOUNTS DUE TO PAYORS$33,002,607
UNPAID MALPRACTICE CLAIMS$5,938,211
RETIREE HEALTH BENEFITS LIABILITY$2,430,982
IBNR - MALPRACTICE CLAIMS$1,984,121
UNPAID WORKERS' COMPENSATION CLAIMS$1,171,085
MED. RESIDENT FICA REFUNDS PAYABLE$926,681
OTHER LIABILITIES$808,638
FieldValueIRS element (for citing)
Total Of Amounts93139744TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage201.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense19605126TotalCommunityBenefitExpense
Direct Offsetting Revenue1352000DirectOffsettingRevenue
Net Community Benefit Expense18253126NetCommunityBenefitExpense
Percent Of Total Expense0.04880PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18444897TotalCommunityBenefitExpense
Direct Offsetting Revenue13703691DirectOffsettingRevenue
Net Community Benefit Expense4741206NetCommunityBenefitExpense
Percent Of Total Expense0.01270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense38050023TotalCommunityBenefitExpense
Direct Offsetting Revenue15055691DirectOffsettingRevenue
Net Community Benefit Expense22994332NetCommunityBenefitExpense
Percent Of Total Expense0.06150PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense591554TotalCommunityBenefitExpense
Direct Offsetting Revenue157448DirectOffsettingRevenue
Net Community Benefit Expense434106NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense10580781TotalCommunityBenefitExpense
Direct Offsetting Revenue3235977DirectOffsettingRevenue
Net Community Benefit Expense7344804NetCommunityBenefitExpense
Percent Of Total Expense0.01960PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense326870TotalCommunityBenefitExpense
Direct Offsetting Revenue169404DirectOffsettingRevenue
Net Community Benefit Expense157466NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense34000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense34000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11533205TotalCommunityBenefitExpense
Direct Offsetting Revenue3562829DirectOffsettingRevenue
Net Community Benefit Expense7970376NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense49583228TotalCommunityBenefitExpense
Direct Offsetting Revenue18618520DirectOffsettingRevenue
Net Community Benefit Expense30964708NetCommunityBenefitExpense
Percent Of Total Expense0.08320PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,000,000BadDebtExpenseAmount
Amount Attributable To1100000AmountAttributableTo
Amount Reimbursed By Medicare117971000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare152994000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-35023000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode
FieldValueIRS element (for citing)
Website AddressENGLEWOODHOSPITAL.COMWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent201.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent201.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3CIF A PATIENT IS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAS NO OTHER INSURANCE COVERAGE, THEY ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM.
PART I, LINE 6AAS PART OF ITS ANNUAL FILING OF FORM 990, THE MEDICAL CENTER PREPARES A STATEMENT THAT PROVIDES A HISTORY OF THE MEDICAL CENTER, ITS CORPORATE STRUCTURE LISTING ITS AFFILIATED ORGANIZATIONS AND COMPANIES, A DESCRIPTION OF ITS GOVERNANCE AND STANDING COMMITTEES, ITS VISION STATEMENT, AND A DESCRIPTION OF ITS SERVICES PROVIDED TO THE COMMUNITY IN THE PRECEDING YEAR. THIS REPORT IS AVAILABLE TO ANYONE THAT REQUESTS A COPY OF THE MEDICAL CENTER'S FORM 990 AND IS LIKEWISE AVAILABLE TO INTERNET USERS THAT VISIT THE GUIDESTAR WEB SITE.
PART I, LINE 7 (COLUMN F)THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES.
PART I, LINE 7THE MEDICAL CENTER UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. THE ORGANIZATION DOES NOT UTILIZE A COST ACCOUNTING SYSTEM, NOR WAS A COST-TO-CHARGE RATIO UTILIZED TO DERIVE ANY OF THE AMOUNTS USED IN WORKSHEET 2.
PART III, LINES 2 AND 3PART III, LINE 2 THE AMOUNT OF ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. PART III, LINE 3 THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE IS APPROXIMATELY 10% OF THE TOTAL BAD DEBT EXPENSE (AT COST), WHICH IS CONSISTENT WITH THE MEDICAL CENTER'S EXPERIENCE OF PATIENT ACCOUNT WRITE-OFFS.
PART III, LINE 4THE TEXT OF THE MEDICAL CENTER'S AUDIT REPORT FOOTNOTE IN REGARDS TO BAD DEBTS IS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE RESULT FROM HEALTH CARE SERVICES PROVIDED BY THE MEDICAL CENTER. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FURTHER, THE CURRENT NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CHARITY CARE GUIDELINES REQUIRE THE PARTICIPATION AND COOPERATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES UNDERSTATE THE MEDICAL CENTER'S CHARITY CARE AMOUNTS AND OVERSTATE THE LEVEL OF BAD DEBTS REPORTED BECAUSE OF THE DIFFICULTIES INVOLVED WITH OBTAINING PATIENT COOPERATION. DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS UNDER THE MEDICAL CENTER'S UNINSURED FINANCIAL ASSISTANCE PROGRAM. DISCOUNTS TO THOSE PATIENTS WHO DID NOT QUALIFY UNDER THE CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE CHARITY CARE AMOUNTS. THE MEDICAL CENTER RECEIVES PARTIAL REIMBURSEMENT FOR THE CHARITY CARE IT PROVIDES
PART III, LINE 18THE MEDICARE SHORTFALL REFLECTS THE "NET" PROVISION OF FULL SERVICES TO A CERTAIN POPULATION, AGE 65 AND OVER, THAT IS SUBSIDIZED BY THE MEDICAL CENTER. THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES.
PART V, LINE 9IT IS THE POLICY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ENGLEWOOD HOSPITAL PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MEDICALLY POSSIBLE, FROM THE PATIENT. ALL PATIENT OR RESPONSIBLE PARTY DEMOGRAPHIC DATA IS COLLECTED AND DOCUMENTED. IDENTIFICATION, SUCH AS A DRIVER'S LICENSE OR A SOCIAL SECURITY CARD WILL BE REQUESTED AND COPIED IF AVAILABLE. IF IDENTIFICATION IS UNAVAILABLE, THE REGISTRATION FORM IS DOCUMENTED ACCORDINGLY. INSURANCE INFORMATION IS REQUESTED AND DOCUMENTED, AND IF AVAILABLE, INSURANCE IDENTIFICATION CARDS ARE COPIED. ALL PATIENTS OR RESPONSIBLE PARTIES ARE GIVEN A NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE FACT SHEET. IF HEALTH INSURANCE INFORMATION IS NOT GIVEN AT THE TIME OF REGISTRATION, OR HEALTH INSURANCE INFORMATION IS GIVEN THAT WILL NOT PROVIDE PAYMENT IN FULL, THE MEDICAL CENTER WILL REFER PATIENTS TO PUBLIC ASSISTANCE PROGRAMS IF APPROPRIATE. REFERRAL WILL BE BASED ON INCOME AND ASSETS INFORMATION GIVEN. IF THE PATIENT APPEARS TO BE ELIGIBLE BASED ON THE INFORMATION GIVEN, THE MEDICAL CENTER WILL PROVIDE THAT PATIENT WITH WRITTEN INFORMATION REGARDING THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE APPROPRIATE PUBLIC ASSISTANCE PROGRAM. PATIENTS ARE REFERRED TO PUBLIC ASSISTANCE PROGRAMS BASED ON INCOME THAT MEETS THE POVERTY INCOME GUIDELINES. ALL INCOME AND ASSETS INFORMATION IS DOCUMENTED AND KEPT WITH THE PATIENT'S BILLING FILE. PATIENTS WHO ARE FOUND TO BE ELIGIBLE FOR MEDICAID AND HAVE OUTSTANDING BILLS FROM THE THREE MONTHS PRIOR TO THE APPLICATION FOR MEDICAID, ARE GIVEN A RETROACTIVE MEDICAID APPLICATION FORM (FD74) TO COMPLETE AND MAIL. IF THE PATIENT DOES NOT APPEAR TO BE ELIGIBLE FOR A PUBLIC ASSISTANCE PROGRAM BASED ON INCOME AND ASSETS INFORMATION PROVIDED OR IF THE PUBLIC ASSISTANCE PROGRAM PROVIDES THE PATIENT WITH A WRITTEN DENIAL, THE PATIENT WILL BE SCREENED FOR CHARITY CARE. PERSONS WHO ARE NOT NEW JERSEY RESIDENTS MAY NOT BE SCREENED FOR CHARITY CARE UNLESS THE CARE IS RELATED TO AN EMERGENCY RESULTING IN AN INPATIENT ADMISSION. SIGNS PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH INDICATING THE AVAILABILITY OF CHARITY CARE IN ENGLISH, SPANISH, AND KOREAN ARE POSTED IN THE MEDICAL CENTER DEPARTMENTS: ADMITTING, EMERGENCY ROOM, OUTPATIENT REGISTRATION, CLINIC, AND ALL PATIENT ACCOUNTING DEPARTMENTS. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO PROVIDE PROPER IDENTIFICATION, PLACE OF EMPLOYMENT, INCOME, REAL PROPERTY, DURABLE PERSONAL PROPERTY, LIQUID ASSETS, AND BANK ACCOUNTS. A PERSON'S INCOME FOR PURPOSES OF DETERMINING ELIGIBILITY FOR CHARITY CARE ASSISTANCE SHALL BE THE LESSER OF THE ACTUAL GROSS INCOME FOR TWELVE MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME FOR THE THREE MONTHS PRECEDING THE SERVICES OR ONE MONTH'S GROSS INCOME MULTIPLIED BY TWELVE. INCOME INCLUDES A SPOUSE'S INCOME FOR AN ADULT AND PARENTAL INCOME FOR A MINOR CHILD. A PERSON'S LIQUID ASSETS MAY NOT EXCEED $7,500 AND A PERSON'S FAMILY ASSETS MAY NOT EXCEED $15,000 TO BE ELIGIBLE FOR CHARITY CARE. ASSETS INCLUDE SPOUSAL ASSETS FOR ADULT PATIENTS AND PARENTAL ASSETS FOR A MINOR CHILD. A COPY OF ALL INCOME AND ASSET INFORMATION IS MAINTAINED WITH THE PATIENT'S BILLING FILE. BASED ON THE INCOME AND ASSET INFORMATION PROVIDED, THE MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR CHARITY CARE USING THE ELIGIBILITY CRITERIA CHART PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO COMPLETE A CHARITY CARE APPLICATION. ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL ACCEPT CHARITY CARE APPLICATIONS BEYOND ONE YEAR FROM DATES OF SERVICE. THE MEDICAL CENTER WILL USE THE ELIGIBILITY CRITERIA IN EFFECT FOR THE DATES OF SERVICE FOR ALL DETERMINATIONS. AN ELIGIBILITY DETERMINATION FOR CHARITY CARE WILL BE MADE WITHIN TEN WORKING DAYS FOLLOWING THE DATE OF REQUEST. IF THE REQUEST DOES NOT INCLUDE SUFFICIENT DOCUMENTATION TO MAKE A DETERMINATION, THE REQUEST WILL BE DENIED. IF DENIAL OF ELIGIBILITY IS DUE TO LACK OF DOCUMENTATION, THE PATIENT SHALL BE PERMITTED TO PROVIDE THE ADDITIONAL DOCUMENTATION. THE MEDICAL CENTER SHALL PROMPTLY PROVIDE THE PATIENT WITH A WRITTEN COPY OF THE DETERMINATION. A COPY OF THE CHARITY CARE APPLICATION AND THE DETERMINATION IS KEPT WITH THE PATIENT'S BILLING FILE. IF THE AMOUNT A PATIENT IS DETERMINED TO BE RESPONSIBLE FOR EXCEEDS 30% OF THEIR INDIVIDUAL OR FAMILY INCOME, THIS EXCESS WILL BE ELIGIBLE FOR CHARITY CARE. ANY DETERMINATION THAT GRANTS CHARITY CARE WILL BE IN EFFECT FOR ONE YEAR FROM THE DATE OF SERVICE. ALL CHARITY CARE ALLOWANCES ON BALANCES AFTER MEDICARE PAYMENTS ENTERED INTO THE MEDICAL CENTER'S COMPUTERIZED BILLING SYSTEM WITH A SEPARATE "MEDICARE CHARITY CARE" TRANSACTION CODE. ANY PATIENT NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAVE NO OTHER INSURANCE COVERAGE, ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM. ANY PATIENT WHO IS NOT FOUND TO BE ELIGIBLE FOR CHARITY CARE WILL BE GIVEN THE OPPORTUNITY TO MAKE PAYMENT ARRANGEMENTS. THE MEDICAL CENTER WILL MAKE EVERY ATTEMPT TO MAKE ARRANGEMENTS WITH THE PATIENT OR RESPONSIBLE PARTY FOR PAYING THE BALANCE DUE WITHIN ONE YEAR. THE MEDICAL CENTER WILL ACCEPT CIRCUMSTANCES WHERE IT MAY TAKE A PATIENT OR RESPONSIBLE PARTY LONGER THAN ONE YEAR TO PAY THE DEBT. DEPOSITS ARE REQUESTED FROM PATIENTS OR RESPONSIBLE PARTIES AT THE TIME OF REGISTRATION WHEN THE PATIENT IS NOT COVERED BY INSURANCE OR THE SERVICE IS A NON-COVERED SERVICE (I.E. COSMETIC SURGERY). ONCE ALL INSURANCE BILLING AND FOLLOW-UP HAS BEEN EXHAUSTED AND THE PATIENT IS NOT ELIGIBLE FOR ANY TYPE OF PUBLIC OR CHARITY CARE, THE COLLECTION CYCLE BEGINS. THREE BILLING STATEMENTS ARE SENT AT THREE WEEK INTERVALS, FOLLOWED BY THREE COLLECTION LETTERS SENT AT TWO WEEK INTERVALS. IF A PAYMENT OR OTHER PERTINENT INFORMATION IS RECEIVED DURING THE COLLECTION CYCLE, THE CYCLE WILL STOP AND RESTART WHEN APPROPRIATE WITH THE THREE BILLING STATEMENTS PREVIOUSLY NOTED. MAIL RETURNS ARE DOCUMENTED IN THE PATIENT'S ACCOUNTS. AFTER THE COLLECTION CYCLE IS COMPLETED AND NO PAYMENT OR RESPONSE FROM THE PATIENT IS RECEIVED, THE ACCOUNT IS TURNED OVER TO AN OUTSIDE AGENCY AT THE END OF THE MONTH FOLLOWING THE COMPLETION OF THE COLLECTION CYCLE. ALL ACCOUNTS ARE REVIEWED AND SIGNED BY THE CREDIT SUPERVISOR PRIOR TO REFERRAL TO AN OUTSIDE COLLECTION AGENCY. PART V, LINE 18 SEE PARAGRAPH ABOVE EXPLAINING PART V, LINE 9.
NEEDS ASSESSMENTTHE ORGANIZATION UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE THIRD PARTY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. FURTHER, THE MEDICAL CENTER MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTH GRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE "REPORT CARDS" TO THE PUBLIC REGARDING THE MEDICAL CENTER'S PERFORMANCE. THE ORGANIZATION ALSO ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS IF THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE MEDICAL CENTER TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED.
PATIENT EDUCATIONENGLEWOOD HOSPITAL AND MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MEDICALLY POSSIBLE, FROM THE PATIENT. ALL PATIENT OR RESPONSIBLE PARTY DEMOGRAPHIC DATA IS COLLECTED AND DOCUMENTED. IDENTIFICATION, SUCH AS A DRIVER'S LICENSE OR A SOCIAL SECURITY CARD WILL BE REQUESTED AND COPIED IF AVAILABLE. IF IDENTIFICATION IS UNAVAILABLE, THE REGISTRATION FORM IS DOCUMENTED ACCORDINGLY. INSURANCE INFORMATION IS REQUESTED AND DOCUMENTED, AND IF AVAILABLE, INSURANCE IDENTIFICATION CARDS ARE COPIED. ALL PATIENTS OR RESPONSIBLE PARTIES ARE GIVEN A NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE FACT SHEET. IF HEALTH INSURANCE INFORMATION IS NOT GIVEN AT THE TIME OF REGISTRATION, OR HEALTH INSURANCE INFORMATION IS GIVEN THAT WILL NOT PROVIDE PAYMENT IN FULL, THE MEDICAL CENTER WILL REFER PATIENTS TO PUBLIC ASSISTANCE PROGRAMS IF APPROPRIATE. REFERRAL WILL BE BASED ON INCOME AND ASSETS INFORMATION GIVEN. IF THE PATIENT APPEARS TO BE ELIGIBLE BASED ON THE INFORMATION GIVEN, THE MEDICAL CENTER WILL PROVIDE THAT PATIENT WITH WRITTEN INFORMATION REGARDING THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE APPROPRIATE PUBLIC ASSISTANCE PROGRAM. PATIENTS ARE REFERRED TO PUBLIC ASSISTANCE PROGRAMS BASED ON INCOME THAT MEETS THE POVERTY INCOME GUIDELINES. ALL INCOME AND ASSETS INFORMATION IS DOCUMENTED AND KEPT WITH THE PATIENT'S BILLING FILE. PATIENTS WHO ARE FOUND TO BE ELIGIBLE FOR MEDICAID AND HAVE OUTSTANDING BILLS FROM THE THREE MONTHS PRIOR TO THE APPLICATION FOR MEDICAID, ARE GIVEN A RETROACTIVE MEDICAID APPLICATION FORM (FD74) TO COMPLETE AND MAIL. IF THE PATIENT DOES NOT APPEAR TO BE ELIGIBLE FOR A PUBLIC ASSISTANCE PROGRAM BASED ON INCOME AND ASSETS INFORMATION PROVIDED OR IF THE PUBLIC ASSISTANCE PROGRAM PROVIDES THE PATIENT WITH A WRITTEN DENIAL, THE PATIENT WILL BE SCREENED FOR CHARITY CARE. PERSONS WHO ARE NOT NEW JERSEY RESIDENTS MAY NOT BE SCREENED FOR CHARITY CARE UNLESS THE CARE IS RELATED TO AN EMERGENCY RESULTING IN AN INPATIENT ADMISSION. SIGNS PROVIDED BY THE DEPARTMENT OF HEALTH INDICATING THE AVAILABILITY OF CHARITY CARE IN ENGLISH, SPANISH, AND KOREAN ARE POSTED IN THE FOLLOWING MEDICAL CENTER DEPARTMENTS: ADMITTING, EMERGENCY ROOM, OUTPATIENT REGISTRATION, CLINIC, AND ALL PATIENT ACCOUNTING DEPARTMENTS. ANY PATIENT NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND WHO HAS NO OTHER INSURANCE COVERAGE ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM.
COMMUNITY INFORMATIONTHE MEDICAL CENTER IS LOCATED IN BERGEN COUNTY, NEW JERSEY AND SERVES SEVERAL SURROUNDING COMMUNITIES, INCLUDING A FEW THAT ARE IN NEW YORK STATE AND FOR THE MOST PART IS A SUBURBAN SETTING.
COMMUNITY BUILDING ACTIVITIESTHE MEDICAL CENTER'S COMMUNITY BUILDING EFFORTS WERE REPORTED IN PART I, LINE 7E. THE MEDICAL CENTER PROVIDES NUMEROUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: ACCELERATED CHILDBIRTH CLASSES, BREASTFEEDING CLASSES, CHILDBIRTH REFRESHER CLASSES, HEALTH FAIRS AT VARIOUS COMMUNITY EVENTS, AND SIBLING PREPARATION CLASSES. THE MEDICAL CENTER PROVIDES NUMEROUS HEALTH SCREENINGS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: BLOOD DRIVE, HOSPITAL SCREENINGS, SKIN CANCER SCREENING, PROSTATE CANCER SCREENING, AND VEIN SCREENING. ENGLEWOOD HOSPITAL PROVIDES PROGRAMS THAT PROMOTE GOOD HEALTH WHICH INCLUDES, BUT IS NOT LIMITED TO: FLU/COVER YOUR MOUTH EDUCATIONAL HANDOUTS AND POSTERS, HAND HYGIENE PUBLIC SERVICE ANNOUNCEMENT AND POSTERS, PILATES WHICH PROMOTES IMPROVED HEALTH, POSTNATAL YOGA, PRENATAL YOGA, AND WEIGHT WATCHERS AT WORK (FOR EMPLOYEES). THE MEDICAL CENTER REACHES OUT TO NOTIFY THE COMMUNITY ABOUT THE SERVICES IT OFFERS VIA A COMMUNITY NEWSLETTER PUBLISHED QUARTERLY, PUBLIC NOTICE ADVERTISING IN COMMUNITY AND REGIONAL NEWSPAPERS.
OTHER INFORMATIONTHE MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE IN THE FOLLOWING MANNERS: A) 85% OF THE MEMBERSHIP OF THE BOARD OF TRUSTEES ARE INDEPENDENT INDIVIDUALS MEANING THAT THEY ARE NOT DIRECTLY AFFILIATED WITH THE ORGANIZATION, MOST OF WHOM RESIDE IN THE MEDICAL CENTER'S SERVICE AREA, B) THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS SERVICE AREA, C) EXCESSES OF REVENUE OVER EXPENSES IS REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTH CARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY.
AFFILIATED HEALTH CARE SYSTEMFOLLOWING IS A BRIEF DESCRIPTION OF EACH OF THE AFFILIATES OF THE MEDICAL CENTER: A) ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, A NOT FOR PROFIT 501(C)(3) ORGANIZATION FOUNDED IN 1995, PERFORMS FUND RAISING AND DEVELOPMENT ON BEHALF OF THE SYSTEM AND ITS AFFILIATES; B) ENGLEWOOD HEALTHCARE PROPERTIES, INC, A NOT FOR PROFIT 501(C)(2) COMPANY, WAS FORMED FOR THE PURPOSE OF ACQUIRING REAL ESTATE TO BE USED BY THE MEDICAL CENTER AND AFFILIATES OF THE SYSTEM. IT OWNS PROPERTIES IN BERGEN AND HUDSON COUNTIES IN NEW JERSEY; C) ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A FOR PROFIT CORPORATION THAT PROVIDES HEALTHCARE RELATED SERVICES WITHIN THE MEDICAL CENTER'S SERVICE AREA. IT CURRENTLY MAINTAINS A MANAGEMENT SERVICE ORGANIZATION FOR THE PRACTICES OF ENGLEWOOD MEDICAL ASSOCIATES; D) ENGLEWOOD MEDICAL ASSOCIATES, INC. IS A 501(C)(3) NOT FOR PROFIT CORPORATION EMPLOYING FULL-TIME FACULTY PHYSICIANS. IT IS A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER; E) MEDICAL ASSOCIATES OF ENGLEWOOD, PC IS A 501(C)(3) CORORATION THAT EMPLOYS FULL-TIME FACULTY PHYSICIANS AND ACQUIRES PHYSICIAN PRACTICES IN THE PRIMARY AND SECONDARY MARKETS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER; F) ENGLEWOOD HEALTHCARE SYSTEM IS A 501(C)(3) NOT FOR PROFIT CORPORATION THAT IS THE PARENT OF ALL OF THE AFFILIATED ORGANIZATIONS AND CORPORATION; G) PHYSICIAN PARTNERS OF ENGLEWOOD, PC IS A 501(C)(3) CORPORATION THAT EMPLOYS FULL-TIME FACULTY PHYSICIANS; AND H) EMERGENCY PHYSICIANS OF ENGLEWOOD, PC IS A 501(C)(3) CORPORATION THAT EMPLOYS FULL-TIME FACULTY EMERGENCY MEDICINE PHYSICIANS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEDUCATIONAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients7NumberOfRecipients
Amount Of Cash Grant7800AmountOfCashGrant
Method Of ValuationCASHMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceFORM 990, SCHEDULE IReturnReference
ExplanationSCHOLARSHIPS ARE AWARDED BASED ON ACADEMIC PERFORMANCE AND THE TYPE OF HEALTHCARE RELATED CURRICULUM BEING STUDIED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS A DUCHAK
PRESIDENT/SECRETARY/CEO511410169557179328088168030634019926082946616955700
WARREN GELLER
EXECUTIVE VICE PRESIDENT/COO3756430668650392030244410172710523423000
ANTHONY T ORLANDO
SENIOR VICE PRESIDENT/CFO30412177280508660219510280000506704100057728000
MADELYN PEARSON RN
SR VP PATIENT CARE SERVICES24156502923203201023506067990304303000
MICHAEL PIETROWICZ
SR VP PLANNING & DEVELOPMENT27955703533408100024118094660356575000
RONALD FUSCHILLO
VICE PRESIDENT, INFO. TECH253532039066070300024740295775000
PATRICIA G WILSON
SENIOR VP HUMAN RESOURCES23867904034506230024173062690315696000
THOMAS GRECO
VICE PRESIDENT, GENERAL SVCS1717630185680516360130430206102570710477590
LORI FURNARI
DIR.OF PHYSICIAN INTEGRATTION219365010000044700019750231787000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationSCHEDULE J, PART I, LINE 4B LINE 4B: CONTRIBUTIONS TO NONQUALIFIED PLAN (457F): PATRICIA WILSON $1,568 The purpose of the Medical Centers and affiliated companies 457(f) plan is to offer eligible executive employees deferred compensation benefits taxable under Section 457(f) of the Internal Revenue Code to supplement such employees retirement benefits under the employers Section 403(b) retirement plan and the employers Section 457(b) eligible deferred compensation plan; it is an unfunded deferred compensation plan. Eligibility is limited to employees holding certain titles and determined eligible by the Medical Centers Compensation Committee.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ENGLEWOOD PATHOLOGISTS PA
SEE SCHEDULE L, PART V592827SEE SCHEDULE L, PART Vfalse
NORTHERN VALLEY ANESTHESIOLOGY
SEE SCHEDULE L, PART V2542897SEE SCHEDULE L, PART Vfalse
PATRICIA DURKIN
SEE SCHEDULE L, PART V67172SEE SCHEDULE L, PART Vfalse
NOAH SHANDER
SEE SCHEDULE L, PART V27028SEE SCHEDULE L, PART Vfalse
HI TOUCH BUSINESS SERVICES
SEE SCHEDULE L, PART V622679SEE SCHEDULE L, PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
Explanation(1) NAME: ENGLEWOOD PATHOLOGISTS, PA RELATIONSHIP: MIGUEL SANCHEZ, MD, TRUSTEE IS A PRINCIPAL OF ENGLEWOOD PATHOLOGISTS, PA. AMOUNT: $592,827 DESCRIPTION: COMPENSATION PAID TO UNRELATED ENTITY WAS FOR PHYSICIAN SERVICES PROVIDED IN THE HOSPITAL'S LABORATORY. (2) NAME: NORTHERN VALLEY ANESTHESIOLOGY RELATIONSHIP: ARYEH SHANDER, MD, TRUSTEE IS A PRINCIPAL OF NORTHERN VALLEY ANESTHESIOLOGY. AMOUNT: $2,542,897 DESCRIPTION: COMPENSATION PAID TO UNRELATED ENTITY WAS FOR PHYSICIAN SERVICES. (3) NAME: PATRICIA DURKIN RELATIONSHIP: PATRICIA DURKIN IS THE SISTER-IN-LAW OF ANDREW F. DURKIN, TRUSTEE. SHE IS EMPLOYED AS A MAMMOGRAPHY TECHNOLOGIST BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER. AMOUNT: $67,172 DESCRIPTION: EMPLOYMENT (4) NAME: NOAH SHANDER RELATIONSHIP: NOAH SHANDER IS THE SON OF ARYEH SHANDER, MD, TRUSTEE. HE IS EMPLOYED AS A PURCHASING ASSISTANT BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER. AMOUNT: $27,028 DESCRIPTION: EMPLOYMENT (5) NAME: HI TOUCH BUSINESS SERVICES RELATIONSHIP: JAY NADEL, TRUSTEE IS A DIRECTOR OF HITOUCH BUSINESS SERVICES. AMOUNT: $622,679 DESCRIPTION: PAYMENTS TO THE UNRELATED ENTITY WERE FOR OFFICE SUPPLIES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INVESTMENT INCOMEFORM 990, PART I, LINE 10IN 2011, THE MEDICAL CENTER SOLD ITS HOME HEALTH AND HOSPICE AGENCY. IN THIS TRANSACTION, THE MEDICAL CENTER RECOGNIZED A GAIN OF $9.0 MILLION. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ HAVE A BUSINESS RELATIONSHIP.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6ENGLEWOOD HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7AENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO: A) VOTE IN THE ELECTION OF TRUSTEES AND TO CAST ONE VOTE FOR EACH TRUSTEE ELECTED; B) ONE VOTE ON ALL OTHER MATTERS TO BE VOTED ON.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 7BENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO APPROVE: A) AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS, B) SALE, LEASE OR EXCHANGE OF SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS, C) MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, D) DISSOLUTION, E) APPROVAL OF THE ANNUAL BUDGET, E) ANY SUBSTANTIAL TRANSFER OF FUNDS BY GRANT, GIFT OR LOAN, F) ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF THE MEMBER.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BAT THE OCTOBER MEETING OF ENGLEWOOD HEALTHCARE SYSTEM, THE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL AUDIT FIRM/PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS CONFLICT OF INTEREST POLICIES THAT APPLY TO OFFICERS, DIRECTORS AND TRUSTEES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S NOMINATING AND GOVERNANCE COMMITTEE OF ITS BOARD OF TRUSTEES REVIEWS CONFLICT OF INTEREST STATEMENTS. IF ANY MATTER IS BROUGHT TO THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED TRUSTEE SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY THE TRUSTEE'S WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION, AND SHALL BE ALLOWED NO VOTE ON THE MATTER.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, LINES 15A AND 15BENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS A STANDING EXECUTIVE COMPENSATION COMMITTEE THAT MEETS THREE TO FIVE TIMES PER YEAR TO REVIEW MANAGEMENT'S PERFORMANCE AND APPROVE THEIR COMPENSATION LEVELS. REVIEW CRITERIA INCLUDES, BUT IS NOT LIMITED TO, OPERATING RESULTS, PERSONAL AND INSTITUTIONAL OBJECTIVES, ETC. THE COMMITTEE ALSO ENGAGES AN INDEPENDENT FIRM TO ASSESS COMPETITIVE COMPENSATION WITHIN THE LOCAL AREA COMMENSURATE WITH EXPERIENCE AND RESPONSIBILITY. FINALLY, DATA IS GATHERED FROM SEVERAL SOURCES REFLECTING LOCAL MARKET RATES AND COMPENSATION LEVELS FOR SIMILAR POSITIONS.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19ENGLEWOOD HOSPITAL AND MEDICAL CENTER COMPLIES WITH ALL GOVERNMENT REQUIREMENTS RELATING TO THE DISCLOSURE OF THESE ITEMS. FINANCIAL INFORMATION IS AVAILABLE PUBLICLY VIA THE REQUIRED SUBMISSION OF DATA TO THE INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL'S OFFICE. REQUESTS FROM THE PUBLIC FOR ADDITIONAL INFORMATION ARE HANDLED ON A CASE-BY-CASE BASIS.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 9CHANGE IN PENSION LIABILITY $2,579,728 CHANGE IN INTEREST OF EHMCF 2,002,568 OTHER CHANGES ( 18) --------- TOTAL $4,582,278
OTHER FEES FOR SERVICEFORM 990, PART IX, LINE 11GPhysician fees, community based $ 31,792,058 Physician fees, hospital based 17,381,989 Physician fees, administrative 1,537,710 Nurse practitioner fees 1,796,442 State of NJ adjusted admission fee 1,764,420 Consulting fees 2,550,339 Transcription fees 514,218 All other fees 1,374,195 ---------- TOTAL OTHER FEES FOR SERVICES $58,711,371

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ENGLEWOOD HOSPITAL & MEDICAL CTR FDTN
350 ENGLE STREETENGLEWOODNJ07631223367281FUNDRAISINGNJ501(C)(3)7EHStrue
ENGLEWOOD HEALTHCARE PROPERTIES INC
350 ENGLE STREETENGLEWOODNJ07631222943092PROPERTY ACQ.NJ501(C)(2)EHStrue
ENGLEWOOD MEDICAL ASSOCIATES INC
350 ENGLE STREETENGLEWOODNJ07631223446625PHYSICIAN SVCNJ501(C)(3)11, TYPE IEHMCtrue
ENGLEWOOD HEALTHCARE SYSTEM
350 ENGLE STREETENGLEWOODNJ07631222749097HLTH ACTIVITYNJ501(C)(3)11, TYPE IINAfalse
MEDICAL ASSOCIATES OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631452548322PHYSICIAN SVCNJ501(C)(3)11, TYPE IEHMCtrue
PHYSICIAN PARTNERS OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631455597971PHYSICIAN SVCNJ501(C)(3)11, TYPE IEHMCtrue
EMERGENCY PHYSICIANS OF ENGLEWOOD PC
350 ENGLE STREETENGLEWOODNJ07631454604076PHYSICIAN SVCNJ501(C)(3)11, TYPE IEHMCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HEALTHCARE ENTERPRISES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode
FieldValueIRS element (for citing)
EIN222872393EIN
Primary ActivityMEDICAL SERVICESPrimaryActivity
Legal Domicile StateNJLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ENGLEWOOD HOSP & MED CTR FOUNDATION
O763576FMV
ENGLEWOOD HOSP & MED CTR FOUNDATION
Q1706708CASH
ENGLEWOOD HOSP & MED CTR FOUNDATION
C2675613CASH
ENGLEWOOD HEALTHCARE ENTERPRISES
J100000FMV
ENGLEWOOD HEALTHCARE ENTERPRISES
Q234629CASH
ENGLEWOOD MEDICAL ASSOCIATES
Q1917868CASH
ENGLEWOOD MEDICAL ASSOCIATES
R6457542CASH
ENGLEWOOD HEALTHCARE PROPERTIES
J157331FMV
MEDICAL ASSOCIATES OF ENGLEWOOD PC
P323074FMV
MEDICAL ASSOCIATES OF ENGLEWOOD PC
Q185754FMV
MEDICAL ASSOCIATES OF ENGLEWOOD PC
R14740536CASH

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