HACKENSACK MERIDIAN HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HACKENSACK MERIDIAN HEALTH INC (EIN 22-2339534)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-02-01
IRS object ID
201310329349300141
Schema version
2011v1.5
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)
Timestamp2013-02-01T13:29:06-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222339534EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HACKENSACK UNIV MED CTR FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ROBERT L GLENNINGInCareOfName
Name ControlHACKNameControl
Phone5519963365Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 ESSEX STREETAddressLine1
CityHACKENSACKCity
StateNJState
ZIP Code07601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKERRY KRUCKEL-GIBSName
TitleOFFICERTitle
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT C GARRETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 PROSPECT AVENUEAddressLine1
CityHACKENSACKCity
StateNJState
ZIP Code07601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22923221GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HACKENSACK UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body78NbrVotingMembersGoverningBody
Nbr Independent Voting Members64NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17246754ContributionsGrantsPriorYear
Contributions Grants Current Year22209628ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY324254ProgramServiceRevenueCY
Investment Income Prior Year420501InvestmentIncomePriorYear
Investment Income Current Year-994825InvestmentIncomeCurrentYear
Other Revenue Prior Year185004OtherRevenuePriorYear
Other Revenue Current Year115056OtherRevenueCurrentYear
Total Revenue Prior Year17852259TotalRevenuePriorYear
Total Revenue Current Year21654113TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9718494GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19806860GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2744524TotalFundrsngExpCurrentYear
Other Expense Prior Year4003824OtherExpensePriorYear
Other Expenses Current Year4946830OtherExpensesCurrentYear
Total Expenses Prior Year13722318TotalExpensesPriorYear
Total Expenses Current Year24753690TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4129941RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3099577RevenuesLessExpensesCY
Total Assets BOY41682602TotalAssetsBOY
Total Assets EOY37973444TotalAssetsEOY
Total Liabilities BOY3757076TotalLiabilitiesBOY
Total Liabilities EOY3437776TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37925526NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34535668NetAssetsOrFundBalancesEOY
Mission DescriptionTHE HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION RAISES FUNDS THAT SUPPORT THE DIVERSE PROGRAMS AND SERVICES OF HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). HACKENSACKUMC IS A 775-BED, NOT FOR-PROFIT TERTIARY CARE, TEACHING AND RESEARCH HOSPITAL SERVING NORTHERN NEW JERSEY AND THE NEW YORK METRO AREA. AFFILIATED WITH THE UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY, NEW JERSEY MEDICAL SCHOOL, HACKENSACKUMC IS THE LARGEST PROVIDER OF INPATIENT AND OUTPATIENT SERVICES IN THE STATE OF NEW JERSEY AND RANKED FOURTH IN THE NATION FOR ADMISSIONS. ANNUALLY, THE FOUNATION RECEIVES MORE THAN 10,000 CHARITABLE GIFTS AND RAISES MORE THAN $17 MILLION TO HELP SUPPORT VITAL PROGRAMS AND SERVICES AT HACKENSACKUMC. THE FOUNDATION ALSO PROVIDES FUNDING OF MORE THAN $100 MILLION FOR SPECIAL AND CAPITAL PROJECTS. WHAT'S MORE THE FOUNDATION'S PLANNED GIVING PROGRAM NOW HAS APPROXIMATELY $38 MILLION IN COMMITMENTS FROM ITS DONORS WHICH PROVIDES STABILITY TO ALL OF THE FOUNDATION'S EFFORTMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19806860Expense
Grants19806860Grants
Revenue324254Revenue
DescriptionEXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HACKENSACK UNIVERSITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT MEDICAL CENTER WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Description
Total Program Service Expense19806860TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
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 OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included4NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members78NbrVotingGoverningBodyMembers
Number Independent Voting Members64NumberIndependentVotingMembers
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 PersonROBERT L GLENNINGNamePerson
Telephone Number5519963365TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 PROSPECT AVENUEAddressLine1
CityHACKENSACKCity
StateNJState
ZIP Code07601ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (79 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
JOSEPH SIMUNOVICH
CHAIRMAN - TRUSTEE3.0XX016660
RICHARD DRESSEL
VICE CHAIRMAN - TRUSTEE3.0XX000
JAMES R BEATTIE ESQ
SECRETARY/TREASURER - TRUSTEE3.0XX000
KEVIN ALLIOTTS
TRUSTEE3.0X000
JAMES P ANDERSEN
TRUSTEE3.0X000
JOHN J APOVIAN MD
TRUSTEE3.0X02722641774
MICHAEL ARMELLINO
TRUSTEE3.0X000
MITCHELL BAKER
TRUSTEE3.0X000
BRUCE G BOHUNY
TRUSTEE3.0X000
JENNIFER A BORG ESQ
TRUSTEE3.0X000
STEPHEN T BOSWELL PHD PE SECB
TRUSTEE3.0X000
NICK CANGIALOSI
TRUSTEE3.0X000
KEVIN J COLLINS ESQ
TRUSTEE3.0X000
J FLETCHER CREAMER
TRUSTEE3.0X000
GEORGE T CROONQUIST
TRUSTEE3.0X000
G THOMAS CROONQUIST JR
TRUSTEE3.0X000
VINCENT CURATOLA
TRUSTEE3.0X000
MARK CURCIO
TRUSTEE3.0X000
ULISES DIAZ
TRUSTEE3.0X000
SIRAN GABRELLIAN
TRUSTEE3.0X000
JUSTICE MARIE L GARIBALDI
TRUSTEE3.0X000
ROBERT C GARRETT SEE SCH O
PRES/CEO, HUMC - TRUSTEE60.0XX01664447717385
MICHAEL GEARY
TRUSTEE3.0X000
KRISTEN GERHARD
TRUSTEE3.0X000
PETER C GERHARD
TRUSTEE3.0X000
MATTHEW A GOLSON
TRUSTEE3.0X000
MICHAEL GROSS MD
TRUSTEE3.0X000
PETER A GROSS MD
TRUSTEE60.0X071628573465
WILLIAM C HANSON
TRUSTEE3.0X000
ROBERT S HEKEMIAN JR
TRUSTEE3.0X000
FRED C HIRSCH
TRUSTEE3.0X000
TIMOTHY HODGES
TRUSTEE3.0X000
FRANK C HOLTHAM JR
TRUSTEE3.0X000
RICHARD HUBSCHMAN JR ESQ
TRUSTEE3.0X000
DANTE A IMPLICITO MD
TRUSTEE3.0X000
LAWRENCE R INSERRA JR
TRUSTEE3.0X000
JILL JOYCE
TRUSTEE3.0X000
MARTIN W KAFAFIAN ESQ
TRUSTEE3.0X000
SANDRA KEARY
TRUSTEE3.0X000
SANDRA KISSLER
TRUSTEE3.0X000
JOHN H KLEIN
TRUSTEE3.0X000
PATRICIA K LOW
TRUSTEE3.0X000
EDWARD J LUDWIG
TRUSTEE3.0X000
GLORIA MARTINI
TRUSTEE3.0X000
MICHAEL S MCGEARY
TRUSTEE3.0X000
NICHOLAS MINICUCCI JR
TRUSTEE3.0X000
JACK K MURRAY
TRUSTEE3.0X000
WILLIAM J MURRAY
TRUSTEE3.0X000
JAMES NAPOLITANO ESQ
TRUSTEE3.0X000
STEVE NICOLETTI
TRUSTEE3.0X000
ROBERT E OHARA III
TRUSTEE3.0X000
SHARON PARKER
TRUSTEE3.0X000
SAMUEL S RAIA
TRUSTEE3.0X000
JULIA RECAMAN
TRUSTEE3.0X000
JOSEPH P RICCARDO
TRUSTEE3.0X000
JOSEPH A RIZZI ESQ
TRUSTEE3.0X000
DAVID T ROBERTSON ESQ
TRUSTEE3.0X000
ANDREW RUBENSTEIN MD
TRUSTEE3.0X000
ANN MARIE SACCARO
TRUSTEE3.0X000
DAVID SANZARI
TRUSTEE3.0X000
JOSEPH M SANZARI
TRUSTEE3.0X000
ANTHONY SCARDINO JR
TRUSTEE3.0X000
CAROL D SCHAEFER
TRUSTEE3.0X000
JOHN A SCHEPISI ESQ
TRUSTEE3.0X000
MARK D SCHLESINGER MD
TRUSTEE3.0X0951075580
CHARLES H SHOTMEYER
TRUSTEE3.0X000
PHIL SIMMS
TRUSTEE3.0X000
ROSEMARIE J SORCE
TRUSTEE3.0X000
DEBORAH A STONE
TRUSTEE3.0X000
ANTHONY C TACCETTA JR
TRUSTEE3.0X000
SCOTT TARRIFF
TRUSTEE3.0X000
HELENA THEURER
TRUSTEE3.0X000
ROBERT L TORRE
EVP & COO - TRUSTEE60.0XX0677551106098
SAMUEL P TOSCANO JR
TRUSTEE3.0X000
PATRICK TOTH MD
TRUSTEE3.0X000
CHRISTOPHER TURNER
TRUSTEE3.0X000
PRANACHANDRA VAIDYA MD
TRUSTEE3.0X037782471501
FRANK J VUONO
TRUSTEE3.0X000
JOHN P FERGUSON
FORMER PRESIDENT/CEO0.001267210X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3931865TotalReportableCompFrmRltdOrgs
Total Other Compensation975803TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREAT PERFORMANCES
304 HUDSON STREETNEW YORKNY10013CATERING290391
CONEWAGO CONSULTING
20 ROYAL DOMINION COURTBETHESDAMD20817CONSULTING264000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events1766810FundraisingEvents
Related Organizations121667RelatedOrganizations
Government Grants8000GovernmentGrants
All Other Contributions20313151AllOtherContributions
Noncash Contributions283949NoncashContributions
Total Contributions22209628TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFORGIVENESS OF DEBTDescription
Business Code900099BusinessCode
Total Revenue Column324254TotalRevenueColumn
Related Or Exempt Function Income324254RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue324254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-994825TotalRevenueColumn
Exclusion-$994,825ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events1188014GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1766810CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1188014FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming196150GrossIncomeGaming
Gaming Direct Expenses81094GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column115056TotalRevenueColumn
Exclusion$115,056ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21654113TotalRevenueColumn
Related Or Exempt Function Income324254RelatedOrExemptFunctionIncome
Exclusion-$879,769ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total19806860Total
Program Services19806860ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total40269Total
Fundraising40269Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76146Total
Management And General76146ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total264000Total
Management And General264000ManagementAndGeneral

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)
Total38097Total
Management And General38097ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total134123Total
Management And General134123ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total178595Total
Management And General89298ManagementAndGeneral
Fundraising89297Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total99558Total
Fundraising99558Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8612Total
Management And General8612ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ALLOC. OF PERSONNEL COSTS2512009012560041256005
PROVISION FOR UNCOLL PLEDGES1259395001259395
CONTRACTED SERVICES22999702299970
DUES & SUBSCRIPTIONS312080312080

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total74821Total
Management And General74821ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24753690Total
Program Services19806860ProgramServices
Management And General2202306ManagementAndGeneral
Fundraising2744524Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1518081BOY
EOY1579451EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY70233BOY
EOY108154EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY11260212BOY
EOY15601165EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY19131359BOY
EOY10107286EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48828BOY
EOY98071EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis228120LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec196937LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34566BOY
EOY31183EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY9600803BOY
EOY10390286EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18520BOY
EOY57848EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY41682602BOY
EOY37973444EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY372730BOY
EOY827060EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
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)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3384346BOY
EOY2610716EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3757076BOY
EOY3437776EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19113510BOY
EOY18290099EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14285260BOY
EOY12009492EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4526756BOY
EOY4236077EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37925526BOY
EOY34535668EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41682602BOY
EOY37973444EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3099577ReconcilationRevenueExpenses
Reconcilation Other Changes-290281ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13165079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15899711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11155657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17246754CurrentTaxYearMinus1Year
Current Tax Year24384628CurrentTaxYear
Total81851829Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13165079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15899711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11155657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17246754CurrentTaxYearMinus1Year
Current Tax Year24384628CurrentTaxYear
Total81851829Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total12476647AmountsSubstContributorsTotal
Public Support Total17069375182PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years803152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years419861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58331CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year420501CurrentTaxYearMinus1Year
Current Tax Year370475CurrentTaxYear
Total2072320Total
FieldValueIRS element (for citing)
Total Support83924149TotalSupport
Gross Receipts From Admissions Etc5633068GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.82664PublicSupportPertcentage170
Public Support Pertcent Prior Year0.81015PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$264,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB264000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1HReturnReference
ExplanationDURING 2011, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $264,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18812016BeginningOfYearBalance
Contributions10868086Contributions
Investment Earnings Or Losses171390InvestmentEarningsOrLosses
Other Expenditures13605923OtherExpenditures
End Of Year Balance16245569EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance29623209BeginningOfYearBalance
Contributions6134339Contributions
Investment Earnings Or Losses26277InvestmentEarningsOrLosses
Other Expenditures16971809OtherExpenditures
End Of Year Balance18812016EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance30085747BeginningOfYearBalance
Contributions9594307Contributions
Investment Earnings Or Losses-86342InvestmentEarningsOrLosses
Other Expenditures9970503OtherExpenditures
End Of Year Balance29623209EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance24096205BeginningOfYearBalance
Contributions13259002Contributions
Investment Earnings Or Losses-1862122InvestmentEarningsOrLosses
Other Expenditures5407338OtherExpenditures
End Of Year Balance30085747EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.26000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.74000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis228120OtherCostOrOtherBasis
Depreciation196937Depreciation
Book Value31183BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings31183TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
U.S. GOVERNMENT SECURITIES633533F
MARKETABLE EQUITY SECURITIES2873565F
CASH & CASH EQUIVALENTS18981F
OTHER INVESTMENTS17500F
CHARITABLE GIFT ANNUITIES999261F
OUTSIDE TRUSTS5297004F
MUTUAL FUNDS485613F
REAL ASSET FUNDS64829F
FieldValueIRS element (for citing)
Total Of Book Value Program Related10390286TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
CHARITABLE GIFT ANNUITIES$1,643,519
TAX-EXEMPT ORGANIZATION$967,197
FieldValueIRS element (for citing)
Total Of Amounts2610716TotalOfAmounts
Total Revenue21654113TotalRevenue
Total Expenses24753690TotalExpenses
Excess Or Deficit For Year-3099577ExcessOrDeficitForYear
Net Unrealized GL On Investments-290281NetUnrealizedGLOnInvestments
Total Adjustments-290281TotalAdjustments
Excess Or Deficit Per FS-3389858ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22632940TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-290281NetUnrealizedGainsInvestments
Other Revenues1269108OtherRevenues
Revenue Not Rptd F990978827RevenueNotRptdF990
Revenue Subtotal21654113RevenueSubtotal
Total Revenue Per Form99021654113TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26022798TotExpensesEtcAuditedFinclStmt
Other Expenses Included1269108OtherExpensesIncluded
Expenses Not Rptd F9901269108ExpensesNotRptdF990
Expenses Subtotal24753690ExpensesSubtotal
Total Expenses Per Form99024753690TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V; QUESTION 4INVESTMENT RETURN OBJECTIVES ============================ THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY SUCH FUNDS WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. UNDER THIS POLICY, THE ENDOWMENT ASSETS ARE INVESTED IN A DIVERSIFIED MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT OVER THE LONG TERM WILL AVERAGE AN ESTIMATED 5% RETURN WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES ============================================ TO SATISFY ITS LONG-TERM-RATE-OF-RETURN OBJECTIVES, THE FOUNDATION RELIES ON TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION AND CURRENT YIELD. THE ACTUAL AND TARGET INVESTMENT ALLOCATIONS WERE AS FOLLOWS AS OF DECEMBER 31, 2011: ACTUAL % TARGET % SHORT-TERM INVESTMENTS 2 - FIXED INCOME SECURITIES 55 60 MARKETABLE EQUITY SECURITIES 43 40 SPENDING POLICY AND HOW THE INVESTMENT OBJECTIVES RELATE TO SPENDING POLICY ==================================================================== THE FOUNDATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION EACH YEAR BETWEEN 4% AND 4.5% OF THE ENDOWMENT FUNDS' TOTAL FAIR VALUE, INCLUDING ACCUMULATED TOTAL INVESTMENT RETURNS. IN ESTABLISHING THIS POLICY, THE FOUNDATION CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT ASSETS WHICH IS EXPECTED TO EXCEED THE ALLOWABLE SPENDING, AND THEREFORE OVER THE LONG TERM, THE FOUNDATION EXPECTS ITS ENDOWMENT FUNDS TO GROW. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY OR FOR A SPECIFIED TERM, AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XAN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. THE FIN 48 FOOTNOTE BELOW IS FROM THE ORGANIZATION'S 2011 AUDITED FINANCIAL STATEMENTS: THE FOUNDATION FOLLOWED THE PROVISIONS OF AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010. UNDER THIS GUIDANCE, TAX POSITIONS ARE EVALUATED FOR RECOGNITION USING A MORE-LIKELY-THAN-NOT THRESHOLD, AND THOSE TAX POSITIONS REQUIRING RECOGNITION ARE MEASURED AT THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50 PERCENT LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION.
RECONC OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH REV PER RETURNSCHEDULE D, PART XII, LINE 2DOTHER AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1 INCLUDES: - SPECIAL EVENT EXPENSE - $1,188,014 - RAFFLE EXPENSE - $81,094
RECONC OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH EXP PER RETURNSCHEDULE D, PART XIII; LINE 2DOTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 INCLUDES: - SPECIAL EVENT EXPENSE - $1,188,014 - RAFFLE EXPENSE - $81,094

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event11892052GrossReceiptsEvent1
Charitable Contributions Event1942954CharitableContributionsEvent1
Gross Revenue Event1949098GrossRevenueEvent1
Rent Facility Costs Event1226940RentFacilityCostsEvent1
Food And Beverage Event1358391FoodAndBeverageEvent1
Entertainment Event136130EntertainmentEvent1
Other Direct Expenses Event1327637OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event2495419GrossReceiptsEvent2
Charitable Contributions Event2351330CharitableContributionsEvent2
Gross Revenue Event2144089GrossRevenueEvent2
Rent Facility Costs Event278018RentFacilityCostsEvent2
Food And Beverage Event22433FoodAndBeverageEvent2
Other Direct Expenses Event263638OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events567353GrossReceiptsOtherEvents
Charitable Contrib Other Events472526CharitableContribOtherEvents
Gross Revenue Other Events94827GrossRevenueOtherEvents
Food And Beverage Other Events14375FoodAndBeverageOtherEvents
Other Direct Expenses Other Events80452OtherDirectExpensesOtherEvents
Gross Receipts Total2954824GrossReceiptsTotal
Charitable Contributions Total1766810CharitableContributionsTotal
Gross Revenue Total Events1188014GrossRevenueTotalEvents
Rent Facility Costs Total Events304958RentFacilityCostsTotalEvents
Food And Beverage Total Events375199FoodAndBeverageTotalEvents
Entertainment Total Events36130EntertainmentTotalEvents
Other Direct Expenses Total Events471727OtherDirectExpensesTotalEvents
Direct Expense Summary Events1188014DirectExpenseSummaryEvents

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming196150GrossRevenueOtherGaming
Cash Prizes Other Gaming47569CashPrizesOtherGaming
Other Direct Expenses Other Gaming33525OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming196150GrossRevenueTotalGaming
Cash Prizes Total Gaming47569CashPrizesTotalGaming
Other Direct Expenses Total Gaming33525OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming81094DirectExpenseSummaryGaming
Net Gaming Income Summary115056NetGamingIncomeSummary
FieldValueIRS element (for citing)
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonPAIGE COOPERNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1360 ESSEX STREETAddressLine1
CityHACKENSACKCity
StateNJState
ZIP Code07601ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonSHARON SCIMECAGamingManagerNamePerson
Gaming Manager Compensation19748GamingManagerCompensation
Gaming Manager Services ProvidedCOORDINATES AND OVERSEES RAFFLE OPERATIONSGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HACKENSACK UNIVERSITY MEDICAL CENTER
30 PROSPECT AVENUEHACKENSACKNJ07601221487576501(C)(3)18749528PROGRAM SERVICES
TOMORROWS CHILDREN'S FUND INC
30 PROSPECT AVENUEHACKENSACKNJ07601133155199501(C)(3)1057332PROGRAM SERVICES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I, QUESTION 2ReturnReference
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base 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
JOHN J APOVIAN MD
027045200018120001774027403800
ROBERT C GARRETT SEE SCH O
011212450250000029320206863910309940238183200
PETER A GROSS MD
0580457057156078672042089031376078975000
ROBERT L TORRE
0418990017589008267109632809770078364900
PRANACHANDRA VAIDYA MD
03746480003176044049027452044932500
JOHN P FERGUSON
000001267210000012672100

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFITS. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $382,141; PETER A. GROSS, m.d., $87,442 AND ROBERT L. TORRE, $63,960.
COMPENSATION INFORMATIONSCHEDULE J; PART IIPAYMENTS TO JOHN FERGUSON RELATE TO HIS SEPARATION FROM the organization AS PRESIDENT AND CEO IN 2009.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99048536NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMISCELLANEOUS NONCASH CONTRIBUTIONSDescription
Number Of Contributions101NumberOfContributions
Noncash Contribs Rptd F990235413NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT, AND DISCLOSURECORE FORM, PART VI, SECTION A; QUESTION 2JOSEPH M. SANZARI AND DAVID SANZARI - FAMILY RELATIONSHIP. RICHARD DRESSEL AND JOSEPH M. SANZARI - BUSINESS RELATIONSHIP. PETER C. GERHARD AND KRISTEN GERHARD - FAMILY RELATIONSHIP. SAMUEL P. TOSCANO, JR. AND SANDRA KEARY - FAMILY RELATIONSHIP. JOSEPH A. RIZZI, ESQ., JAMES R. BEATTIE, ESQ. AND MARTIN W. KAFAFIAN, ESQ. - BUSINESS RELATIONSHIP. WILLIAM C. HANSON, SAMUEL P. TOSCANO, JR., JOSEPH SIMUNOVICH, MITCHELL BAKER, JENNIFER A. BORG, ESQ. AND STEPHEN T. BOSWELL, PH.D., P.E., SECB - BUSINESS RELATIONSHIP. J. FLETCHER CREAMER AND JOHN J. APOVIAN, M.D. - BUSINESS RELATIONSHIP. JOHN A. SCHEPISI, ESQ. AND J. FLETCHER CREAMER, JOSEPH M. SANZARI AND DAVID SANZARI - BUSINESS RELATIONSHIP. PETER C. GERHARD, GEORGE T. CROONQUIST AND SAMUEL P. TOSCANO, JR. - BUSINESS RELATIONSHIP. JOHN J. APOVIAN, M.D. AND ROBERT S. HEKEMIAN, JR. - BUSINESS RELATIONSHIP. STEPHEN T. BOSWELL, PH.D., P.E., SECB, JAMES R. BEATTIE, ESQ., ROBERT S. HEKEMIAN, JR., DANTE A. IMPLICITO, M.D., JOSEPH M. SANZARI, DAVID SANZARI, SAMUEL P. TOSCANO, JR. AND JOSEPH SIMUNOVICH - BUSINESS RELATIONSHIP. SAMUEL P. TOSCANO, JR., LAWRENCE R. INSERRA, JR., ANTHONY C. TACCETTA, JR., STEPHEN T. BOSWELL, PH.D., P.E., SECB, SCOTT TARRIFF AND JOSEPH P. RICCARDO - BUSINESS RELATIONSHIP. WILLIAM C. HANSON AND GEORGE T. CROONQUIST AND G. THOMAS CROONQUIST, JR. - BUSINESS RELATIONSHIP. WILLIAM C. HANSON, JAMES R. BEATTIE, ESQ., MARTIN W. KAFAFIAN, ESQ. AND JOSEPH A. RIZZI, ESQ. - BUSINESS RELATIONSHIP. GEORGE T. CROONQUIST AND G. THOMAS CROONQUIST, JR. - BUSINESS RELATIONSHIP. NICK CANGIALOSI AND NICHOLAS MINICUCCI, JR. - BUSINESS RELATIONSHIP. GEORGE T. CROONQUIST AND G. THOMAS CROONQUIST, JR. - FAMILY RELATIONSHIP.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 1BPLEASE NOTE THAT CERTAIN VOTING MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES ARE NOT INDEPENDENT. THIS IS EITHER DUE TO THE FACT THAT THEY: 1. ARE COMPENSATED AS AN EMPLOYEE OF A RELATED ORGANIZATION, 2. ARE COMPENSATED AS AN INDEPENDENT CONTRACTOR OF A RELATED ORGANIZATION, 3. ARE AN OFFICER OR KEY EMPLOYEE OF A COMPANY WITH WHICH A RELATED ORGANIZATION TRANSACTS BUSINESS, 4. ARE AN OWNER OF A COMPANY WITH WHICH A RELATED ORGANIZATION TRANSACTS BUSINESS, 5. HAVE A FAMILY MEMBER THAT IS COMPENSATED AN EMPLOYEE OF A RELATED ORGANIZATION, OR 6. HAVE A FAMILY MEMBER THAT IS COMPENSATED AS AN INDEPENDENT CONTRACTOR OF A RELATED ORGANIZATION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("HUHN") IS THE SOLE MEMBER OF THIS ORGANIZATION. HUHN HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING A COPY OF THE FEDERAL FORM 990 TO EACH VOTING MEMBER OF ITS GOVERNING BODY.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO HACKENSACKUMC'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BASIS. THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER THEN PRESENTS THIS SUMMARY TO HACKENSACKUMC'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). HACKENSACKUMC'S BOARD OF GOVERNORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY OVER SEVERAL MEETINGS, AND APPROVES ONLY "TOTAL COMPENSATION" THAT THE COMMITTEE HAS CONCLUDED DOES NOT EXCEED WHAT THE COMMITTEE CONSIDERS TO BE REASONABLE COMPENSATION. THE COMMITTEE STRUCTURES AND CONDUCTS ITS REVIEW AND APPROVAL PROCESS SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THIS REVIEW AND APPROVAL PROCESS APPLIES TO ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF GOVERNORS, EACH OF WHOM IS "DISINTERESTED" AS DEFINED BY THE IRS IN ITS REGULATIONS DESCRIBING THIS STANDARD. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS DETAILED STUDY USES COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA FOR TAX-EXEMPT HOSPITALS AND HEALTHCARE SYSTEMS OF A SIMILAR LEVEL OF NET ANNUAL OPERATING REVENUE IN THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES IS USED. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE REVIEW AND APPROVAL PROCESS USED BY THE COMMITTEE, INCLUDING ALL ACTIONS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, IS APPLIED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM OF THE ORGANIZATION, WHETHER OR NOT THEY WOULD BE CONSIDERED 'DISQUALIFIED PERSONS' UNDER THE INTERMEDIATE SANCTIONS RULES. IN ADDITION TO RELYING ON MARKET DATA, THE COMMITTEE APPLIES A WIDE RANGE OF BUSINESS JUDGMENT FACTORS INCLUDING, BUT NOT LIMITED TO, INDIVIDUAL PERFORMANCE, INDIVIDUAL EXPERIENCE, RECRUITMENT AND RETENTION FACTORS, AND THE UNIQUE DEMANDS OF PARTICULAR POSITIONS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. THE ORGANIZATION ALSO MAKES AVAILABLE TO THE PUBLIC VIA ITS WEBSITE, WWW.HACKENSACKUMC.ORG, ITS COMPLIANCE PLAN DOCUMENTS, CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY.
RELATED HOURS INFORMATIONCORE FORM, PART VII, SECTION AThis organization is AN AFFILIATE WITHIN HACKENSACK UNIVERSITY HEALTH NETWORK, INC.; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS THOSE REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990 FOR PAID OFFICERS AND KEY EMPLOYEES REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET UNREALIZED LOSS ON INVESTMENT SECURITIES - ($290,281)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYER'S FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BERGEN HEALTH MANAGEMENT SYSTEM INC
30 PROSPECT AVENUEHACKENSACKNJ07601222989731DAY CARENJ501(C)(3)509(A)(2)HUHNfalse
BERGEN HOME HEALTH SERVICES INC
30 PROSPECT AVENUEHACKENSACKNJ07601223091474HLTHCARE SVCSNJ501(C)(3)509(A)(2)HUHNfalse
HACKENSACK UNIVIERSITY MEDICAL CENTER
30 PROSPECT AVENUEHACKENSACKNJ07601221487576HLTHCARE SVCSNJ501(C)(3)HOSPITALHUHNfalse
HACKENSACK SPECIALTY CARE ASSOC PC
30 PROSPECT AVENUEHACKENSACKNJ07601201017013PHYS. SVCS.NJ501(C)(3)509(A)(3)HUMCfalse
HACKENSACK UNIVERSITY HEALTH NETWORK
30 PROSPECT AVENUEHACKENSACKNJ07601222595857SUPPORTNJ501(C)(3)509(A)(3)NAfalse
NJ TRAUMA AND CRITICAL CARE ASSOCIATES
30 PROSPECT AVENUEHACKENSACKNJ07601201123530PHYS. SVCS.NJ501(C)(3)509(A)(3)HUMCfalse
NORTH JERSEY PRIMARY CARE ASSOC PA
30 PROSPECT AVENUEHACKENSACKNJ07601223376459PHYS. SVCS.NJ501(C)(3)509(A)(3)HUMCfalse
HUMC CARDIOVASCULAR PARTNERS PC
30 PROSPECT AVENUEHACKENSACKNJ07601270614861HEALTHCARENJ501(C)(3)509(A)(3)HUMCfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNA
PEDIATRIC SPECIALTIES OF OAKLAND PA
5 SUMMIT AVENUEHACKENSACKNJ07601223537262HEALTHCARE SVCS.NJNAS CORP.
HACKENSACKUMC CASUALTY COMPANY LTD
221487576FINANCIAL VEHICLENAFOREIGN CORPBD
BERGEN HEALTH SERVICES INC
30 PROSPECT AVENUEHACKENSACKNJ07601222849212MANAGEMENT SVCS.NJNAC CORP.
NORTH JERSEY OCCUPATIONAL MEDICINE ASSOC
20 PROSPECT AVENUEHACKENSACKNJ07601223508404HEALTHCARE SVCS.NJNAC CORP.
HILLCREST PROFESSIONAL SERVICES CORP
30 PROSPECT AVENUEHACKENSACKNJ07601223417915INACTIVENJNAC CORP.
HUMC MEDICAL OBSERVATION PA
30 PROSPECT AVENUEHACKENSACKNJ07601272371424HEALTHCARE SVCS.NJC CORP.N/A
NEW AMSTERDAM MEDICAL ASSOCIATES PC
30 PROSPECT AVENUEHACKENSACKNJ07601270849894PHYSICIAN SVCS.NYC CORP.N/A
HUMC PRIMARY CARE ASSOCIATES PC
30 PROSPECT AVENUEHACKENSACKNJ07601453744725INACTIVENJC CORP.N/A
HACKENSACK OCCUPATIONAL MEDICINE PC
30 PROSPECT AVENUEHACKENSACKNJ07601861153504INACTIVENJC CORP.N/A
CARDIOTHORACIC SURGERY PARTNERS PC
30 PROSPECT AVENUEHACKENSACKNJ07601454699449INACTIVENJC CORP.N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
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 OrgtrueOtherTransferFromOtherOrg

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