ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC (EIN 22-3367281)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201323179349304157
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)
Timestamp2013-11-13T13:22:02-06:00Timestamp
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)
EIN223367281EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ENGLEWOOD HOSPITAL & MED CTR FND INCBusinessNameLine1
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 Signed2013-11-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts9331929GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Siteenglewoodhospital.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionFUNDRAISING AND DEVELOPMENT ON BEHALF OF THE ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members34NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers34TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7700336ContributionsGrantsPriorYear
Contributions Grants Current Year5854389ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year413424InvestmentIncomePriorYear
Investment Income Current Year401402InvestmentIncomeCurrentYear
Other Revenue Prior Year-337214OtherRevenuePriorYear
Other Revenue Current Year-405435OtherRevenueCurrentYear
Total Revenue Prior Year7776546TotalRevenuePriorYear
Total Revenue Current Year5850356TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3741062GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2675613GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year933016SalariesEtcPriorYear
Salaries Etc Current Year930495SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1454735TotalFundrsngExpCurrentYear
Other Expense Prior Year1092680OtherExpensePriorYear
Other Expenses Current Year1008735OtherExpensesCurrentYear
Total Expenses Prior Year5766758TotalExpensesPriorYear
Total Expenses Current Year4614843TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2009788RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1235513RevenuesLessExpensesCY
Total Assets BOY25666351TotalAssetsBOY
Total Assets EOY22500335TotalAssetsEOY
Total Liabilities BOY6520202TotalLiabilitiesBOY
Total Liabilities EOY1351618TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19146149NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21148717NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionESTABLISHED IN 1995, THE ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. IS THE NOT-FOR-PROFIT ORGANIZATION THAT DEVELOPS PRIVATE RESOURCES TO SUPPORT THE CAPITAL, ENDOWMENT AND ANNUAL OPERATING NEEDS OF ENGLEWOOD HOSPTIAL AND MEDICAL CENTER. THROUGH ITS FUNDRAISING PROGRAMS, SPECIAL EVENTS AND OUTREACH ACTIVITIES, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN THE MEDICAL CENTER'S HEALTHCARE PROGRAMS AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2675613Expense
Grants2675613Grants
Revenue0Revenue
DescriptionENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION IS A WHOLLY-OWNED NON-PROFIT SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND WAS FORMED FOR THE PURPOSE OF FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. THE PRIMARY AFFILIATE IS ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THROUGH ITS FUNDRAISING PROGRAMS, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S HEALTHCARE FACILITIES, PROGRAMS AND SERVICES. THE GENEROSITY OF THE COMMUNITY HAS HELPED ENSURE QUALITY PATIENT CARE BY SUPPORTING OPERATING NEEDS, FUNDING NEW CLINICAL PROGRAMS, NURSING SCHOLARSHIPS, EQUIPMENT AND MAJOR CAPITAL PROJECTS.Description
Total Program Service Expense2675613TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
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 ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members34NumberIndependentVotingMembers
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
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

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD J KURTZ
CHAIRMAN1.04.0XX
JOSEPH RUBACH
TREASURER1.0XX
SUSAN L SILBERMAN
SECRETARY (TERM. 10-10-12)1.0XX
DAVID L ABRAMSON MD
TRUSTEE1.0X
JAMES C ACKERMAN
TRUSTEE2.0X
STEVEN B BRAVERMAN
TRUSTEE1.0X
DONALD DICKSTEIN
TRUSTEE1.0X
LEE D EISENBERG MD
TRUSTEE1.0X
DAVID GRAF
TTEE/SECRETARY (EFF 10-10-12)1.0X
BRUCE HARPER
TRUSTEE1.0X
ERIC D HERSCHMANN ESQ
TRUSTEE1.0X
MIRIAM R KASSEL
TRUSTEE1.0X
ANDREW M CLARKE
TRUSTEE1.0X
MERLE FISH
TRUSTEE1.0X
STEVEN KAPLAN
TRUSTEE1.0X
BERNARD KOSTER
TRUSTEE3.0X
JAY C NADEL
TRUSTEE1.05.0X
ANTHONY T ORLANDO
TRUSTEE1.058.0X7728037693833067
THOMAS C SENTER ESQ
TRUSTEE1.03.0X
YAZ SHAH
TRUSTEE1.0X
STANLEY SHIRVAN
TRUSTEE1.0X
MICHAEL B BRENNER
TRUSTEE1.02.0X
GRANT R SIMONS MD
TRUSTEE1.0X
JOHN R STABILE MD
TRUSTEE1.0X
ROBERT FEUERSTEIN
TRUSTEE (EFF. 10-10-12)1.0X
KEVIN WOLFER
TRUSTEE (TERM. 12-11-12)2.0X
BARRY M ZINGLER MD
TRUSTEE1.0X
MARC BLATT
TRUSTEE1.0X
MICHAEL GUTTER
TRUSTEE1.0X
J BRAD CAMPOLI
TRUSTEE (EFF. 10-10-12)1.0X
DIANE LUCIANNA
TRUSTEE1.0X
MARK SPIVAK
TRUSTEE1.0X
SHELLEY TAUB
TRUSTEE1.0X
ERIC MARGOLIS MD
TRUSTEE (EFF. 10-10-12)1.0X
MARTIN ZAIKOV
TRUSTEE (EFF. 10-10-12)1.0X
NANCY BROWN
TRUSTEE (EFF. 10-10-12)1.0X
WENDY HURST MD
TRUSTEE (EFF. 10-10-12)1.0X
DOUGLAS A DUCHAK
PRESIDENT5.058.0X16955777890650560
DEBRA ALBANESE
EXECUTIVE VICE PRESIDENT55.0X19982803222
TODD W BROOKS
DIRECTOR-CAMPAIGNS & GIFTS50.015351302600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org600178TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1155844TotalReportableCompFrmRltdOrgs
Total Other Compensation89449TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events1360532FundraisingEvents
Government Grants812286GovernmentGrants
All Other Contributions3681571AllOtherContributions
Noncash Contributions132225NoncashContributions
Total Contributions5854389TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column282171TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$282,171ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2978494Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2859263Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities119231Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column119231TotalRevenueColumn
Exclusion$119,231ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events203175GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1360532CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses611555FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-408380TotalRevenueColumn
Exclusion-$408,380ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming13700GrossIncomeGaming
Gaming Direct Expenses10755GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2945TotalRevenueColumn
Exclusion$2,945ExclusionAmount

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 Column5850356TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$4,033ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2675613Total
Program Services2675613ProgramServices

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)
Total449887Total
Management And General112472ManagementAndGeneral
Fundraising337415Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total330960Total
Management And General95978ManagementAndGeneral
Fundraising234982Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total149648Total
Management And General37412ManagementAndGeneral
Fundraising112236Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total297288Total
Management And General74322ManagementAndGeneral
Fundraising222966Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9877Total
Management And General2469ManagementAndGeneral
Fundraising7408Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12600Total
Management And General3150ManagementAndGeneral
Fundraising9450Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total82500Total
Management And General82500ManagementAndGeneral

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)
Total63080Total
Management And General17323ManagementAndGeneral
Fundraising45757Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total124230Total
Fundraising124230Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total114460Total
Management And General28615ManagementAndGeneral
Fundraising85845Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31017Total
Management And General9305ManagementAndGeneral
Fundraising21712Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40500Total
Management And General9720ManagementAndGeneral
Fundraising30780Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3156Total
Management And General789ManagementAndGeneral
Fundraising2367Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2049Total
Management And General512ManagementAndGeneral
Fundraising1537Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2721Total
Management And General680ManagementAndGeneral
Fundraising2041Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5004Total
Management And General5004ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
CAPITAL FUND EXPENSES140178140178
PLAQUES AND ENGRAVING4734947349
MEMBERSHIP DUES2289222892
SUBSCRIPTIONS22522252

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7582Total
Management And General4244ManagementAndGeneral
Fundraising3338Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4614843Total
Program Services2675613ProgramServices
Management And General484495ManagementAndGeneral
Fundraising1454735Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36211BOY
EOY102436EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3767003BOY
EOY3774803EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY6477786BOY
EOY4326475EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY390610BOY
EOY444937EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis177115LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec169016LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10820BOY
EOY8099EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14508541BOY
EOY13348929EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY251536BOY
EOY254867EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY223844BOY
EOY239789EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25666351BOY
EOY22500335EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY92257BOY
EOY93421EOY

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)
BOY6427945BOY
EOY1258197EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6520202BOY
EOY1351618EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3309824BOY
EOY-2549443EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19332115BOY
EOY20574302EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3123858BOY
EOY3123858EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19146149BOY
EOY21148717EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25666351BOY
EOY22500335EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1235513ReconcilationRevenueExpenses
Reconciliation Unrealized Invest624832ReconciliationUnrealizedInvest
Reconcilation Donated Services142224ReconcilationDonatedServices
Reconcilation Other Changes-1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
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 Years9071977CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6027723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5726982CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7700336CurrentTaxYearMinus1Year
Current Tax Year5854389CurrentTaxYear
Total34381407Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9071977CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6027723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5726982CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7700336CurrentTaxYearMinus1Year
Current Tax Year5854389CurrentTaxYear
Total34381407Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2378185AmountsSubstContributorsTotal
Public Support Total17032003222PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years714373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years160245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184132CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year338891CurrentTaxYearMinus1Year
Current Tax Year282171CurrentTaxYear
Total1679812Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years182195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years153300CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years197775CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year276605CurrentTaxYearMinus1Year
Current Tax Year206120CurrentTaxYear
Total1015995Total
FieldValueIRS element (for citing)
Total Support37077214TotalSupport
Public Support Pertcentage1700.86315PublicSupportPertcentage170
Public Support Pertcent Prior Year0.87298PublicSupportPertcentPriorYear
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 LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$82,500OtherActivitiesAmount
Total Lobbying Expenditures IIB82500TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. PAID A FIRM THAT LOBBIES THE UNITED STATES CONGRESS ON BEHALF OF THE HOSPITAL INDUSTRY.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 Balance8440705BeginningOfYearBalance
Investment Earnings Or Losses886726InvestmentEarningsOrLosses
Other Expenditures300000OtherExpenditures
Administrative Expenses15289AdministrativeExpenses
End Of Year Balance9012142EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8601652BeginningOfYearBalance
Investment Earnings Or Losses150562InvestmentEarningsOrLosses
Other Expenditures300000OtherExpenditures
Administrative Expenses11509AdministrativeExpenses
End Of Year Balance8440705EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7943220BeginningOfYearBalance
Investment Earnings Or Losses973934InvestmentEarningsOrLosses
Other Expenditures300000OtherExpenditures
Administrative Expenses15502AdministrativeExpenses
End Of Year Balance8601652EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6996801BeginningOfYearBalance
Investment Earnings Or Losses1263601InvestmentEarningsOrLosses
Other Expenditures300000OtherExpenditures
Administrative Expenses17182AdministrativeExpenses
End Of Year Balance7943220EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8873285BeginningOfYearBalance
Investment Earnings Or Losses-1757103InvestmentEarningsOrLosses
Other Expenditures100000OtherExpenditures
Administrative Expenses19381AdministrativeExpenses
End Of Year Balance6996801EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.34660PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.65340TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis156072OtherCostOrOtherBasis
Depreciation147973Depreciation
Book Value8099BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21043OtherCostOrOtherBasis
Depreciation21043Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings8099TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFF. - ENGLEWOOD HOSP.Description
Amount$1,258,197Amount
FieldValueIRS element (for citing)
Total Of Amounts1258197TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt6495659TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities142224DonatedSrvcAndUseOfFacilities
Other Revenues622310OtherRevenues
Revenue Not Rptd F990764534RevenueNotRptdF990
Revenue Subtotal5731125RevenueSubtotal
Other Revenues Not Included119231OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt119231RevenueNotRptdOnFinStmt
Total Revenue Per Form9905850356TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2015589TotExpensesEtcAuditedFinclStmt
Prior Year Adjustments1PriorYearAdjustments
Other Expenses Included622310OtherExpensesIncluded
Expenses Not Rptd F990622311ExpensesNotRptdF990
Expenses Subtotal1393278ExpensesSubtotal
Other Expenses Not Included3221565OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3221565ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904614843TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationSCHEDULE D, PART V - ENDOWMENT FUNDS THE FOUNDATION'S ENDOWMENT FUNDS WERE CREATED FOR VARIOUS PURPOSES INCLUDING, BUT NOT LIMITED TO: A) MEDICAL RESEARCH INTO THE CAUSES AND CURES OF CANCER, B) THE CARE AND BENEFIT OF CHARITABLE PATIENTS, C) FACILITY MAINTENANCE OF THE MEDICAL CENTER, AND D)HEALTH EDUCATION AND RESEARCH. SCHEDULE D, PART XI, LINE 2D: SPECIAL EVENT EXPENSES REPORTED ON LINE 8B ON FORM 990 PART VIII, STATEMENT OF REVENUE: RECLASS FUNDRAISING DIRECT EXPENSES $611,555 RECLASS GAMING ACTIVITIES EXPENSES $ 10,755 ---------- TOTAL $622,310 SCHEDULE D, PART XI, LINE 4B: REALIZED GAINS ON INVESTMENTS $119,231 SCHEDULE D, PART XII, LINE 2D: SPECIAL EVENT EXPENSES REPORTED ON LINE 8B OF REVENUE STATEMENT: RECLASS FUNDRAISING DIRECT EXPENSES $611,555 RECLASS GAMING ACTIVITIES EXPENSES $ 10,755 ---------- TOTAL $622,310 SCHEDULE D, PART XII, LINE 4B: CONTRIBUTIONS TO ENGLEWOOD HOSPITAL FOR CAPITAL $1,066,210 CONTRIBUTIONS TO ENGLEWOOD HOSPITAL FOR OPERATING $2,155,355 ---------- TOTAL $3,221,565Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionMiddle East and North AfricaRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures250000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent250000SubtotalAmountSpent
Total Amount Spent250000TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event11085355GrossReceiptsEvent1
Charitable Contributions Event1927405CharitableContributionsEvent1
Gross Revenue Event1157950GrossRevenueEvent1
Rent Facility Costs Event1217644RentFacilityCostsEvent1
Entertainment Event170000EntertainmentEvent1
Other Direct Expenses Event1138177OtherDirectExpensesEvent1
Name Of Event2GOLF/TENNISNameOfEvent2
Gross Receipts Event2170360GrossReceiptsEvent2
Charitable Contributions Event2125135CharitableContributionsEvent2
Gross Revenue Event245225GrossRevenueEvent2
Rent Facility Costs Event235315RentFacilityCostsEvent2
Other Direct Expenses Event233399OtherDirectExpensesEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events307992GrossReceiptsOtherEvents
Charitable Contrib Other Events307992CharitableContribOtherEvents
Rent Facility Costs Other Events35921RentFacilityCostsOtherEvents
Other Direct Expenses Other Events81099OtherDirectExpensesOtherEvents
Gross Receipts Total1563707GrossReceiptsTotal
Charitable Contributions Total1360532CharitableContributionsTotal
Gross Revenue Total Events203175GrossRevenueTotalEvents
Rent Facility Costs Total Events288880RentFacilityCostsTotalEvents
Entertainment Total Events70000EntertainmentTotalEvents
Other Direct Expenses Total Events252675OtherDirectExpensesTotalEvents
Direct Expense Summary Events611555DirectExpenseSummaryEvents
Net Income Summary-408380NetIncomeSummary

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173501(C)(3)1601603OPERATING EXPENSE REIMBURSEMENT
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173501(C)(3)1066210CAPITAL EXPENDITURES
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173501(C)(3)7800SCHOLARSHIPS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE CURRENT YEAR GRANTS WERE MADE TO A RELATED TAX EXEMPT ORGANIZATION THAT THE ORGANIZATION SUPPORTS AND WILL BE USED TO FURTHER THEIR EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (4 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
ANTHONY T ORLANDO
TRUSTEE77280304121050866021951028000050677728041000500
DOUGLAS A DUCHAK
PRESIDENT169557511410017932808816803063401992616955782946600
DEBRA ALBANESE
EXECUTIVE VICE PRESIDENT188557000112710233408880203050000
TODD W BROOKS
DIRECTOR-CAMPAIGNS & GIFTS15315300036002600000156113000

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9902500NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
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 Contributions5NumberOfContributions
Noncash Contribs Rptd F99082499NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
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 (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGIFT CERTIFICATES4811061COST/SELLING PRICE
XJEWELRY828500COST/SELLING PRICE
XGIFT BASKETS137385COST/SELLING PRICE
XCHILDREN'S TOY CAR1280COST/SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONFORM 990, PART V, LINE 2AENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON THE FORM 941 FILED BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 22-1487173.
Description of RelationshipsFORM 990, PART VI, LINE 2BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ, HAVE A BUSINESS RELATIONSHIP. BOARD MEMBERS, MR. JAY NADEL AND MR. JAMES ACKERMAN, 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 FOUNDATION, INC.
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) DETERMINE THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD OF TRUSTEES OF THE CORPORATION; B) ELECT TRUSTEES OF THE CORPORATION; C) REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD OF TRUSTEES, WITH OR WITHOUT CAUSE, AND TO REPLACE ANY SUCH REMOVED TRUSTEE FOR THE UNEXPIRED PORTION OF HIS/HER TERM; D) APPROVE THE ELECTION, REELECTION, APPOINTMENT, REAPPOINTMENT, AND REMOVAL OF ALL OFFICERS OF THE CORPORATION.
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, REVISION OR RESTATEMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED BY THE BOARD OF TRUSTEES OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; B) DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY; C) ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, INCLUDING THE DISPOSITION OF ANY CONTRIBUTIONS OR OTHER NET FUNDS; D) INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF $50,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS; E) EXPENDITURES NOT PROVIDED FOR IN THE APPROVED BUDGETS IN EXCESS OF $50,000; F) CONTRACTUAL COMMITMENTS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; G) SALE, LEASE OR EXCHANGE OF ANY ASSET OF THE CORPORATION THAT IS VALUED IN EXCESS OF $50,000; H) TRANSFER, GRANT, GIFT, LOAN OR HYPOTHECATION OF ASSETS OF THE CORPORATION NOT PROVIDED FOR IN THE APPROVED BUDGETS, EXCEPT FOR TRANSFERS OF RESTRICTED FUNDS IN ACCORDANCE WITH THE DONOR'S WISHES.
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 ULTIMATE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL PROFESSIONAL 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, AN AFFILIATE OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, 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 & 15BENGLEWOOD HOSPITAL AND MEDICAL CENTER, AN AFFILIATE OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, 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 FOUNDATION 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 ASSETSFORM 990, PART XI, LINE 9ROUNDING ($1)

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 AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173HOSPITALNJ501(C)(3)3EHStrue
ENGELWOOD 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 OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ENGLEWOOD HOSP & MED CENTER
B2675613CASH
ENGLEWOOD HOSP & MED CENTER
N763576FMV
ENGLEWOOD HOSP & MED CENTER
O1706708CASH

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.