ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC (EIN 22-3367281)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-08
IRS object ID
201330089349300708
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)
Timestamp2013-01-08T09:37:47-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 STE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBRA ALBANESEName
TitleVICE PRESIDENTTitle
Date Signed2012-12-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDOUGLAS A DUCHAKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 ENGLE STREETAddressLine1
CityENGLEWOODCity
StateNJState
ZIP Code07631ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10520860GrossReceipts
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 Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members31NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers32TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5726983ContributionsGrantsPriorYear
Contributions Grants Current Year7700336ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year366024InvestmentIncomePriorYear
Investment Income Current Year413424InvestmentIncomeCurrentYear
Other Revenue Prior Year-170577OtherRevenuePriorYear
Other Revenue Current Year-337214OtherRevenueCurrentYear
Total Revenue Prior Year5922430TotalRevenuePriorYear
Total Revenue Current Year7776546TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2950311GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3741062GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year778963SalariesEtcPriorYear
Salaries Etc Current Year933016SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1321650TotalFundrsngExpCurrentYear
Other Expense Prior Year1047527OtherExpensePriorYear
Other Expenses Current Year1092680OtherExpensesCurrentYear
Total Expenses Prior Year4776801TotalExpensesPriorYear
Total Expenses Current Year5766758TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1145629RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2009788RevenuesLessExpensesCY
Total Assets BOY24295100TotalAssetsBOY
Total Assets EOY25666351TotalAssetsEOY
Total Liabilities BOY7343847TotalLiabilitiesBOY
Total Liabilities EOY6520202TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16951253NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19146149NetAssetsOrFundBalancesEOY
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
Expense3741062Expense
Grants3741062Grants
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 INSURE QUALITY PATIENT CARE BY SUPPORTING OPERATING NEEDS, FUNDING NEW CLINICAL PROGRAMS, NURSING SCHOLARSHIPS, EQUIPMENT AND MAJOR CAPITAL PROJECTS.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense3741062TotalProgramServiceExpense
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
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
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 Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members31NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD J KURTZ
CHAIRMAN1.0XX000
JOSEPH RUBACH
TREASURER1.0XX000
SUSAN L SILBERMAN
SECRETARY1.0XX
DAVID L ABRAMSON MD
TRUSTEE1.0X000
JAMES C ACKERMAN
TRUSTEE1.0X
STEVEN B BRAVERMAN
TRUSTEE1.0X
DONALD DICKSTEIN
TRUSTEE1.0X000
LEE D EISENBERG MD
TRUSTEE1.0X
DAVID GRAF
TRUSTEE1.0X
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
TRUSTEE1.0X
JAY C NADEL
TRUSTEE1.0X
ANTHONY T ORLANDO
TRUSTEE1.0X8611234543532419
THOMAS C SENTER ESQ
TRUSTEE1.0X
YAZ SHAH
TRUSTEE1.0X
STANLEY SHIRVAN
TRUSTEE1.0X
MICHAEL B BRENNER
TRUSTEE1.0X
GRANT R SIMONS MD
TRUSTEE1.0X
JOHN R STABILE MD
TRUSTEE1.0X
THOMAS J VOLPE TERM 092111
TRUSTEE1.0X
KEVIN WOLFER
TRUSTEE2.0X
BARRY M ZINGLER MD
TRUSTEE1.0X
DOUGLAS A DUCHAK
PRESIDENT5.0X16374872263548862
MARC BLATT EFFECT 092111
TRUSTEE1.0X
MICHAEL GUTTER EFFECT 092111
TRUSTEE1.0X
SHARI LEVENTHAL EFFECT 092111
TRUSTEE1.0X
DIANE LUCIANNA EFFECT 092111
TRUSTEE1.0X
MARK SPIVAK EFFECT 092111
TRUSTEE1.0X
SHELLEY TAUB EFFECT 092111
TRUSTEE1.0X
DEBRA ALBANESE
VP (EFFECT. 2/22/11)55.0X1518900863
TODD W BROOKS
DIRECTOR-CAMPAIGNS & GIFTS50.01578882600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org559638TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1068070TotalReportableCompFrmRltdOrgs
Total Other Compensation84744TotalOtherCompensation
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 Events1135389FundraisingEvents
Government Grants1454940GovernmentGrants
All Other Contributions5110007AllOtherContributions
Noncash Contributions4331NoncashContributions
Total Contributions7700336TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column338891TotalRevenueColumn
Exclusion$338,891ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2205028Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2130495Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities74533Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column74533TotalRevenueColumn
Exclusion$74,533ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events276605GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1135389CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses613819FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-337214TotalRevenueColumn
Exclusion-$337,214ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column7776546TotalRevenueColumn
Exclusion$76,210ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3741062Total
Program Services3741062ProgramServices

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)
Total402613Total
Management And General100653ManagementAndGeneral
Fundraising301960Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total379406Total
Management And General110028ManagementAndGeneral
Fundraising269378Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total150997Total
Management And General37749ManagementAndGeneral
Fundraising113248Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total275004Total
Management And General68751ManagementAndGeneral
Fundraising206253Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7164Total
Management And General1791ManagementAndGeneral
Fundraising5373Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10785Total
Management And General2696ManagementAndGeneral
Fundraising8089Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total217500Total
Management And General217500ManagementAndGeneral

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)
Total204026Total
Management And General52567ManagementAndGeneral
Fundraising151459Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total90676Total
Management And General22669ManagementAndGeneral
Fundraising68007Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5906Total
Management And General1772ManagementAndGeneral
Fundraising4134Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40500Total
Management And General9720ManagementAndGeneral
Fundraising30780Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4366Total
Management And General1092ManagementAndGeneral
Fundraising3274Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4111Total
Management And General1028ManagementAndGeneral
Fundraising3083Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5004Total
Management And General5004ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
CAPITAL FUND EXPENSES112235112235
MEMBERSHIP DUES3944839448
PROVISION UNCOLLECT. PLEDGES2174321743
PLAQUES AND ENGRAVING1487114871

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39341Total
Management And General9835ManagementAndGeneral
Fundraising29506Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5766758Total
Program Services3741062ProgramServices
Management And General704046ManagementAndGeneral
Fundraising1321650Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY49853BOY
EOY36211EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4835425BOY
EOY3767003EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7380888BOY
EOY6477786EOY

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)
BOY232107BOY
EOY390610EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis177114LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec166294LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14931BOY
EOY10820EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11266456BOY
EOY14508541EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY284333BOY
EOY251536EOY

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)
BOY231107BOY
EOY223844EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24295100BOY
EOY25666351EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY105633BOY
EOY92257EOY

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)
BOY7238214BOY
EOY6427945EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7343847BOY
EOY6520202EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3235362BOY
EOY-3309824EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17062757BOY
EOY19332115EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3123858BOY
EOY3123858EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16951253BOY
EOY19146149EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24295100BOY
EOY25666351EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2009788ReconcilationRevenueExpenses
Reconcilation Other Changes185108ReconcilationOtherChanges
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 Years11737478CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9071977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6027723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5726982CurrentTaxYearMinus1Year
Current Tax Year7700336CurrentTaxYear
Total40264496Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11737478CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9071977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6027723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5726982CurrentTaxYearMinus1Year
Current Tax Year7700336CurrentTaxYear
Total40264496Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2201010AmountsSubstContributorsTotal
Public Support Total17038063486PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years969713CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years714373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years160245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year184132CurrentTaxYearMinus1Year
Current Tax Year338891CurrentTaxYear
Total2367354Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160025CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years182195CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years153300CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year197775CurrentTaxYearMinus1Year
Current Tax Year276605CurrentTaxYear
Total969900Total
FieldValueIRS element (for citing)
Total Support43601750TotalSupport
Public Support Pertcentage1700.87298PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86253PublicSupportPertcentPriorYear
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$217,500OtherActivitiesAmount
Total Lobbying Expenditures IIB217500TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIES-SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION PAID TWO FIRMS THAT LOBBY 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 Balance8601652BeginningOfYearBalance
Investment Earnings Or Losses150562InvestmentEarningsOrLosses
Other Expenditures300000OtherExpenditures
Administrative Expenses11509AdministrativeExpenses
End Of Year Balance8440705EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.37010PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.62990TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis156071OtherCostOrOtherBasis
Depreciation145251Depreciation
Book Value10820BookValue

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 Buildings10820TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO ENGLEWOOD HOSP & MED CTRDescription
Amount$6,427,945Amount
FieldValueIRS element (for citing)
Total Of Amounts6427945TotalOfAmounts
Total Revenue7776546TotalRevenue
Total Expenses5766758TotalExpenses
Excess Or Deficit For Year2009788ExcessOrDeficitForYear
Net Unrealized GL On Investments90292NetUnrealizedGLOnInvestments
Donated Services And Facilities94816DonatedServicesAndFacilities
Total Adjustments185108TotalAdjustments
Excess Or Deficit Per FS2194896ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8410648TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities94816DonatedSrvcAndUseOfFacilities
Other Revenues613819OtherRevenues
Revenue Not Rptd F990708635RevenueNotRptdF990
Revenue Subtotal7702013RevenueSubtotal
Other Revenues Not Included74533OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt74533RevenueNotRptdOnFinStmt
Total Revenue Per Form9907776546TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6380577TotExpensesEtcAuditedFinclStmt
Other Expenses Included613819OtherExpensesIncluded
Expenses Not Rptd F990613819ExpensesNotRptdF990
Expenses Subtotal5766758ExpensesSubtotal
Total Expenses Per Form9905766758TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE D, PART XII, LINE 2BReturnReference
ExplanationDONATED RENT: $94,816 SCHEDULE D, PART XII, LINE 2D SPECIAL EVENT EXPENSES REPORTED ON LINE 8B OF REVENUE STATEMENT: $613,819 SCHEDULE D, PART XII, LINE 4B REALIZED GAINS ON INVESTMENTS: $74,533 SUPPLEMENTAL INFORMATION SCHEDULE D, PART XIII, LINE 2D SPECIAL EVENT EXPENSES REPORTED ON LINE 8B OF REVENUE STATEMENT: $613,819Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionMiddle East and North AfricaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures250000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
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 Event11101273GrossReceiptsEvent1
Charitable Contributions Event1899448CharitableContributionsEvent1
Gross Revenue Event1201825GrossRevenueEvent1
Rent Facility Costs Event1132738RentFacilityCostsEvent1
Entertainment Event1100000EntertainmentEvent1
Other Direct Expenses Event1207081OtherDirectExpensesEvent1
Name Of Event2GOLF/TENNISNameOfEvent2
Gross Receipts Event2178870GrossReceiptsEvent2
Charitable Contributions Event2104090CharitableContributionsEvent2
Gross Revenue Event274780GrossRevenueEvent2
Rent Facility Costs Event257116RentFacilityCostsEvent2
Other Direct Expenses Event243975OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events131851GrossReceiptsOtherEvents
Charitable Contrib Other Events131851CharitableContribOtherEvents
Other Direct Expenses Other Events72909OtherDirectExpensesOtherEvents
Gross Receipts Total1411994GrossReceiptsTotal
Charitable Contributions Total1135389CharitableContributionsTotal
Gross Revenue Total Events276605GrossRevenueTotalEvents
Rent Facility Costs Total Events189854RentFacilityCostsTotalEvents
Entertainment Total Events100000EntertainmentTotalEvents
Other Direct Expenses Total Events323965OtherDirectExpensesTotalEvents
Direct Expense Summary Events613819DirectExpenseSummaryEvents
Net Income Summary-337214NetIncomeSummary

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)2574050OPERATING EXPENSE REIMBURSEMENT
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173501(C)(3)1150462CAPITAL EXPENDITURES
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREETENGLEWOODNJ07631221487173501(C)(3)16550SCHOLARSHIPS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationTHE CURRENT YEAR GRANTS WERE MADE TO A RELATED TAX EXEMPT ORGANIZATION THAT THE FOUNDATION SUPPORTS AND WILL BE USED TO FURTHER THEIR EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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)

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
ANTHONY T ORLANDO
86112285372038166021897027500049198611237785400
DOUGLAS A DUCHAK
163748491231014746008394402871202015016374877149700
DEBRA ALBANESE
1514060004840008630152753000
TODD W BROOKS
1500367500352260001604880

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 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.
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 AUDIT FIRM/PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED.
Description of Process to Monitor Transactions for Conflicts of InterestFORM 990, PART VI, LINE 12CENGLEWOOD HOSPITAL AND MEDICAL CENTER, 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.
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 5Unrealized Gain on Investment - $90,292 Donated Rent - $94,816 ________ Total- $185,108
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD J. KURTZ TITLE:CHAIRMAN HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAY C. NADEL TITLE:TRUSTEE HOURS:5
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY T. ORLANDO TITLE:TRUSTEE HOURS:56
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS C SENTER ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL B. BRENNER TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS J VOLPE (TERM. 09/21/11) TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DOUGLAS A. DUCHAK TITLE:PRESIDENT HOURS:58

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ENGLEWOOD HOSPITAL & 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

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
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
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ENGLEWOOD HOSP & MED CENTER
B3741062CASH
ENGLEWOOD HOSP & MED CENTER
N788489FMV
ENGLEWOOD HOSP & MED CENTER
O1782592CASH
ENGLEWOOD MEDICAL ASSOCIATES
L61177FMV/CASH

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