2013-11-13T11:32:54-06:00 2012-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-01-01 221773439 KENNEDY UNIVERSITY HOSPITAL INC KENN 8566615185 500 MARLBORO AVENUE CHERRY HILL NJ 080345085 JOSEPH DEVINE 8566615185 2013-11-13 1 JULIUS C GREEN CPA JD P00350393 2159720701 2012 2016-02-24 21:20:13Z JOSEPH DEVINE 1099 WHITEHORSE RD VOORHEES NJ 08043 489317743 0 X WWW.KENNEDYHEALTH.ORG X 1965 NJ KENNEDY UNIVERSITY HOSPITAL IS AN ACADEMIC MEDICAL CENTER PROVIDING THE FINEST HEALTHCARE SERVICES. 20 18 4459 300 0 0 3196573 1970593 419415822 482009247 2898048 2967224 2288905 2093823 427799348 489040887 0 0 0 0 213547795 219591517 0 0 62505 207865732 256286269 421413527 475877786 6385821 13163101 412652826 438183487 200952973 214183066 211699853 224000421 KENNEDY UNIVERSITY HOSPITAL IS AN ACADEMIC MEDICAL CENTER THAT PROVIDES THE FINEST HEALTHCARE SERVICES WITH EXCELLENT OUTCOMES TO PEOPLE LIVING IN OUR COMMUNITY. 0 0 414499611 482009247 ESTABLISHED IN 1965, KENNEDY UNIVERSITY HOSPITAL PROVIDES OUTSTANDING MEDICAL SERVICES TO RESIDENTS IN OUR COMMUNITIES IN INPATIENT AND OUTPATIENT FACILITIES. KENNEDY HAS THREE ACUTE CARE HOSPITALS LOCATED IN SOUTHERN NEW JERSEY. KENNEDY OFFERS A WIDE VARIETY OF PROGRAMS AND SERVICES AT OUR OUTPATIENT FACILITIES INCLUDING A CANCER CENTER, DIALYSIS CENTERS, OUTPATIENT RADIOLOGY, FAMILY HEALTH CENTERS, CENTER FOR WOUND CARE, HOME HEALTH, WOMEN'S AND CHILDREN'S AND BEHAVIORAL HEALTH. 414499611 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 395 0 1 4459 1 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X J DAVID HYERS 8566615186 500 MARLBORO AVENUE CHERRY HILL NJ 08034 ALBERT E SMITH CPA 1.00 X X 0 0 0 BRUCE J PAPARONE 1.00 X X 0 0 0 STANLEY JC GIBERSON SR 1.00 X X 0 0 0 DAVID V CONDOLUCI 1.00 X X 0 0 0 DONALD A BARONE 1.00 X 0 0 0 BARRY BANNETT 1.00 X 0 0 0 ROBERT I BARKSY DO 1.00 X 0 0 0 RONALD L CAPUTO 1.00 X 0 0 0 DANIEL J DALTON 1.00 X 0 0 0 JOHN F DURANTE 1.00 X 0 0 0 MICHELE A FLETCHER CPA 1.00 X 0 0 0 HARRY T GAMBLE 1.00 X 0 0 0 WANDA P HARDY EMBA 1.00 X 0 0 0 JOSEPH A MARESSA ESQ 1.00 X 0 0 0 DANIEL J RAGONE CPA 1.00 X 0 0 0 JOHN P SILVESTRI 1.00 X 0 0 0 JUSTICE JOHN E WALLACE JR 1.00 X 0 0 0 MARTIN A BIEBER 40.00 1.00 X X 847786 0 73216 THOMAS A CAVALIERI DO 1.00 X 0 0 0 DENISE V RODGERS MD 1.00 X 0 0 0 JOSEPH W DEVINE 40.00 1.00 X 345125 0 74727 EDWARD SULLIVAN ESQ 40.00 1.00 X 415952 0 31290 GARY TERRINONI 40.00 1.00 X 509375 0 55847 RICHARD BOEHLER 40.00 X 471193 0 41442 CARMAN CIERVO DO 24.00 16.00 X 441845 0 62650 LINDA CARRICK 40.00 X 382248 0 59502 THOMAS BALCAVAGE 40.00 X 266710 0 52957 FRITZ BECH 40.00 X 566222 0 42073 EDUARDO CAREAGA 40.00 X 329808 0 26264 KENNETH COVONE 40.00 X 304814 0 42069 KASHMIRI CHOPRA 40.00 X 245863 0 40900 JAMES MCCABE 40.00 X 242394 0 35342 PAUL WALKER 0.00 X 258771 0 26433 5628106 0 664712 179 1 1 0 RANCOCAS ANESTHESIOLOGY 700 ROUTE 130 N SUITE 203 CINNAMINSON NJ 08077 ANESTHESIOLOGISTS 6934093 MED METRIX LLC 100 PARAGON DRIVE SUITE 230 MONTVALE NJ 07645 BILLING SERVICES 3149138 HUNTER ROBERTS CONSTRUCTION 1717 ARCH STREET 34TH FLOOR PHILADELPHIA PA 19103 CONSTRUCTION 2216530 RADIOLOGY ASSOCIATES OF NJ PO BOX 347274 PITTSBURGH PA 152514274 RADIOLOGISTS 2005641 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY/LINEN 1875508 56 1751118 219475 1970593 NET PATIENT SERVICE REVENUE 621400 482009247 482009247 482009247 2967224 2967224 687326 276856 410470 410470 410470 CAFETERIA REVENUE 722210 1557498 1557498 INSURANCE COMPANY INTEREST 900099 76423 76423 VENDING MACHINES 722210 45052 45052 4380 4380 1683353 489040887 482419717 0 4650577 X 4007930 4007930 178345543 161977878 16309915 57750 7452755 6573188 879567 14779144 13587589 1191555 15006145 13402178 1599212 4755 872615 872615 129041 670 128371 420721 420721 83284834 69098447 14186387 1382951 1160440 222511 7092951 4891575 2201376 7616482 7616482 7789987 7299419 490568 564384 401631 162753 1209832 1149340 60492 29783223 20252592 9530631 6487465 6487293 172 MEDICAL SUPPLIES 72952562 72952562 BAD DEBT EXPENSE 26681172 26681172 MAINTENANCE & REPAIRS 5746084 5663942 82142 AMBULANCE EXPENSE 2198858 2198858 2073107 720837 1352270 475877786 414499611 61315670 62505 7950 8707217 14199242 2030913 741107 46828292 49727284 6815804 7544161 4494999 3599572 516019257 290076529 223134314 225942728 103184206 116446852 17457081 19974591 412652826 438183487 91543885 90376701 1261673 1233991 59997075 69852495 243925 1544475 47906415 51175404 200952973 214183066 X 211358295 223554625 341558 445796 211699853 224000421 412652826 438183487 X 13163101 3433637 -4296170 X 0 1 X 1 1 1 X 4379016 4379016 209471858 83946148 125525710 3811865 3492455 319410 291638678 198323847 93314831 6717840 4314079 2403761 225942728 CAPITALIZED LEASES 19797983 LONG-TERM PENSION LIABILITY 31377421 51175404 X 488034489 3433637 -4296170 -862533 488897022 420721 -276856 143865 489040887 475733921 276856 276856 475457065 420721 420721 475877786 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE HOSPITAL'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: PENSION ADJUSTMENT -4,596,170. TRANSFER FROM AFFILIATES 300,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -276,856. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 276,856. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 32936984 18609124 14327860 0.03200 58685938 44073934 14612004 0.03250 91622922 62683058 28939864 0.06450 17120554 12092403 5028151 0.01120 1642132 1570948 71184 0.00020 18762686 13663351 5099335 0.01140 110385608 76346409 34039199 0.07590 1 10008888 3503111 121423174 128387817 -6964643 X 1 1 15 1 KENNEDY UNIVERSITY HOSPITAL

2201 CHAPEL AVENUE-WEST CHERRY HILL NJ 08002

X X X X 2 KENNEDY UNIVERSITY HOSPITAL

18 EAST LAUREL ROAD STRATFORD NJ 08084

X X X X 3 KENNEDY UNIVERSITY HOSPITAL

435 HURFFVILLE-CROSSKEYS ROAD TURNERSVILLE NJ 08012

X X X X 4 KENNEDY DIAGNOSTIC & TREATMENT CENTER

900 MEDICAL CENTER DRIVE SUITE 100 SEWELL NJ 08080

RADIATION ONCOLOGY CENTER 5 KENNEDY DIAGNOSTIC & TREATMENT CENTER

900 MEDICAL CENTER DRIVE SEWELL NJ 08080

MEDICAL IMAGING CENTER 6 KENNEDY FAMILY HEALTH CTR-WASHINGTON TWP

445 HURFFVILLE CROSSKEYS ROAD TURNERSVILLE NJ 08012

FAMILY HEALTH CENTER 7 KENNEDY FAMILY HEALTH CENTER - SOMERDALE

1 SOMERDALE SQUARE WHITE HORSE SOMERDALE NJ 08083

FAMILY HEALTH CENTER 8 KENNEDY DIALYSIS CENTER - WASHINGTON TWP

300 MEDICAL CENTER DRIVE SEWELL NJ 08080

DIALYSIS CENTER 9 KENNEDY DIALYSIS CENTER - VOORHEES

201 LAUREL OAK ROAD VOORHEES NJ 08043

DIALYSIS CENTER 10 KENNEDY BEHAVIORAL HEALTH

454 HURFFVILLE CROSSKEYS ROAD TURNERSVILLE NJ 08012

BEHAVIORAL HEALTH SERVICES 11 THE CENTER FOR WOUND HEALING

543 EGG HARBOR ROAD TURNERSVILLE NJ 08012

WOUND CARE CENTER 12 KENNEDY SLEEP CENTER - WASHINGTON TWP

400 MEDICAL CENTER DRIVE SEWELL NJ 08080

SLEEP STUDY CENTER 13 KENNEDY SLEEP CENTER - STRATFORD

19 EAST LAUREL ROAD STRATFORD NJ 08084

SLEEP STUDY CENTER 14 KENNEDY SURGICAL CENTER

540 EGG HARBOR ROAD SEWELL NJ 08080

X SURGICAL CENTER 15 KENNEDY PHYSICAL THERAPY AT WT

405 HURFFVILLE CROSSKEYS ROAD SEWELL NJ 08080

OUTPATIENT PHYSICAL THERAPY KENNEDY UNIVERSITY HOSPITAL INC 1 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X X 1 X 0 0 KENNEDY UNIVERSITY HOSPITAL INC 2 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X X 1 X 0 0 KENNEDY UNIVERSITY HOSPITAL INC 3 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X X X 1 0 X X X 1 X 0 0 KENNEDY DIAGNOSTIC & TREATMENT CTR - RAD 4 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY DIAGNOSTIC & TREATMENT CENTER 5 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY FAMILY HEALTH CTR - WASHINGTON T 6 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY FAMILY HEALTH CENTER - SOMERDALE 7 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY DIALYSIS CENTER - WASHINGTON TWP 8 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY DIALYSIS CENTER - VOORHEES 9 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY BEHAVIORAL HEALTH 10 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 THE CENTER FOR WOUND HEALING 11 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY SLEEP CENTER - WASHINGTON TWP 12 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY SLEEP CENTER - STRATFORD 13 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY SURGICAL CENTER 14 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 KENNEDY PHYSICAL THERAPY AT WT 15 1 1 200.000000000000 1 500.000000000000 1 X X X X X X X 1 1 X 1 0 X X X 0 X X 0 0 1 KENNEDY HOME HEALTH CARE CENTER

1099 WHITE HORSE ROAD VOORHEES NJ 08043

HOME HEALTH PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $26,681,172. PART III, LINE 4: FOOTNOTE DISCLOSURE: FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.THE ESTIMATED RATIO OF TOTAL BAD DEBT THAT WOULD HAVE QUALIFIED AS CHARITY CARE IF DOCUMENTATION HAD BEEN PROVIDED IS 35% PER IRS WORKSHEET A. THIS ESTIMATE WAS DETERMINED THROUGH DISCUSSIONS WITH HEALTH ACCESS PERSONNEL WHO PROCESS BOTH THE CHARITY CARE APPLICATIONS AND BAD DEBT DETERMINATIONS. MANY PATIENTS REFUSE TO COMPLETE THE CHARITY APPLICATION PROCESS FOR REASONS OF PRIDE, PRIVACY, MOTIVATION AND COMPREHENSION. THE CHARITY CARE DOCUMENTATION REQUIREMENTS ARE SPECIFICALLY PRESCRIBED IN NEW JERSEY AND MUST BE FOLLOWED BY ALL HOSPITALS. THE BAD DEBT PROCESS FOR MANY PATIENTS WITHOUT HEALTH INSURANCE OR ASSETS PROVIDES A MEANS TO ACCESS NEEDED HEALTH CARE SERVICES WITH NO OUT OF POCKET PAYMENTS SIMILAR TO SOME EXTENT TO THE CHARITY CARE PROCESS. THIS IS CLEARLY A COMMUNITY BENEFIT FOR PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE SINCE THEY HAVE NO HEALTH INSURANCE AND FEW ASSETS YET REQUIRE HOSPITAL CARE. PART III, LINE 8: THE ESTIMATED MEDICARE SHORTFALL WAS CALCULATED USING THE COST TO CHARGE RATIO AND IRS WORKSHEETS. THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT DUE TO THE HEALTH CARE ACCESS PROVIDED TO OUR SENIOR CITIZENS WITH MEDICARE COVERAGE. ALL OF OUR HOSPITALS PROVIDES ACCESS TO MEDICARE PATIENTS REGARDLESS OF FINANCIAL GAINS OR LOSSES. IF THIS WERE NOT THE CASE ACCESS TO CARE COULD BE LIMITED AS IT IS FOR CERTAIN PRIVATE PHYSICIAN OFFICES. PART III, LINE 9B: THE COLLECTION POLICY FOR ALL PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE IS BASED ON THE STATE OF NEW JERSEY REGULATIONS. PART VI, LINE 2: THE HEALTH SYSTEM PURCHASES PROPRIETARY DATABASES INCLUDING PHYSICIAN SUPPLY AND DEMAND STUDIES AND UTILIZES PUBLICLY AVAILABLE HEALTH, NON HEALTH (DEMOGRAPHIC) AND NEW JERSEY STATE STATISTICS SUCH AS DISEASE SPECIFIC INCIDENCE AND PREVALENCE RATES TO IDENTIFY GAPS IN SERVICES. THE SYSTEM WORKS CLOSELY WITH THE SOUTHERN NEW JERSEY PRENATAL COOPERATIVE TO IDENTIFY AND IMPROVE MATERNAL, INFANT, AND PEDIATRIC HEALTH CARE IN THE REGION. PART VI, LINE 3: ALL UNINSURED PATIENTS ARE PRESENTED WITH INFORMATION REGARDING CHARITY CARE WHEN THEY PRESENT FOR SERVICES. ALSO, THE PARENTS OF UNINSURED CHILDREN ARE PROVIDED THE OPPORTUNITY TO COMPLETE A NEW JERSEY FAMILY CARE APPLICATION AT THE TIME THE SERVICES ARE PROVIDED. THE HOSPITAL'S REGISTRATION DEPARTMENT IDENTIFIES ALL PATIENTS THAT ARE UNINSURED AND REFERS THEM EITHER TO A HOSPITAL FINANCIAL COUNSELOR OR AN EXTERNAL COMPANY HIRED BY THE HOSPITAL ( ADREIMA ) TO INFORM THEM OF ELIGIBILITY FOR MEDICAID PROGRAMS AND THE NEW JERSEY CHARITY CARE PROGRAM. ADREIMA REPRESENTATIVES HAVE SPANISH SPEAKING PERSONNEL AND ALSO PROVIDES APPLICATIONS FOR ASSISTANCE IN SPANISH AND RUSSIAN AND A FOREIGN LANGUAGE LINE IS ALSO PROVIDED FOR ASSISTANCE TO PATIENTS WHO DO NOT SPEAK ENGLISH TO ASSIST THEM IN DETERMINING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. PATIENTS CAN SET UP AN APPOINTMENT OR WALK IN TO SPEAK WITH A FINANCIAL COUNSELOR. PATIENTS THAT MAY QUALIFY FOR CHARITY ARE GIVEN AN APPLICATION THAT INCLUDES A LIST OF THE DOCUMENTS NECESSARY TO COMPLETE THE APPLICATION PROCESS. THE FINANCIAL COUNSELOR REVIEWS THE INFORMATION WITH THE PATIENT. APPLICATIONS ARE AVAILABLE IN ENGLISH, SPANISH AND RUSSIAN. FINANCIAL COUNSELORS WILL ALSO CALL THE LANGUAGE LINE AS APPROPRIATE. ACCOUNTS OVER 30 DAYS ARE REFERRED TO ADREIMA.SIGNAGE REGARDING NJHAP AND NJ FAMILY CARE ARE POSITIONED AT BOTH THE REGISTRATION AREA FOR ELECTIVE SERVICES AS WELL AS IN EACH OF THE EMERGENCY DEPARTMENTS. INFORMATION IS ALSO PROVIDED ON OUR WEBSITE. PART VI, LINE 4: KENNEDY UNIVERSITY HOSPITAL SERVICES PATIENTS FROM THE FOLLOWING SEVEN COUNTIES IN SOUTHERN NEW JERSEY: ATLANTIC, BURLINGTON, CAPE MAY, CUMBERLAND, GLOUCESTER, AND SALEM. THE SYSTEMS' PRIMARY SERVICE AREA INCLUDES CAMDEN AND GLOUCESTER COUNTIES. CAMDEN COUNTY IS A DENSELY POPULATED, ETHNICALLY DIVERSE, PRIMARILY URBAN COUNTY. ACCORDING TO THE 2011 CENSUS DATA, 60% OF THE POPULATION WAS NON-HISPANIC WHITE, 18% NON-HISPANIC BLACK, 14% HISPANIC, 5% ASIAN, AND 3% OTHER. PART VI, LINE 5: KUH IS CONTINUOUSLY INVESTING IN OUR PROGRAMS AND SERVICES TO PROVIDE THE FINEST HEALTHCARE TO THE INDIVIDUALS AND FAMILIES WHO MAKE UP OUR COMMUNITIES. AS PART OF OUR COMMITMENT TO ENHANCE THE HEALTH STATUS OF EVERYONE IN OUR COMMUNITIES, KUH OFFERS SEVERAL FREE OUTREACH PROGRAMS AND SUPPORT SERVICES INCLUDING HIV COUNSELING AND TREATMENT. KUH PROVIDES CARE TO ALL PATIENTS WHO PRESENT FOR SERVICES REGARDLESS OF THEIR ABILITY TO PAY AND WHERE REIMBURSEMENT IS LESS THAN COST.BOARD MEMBERS ARE ALL MEMBERS OF THE COMMUNITY THAT LIVE AND WORK IN THE COMMUNITY. THEY HAVE JOINED THE BOARD AS A WAY TO FURTHER SERVE THEIR COMMITMENT TO THE COMMUNITY. THE HOSPITAL SURPLUS FUNDS ARE MAINTAINED IN INVESTMENTS FOR FUTURE CAPITAL PROJECTS THAT BENEFIT THE HOSPITAL AND COMMUNITY. PART VI, LINE 6: KENNEDY HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH IS RESPONSIBLE FOR THE OVERALL POLICY, MANAGEMENT AND FINANCIAL SUPPORT OF ALL ENTITIES.STAT MEDICAL TRANSPORT, INC. IS A NOT-FOR-PROFIT AMBULANCE COMPANY WHICH OWNS AND OPERATES AMBULANCES THAT SERVICE THE HOSPITAL AND THE COMMUNITY.KENNEDY PROPERTY CORPORATION IS A NOT-FOR-PROFIT PROPERTY AND DEVELOPMENT COMPANY. THIS CORPORATION OWNS AND OPERATES BUILDINGS WITHIN THE SERVICE AREA OF THE HOSPITAL.KENNEDY HEALTH FACILITIES, INC. IS A NOT-FOR-PROFIT NURSING HOME COMPANY AND CURRENTLY HAS 190 BEDS CONSISTING OF 130 LONG-TERM CARE BEDS AND 60 SUB-ACUTE BEDS.KENNEDY MANAGEMENT GROUP, INC. IS A FOR-PROFIT CORPORATION THAT INVESTS IN FOR-PROFIT BUSINESSES TO FURTHER ITS MISSION. PROFESSIONAL MEDICAL MANAGEMENT, INC. IS A FOR-PROFIT COLLECTION SERVICE COMPANY WHICH HAS BEEN OPERATIONAL SINCE SEPTEMBER OF 1984. KENNEDY IMAGING, P.C. IS A PROFESSIONAL CORPORATION PROVIDING PROFESSIONAL IMAGING SERVICES TO THE SYSTEM.KENNEDY MEDICAL GROUP, INC.IS A NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS WITH OFFICES LOCATED THROUGHOUT THE SOUTH JERSEY REGION. REPORTS FILED WITH STATES PART VI, LINE 7 NJ X X X X X 1 1 0 0 0 0 0 1 0 MARTIN A BIEBER 610413 0 113663 0 123710 0 51870 0 21346 0 921002 0 0 0 JOSEPH W DEVINE 312500 0 20625 0 12000 0 49371 0 25356 0 419852 0 0 0 EDWARD SULLIVAN ESQ 357282 0 25345 0 33325 0 20298 0 10992 0 447242 0 0 0 GARY TERRINONI 465175 0 32200 0 12000 0 43594 0 12253 0 565222 0 0 0 RICHARD BOEHLER 198314 0 19635 0 253244 0 16633 0 24809 0 512635 0 0 0 CARMAN CIERVO DO 394835 0 35010 0 12000 0 44369 0 18281 0 504495 0 0 0 LINDA CARRICK 342719 0 27529 0 12000 0 41221 0 18281 0 441750 0 0 0 THOMAS BALCAVAGE 247660 0 18300 0 750 0 30204 0 22753 0 319667 0 0 0 FRITZ BECH 528938 0 15000 0 22284 0 15298 0 26775 0 608295 0 0 0 EDUARDO CAREAGA 329808 0 0 0 0 0 15298 0 10966 0 356072 0 0 0 KENNETH COVONE 243847 0 0 0 60967 0 17406 0 24663 0 346883 0 0 0 KASHMIRI CHOPRA 245863 0 0 0 0 0 22320 0 18580 0 286763 0 0 0 JAMES MCCABE 242394 0 0 0 0 0 17557 0 17785 0 277736 0 0 0 PAUL WALKER 0 0 0 0 258771 0 15298 0 11135 0 285204 0 0 0 PART I, LINES 4A-B PAUL WALKER RECEIVED $258,771 AND RICHARD BOEHLER RECEIVED $200,277 IN SEVERENCE. THE FOLLOWING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: MARTIN BIEBER - $31,572 DEFERRED; $108,710 SERP PAYMENT EDWARD SULLIVAN - $21,325 SERP PAYMENT GARY TERRINONI - $28,296 DEFERRED LINDA CARRICK - $20,923 DEFERRED JOSEPH DEVINE - $19,073 DEFERRED CARMEN CIERVO - $24,071 DEFERRED PART I, LINE 7 CERTAIN OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES WERE ELIGIBLE TO PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN. THE COMPENSATION COMMITTEE DETERMINES IF THE ELIGIBLE PARTICIPANTS HAVE ACHIEVED THE PREDETERMINED TARGETS OF BUDGETED FINANCIAL PERFORMANCE AND PATIENT QUALITY INDICATORS. A NEW JERSEY HEALTH CARE FACILITIES AUTHORITY 222845542 64579FZ63 2012-07-30 69906263 REFUND 1997 AND 2001 BONDS; FUND CAPITAL PROJECTS; PAY ISSUANCE COSTS 0 0 0 A 69906263 659594 9687667 49260623 10298379 1 0 0 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 SOMERDALE EQUITIES ENTITY MORE THAN 35% OWNED BY JOHN SILVESTRI, BOARD TRUSTEE 195208 RENTAL OF REAL ESTATE PROPERTY. 0 FORM 990, PART VI, SECTION A, LINE 7A THE TRUSTEES OF THE BOARD ARE ELECTED BY A MAJORITY VOTE OF THE BOARD OF DIRECTORS OF KENNEDY HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES HAVE BEEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. A COPY WAS ALSO PROVIDED TO THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE INTERNAL AUDIT DEPARTMENT DISTRIBUTES CONFLICT OF INTEREST DISCLOSURE STATEMENTS ANNUALLY TO MANAGEMENT. THESE STATEMENTS ARE REVIEWED AND SUBMITTED TO THE AUDIT AND COMPLIANCE COMMITTEE. THE BOARD OF TRUSTEES AND CORPORATE OFFICERS ARE REQUIRED TO SUBMIT ANNUAL CONFLICT OF INTEREST STATEMENTS TO LEGAL COUNSEL. TRUSTEES ARE REQUIRED TO ABSTAIN FROM DEBATE OR VOTE ON ANY ISSUES WHERE A CONFLICT ARISES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO AND OTHER SENIOR MANAGEMENT IS COMPLETED BY THE ORGANIZATIONS' COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS ALL SALARY BENEFIT PACKAGES. THE COMMITTEE COMPILES VARIOUS SOURCES OF MARKET DATA TO SUBSTANTIATE THE COMPENSATION. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 KENNEDY UNIVERSITY HOSPITAL MAKES ITS AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC THROUGH EMMA, ELECTRONIC MUNICIPAL MARKET ACCESS. THIS WEBSITE PROVIDES A MEANS BY WHICH THE PUBLIC CAN ACCESS OFFICIAL STATEMENTS AND DISCLOSURES. OTHER FEES FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 38,266,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,266,481. COLLECTIONS FEES: PROGRAM SERVICE EXPENSES 953,866. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 953,866. AGENCY FEES: PROGRAM SERVICE EXPENSES 1,323,192. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,323,192. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 28,554,908. MANAGEMENT AND GENERAL EXPENSES 9,834,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,389,406. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,351,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,351,889. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION ADJUSTMENT -4,596,170. TRANSFER FROM AFFILIATES 300,000. KENNEDY HEALTH SYSTEM INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442036 FUNDRAISING NJ 501(C)(3) LINE 7 N/A 0 STAT MEDICAL TRANSPORT INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222443981 MEDICAL TRANSPORT NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 KENNEDY HEALTH FACILITIES INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442032 NURSING HOME NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 KENNEDY PROPERTY CORPORATION 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222442034 PROPERTY MANAGEMENT NJ 501(C)(3) LINE 11A, I KENNEDY HEALTH SYSTEM INC 0 PROFESSIONAL MEDICAL MANAGEMENT INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222559690 COLLECTIONS NJ N/A C 0 KENNEDY MANAGEMENT GROUP INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 223347294 MANAGEMENT SERVICES NJ N/A C 0 KENNEDY IMAGING PC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 201512087 RADIOLOGY SERVICE NJ N/A C 0 KENNEDY MEDICAL GROUP 500 MARLBORO AVENUE CHERRY HILL NJ 08002 221980408 PHYSICIAN PRACTICE NJ N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 1