R W J BARNABAS HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
R W J BARNABAS HEALTH INC (EIN 22-2783298)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-20
IRS object ID
201213559349300601
Schema version
2011v1.3
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)
Timestamp2012-12-20T08:22:38-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN222783298EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PAUL GOLDBERGInCareOfName
Name ControlJERSNameControl
Phone2015215920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Montgomery StreetAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namepaul goldbergName
Titlevp/cfoTitle
Date Signed2012-12-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOSEPH F SCOTT FACHENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1350 Montgomery StreetAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts310471527GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIBERTYHCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission Descriptionthe organization's mission is to offer healthcare services with compassion and dignity.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees2228TotalNbrEmployees
Total Nbr Volunteers283TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20679246ContributionsGrantsPriorYear
Contributions Grants Current Year16101893ContributionsGrantsCurrentYear
Program Service Revenue Prior Year286782880ProgramServiceRevenuePriorYear
Program Service Revenue CY292321298ProgramServiceRevenueCY
Investment Income Prior Year86307InvestmentIncomePriorYear
Investment Income Current Year116258InvestmentIncomeCurrentYear
Other Revenue Prior Year1643713OtherRevenuePriorYear
Other Revenue Current Year1875256OtherRevenueCurrentYear
Total Revenue Prior Year309192146TotalRevenuePriorYear
Total Revenue Current Year310414705TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year144136183SalariesEtcPriorYear
Salaries Etc Current Year148613755SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year159299617OtherExpensePriorYear
Other Expenses Current Year168835722OtherExpensesCurrentYear
Total Expenses Prior Year303435800TotalExpensesPriorYear
Total Expenses Current Year317449477TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5756346RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7034772RevenuesLessExpensesCY
Total Assets BOY247084877TotalAssetsBOY
Total Assets EOY242391015TotalAssetsEOY
Total Liabilities BOY252108404TotalLiabilitiesBOY
Total Liabilities EOY262163306TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5023527NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-19772291NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO OFFER HEALTHCARE SERVICES WITH COMPASSION AND DIGNITY. LIBERTY HEALTH PROVIDES PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY HEALTH IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, CREED, SEX, GENDER, RELIGION, ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIP WITH OTHER HOSPITALS AND SYSTEMS. LIBERTY HEALTH WILL BE GUIDED BY BOARD OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. THROUGH DIFFERENTIATION, COORDINATMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense32655543Expense
Grants0Grants
Revenue37264151Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY CARDIAC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED CARDIAC SERVICES TO 2,890 PATIENTS FOR A TOTAL OF 9,936 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense32624841Expense
Grants0Grants
Revenue34468729Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY PSYCHIATRIC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED PSYCHIATRIC SERVICES TO 18,704 PATIENTS FOR A TOTAL OF 14,625 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20627663Expense
Grants0Grants
Revenue16626420Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED OBSTETRICS SERVICES TO 9,170 PATIENTS FOR A TOTAL OF 7,188 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp185601951TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev203961998TotalOfOtherProgramServiceRev
Total Program Service Expense271509998TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To 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 EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096320NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2228NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL GOLDBERGNamePerson
Telephone Number2015215920TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 MONTGOMERY STREETAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HARRY MELENDEZ
CHAIR - TRUSTEE1.0XX000
MARVIN GLAZERMAN
SECRETARY - TRUSTEE1.0XX000
ABEGAIL DOUGLAS JOHNSON EDD
TRUSTEE1.0X000
SALEEM MAHMOOD MD
TRUSTEE20.0X6000000
EDGAR MARTINEZ
TRUSTEE1.0X000
W NEVINS MCCANN ESQ
TRUSTEE1.0X000
FRANK T MOLINA
TRUSTEE1.0X000
JOSEPH A PANEPINTO JR
TRUSTEE1.0X000
JOSEPH F SCOTT FACHE
TRUSTEE - PRESIDENT/CEO55.0XX0716534149855
KABILI TAYARI
TRUSTEE1.0X000
KENNETH GARAY MD
CHIEF MEDICAL OFFICER55.0X043700021773
PAUL GOLDBERG
CHIEF FINANCIAL OFFICER55.0X043434611613
RITA V SMITH
SVP, PATIENT CARE SERVICES55.0X299698022245
PAUL R MURPHY ESQ
SVP, GENERAL COUNSEL55.0X02947778875
BRENDA HALL
SVP, PATIENT SAFETY55.0X020807021038
DOUGLAS RATNER MD
VP, CHAIRMAN MEDICAL55.0X345802028128
HENRY C IRVING MD
VP, CHAIRMAN ORTHOPEDICS55.0X26704307928
MARY CATAUDELLA
VP, HUMAN RESOURCES55.0X022613221720
ANDREW T SUKALA
VP, INTERNAL AUDITOR55.0X014623619183
BARRY A MALTZMAN MD
VP, OPTHAMOLOGY55.0X124638017171
STEVEN MOSSER TERMED 71411
VP, FACILITIES & CONSTRUCTION55.0X012298515232
KIRAT Y KHARODE HIRED 11111
VP, CLINICAL OPERATIONS55.0X6001101100
SHARI L GRENIER TERMED 21611
VP, RISK MGT & CORP COMPLIANCE55.0X0564198983
ROBERT VALENTINE
CORPORATE CONTROLLER55.0X02076074652
MICHAEL PEKAREK
CORPORATE DIRECTOR55.0X016697521344
RITU CHANDAK MD
DEPUTY CHAIR55.0X290293024011
ANTHONY LAMONACA MD
DEPUTY CHAIR55.0X240178023875
ADRIANA GRIGORIU MD
CHIEF DIR., INFECTIOUS DIS.55.0X234977025300
SRINIVAS GONGIGREDDY MD
CHIEF, HOSPITALIST55.0X226916023250
JANET MOTTA
CHIEF, PHYSICIAN ASST. CAR.55.0X152767017498
PAUL M ROTUNDA DMD
ACTING DIRECTOR55.0X123850017176
WILLIAM J COOK HIRED 8811
EXEC. DIR., FACILITIES & ENV.55.0X377650516
KIRK A MCMURTY MD
CHIEF, CARDIOTHORACIC55.0647464029775X
ZIAD HANHAN MD
SURGEON, PHYSICIAN55.0663209023072X
NIRMALA RAJAKUMAR MD
Staff Psychiatrist55.0259813012199X
NKECHINYERE A OBIEFUNA MD
HOSPITALIST55.0222316021724X
BINGHUA ZHU MD
HOSPITALIST55.0222288022013X
ROYSTON CRUICSHANK MD
STAFF PSYCHIATRIST55.0207229018013X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4686257TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3017081TotalReportableCompFrmRltdOrgs
Total Other Compensation639262TotalOtherCompensation
Number Individuals GT100 K227NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHERIDAN ANESTHESIA SERVICES OF NJ
1613 NORTH HARRISON PARKWAY SUITESUNRISEFL33323MEDICAL4493294
FDR SERVICES CORP OF NJ
ONE AMES COURT SUITE 204PLAINVIEWNY11803LINEN SERVICE915076
JERSEY LIBERTY RADIOLOGY PC
68 BLAZIER ROADMARTINSVILLENJ08836MEDICAL645307
LIBERTY PULMONARY CRITICAL CARE
PO BOX 1557LIVINGSTONNJ07093CRITICAL CARE645000
THE ADVISORY BOARD COMPANY
2445 M STREET NWWASHINGTONDC20037IT PHYSICIAN RELATED446719
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Government Grants16101893GovernmentGrants
Total Contributions16101893TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900285167777285167777
OTHER HEALTHCARE RELATED REVENUE54190071535217153521
FieldValueIRS element (for citing)
Total Program Service Revenue292321298TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column116258TotalRevenueColumn
Exclusion$116,258ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56822Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real56822Real

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING REVENUE8129301014929$1,014,929
GIFT SHOP REVENUE722210420770$420,770
CAFETERIA REVENUE453220408148$408,148

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column31409TotalRevenueColumn
Exclusion$31,409ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1875256TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column310414705TotalRevenueColumn
Related Or Exempt Function Income292321298RelatedOrExemptFunctionIncome
Exclusion$1,991,514ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total3349375Total
Program Services3014438ProgramServices
Management And General334937ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total113802710Total
Program Services112738540ProgramServices
Management And General1064170ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3253785Total
Program Services3218542ProgramServices
Management And General35243ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18500125Total
Program Services18300842ProgramServices
Management And General199283ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9707760Total
Program Services9593564ProgramServices
Management And General114196ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total43518932Total
Management And General43518932ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

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)
Total8885647Total
Program Services8885562ProgramServices
Management And General85ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40931Total
Program Services40853ProgramServices
Management And General78ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14761395Total
Program Services14515763ProgramServices
Management And General245632ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5571766Total
Program Services5522454ProgramServices
Management And General49312ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total424666Total
Program Services423540ProgramServices
Management And General1126ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total11185827Total
Program Services11035027ProgramServices
Management And General150800ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9350227Total
Program Services9240236ProgramServices
Management And General109991ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6353060Total
Program Services6278326ProgramServices
Management And General74734ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES31372089313654306659
PHYSICIAN & RESIDENT FEES1549598415495984
PROVISION FOR BAD DEBTS1453005714530057
CONTRACTED SERVICES5465738543667429064

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1879403Total
Program Services1874166ProgramServices
Management And General5237ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total317449477Total
Program Services271509998ProgramServices
Management And General45939479ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17358898BOY
EOY17523933EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3237668BOY
EOY924613EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26787248BOY
EOY19235472EOY

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)
BOY26025367BOY
EOY30451679EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1113331BOY
EOY1154012EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY315749BOY
EOY927752EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis245520646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87077515LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY164491559BOY
EOY158443131EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4410323BOY
EOY5784158EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3344734BOY
EOY7946265EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY247084877BOY
EOY242391015EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30908991BOY
EOY28910440EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4005344BOY
EOY4964344EOY

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)
BOY160149644BOY
EOY155144841EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57044425BOY
EOY73143681EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY252108404BOY
EOY262163306EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5426647BOY
EOY-19772291EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY403120BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5023527BOY
EOY-19772291EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY247084877BOY
EOY242391015EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7034772ReconcilationRevenueExpenses
Reconcilation Other Changes-7713992ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
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$131,084OtherActivitiesAmount
Total Lobbying Expenditures IIB131084TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINE 1HReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE PARENT ENTITY OF THE SYSTEM. LHCS PAYS DUES TO THE NEW JERSEY HOSPITAL ASSOCIATION AND VARIOUS OTHER ORGANIZATIONS ON BEHALF OF JERSEY CITY MEDICAL CENTER. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $11,084. IN ADDITION, LHCS PAID AN OUTSIDE INDEPENDENT FIRM $120,000 TO PERFORM LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10863354OtherCostOrOtherBasis
Book Value10863354BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis181352040OtherCostOrOtherBasis
Depreciation47658063Depreciation
Book Value133693977BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4131155OtherCostOrOtherBasis
Depreciation921889Depreciation
Book Value3209266BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis47462626OtherCostOrOtherBasis
Depreciation38372053Depreciation
Book Value9090573BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1711471OtherCostOrOtherBasis
Depreciation125510Depreciation
Book Value1585961BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings158443131TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COST$26,722,717
ESTIMATED MEDICAL MALPRACTICE$7,127,000
OTHER LIABILITIES$20,692,928
SETTLEMENTS$14,071,266
ADVANCES FROM GOVERNMENT AGENC$1,411,000
ACCRUED RESTRUCTURING COSTS$3,118,770
FieldValueIRS element (for citing)
Total Of Amounts73143681TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierTEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE IN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). LIBERTY HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES YEAR ENDED DECEMBER 31, 2011 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48: THE MEDICAL CENTER 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 HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNIZED THRESHOLD IN 2011 AND 2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense63936323TotalCommunityBenefitExpense
Direct Offsetting Revenue51267754DirectOffsettingRevenue
Net Community Benefit Expense12668569NetCommunityBenefitExpense
Percent Of Total Expense0.04180PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense92010084TotalCommunityBenefitExpense
Direct Offsetting Revenue73840679DirectOffsettingRevenue
Net Community Benefit Expense18169405NetCommunityBenefitExpense
Percent Of Total Expense0.06000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense155946407TotalCommunityBenefitExpense
Direct Offsetting Revenue125108433DirectOffsettingRevenue
Net Community Benefit Expense30837974NetCommunityBenefitExpense
Percent Of Total Expense0.10180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense534353TotalCommunityBenefitExpense
Direct Offsetting Revenue1100DirectOffsettingRevenue
Net Community Benefit Expense533253NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8462117TotalCommunityBenefitExpense
Direct Offsetting Revenue3180992DirectOffsettingRevenue
Net Community Benefit Expense5281125NetCommunityBenefitExpense
Percent Of Total Expense0.01740PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6100867TotalCommunityBenefitExpense
Direct Offsetting Revenue4016571DirectOffsettingRevenue
Net Community Benefit Expense2084296NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense18505TotalCommunityBenefitExpense
Net Community Benefit Expense18505NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15115842TotalCommunityBenefitExpense
Direct Offsetting Revenue7198663DirectOffsettingRevenue
Net Community Benefit Expense7917179NetCommunityBenefitExpense
Percent Of Total Expense0.02620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense171062249TotalCommunityBenefitExpense
Direct Offsetting Revenue132307096DirectOffsettingRevenue
Net Community Benefit Expense38755153NetCommunityBenefitExpense
Percent Of Total Expense0.12800PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$14,530,057BadDebtExpenseAmount
Amount Reimbursed By Medicare56734990AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare57160147CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-425157MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1355 GRAND STREETAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent190.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
JERSEY CITY MEDICAL CENTER
115 CHRISTOPHER COLUMBUSJERSEY CITYNJ07302OUTPATIENT CLINICS
JERSEY CITY MEDICAL CENTER
953-961 GARFIELD AVENUEJERSEY CITYNJ07302OUTPATIENT CLINICS
JERSEY CITY MEDICAL CENTER
9 NUNDA AVENUEJERSEY CITYNJ07302RESIDENTIAL PSYCHIATRIC SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITYSCHEDULE H, PART I, LINE 3CTHE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2009 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ATHE MEDICAL CENTER HAS PREPARED AN ANNUAL REPORT FOR 2011 REPORTING ON ITS ACCOMPLISHMENTS AND SERVICES PROVIDED. THE REPORT IS AVAILABLE TO THE PUBLIC.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, QUESTION 7GNO COSTS RELATED TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN (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 $14,530,057.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTSCHEDULE H, PART I, QUESTION 7THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS UTILIZED.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY JERSEY CITY MEDICAL CENTER ("JCMC") IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. JCMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. WE HAVE ALSO DONE PROGRAMS ON SAFETY FOR CHILDREN IN OUR COMMUNITY. PLEASE REFER TO THE FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4BAD DEBT EXPENSE WAS DERIVED FROM THE PROVIDERS' BAD DEBT EXPENSE AS REPORTED ON ITS AUDITED FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION ACCOUNTS RECEIVABLE, PATIENTS Accounts receivable, patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon managements assessment of individual accounts. In evaluating the collectability of patient accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful collections and provision for doubtful collections. For receivables associated with services provided to patients who have third-party coverage, which includes patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Medical Center analyzes contractually due amounts and provides an allowance for doubtful collections and a provision for doubtful collections, if necessary. For receivables associated with self-pay patients, the Medical Center records a significant provision for doubtful collections in the period of service on the basis of its past experience, which indicates that many patients are unable to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful collections. The Medical Centers write-offs increased from $16,720,000 in 2010 to $18,547,000 in 2011 due to the Medical Centers increased attempts to fully adjudicate outstanding patient account balances. The Medical Center had not changed their financial assistance policy in 2011. The Medical Center does not maintain a material allowance for doubtful collections from third-party payors, nor did it have significant write-offs from third-party payors. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUES.
MEDICARE SHORTFALLSCHEDULE H, PART III, LINE 8MEDICARE COSTS WERE DERIVED FROM THE 2011 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE;
DEBT COLLECTION POLICYSCHEDULE H, PART III, LINE 9BACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE LIBERTY HEALTHCARE SYSTEM BUSINESS OFFICE AND ITS HOSPITAL AFFILIATES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ALL ACCOUNTS DETERMINED TO BE 'SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING A MINIMUM OF THREE STATEMENTS WHICH INCLUDES A PRE-COLLECTION LETTER. WE HAVE CHARITY CARE AND HILL BURTON ACCESS POLICIES TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS OUR POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. AT THE TIME OF THE PATIENT'S VISIT AND AS PART OF THE REGISTRATION PROCESS, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE, INCLUDING MEDICAID AND SSI. - FINANCIAL COUNSELING TO EVALUATE ELIGIBILITY FOR A REDUCED PAYMENT RATE WHEN COVERAGE IS NOT AVAILABLE UNDER CHARITY CARE, MEDICAID, OR NEW JERSEY'S HOPSITAL CARE PAYMENT ASSISTANCE PROGRAMS (LIBERTY'S COMPASSIONATE CARE PROGRAM). - OTHER FINANCIAL ARRANGEMENTS WE OFFER INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS.
FACILITY POLICIES AND PRACTICESSCHEDULE H, PART V; SECTION B,QUESTIONS 9,10,11H,13G,15E,16E,17E,18D,20&21Not applicable.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2LIBERTY ENGAGES A PLANNING CONSULTANT TO ASSIST US IN MONITORING UTILIZATION IN OUR SERVICE AREA SO WE CAN IDENTIFY TRENDS IN COMMUNITY HEALTH NEEDS. THE DATA WE GATHER IS SHARED WITH OUR PHYSICIAN LEADERSHIP AND OTHER COMMUNITY LEADERS TO CORROBORATE THE DATA WE GATHER AND TO RECEIVE FEEDBACK ON OTHER HEALTH ISSUES OF CONCERN. THESE ACTIVITIES CONTRIBUTE TO THE DEVELOPMENT OF A STRATEGIC PLAN FOR THE MEDICAL CENTER THAT WE FOLLOW TO EXPAND EXISTING SERVICES OR DEVELOP NEW SERVICES FOR OUR COMMUNITY.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4JCMC IS LOCATED IN JERSEY CITY, NEW JERSEY AND SERVES THE GREATER HUDSON COUNTY COMMUNITY HUDSON COUNTY IS A DIVERSE SUBURBAN COMMUNITY AND ONE OF THE MOST POPULOUS COMMUNITIES IN NEW JERSEY.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI; QUESTION 5THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6NOT FOR-PROFIT AFFILIATES: LIBERTY HEALTHCARE SYSTEM, INC. LIBERTY HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE LIBERTY HEALTH CARE SYSTEM ("LHCS"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. LIBERTY HEALTHCARE SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). LIBERTY BEHAVIORAL HEALTH ASSOCIATES LIBERTY BEHAVIORAL HEALTH ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. LIBERTY CHILD HEALTH SERVICES LIBERTY CHILD HEALTH SERVICES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. LIBERTY HEALTHCARE SYSTEM FOUNDATION LIBERTY HEALTHCARE SYSTEM FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SOLICITS AND MAINTAINS GIFTS, GRANTS AND OTHER CONTRIBUTIONS FOR THE PROMOTION OF HEALTH AND OVERALL WELLNESS IN THE HUDSON COUNTY, NEW JERSEY COMMUNITY SERVED BY THE LIBERTY HEALTHCARE SYSTEM. LIBERTY HOME CARE LIBERTY HOME CARE IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY HOME CARE SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION SOLD SUBSTANTIALLY ALL OF ITS ASSETS ON APRIL 19, 2010 TO AN UNRELATED THIRD PARTY. LIBERTY REHABILITATION CENTER FACULTY PRACTICE PLAN LIBERTY REHABILITATION CENTER FACULTY PRACTICE PLAN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION STAFFS A 25-BED REHABILITATIVE CARE UNIT WHICH PROVIDES MEDICALLY NECESSARY PROFESSIONAL REHABILITATIVE HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. LIBERTY SURGICAL ASSOCIATES LIBERTY SURGICAL ASSOCIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY SERVED BY ITS NOT FOR-PROFIT AFFILIATE, JERSEY CITY MEDICAL CENTER. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. NEW MARGARET HAGUE CENTER WOMENS JERSEY MEDICAL CENTER OB/GYN NEW MARGARET HAGUE CENTER WOMEN'S JERSEY MEDICAL CENTER OB/GYN IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY PROFESSIONAL OBSTETRICAL AND GYNECOLOGICAL HEALTH SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITIES OF HUDSON COUNTY, NEW JERSEY. PATIENTS ARE SEEN REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY FOR THE PROFESSIONAL SERVICES RENDERED. JERSEY CITY FAMILY HEALTH CENTER JERSEY CITY FAMILY HEALTH CENTER ("JCFHC") IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. JCFHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. THIS ORGANIZATION WAS ESTABLISHED TO PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THIS ORGANIZATION CEASED OPERATIONS AS OF AUGUST 31, 2008. EFFECTIVE SEPTEMBER 1, 2008 ALL OPERATIONS WERE ASSUMED BY AN UNRELATED HEALTHCARE PROVIDER. MEADOWLANDS HOSPITAL MEDICAL CENTER MEADOWLANDS HOSPITAL MEDICAL CENTER ("MHMC") WAS A NON-PROFIT TAX-EXEMPT MEDICAL CENTER LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. MHMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MHMC PROVIDED MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MHMC OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. EFFECTIVE DECEMBER 7, 2010 THE ORGANIZATION SOLD SUBSTANTIALLY ALL OF ITS ASSETS TO AN UNRELATED THIRD PARTY. THE TRANSACTION WAS APPROVED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE PURCHASER WILL CONTINUE TO OPERATE THE FACILITY AS A GENERAL ACUTE CARE HOSPITAL. GREENVILLE HOSPITAL GREENVILLE HOSPITAL ("GH") WAS A NON-PROFIT TAX-EXEMPT ACUTE CARE COMMUNITY HOSPITAL LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. GH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, GH PROVIDED MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PRIOR TO ITS CLOSING, GH OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. FOR-PROFIT AFFILIATES: LIBERTY HEALTHCARE MANAGEMENT, LLC A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY WHICH PROVIDES MANAGEMENT SERVICES. LIBERTY HEALTHCARE SYSTEM, INC. AND LIBERTY HEALTHCARE CAPITAL, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 99% AND 1% OWNERSHIP INTERESTS, RESPECTIVELY. LIBERTY HEALTHCARE CAPITAL, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LHCS. THE ORGANIZATION IS LOCATED IN SECAUCUS, HUDSON COUNTY, NEW JERSEY. THIS ENTITY PROVIDES LEASING AND FINANCING SUPPORT TO LIBERTY HEALTHCARE SYSTEM.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT STATEMENT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 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
JOSEPH F SCOTT FACHE
0690917000256170124675025180086638900
KENNETH GARAY MD
0433433000356702450019323045877300
PAUL GOLDBERG
0423194000111520245009163044595900
RITA V SMITH
28296900016729036750185700321943000
PAUL R MURPHY ESQ
029033300044440367505200030365200
BRENDA HALL
0205077000299303098017940022910800
DOUGLAS RATNER MD
29790704500002895036750244530373930000
HENRY C IRVING MD
261668000537503675042530274971000
MARY CATAUDELLA
0224798000133403413018307024785200
ANDREW T SUKALA
0142536000370002160017023016541900
ROBERT VALENTINE
020518700024200306401588021225900
MICHAEL PEKAREK
0164669000230602504018840018831900
RITU CHANDAK MD
289683000610036750203360314304000
ANTHONY LAMONACA MD
239548000630035720203030264053000
ADRIANA GRIGORIU MD
2333110001666033330219670260277000
SRINIVAS GONGIGREDDY MD
20691602000000029470203030250166000
JANET MOTTA
15267300094022600152380170265000
KIRK A MCMURTY MD
6457630001701036750261000677239000
ZIAD HANHAN MD
38712602753890694036750193970686281000
NIRMALA RAJAKUMAR MD
257279000253403614085850272012000
NKECHINYERE A OBIEFUNA MD
2069810150000335018000199240244040000
BINGHUA ZHU MD
2067300150000558018350201780244301000
ROYSTON CRUICSHANK MD
2072290000031170148960225242000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, AS TAXABLE WAGES: JOSEPH F. SCOTT, FACHE, $121,000.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART IIILiberty Healthcare System, Inc. ("Liberty") is a not for-profit holding company based in Hudson County, New Jersey. Liberty is the sole corporate member of a number of not for-profit entities and the sole shareholder of various other for-profit entities. The Internal Revenue Service ("IRS") has recognized Liberty as a tax-exempt organization under Internal Revenue Code ("IRC") Section 501(c)(3). Liberty's mission is Enhancing Life. These two words are our commitment to provide patients, their families and all in need, excellence in hospital and healthcare services and programs to enhance community health. To achieve this mission, Liberty, in collaboration with its physicians, nurses and staff, will: - provide a full range of clinical services for all, regardless of race, color, national origin, religion or ability to pay including regional specialty and subspecialty care. - establish appropriate academic and clinical affiliations. - develop educational programs for medical students, physicians in residency training, nurses, EMT's-paramedics and other healthcare professionals. - build innovative relationships with other hospitals, FQHC's and other providers. - Liberty will be guided by volunteer boards of trustees, representing a diversity of community and business leaders, public officials, and healthcare and other professionals. Liberty provides the region with a wide range of health services, from high technology infant and adult care and the highest level of trauma care. Liberty Healthcare System affiliates include the Jersey City Medical Center: The Jersey City Medical Center ("JCMC") is a regional referral teaching hospital and a major teaching affiliate of the Mount Sinai School of Medicine. The hospital also operates the Cristie Kerr Women's Health Care. The Internal Revenue Service ("IRS") has recognized Liberty and Jersey City Medical Center as tax-exempt organizations under IRC Section 501(c)(3). Pursuant to its charitable purposes, JCMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, or ability to pay. Moreover, JCMC operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. Medically necessary healthcare services are provided to all individuals regardless of ability to pay, including charity care, self pay, Medicare, and Medicaid patients. 2. Emergency rooms are open 24 hours a day seven days a week, 365 days a year. 3. Open medical staffs are maintained, with privileges available to all qualified physicians. 4. Control of JCMC rests with its Board of Trustees and the Board of Trustees of Liberty Health. The Board is comprised of independent civic leaders and other prominent members of the community. JCMC treats all adults and children regardless of age and of their ability to pay for services rendered. Liberty is one of the largest providers of charity care services in the state of New Jersey. JCMC is an affiliate of Liberty. Liberty is a not for-profit holding company based in Hudson County, New Jersey. The IRS has recognized Liberty as a tax-exempt organization under IRC Section 501(c)(3). Liberty's mission is enhancing life. Liberty provides patients, their families, and all in need excellence in hospital and healthcare services that enhance community health. To achieve this mission, Liberty collaborates with its physicians, nurses and staff to: - provide a full range of clinical services for all regardless of race, color, national origin, religion, or ability to pay. Our clinical services include regional specialty and subspecialty care. - establish appropriate academic and clinical affiliations. - develop educational programs for medical students, physicians in residency training, nurses, EMT's-paramedics and other healthcare professionals. - build innovative relationships with other hospitals and systems. - Liberty is guided by boards of trustees, representing a diversity of community and business leaders, public officials, and healthcare and other professionals. Jersey City Medical Center - Care Centers ================================ The Cristie Kerr Women's Health Center ------------------------------------------------------ Our new Cristie Kerr Women's Health Center opened in 2010 offering imaging and other diagnostic services to women in our community. The Center offers breast cancer screening programs including mammograms and education to women in the community regardless of ability to pay. The Center is the first full-service facility in Hudson County to provide detection, healing, support, and recovery services. The Epilepsy Center at Jersey City Medical Center ------------------------------------------------------------------- The Epilepsy Center at Jersey City Medical Center opened in 2010 and provides diagnostic, evaluation, and treatment plans on an inpatient and outpatient basis. Comprehensive Spine Institute ---------------------------------------- Our Comprehensive Spine Center was established in 2010 in recognition of a need in the community for this specialty service. This Center offers evaluation, diagnostic testing, and surgical intervention for a wide range of acute and non-surgical chronic disorders Outpatient Balance Center ----------------------------------- Our new Outpatient Balance Center was established to diagnose and treat individuals suffering from dizziness or balance problems. Our staff is trained to diagnose conditions through a series of relatively brief and non-invasive tests. We will interpret the test results and promptly share them with the patients' physician. Fannie E. Rippel Foundation Heart Institute (the "Institute") ---------------------------------------------------------------------- The Institute features state-of-the-art diagnostic technology to provide exemplary outpatient cardiac care. The Institute provides two high-risk cardiac catheterization laboratories, a single plane and a three-dimensional bi-plane along with other critically important diagnostic technology. The Medical Center is the region's "high-risk" destination for patients. In 2011 we added Electrophysiology procedures in the Cath lab. JCMC is Hudson County's only full-service heart hospital. Cardiac services provided include: - angioplasty - diagnostic cardiac catheterization - intravascular ultrasound - pacemaker & implantable cardioverter defibrillator therapy - minimally invasive vein harvesting and cardiac artery bypass graft - thoracic and abdominal aortic aneurysm repair - mitral and aortic valve repair and replacement - peripheral vascular procedures, including endo vascular procedures Port Authority Heroes of September 11 Trauma Center ------------------------------------------------------------------------ This regional Trauma Center is the state-designated level ii trauma center for Hudson County. In addition to serving the growing communities of Jersey City, the service covers Hudson County New Jersey Waterways, New jersey Turnpike, the Holland and Lincoln Tunnels, and Liberty State Park. The Trauma Center provides 24 hour trauma surgeries for adults and children. The center has been active in all regional disasters including the 1993 and 2001 world trade center bombings; several train derailments, and various hazmat incidents. Outpatient Services -------------------------- JCMC operates an ambulatory care center adjacent to the hospital as well as two satellite clinics to ensure access to those most in need. Our outpatient service offerings include obstetrics and gynecology, ophthalmology, dental, physical and speech therapy, and audiology. We provide needed outpatient services to special needs populations in our community, including the homeless and adults and children needing behavioral health services, HIV/AIDS patients, and those in need of dialysis. JCMC is the regional psychiatric referral center providing crisis intervention and evaluation, voluntary and involuntary in-patient services, community psychiatric outreach services and a full spectrum of outpatient psychiatric and addiction services.
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART IIIVolunteer Services ------------------------- JCMC has an active and diverse volunteer program providing companionship and support to patients of all ages hospitalized on our nursing floors, the emergency department, and other patient areas. The JCMC volunteers advocate for patient families and provide them with information and support. They also provide clerical and other support to our staff. Overall, JCMC admitted over 18,250 patients providing approximately 84,000 days of inpatient care. The emergency department delivered emergency medical care to over 84,800 individuals and our outpatient programs serviced over 181,000 visits. Community --------------- JCMC is actively engaged in community education including outreach to schools, churches and community groups addressing targeted, appropriate education needs. Health fairs are held annually in conjunction with businesses and community groups to provide a wide range of screening and education. A dinner with the doctor program was implemented in 2009 where doctors spoke to the community about various health issues. We also provide recurring safety programs in our community schools to educate children on wellness and bicycle safety. Our EMS service provides medical care at community events during the year. Awards and Designations =================== JCMC has been recognized for excellence in providing care and supporting the health and wellness of our community. The following is a listing of awards and designations afforded the medical center in recognition of its service: - "top NJ hospital" under 350 beds by Castle Connolly - joint commission gold standard - magnet award for nursing excellence - American Nurses Credentialing Center - only triple accredited EMS system in the United States (operations, dispatch, and education) - Leapfrog Award for quality - American Conference on Diversity - diversity excellence award - Hudson County Chamber - business leadership award - NJBIZ Innovation Organization Hero - JCMC EMS - finalist "hospital of the year" NJBIZ - Rotary Club of Jersey City - good corporate citizen award - state and county designated trauma center - state designated prenatal center - American Conference of Radiologists - ACR certification - state designated stroke center and recognized with a gold award - American Heart and Stroke Association
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCORE FORM, PART III; QUESTION 4DEXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATIONCORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE SOLE MEMBER OF THIS ORGANIZATION. LHCS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION b; QUESTION 11ATHE ORGANIZATION IS AN AFFILIATE WITHIN LIBERTY HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE PARENT OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE IRS. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING IN HOUSE COUNSEL, VICE-PRESIDENT OF FINANCE, DIRECTOR OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A JOINT MEETING WAS THEN HELD WITH THE SYSTEM'S AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE AND THE SYSTEM'S COMPENSATION AND PERFORMANCE COMMITTEE TO REVIEW THE FINAL DRAFT OF THIS ORGANIZATION'S FEDERAL FORM 990. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VP RISK MANAGEMENT/CORPORATE COMPLIANCE FOR REVIEW. THEREAFTER THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE OF THE ORGANIZATION PRESENTS ANY CONFLICT CONCERNS TO THE ORGANIZATION'S AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15The organization is AN AFFILIATE IN the LIBERTY HEALTHCARE SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE parent entity of THE SYSTEM IS Liberty HealthCare System, Inc. ("LHS"). LHS' Board of Trustees maintains a Compensation and Performance Committee (the "Committee") consisting entirely of independent trustees. The Committee has a written executive compensation philosophy which it follows when it reviews the compensation and benefits of senior management and key employees. The Committee approves the compensation of the Chief Executive Officer. The Chief Executive Officer, in consultation with the Committee, approves the compensation of the Senior Vice-President and General Counsel, and the Chief Financial Officer. The Committee relies upon comparison data provided by a nationally recognized independent benefits consulting firm to determine fair market value. The Committee also reviews the compensation of other senior management and key employees as recommended by the Chief Executive Officer in consultation with the human resources department on the basis of comparison data provided by independent sources to determine fair market value. In performing these reviews, the Committee takes into account the total compensation payable to each individual, including both current and deferred compensation and all employee benefits, both qualified and non-qualified. The Committee's review is done annually. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT/GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN LHS SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
COMPENSATION DISCLOSURE INFORMATIONCORE FORM, PART VII AND SCHEDULE JPart VII and Schedule J reflect a board member and officer receiving compensation from THIS ORGANIZATION OR a related organization. Please note that this remuneration was for services rendered as full-time employees of THIS ORGANIZATION OR A related organization and not for services rendered as A voting member or officer of this organization's board of trustees.
RELATED HOURS DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHIS ORGANIZATION IS PART OF LIBERTY HEALTHCARE SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR PER WEEK. THE HOURS REFLECTED ON PART VII OF THIS FORM 990 FOR PAID OFFICERS AND KEY EMPLOYEES REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF LIBERTY HEALTHCARE SYSTEM; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY & EQUIPMENT - $771,814 - PENSION LIABILITY ADJUSTMENT - ($6,478,750) - POSTRETIREMENT LIABILITY ADJUSTMENT - ($1,603,936) - NET ASSETS FROM TEMPORARY RESTRICTION - OTHER - ($403,120)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS LIBERTY HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM ANNUALLY. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITS THE FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND ITS AFFILIATES ANNUALLY. THE LIBERTY HEALTHCARE SYSTEM, INC. AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF BOTH THE CONSOLIDATED FINANCIAL STATEMENTS REFERENCED ABOVE AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LIBERTY BEHAVIORAL HEALTH ASSOCIATES
350 MONTGOMERY STREETJERSEY CITYNJ07302223506358HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMCtrue
LIBERTY CHILD HEALTH SERVICES
350 MONTGOMERY STREETJERSEY CITYNJ07302223386849HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMCtrue
LIBERTY HEALTHCARE SYSTEM FOUNDATION
350 MONTGOMERY STREETJERSEY CITYNJ07302223113911FUNDRAISINGNJ501(C)(3)509(a)(2)LHCSfalse
LIBERTY HEALTHCARE SYSTEM INC
350 MONTGOMERY STREETJERSEY CITYNJ07302223113960HEALTH SVCS.NJ501(C)(3)509(a)(3)NAfalse
LIBERTY HOME CARE
350 MONTGOMERY STREETJERSEY CITYNJ07302223327677HEALTH SVCS.NJ501(C)(3)509(a)(2)LHCSfalse
LIBERTY REHAB CTR FACULTY PRACTICE PLAN
350 MONTGOMERY STREETJERSEY CITYNJ07302223605610HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMCtrue
LIBERTY SURGICAL ASSOCIATES
350 MONTGOMERY STREETJERSEY CITYNJ07302223386850HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMCtrue
MEADOWLANDS HOSPITAL MEDICAL CENTER
350 MONTGOMERY STREETJERSEY CITYNJ07302223284894HEALTH SVCS.NJ501(C)(3)HOSPITALLHCSfalse
NEW MARGARET HAGUE CTR WOMENS JCM OBGYN
350 MONTGOMERY STREETJERSEY CITYNJ07302223363012HEALTH SVCS.NJ501(C)(3)509(A)(3)JCMCtrue
JERSEY CITY FAMILY HEALTH CENTER
350 MONTGOMERY STREETJERSEY CITYNJ07302223579538HEALTH SVCS.NJ501(C)(3)HOSPITALLHCSfalse
GREENVILLE HOSPITAL
350 MONTGOMERY STREETJERSEY CITYNJ07302220963805HEALTH SVCS.NJ501(C)(3)HOSPITALLHCSfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Code VCodeVAmount
LIBERTY HEALTHCARE MANAGEMENT
350 Montgomery StreetJERSEY CITYNJ07302223597891MANAGEMENTNJNA
LIBERTYUSP SURGERY CENTERS LLC
15305 DALLAS PKWY SUITE 1600 LB 28ADDISONTX75001264756962HEALTHCARE SVCS.NJNA$0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LIBERTY HEALTHCARE CAPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 Montgomery StreetAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode
FieldValueIRS element (for citing)
EIN223444345EIN
Primary ActivityLEASE/FINANCIPrimaryActivity
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 OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

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