INSPIRA MEDICAL CENTER WOODBURY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INSPIRA MEDICAL CENTER WOODBURY INC (EIN 22-1820210)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349306048
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)
Timestamp2012-11-14T16:33:33-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221820210EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Underwood Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES BRANT CPA SR VP/CFOInCareOfName
Name ControlUNDENameControl
Phone8568450100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1509 North Broad StreetAddressLine1
CityWoodburyCity
StateNJState
ZIP Code08096ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES BRANTName
TitleSNEIOR VP OF FINANCETitle
Date Signed2012-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEileen Cardile CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1509 North Broad StreetAddressLine1
CityWoodburyCity
StateNJState
ZIP Code08096ZIPCode
FieldValueIRS element (for citing)
Gross Receipts236221636GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.umhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionProviding a broad range of quality healthcare services that are continuously improved to meet the needs and expectations of our patients, physicians, employees and the community we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1963TotalNbrEmployees
Total Nbr Volunteers271TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year750772ContributionsGrantsPriorYear
Contributions Grants Current Year712374ContributionsGrantsCurrentYear
Program Service Revenue Prior Year170864464ProgramServiceRevenuePriorYear
Program Service Revenue CY171335101ProgramServiceRevenueCY
Investment Income Prior Year6355426InvestmentIncomePriorYear
Investment Income Current Year5748626InvestmentIncomeCurrentYear
Other Revenue Prior Year2950607OtherRevenuePriorYear
Other Revenue Current Year5334248OtherRevenueCurrentYear
Total Revenue Prior Year180921269TotalRevenuePriorYear
Total Revenue Current Year183130349TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year34965GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY46659GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year90910292SalariesEtcPriorYear
Salaries Etc Current Year91069668SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year85834866OtherExpensePriorYear
Other Expenses Current Year90945640OtherExpensesCurrentYear
Total Expenses Prior Year176780123TotalExpensesPriorYear
Total Expenses Current Year182061967TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4141146RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1068382RevenuesLessExpensesCY
Total Assets BOY254837292TotalAssetsBOY
Total Assets EOY243523953TotalAssetsEOY
Total Liabilities BOY100616990TotalLiabilitiesBOY
Total Liabilities EOY109177323TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY154220302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY134346630NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUNDERWOOD MEMORIAL HOSPITAL, INC. IS COMMITTED TO PROVIDING A BROAD RANGE OF QUALITY HEALTHCARE SERVICES THAT ARE CONTINUOUSLY IMPROVED TO MEET THE NEEDS AND EXPECTATIONS OF OUR PATIENTS, PHYSICIANS, EMPLOYEES AND THE COMMUNITY WE SERVE. WE ARE COMMITTED TO PROVIDING SERVICES IN A COMPASSIONATE AND FRIENDLY MANNER WHICH RESPECTS THE DIGNITY AND RIGHTS OF ALL. WE SHALL BE INNOVATIVE AND FISCALLY RESPONSIBLE WHILE CONTINUALLY EVALUATING THE NEEDS AND EXPECTATIONS OF OUR COMMUNITY AND THE DEMANDS OF THE ENVIRONMENT.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense113145003Expense
Grants46659Grants
Revenue113937842Revenue
DescriptionThe hospital provided inpatient services to 13,098 inpatients with an average length of stay of 4.4 days. The inpatient services included cardiology, orthopedics, pulmonary, obstetrics, gastroenterology, cancer, psychiatry and others. Also provided were 4,283 Transitional Care days to 684 patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30455572Expense
Revenue30668983Revenue
DescriptionThe hospital treated 58,341 patients in the emergency department which is operational twenty-four hours per day seven days per week. Patients are treated without any regard for their ability to pay. Based on 365 days in a year this is an average of 160 patients treated per day. Overall, the hospital experienced a 4 percent increase in emergency room volume during the 2011 year over 2010.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6295286Expense
Revenue6339399Revenue
DescriptionIn addition to the above, the hospital performed 2,716 same day surgical procedures. These patients receive a surgical procedure and are sent home the same day.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp20226341TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev20388877TotalOfOtherProgramServiceRev
Total Program Service Expense170122202TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096176NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1963NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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 PersonJAMES BRANT CPA SR VPCFONamePerson
Telephone Number8568450100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1509 N BROAD STREETAddressLine1
CityWoodburyCity
StateNJState
ZIP Code08096ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Daniel J Ball III
Treasurer2.0XX000
Beth N Barry
Secretary2.0XX000
Herbert J Konrad
Member1.0X000
Shirley Bierbrunner
Member1.0X000
Pamela S Clark
Member1.0X000
James E George MD
member1.0X000
Sarah D Love
Member1.0X000
Michael A McLaughlin
CHAIRMAN2.0XX000
Jorge A Prieto MD
Member1.0X000
Eileen K Cardile
CEO60.0XX5812340134246
John H Fisher III
Past Chairman2.0XX000
Rudolph T DePersia MD
Member1.0X000
Warner A Knobe
member1.0X000
Christopher R Gibson Esq
MEMBER1.0X000
Kurt W Kaulback MD
member1.0X000
Kathleen A Schultes
member1.0X000
KEVIN C BOWEN
VICE CHAIR OF THE BOARD1.0X000
John W Graham
COO55.0X32142405368
James R Brant
Sr VP/CFO55.0X365775019644
Paul M Lambrecht
VP of Clinical/Support Service55.0163148010605X
Gina Mumolie
VP55.0297659029586X
Robert L Manestrina
VP55.017069307058X
Peter A Kaprielyan
VP38.0146460019131X
MALINI IYER
PHYSICIAN50.034287201719X
JAYMICA PATEL
Physician50.026769502718X
Gregory Herman
Physician50.0317008027087X
Richard Zitwer
Physician50.024244805271X
Joseph Maccarone
Physician50.0303290013307X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3519706TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation275740TotalOtherCompensation
Number Individuals GT100 K60NumberIndividualsGT100K
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
SOUTH JERSEY ANESTHESIA
PO BOX 766WOODBURYNJ08096ANESTHESIA SERVICES805500
BOOTH RADIOLOGY
PO Box 344WOODBURYNJ08096MRI SERVICES782853
SLEEPCARE
130 GAITHER DRIVEMT LAURELNJ08054SERVICES FOR SLEEP774792
COMMUNITY HEALTH ALLIANCE LLC
402 LIPPINCOTT DRIVEMARLTONNJ08053PHYS PRACTICE MGMT545812
WESTWOOD WOMEN HEALTH CENTER
600 JESSUP ROADWEST DEPTFORDNJ08066OBSTETRICS COVERAGE529772
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Fundraising Events75000FundraisingEvents
Related Organizations105442RelatedOrganizations
Government Grants381932GovernmentGrants
All Other Contributions150000AllOtherContributions
Total Contributions712374TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column171335101TotalRevenueColumn
Related Or Exempt Function Income171335101RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue171335101TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2831030TotalRevenueColumn
Exclusion$2,831,030ExclusionAmount

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)
Real1084121Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1084121Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1084121TotalRevenueColumn
Exclusion$1,084,121ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities55961499Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities53043903Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2917596Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2917596TotalRevenueColumn
Exclusion$2,917,596ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events47354GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events75000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses47384FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-30TotalRevenueColumn
Exclusion-$30ExclusionAmount

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
CAFETERIA/VENDING722210459596$459,596
PARKING LOT812930305209$305,209
EMS ACADEMY90009995935$95,935

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3389417TotalRevenueColumn
Exclusion$3,389,417ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4250157TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column183130349TotalRevenueColumn
Related Or Exempt Function Income171335101RelatedOrExemptFunctionIncome
Exclusion$11,082,874ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total46659Total
Program Services46659ProgramServices

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)
Total2046393Total
Program Services1903145ProgramServices
Management And General143248ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total71687646Total
Program Services66669511ProgramServices
Management And General5018135ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2102148Total
Program Services1954998ProgramServices
Management And General147150ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8648904Total
Program Services8043481ProgramServices
Management And General605423ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6584577Total
Program Services6123657ProgramServices
Management And General460920ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1090425Total
Program Services1014095ProgramServices
Management And General76330ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1376564Total
Program Services1280205ProgramServices
Management And General96359ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total131832Total
Program Services122604ProgramServices
Management And General9228ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total30054Total
Management And General30054ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total629093Total
Program Services585056ProgramServices
Management And General44037ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11866691Total
Program Services11036023ProgramServices
Management And General830668ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total432336Total
Program Services402072ProgramServices
Management And General30264ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41917237Total
Program Services38983030ProgramServices
Management And General2934207ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2150849Total
Program Services2000290ProgramServices
Management And General150559ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3474822Total
Program Services3231584ProgramServices
Management And General243238ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total467519Total
Program Services434793ProgramServices
Management And General32726ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2617929Total
Program Services2434674ProgramServices
Management And General183255ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9941659Total
Program Services9245743ProgramServices
Management And General695916ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2895203Total
Program Services2692539ProgramServices
Management And General202664ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE118465151184651500
PROPERTY TAX769127152853840

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total182061967Total
Program Services170122202ProgramServices
Management And General11939765ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4629BOY
EOY4728EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8101770BOY
EOY2518503EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13384018BOY
EOY20185035EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY565512BOY
EOY440875EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1745362BOY
EOY2028111EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis229939801LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec119792391LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY112690137BOY
EOY110147410EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY86862295BOY
EOY67471386EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23017642BOY
EOY29992368EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8465927BOY
EOY10735537EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY254837292BOY
EOY243523953EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17405235BOY
EOY20823910EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY57725000BOY
EOY56075000EOY

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)
BOY743519BOY
EOY568345EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24743236BOY
EOY31710068EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY100616990BOY
EOY109177323EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY148739224BOY
EOY129673710EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1435216BOY
EOY937240EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4045862BOY
EOY3735680EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY154220302BOY
EOY134346630EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY254837292BOY
EOY243523953EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1068382ReconcilationRevenueExpenses
Reconcilation Other Changes-20942054ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

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 ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$15,027MailingsMembersAmount
Publications Or BroadcasttruePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$15,027DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB30054TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part II-B, Line 1gPeter Kaprielyan, a hospital Vice President, added government relations to his duties in 2011. Mr. Kaprielyan spent approximately 5% of his time in 2011 on this effort. Underwood is a member of the New Jersey Hospital Association and the Fair Share Hospital Collaborative. Both groups advocate for Federal and State legislation that benefits the hospital community. Mr. Kaprielyan participates in meetings with both groups when they contact area legislators to promote legislation and regulations beneficial to Underwood-Memorial Hospital; to oppose legislation and regulations negatively impacting Underwood-Memorial Hospital; and to advance health policy in New Jersey.
Part II- B, Line 1iExamples of Activities Include: - Sending letters or publications to government officials or legislators - Meeting with or calling government official or legislators - Sending or distributing letter or publications (newsletters, brochures) to members or to the general public - Using direct mail, placing advertisements, issuing press releases, holding news conferences, or holding rallies or demonstrations.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4539154BeginningOfYearBalance
Contributions266563Contributions
Investment Earnings Or Losses-240184InvestmentEarningsOrLosses
Grants Or Scholarships20399GrantsOrScholarships
Other Expenditures463991OtherExpenditures
Administrative Expenses56739AdministrativeExpenses
End Of Year Balance4024404EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4032279BeginningOfYearBalance
Contributions210418Contributions
Investment Earnings Or Losses502689InvestmentEarningsOrLosses
Grants Or Scholarships20361GrantsOrScholarships
Other Expenditures143972OtherExpenditures
Administrative Expenses41866AdministrativeExpenses
End Of Year Balance4539187EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3912086BeginningOfYearBalance
Contributions175030Contributions
Investment Earnings Or Losses921588InvestmentEarningsOrLosses
Grants Or Scholarships20520GrantsOrScholarships
Other Expenditures894825OtherExpenditures
Administrative Expenses61081AdministrativeExpenses
End Of Year Balance4032278EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5235267BeginningOfYearBalance
Contributions244312Contributions
Investment Earnings Or Losses-1268438InvestmentEarningsOrLosses
Grants Or Scholarships13600GrantsOrScholarships
Other Expenditures198711OtherExpenditures
Administrative Expenses86744AdministrativeExpenses
End Of Year Balance3912086EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.07000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.93000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4193635OtherCostOrOtherBasis
Book Value4193635BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis150901170OtherCostOrOtherBasis
Depreciation60968397Depreciation
Book Value89932773BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis716193OtherCostOrOtherBasis
Depreciation606948Depreciation
Book Value109245BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71358504OtherCostOrOtherBasis
Depreciation56196289Depreciation
Book Value15162215BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2770299OtherCostOrOtherBasis
Depreciation2020757Depreciation
Book Value749542BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110147410TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
SILVER CREEK LOW VOL/CAYMAN LP12000000F
SILVER CREEK LONG SHORT862497F
CITI MASTERS PRIVATE EQUITY2265006F
FINANCIAL DERIVATIVE AND OTHER13188601F
ABSOLUTE RETURN STRATEGY1676264F
FieldValueIRS element (for citing)
Total Of Book Value Securities29992368TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
EST. SETTLEMENT DUE TO 3RD PTY$122,004
ACCRUED PENSION COSTS$17,006,835
EST. MALPRACTICE COSTS$1,392,628
INTEREST RATE SWAP AGREEMENTS$13,188,601
FieldValueIRS element (for citing)
Total Of Amounts31710068TotalOfAmounts
Total Revenue183130349TotalRevenue
Total Expenses182061967TotalExpenses
Excess Or Deficit For Year1068382ExcessOrDeficitForYear
Net Unrealized GL On Investments-4588610NetUnrealizedGLOnInvestments
Other-$16,353,444OtherAmount
Total Adjustments-20942054TotalAdjustments
Excess Or Deficit Per FS-19873672ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt161551912TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4588610NetUnrealizedGainsInvestments
Other Revenues-16353444OtherRevenues
Revenue Not Rptd F990-20942054RevenueNotRptdF990
Revenue Subtotal182493966RevenueSubtotal
Investment Expenses Not Included629093InvestmentExpensesNotIncluded
Other Revenues Not Included7290OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt636383RevenueNotRptdOnFinStmt
Total Revenue Per Form990183130349TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt181425584TotExpensesEtcAuditedFinclStmt
Expenses Subtotal181425584ExpensesSubtotal
Investment Expenses Not Included2629093InvestmentExpensesNotIncluded2
Other Expenses Not Included7290OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt636383ExpensesNotRptdOnFinStmt
Total Expenses Per Form990182061967TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE D, PART V, LINE 4INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSUnderwood-Memorial Hospital has two types of Endowment funds. The first category is housed internally and is temporarily restricted by the Board. The second category is permanently restricted and administered by WELLS FARGO Bank and The Community Foundation of NJ. Any monies released by the Board or received from the permanent endowment funds are used to support the charitable purposes of the hospital as well as any current projects that the fund has pledged monies toward.
FORM 990, SCHEDULE D, PART XI, LINE 8 & PART XII, LINE 2DOTHER CHANGES IN NET ASSETSOther changes in pension liability $(5,130,040) Other transfers (3,300,000) net assets released from restrictions (269,118) change in net value of interest rate swap agreement $(7,274,858) decrease in assets held in perpetuity (310,182) Golf revenue recognition (47,354) Foundation timing of pledge recognition (144,558) Contribution from fundraising 115,376 Reporting variance Nursing Scholarships 7,290 ------------ $(16,353,444) ============
FORM 990, SCHEDULE D, PART XIII, LINE 4BREPORTING VARIANCE NURSING SCHOLARSHIP $7,290

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesNJLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1122354GrossReceiptsEvent1
Charitable Contributions Event175000CharitableContributionsEvent1
Gross Revenue Event147354GrossRevenueEvent1
Other Direct Expenses Event147384OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total122354GrossReceiptsTotal
Charitable Contributions Total75000CharitableContributionsTotal
Gross Revenue Total Events47354GrossRevenueTotalEvents
Other Direct Expenses Total Events47384OtherDirectExpensesTotalEvents
Direct Expense Summary Events47384DirectExpenseSummaryEvents
Net Income Summary-30NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
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)
Persons Served5029PersonsServed
Total Community Benefit Expense9677000TotalCommunityBenefitExpense
Direct Offsetting Revenue2400000DirectOffsettingRevenue
Net Community Benefit Expense7277000NetCommunityBenefitExpense
Percent Of Total Expense0.04280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense7140000TotalCommunityBenefitExpense
Direct Offsetting Revenue4138000DirectOffsettingRevenue
Net Community Benefit Expense3002000NetCommunityBenefitExpense
Percent Of Total Expense0.01760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served5029PersonsServed
Total Community Benefit Expense16817000TotalCommunityBenefitExpense
Direct Offsetting Revenue6538000DirectOffsettingRevenue
Net Community Benefit Expense10279000NetCommunityBenefitExpense
Percent Of Total Expense0.06040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served7119PersonsServed
Total Community Benefit Expense127792TotalCommunityBenefitExpense
Direct Offsetting Revenue21450DirectOffsettingRevenue
Net Community Benefit Expense106342NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served631PersonsServed
Total Community Benefit Expense66646TotalCommunityBenefitExpense
Direct Offsetting Revenue3500DirectOffsettingRevenue
Net Community Benefit Expense63146NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served343PersonsServed
Total Community Benefit Expense91848TotalCommunityBenefitExpense
Direct Offsetting Revenue12481DirectOffsettingRevenue
Net Community Benefit Expense79367NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense6913TotalCommunityBenefitExpense
Net Community Benefit Expense6913NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served8093PersonsServed
Total Community Benefit Expense293199TotalCommunityBenefitExpense
Direct Offsetting Revenue37431DirectOffsettingRevenue
Net Community Benefit Expense255768NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs32NumberOfActivitiesOrPrograms
Persons Served13122PersonsServed
Total Community Benefit Expense17110199TotalCommunityBenefitExpense
Direct Offsetting Revenue6575431DirectOffsettingRevenue
Net Community Benefit Expense10534768NetCommunityBenefitExpense
Percent Of Total Expense0.06190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,846,515BadDebtExpenseAmount
Amount Attributable To1184652AmountAttributableTo
Amount Reimbursed By Medicare56669814AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare63403564CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6733750MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
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 Line1UNDERWOOD-MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1509 NORTH BROAD STREETAddressLine1
CityWOODBURYCity
StateNJState
ZIP Code08096ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNDERWOOD-MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
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 Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
FAMILY HEALTH CTR OF GLASSBORO
1120 N DELSEA DRIVEGLASSBORONJ08038PRIMARY CARE
UMH FAMILY MEDICAL CENTER
75 WEST RED BANK DRIVEWOODBURYNJ08096RESIDENCY PROGRAM PRIMARY CARE
FAMILY HEALTH CTR OF MULLICA HILL SOUTH
155 BRIDGETON PIKEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CENTER OF WOOLWICH
100 LEXINGTON ROAD BUILDING 1WOOLWICH TWPNJ08085PRIMARY CARE
FAMILY HEALTH CTR OF MULLICA HILL NORTH
34 COLSON LANEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CENTER OF PAULSBORO
1 WEST BROAD STREETPAULSBORONJ08066PRIMARY CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

IdentifierIdentifierExplanationExplanation
PART III, LINE 4Underwood-Memorial Hospital's patient acceptance policy is based on its mission statement and charitable purpose. The hospital accepts all patients regardless of their ability to pay. This policy results in the hospital's assumption of higher than normal patient receivable credit risk. To the extent the hospital realized additional losses from higher credit risk and patients are not identified or do not meet the hospital's defined charity care policy, such additional losses are included in the provision for bad debts
Part III, Line 8Part of Underwood's mission is to provide service to all patients without direct consideration of their ability to pay, and regardless of which type of insurance coverage they may utilize for payment, even if that insurance plan does not cover the complete cost of the service provided. Any shortfall of payment supports the surrounding community. Part III, Line 9a In accordance with AHA Guidelines, all patients are afforded the opportunity to receive financial counseling, and information on Charity Care Programs, Public Assistance Programs and hospital-specific assistance programs is made available to each patient. Subsequent patient account balances are pursued fairly and equitably across all financial categories, and assigned only to outside collections agencies after all internal efforts to collect the balance have been exhausted.
NEED ASSESSMENTThe Hospital has a good communication network in place with local emergency offices (fire, ambulance, etc.) and also with the Hospital's medical staff to receive feedback about the health care needs of the community.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:Hospital business office staff assists patients and their families to understand the services that are available to help pay for health care services. This includes counseling about the various public programs that can help with health care reimbursement.
COMMUNITY INFORMATIONUnderwood-Memorial Hospital realizes its role as the hub of health care services and education for the community. The hospital sponsors multiple community oriented programs to educate and complement the various health care needs of the community.
PROMOTION OF COMMUNITY HEALTHUnderwood Memorial Hospital is committed to providing a broad range of quality health care services that are continuously improved to meet the needs and expectations of our patients, physicians, employees and the community we serve. We are committed to providing services in a compassionate and friendly manner which respects the dignity and rights of all. We shall be innovative and fiscally responsible while continually evaluating the needs an expectations of our community and the demands of the environment. AFFILIATED HEALTH CARE SYSTEM The Underwood-Memorial Health System supports Underwood-Memorial Hospital in its historic relationship as the entity responsible for strategic planning and coordination of Underwood-Memorial Hospital activities.
COMMUNITY BENEFIT REPORTEach year Underwood-Memorial Hospital prepares and distributes a Community Benefit Report that summarizes the many community outreach events held during the year. Hospital staff participate in community health and wellness fairs and other local events providing blood pressure screenings, diabetes blood sugar checks, body mass index, cholesterol and other screenings as appropriate. Underwood-Memorial Hospital's Paramedic staff provide their services at community events throughout the year. Several times a year Underwood physicians and clinical staff present community programs on healthy living and injury and disease prevention.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPSTypeOfGrant
Number Of Recipients11NumberOfRecipients
Amount Of Cash Grant46659AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule I, Part I, Line 2Identifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationUnderwood Memorial Hospital provides scholarships to employees and individuals interested in pursuing careers in nursing. A maximum per person amount of $10,000 is provided by Underwood Memorial Hospital and may be applied only to tuition, comp fees, books, uniforms and laboratory fees. Monitoring of these funds is performed by the Human Resources Department of Underwood Memorial Hospital and includes approval of a nursing education program by Underwood Memorial Hospital as well as a GPA of 2.8 or above and successfully completing all Nursing I courses.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 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
MALINI IYER
3093770003349500017190344591000
Eileen K Cardile
35910301586250635060129900043460715480000
John W Graham
2385190520000309050490004680326792000
James R Brant
255189078750031836049000147440385419000
Paul M Lambrecht
12716201350002248603282073230173753000
JAYMICA PATEL
26298700047080225004680270413000
Gregory Herman
29957800017430049000221870344095000
Richard Zitwer
228563000138850480304680247719000
Gina Mumolie
231320047000019339049000246860327245000
Robert L Manestrina
13195101620002254203434036240177751000
Peter A Kaprielyan
109716014300022444030060161250165591000
Joseph Maccarone
2863310001695904900084070316597000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE J, PART I, LINE 1ASOCIAL MEMBERSHIPThe CEO is a social member of a local golf club. It is included in her contract and is only used for business purposes. Eileen Cardile: $125,000 contribution to Non-Qualified Plan 457F Plan.
FORM 990, SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL COMPENSATION INFORMATIONThe CEO is eligible for a 457f contribution. Eileen K Cardile: $125,000 contribution to nonqualified plan

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NJ HEALTHCARE FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN221987084IssuerEIN
CUSIP Number64579FWROCUSIPNumber
Date Issued2008-05-22DateIssued
Issue Price62000000IssuePrice
Description Of PurposeREFUNDING OF 2004 ISSUEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds62000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds586876IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds61413124OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART VIdentifier
Return Reference0ReturnReference
ExplanationHOSPITAL COUNSEL, ADMININISTRATION AND BOARD ARE DEVELOPING WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BETH ANNE RAMBO
DAUGHTER - EILEEN CARDILE83771COMPENSATIONfalse
MORGAN KUHN
DAUGHTER OF JOHN GRAHAM31922COMPENSATIONfalse
AMELIA KAPRIELYAN
WIFE OF PETER KAPRIELYAN39540COMPENSATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (25 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part III, Line 2Through 2011, significant accomplishments were noted in the quality of care provided as illustrated by Underwood's performance in the Hospital Quality Measures program. For the performance measures associated with Acute Myocardial Infarction (Heart Attack), and Heart Failure, Underwood's performance was 100% compliance across all quality indicators as of the 4th quarter of 2011, and resulted in performance consistent with the Top 10% of U.S. Hospitals as noted on Hospital Compare. For performance with Pneumonia indicators, Underwood's composite score ranked 98.3; higher than all New Jersey Reporting hospitals for the 4th quarter 2011. Efforts to reduce mortality, as measured by Healthgrades, resulted in a reduction in mortality in each of the following cohorts: Heart Failure (59%), Sepsis (54%), Pneumonia (83%), Respiratory Failure (38%), and Chronic Obstructive Pulmonary Disease (69%). Underwood also provides advanced prehospital life support services through its Paramedic (MICU) program to a tri-county service area in South Jersey. As part of our emergent primary angioplasty program for STEMI (heart attack), the Door-to-Balloon (D2B) time for patients taken to the cardiac catheterization lab averaged 58 minutes for 2011, against a national benchmark of 90 minutes. For those patients treated by the MICU, the D2B time was further reduced by an average of 20 minutes due to rapid recognition, intervention and activation of the STEMI alert prior to the patient arriving in the Emergency Department. Underwood is a member of the Jefferson Neuroscience Network and maintains certification in New Jersey as a Primary Care Stroke Center. Underwood began the process TO ACHIEVE MAGNET STATUS in 2010. THE MAGNET RECOGNITION PROGRAM WAS DEVELOPED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC), BASED PRIMARILY ON RESEARCH CONDUCTED BY THE AMERICAN ACADEMY OF NURSING, TO RECOGNIZE HEALTHCARE ORGANIZATIONS THAT PROVIDE THE VERY BEST IN NURSING CARE AND UPHOLD THE TRADITION OF PROFESSIONAL NURSING PRACTICE. THE MAGNET RECOGNITION PROGRAM FOCUSES ON ADVANCING THREE GOALS WITHIN EACH APPLICANT AND DESIGNEE: 1: PROMOTING QUALITY IN A SETTING THAT SUPPORTS PROFESSIONAL PRACTICE. 2. IDENTIFYING EXCELLENCE IN THE DELIVERY OF NURSING SERVICES TO PATIENTS/RESIDENTs. 3. DISSEMINATING "BEST PRACTICES" IN NURSING SERVICES. WHEN A HEALTHCARE ORGANIZATION CHOOSES TO ACHIEVE MAGNET RECOGNITION, IT COMMUNICATES TO HEALTHCARE PROFESSIONALS AND THE COMMUNITY THAT IT PLACES THE HIGHEST PRIORITY ON PROVIDING QUALITY CARE FOR ITS PATIENTS AND A POSITIVE PRACTICE ENVIRONMENT FOR ITS EMPLOYEES. UNDERWOOD'S VERSION IS TO FOCUS ON AN ORGANIZATIONAL APPROACH TO CLINICAL EXCELLENCE AND PROFESSIONAL PRACTICE. The achievement of Magnet status takes several years. Underwood continued its effort to achieve this goal throughout 2011. UNDERWOOD-MEMORIAL HOSPITAL OPENED AN OUTPATIENT WOMEN'S DIAGNOSTIC CENTER IN 2009, AND SAW THE FIRST FULL YEAR OF OPERATION DURING 2010. THE CENTER OFFERS THE FOLLOWING VITAL PATIENT SERVICES TO THE COMMUNITY: FULL FIELD DIGITAL MAMMOGRAPHY, BONE DENSITOMETRY, AND VARIOUS ULTRASOUND SERVICES. THE CENTER SERVICED 167 PATIENTS DURING 2009, 1,507 in 2010, and 2,086 in 2011 a 38% increase over the first full year. During 2011 a certified breast surgeon was hired for the Center. Stereotactic Mammography was a new service added in 2011 that allows for needle guided breast biopsies. A CAT scan machine was introduced into our Emergency Room that allows us to treat patients faster, as it saves on transport time to our radiology center and reduces result time that can result in faster ER discharges. Digital Mammography was added to the main hospital campus in 2011. The outpatient catheterzation lab had an equipment upgrade in 2011. The hospital has six Family Health Centers located in the hospitals service area. During 2011 Underwood began providing outpatient laboratory services at these sites in lieu of drawing blood and sending to one of the large commercial outpatient laboratory services. The result has been that our Family Health Center physicians and patients are getting faster lab results that are automatically recorded and available in our hospital's information system. This program has proven so popular that we have begun providing outpatient laboratory services to several area nursing homes as well. Underwood took part in 34 Community Health Fairs/Events in 2011. Blood pressure screenings and blood glucose levels were among the tests performed. Area residents screened totaled 1,335 with 215 people found to have abnormal results and counseled to seek further treatment from their private physician or community health providers. Underwood centralized Same Day Surgery services in 2011 so that patients coming in for pre-admission testing could receive mostly all the needed services without traveling around the hospital to multiple departments. Existing office space was renovated to provide an area where laboratory, EKGs and physician interview can all take place. This is an important convenience for any patient with mobility limitations and saves patients the time spent waiting in multiple offices. Underwood successfully completed its triennial survey from The Joint Commission in December 2011, resulting in Accreditation with Full Standards Compliance. FORM 990, PART III, LINE 4E - OTHER PROGRAM SERVICE ACCOMPLISHMENTS: The hospital provides other outpatient services to the community. During 2011 the hospital provided outpatient adult and children psychiatric programs with an average daily census of 12.1 and 11.0 respectively. In addition, our mobile intensive care unit received a total of 27,082 calls and rendered services to 12,435 patients. The family practice center registered 349 new patients in 2011 and provided total visits of 6,290. The prenatal care program provides for expecting parents and reported 338 births and 4,393 visits in 2011. Other programs include physical/occupational therapy (18,711 treatments), speech therapy (1,321 visits), sleep studies (1,216 studies), wound care (2,670 visits), heart center treatments (3,716), and electrocardiograms (11,986). Also, the hospital provided 42,594 radiology exams, 9,273 ultrasound tests, and 17,090 outpatient CT scan tests. The off-campus outpatient family health centers provided services to support 42,594 visits in Gloucester County.
FORM 990, PART VI, LINE 7BThe parent Underwood Memorial Health Systems must approve the hospital's budget, audits and all board appointments.ARE ANY DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL
FORM 990, PART VI, LINE 11AThe Sr. VP/CFO reviews the 990 for completeness and accuracy. The Chairman of the Underwood Memorial Health Systems Board and the Chairman of the Finance Committee of the Underwood Memorial Health Systems Board review the 990. The Underwood Memorial Health Systems Board oversees both Underwood Memorial Hospital and the Underwood Memorial Hospital Foundation.PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990:
FORM 990, PART VI, LINE 12CThe conflict of interest questionnaires are completed by all appropriate personnel on an annual basis. The board chairman and CEO then reviews any potential conflicts and deals with any issues, if necessary.ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH POLICY
FORM 990, PART VI, LINES 15A & 15BAn executive compensation committee meets to review annual compensation increases. The committee uses a compensation consultant to provide comparable data from salary surveys and 990 information. All supporting documentation is maintained.PROCESS FOR DETERMINING COMPENSATION
FORM 990, PART VI, LINE 19Documents and related information are available upon request. FORM 990, PART XI, LINE 5 VIEW THE RECONCILIATION ON SCHEDULE D, PAGE 4 & PAGE 5.AVAILABLE TO PUBLIC
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Daniel J Ball III TITLE:Treasurer HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Beth N Barry TITLE:Secretary HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Herbert J Konrad TITLE:Member HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Shirley Bierbrunner TITLE:Member HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Pamela S Clark TITLE:Member HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James E George MD TITLE:member HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Sarah D Love TITLE:Member HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Michael A McLaughlin TITLE:CHAIRMAN HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jorge A Prieto MD TITLE:Member HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Eileen K Cardile TITLE:CEO HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John H. Fisher III TITLE:Past Chairman HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Rudolph T DePersia MD TITLE:Member HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Warner A Knobe TITLE:member HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John W Graham TITLE:COO HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James R Brant TITLE:Sr VP/CFO HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Paul M Lambrecht TITLE:VP of Clinical/Support Service HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Gina Mumolie TITLE:VP HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Robert L Manestrina TITLE:VP HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Peter A Kaprielyan TITLE:VP HOURS:17FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Underwood-Memorial Hospital Foundation
509 N Broad StreetWoodburyNJ08096222333409fundraisingNJ501(c)(3)7UMHStrue
Underwood-Memorial Health Systems Inc
509 N Broad StreetWoodburyNJ08096222625112holding co.NJ501(c)(3)11, TYPE IINAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Red Bank Development CorporationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1509 North Broad StreetAddressLine1
CityWoodburyCity
StateNJState
ZIP Code08096ZIPCode
FieldValueIRS element (for citing)
EIN222814053EIN
Primary Activityhealth care sPrimaryActivity
Legal Domicile StateNJLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of Entityc-CorpTypeOfEntity
Share Of Total Income-254744ShareOfTotalIncome
Share Of EOY Assets730292ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RED BANK DEVELOPMENT CORPORATION
A152080FMV
UNDERWOOD-MEMORIAL HOSPITAL FOUNDATION
L,N246210FMV
UNDERWOOD-MEMORIAL HOSPITAL FOUNDATION
Q300000FMV
RED BANK DEVELOPMENT CORPORATION
L95325FMV
RED BANK DEVELOPMENT CORPORATION
O104788FMV

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