2011-11-02T09:28:08-05:00 2010-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 223367281 ENGLEWOOD HOSPITAL & MED CTR FDN INC ENGL 2018943275 350 ENGLE STREET ENGLEWOOD NJ 07631 DOUGLAS A DUCHAK 2011-11-02 3176817000 2010 2016-03-07 17:11:31Z DOUGLAS A DUCHAK 350 ENGLE STREET ENGLEWOOD NJ 07631 7672578 false X englewoodhospital.com X 1995 NJ FUNDRAISING AND DEVELOPMENT ON BEHALF OF THE ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. 27 26 0 26 0 0 5879239 5726983 0 0 153093 366024 -224241 -170577 5808091 5922430 21727248 2950311 0 0 948015 778963 0 0 1194324 944794 1047527 23620057 4776801 -17811966 1145629 23715476 24295100 8657598 7343847 15057878 16951253 ESTABLISHED IN 1995, THE ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. IS THE NOT-FOR-PROFIT ORGANIZATION THAT DEVELOPS PRIVATE RESOURCES TO SUPPORT THE CAPITAL, ENDOWMENT AND ANNUAL OPERATING NEEDS OF ENGLEWOOD HOSPTIAL AND MEDICAL CENTER. THROUGH ITS FUNDRAISING PROGRAMS, SPECIAL EVENTS AND OUTREACH ACTIVITIES, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN THE MEDICAL CENTER'S HEALTHCARE PROGRAMS AND SERVICES. false false 2950311 2950311 ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION IS A WHOLLY-OWNED NON-PROFIT SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND WAS FORMED FOR THE PURPOSE OF FUNDRAISING AND DEVELOPMENT ON BEHALF OF ENGLEWOOD HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES. THE PRIMARY AFFILIATE IS ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THROUGH ITS FUNDRAISING PROGRAMS, THE FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S HEALTHCARE FACILITIES, PROGRAMS AND SERVICES. THE GENEROSITY OF THE COMMUNITY HAS HELPED INSURE QUALITY PATIENT CARE BY SUPPORTING OPERATING NEEDS, FUNDING NEW CLINICAL PROGRAMS, NURSING SCHOLARSHIPS, EQUIPMENT AND MAJOR CAPITAL PROJECTS. 2950311 true true false true false false false false true true false false true true false true false false false true false false false true false false true false true false false false false false false false false true false false false false true true true false false true 0 0 true 0 false false false false false true true false false false false X 27 26 true false false false true true true true true false false true true true true true true false false false NJ NY X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 076311898 X RICHARD J KURTZ 1.0 X X 0 0 0 JOSEPH RUBACH 1.0 X X 0 0 0 SUSAN L SILBERMAN 1.0 X X 0 0 0 DAVID L ABRAMSON MD 1.0 X 0 0 0 JAMES C ACKERMAN 1.0 X 0 0 0 STEVEN B BRAVERMAN 1.0 X 0 0 0 DONALD DICKSTEIN 1.0 X 0 0 0 LEE D EISENBERG MD 1.0 X 0 0 0 DAVID GRAF 1.0 X 0 0 0 BRUCE HARPER 1.0 X 0 0 0 ERIC D HERSCHMANN ESQ 1.0 X 0 0 0 MIRIAM R KASSEL 1.0 X 0 0 0 ANDREW M CLARKE STRT 1110 1.0 X 0 0 0 MERLE FISH START 1110 1.0 X 0 0 0 STEVEN KAPLAN START 1110 1.0 X 0 0 0 BERNARD KOSTER START 1110 1.0 X 0 0 0 JAY C NADEL 1.0 X 0 0 0 ANTHONY T ORLANDO 1.0 X 28500 352849 33395 THOMAS C SENTER ESQ 1.0 X 0 0 0 YAZ SHAH 1.0 X 0 0 0 STANLEY SHIRVAN 1.0 X 0 0 0 MICHAEL B BRENNER 1.0 X 0 0 0 GRANT R SIMONS MD 1.0 X 0 0 0 JOHN R STABILE MD 1.0 X 0 0 0 THOMAS J VOLPE 1.0 X 0 0 0 KEVIN WOLFER 2.0 X 0 0 0 BARRY M ZINGLER MD 1.0 X 0 0 0 DOUGLAS A DUCHAK 5.0 X 185450 531177 46882 MARGARET C BRIDGE 55.0 X 88838 0 7416 TODD W BROOKS 50.0 X 140903 0 2469 443691 884026 90162 2 false true false 0 423410 1331467 3972106 126782 5726983 0 184132 184132 0 0 1563688 1381796 181892 181892 181892 194075 423410 368352 -174277 -174277 3700 3700 3700 0 0 5922430 195447 2950311 2950311 0 0 0 310204 77551 232653 0 345103 100080 245023 0 123656 30914 92742 0 273453 68363 205090 1916 479 1437 17864 4466 13398 227500 227500 0 0 218184 56064 162120 0 83960 20990 62970 4169 1251 2918 0 40500 9720 30780 6087 1522 4565 0 0 0 0 8454 2114 6340 5005 5005 PLAQUES AND ENGRAVING 62595 62595 MISCELLANEOUS 52699 6622 46077 CAPITAL FUND EXPENSE 25616 25616 MEMBERSHIP DUES 19525 19525 4776801 2950311 632166 1194324 11160 49853 4688530 4835425 9047871 7380888 391705 232107 177114 162183 23385 14931 8418073 11266456 921292 284333 213460 231107 23715476 24295100 120720 105633 8536878 7238214 8657598 7343847 X -3196698 -3235362 15130718 17062757 3123858 3123858 15057878 16951253 23715476 24295100 X 1145629 747746 X false true true X false X 8253551 11737478 9071977 6027723 5726982 40817711 8253551 11737478 9071977 6027723 5726982 40817711 2368095 38449616 878494 969713 714373 160245 184132 2906957 159650 160025 182195 153300 197775 852945 44577613 0.86253 0.85044 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 227500 227500 false LOBBYING ACTIVITIES-SUPPLEMENTAL INFORMATION SCHEDULE C, PART II-B, LINE 1i ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION PAID TWO FIRMS THAT LOBBY THE UNITED STATES CONGRESS ON BEHALF OF THE HOSPITAL INDUSTRY. 7943220 973934 300000 15502 8601652 6996801 1263601 300000 17182 7943220 8873285 -1757103 100000 19381 6996801 0.63680 0.36320 false false 156071 141140 14931 21043 21043 0 14931 0 DUE TO ENGLEWOOD HOSP & MED CTR 7238214 7238214 5922430 4776801 1145629 652930 94816 747746 1893375 6203705 94816 368352 463168 5740537 181893 181893 5922430 5145152 368351 368351 4776801 4776801 SUPPLEMENTAL INFORMATION SCHEDULE D, PART XII, LINE 2B DONATED RENT: $94,816 SCHEDULE D, PART XII, LINE 2D SPECIAL EVENT EXPENSES IN PART VIII: $368,352 SCHEDULE D, PART XII, LINE 4B REALIZED GAINS ON INVESTMENTS: $181,892 ROUNDING 1 SUPPLEMENTAL INFORMATION PART XIII, LINE 2D SPECIAL EVENT EXPENSES INCLUDED ON LINE 8B OF REVENUE STATEMENT: $368,352 ENDOWMENT FUNDS SCHEDULE D, PART V THE FOUNDATION'S ENDOWMENT FUNDS WERE CREATED FOR VARIOUS PURPOSES INCLUDING, BUT NOT LIMITED TO: A)MEDICAL RESEARCH INTO THE CAUSES AND CURES OF CANCER, B)THE CARE AND BENEFIT OF CHARITABLE PATIENTS, C)FACILITY MAINTENANCE OF THE MEDICAL CENTER, AND D)HEALTH EDUCATION AND RESEARCH. Middle East and North Africa Investments 248500 248500 248500 false false false false false false ANNUAL GALA 432356 283181 149175 127839 12575 106777 GOLF/TENNIS 100375 55475 44900 40641 41935 1 84754 84754 38585 617485 423410 194075 168480 12575 187297 368352 -174277 350 ENGLE STREET ENGLEWOOD NJ 07631 true ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501( C)(3) 2359527 OPERATING EXPENSE REIMBURSEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501( C)(3) 583784 CAPITAL EXPENDITURES ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501( C)(3) 7000 SCHOLARSHIPS 1 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants THE CURRENT YEAR GRANTS WERE MADE TO A RELATED TAX EXEMPT ORGANIZATION THAT THE FOUNDATION SUPPORTS AND WILL BE USED TO FURTHER THEIR EXEMPT PURPOSE. false false false false false false false false false ANTHONY T ORLANDO 28500 323100 0 9488 0 20261 0 26054 0 7341 28500 386244 0 0 DOUGLAS A DUCHAK 185450 431248 0 24598 0 75331 0 26773 0 20109 185450 578059 0 X 10 119070 cost/selling price X 1 5950 cost/selling price X CHILDREN'S TOYS 1 200 cost/selling price X VETERINARIAN SERVICES & SUPPLIES FOR PET THERAPY 2 1062 cost/selling price X WALK FOR AWARENESS ITEMS 1 500 cost/selling price false true false SUPPLEMENTAL INFORMATION FORM 990, PART V, LINE 2A ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION DOES NOT DIRECTLY PAY ITS EMPLOYEES. THE COMPENSATION AND BENEFITS ARE ALLOCATED FROM ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THE COMPENSATION AND BENEFITS ARE RECORDED ON THE FORM 941 FILED BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER UNDER EMPLOYER IDENTIFICATION NUMBER 22-1487173. Description of Relationships FORM 990, PART VI, LINE 2 BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ HAVE A BUSINESS RELATIONSHIP. Description of Classes of Members or Stockholders FORM 990, PART VI, LINE 6 ENGLEWOOD HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. Description of Classes of Persons and the Nature of Their Rights FORM 990, PART VI, LINE 7A ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO: A)DETERMINE THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD OF TRUSTEES OF THE CORPORATION; B)ELECT TRUSTEES OF THE CORPORATION; C)REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD OF TRUSTEES, WITH OR WITHOUT CAUSE, AND TO REPLACE ANY SUCH REMOVED TRUSTEE FOR THE UNEXPIRED PORTION OF HIS/HER TERM. D)APPROVE THE ELECTION, REELECTION, APPOINTMENT, REAPPOINTMENT, AND REMOVAL OF ALL OFFICERS OF THE CORPORATION. Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights FORM 990, PART VI, LINE 7B ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO APPROVE: A)AMENDMENT, REVISION OR RESTATEMENT OF THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND ALL AMENDMENTS OR REVISIONS TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND BYLAWS THAT MAY BE PROPOSED BY THE BOARD OF TRUSTEES OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; B)DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, TO CONSOLIDATE OR MERGE THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR TO ACQUIRE SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY; C)ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, INCLUDING THE DISPOSITION OF ANY CONTRIBUTIONS OR OTHER NET FUNDS; D)INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF $50,000, UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS; E)EXPENDITURES NOT PROVIDED FOR IN THE APPROVED BUDGETS IN EXCESS OF $50,000; F)CONTRACTUAL COMMITMENTS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; G)SALE, LEASE OR EXCHANGE OF ANY ASSET OF THE CORPORATION THAT IS VALUED IN EXCESS OF $50,000; H)TRANSFER, GRANT, GIFT, LOAN OR HYPOTHECATION OF ASSETS OF THE CORPORATION NOT PROVIDED FOR IN THE APPROVED BUDGETS, EXCEPT FOR TRANSFERS OF RESTRICTED FUNDS IN ACCORDANCE WITH THE DONOR'S WISHES. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Line 11 AT THE OCTOBER MEETING OF ENGLEWOOD HEALTHCARE SYSTEM, THE ULTIMATE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL AUDIT FIRM/PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED. Description of Process to Monitor Transactions for Conflicts of Interest FORM 990, PART VI, LINE 12C ENGLEWOOD HOSPITAL AND MEDICAL CENTER, AN AFFILIATE OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, HAS CONFLICT OF INTEREST POLICIES THAT APPLY TO OFFICERS, DIRECTORS AND TRUSTEES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S NOMINATING AND GOVERNANCE COMMITTEE OF ITS BOARD OF TRUSTEES REVIEWS CONFLICT OF INTEREST STATEMENTS. IF ANY MATTER IS BROUGHT TO THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED TRUSTEE SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY THE TRUSTEE'S WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION, AND SHALL BE ALLOWED NO VOTE ON THE MATTER. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public FORM 990, PART VI, LINE 19 ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION COMPLIES WITH ALL GOVERNMENT REQUIREMENTS RELATING TO THE DISCLOSURE OF THESE ITEMS. FINANCIAL INFORMATION IS AVAILABLE PUBLICLY VIA THE REQUIRED SUBMISSION OF DATA TO THE INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL'S OFFICE. REQUESTS FROM THE PUBLIC FOR ADDITIONAL INFORMATION ARE HANDLED ON A CASE-BY-CASE BASIS. Other Changes in Net Assets Form 990, Part XI, Line 5 Unrealized Gain on Investment - $652,930 Donated Rent - $94,816 ________ Total- $747,746 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD J KURTZ TITLE:CHAIRMAN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAY C NADEL TITLE:TRUSTEE HOURS:5 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY T ORLANDO TITLE:TRUSTEE HOURS:55 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL B. BRENNER TITLE:TRUSTEE HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS J VOLPE TITLE:TRUSTEE HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLAS A DUCHAK TITLE:PRESIDENT HOURS:57 ENGLEWOOD HOSPITAL & MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 HOSPITAL NJ 501( C)(3) 3 EHS ENGELWOOD HEALTHCARE PROPERTIES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222943092 PROPERTY ACQ. NJ 501( C)(2) EHS ENGLEWOOD MEDICAL ASSOCIATES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 223446625 PHYSICIAN SVC NJ 501( C)(3) 11, TYPE I EHMC ENGLEWOOD HEALTHCARE SYSTEM 350 ENGLE STREET ENGLEWOOD NJ 07631 222749097 HLTH ACTIVITY NJ 501( C)(3) 11, TYPE II NA ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 MEDICAL SERVICES NJ NA C CORP false true false false false false false false false true false true false true true false false false ENGLEWOOD HOSPITAL AND MEDICAL CENTER B 2950311 ENGLEWOOD HOSPITAL AND MEDICAL CENTER N 655360 ENGLEWOOD HOSPITAL AND MEDICAL CENTER O 1497242 ENGLEWOOD MEDICAL ASSOCIATES L 69569