INSPIRA MEDICAL CENTER WOODBURY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
INSPIRA MEDICAL CENTER WOODBURY INC (EIN 22-1820210)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201123189349304982
Schema version
2010v3.4
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)
Timestamp2011-11-14T13:59:18-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221820210EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Underwood Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
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 R BRANTName
TitleSENIOR VP OF FINANCETitle
Date Signed2011-11-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts223344494GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2335TotalNbrEmployees
Total Nbr Volunteers264TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1029770ContributionsGrantsPriorYear
Contributions Grants Current Year750772ContributionsGrantsCurrentYear
Program Service Revenue Prior Year175727295ProgramServiceRevenuePriorYear
Program Service Revenue CY170864464ProgramServiceRevenueCY
Investment Income Prior Year-1730747InvestmentIncomePriorYear
Investment Income Current Year6355426InvestmentIncomeCurrentYear
Other Revenue Prior Year2740336OtherRevenuePriorYear
Other Revenue Current Year2950607OtherRevenueCurrentYear
Total Revenue Prior Year177766654TotalRevenuePriorYear
Total Revenue Current Year180921269TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year105140GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY34965GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year94897752SalariesEtcPriorYear
Salaries Etc Current Year90910292SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year87551230OtherExpensePriorYear
Other Expenses Current Year85834866OtherExpensesCurrentYear
Total Expenses Prior Year182554122TotalExpensesPriorYear
Total Expenses Current Year176780123TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4787468RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4141146RevenuesLessExpensesCY
Total Assets BOY253596334TotalAssetsBOY
Total Assets EOY254837292TotalAssetsEOY
Total Liabilities BOY103389571TotalLiabilitiesBOY
Total Liabilities EOY100616990TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY150206763NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY154220302NetAssetsOrFundBalancesEOY
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
Expense113298315Expense
Revenue117213022Revenue
DescriptionThe hospital provided inpatient services to 13,642 in patients with an average length of stay of 4.5 days. The inpatient services included cardiology, orthopedics, pulmonary, obstetrics, gastroenterology, cancer, psychiatry and others. Also provided were 3,767 Transitional Care days to 632 patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense26920737Expense
Revenue27850908Revenue
DescriptionThe hospital treated 56,014 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 154 patients treated per day. Overall, the hospital experienced a 3 percent increase in emergency room volume during the 2010 year over 2009.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7101789Expense
Revenue7347172Revenue
DescriptionIn addition to the above the hospital performed 3,222 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 Exp17791078TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt34965TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev18453362TotalOfOtherProgramServiceRev
Total Program Service Expense165111919TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 OrganizationtrueBsnssRltnshpWithOrganization
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 EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096196NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2335NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
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 (26 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
Sean F Dalton Esq
Member1.0X000
James E George MD
member1.0X000
Sarah D Love
Member1.0X000
Michael A McLaughlin
CHAIRMAN2.0XX000
Carl J Minniti Jr MD
MEMBER1.0X000
Jorge A Prieto MD
Member1.0X000
Eileen K Cardile
CEO60.0XX5755140133710
John H Fisher III
Past Chairman2.0XX000
Rudolph T DePersia MD
Member1.0X000
Warner A Knobe
member1.0X000
John W Graham
COO55.0X29114205341
James R Brant
Sr VP/CFO55.0X366007017184
Paul M Lambrecht
VP of Clinical/Support Service55.014713009295X
Gina Mumolie
VP55.0298768025007X
Robert L Manestrina
vp55.015554405821X
Peter A Kaprielyan
VP30.0143985016084X
Josette Palmer
Physician50.016975003833X
Gregory Herman
Physician50.0291308023387X
Indira Gala
Physician50.021287406713X
Richard Zitwer
Physician50.024110605244X
Joseph Maccarone
Physician50.0295926013797X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3189054TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation265416TotalOtherCompensation
Number Individuals GT100 K54NumberIndividualsGT100K
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
SLEEPCARE
130 GAITHER DRIVEMOUNT LAURELNJ08054SLEEP CTR SERVICES879583
South Jersey Anesthesia
PO Box 766WOODBURYNJ08096Anesthesia Services805750
Booth Radiology
PO Box 344WOODBURYNJ08096MRI Services705748
Center for Family Guidance PC
PO Box 306MARLTONNJ08053PSYCHIATRIC SERVICES455078
BROWN AND CONNERY LLP
6 NORTH BROAD STREETWOODBURYNJ08096LEGAL SERVICES400175
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Fundraising Events90500FundraisingEvents
Related Organizations292270RelatedOrganizations
Government Grants368002GovernmentGrants
Total Contributions750772TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column170864464TotalRevenueColumn
Related Or Exempt Function Income170864464RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue170864464TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3475115TotalRevenueColumn
Exclusion$3,475,115ExclusionAmount

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)
Real1133891Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1133891Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1133891TotalRevenueColumn
Exclusion$1,133,891ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45257563Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities42377252Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2880311Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2880311TotalRevenueColumn
Exclusion$2,880,311ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events46086GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events90500CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses45973FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column113TotalRevenueColumn
Exclusion$113ExclusionAmount

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/VENDING722210462392$462,392
PARKING LOT812930313958$313,958
EMS ACADEMY900099134924$134,924

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column905329TotalRevenueColumn
Exclusion$905,329ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1816603TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column180921269TotalRevenueColumn
Related Or Exempt Function Income170864464RelatedOrExemptFunctionIncome
Exclusion$9,306,033ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total34965Total
Program Services34965ProgramServices

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)
Total1978090Total
Program Services1839624ProgramServices
Management And General138466ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total71023681Total
Program Services66052023ProgramServices
Management And General4971658ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1317024Total
Program Services1224832ProgramServices
Management And General92192ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10091411Total
Program Services9385012ProgramServices
Management And General706399ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6500086Total
Program Services6045080ProgramServices
Management And General455006ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1261216Total
Program Services1172931ProgramServices
Management And General88285ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total542494Total
Program Services504519ProgramServices
Management And General37975ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total157370Total
Program Services146354ProgramServices
Management And General11016ManagementAndGeneral

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)
Total724705Total
Program Services673976ProgramServices
Management And General50729ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9640254Total
Program Services8965436ProgramServices
Management And General674818ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total382651Total
Program Services355865ProgramServices
Management And General26786ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40895441Total
Program Services38032760ProgramServices
Management And General2862681ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2048138Total
Program Services1904768ProgramServices
Management And General143370ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3675686Total
Program Services3415170ProgramServices
Management And General260516ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total379382Total
Program Services352825ProgramServices
Management And General26557ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2452810Total
Program Services2281113ProgramServices
Management And General171697ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10391812Total
Program Services9664385ProgramServices
Management And General727427ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2904041Total
Program Services2700758ProgramServices
Management And General203283ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE101025371010253700
PROPERTY TAX276329256986193430

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total176780123Total
Program Services165111919ProgramServices
Management And General11668204ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4129BOY
EOY4629EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9263796BOY
EOY8101770EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY131254BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16088495BOY
EOY13384018EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY604502BOY
EOY565512EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1271719BOY
EOY1745362EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis223138343LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec110448206LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY116843457BOY
EOY112690137EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY81395293BOY
EOY86862295EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20773484BOY
EOY23017642EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7220205BOY
EOY8465927EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY253596334BOY
EOY254837292EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17838129BOY
EOY17405235EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY59325000BOY
EOY57725000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY428394BOY
EOY743519EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25798048BOY
EOY24743236EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY103389571BOY
EOY100616990EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY145442659BOY
EOY148739224EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1054630BOY
EOY1435216EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3709474BOY
EOY4045862EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150206763BOY
EOY154220302EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY253596334BOY
EOY254837292EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4141146ReconcilationRevenueExpenses
Reconcilation Other Changes-127607ReconcilationOtherChanges
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.11000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.89000PermanentEndowmentEOYBalance
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 Basis150168752OtherCostOrOtherBasis
Depreciation55253876Depreciation
Book Value94914876BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis716193OtherCostOrOtherBasis
Depreciation568351Depreciation
Book Value147842BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65613274OtherCostOrOtherBasis
Depreciation52691476Depreciation
Book Value12921798BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2446489OtherCostOrOtherBasis
Depreciation1934503Depreciation
Book Value511986BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings112690137TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
SILVER CREEK LOW VOL I6000000F
SILVER CREEK LOW VOL II6000000F
SILVER CREEK LONG SHORT1690635F
CITI MASTERS PRIVATE EQUITY2055006F
FINANCIAL DERIVATIVE AND OTHER5913743F
ABSOLUTE RETURN STRATEGY1358258F
FieldValueIRS element (for citing)
Total Of Book Value Securities23017642TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
EST. SETTLEMENT DUE TO 3RD PTY$866,407
ACCRUED PENSION COSTS$16,663,458
EST. MALPRACTICE COSTS$1,299,628
INTEREST RATE SWAP AGREEMENTS$5,913,743
FieldValueIRS element (for citing)
Total Of Amounts24743236TotalOfAmounts
Total Revenue180921269TotalRevenue
Total Expenses176780123TotalExpenses
Excess Or Deficit For Year4141146ExcessOrDeficitForYear
Net Unrealized GL On Investments4191207NetUnrealizedGLOnInvestments
Other-$4,318,815OtherAmount
Total Adjustments-127608TotalAdjustments
Excess Or Deficit Per FS4013538ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt180079964TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4191207NetUnrealizedGainsInvestments
Other Revenues-4318815OtherRevenues
Revenue Not Rptd F990-127608RevenueNotRptdF990
Revenue Subtotal180207572RevenueSubtotal
Investment Expenses Not Included724705InvestmentExpensesNotIncluded
Other Revenues Not Included-11008OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt713697RevenueNotRptdOnFinStmt
Total Revenue Per Form990180921269TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt176066425TotExpensesEtcAuditedFinclStmt
Other Expenses Included45973OtherExpensesIncluded
Expenses Not Rptd F99045973ExpensesNotRptdF990
Expenses Subtotal176020452ExpensesSubtotal
Investment Expenses Not Included2724705InvestmentExpensesNotIncluded2
Other Expenses Not Included34966OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt759671ExpensesNotRptdOnFinStmt
Total Expenses Per Form990176780123TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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 8OTHER CHANGES IN NET ASSETSOther changes in pension liability ($1,299,351) net assets released from restrictions (59,664) change in net value of interest rate swap agreement ($2,959,800) ------------ ($4,318,815) ============
FORM 990, SCHEDULE D, PART XII, LINE 4BOTHERRENT EXPENSE $(45,973) NURSING SCHOLARSHIP 34,965 --------- TOTAL (11,008) =========
FORM 990, SCHEDULE D, PART XIII, LINE 2D & 4BOTHERRENT EXPENSE $45,973 NURSING SCHOLARSHIP $34,965 ROUNDING 1 --------- $34,966 =========

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1136586GrossReceiptsEvent1
Charitable Contributions Event190500CharitableContributionsEvent1
Gross Revenue Event146086GrossRevenueEvent1
Other Direct Expenses Event145973OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total136586GrossReceiptsTotal
Charitable Contributions Total90500CharitableContributionsTotal
Gross Revenue Total Events46086GrossRevenueTotalEvents
Other Direct Expenses Total Events45973OtherDirectExpensesTotalEvents
Direct Expense Summary Events45973DirectExpenseSummaryEvents
Net Income Summary113NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
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 Served5567PersonsServed
Total Community Benefit Expense9520000TotalCommunityBenefitExpense
Direct Offsetting Revenue2054000DirectOffsettingRevenue
Net Community Benefit Expense7466000NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served7465PersonsServed
Total Community Benefit Expense6219000TotalCommunityBenefitExpense
Direct Offsetting Revenue4354000DirectOffsettingRevenue
Net Community Benefit Expense1865000NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served13032PersonsServed
Total Community Benefit Expense15739000TotalCommunityBenefitExpense
Direct Offsetting Revenue6408000DirectOffsettingRevenue
Net Community Benefit Expense9331000NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Persons Served136853PersonsServed
Total Community Benefit Expense318644TotalCommunityBenefitExpense
Direct Offsetting Revenue26734DirectOffsettingRevenue
Net Community Benefit Expense291910NetCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served934PersonsServed
Total Community Benefit Expense118686TotalCommunityBenefitExpense
Direct Offsetting Revenue3800DirectOffsettingRevenue
Net Community Benefit Expense114886NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served479PersonsServed
Total Community Benefit Expense130477TotalCommunityBenefitExpense
Direct Offsetting Revenue18156DirectOffsettingRevenue
Net Community Benefit Expense112321NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense6358TotalCommunityBenefitExpense
Net Community Benefit Expense6358NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served138266PersonsServed
Total Community Benefit Expense574165TotalCommunityBenefitExpense
Direct Offsetting Revenue48690DirectOffsettingRevenue
Net Community Benefit Expense525475NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs42NumberOfActivitiesOrPrograms
Persons Served151298PersonsServed
Total Community Benefit Expense16313165TotalCommunityBenefitExpense
Direct Offsetting Revenue6456690DirectOffsettingRevenue
Net Community Benefit Expense9856475NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,102,537BadDebtExpenseAmount
Amount Attributable To1010254AmountAttributableTo
Amount Reimbursed By Medicare60750788AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare60843393CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-92605MedicareSurplusOrShortfall

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 Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
UNDERWOOD-MEMORIAL HOSPITAL
1509 NORTH BROAD STREETWOODBURYNJ08096XXX
FAMILY HEALTH CTR OF MULLICA HILL NORTH
234 COLSON LANEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CTR OF MULLICA HILL SOUTH
3155 BRIDGETON PIKEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CENTER OF GLASSBORO
41120 N DELSEA DRIVEGLASSBORONJ08028PRIMARY CARE
FAMILY HEALTH CENTER OF PAULSBORO
51 WEST BROAD STREETPAULSBORONJ08066PRIMARY CARE
FAMILY HEALTH CENTER OF WOOLWICH
6100 LEXINGTON ROAD BUILDING 1WOOLWICH TWPNJ08085PRIMARY CARE
UMH FAMILY MEDICAL CENTER
775 WEST RED BANK DRIVEWOODBURYNJ08096RESIDENCY PROGRAM PRIMARY CARE

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumber
UNDERWOOD-MEMORIAL HOSPITAL
1
FAMILY HEALTH CTR OF MULLICA HILL NORTH
2
FAMILY HEALTH CTR OF MULLICA HILL SOUTH
3
FAMILY HEALTH CENTER OF GLASSBORO
4
FAMILY HEALTH CENTER OF PAULSBORO
5
FAMILY HEALTH CENTER OF WOOLWICH
6
UMH FAMILY MEDICAL CENTER
7

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifierExplanationExplanation
PART III, LINE 4The Hospital's patient acceptance policy is based upon its mission statement and its charitable purpose. Accordingly, 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 that the Hospital realized additional losses resulting from such higher credit risks 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 8 Part of the mission of Underwood-Memorial Hospital 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 costs of the service provided. Any "shortfall" of payment supports the surrounding community.
NEEDS ASSESSMENTThe hospital has a good communication network in place with local emergency offices (fire, ambulance, etc.) and also with Underwood's Medical Staff to receive feedback about the health care needs of the local community. As a result, the hospital responded by adding new services such as PCI, Wound Care Center, Balance Center, Dialysis service, Women's Diagnostic Center, and a significant expansion of the Emergency Room and it's capabilities. The ED expansion included creating a physically distinct 6 bed Pediatric Emergency treatment room, and a secured Behavioral Health emergency treatment area, both within Underwood's Emergency Department.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEThe Hospital Business Office staff will assist patients and their families to understand what services are available to help pay for the patient's health care services. This includes educating the patient about various public programs which aide in the health care reimbursement.
COMMUNITY INFORMATIONUnderwood Hospital realizes its role as the hub of health care services and education for the community. To that end, the Hospital sponsors multiple community oriented programs to educate and complement the various health care needs of the community.
COMMUNITY BUILDING ACTIVITIESUnderwood Hospital completed a major expansion of the Emergency Room, renovations in patient care areas, and opened an off-campus diagnostic center during 2009. Additionally, during 2010, the inpatient and Outpatient Behavioral Health Units were renovated and updated.
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.

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 Recipients12NumberOfRecipients
Amount Of Cash Grant34965AmountOfCashGrant
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
Eileen K Cardile
36233101586250545580129900038100709224000
John W Graham
2085200518750307470490004410296483000
James R Brant
255373078750031884049000122840383191000
Paul M Lambrecht
1272210130000690902960063350156425000
Josette Palmer
144295088050166500339204410173583000
Gregory Herman
27404600017262049000184870314695000
Indira Gala
1730830003979104272024410219587000
Richard Zitwer
230128000109780480304410246350000
Gina Mumolie
232340047000019428047700202370323775000
Robert L Manestrina
12203501100002250903131026900161365000
Peter A Kaprielyan
110524011000022461029400131440160069000
Joseph Maccarone
2789780001694804900088970309723000

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.
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 SERIES 2004 REV BDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds62000000TotalProceeds
Issuance Costs From Proceeds586876IssuanceCostsFromProceeds
Capital Expenditures61413124CapitalExpenditures
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 PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1UBSBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BETH ANNE RAMBO
DAUGHTER - EILEEN CARDILE79289COMPENSATIONfalse
MORGAN KUHN
DAUGHTER OF JOHN GRAHAM29555COMPENSATIONfalse
AMELIA KAPRIELYAN
WIFE OF PETER KAPRIELYAN16319COMPENSATIONfalse
JAMES E GEORGE MD
BOARD MEMBER24000VENDOR OF HOSPITALfalse
JAMES E GEORGE MD
BOARD MEMBER41996OWNER OF HOSPITAL RENTAL BLDGfalse
KURT W KAULBACK MD
BOARD MEMBER27074214% OWNER OF THE MED PRACTICEfalse
WARNER A KNOBE
BOARD MEMBER35067VENDOR OF HOSPITALfalse
JORGE A PRIETO MD
BOARD MEMBER31657VENDOR OF HOSPITALfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (28 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 4EOTHER PROGRAM SERVICE ACCOMPLISHMENTSThe hospital provides other outpatient services to the community. During 2010 the hospital provided outpatient adult and children psychiatric programs with an average daily census of 11.6 and 11.2 respectively. In addition, our mobile intensive care unit received a total of 26,310 calls and rendered services to 12,230 patients. The family practice center registered 296 new patients in 2010 and provided total visits of 5,508. The prenatal care program provides for expecting parents and reported 341 births and 4,163 visits in 2010. Other programs include physical/occupational therapy (19,043 treatments), speech therapy (636 visits), sleep studies (1,192 studies), wound care (2,306 visits), heart center treatments (4,097), and electrocardiograms (10,758). Also, the hospital provided 39,364 radiology exams, 8,564 ultrasound tests, and 15,159 outpatient Ct scan tests. The off-campus outpatient family health centers provided services to support 47,434 visits in Gloucester County.
FORM 990, PART VI, LINE 7BARE ANY DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVALThe parent Underwood Memorial Health Systems must approve the hospital's budget, audits and all board appointments.
FORM 990, PART VI, LINE 11PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990The finance committee of the board reviews the 990 at one of its regularly scheduled meetings.
FORM 990, PART VI, LINE 12CORGANIZATION REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH POLICYThe 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.
FORM 990, PART VI, LINES 15A & 15BPROCESS FOR DETERMINING COMPENSATIONAn 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.
FORM 990, PART VI, LINE 19AVAILABLE TO PUBLICDocuments and related information are available upon request. FORM 990, PART XI, LINE 5 VIEW THE RECONCILIATION ON SCHEDULE D, PAGE 4 & PAGE 5.
Form 990, Part III, Line 2Underwood-Memorial Hospital received a Primary Stroke Center Certification which is a designation from the NJ Department of Health and Senior Services, in June 2010. This designation recognizes that Underwood meets the responsibility to evaluate, to stabilize, and to provide emergency care to patients with acute strokes. And, then depending on the patient's needs, we provide inpatient care or transfer the patient to a comprehensive stroke Center. Why is this so important to Underwood and our community? It defines the level of care that we can provide for a stroke patient that either begins with the EMS/Emergency Department team, or the Rapid Response Team for patients already admitted. The protocols outline the best diagnosis and treatment options starting with identifying the stroke and determining whether the patient may be eligible for clot-busting therapy. The stroke patient is then admitted to our Stroke Unit on 7 East (or PCU if 7 East is full) where Underwood continues to meet the primary stroke care guidelines through acute care, rehabilitation, and education. Acute Stroke Care with Use of Jefferson Expert Telemedicine (JET) Purpose: To provide immediate physician assessment and intervention to patients with signs and/or symptoms suggestive of stroke with the use of the Jefferson Expert Telemedicine (JET). Policy: When patients present with signs and/or symptoms suggestive of stroke, the UMH physician will determine the need to consult an acute stroke management physician expert from Thomas Jefferson University Hospital (TJU) via the JET robot. Underwood has started the process to achieve magnet status. 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: Promoting quality in a setting that supports professional practice; Identifying excellence in the delivery of nursing services to patients/residents; and 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 Hospital placed into service newly expanded and renovated space in the Emergency Room which doubled the number of ER beds to 46 beds. This expansion eliminated the previous over-crowded emergency room space and replaced it with a state of the art ER facility to offer more capacity and quicker patient throughput. This service has been received well by community leaders. The number of Emergency Room patient visits has increased 3% from 2009 to 2010. The 2010 year saw the first full operational year of the new Acute Hemodialysis service. The program is designed as an on-demand, bedside program which utilizes the clinical and technical support of the dialysis staff to perform acute hemodialysis on site for our patients. Patients being admitted to Underwood-Memorial Hospital, and who require acute hemodialysis, are typically admitted to either the 7East wing, or MSICU. The Balance Center experienced its first full year of operations during 2010.It is estimated that 50% of the American adult population will experience dizziness or suffer from balance problems during their lifetime. The Balance Center at Underwood offers the clinical expertise, state of the art technology and a highly skilled staff devoted to helping a physician to diagnose the cause of a balance disorder, and to develop an effective treatment plan. 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 and serviced 1,507 patients during 2010.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Daniel J Ball III TITLE:Treasurer HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Beth N Barry TITLE:Secretary HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Herbert J Konrad TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Shirley Bierbrunner TITLE:Member HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Pamela S Clark TITLE:Member HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Sean F Dalton Esq TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:James E George MD TITLE:member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Sarah D Love TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael A McLaughlin TITLE:CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Carl J Minniti Jr MD TITLE:MEMBER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jorge A Prieto MD TITLE:Member HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Eileen K Cardile TITLE:CEO HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:John H. Fisher III TITLE:Past Chairman HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Rudolph T DePersia MD TITLE:Member HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Warner A Knobe TITLE:member HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:John W Graham TITLE:COO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:James R Brant TITLE:Sr VP/CFO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Paul M Lambrecht TITLE:VP of Clinical/Support Service HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Gina Mumolie TITLE:VP HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Robert L Manestrina TITLE:vp HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Peter A Kaprielyan TITLE:VP HOURS:27

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/BusinessNameLine1
Underwood-Memorial Hospital Foundation
509 N Broad StreetWoodburyNJ08096222333409fundraisingNJ501(c)(3)7NA
Underwood-Memorial Health Systems Inc
509 N Broad StreetWoodburyNJ08096222625112holding co.NJ501(c)(3)11, TYPE INA

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 svcsPrimaryActivity
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 Income479819ShareOfTotalIncome
Share Of EOY Assets987735ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
RED BANK DEVELOPMENT CORPORATION
A152076
UNDERWOOD-MEMORIAL HOSPITAL FOUNDATION
P,M,N51306
UNDERWOOD-MEMORIAL HOSPITAL FOUNDATION
l292270
RED BANK DEVELOPMENT CORPORATION
O231451
RED BANK DEVELOPMENT CORPORATION
P145693

Comments

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