HOLY NAME MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOLY NAME MEDICAL CENTER INC (EIN 22-1487322)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201133139349300333
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)
Timestamp2011-11-09T14:42:20-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN221487322EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLY NAME MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLYNameControl
Phone2018337206Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1718 TEANECK ROADAddressLine1
CityTEANECKCity
StateNJState
ZIP Code07666ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH M LEMAIREName
TitleCFOTitle
Date Signed2011-11-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOLY NAME HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL MARONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1718 TEANECK ROADAddressLine1
CityTEANECKCity
StateNJState
ZIP Code07666ZIPCode
FieldValueIRS element (for citing)
Gross Receipts272773251GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOLYNAME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN THE COMMUNITY REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees2593TotalNbrEmployees
Total Nbr Volunteers686TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1838260ContributionsGrantsPriorYear
Contributions Grants Current Year4404992ContributionsGrantsCurrentYear
Program Service Revenue Prior Year258327005ProgramServiceRevenuePriorYear
Program Service Revenue CY263075228ProgramServiceRevenueCY
Investment Income Prior Year501075InvestmentIncomePriorYear
Investment Income Current Year1544977InvestmentIncomeCurrentYear
Other Revenue Prior Year5689741OtherRevenuePriorYear
Other Revenue Current Year2874434OtherRevenueCurrentYear
Total Revenue Prior Year266356081TotalRevenuePriorYear
Total Revenue Current Year271899631TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY110000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year134388665SalariesEtcPriorYear
Salaries Etc Current Year138976793SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year128942698OtherExpensePriorYear
Other Expenses Current Year127095099OtherExpensesCurrentYear
Total Expenses Prior Year263331363TotalExpensesPriorYear
Total Expenses Current Year266181892TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3024718RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5717739RevenuesLessExpensesCY
Total Assets BOY280309656TotalAssetsBOY
Total Assets EOY285993216TotalAssetsEOY
Total Liabilities BOY170279540TotalLiabilitiesBOY
Total Liabilities EOY174781648TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY110030116NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111211568NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOLY NAME MEDICAL CENTER IS A COMMUNITY OF CAREGIVERS COMMITTED TO A MINISTRY OF HEALING, EMBRACING THE TRADITION OF CATHOLIC PRINCIPLES, THE PURSUIT OF PROFESSIONAL EXCELLENCE, AND CONSCIENTIOUS STEWARDSHIP. THE MEDICAL CENTER HELPS THE COMMUNITY ACHIEVE THE HIGHEST ATTAINABLE LEVEL OF HEALTH THROUGH EDUCATION, PREVENTION AND TREATMENT.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense133890404Expense
Grants0Grants
Revenue119615576Revenue
DescriptionEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED INPATIENT SERVICES TO 16,899 PATIENTS FOR A TOTAL OF 79,367 PATIENT DAYS. PLEASE REFER TO THE ORGANIZAITON'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense92914745Expense
Grants0Grants
Revenue109640835Revenue
DescriptionEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED OUTPATIENT SERVICES TO 124,578 PATIENTS. PLEASE REFER TO THE ORGANIZAITON'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11015788Expense
Grants0Grants
Revenue15179295Revenue
DescriptionEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED EMERGENCY ROOM SERVICES TO 40,575 PATIENTS. PLEASE REFER TO THE ORGANIZAITON'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. INCLUDED IN SCHEDULE O.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1753765TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt110000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev18639522TotalOfOtherProgramServiceRev
Total Program Service Expense239574702TotalProgramServiceExpense
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096199NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2593NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARCELLO GUARNERINamePerson
Telephone Number2018337206TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1718 TEANECK ROADAddressLine1
CityTEANECKCity
StateNJState
ZIP Code07666ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ARNOLD BALSAM
CHAIRMAN - TRUSTEE3.0XX000
JOSEPH FRASCINO MD
VICE CHAIRMAN - TRUSTEE3.0XX000
SISTER BARBARA MORAN CSJP
SECRETARY - TRUSTEE3.0XX000
EDWIN H RUZINSKY CPA
TREASURER - TRUSTEE3.0XX000
JOSEPH M LEMAIRE
TRUSTEE - ASST SEC/ASST TREAS43.0XX7697040250211
PETER BAKER
TRUSTEE3.0X000
THOMAS BIRCH MD
TRUSTEE3.0X14456105320
PATRICIA BURKE MD
TRUSTEE3.0X000
DAVID BUTLER MD
TRUSTEE3.0X000
TED A CARNEVALE CPA
TRUSTEE3.0X000
DALE A CREAMER
TRUSTEE3.0X000
JOHN M GERAGHTY
TRUSTEE3.0X000
LAWRENCE LAIKIN
TRUSTEE3.0X000
SALVATORE LARAIA MD
TRUSTEE3.0X000
DANIEL LEBER
TRUSTEE3.0X000
MICHAEL MARON
TRUSTEE - PRESIDENT/CEO43.0XX13228730404819
SISTER ANTOINETTE MOORE CJSP
TRUSTEE3.0X000
JOSEPH PARISI JR
TRUSTEE3.0X000
ROBERT S RIGOLOSI MD
TRUSTEE3.0X9576500
MYRON ROSNER ESQ
TRUSTEE3.0X000
SISTER ANN RUTAN CSJP
TRUSTEE3.0X000
SISTER ANN TAYLOR CSJP
TRUSTEE3.0X000
LEON TEMIZ
TRUSTEE3.0X000
SHERYL SLONIM
SENIOR VP; PATIENT CARE SVCS55.05264660125909X
ADAM JARRETT
CHIEF MED OFFICER (7/30-12/31)55.013383305320X
WAYNE KINDER
VP; FACILITIES52.0320670015120X
KEVIN P MCCARTHY
VP; DEVELOPMENT25.0254066011470X
JANE FIELDING ELLIS
VP; MARKETING & PR55.0239267014162X
CATHERINE YAXLEY SCHMIDT
VP; PLANNING & GOVT AFFAIRS55.0203507016370X
MARCELLO GUARNERI
VP; FINANCIAL SERVICES55.0180868016791X
CYNTHIA KAUFHOLD
VP; REVENUE CYCLE55.0175608010820X
DEBORAH ZAYAS
VP; NURSING SERVICES55.0174130012313X
LAURA ATKINS
VP; HUMAN RESOURCES(2/9-12/31)55.014884100X
JOHN GRANGEIA
VP; PROF. SVCS (4/26-12/31)55.014084307920X
CAROL DINSMORE
VP; QUALITY IMPROV. (1/1-4/1)55.011487807528X
MARGARET GALVIN
VP; LEGAL55.011376709831X
SHARAD WAGLE MD
MEDICAL DIRECTOR55.0350426015120X
CRAIG HERSH MD
ASST. VP; MEDICAL MANAGEMENT55.0261978020120X
HENRY FERNANDEZ COS MD
MEDICAL DIRECTOR55.023501506775X
MICHAEL SKVARENINA
ASST. VP; IS55.0221499011175X
KYUNG HEE CHOI
DIRECTOR; KOREAN MEDICAL55.0216136013022X
GREGORY M ADAMS
FORMER ASST SEC./ASST TREAS.0.07537570887X
PAUL C MENDELOWITZ MD
FORMER SR. VP; MEDICAL STAFF0.035850400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7456962TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation981003TotalOtherCompensation
Number Individuals GT100 K160NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
CLAUDIO BOZZO SON INC
503 FARLEY ROADWHITEHOUSE STATIONNJ08889CONSTRUCTION2356693
GE HEALTHCARE OEC
PO BOX 96483CHICAGOIL60693MAINTENANCE/SERVICE1178156
J C DIPIAZZA INC
2 NORTH STREETWALDWICKNJ07463CONSTRUCTION879655
ALOYSIUS BUTLER CLARK
PO BOX 672WILMINGTONDE198990672ADVERTISING798153
MEDASSETS
PO BOX 405652ATLANTAGA30384COLLECTION793504
FieldValueIRS element (for citing)
Number Of Contractors GT100 K59NumberOfContractorsGT100K
Government Grants1701041GovernmentGrants
All Other Contributions2703951AllOtherContributions
Total Contributions4404992TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900258044711258044711
OTHER HEALTHCARE RELATED REVENUE54190016769191676919
SCHOOL OF NURSING90009916478901647890
HNH FITNESS, L.L.C.54190017057081705708
FieldValueIRS element (for citing)
Total Program Service Revenue263075228TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2062713TotalRevenueColumn
Exclusion$2,062,713ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column329195TotalRevenueColumn
Exclusion$329,195ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real48313Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real26089Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22224Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22224TotalRevenueColumn
Exclusion$22,224ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other847531Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-846931Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-846931TotalRevenueColumn
Exclusion-$846,931ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222101535297$1,535,297
DAY CARE624410915284$915,284
TELEVISION & TELEPHONE517000401629$401,629
FieldValueIRS element (for citing)
Total Other Revenue2852210TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column271899631TotalRevenueColumn
Related Or Exempt Function Income263075228RelatedOrExemptFunctionIncome
Exclusion$4,419,411ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total110000Total
Program Services110000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5973545Total
Program Services5376198ProgramServices
Management And General597347ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total111052297Total
Program Services99947067ProgramServices
Management And General11105230ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2840689Total
Program Services2556620ProgramServices
Management And General284069ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10378352Total
Program Services9340510ProgramServices
Management And General1037842ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8731910Total
Program Services7858719ProgramServices
Management And General873191ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1337947Total
Program Services1204152ProgramServices
Management And General133795ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total234746Total
Program Services211271ProgramServices
Management And General23475ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total108320Total
Program Services97488ProgramServices
Management And General10832ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total51104Total
Program Services45994ProgramServices
Management And General5110ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9574732Total
Program Services8617259ProgramServices
Management And General957473ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2347438Total
Program Services2112694ProgramServices
Management And General234744ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52565878Total
Program Services47309290ProgramServices
Management And General5256588ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1680812Total
Program Services1512730ProgramServices
Management And General168082ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total265686Total
Program Services239117ProgramServices
Management And General26569ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total160017Total
Program Services144015ProgramServices
Management And General16002ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5025086Total
Program Services4522577ProgramServices
Management And General502509ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15933743Total
Program Services14340369ProgramServices
Management And General1593374ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1685449Total
Program Services1516904ProgramServices
Management And General168545ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT PROVISION133483431201350913348340
PURCHASED SERVICES788938071004427889380
REPAIRS AND MAINTENANCE603220054289806032200
UTILITIES444086139967754440860
DUES AND SUBSCRIPTIONS204092318368312040920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2372434Total
Program Services2135191ProgramServices
Management And General237243ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total266181892Total
Program Services239574702ProgramServices
Management And General26607190ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50BOY
EOY90EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13701448BOY
EOY24763256EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY104969BOY
EOY105553EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33821879BOY
EOY30350683EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3663224BOY
EOY4319434EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3734376BOY
EOY4103457EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2133549BOY
EOY1922537EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis313207098LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec175409621LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY142895736BOY
EOY137797477EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY70869576BOY
EOY75752305EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9384849BOY
EOY6878424EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY280309656BOY
EOY285993216EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31777309BOY
EOY31641533EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY473629BOY
EOY497775EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY116463605BOY
EOY123066344EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5951605BOY
EOY4279240EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15613392BOY
EOY15296756EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY170279540BOY
EOY174781648EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY97971423BOY
EOY102732205EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11058693BOY
EOY7479363EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1000000BOY
EOY1000000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110030116BOY
EOY111211568EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY280309656BOY
EOY285993216EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5717739ReconcilationRevenueExpenses
Reconcilation Other Changes-4536287ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$69,000DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$39,320RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB108320TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1HReturnReference
ExplanationDURING 2010, HOLY NAME MEDICAL CENTER PAID AN OUTSIDE INDEPENDENT LOBBYING FIRM $69,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF TOTAL 2010 COMPENSATION PAID TO THE VICE PRESIDENT OF PLANNING AND GOVERNMENT AFFAIRS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $10,591. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $28,729.Explanation

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 Balance12058693BeginningOfYearBalance
Contributions501730Contributions
Investment Earnings Or Losses193750InvestmentEarningsOrLosses
Other Expenditures4274810OtherExpenditures
End Of Year Balance8479363EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10237251BeginningOfYearBalance
Contributions1220780Contributions
Investment Earnings Or Losses667920InvestmentEarningsOrLosses
Other Expenditures67258OtherExpenditures
End Of Year Balance12058693EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11357203BeginningOfYearBalance
Other Expenditures1119952OtherExpenditures
End Of Year Balance10237251EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.88200BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.11800PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3471294OtherCostOrOtherBasis
Book Value3471294BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis157042003OtherCostOrOtherBasis
Depreciation69742452Depreciation
Book Value87299551BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis134858579OtherCostOrOtherBasis
Depreciation103913602Depreciation
Book Value30944977BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17835223OtherCostOrOtherBasis
Depreciation1753568Depreciation
Book Value16081655BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings137797477TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (25 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
GOVERNMENT SECURITIES9342628F
MORGAN STANLEY SWEEP ACCOUNT1710256F
ISRAEL BONDS1250000F
TD WEALTH MGMT US GOVT1154094F
DEPOSIT0F
NORTH JERSEY COMMUNITY BANK2720095F
DEPOSIT250000F
EXPRESSWAY PARTNERS CLASS A0F
GEM REALTY SECURITIES, LTD1266833F
IVORY OFFSHORE FLAGSHIP FUND1071431F
GRAMERCY EMERGING MARKETS, LTD0F
MS CAPITAL PARTNERS V902988F
CARLSON CAPITAL DOUBLE BACK DI1085388F
CERBERUS INTERNATIONAL, LTD1138584F
YORK CREDIT OPPORTUNITIES FUND1576490F
ASPECT US INST LTD DIVERSIFIED915229F
BREVAN HOWARD FUND LTD CLASS B1026262F
INTEREST IN FOUNDATION4822045F
CASH & CASH EQUIVALENTS14880916F
QUALCARE ALLIANCE NETWORKS INC314089F
PRUDENTIAL INVESTMENT COMPANY242003F
ACCRUED INTEREST137333F
CERTIFICATES OF DEPOSIT1046052F
MILLENIUM INTERNATIONAL LTD948500F
EQUITY SECURITIES27951089F
FieldValueIRS element (for citing)
Total Of Book Value Program Related75752305TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD-PARTY PAYORS$14,494,700
OTHER LIABILITIES$802,056
FieldValueIRS element (for citing)
Total Of Amounts15296756TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PART V; QUESTION 4ReturnReference
ExplanationENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean11Program ServicesMEDICAL SUPPLIES186231
Central America and the Caribbean11InvestmentsINVESTMENTS367375
FieldValueIRS element (for citing)
Subtotal Number Of Offices2SubtotalNumberOfOffices
Subtotal Number Of Employees2SubtotalNumberOfEmployees
Total Number Of Offices2TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Subtotal Amount Spent553606SubtotalAmountSpent
Total Amount Spent553606TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8203835TotalCommunityBenefitExpense
Direct Offsetting Revenue534000DirectOffsettingRevenue
Net Community Benefit Expense7669835NetCommunityBenefitExpense
Percent Of Total Expense0.03030PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15309702TotalCommunityBenefitExpense
Direct Offsetting Revenue10315119DirectOffsettingRevenue
Net Community Benefit Expense4994583NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23513537TotalCommunityBenefitExpense
Direct Offsetting Revenue10849119DirectOffsettingRevenue
Net Community Benefit Expense12664418NetCommunityBenefitExpense
Percent Of Total Expense0.05010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1210202TotalCommunityBenefitExpense
Direct Offsetting Revenue15514DirectOffsettingRevenue
Net Community Benefit Expense1194688NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense139985TotalCommunityBenefitExpense
Net Community Benefit Expense139985NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14592314TotalCommunityBenefitExpense
Direct Offsetting Revenue11469160DirectOffsettingRevenue
Net Community Benefit Expense3123154NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense211343TotalCommunityBenefitExpense
Net Community Benefit Expense211343NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense85466TotalCommunityBenefitExpense
Net Community Benefit Expense85466NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16239310TotalCommunityBenefitExpense
Direct Offsetting Revenue11484674DirectOffsettingRevenue
Net Community Benefit Expense4754636NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39752847TotalCommunityBenefitExpense
Direct Offsetting Revenue22333793DirectOffsettingRevenue
Net Community Benefit Expense17419054NetCommunityBenefitExpense
Percent Of Total Expense0.06890PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense14772TotalCommunityBuildingExpense
Net Community Building Expense14772NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense22489TotalCommunityBuildingExpense
Net Community Building Expense22489NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense8252TotalCommunityBuildingExpense
Net Community Building Expense8252NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense41086TotalCommunityBuildingExpense
Net Community Building Expense41086NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense86599TotalCommunityBuildingExpense
Net Community Building Expense86599NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,819,661BadDebtExpenseAmount
Amount Attributable To704915AmountAttributableTo
Amount Reimbursed By Medicare114101084AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare125136798CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11035714MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLY NAME MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1718 TEANECK ROADAddressLine1
CityTEANECKCity
StateNJState
ZIP Code07666ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLY NAME MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CENTER FOR SLEEP MEDICINE
721 TEANECK ROADTEANECKNJ07666OUTPATIENT CENTER
UNION CITY LAB
408 37TH STREETUNION CITYNJ07087OFF-SITE LAB
ORADELL REHAB
514 KINDERKAMACK ROADORADELLNJ07649OUTPATIENT CENTER
HNH FITNESS LLC
514 KINDERKAMACK ROADORADELLNJ07649MEDICALLY BASED WELLNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITYSCHEDULE H, PART I; LINE 3CTHE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2010 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I; LINE 7THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $13,345,613.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I; QUESTION 7GNO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IIACTIVITIES CLASSIFIED AS "COMMUNITY BUILDING" INCLUDE USE OF HNMC'S FACILITY AND/OR EMPLOYEES TO SUPPORT EFFORTS THAT PROMOTE THE POSITIVE GROWTH OF THE COMMUNITY; THAT ASSIST DIVERSE GROUPS IN COMING TOGETHER FOR THE COMMUNITY'S SHORT AND LONG TERM BENEFIT; AND THAT PROTECT THE COMMUNITY FROM ANYTHING THAT COULD SIGNIFICANTLY AFFECT THE HEALTH AND WELL-BEING OF THE COMMUNITY. HNMC ASSISTS OTHER NON-PROFITS AND PROVIDES VARIOUS FORMS OF NON-MONETARY ASSISTANCE AS WELL. IN ADDITION, EMPLOYEES ARE PERMITTED TO ASSIST VALID NON-PROFIT ORGANIZATIONS DURING PAID WORK TIME. AMONG THE ORGANIZATIONS SO AIDED ARE NURSING HOMES, BOY SCOUTS, HOUSES OF WORSHIP, COMMUNITY SERVICE GROUPS, BATTERED WOMEN'S SHELTERS, ROTARY CLUBS, POLICE GROUPS, ENVIRONMENTAL GROUPS, SCHOOLS, AND NURSING HOMES. HNMC ALSO ALLOWS THE PUBLIC TO USE VARIOUS MEETING ROOMS (IN NON-CLINICAL AREAS) AND ITS AUDITORIUM FOR EVENTS. CAREER DAYS ARE HELD FOR LOCAL HIGH SCHOOLS, FOSTERING ENTRANCE OF INTERESTED AND APPLICABLE STUDENTS INTO THE HEALTH PROFESSIONS. ALTHOUGH HNMC'S PARKING FEES ARE MINIMAL, FREE PARKING IS EXTENDED TO PERSONS IN NEED. HNMC IS ONE OF NINE HOSPITALS IN NEW JERSEY DESIGNATED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES AS A REGIONAL MEDICAL COORDINATION CENTER ("MCC"). THE ONLY FACILITY IN BERGEN COUNTY TO BE SO DESIGNATED, HNMC'S ON-CAMPUS MCC IS ACTIVATED IN THE EVENT OF PUBLIC HEALTH EMERGENCIES AND/OR A TERRORIST ATTACK CAUSING MASS CASUALTY INCIDENTS, INFECTIOUS OR COMMUNICABLE DISEASE, OR OTHER TYPES OF PUBLIC HEALTH DISRUPTION. THE MCC ALSO MONITORS, ON A DAILY BASIS, SITUATIONAL AWARENESS OF LOCAL ACTIVITY. TO DATE THE MCC HAS BEEN ACTIVATED FOR SEVERAL STATE EMERGENCIES. THE STATE OF NEW JERSEY FUNDS A COORDINATOR FOR THE MCC, BUT ALL OTHER EMERGENCY PREPAREDNESS ACTIVITIES, WHICH ARE DESIGNED TO PROTECT THE PUBLIC AND TO RESPOND IN THE EVENT OF ANY PUBLIC HEALTH EMERGENCY, ARE CARRIED OUT BY HNMC WITHOUT FINANCIAL ASSISTANCE. GIVEN HNMC'S PROXIMITY TO NEW YORK CITY (I.E., FIVE MILES NORTH OF THE GEORGE WASHINGTON BRIDGE), EMERGENCY PREPAREDNESS IS NECESSARY TO ENSURE THE HEALTH AND WELL-BEING OF THE COMMUNITY. HNMC IS RECOGNIZED BY STATE AND FEDERAL SECTORS FOR EMERGENCY PREPAREDNESS AND RESPONSE. LOCALLY, HNMC 'S MCC COORDINATOR ALSO SERVES AS THE EMS COORDINATOR OF THE BERGEN COUNTY OFFICE OF EMERGENCY MANAGEMENT AND IS A MEMBER OF THE BERGEN COUNTY TERRORISM TASK FORCE. A FREQUENT PARTICIPANT IN LOCAL AND NEW YORK CITY DISASTER DRILLS, HNMC HAS PARTICIPATED IN SEVERAL LARGE SCALE DISASTER DRILLS, AS WELL AS DRILLS CONDUCTED BY THE CENTERS FOR DISEASE CONTROL INVOLVING LOCAL, COUNTY, STATE, AND FEDERAL AGENCIES' EMERGENCY RESPONSE TO THREATS OF PUBLIC HEALTH SIGNIFICANCE. HNMC MAINTAINS ITS DESIGNATION BY THE FEDERAL DIVISION OF GLOBAL MIGRATION AND QUARANTINE TO DEAL WITH POSSIBLE COMMUNICABLE DISEASES AND ACTS OF BIOTERRORISM OCCURRING ON PUBLIC HEALTH CONVEYANCES. HNMC IS ALSO ACTIVE IN THE NORTHERN NEW JERSEY URBAN AREA SECURITY INITIATIVE. NUMEROUS MEMBERS OF HOLY NAME EMS SERVE ON THE STATEWIDE NJ EMS TASK FORCE. THE MEDICAL CENTER MAINTAINS A SPECIAL OPERATIONS TEAM COMPRISED OF PARAMEDICS AND EMERGENCY MEDICAL TECHNICIANS WHO ARE READY TO RESPOND 24 HOURS A DAY, 7 DAYS A WEEK TO ASSIST LOCAL COMMUNITIES WITH EMERGENCIES.
BAD DEBT EXPENSESCHEDULE H, PART III; LINE 4BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES, AND THEN CALCULATED BASED UPON ESTIMATED COSTS. HNMC AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE ATTACHED TEXTS WERE OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF HNMC AND SUBSIDIARIES. PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE FROM THIRD-PARTY PROGRAMS FOR WHICH THE COMPANY RECEIVES PAYMENT UNDER VARIOUS REIMBURSEMENT FORMULAE OR NEGOTIATED RATES ARE STATED AT THE ESTIMATED NET AMOUNTS REALIZABLE AND RECEIVABLE FROM SUCH PAYERS, WHICH ARE GENERALLY LESS THAN THE COMPANY'S ESTABLISHED BILLING RATES. THE AMOUNT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES RETROACTIVE REVENUE ADJUSTMENTS DUE TO ONGOING AND FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. CHARITY CARE THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.
MEDICARE SHORTFALLSCHEDULE H, PART III; LINE 8MEDICARE COSTS WERE DERIVED FROM THE 2010 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") ALSO FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONW
DEBT COLLECTION POLICYSCHEDULE H, PART III; LINE 9BACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF HNMC AND SUBSIDIARIES BUSINESS OFFICE TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2HNMC IS A PRIVATE, 361-LICENSED-BED, ACUTE CARE HOSPITAL LOCATED IN TEANECK, NEW JERSEY. THE MEDICAL CENTER IS A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW JERSEY, AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND THE REGULATIONS PROMULGATED THEREUNDER, BY VIRTUE OF BEING AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. HNMC WAS FOUNDED BY THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF PEACE (THE "SISTERS") IN 1925, AND IN 1958 WAS INCORPORATED AS AN INDEPENDENT NEW JERSEY NON-PROFIT CORPORATION, SPONSORED BY THE SISTERS. ORIGINALLY KNOWN AS "HOLY NAME HOSPITAL," THE NAME "HOLY NAME MEDICAL CENTER" WAS FORMALLY ADOPTED IN MARCH 2010, WHEN THE BOARD OF TRUSTEES OF HOLY NAME DETERMINED THAT THE TERM "HOSPITAL" WAS NO LONGER REFLECTIVE OF THE SIGNIFICANTLY BROADENED SCOPE OF CLINICAL CAPABILITIES AND SERVICES ACHIEVED SINCE HNMC'S INCEPTION. HNMC'S PRIMARY MISSION AND GOALS WERE DEVELOPED BY THE SISTERS AND ESPOUSE THE FACILITATION OF PHYSICAL, SPIRITUAL AND SOCIAL WELL-BEING REGARDLESS OF RACE, CREED OR ECONOMIC CONDITION. WITH CENTERS OF EXCELLENCE IN CANCER CARE, CARDIOVASCULAR SERVICES, INTERVENTIONAL RADIOLOGY, DIALYSIS TREATMENT, WOMEN'S HEALTHCARE, AND NEUROLOGY SERVICES, PLUS A HOST OF OTHER STATE-OF-THE-ART DIAGNOSTIC, TREATMENT, AND HEALTH MANAGEMENT SERVICES, THE MEDICAL CENTER PROVIDES HIGH QUALITY HEALTHCARE ACROSS A CONTINUUM THAT EXTENDS FROM PREVENTION THROUGH TREATMENT AND ON TOWARD RECOVERY AND WELLNESS. HNMC HAS A CLEAR DEFINITION OF ITSELF AND ITS MISSION: "WE ARE A COMMUNITY OF CAREGIVERS COMMITTED TO A MINISTRY OF HEALING, EMBRACING THE TRADITION OF CATHOLIC PRINCIPLES, THE PURSUIT OF PROFESSIONAL EXCELLENCE, AND CONSCIENTIOUS STEWARDSHIP. WE HELP OUR COMMUNITY ACHIEVE THE HIGHEST ATTAINABLE LEVEL OF HEALTH THROUGH EDUCATION, PREVENTION AND TREATMENT." LOCATED IN CLOSE PROXIMITY TO MAJOR ROAD NETWORKS, INCLUDING INTERSTATES 80 AND 95 AND STATE ROUTES 46, 4 AND 17, HNMC IS ACCESSIBLE FROM COMMUNITIES THROUGHOUT NORTHEASTERN NEW JERSEY. HNMC HAS TRADITIONALLY DELIVERED ACUTE CARE SERVICES TO BERGEN AND HUDSON COUNTY RESIDENTS. APPROXIMATELY EIGHTY PERCENT (80%) OF HNMC'S 2010 INPATIENT ADMISSIONS WERE PATIENTS WHO RESIDE IN BERGEN COUNTY. THE MEDICAL CENTER'S SPECIALTY SERVICES, SUCH AS THOSE FOR MULTIPLE SCLEROSIS AND HEMODIALYSIS, TYPICALLY DRAW PATIENTS FROM A LARGER GEOGRAPHIC REGION. HNMC IS A GENERAL ACUTE CARE COMMUNITY HOSPITAL PROVIDING A BROAD SPECTRUM OF INPATIENT, AMBULATORY CARE, HOME CARE AND COMMUNITY SERVICES. IN ADDITION TO ITS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC AND PSYCHIATRIC SERVICES, HNMC OFFERS A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT MODALITIES AND VARIOUS SPECIALTY SERVICES. WHILE HNMC IS LICENSED FOR 361 BEDS AND 36 BASSINETTES, AS FOLLOWS: MEDICAL/SURGICAL, 278 BEDS; INTENSIVE CARE, 19 BEDS; OBSTETRICS, 25 BEDS; PEDIATRICS, 16 BEDS; PSYCHIATRY, 23 BEDS; NORMAL NEWBORNS, 25 BASSINETTES; AND SPECIAL CARE NEWBORNS, 11 BASSINETTES. HNMC OPERATES A LARGE ON-CAMPUS NURSING EDUCATION PROGRAM. THE SCHOOL OF NURSING WAS ESTABLISHED IN 1925 AND HAS EDUCATED AND GRADUATED APPROXIMATELY 3,500 NURSES INTO THE PROFESSION. THE SCHOOL OF NURSING IS A HIGHLY COMPETITIVE REGISTERED NURSE DIPLOMA PROGRAM ACCEPTING ONLY 60 STUDENTS ANNUALLY. THE CONTINUED STRONG ENROLLMENT IS ATTRIBUTABLE IN PART TO THE SCHOOL OF NURSING BEING RANKED NUMBER ONE OF 1,565 REGISTERED NURSING PROGRAMS NATIONWIDE IN PASSING THE LICENSURE EXAMINATION. HNMC IS LICENSED BY THE NJDHSS AND IS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A PARTICIPATING PROVIDER. THE MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION, AND IS ALSO ACCREDITED BY THE JOINT COMMISSION AS A PRIMARY STROKE CARE CENTER. OTHER ACCREDITATIONS INCLUDE THE AMERICAN CANCER SOCIETY, THE COMMISSION ON CANCER ACCREDITATION, THE AMERICAN COLLEGE OF RADIOLOGY, THE AMERICAN COLLEGE OF SURGEONS, THE AMERICAN HEART ASSOCIATION FOR ITS BASIC LIFE SUPPORT PROGRAM, THE SOCIETY OF CHEST PAIN CENTERS AS A DESIGNATED CHEST PAIN CENTER, THE AMERICAN DENTAL ASSOCIATION, THE COLLEGE OF AMERICAN PATHOLOGISTS, THE LABORATORY RESPONSE NETWORK, THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION, THE MEDICAL SOCIETY OF NEW JERSEY FOR ITS MEDICAL EDUCATION PROGRAM, AND BY THE NATIONAL LEAGUE FOR NURSING FOR THE SCHOOL OF NURSING. THE MEDICAL CENTER HAS PROGRAM-RELATED AFFILIATIONS WITH MAYO MEDICAL LABORATORIES. HNMC IS AN AFFILIATE MEMBER OF THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM. THE SYSTEM CONSISTS OF THIRTY-FOUR MEDICAL INSTITUTIONS, AND PROVIDES HNMC WITH ACCESS TO CERTAIN CLINICAL SPECIALISTS AND CLINICAL TRIALS. HNMC IS ALSO AN AFFILIATE OF THE COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS. COLUMBIA IS ONE OF TWO ACADEMIC AFFILIATES OF THE NEW YORK-PRESBYTERIAN HEALTHCARE SYSTEM AND PROVIDES A SUBSTANTIAL PORTION OF THE SYSTEM'S ACADEMIC INFRASTRUCTURE. HNMC IS RECOGNIZED FOR ITS CLINICAL SKILL, QUALITY OUTCOMES AND HIGH RATE OF PATIENT SATISFACTION BY MULTIPLE NATIONAL ACCREDITATION AGENCIES AND BENCHMARKING ORGANIZATIONS. HNMC HOLDS MAGNET STATUS FOR OUTSTANDING NURSING CARE FROM THE AMERICAN NURSES CREDENTIALING CENTER ("ANCC"). THE MAGNET RECOGNITION PROGRAM WAS DEVELOPED BY THE ANCC TO RECOGNIZE HEALTHCARE ORGANIZATIONS THAT PROVIDE NURSING EXCELLENCE, AND TO PROVIDE A VEHICLE FOR DISSEMINATING SUCCESSFUL NURSING PRACTICES AND STRATEGIES. APPROXIMATELY SIX PERCENT (6%) OF HOSPITALS NATIONWIDE ARE MAGNET HOSPITALS. IN MARCH 2010, HNMC ALSO RECEIVED THE BEACON AWARD FOR CRITICAL CARE EXCELLENCE FOR ITS TELEMETRY AND INTENSIVE CARE UNITS. THIS AWARD FROM THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES RECOGNIZES NURSING EXCELLENCE IN PROFESSIONAL PRACTICE, PATIENT CARE AND OUTCOMES. HNMC HAS BEEN RECOGNIZED BY J.D. POWER AND ASSOCIATES WITH ITS DISTINGUISHED HOSPITAL AWARDS FOR EMERGENCY, INPATIENT AND MATERNITY SERVICE EXCELLENCE; AND HAS RECEIVED THE HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, AS WELL AS ITS SPECIALTY EXCELLENCE AWARD FOR STROKE CARE. DATA ADVANTAGE, LLC, WHICH IS A HEALTHCARE INFORMATION COMPANY, HONORED HNMC WITH ITS BEST IN VALUE AWARD FOR QUALITY, AFFORDABILITY, EFFICIENCY, PATIENT SAFETY AND OVERALL EXPERIENCE; AND HNMC IS DESIGNATED AS A COMMUNITY VALUE FIVE-STAR HOSPITAL BY CLEAVERLY+ASSOCIATES, AN INDEPENDENT ORGANIZATION THAT PERFORMS NATIONWIDE STUDIES TO IDENTIFY THOSE HOSPITALS THAT PROVIDE VALUE TO THE COMMUNITY IN TERMS OF FINANCIAL VIABILITY AND PLANT REINVESTMENT, COST STRUCTURE, CHARGE STRUCTURE AND QUALITY PERFORMANCE. HNMC HAS BEEN REPEATEDLY PRAISED AS AN EXEMPLARY WORKPLACE BY MODERN HEALTHCARE'S 100 BEST PLACES TO WORK IN HEALTHCARE PROGRAM, WHERE HNMC IS RANKED FOURTH IN THE NATION; BY NJBIZ (THE LEADING WEEKLY BUSINESS PUBLICATION IN NEW JERSEY), WHICH CITES HNMC AS THE TOP HOSPITAL AND THIRD BUSINESS OVERALL IN ITS 2010 50 BEST PLACES TO WORK IN NEW JERSEY PROGRAM; AND BY COMPANIES THAT CARE, WHICH CITED HNMC ON ITS 2010 HONOR ROLL. COMPANIES THAT CARE IS A NON-PROFIT ORGANIZATION DEDICATED TO ENCOURAGING AND CELEBRATING BUSINESSES THAT PRIZE THEIR EMPLOYEES AND ARE COMMITTED TO COMMUNITY SERVICE. HNMC UTILIZES A VARIETY OF MEANS BY WHICH IT IDENTIFIES AND ANALYZES PATIENT CARE NEEDS. AMONG THEM ARE: PATIENT SATISFACTION DATA; ANALYSIS OF DEMOGRAPHICS; ANALYSIS OF UTILIZATION AND MARKET TRENDS; REVIEW OF EXTERNALLY PUBLISHED DATA AND INFORMATION; ACUITY LEVELS (DAILY PLANNING OF STAFFING); AND INDIVIDUAL PROJECTS/EVALUATION/REVIEWS. HNMC ALSO COMMISSIONS EXTERNAL SPECIALISTS TO CONDUCT SURVEYS AND FOCUS GROUPS OF INDIVIDUALS, HOUSEHOLDS, PHYSICIANS, AND OTHERS. HNMC ALSO IS A MEMBER OF THE BERGEN COUNTY COMMUNITY HEALTH IMPROVEMENT PROGRAM ("CHIP"), WHOSE MISSION IS TO EVALUATE AND ADDRESS THE HEALTH NEEDS OF THE COUNTY. THE CHIP PRODUCES AN EXTENSIVE, VERY USEFUL, DATABASE DEMONSTRATING THE NEEDS OF THE COUNTY'S RESIDENTS. HNMC IS A FOUNDING MEMBER OF THE NORTHERN NEW JERSEY MATERNAL-CHILD HEALTH CONSORTIUM, WHOSE MISSION IS TO EVALUATE AND PROVIDE CARE TO WOMAN AND INFANTS IN THE AREA. AGAIN, A COMPLETE NEEDS ASSESSMENT IS PERFORMED EVERY THREE YEARS AND IS PROVIDED TO MEMBERS FOR THEIR USE. IN ADDITION, US CENSUS BUREAU DATA IS UTILIZED, AS IS PURCHASED MARKET DATA, AND DATABASES OF ALL HOSPITALIZATIONS THROUGHOUT BOTH NEW JERSEY AND NEW YORK, THE SOURCE OF WHICH IS BILLING DATA PROVIDED TO THE RESPECTIVE STATE DEPARTMENTS OF HEALTH. SUCH DATABASES PROVIDE PERHAPS THE GREATEST WEALTH OF CLINICAL, DEMOGRAPHIC, FINANCIAL AND OTHER INFORMATION, AND ARE EXTREMELY VALUABLE IN UNDERSTANDING AND ADDRESSING THE NEEDS OF THE COMMUNITIES SERVED BY HNMC. DATA FROM THE COUNTY AND STATE HEALTH DEPARTMENTS ARE ALSO USED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3PRIOR TO OR DURING AN ADMISSION, ALL PATIENTS WITHOUT INSURANCE ARE SCREENED FOR POSSIBLE ASSISTANCE FROM OTHER SOURCES (E.G., MEDICAID, VETERAN ADMINISTRATION, S.S.I., OR MUNICIPAL WELFARE). IF THE PATIENT IS FOUND TO BE INELIGIBLE FOR ANY OR ALL OF THE AFOREMENTIONED, THE PATIENT WILL BE SCREENED FOR CHARITY CARE. THE EDUCATION OF PATIENTS AT HNMC IS PROVIDED IN-PERSON BY KNOWLEDGEABLE MEDICAL CENTER PERSONNEL AT THE TIME OF THE INITIAL SCREENING, AND ACCOMPANIED BY A PACKET OF INFORMATION WHICH INCLUDES ALL CONTACT INFORMATION AS WELL. ARRANGEMENTS FOR FOLLOW UP ARE TYPICALLY MADE IMMEDIATELY. THIS PROCESS APPLIES TO ALL PATIENTS, WHETHER ADMITTED, OUTPATIENT, OR IN THE EMERGENCY DEPARTMENT. IF THE PATIENT QUALIFIES FOR CHARITY CARE, THE PATIENT IS NOT BILLED FOR SERVICES. DURING 2009, HNMC 'S BILLING AND COLLECTION POLICY DID NOT INCLUDE SPECIFIC LANGUAGE STATING THAT CHARITY CARE PATIENTS ARE NOT BILLED; NEVERTHELESS, THE CORRECT PRACTICE HAS BEEN FOLLOWED CONSISTENTLY AND THE POLICY WAS CORRECTED IN 2010. THROUGH ITS COMPASSIONATE CARE PROGRAM, HNMC FURTHER ASSISTS UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE AND WHO ARE INELIGIBLE FOR MEDICARE, MEDICAID OR OTHER FEDERAL AND STATE INSURANCE PROGRAMS. THE PURPOSE OF THE PROGRAM IS TO DECREASE THE FINANCIAL BURDEN OF PATIENTS IN THE COMMUNITY SERVED BY HNMC. IF THE PATIENT MEETS CERTAIN ELIGIBILITY REQUIREMENTS FOR FINANCIAL ASSISTANCE AS DESCRIBED BELOW, FURTHER DISCOUNTS WILL BE APPLIED TO THE PATIENT'S BILL. SELF-PAY PATIENTS ARE ELIGIBLE FOR THE COMPASSIONATE CARE FEE SCHEDULE REGARDLESS OF INCOME. PATIENTS WHOSE INCOME LEVELS FALL WITHIN THE PUBLISHED HHS POVERTY GUIDELINES AND DO NOT QUALIFY FOR BENEFITS UNDER THE FEDERAL UNDOCUMENTED ALIEN PROGRAM, NJ STATE MEDICAID PROGRAM, OR CHARITY CARE PROGRAM, WILL BE CONSIDERED FOR ADDITIONAL DISCOUNTS. THESE DISCOUNTS WILL BE PROVIDED TO PATIENTS WHO MEET THE REQUIRED GUIDELINES. PATIENTS WHO QUALIFY FOR THE N.J. MEDICAL CENTER CARE ASSISTANCE PROGRAM AND WHOSE INCOME FALLS WITHIN THE 200%-300% OF THE FEDERAL POVERTY LIMITS WILL BE ELIGIBLE FOR DISCOUNTS RANGING FROM 20%-100% OFF OF GROSS BILLED CHARGES. PATIENTS WHO QUALIFY FOR THIS PROGRAM BUT HAVE A BALANCE AFTER THE DISCOUNT WILL BE RESPONSIBLE FOR BETWEEN 20%-80% OF THE N.J. MEDICAID RATE. PATIENTS WHO DO NOT QUALIFY FOR THE N.J. MEDICAL CENTER CARE ASSISTANCE PROGRAM AND WHOSE INCOME FALL WITHIN 300%-500% OF THE FEDERAL POVERTY LIMITS WILL BE ELIGIBLE FOR A DISCOUNT BASED UPON MEDICARE RATES. PATIENTS WHOSE INCOME IS ABOVE 500% OF THE FEDERAL POVERTY LIMITS WILL BE ELIGIBLE FOR HNMC COMPASSIONATE CARE FEE SCHEDULE AS STATED ABOVE.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4LOCATED IN TEANECK, IN THE SOUTHERN PORTION OF BERGEN COUNTY AND APPROXIMATELY FIVE MILES TO THE NORTHWEST OF NEW YORK CITY, HNMC'S PRIMARY SERVICE AREA ("PSA") COMPRISES 31 MUNICIPALITIES IN BERGEN COUNTY AND FOUR MUNICIPALITIES IN HUDSON COUNTY, NEW JERSEY. HNMC 'S SECONDARY SERVICE AREA ("SSA") INCLUDES 17 MUNICIPALITIES IN BERGEN COUNTY AND TWO MUNICIPALITIES IN HUDSON COUNTY. HNMC DRAWS 60% OF ITS ADMISSIONS FROM ITS PSA, AND 18% FROM ITS SSA. AS THE SOLE CATHOLIC HOSPITAL IN AN AREA THAT IS ESTIMATED AT MORE THAN 50% ROMAN CATHOLIC, HNMC ALSO DRAWS FROM TOWNS WELL BEYOND BOTH THE PSA AND SSA. THE POPULATION IN THE PSA IS PROJECTED TO INCREASE FROM 424,802 IN 2010 TO 428,824 IN 2015, AN INCREASE OF ALMOST ONE PERCENT. BY FAR, THE LARGEST AREA OF GROWTH IS PROJECTED TO BE IN THE 45-64 AGE CATEGORY, WITH JUST UNDER TEN PERCENT GROWTH PROJECTED, FOLLOWED BY THE AGE 65+ GROUP, WITH 5.5% GROWTH PROJECTED FOR THE FIVE YEAR PERIOD. SMALLER NET GROWTH IS PROJECTED IN THE SSA, WHERE TOTAL POPULATION IS PROJECTED TO INCREASE BY 0.7%, FROM 332,539 IN 2010 TO 334,889 IN 2015. AGAIN, THE GREATEST INCREASE (8.3%) IS PROJECTED TO BE IN THE 45-64 AGE CATEGORY, FOLLOWED BY ALMOST FIVE PERCENT GROWTH PROJECTED IN PERSONS AGED 65 OR MORE. THE PSA HAD A MEDIAN HOUSEHOLD INCOME OF $58,490 AND THE SSA HAD A MEDIAN HOUSEHOLD INCOME OF $71,839, FOR THE YEAR 2010. THE UNEMPLOYMENT RATE AVERAGED 8.1% IN 2010 FOR BERGEN COUNTY, AND 10.8% IN 2010 FOR HUDSON COUNTY. THE MEDICAL CENTER'S SERVICE AREA IS PRIMARILY SUBURBAN, WITH MANY RESIDENTS WORKING OUTSIDE BERGEN COUNTY IN PLACES SUCH AS NEW YORK CITY. HOWEVER, THERE ARE LARGE EMPLOYERS IN THE SERVICE AREA, E.G., THE HOSPITALS PREVIOUSLY MENTIONED, A LARGE SPORTS CHAIN, A LARGE COMMUNICATIONS FIRM, A LARGE PHARMACEUTICAL FIRM, AND A LARGE COMMERCIAL LABORATORY. RESIDENTS OF HNMC 'S SERVICE AREA ARE ALSO SERVED BY ANOTHER COMMUNITY HOSPITAL AND A TERTIARY CARE FACILITY WITH TRAUMA SERVICES. HNMC 'S PSA COVERS A MAJORITY OF THE TOWNS SERVICED BY THE OTHER COMMUNITY HOSPITAL, WHEREAS THE TERTIARY CARE FACILITY'S PRIMARY SERVICE AREA ALSO INCLUDES MANY TOWNS TO THE WEST THAT ARE NOT PART OF HNMC'S SERVICE AREA. GIVEN THE NUMBER OF SERVICE AREA RESIDENTS WHO WORK IN NEARBY NEW YORK CITY, IT IS NOT SURPRISING THAT A SMALL PORTION OF THESE RESIDENTS ALSO RECEIVE THEIR HEALTHCARE IN MANHATTAN. WHILE THE SERVICE AREA IS PREDOMINANTLY NON-HISPANIC CAUCASIAN, BOTH HISPANICS (OF ANY RACE) AND ASIAN POPULATIONS (PRINCIPALLY KOREAN) ARE THE FASTING GROWING GROUPS. IN RESPONSE, THE MEDICAL CENTER HAS PROGRAMS ADDRESSING THESE GROUPS' NEEDS, AND PHYSICIANS AND NURSES FLUENT IN THE APPLICABLE LANGUAGES.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI; QUESTION 5HNMC PROMOTES THE HEALTH OF ITS COMMUNITIES IN A VARIETY OF WAYS. ALL MEMBERS OF THE BOARD OF TRUSTEES LIVE IN BERGEN COUNTY, NEW JERSEY, WHERE HNMC IS LOCATED; AND A MAJORITY LIVE IN THE MUNICIPALITIES OF THE MEDICAL CENTER'S DEFINED SERVICE AREA. THE TRUSTEES' UNDERSTANDING OF THE SERVICE AREA IS THUS ENHANCED, AS IS THEIR UNDERSTANDING OF THE NEED TO REINVEST FUNDS IN IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. AS PART OF ITS CHARITABLE PURPOSE, HNMC PROVIDES A WIDE ARRAY OF SERVICES TO THE COMMUNITY, TARGETED TOWARD IMPROVING THE HEALTH OF THE COMMUNITY. THE MAJORITY OF SUCH SERVICES ARE FREE. A SMALL SAMPLING OF SUCH ACTIVITIES IS PROVIDED BELOW. - FREQUENT HEALTH FAIRS THROUGHOUT THE REGION ARE GIVEN. AT THESE FAIRS RISK ASSESSMENTS, SCREENINGS AND LITERATURE ARE PROVIDED (MANY IN SPANISH AND KOREAN, AS WELL AS ENGLISH). - IMMUNIZATIONS ARE PROVIDED. - FREE AND/OR VERY LOW FEE TRANSPORTATION (E.G., FOR CANCER TREATMENT, DIALYSIS) IS AVAILABLE. - COMMUNITY HEALTH NURSES AND MOBILE LEARNING ARE ALSO PROVIDED. - STAFF FROM VARIOUS DEPARTMENTS THROUGHOUT THE MEDICAL CENTER VISIT LOCAL SCHOOLS TO PROVIDE HEALTH CLASSES. - SCREENINGS, E.G., BLOOD PRESSURE, CANCER, STROKE, DIABETES, PROSTATE CANCER, BREAST CANCER, OSTEOPOROSIS, PERIPHERAL ARTERY DISEASE, SKIN CANCER, COLON CANCER, AND OTHER CLINICAL SCREENING AND EDUCATION ARE PROVIDED, OFTEN AS PART OF COMMUNITY PROGRAMS SPECIFIC TO THE PARTICULAR DISEASE GROUP. - SENIOR CENTERS ARE SUPPORTED WITH FREE EXERCISE CLASSES, LECTURES AND SCREENINGS. - SUPPORT GROUPS ARE PROVIDED, SUCH AS CANCER, PERINATAL BEREAVEMENT, ADULT BEREAVEMENT, NEW MOTHERS, DIABETES, SMOKING, AND CARDIAC DISEASE. - HNMC'S ALS BIKE TEAM, ALS VEHICLES AND/OR SPECIAL OPERATIONS VEHICLES ARE PRESENT AT EVENTS OCCURRING IN MUNICIPALITIES IN HNMC'S SERVICE AREA WITHOUT CHARGE. - COURSES (PROVIDED EITHER FREE OR FOR A LOW FEE) ARE PROVIDED THROUGHOUT THE YEAR. EXAMPLES INCLUDE: CPR CERTIFICATION, DEFENSIVE DRIVING, GENERAL AND SPECIALTY (E.G., OSTEOPOROSIS) EXERCISE, BREASTFEEDING PREPARATION, STRESS MANAGEMENT, DIABETES SELF-MANAGEMENT, BABY CARE BASICS, WEIGHT MANAGEMENT, AND PARENTING. - CLASSES TO PROMOTE BETTER HEALTH ARE ABUNDANT: YOGA, WEIGHT REDUCTION, OSTEOPOROSIS, PROPER HAND-WASHING, TAI CHI, COOKING FOR CARDIAC PATIENTS. - LECTURES, OFTEN INVOLVING HNMC'S MEDICAL STAFF AS PRESENTERS, ARE PROVIDED, THE MAJORITY OF WHICH ARE FREE. MEN'S HEALTH, WOMEN'S HEALTH, A MID-LIFE AND MENOPAUSE LECTURE SERIES, SLEEP DISORDERS, ALLERGIES, DEPRESSION, ASTHMA, UTERINE FIBROIDS, COPD, STROKE, HYPERTENSION, MENTAL WELLNESS, CARDIAC ISSUES, ALTZHEIMERS, JOINT REPLACEMENT, SLEEP APNEA, CANCERS, CHILDREN'S HEALTH, DISASTER PREPAREDNESS, AND GENERAL HEALTH AND WELL-BEING ARE AMONG THE TOPICS PRESENTED. - HNMC'S WEBSITE (WWW.HOLYNAME.ORG) PROVIDES A WEALTH OF FREE CONSUMER HEALTH INFORMATION. THE SITE INCLUDES AN ON-LINE MEDICAL LIBRARY HOUSING INFORMATION ON DISEASES AND CONDITIONS, SURGERIES AND PROCEDURES, VITAMINS AND SUPPLEMENTS, NUTRITION, WELLNESS, AND A DRUG REFERENCE. ON-LINE RISK ASSESSMENTS AND QUIZZES ARE ALSO AVAILABLE, AS IS THE ABILITY TO SET UP A PERSONAL HEALTH PAGE. INFORMATION IS ALSO PRESENTED IN SPANISH. - HNMC'S "ASK-A-NURSE" PROGRAM, WHICH PROVIDES 24/7 PHONE ACCESS TO REGISTERED NURSES, IS PROVIDED FREE OF CHARGE. - BLOOD DRIVES ARE HOSTED REGULARLY AT HNMC. MANY HEALTH SERVICES ARE SUBSIDIZED BY HNMC, SUCH AS ITS CLINICS, HOSPICE AND HEMODIALYSIS PROGRAMS. EACH YEAR THE MEDICAL CENTER CONTRIBUTES TO AIRFARE, SUPPLIES AND OTHER SUPPORT FOR HNMC NURSES AND DOCTORS TO TRAVEL TO THIRD WORLD COUNTRIES TO PROVIDE MEDICAL CARE, INCLUDING SURGERY, TO PERSONS WHO OTHERWISE WOULD NEVER RECEIVE ADEQUATE TREATMENT DUE TO POVERTY AND LACK OF ACCESS. HNMC OPERATES CLINICS WHERE SERVICES ARE PROVIDED FOR CHILDREN WITH SUBSTANCE ABUSE PROBLEMS, OR WHOSE FAMILY MEMBERS ARE SUBSTANCE ABUSERS. THIS GROWING POPULATION IS OFFERED UNLIMITED COUNSELING AND THERAPY AT MINIMAL OR NO FEE. HNMC OPERATES A FREE STANDING CLINIC WHICH PROVIDES SERVICES TO WOMEN AND CHILDREN WHO ARE HOMELESS, HOUSED IN COMMUNITY SHELTERS AS VICTIMS OF DOMESTIC ABUSE, OR HOUSED IN COMMUNITY TRANSITIONAL RESIDENCES. HNMC ALSO PARTICIPATES IN THE WOMEN, INFANTS AND CHILDREN AND HEALTH START PROGRAMS, PROVIDING NUTRITIONAL AND SOCIAL SERVICES, ANCILLARY SERVICES AND OTHER PROGRAMS TO PARTICIPANTS. INEXPENSIVE MEDICALLY SUPERVISED DAY CARE FOR ILL CHILDREN IS AVAILABLE TO WORKING PARENTS IN THE COMMUNITY AFFORDING THEM THE ABILITY TO WORK EVEN WHEN A CHILD IS SICK. SENIOR OR DISABLED PERSONS REQUIRING MEDICAL DAY CARE ARE TRANSPORTED FREE OF CHARGE TO HNMC'S ADULT DAY CARE PROGRAM, REDUCING THE BURDEN ON FAMILY CARETAKERS. HNMC'S EMERGENCY DEPARTMENT ("ED") IS OPEN 24 HOURS A DAY, EVERY DAY OF THE YEAR. ALTHOUGH THE ED GENERALLY IS ABLE TO COVER ITS COSTS, IT PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE AND IS A WELL-USED RESOURCE FOR MANY WITHOUT INSURANCE WHO RELY ON IT FOR CARE. OTHER SERVICES, SUCH AS CLINICS, DO NOT COVER THEIR COSTS, AND HNMC ABSORBS THE ADDITIONAL EXPENSE. LANGUAGE INTERPRETATION IS AVAILABLE FOR APPROXIMATELY 220 LANGUAGES AT THE MEDICAL CENTER THROUGH USE OF A COMMERCIAL SERVICE THAT PROVIDES A LIVE TRANSLATOR 24/7. HNMC HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. HNMC HAS INTENTIONALLY SOUGHT OUT PHYSICIANS FLUENT IN SPANISH AND WHO CARE FOR HISPANIC POPULATIONS, AND PROVIDES FREE TRANSPORTATION FOR SUCH POPULATIONS (AS WELL AS OTHERS) UNABLE TO ACCESS CARE EASILY ON THEIR OWN. HNMC HAS ALSO ADDED MANY KOREAN PHYSICIANS TO ITS MEDICAL STAFF AND PROVIDES A KOREAN CLINIC WEEKLY, WITH KOREAN SPEAKING PHYSICIANS (AND NURSES), AS THE ASIAN COMMUNITY IS ONE OF THE FASTEST GROWING SECTORS IN THE COUNTY. THE INSTITUTE FOR CLINICAL RESEARCH AT HNMC PROVIDES EXCEPTIONAL INVESTIGATORS, FACILITIES, AND SERVICES FOR SPONSORING AGENCIES THAT SEEK TO ADVANCE PATIENT CARE THROUGH SUPERIOR CLINICAL RESEARCH. THE INSTITUTE IS DEDICATED TO CONDUCTING EXPEDITIOUS, HIGH-QUALITY CLINICAL TRIALS TO TEST NEW MEDICATIONS, DEVICES, DIAGNOSTIC MODALITIES AND TREATMENT PROTOCOLS. AS A DYNAMIC HEALTHCARE INSTITUTION THAT HAS RECEIVED MANY HONORS OF DISTINCTION FOR ITS CLINICAL EXCELLENCE AND COMPASSIONATE PATIENT CARE, HNMC IS WELL-SUITED TO PARTICIPATE IN THE QUEST FOR SCIENTIFIC BREAKTHROUGHS. HNMC'S STATE-OF-THE-ART FACILITIES EXCEED THE HIGHEST STANDARDS FOR CARRYING OUT TODAY'S MOST PROMISING CLINICAL RESEARCH. THE INSTITUTE PROVIDES SPONSORS WITH RESEARCH SUPPORT THROUGHOUT ALL THE STAGES OF THEIR CLINICAL TRIALS. SINCE ITS INCEPTION, HNMC HAS BEEN ACTIVELY INVOLVED IN HEALTH PROFESSIONS EDUCATION, TRAINING, EDUCATING AND MENTORING HEALTHCARE PROFESSIONALS. THE HOLY NAME SCHOOL OF NURSING WAS FOUNDED IN 1925, WITH A DEDICATION TO FOSTERING THE WELL-BEING AND DIGNITY OF ALL INDIVIDUALS, SICK OR WELL. THE REGISTERED NURSE PROGRAM IS A HIGHLY COMPETITIVE REGISTERED NURSE DIPLOMA PROGRAM, AND IS ACCREDITED WITH THE NEW JERSEY BOARD OF NURSING AND THE NATIONAL LEAGUE FOR NURSING ACCREDITING COMMISSION. IN 1972 THE SCHOOL EXPANDED TO INCLUDE A PRACTICAL NURSE PROGRAM AS WELL, WHICH IS A 12-MONTH PRACTICAL NURSE DIPLOMA PROGRAM ALSO ACCREDITED WITH THE NEW JERSEY BOARD OF NURSING. BOTH PROGRAMS CONTINUE TO SUPPLY THE REGION WITH HIGHLY SKILLED NURSES OF MANY ETHNICITIES AND AGE GROUPS. IN ADDITION TO ITS OWN NURSING SCHOOL, HNMC PROVIDES, FREE OF CHARGE, BOTH A TRAINING GROUND AND MENTORING FOR STUDENTS FROM VARIOUS HEALTH ACADEMIC PROGRAMS OF SEVERAL COLLEGES AND UNIVERSITIES. A VARIETY OF "EXTERNSHIPS" ARE ALSO OFFERED WITHOUT CHARGE. CAREER DAYS ARE ALSO HELD ON CAMPUS, AND THE MEDICAL CENTER PARTICIPATES IN HEALTH CAREER DAYS THROUGHOUT THE VARIOUS SCHOOLS AND COMMUNITIES. HNMC HAS A NUMBER OF ACADEMIC RELATIONSHIPS THROUGH WHICH IT SERVES AS AN EDUCATIONAL ENVIRONMENT FOR STUDENTS. AFFILIATION AGREEMENTS ARE MAINTAINED WITH SEVERAL COLLEGES AND UNIVERSITIES FOR NURSING STUDENTS, AND FOR RADIOLOGY, NUCLEAR MEDICINE, ULTRASOUND, RESPIRATORY, AND SURGICAL TECHNICIANS. TRAINEES FROM A UNIVERSITY ARE PREDOMINANTLY DOCTOR OF PHARMACY STUDENTS WHO ARE COMPLETING ROTATIONS IN ACUTE CRITICAL CARE, INFECTIOUS DISEASE, ONCOLOGY, NEPHROLOGY, AND ADMINISTRATION. COMMUNITY HEALTH STUDENTS ROTATE THROUGH THE MEDICAL CENTER AS WELL. PHYSICAL AND/OR OCCUPATIONAL THERAPY STUDENTS FROM WITH TEN COLLEGES IN NEW JERSEY AND OTHER STATES COMPLETE CLINICAL ROTATIONS AT THE MEDICAL CENTER; HNMC EMPLOYEES SERVE AS SUPERVISORS AND CLINICAL INSTRUCTORS FOR THESE STUDENTS. UNDERGRADUATE, NURSE PRACTITIONER AND NURSING DOCTORAL STUDENTS FROM YET ANOTHER UNIVERSITY COMPLETE ROTATIONS WITH OVERSIGHT FROM HNMC'S DEPARTMENT OF NURSING EDUCATION. EACH YEAR, HNMC ACCEPTS A SMALL NUMBER OF RESIDENTS IN HEALTH POLICY, HEALTH FINANCE, AND HEALTH MANAGEMENT FROM UNIVERSITIES IN NEW YORK AND MARYLAND. THE STUDENTS COMPLETE THEIR RESIDENCIES UNDER THE DIRECTION OF THE CEO AND MEMBERS OF SENIOR MANAGEMENT.
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE HOLY NAME MEDICAL CENTER, INC. AND SUBSIDIARIES. NOT FOR-PROFIT ENTITIES: HOLY NAME HEALTH CARE FOUNDATION HOLY NAME HEALTH CARE FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). HOLY NAME HEALTH CARE FOUNDATION, INC. RAISES FUNDS TO SUPPORT THE CHARITABLE PURPOSES OF HNMC; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HOLY NAME HEALTH CARE FOUNDATION, INC. RELIES ON THE GENEROSITY OF INDEPENDENT SUPPORTERS TO SUSTAIN HNMC'S AWARD-WINNING PATIENT CARE AND OUTSTANDING HEALTHCARE SERVICES THROUGHOUT THE COMMUNITY. HOLY NAME REAL ESTATE CORPORATION HOLY NAME REAL ESTATE CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). HOLY NAME REAL ESTATE CORPORATION HOLDS TITLE TO REAL PROPERTY FOR THE PURPOSE OF SUPPORTING THE CHARITABLE PURPOSES OF HNMC. HNMC IS A COMMUNITY OF CAREGIVERS COMMITTED TO A MINISTRY OF HEALING, EMBRACING THE TRADITION OF CATHOLIC PRINCIPLES, THE PURSUIT OF PROFESSIONAL EXCELLENCE, AND CONSCIENTIOUS STEWARDSHIP. HNMC HELPS THE COMMUNITY ACHIEVE THE HIGHEST ATTAINABLE LEVEL OF HEALTH THROUGH EDUCATION, PREVENTION AND TREATMENT. SISTERS OF ST. JOSEPH OF PEACE SISTERS OF ST. JOSEPH OF PEACE IS AN ORGANIZATION AFFILIATED WITH THE CATHOLIC CHURCH AND THE ARCHDIOCESE OF NEWARK, NEW JERSEY. MS COMPREHENSIVE CARE CENTER MS COMPREHENSIVE CARE CENTER IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). MS COMPREHENSIVE CARE CENTER SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HNMC. THIS ORGANIZATION FOCUSES UPON PROVIDING COMPREHENSIVE AND HUMANE CARE TO PATIENTS WITH MULTIPLE SCLEROSIS AND THEIR FAMILIES. THE OVERALL GOAL OF CARE IS MAINTENANCE OF THE PATIENT'S HIGHEST LEVEL OF INDEPENDENCE IN THEIR HOME AND WORK ENVIRONMENT WHILE MAINTAINING SAFETY AND COMFORT. HOLY NAME EMS, INC. HOLY NAME EMS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). HOLY NAME MEDICAL CENTER ("HNMC") EMERGENCY MEDICAL SERVICES ("EMS") AS PART OF THE LOCAL, COUNTY, AND STATE EMERGENCY RESPONSE SYSTEM RESPONDS TO MANY INCIDENTS THAT HAVE OCCURRED THROUGHOUT THE REGION. AS PART OF THAT RESPONSE HNMC HAS BEEN DESIGNATED AS A NEW JERSEY (NJ) STATE MEDICAL COORDINATION CENTER ("MCC") AND WORKS CLOSELY WITH EMS TO ENSURE A RESPONSE WHETHER LOCAL OR DISTANT. HNH FITNESS, L.L.C. HNH FITNESS, L.L.C. IS A SINGLE MEMBER LIMITED LIABILITY COMPANY OF HNMC WHICH PROVIDES WELLNESS EDUCATION AND SERVICES TO THE COMMUNITY. FOR-PROFIT ENTITIES: HEALTH PARTNER SERVICES, INC. HEALTH PARTNER SERVICES, INC. IS A MANAGEMENT SERVICES COMPANY WHICH SERVICES PHYSICIAN PRACTICES WHO ARE AFFILIATED WITH HNMC. PEACE HEALTH PARTNERS PEACE HEALTH PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. HOUSE PHYSICIAN PARTNERS HOUSE PHYSICIAN PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. HEMATOLOGY/ONCOLOGY PHYSICIANS HEMATOLOGY/ONCOLOGY PHYSICIANS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. RIVERSIDE FAMILY CARE RIVERSIDE FAMILY CARE IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. RADIATION ONCOLOGY PARTNERS RADIATION ONCOLOGY PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. EXCELCARE MEDICAL ASSOCIATES EXCELCARE MEDICAL ASSOCIATES IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. BREAST IMAGING PARTNERS BREAST IMAGING PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. IMA OF BERGEN COUNTY IMA OF BERGEN COUNTY IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. BREAST CARE PARTNERS BREAST CARE PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. WOMEN'S HEALTH PARTNERS, P.C. WOMEN'S HEALTH PARTNERS, P.C. IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS. WOMEN'S CLINIC PARTNERS WOMEN'S CLINIC PARTNERS IS A PHYSICIAN PRACTICE COMPANY WHICH COORDINATES PATIENT CARE AND SERVICES WITH HNMC AND ITS AFFILIATES IN THE COMMUNITY TO BETTER PROMOTE AND PROVIDE CONTINUUM OF CARE TO INDIVIDUALS.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY SUBMIT A COMMUNITY BENEFIT REPORT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MS COMPREHENSIVE CARE CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1718 TEANECK ROADAddressLine1
CityTEANECKCity
StateNJState
ZIP Code07666ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient222402959EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant105000AmountOfCashGrant
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I; QUESTION 2ReturnReference
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH M LEMAIRE
74214000027564023989101032001019915000
MICHAEL MARON
997140030000002573303994990532001727692000
SHERYL SLONIM
39812801000000283380120589053200652375000
WAYNE KINDER
25805005000001262009800053200335790000
KEVIN P MCCARTHY
2434400001062602450090200265536000
JANE FIELDING ELLIS
2201780100000908908842053200253429000
CATHERINE YAXLEY SCHMIDT
19539302200789408050083200219877000
MARCELLO GUARNERI
1696520100000121607071097200197659000
CYNTHIA KAUFHOLD
9539400080214000108200186428000
DEBORAH ZAYAS
17349500063506993053200186443000
SHARAD WAGLE MD
348050000237609800053200365546000
CRAIG HERSH MD
259946050001532098000103200282098000
HENRY FERNANDEZ COS MD
23305005000146501455053200241790000
MICHAEL SKVARENINA
1698450505000115404355068200232674000
KYUNG HEE CHOI
1925560205000308007702053200229158000
GREGORY M ADAMS
000075375700088707546440600000
PAUL C MENDELOWITZ MD
000035850400000358504000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 1ATHE ORGANIZATION PAID FOR A HOUSING ALLOWANCE FOR KEVIN P. MCCARTHY, VICE PRESIDENT OF DEVELOPMENT, IN THE AMOUNT OF $2,000 DURING 2010. THIS AMOUNT WAS FULLY INCLUDED IN TAXABLE INCOME AND REPORTED ON HIS 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING 2010. THE AMOUNTS OUTLINED HEREIN WAS INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CAROL DINSMORE, $43,365; GREGORY M. ADAMS, $184,063 AND PAUL C. MENDELOWITZ, M.D., $342,004.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AN AMOUNT RELATING TO PARTICIPATION IN A DEFERRED COMPENSATION PLAN. THIS AMOUNT WAS INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GREGORY M. ADAMS, $569,694. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOSEPH M. LEMAIRE, $236,429; MICHAEL MARON, $389,699 AND SHERYL SLONIM, $110,789.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MICHAEL MARON, $300,000; SHERYL SLONIM, $100,000; ADAM JARRETT, $10,500; WAYNE KINDER, $50,000; JANE FIELDING-ELLIS, $10,000; CATHERINE YAXLEY-SCHMIDT, $220; MARCELLO GUARNERI, $10,000; MARGARET GALVIN, $150; CRAIG HERSH, M.D., $500; HENRY FERNANDEZ-COS, $500; MICHAEL SKVARENINA, $50,500 AND KYUNG HEE CHOI, $20,500.
COMPENSATION INFORMATIONSCHEDULE J, PART II; COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GREGORY M. ADAMS, $60,000.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
22198708464579FHK22006-06-1560816719CONSTRUCTION/RENOVATION/EQUIPfalsefalsefalse
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
22198708464579FH892010-09-0255971065BOND REFUNDING/CAPITAL EXPENDITUREfalsefalsefalse
NJ HEALTHCARE FACILITIES FINANCING AUTHORITY
22198708464579FJT12006-11-227000000HNH FITNESS ACQUISITIONfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancement
1002555864931252573976610140014231333225852512372002009truefalsefalsetrue
47290816559711061031900756083447290816875572010truefalsefalsetrue
7039950416077103703647626652006falsefalsetruetrue43900

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetrue0.006000.000000.00600true
falsetruetruetruetrue0.006000.000000.00600true
falsefalsefalsefalsetrue0.006000.000000.00600true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsetruefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJ FLETCHER CREAMER SON INCNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEE - CREAMERRelationship
Amount Of Transaction220596AmountOfTransaction
Description Of TransactionCONSTRUCTIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (56 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART IIIHOLY NAME MEDICAL CENTER (HNMC) IS A GENERAL MEDICAL AND SURGICAL TEACHING HOSPITAL. HNMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, HNMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, HNMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. HNMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. HNMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS-A-DAY, 7-DAYS-A-WEEK, 365 DAYS-PER-YEAR; 3. HNMC MAINTAINS A MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF HNMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF THE SISTERS OF ST. JOSEPH OF PEACE. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF HNMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT HNMC PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF HNMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. HNMC'S SOLE CORPORATE MEMBER IS SISTERS OF ST. JOSEPH OF PEACE (SSJP). SSJP IS THE TAX-EXEMPT PARENT OF HNMC AND ITS AFFILIATES ("SYSTEM"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SSJP OR HNMC. MISSION ====== HNMC IS A COMMUNITY OF CAREGIVERS COMMITTED TO A MINISTRY OF HEALING, EMBRACING THE TRADITION OF CATHOLIC PRINCIPLES, THE PURSUIT OF PROFESSIONAL EXCELLENCE AND CONSCIENTIOUS STEWARDSHIP. HNMC HELPS THEIR COMMUNITY ACHIEVE THE HIGHEST ATTAINABLE LEVEL OF HEALTH THROUGH PREVENTION, EDUCATION, AND TREATMENT. HISTORY ======= IT WAS THE DEDICATION OF TWO TEANECK SURGEONS AND THE LEADERSHIP OF A CATHOLIC SISTER THAT MADE HNMC A REALITY IN 1925. RECOGNIZING THE NEED TO SERVE THE SICK AND INDIGENT OF THE COMMUNITY, DRS. FRANK MCCORMACK AND GEORGE PITKIN APPEALED TO MOTHER GENERAL AGATHA BROWN OF THE SISTERS OF ST. JOSEPH OF PEACE FOR HELP IN FINDING A SUITABLE MEDICAL CENTER SITE AND IN PROVIDING ADMINISTRATIVE AND NURSING STAFFS. THE SISTERS OF ST. JOSEPH OF PEACE HAD BEEN A PRESENCE IN NEW JERSEY SINCE 1885, ONE YEAR AFTER THE ORDER WAS FOUNDED IN ENGLAND WITH THE GOAL OF FOSTERING PEACE AND JUSTICE IN THE WORLD. THE SISTERS PURCHASED THE ESTATE OF THE LATE WILLIAM WALTER PHELPS AND ERECTED THE MEDICAL CENTER THERE, STAFFING IT WITH SISTERS. AT ITS OPENING IN 1925, HNMC BOASTED 115 BEDS. FIVE YEARS LATER, A 90-BED CLINIC BUILDING WAS BUILT TO MEET THE NEEDS OF AREA RESIDENTS WHO HAD BEEN IMPOVERISHED BY THE GREAT DEPRESSION. TEANECK WAS LITTLE MORE THAN A RURAL VILLAGE THEN; IN ALL OF BERGEN COUNTY THERE WERE SOME 250,000 INHABITANTS. WITH THE COMPLETION OF THE GEORGE WASHINGTON BRIDGE IN 1931, THE FAMILIAR CORNFIELDS AND APPLE ORCHARDS BEGAN TO DISAPPEAR. A SURGE OF DEVELOPMENT FOLLOWED WORLD WAR II, AND THE AREA SOON BECAME A THRIVING RESIDENTIAL AND BUSINESS COMMUNITY. HNMC THRIVED AS WELL. IN 1955 A SECOND ADDITION WAS COMPLETED: THE FOUR-STORY, 110-BED MARIAN PAVILION. FEWER THAN 10 YEARS LATER, TWO MORE STORIES WERE ADDED TO THE PAVILION. DURING THE 1960S, THE WEST WING OF THE MARIAN BUILDING WAS ENLARGED BY THREE MORE UNITS. FACED AGAIN WITH THE THREAT OF OVERCROWDING IN THE 1980S, THE MEDICAL CENTER COMPLEX WAS ONCE MORE ENLARGED WITH CONSTRUCTION OF THE BRESLIN/KENNEDY BUILDING. WITH EACH ADVANCEMENT, THE MEDICAL CENTER HAS GROWN, NOT ONLY IN SIZE BUT IN REPUTATION. AS HNMC CELEBRATES 86 YEARS OF CARING, IT CONTINUES TO TAKE STEPS TO BECOME A NATIONAL MODEL BY IMPLEMENTING NEW, ADVANCED TECHNOLOGIES AND MEDICAL/SURGICAL TECHNIQUES, AS WELL AS BEST PRACTICES IN PROCESSES SUCH AS MEDICATION ADMINISTRATION, HEALTHCARE INFORMATION SYSTEMS, DISASTER PREPAREDNESS, AND BUILDING CONSTRUCTION AND DESIGN. IMPROVEMENTS SUCH AS THESE ALLOW HNMC TO PROVIDE EVERY PATIENT WITH A SUPERIOR EXPERIENCE CHARACTERIZED BY SAFE, HIGH QUALITY CARE. LEADING-EDGE CARE ================= HNMC IS A COMPREHENSIVE, 361-BED ACUTE CARE FACILITY PROVIDING LEADING-EDGE MEDICAL PRACTICE AND TECHNOLOGY ADMINISTERED IN AN ENVIRONMENT ROOTED IN A TRADITION OF COMPASSION AND RESPECT FOR EVERY PATIENT. HNMC OFFERS HIGH QUALITY HEALTHCARE ACROSS A CONTINUUM THAT ENCOMPASSES EDUCATION, PREVENTION, EARLY INTERVENTION, COMPREHENSIVE TREATMENT OPTIONS, REHABILITATION AND WELLNESS MAINTENANCE-FROM PRE-CONCEPTION THROUGH END-OF-LIFE. WITH ALMOST 900 PHYSICIANS REPRESENTING DOZENS OF MEDICAL SPECIALTIES, HNMC PROVIDES AN EXCEPTIONAL HEALTHCARE EXPERIENCE FOR ITS PATIENTS. "CENTERS OF EXCELLENCE" AT HNMC INCLUDE: - REGIONAL CANCER CENTER - THE INTERVENTIONAL INSTITUTE (OFFERING INNOVATIVE, NON-SURGICAL TREATMENT OPTIONS) - CARDIOVASCULAR SERVICES - GEORGE P. PITKIN MD EMERGENCY CARE CENTER - WOMEN'S AND CHILDREN'S SERVICES - BONE AND JOINT CENTER OTHER OUTSTANDING SERVICES INCLUDE BUT ARE NOT LIMITED TO: - SPECIALTY SURGERY SERVICES WITH EXPERTISE IN MINIMALLY INVASIVE TECHNIQUES, INCLUDING ROBOTICS - ADVANCED RADIOLOGICAL IMAGING, - HOSPICE AND PALLIATIVE SERVICES, INCLUDING THE ESTABLISHMENT OF VILLA MARIE CLAIRE, A RESIDENTIAL HOSPICE FACILITY IN SADDLE RIVER, NJ - REHABILITATION MEDICINE, ENCOMPASSING HNH FITNESS, HNMC'S MEDICALLY-BASED FITNESS CENTER IN ORADELL, NJ - BARIATRIC MEDICINE - CENTER FOR SLEEP MEDICINE - MATERNAL-FETAL MEDICINE FOR HIGH-RISK AND COMPLICATED PREGNANCIES - RENAL DIALYSIS - CULTURALLY- AND LINGUISTICALLY-SENSITIVE HEALTH PROGRAMS: KOREAN MEDICAL PROGRAM AND HISPANIC OUTREACH PROGRAM - INSTITUTE FOR CLINICAL RESEARCH
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART IIIAFFILIATIONS AND ACADEMIC RELATIONSHIPS ======================================= IN 1997, HNMC BEGAN ITS ASSOCIATION WITH THE NEW YORK-PRESBYTERIAN HEALTH SYSTEM. THIS AFFILIATION RESULTED IN THE EXPANSION OF VITAL HEALTH SERVICES FOR OUR COMMUNITY INCLUDING: - AN UPGRADED NEONATAL SPECIAL CARE NURSERY WITH ASSISTANCE FROM NEW YORK PRESBYTERIAN MEDICAL CENTER/COLUMBIA UNIVERSITY MEDICAL CENTER. - INCREASED ACCESS TO CLINICAL TRIALS. - EXPANDED EDUCATIONAL OPPORTUNITIES FOR HNMC PHYSICIANS. HNMC IS ALSO AN ACADEMIC AFFILIATE OF COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS. THE HNMC COMMUNITY ALSO ENJOYS OTHER ACADEMIC RELATIONSHIPS, WHICH PROVIDE AN EDUCATIONAL ENVIRONMENT FOR STUDENTS FROM A VARIETY OF HEALTHCARE PROFESSIONS: - IN JULY 2010, HNMC BEGAN ACCEPTING THIRD AND FOURTH YEAR STUDENTS FROM THE TOURO COLLEGE OF OSTEOPATHIC MEDICINE (NEW YORK, NY), TO COMPLETE CLINICAL ROTATIONS IN FULFILLMENT OF THEIR CURRICULUM. - AFFILIATION AGREEMENTS ARE MAINTAINED WITH BERGEN COMMUNITY COLLEGE (PARAMUS, NJ) FOR NURSING STUDENTS, AND FOR RADIOLOGY, ULTRASOUND, RESPIRATORY, AND SURGICAL TECHNICIANS. TRAINEES FROM RUTGERS UNIVERSITY (NEW BRUNSWICK, NJ) ARE PREDOMINANTLY DOCTOR OF PHARMACY STUDENTS WHO ARE COMPLETING ROTATIONS IN ACUTE CRITICAL CARE, INFECTIOUS DISEASE, ONCOLOGY, NEPHROLOGY, AND ADMINISTRATION. THE TRAINEES ARE SUPERVISED BY A CLINICAL CARE COORDINATOR FROM THE UNIVERSITY. ONE COMMUNITY HEALTH STUDENT ROTATES THROUGH HNMC AS WELL. - THE MEDICAL CENTER MAINTAINS A COLLABORATIVE AGREEMENT WITH ST. PETER'S COLLEGE (JERSEY CITY, NJ) TO PROVIDE THE OPTION FOR SCHOOL OF NURSING STUDENTS TO TAKE ADDITIONAL COLLEGE CREDITS TO EARN AN ASSOCIATES OF APPLIED SCIENCE (AAS) DEGREE IN HEALTH SCIENCES. THE AAS COMPLEMENTS THE DIPLOMA AWARDED FROM THE HOLY NAME SCHOOL OF NURSING. EMPLOYEES OF HNMC ARE ALSO ABLE TO CONTINUE THEIR STUDIES BY PURSUING BACHELOR'S, MASTER'S, AND ADVANCED PRACTICE NURSING DEGREES AT ST. PETER'S COLLEGE. IN THIS PROCESS, STUDENT EMPLOYEES WORK WITH VARIOUS ADMINISTRATIVE LEADERS WITHIN HNMC TO COMPLETE CLINICAL ROTATIONS. - UNDERGRADUATE, NURSE PRACTITIONER AND NURSING DOCTORAL STUDENTS FROM FAIRLEIGH DICKINSON UNIVERSITY (TEANECK, NJ) COMPLETE ROTATIONS WITH OVERSIGHT FROM HNMC'S DEPARTMENT OF NURSING EDUCATION. - OTHER NURSING AFFILIATION AGREEMENTS ALSO EXIST BETWEEN HNMC AND SETON HALL UNIVERSITY (SOUTH ORANGE, NJ), WILLIAM PATERSON UNIVERSITY (WAYNE, NJ), FELICIAN COLLEGE (LODI, NJ), AND THE UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY (UMDNJ) (NEWARK, NJ). IN ADDITION, ULTRASOUND AND NUCLEAR MEDICINE STUDENTS FROM UMDNJ MAY COMPLETE SEMESTER-LONG ROTATIONS IN HNMC'S DEPARTMENT OF RADIOLOGY UNDER THE INSTRUCTION OF SENIOR ULTRASOUND AND NUCLEAR MEDICINE STAFF. A SIMILAR AGREEMENT FOR ROTATIONS IN ULTRASOUND AT HNMC IS WITH NEW YORK UNIVERSITY (NEW YORK, NY). SENIOR ULTRASOUND STAFF MEMBERS FROM HNMC PROVIDE CLINICAL INSTRUCTION. - PHYSICAL AND/OR OCCUPATIONAL THERAPY AGREEMENTS TO PERMIT STUDENTS TO COMPLETE CLINICAL ROTATIONS AT THE MEDICAL CENTER ARE WITH NEW YORK MEDICAL COLLEGE (VALHALLA, NY), UNION COUNTY COLLEGE (CRANFORD, NJ), HUNTER COLLEGE (NEW YORK, NY), MERCY COLLEGE (DOBBS FERRY, NY), QUINNIPIAC UNIVERSITY (HAMDEN, CT), THE UNIVERSITY OF SCRANTON (SCRANTON, PA), THE UNIVERSITY OF WISCONSIN (LA CROSSE, WI), MISERICORDIA UNIVERSITY (DALLAS, PA), KEAN UNIVERSITY (UNION, NJ), AND ROCKLAND COMMUNITY COLLEGE (SUFFERN, NY). IN ALL CASES, INSTRUCTION IS PROVIDED BY HNMC STAFF. - EACH YEAR, HNMC ACCEPTS A SMALL NUMBER OF STUDENTS FROM THE COLUMBIA UNIVERSITY MAILMAN SCHOOL OF PUBLIC HEALTH PROGRAM IN HEALTH POLICY AND MANAGEMENT AS SUMMER INTERNS. INTERNS WORK ON SPECIFIC PROJECTS UNDER THE DIRECTION OF A MEMBER OF SENIOR MANAGEMENT. IN 2009, HNMC ACCEPTED ITS FIRST STUDENT FROM THE JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH MASTERS PROGRAM IN HEALTH FINANCE AND MANAGEMENT. THE STUDENT COMPLETES AN 11-MONTH, FULL-TIME RESIDENCY UNDER THE DIRECTION OF THE CEO AND MEMBERS OF SENIOR MANAGEMENT. RECOGNITION =========== - TOP PERFORMER ON KEY QUALITY MEASURES FROM THE JOINT COMMISSION - MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIAL CENTER (TOP 5% OF HOSPITAL NATIONWIDE FOR PATIENT CARE) - BEACON AWARD FOR CRITICAL CARE EXCELLENCE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES - J.D. POWER AND ASSOCIATES DISTINGUISHED HOSPITAL AWARDS - RECOGNIZED FOR EXCELLENCE IN OUTPATIENT SERVICE, EMERGENCY INPATIENT SERVICE AND MATERNITY SERVICE - HEALTHGRADES DISTINGUISHED HOSPITAL AWARDS FOR CLINICAL EXCELLENCE RANKED IN THE TOP 5% OF HOSPITALS IN THE NATION FOR CLINICAL EXCELLENCE AND MATERNITY CARE, 5-STAR RATING FOR GYNECOLOGICAL SERVICES, RANKED TOP 10% NATIONALLY FOR STROKE CARE - BEST IN VALUE AWARD FROM DATA ADVANTAGE, LLC - RECOGNIZED FOR QUALITY, AFFORDABILITY, EFFICIENCY, PATIENT SAFETY AND OVERALL EXPERIENCE - ACCREDITED CHEST PAIN CENTER - RECOGNIZED FOR EXCELLENCE IN THE ABILITY TO DIAGNOSE AND TREAT CHEST PAIN AND ACUTE CORONARY SYMPTOMS - PRIMARY STROKE CARE CERTIFICATION - RECOGNIZED BY THE JOINT COMMISSION FOR EXCELLENCE IN CARE TO STROKE PATIENTS - MODERN HEALTHCARE MAGAZINE - RANKED AMONG THE TOP 10 IN THE NATION ON THE "100 BEST PLACES TO WORK IN HEALTHCARE LIST - NJBIZ MAGAZINE - HNMC HAS BEEN RANKED FROM 2006 THROUGH 2011 AS A "BEST PLACE TO WORK IN NEW JERSEY" - COMPANIES THAT CARE HONOR ROLL - AWARDED FOR EMPLOYEE APPRECIATION, WORK/LIFE BALANCE AND COMMUNITY INVOLVEMENT
PROGRAM SERVICE ACCOMPLISHMENTSCORE FORM, PART III; QUESTION 2IN LATE 2007, THE SISTERS OF ST. JOSEPH OF PEACE TRANSFERRED TO HOLY NAME MEDICAL CENTER TITLE TO A 26-ACRE ESTATE IN SADDLE RIVER, NEW JERSEY. THE ESTATE, KNOWN AS VILLA MARIE CLAIRE ("VMC"), INCLUDES A MANSION THAT HAS BEEN UNDER RENOVATION TO ACCOMMODATE A 20-BED HOSPICE FACILITY, FILLING A KNOWN NEED IN BERGEN COUNTY. THE HOSPICE WILL BE OPEN TO ALL CLINICALLY ELIGIBLE PERSONS, WHETHER PREVIOUSLY ASSOCIATED WITH HOLY NAME MEDICAL CENTER OR NOT. THE HOSPICE OPENED IN JANUARY 2011. VMC WILL PROVIDE ALL FOUR LEVELS OF IN-FACILITY HOSPICE CARE, AUGMENTING THE EXISTING HOME HOSPICE PROGRAM. THE PRIMARY LEVELS OF CARE AT VMC WILL BE: - GENERAL INPATIENT; CARE AVAILABLE WHEN PAIN OR SYMPTOMS ARE TOO DIFFICULT TO MANAGE AT HOME. - ROUTINE HOME CARE; CARE WHICH IS USUALLY PROVIDED AT HOME WILL BE DELIVERED BY VMC. THE OPTION TO LIVE AT THE VMC IS VOLUNTARY. THUS, A DAILY ROOM AND BOARD CHARGE WILL BE ASSESSED IN ADDITION TO CLINICAL CARE THAT IS REIMBURSED BY PAYERS. - RESPITE CARE; CARE WHICH IS PROVIDED FOR FAMILY OR CAREGIVER BREAKDOWN OR FATIGUE. HOSPICE COVERS UP TO A 5-DAY STAY IN A MEDICARE CERTIFIED CENTER THAT IS CONTRACTED WITH HOSPICE. OPERATIONAL EXPENSES OF $708,000 HAVE BEEN INCURRED IN 2010. CAPITAL EXPENDITURES OF $1,529,812 HAVE BEEN INCURRED IN 2010.
OTHER PROGRAM SERVICESCORE FORM, PART III; LINE 4DEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZAITON'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATIONCORE FORM, PART IV, QUESTION 28 AND PART VIIA MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, TED A. CARNEVALE, CPA, IS A PARTNER IN A PUBLIC ACCOUNTING FIRM; GRAMKOW, CARNEVALE, SEIFERT & CO., L.L.C. THIS FIRM PROVIDED ACCOUNTING, TAX AND CONSULTING SERVICES TO A RELATED ORGANIZATION OF HOLY NAME MEDICAL CENTER DURING 2010. THE RELATED ENTITY PAID GRAMKOW, CARNEVALE, SEIFERT & CO., L.L.C. $155,955 FOR THESE SERVICES DURING 2010.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11ATHE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION THE ORGANIZATION'S AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL INCLUDING THE CHIEF FINANCIAL OFFICER, DIRECTOR OF ACCOUNTING AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW AND APPROVAL. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF PATIENT CARE SERVICES. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF PATIENT CARE SERVICES. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF PATIENT CARE SERVICES. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THE ORGANIZATION'S BOARD OF TRUSTEES.
BALANCE SHEET RESTATEMENTCORE FORM, PART XTHE BEGINNING BALANCES ON THE BALANCE SHEET WERE ADJUSTED TO ACCURATELY REFLECT THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2009 AND TO ALSO INCLUDE THE FINANCIAL ACTIVITY OF HNH FITNESS, L.L.C.; A DISREGARDED ENTITY FOR TAX PURPOSES. THESE RECLASSIFICATIONS PROVIDE A MORE ACCURATE COMPARISON BETWEEN THE TWO YEARS.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - CHANGE IN INTEREST OF HOLY NAME HEALTH CARE FOUNDATION, INC. - ($3,350,530) - NET CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENTS - ($2,262,128) - CHANGE IN NET UNREALIZED GAINS AND LOSSES ON INVESTMENTS - $3,479,046 - NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL PURPOSES - $2,164,439 - NET TRANSFERS FROM/(TO) AFFILIATES - $632,391 - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (NOT INCLUDING DONATIONS OF $501,730) - ($4,081,060) - TEMPORARILY RESTRICTED DONATIONS - $501,730 - LOSS ON EXTINGUISHMENT OF DEBT - ($1,620,175)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HOLY NAME MEDICAL CENTER, INC. AND AFFILIATES, FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. HOLY NAME MEDICAL CENTER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ARNOLD BALSAM TITLE:CHAIRMAN - TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH FRASCINO MD TITLE:VICE CHAIRMAN - TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER BARBARA MORAN CSJP TITLE:SECRETARY - TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDWIN H RUZINSKY CPA TITLE:TREASURER - TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH M LEMAIRE TITLE:TRUSTEE - ASST SEC/ASST TREAS HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PETER BAKER TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS BIRCH MD TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICIA BURKE MD TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID BUTLER MD TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:TED A CARNEVALE CPA TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DALE A CREAMER TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN M GERAGHTY TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAWRENCE LAIKIN TITLE:TRUSTEE HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SALVATORE LARAIA MD TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL LEBER TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL MARON TITLE:TRUSTEE - PRESIDENT/CEO HOURS:12
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER ANTOINETTE MOORE CJSP TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH PARISI JR TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT S RIGOLOSI MD TITLE:TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MYRON ROSNER ESQ TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER ANN RUTAN CSJP TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SISTER ANN TAYLOR CSJP TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEON TEMIZ TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SHERYL SLONIM TITLE:SENIOR VP; PATIENT CARE SVCS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ADAM JARRETT TITLE:CHIEF MED OFFICER (7/30-12/31) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WAYNE KINDER TITLE:VP; FACILITIES HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN P MCCARTHY TITLE:VP; DEVELOPMENT HOURS:30
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANE FIELDING ELLIS TITLE:VP; MARKETING & PR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CATHERINE YAXLEY SCHMIDT TITLE:VP; PLANNING & GOVT AFFAIRS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARCELLO GUARNERI TITLE:VP; FINANCIAL SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA KAUFHOLD TITLE:VP; REVENUE CYCLE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH ZAYAS TITLE:VP; NURSING SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAURA ATKINS TITLE:VP; HUMAN RESOURCES(2/9-12/31) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN GRANGEIA TITLE:VP; PROF. SVCS (4/26-12/31) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CAROL DINSMORE TITLE:VP; QUALITY IMPROV. (1/1-4/1) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARGARET GALVIN TITLE:VP; LEGAL HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SHARAD WAGLE MD TITLE:MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CRAIG HERSH MD TITLE:ASST. VP; MEDICAL MANAGEMENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HENRY FERNANDEZ COS MD TITLE:MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL SKVARENINA TITLE:ASST. VP; IS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KYUNG HEE CHOI TITLE:DIRECTOR; KOREAN MEDICAL HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GREGORY M ADAMS TITLE:FORMER ASST SEC./ASST TREAS. HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL C MENDELOWITZ MD TITLE:FORMER SR. VP; MEDICAL STAFF HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HNH FITNESS LLC
718 TEANECK ROADTEANECKNJ07666593836367WELLNESSNJ17057086886017HNMC
HNLS LLC
718 TEANECK ROADTEANECKNJ07666453636025INACTIVENJ00HNMC

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOLY NAME HEALTH CARE FOUNDATION
718 TEANECK ROADTEANECKNJ07666222737143FUNDRAISINGNJ501(C)(3)509(A)(3)HNMC
HOLY NAME REAL ESTATE CORP
718 TEANECK ROADTEANECKNJ07666223412504PROPERTY CONJ501(C)(2)N/AHNMC
SISTERS OF ST JOSEPH OF PEACE
718 TEANECK ROADTEANECKNJ07666223412084RELIGIOUS ORDNJ501(C)(3)170B1AINA
MS COMPREHENSIVE CARE CENTER
718 TEANECK ROADTEANECKNJ07666222402959HEALTHCARENJ501(C)(3)509(A)(2)HNMC
HOLY NAME EMS INC
718 TEANECK ROADTEANECKNJ07666270294681HEALTHCARENJ501(C)(3)509(A)(3)HNMC

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HEALTH PARTNER SERVICES INC
718 TEANECK ROADTEANECKNJ07666223618636MGMT SERVICESNJHNMCC CORP.05453621.00000
PEACE HEALTH PARTNERS
718 TEANECK ROADTEANECKNJ07666223618634HLTHCARE SVCS.NJNAC CORP.
HOUSE PHYSICIAN PARTNERS
718 TEANECK ROADTEANECKNJ07666223808427HLTHCARE SVCS.NJNAC CORP.
HEMATOLOGYONCOLOGY PHYSICIANS
718 TEANECK ROADTEANECKNJ07666223808421HLTHCARE SVCS.NJNAC CORP.
RIVERSIDE FAMILY CARE
718 TEANECK ROADTEANECKNJ07666200446233HLTHCARE SVCS.NJNAC CORP.
RADIATION ONCOLOGY PARTNERS
718 TEANECK ROADTEANECKNJ07666201104758HLTHCARE SVCS.NJNAC CORP.
EXCELCARE MEDICAL ASSOCIATES
718 TEANECK ROADTEANECKNJ07666203130405HLTHCARE SVCS.NJNAC CORP.
BREAST IMAGING PARTNERS
718 TEANECK ROADTEANECKNJ07666753226059HLTHCARE SVCS.NJNAC CORP.
IMA OF BERGEN COUNTY
718 TEANECK ROADTEANECKNJ07666753226063HLTHCARE SVCS.NJNAC CORP.
BREAST CARE PARTNERS
718 TEANECK ROADTEANECKNJ07666113787403HLTHCARE SVCS.NJNAC CORP.
WOMEN'S HEALTH PARTNERS PC
718 TEANECK ROADTEANECKNJ07666830511119HLTHCARE SVCS.NJNAC CORP.
WOMEN'S CLINIC PARTNERS
718 TEANECK ROADTEANECKNJ07666364635222HLTHCARE SVCS.NJNAC CORP.
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MS COMPREHENSIVE CARE CENTER
D346107
HNH FITNESS LLC
D333775
HOLY NAME REAL ESTATE CORPORATION
E1535897
HOLY NAME HEALTH CARE FOUNDATION
R6713392
MS COMPREHENSIVE CARE CENTER
B105000

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