Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 2010 FORM 990 FILINGS FOR NORTH JERSEY HEALTH CARE CORPORATION ("NJHCC") AND ALL SUBSIDIARIES, INCLUDING NORTH JERSEY HEALTH CARE PROPERTIES, WERE PREPARED BY THE FINANCE DEPARTMENT WITH THE ASSISTANCE OF NJHCC TAX ADVISORS. THE COMPLETED FILINGS WERE REVIEWED BY NJHCC'S CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. UPON FINALIZATION OF THE FORM 990, COPIES WERE MADE AVAILABLE TO BOARD MEMBERS. FORM 990 IS FILED WITH THE IRS AFTER THIS REVIEW PROCESS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH "INTERESTED PERSON" OF NORTH JERSEY HEALTH CARE PROPERTIES SHALL ANNUALLY SIGN THE NJHCC CONFLICT OF INTEREST DISCLOSURE STATEMENT (FORM #1885C) WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY OR THE NJHCC BY-LAWS, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THAT NJHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES UNDER IRC SECTION 501(C)(3) OR 501(C)(4) OF THE INTERNAL REVENUE CODE. ON THE CONFLICT OF INTEREST DISCLOSURE STATEMENT, ALL "INTERESTED PERSONS" MUST DETAIL ALL EXISTING OR POTENTIAL CONFLICTS OF INTEREST AND FILE THE FORM WITH THE CHIEF COMPLIANCE OFFICER ANNUALLY. INTERIM DISCLOSURES SHALL ALSO BE REQUIRED AS CONFLICTS DEVELOP SUBSEQUENT TO THE ANNUAL DISCLOSURES. TO ENSURE THAT NJHCC OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEW SHALL BE CONDUCTED BY THE CHIEF COMPLIANCE OFFICER. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A. WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULTS OF APPROPRIATE NEGOTIATIONS. B. WHETHER PHYSICIAN RECRUITMENT PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. C. WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER NJHCC'S CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. D. WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES AND THIRD PARTY PAYORS FURTHER NJHCC'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL OFFICERS ARE COMPENSATED BY A RELATED ORGANIZATION. THE ORGANIZATION REVIEWED AND DETERMINED THE TOTAL CASH COMPENSATION (CONSISTS OF BASE SALARY AND INCENTIVE AWARDS) OF THE PRESIDENT & CEO AND ALL EXECUTIVES (NAMELY, THE SVP-OPERATIONS/COO, VP-MEDICAL AFFAIRS/CMO, VP-FINANCE/CFO, VP-HR/CHIEF HR OFFICER AND CHIEF LEGAL OFFICER, VP-PATIENT CARE SERVICES/CNO, VP-FOUNDATION/CHIEF DEVELOPMENT OFFICER AND VP-MARKETING/BUSINESS DEVELOPMENT). THE ORGANIZATION ENGAGED INDEPENDENT CONSULTING FIRM, SULLIVAN COTTER AND ASSOCIATES, INC. TO PROVIDE GUIDANCE, ANALYSIS, RECOMMENDATIONS AND A REASONABLENESS OPINION. THIS PROCESS WAS LAST UNDERTAKEN IN 2008 FOR ALL OF THE AFOREMENTIONED EMPLOYEES. THE PROCESS INCLUDED SULLIVAN COTTER'S EVALUATION OF TOTAL CASH COMPENSATION FOR THESE EMPLOYEES BY USING COMPREHENSIVE COMPETITIVE MARKET DATA TO BENCHMARK SUCH COMPENSATION AGAINST OTHER HOSPITALS WITH SIMILAR NET REVENUE, COMPLEXITY, SCOPE, NON-PROFIT STATUS AND SIMILAR POSITIONS. MARKET DATA USED INCLUDES BOTH REGIONAL AND NATIONAL DATA. SULLIVAN COTTER DOCUMENTS ITS FINDINGS AND DELIVERS A WRITTEN REPORT AND OPINION TO THE ORGANIZATION. SULLIVAN COTTER'S FINDINGS AND RECOMMENDATIONS ARE REVIEWED BY THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF THE ORGANIZATION WHOSE REVIEW VIA ANALYSIS AND DELIBERATION IS DOCUMENTED IN THE MINUTE(S) OF ITS MEETINGS REGARDING SAME. UPON RECOMMENDATION OF THE EXECUTIVE COMPENSATION SUBCOMMITTEE OF THE GOVERNANCE COMMITTEE, THE FINDINGS AND RECOMMENDATIONS ARE ULTIMATELY REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION. THE BOARD'S FINDINGS AND DETERMINATIONS ARE DOCUMENTED IN THE MINUTES OF ITS MEETING(S) REGARDING SAME. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| AVERAGE HOURS PER WEEK | FORM 990, PART VII | AVERAGE HOURS PER WEEK LISTED IN PART VII ARE FOR THIS LEGAL ENTITY ONLY. BOARD MEMBERS AND OFFICERS ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. TOTAL AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS: BOARD MEMBERS - 5.8 HOURS PER WEEK PRESIDENT & CEO THOMAS J. SENKER - 42.5 HOURS PER WEEK COO SEAN O'ROURKE - 42.5 HOURS PER WEEK CFO DAVID RIKKOLA - 42.5 HOURS PER WEEK |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF NEWTON MEMORIAL HOSP FND -362. TOTAL TO FORM 990, PART XI, LINE 5: -362. |
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