Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
350 ENGLE STREET
 
Room/suite
City or town, state or country, and ZIP + 4
ENGLEWOOD, NJ07631
D Employer identification number

22-1487173
E Telephone number

G Gross receipts $ 339,451,764
F Name and address of principal officer:
DOUGLAS A DUCHAK
350 ENGLE STREET
ENGLEWOOD,NJ07631
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
englewoodhospital.com
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1888
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: HEALTHCARE SERVICES (AN ACUTE CARE HOSPITAL).
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 28
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 22
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,799
6 Total number of volunteers (estimate if necessary) .... 6 745
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 21,773,848 4,543,112
9 Program service revenue (Part VIII, line 2g) ......... 319,749,064 328,630,207
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,040,571 538,929
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,551,400 5,731,685
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 347,114,883 339,443,933
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 8,500 7,000
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 159,927,851 159,961,432
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 165,944,317 172,755,562
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 325,880,668 332,723,994
19 Revenue less expenses. Subtract line 18 from line 12...... 21,234,215 6,719,939
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 274,396,286 303,135,078
21 Total liabilities (Part X, line 26)............ 194,374,739 223,986,213
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 80,021,547 79,148,865
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 272,188,779 including grants of $ 7,000 ) (Revenue $ 331,125,881 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 272,188,779
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
245
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,799
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
28
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
22
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ANTHONY T ORLANDO
350 ENGLE STREET
ENGLEWOOD,NJ076311898
(201) 894-3280
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DOUGLAS A DUCHAK
PRESIDENT/SECRETARY/CEO
 55.0 X   X       531,177 185,450 46,882
(2) JAY C NADEL
CHAIRMAN
 3.0 X   X       0 0 0
(3) THOMAS C SENTER ESQ
VICE CHAIRMAN
 2.0 X   X       0 0 0
(4) ROBERT F MANGANO
TREASURER
 2.0 X   X       0 0 0
(5) JOSEPH WILLNER MD
TRUSTEE
 1.0 X           0 0 0
(6) MORTON S ACKERMAN
TRUSTEE
 1.0 X           0 0 0
(7) YALE BLOCK
TRUSTEE
 1.0 X           0 0 0
(8) MICHAEL B BRENNER
TRUSTEE
 1.0 X           0 0 0
(9) EUGENE R DIAZ
TRUSTEE
 1.0 X           0 0 0
(10) ANDREW F DURKIN
TRUSTEE
 1.0 X           0 0 0
(11) HUGH E EVANS MD
TRUSTEE
 1.0 X           0 0 0
(12) GAYLE GERSTEIN
TRUSTEE
 1.0 X           0 0 0
(13) RONALD GOLD
TRUSTEE
 1.0 X           0 0 0
(14) EDDIE R HADDEN ESQ
TRUSTEE
 1.0 X           0 0 0
(15) MARGARET R KAPLEN
TRUSTEE
 1.0 X           0 0 0
(16) SAM S KIM
TRUSTEE
 1.0 X           0 0 0
(17) RICHARD J KURTZ
TRUSTEE
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) MARK METZGER
TRUSTEE
 1.0 X           0 0 0
(19) DANIEL RUBIN
TRUSTEE
 1.0 X           0 0 0
(20) MIGUEL A SANCHEZ MD
TRUSTEE
 2.0 X           0 0 0
(21) JAMES A SCHWALBE ESQ
TRUSTEE (START 1/1/10)
 1.0 X           0 0 0
(22) STEVEN SIESSER
TRUSTEE
 1.0 X           0 0 0
(23) ARYEH SHANDER MD
TRUSTEE
 1.0 X           80,000 0 0
(24) DAVID A SHANKS
TRUSTEE
 1.0 X           0 0 0
(25) IN JIN CHOI
TRUSTEE (START 9/27/10)
 1.0 X           0 0 0
(26) BARRY SUSSMAN MD
TRUSTEE
 2.0 X           0 0 0
(27) THOMAS J VOLPE
TRUSTEE
 1.0 X           0 0 0
(28) BARBARA DILL MD
TRUSTEE
 1.0 X           15,000 0 0
(29) WARREN GELLER
EXECUTIVE VICE PRESIDENT/COO
 55.0     X       424,135 0 34,576
(30) ANTHONY T ORLANDO
SENIOR VICE PRESIDENT/ CFO
 55.0     X       352,849 28,500 33,395
(31) MADELYN PEARSON RN
SR VP PATNT CRE SVC (EFF 8/11)
 55.0     X       201,598 0 18,137
(32) EDNA CADMUS
SR VP PATNT CARE SVC (TO 8/11)
 55.0     X       182,016 0 16,700
(33) MICHAEL PIETROWICZ
SENIOR VP PLANNING&DEVELOPMENT
 55.0         X   272,690 0 31,499
(34) DANIEL MARKHAM
VP DIAGNOSTIC/ THERAPEUTIC SVC
 55.0         X   219,471 0 15,882
(35) PATRICIA G WILSON
VP HUMAN RESOURCES
 55.0         X   196,825 20,000 19,150
(36) SHIRLEY S DEGUZMAN-ANDUJAR
REGISTERED NURSE
 60.0         X   207,057 0 2,148
(37) KATHERINE COUSINEAU
CHIEF PERFUSIONIST
 55.0         X   182,174 0 15,405
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,864,992 233,950 233,774
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet249
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ENGLEWOOD CARDIAC SURGERY ASSOCIATE
350 ENGLE STREET
ENGLEWOOD,NJ07631 		PHYSICIAN SERVICES 2,640,895
NORTHERN VALLEY ANESTHESIOLOGY PA
375 ENGLE STREET
ENGLEWOOD,NJ07631 		PHYSICIAN SERVICES 2,160,683
ENT AND ALLERGY ASSOCIATES LLP
560 WHITE PLAINS ROAD
TARRYTOWN,NY10591 		MANAGEMENT SERVICES 878,965
OBGYN ASSOCIATES OF TENAFLY
2 DEAN DRIVE
TENAFLY,NJ07670 		PHYSICIAN SERVICES 621,030
DRS FORTE SCHLEIDER ATTAS ETC
350 ENGLE STREET
ENGLEWOOD,NJ07631 		PHYSICIAN SERVICES 574,678
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet24
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,950,311
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,592,801
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 4,543,112
Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 622,110 328,489,707 328,489,707    
b AFFILIATE ORGANIZATION RENT 531,190 140,500 140,500    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 328,630,207
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 532,574   0 532,574
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 596,914  
b Less: rental expenses    
c Rental income or (loss) 596,914  
d Net rental income or (loss).......MediumBullet 596,914     596,914
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   14,186
b Less: cost or other basis and sales expenses   7,831
c Gain or (loss)   6,355
d Net gain or (loss)..........MediumBullet 6,355     6,355
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA SALES 722,210 2,202,956     2,202,956
b MEDICAL RESIDENT FICA REFUND 900,099 845,290 845,290    
c TUITION-SCHOOL OF NURSING 611,600 649,102 649,102    
d All other revenue .... 1,437,423 1,001,282   436,141
e Total. Add lines 11a–11d ......MediumBullet 5,134,771
12 Total revenue. See Instructions....MediumBullet 339,443,933 331,125,881 0 3,774,940
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 7,000 7,000
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 1,936,465 95,000 1,841,465 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 112,485 75,048 37,437  
7 Other salaries and wages 130,092,175 110,363,583 19,728,592  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 7,002,950 5,945,594 1,057,356  
9 Other employee benefits ....... 10,590,511 8,991,479 1,599,032  
10 Payroll taxes ........... 10,226,846 8,682,723 1,544,123  
11 Fees for services (non-employees):        
a Management ...... 597,305 597,305    
b Legal ......... 1,362,078   1,362,078  
c Accounting ........... 357,438   357,438  
d Lobbying ........... 26,220   26,220  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 1,909,774 1,909,774    
12 Advertising and promotion .... 1,910,388 1,910,388    
13 Office expenses ....... 119,658,321 101,062,720 18,595,601  
14 Information technology ...... 3,177,276 430,177 2,747,099  
15 Royalties .. 0      
16 Occupancy ........... 7,398,830 4,410,570 2,988,260  
17 Travel ............ 239,153 209,412 29,741  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 173,115 130,089 43,026  
20 Interest ........... 4,799,238 4,799,238    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 16,582,823 9,699,802 6,883,021  
23 Insurance .............. 4,013,603 2,318,877 1,694,726  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROVISION FOR DOUBTFUL ACCTS 10,550,000 10,550,000    
b
c
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 332,723,994 272,188,779 60,535,215 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 1,961,866 1 2,123,183
2 Savings and temporary cash investments ....... 21,340,161 2 42,398,951
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 37,485,087 4 34,153,433
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 2,371,043 7 2,371,043
8 Inventories for sale or use .............. 7,374,123 8 9,016,059
9 Prepaid expenses and deferred charges ............ 4,091,731 9 3,517,692
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 426,645,060
b Less: accumulated depreciation. ..... 10b 254,405,963 163,169,594 10c 172,239,097
11 Investments—publicly traded securities .......... 11,091,047 11 7,814,056
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 25,511,634 15 29,501,564
16 Total assets. Add lines 1 through 15 (must equal line 34)... 274,396,286 16 303,135,078
Liabilities 17 Accounts payable and accrued expenses . 39,701,653 17 43,794,360
18 Grants payable ..........   18  
19 Deferred revenue .......... 156,860 19 819,367
20 Tax-exempt bond liabilities .......... 83,195,631 20 80,682,652
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 16,970,245 23 23,891,116
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 54,350,350 25 74,798,718
26 Total liabilities. Add lines 17 through 25..... 194,374,739 26 223,986,213
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 64,963,669 27 62,197,613
28 Temporarily restricted net assets ..... 11,934,020 28 13,827,394
29 Permanently restricted net assets ..... 3,123,858 29 3,123,858
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 80,021,547 33 79,148,865
34 Total liabilities and net assets/fund balances ..... 274,396,286 34 303,135,078
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
339,443,933
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
332,723,994
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
6,719,939
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
80,021,547
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-7,592,621
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
79,148,865
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
  		Employer identification number

22-1487173
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
  		Employer identification number

22-1487173
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
  		Employer identification number

22-1487173
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 0 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 26,220 26,220
c Total lobbying expenditures (add lines 1a and 1b) ................... 26,220 26,220
d Other exempt purpose expenditures ........................ 332,697,774 332,697,774
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 332,723,994 332,723,994
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 21,200 22,603 21,985 26,220 92,008
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   180,588 180,588
b Buildings ................   115,871,843 41,566,526 74,305,317
c Leasehold improvements ............   1,580,579 1,557,028 23,551
d Equipment ................   293,597,894 211,282,409 82,315,485
e Other .................   15,414,156   15,414,156
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 172,239,097
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DEFERRED BOND ISSUANCE COSTS 2,718,746
(2) ACCRUED INTEREST RECEIVABLE 55,859
(3) INT. IN NET ASSETS OF FOUNDAT. 16,951,252
(4) OTHER RECEIVABLES 863,012
(5) REBATES/OTHER VENDOR CRED DUE 194,921
(6) DUE FROM AFFILIATES 6,976,195
(7) MEDICAL RESIDENT FICA REFUND 1,741,579


Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 29,501,564
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ESTIMATED AMOUNTS DUE TO PAYORS 35,458,536
RETIREE HEALTH BENEFITS PAYABLE 2,358,511
IBNR-MALPRACTICE CLAIMS 1,460,000
ACCCRUED PENSION BENEFITS 35,521,671





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 74,798,718
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    15,846,074 897,000 14,949,074 4.490 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    16,290,196 14,602,187 1,688,009 0.510 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     0 0 0 0 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    32,136,270 15,499,187 16,637,083 5.000 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    407,400 11,130 396,270 0.120 %
f Health professions education
(from Worksheet 5) .. 		    10,816,857 3,636,919 7,179,938 2.160 %
g Subsidized health services
(from Worksheet 6) .. 		    0 0 0 0 %
h Research (from Worksheet 7)     175,662 66,201 109,461 0.030 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    42,314 1,775 40,539 0.010 %
jTotal Other Benefits ...     11,442,233 3,716,025 7,726,208 2.320 %
kTotal. Add lines 7d and 7j. ..     43,578,503 19,215,212 24,363,291 7.320 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,970,700
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
197,100
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
122,952,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
133,953,000
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-11,001,000
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ENGLEWOOD HOSPITAL AND MEDICAL CENTER
350 ENGLE STREET
ENGLEWOOD,NJ07631 		X X   X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ENGLEWOOD HOSPITAL AND MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PART I, LINE 3C   IF A PATIENT IS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAS NO OTHER INSURANCE COVERAGE, THEY ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM.
PART I, LINE 6A   AS PART OF ITS ANNUAL FILING OF FORM 990, THE MEDICAL CENTER PREPARES A STATEMENT THAT PROVIDES A HISTORY OF THE MEDICAL CENTER, ITS CORPORATE STRUCTURE LISTING ITS AFFILIATED ORGANIZATIONS AND COMPANIES, A DESCRIPTION OF ITS GOVERNANCE AND STANDING COMMITTEES, ITS VISION STATEMENT, AND A DESCRIPTION OF ITS SERVICES PROVIDED TO THE COMMUNITY IN THE PRECEDING YEAR. THIS REPORT IS AVAILABLE TO ANYONE THAT REQUESTS A COPY OF THE MEDICAL CENTER'S FORM 990 AND IS LIKEWISE AVAILABLE TO INTERNET USERS THAT VISIT THE GUIDESTAR WEB SITE.
PART I, LINE 7 (COLUMN F)   THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES.
PART I, LINE 7   THE MEDICAL CENTER UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. THE ORGANIZATION DOES NOT UTILIZE A COST ACCOUNTING SYSTEM, NOR WAS A COST-TO-CHARGE RATIO UTILIZED TO DERIVE ANY OF THE AMOUNTS USED IN WORKSHEET 2.
PART III, LINE 4   THE TEXT OF THE MEDICAL CENTER'S AUDIT REPORT FOOTNOTE IN REGARDS TO BAD DEBTS IS AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE RESULT FROM HEALTH CARE SERVICES PROVIDED BY THE MEDICAL CENTER. 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 MEDICARE AND MEDICAID HEALTH CARE 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. FURTHER, A SEPARATE AUDIT REPORT FOOTNOTE THAT DISCUSSES CHARITY CARE READS PARTIALLY AS FOLLOWS: THE CURRENT NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES CHARITY CARE GUIDELINES REQUIRE PARTICIPATION AND COOPERATION OF THE PATIENT IN ORDER TO BE IDENTIFIED AS A CHARITY CARE ACCOUNT. MANAGEMENT BELIEVES THAT THE PRESENT CHARITY CARE GUIDELINES UNDERSTATE THE MEDICAL CENTER'S CHARITY CARE AMOUNTS AND OVERSTATE THE LEVEL OF BAD DEBTS REPORTED BECAUSE OF THE DIFFICULTIES INVOLVED WITH OBTAINING PATIENT COOPERATION. DISCOUNTS ARE AVAILABLE TO ALL UNINSURED PATIENTS UNDER THE MEDICAL CENTER'S UNINSURED FINANCIAL ASSISTANCE PROGRAM. DISCOUNTS TO THOSE PATIENTS WHO DID NOT QUALIFY UNDER THE CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE CHARITY CARE AMOUNTS. THE MEDICAL CENTER RECEIVES PARTIAL REIMBURSEMENT FOR THE CHARITY CARE IT PROVIDES
PART III, LINES 2 AND 3   THE MEDICAL CENTER DERIVED THE BAD DEBT EXPENSE AT COST BY APPLYING THE COST-TO-CHARGE RATIO DERIVED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS AND MULTIPLYING IT TIMES THE TOTAL BAD DEBT EXPENSE FOR THE CALENDAR YEAR. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER CHARITY CARE IS APPROXIMATELY 10% OF THE TOTAL BAD DEBT EXPENSE (AT COST), WHICH IS CONSISTENT WITH THE MEDICAL CENTER'S EXPERIENCE OF PATIENT ACCOUNT WRITE-OFFS.
PART III, LINE 8   THE MEDICARE SHORTFALL REFLECTS THE "NET" PROVISION OF FULL SERVICES TO A CERTAIN POPULATION, AGE 65 AND OVER, THAT IS SUBSIDIZED BY THE MEDICAL CENTER. THE MEDICAL CENTER'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES.
PART III, LINE 9B   IT IS THE POLICY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ENGLEWOOD HOSPITAL PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MEDICALLY POSSIBLE, FROM THE PATIENT. ALL PATIENT OR RESPONSIBLE PARTY DEMOGRAPHIC DATA IS COLLECTED AND DOCUMENTED. IDENTIFICATION, SUCH AS A DRIVER'S LICENSE OR A SOCIAL SECURITY CARD WILL BE REQUESTED AND COPIED IF AVAILABLE. IF IDENTIFICATION IS UNAVAILABLE, THE REGISTRATION FORM IS DOCUMENTED ACCORDINGLY. INSURANCE INFORMATION IS REQUESTED AND DOCUMENTED, AND IF AVAILABLE, INSURANCE IDENTIFICATION CARDS ARE COPIED. ALL PATIENTS OR RESPONSIBLE PARTIES ARE GIVEN A NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE FACT SHEET. IF HEALTH INSURANCE INFORMATION IS NOT GIVEN AT THE TIME OF REGISTRATION, OR HEALTH INSURANCE INFORMATION IS GIVEN THAT WILL NOT PROVIDE PAYMENT IN FULL, THE MEDICAL CENTER WILL REFER PATIENTS TO PUBLIC ASSISTANCE PROGRAMS IF APPROPRIATE. REFERRAL WILL BE BASED ON INCOME AND ASSETS INFORMATION GIVEN. IF THE PATIENT APPEARS TO BE ELIGIBLE BASED ON THE INFORMATION GIVEN, THE MEDICAL CENTER WILL PROVIDE THAT PATIENT WITH WRITTEN INFORMATION REGARDING THE NAME, ADDRESS AND TELEPHONE NUMBER OF THE APPROPRIATE PUBLIC ASSISTANCE PROGRAM. PATIENTS ARE REFERRED TO PUBLIC ASSISTANCE PROGRAMS BASED ON INCOME THAT MEETS THE POVERTY INCOME GUIDELINES. ALL INCOME AND ASSETS INFORMATION IS DOCUMENTED AND KEPT WITH THE PATIENT'S BILLING FILE. PATIENTS WHO ARE FOUND TO BE ELIGIBLE FOR MEDICAID AND HAVE OUTSTANDING BILLS FROM THE THREE MONTHS PRIOR TO THE APPLICATION FOR MEDICAID, ARE GIVEN A RETROACTIVE MEDICAID APPLICATION FORM (FD74) TO COMPLETE AND MAIL. IF THE PATIENT DOES NOT APPEAR TO BE ELIGIBLE FOR A PUBLIC ASSISTANCE PROGRAM BASED ON INCOME AND ASSETS INFORMATION PROVIDED OR IF THE PUBLIC ASSISTANCE PROGRAM PROVIDES THE PATIENT WITH A WRITTEN DENIAL, THE PATIENT WILL BE SCREENED FOR CHARITY CARE. PERSONS WHO ARE NOT NEW JERSEY RESIDENTS MAY NOT BE SCREENED FOR CHARITY CARE UNLESS THE CARE IS RELATED TO AN EMERGENCY RESULTING IN AN INPATIENT ADMISSION. SIGNS PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH INDICATING THE AVAILABILITY OF CHARITY CARE IN ENGLISH, SPANISH, AND KOREAN ARE POSTED IN THE MEDICAL CENTER DEPARTMENTS: ADMITTING, EMERGENCY ROOM, OUTPATIENT REGISTRATION, CLINIC, AND ALL PATIENT ACCOUNTING DEPARTMENTS. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO PROVIDE PROPER IDENTIFICATION, PLACE OF EMPLOYMENT, INCOME, REAL PROPERTY, DURABLE PERSONAL PROPERTY, LIQUID ASSETS, AND BANK ACCOUNTS. A PERSON'S INCOME FOR PURPOSES OF DETERMINING ELIGIBILITY FOR CHARITY CARE ASSISTANCE SHALL BE THE LESSER OF THE ACTUAL GROSS INCOME FOR TWELVE MONTHS PRECEDING THE SERVICES OR FOUR TIMES THE ACTUAL GROSS INCOME FOR THE THREE MONTHS PRECEDING THE SERVICES OR ONE MONTH'S GROSS INCOME MULTIPLIED BY TWELVE. INCOME INCLUDES A SPOUSE'S INCOME FOR AN ADULT AND PARENTAL INCOME FOR A MINOR CHILD. A PERSON'S LIQUID ASSETS MAY NOT EXCEED $7,500 AND A PERSON'S FAMILY ASSETS MAY NOT EXCEED $15,000 TO BE ELIGIBLE FOR CHARITY CARE. ASSETS INCLUDE SPOUSAL ASSETS FOR ADULT PATIENTS AND PARENTAL ASSETS FOR A MINOR CHILD. A COPY OF ALL INCOME AND ASSET INFORMATION IS MAINTAINED WITH THE PATIENT'S BILLING FILE. BASED ON THE INCOME AND ASSET INFORMATION PROVIDED, THE MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR CHARITY CARE USING THE ELIGIBILITY CRITERIA CHART PROVIDED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES. THE PATIENT OR RESPONSIBLE PARTY WILL BE ASKED TO COMPLETE A CHARITY CARE APPLICATION. ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL ACCEPT CHARITY CARE APPLICATIONS BEYOND ONE YEAR FROM DATES OF SERVICE. THE MEDICAL CENTER WILL USE THE ELIGIBILITY CRITERIA IN EFFECT FOR THE DATES OF SERVICE FOR ALL DETERMINATIONS. AN ELIGIBILITY DETERMINATION FOR CHARITY CARE WILL BE MADE WITHIN TEN WORKING DAYS FOLLOWING THE DATE OF REQUEST. IF THE REQUEST DOES NOT INCLUDE SUFFICIENT DOCUMENTATION TO MAKE A DETERMINATION, THE REQUEST WILL BE DENIED. IF DENIAL OF ELIGIBILITY IS DUE TO LACK OF DOCUMENTATION, THE PATIENT SHALL BE PERMITTED TO PROVIDE THE ADDITIONAL DOCUMENTATION. THE MEDICAL CENTER SHALL PROMPTLY PROVIDE THE PATIENT WITH A WRITTEN COPY OF THE DETERMINATION. A COPY OF THE CHARITY CARE APPLICATION AND THE DETERMINATION IS KEPT WITH THE PATIENT'S BILLING FILE. IF THE AMOUNT A PATIENT IS DETERMINED TO BE RESPONSIBLE FOR EXCEEDS 30% OF THEIR INDIVIDUAL OR FAMILY INCOME, THIS EXCESS WILL BE ELIGIBLE FOR CHARITY CARE. ANY DETERMINATION THAT GRANTS CHARITY CARE WILL BE IN EFFECT FOR ONE YEAR FROM THE DATE OF SERVICE. ALL CHARITY CARE ALLOWANCES ON BALANCES AFTER MEDICARE PAYMENTS ENTERED INTO THE MEDICAL CENTER'S COMPUTERIZED BILLING SYSTEM WITH A SEPARATE "MEDICARE CHARITY CARE" TRANSACTION CODE. ANY PATIENT NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND HAVE NO OTHER INSURANCE COVERAGE, ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS WILL BE DISCOUNTED TO BE EQUAL TO 115% OF THE MEDICARE RATE UNDER THE MEDICAL CENTER'S SUPPLEMENTAL CHARITY CARE PROGRAM. ANY PATIENT WHO IS NOT FOUND TO BE ELIGIBLE FOR CHARITY CARE WILL BE GIVEN THE OPPORTUNITY TO MAKE PAYMENT ARRANGEMENTS. THE MEDICAL CENTER WILL MAKE EVERY ATTEMPT TO MAKE ARRANGEMENTS WITH THE PATIENT OR RESPONSIBLE PARTY FOR PAYING THE BALANCE DUE WITHIN ONE YEAR. THE MEDICAL CENTER WILL ACCEPT CIRCUMSTANCES WHERE IT MAY TAKE A PATIENT OR RESPONSIBLE PARTY LONGER THAN ONE YEAR TO PAY THE DEBT. DEPOSITS ARE REQUESTED FROM PATIENTS OR RESPONSIBLE PARTIES AT THE TIME OF REGISTRATION WHEN THE PATIENT IS NOT COVERED BY INSURANCE OR THE SERVICE IS A NON-COVERED SERVICE (I.E. COSMETIC SURGERY). ONCE ALL INSURANCE BILLING AND FOLLOW-UP HAS BEEN EXHAUSTED AND THE PATIENT IS NOT ELIGIBLE FOR ANY TYPE OF PUBLIC OR CHARITY CARE, THE COLLECTION CYCLE BEGINS. THREE BILLING STATEMENTS ARE SENT AT THREE WEEK INTERVALS, FOLLOWED BY THREE COLLECTION LETTERS SENT AT TWO WEEK INTERVALS. IF A PAYMENT OR OTHER PERTINENT INFORMATION IS RECEIVED DURING THE COLLECTION CYCLE, THE CYCLE WILL STOP AND RESTART WHEN APPROPRIATE WITH THE THREE BILLING STATEMENTS PREVIOUSLY NOTED. MAIL RETURNS ARE DOCUMENTED IN THE PATIENT'S ACCOUNTS. AFTER THE COLLECTION CYCLE IS COMPLETED AND NO PAYMENT OR RESPONSE FROM THE PATIENT IS RECEIVED, THE ACCOUNT IS TURNED OVER TO AN OUTSIDE AGENCY AT THE END OF THE MONTH FOLLOWING THE COMPLETION OF THE COLLECTION CYCLE. ALL ACCOUNTS ARE REVIEWED AND SIGNED BY THE CREDIT SUPERVISOR PRIOR TO REFERRAL TO AN OUTSIDE COLLECTION AGENCY. NEEDS ASSESSMENT THE ORGANIZATION UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE THIRD PARTY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. FURTHER, THE MEDICAL CENTER MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTH GRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE "REPORT CARDS" TO THE PUBLIC REGARDING THE MEDICAL CENTER'S PERFORMANCE. THE ORGANIZATION ALSO ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS IF THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE MEDICAL CENTER TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED. PATIENT EDUCATION ENGLEWOOD HOSPITAL AND MEDICAL CENTER PROVIDES A FULL RANGE OF MEDICAL SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS OR RESPONSIBLE PARTIES ARE INTERVIEWED AT THE TIME OF REGISTRATION, REGARDLESS OF WHAT AREA OF THE MEDICAL CENTER THEY ARE IN. IF THE MEDICAL CONDITION OF THE PATIENT DOES NOT PERMIT AN INTERVIEW, INFORMATION WILL BE TAKEN FROM A FAMILY MEMBER OR AS SOON AS MEDICALLY POSSIBLE, FROM THE PATIENT. ALL PATIENT OR RESPONSIBLE PARTY DEMOGRAPHIC DATA IS COLLECTED AND DOCUMENTED. IDENTIFICATION, SUCH AS A DRIVER'S LICENSE OR A SOCIAL SECURITY CARD WILL BE REQUESTED AND COPIED IF AVAILABLE. IF IDENTIFICATION IS UNAVAILABLE, THE REGISTRATION FORM IS DOCUMENTED ACCORDINGLY. INSURANCE INFORMATION IS REQUESTED AND DOCUMENTED, AND IF AVAILABLE, INSURANCE IDENTIFICATION CARDS ARE COPIED. ALL PATIENTS OR RESPONSIBLE PARTIES ARE GIVEN A NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE FACT SHEET. IF HEALTH INSURANCE INFORMATION IS NOT GIVEN AT THE TIME OF REGISTRATION, OR HEALTH INSURANCE INFORMATION IS GIVEN THAT WILL NOT PROVIDE PAYMENT IN FULL, THE MEDICAL CENTER WILL REFER PATIENTS TO PUBLIC ASSISTANCE PROGRAMS IF APPROPRIATE. REFERRAL WILL BE BASED ON INC
STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI NJ,
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number
22-1487173
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
 
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) EDUCATIONAL SCHOLARSHIPS 8 7,000      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Description of Organization's Procedures for Monitoring the Use of Grants FORM 990, SCHEDULE I SCHOLARSHIPS ARE AWARDED BASED ON ACADEMIC PERFORMANCE AND THE TYPE OF HEALTHCARE RELATED CURRICULUM BEING STUDIED.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) DOUGLAS A DUCHAK (i)
(ii)		 431,248
185,450 		24,598
0 		75,331
0 		26,773
0 		20,109
0 		578,059
185,450 		0
0
(2) WARREN GELLER (i)
(ii)		 352,832
0 		35,000
0 		36,303
0 		22,048
0 		12,528
0 		458,711
0 		0
0
(3) ANTHONY T ORLANDO (i)
(ii)		 323,100
28,500 		9,488
0 		20,261
0 		26,054
0 		7,341
0 		386,244
28,500 		0
0
(4) MADELYN PEARSON RN (i)
(ii)		 199,791
0 		0
0 		1,807
0 		14,043
0 		4,094
0 		219,735
0 		0
0
(5) EDNA CADMUS (i)
(ii)		 173,813
0 		5,419
0 		2,784
0 		13,620
0 		3,080
0 		198,716
0 		0
0
(6) MICHAEL PIETROWICZ (i)
(ii)		 259,419
0 		6,875
0 		6,396
0 		23,260
0 		8,239
0 		304,189
0 		0
0
(7) DANIEL MARKHAM (i)
(ii)		 211,538
0 		4,250
0 		3,683
0 		15,882
0 		0
0 		235,353
0 		0
0
(8) PATRICIA G WILSON (i)
(ii)		 189,850
20,000 		5,665
0 		1,310
0 		15,981
0 		3,169
0 		215,975
20,000 		0
0
(9) SHIRLEY S DEGUZMAN-ANDUJAR (i)
(ii)		 207,057
0 		0
0 		0
0 		0
0 		2,148
0 		209,205
0 		0
0
(10) KATHERINE COUSINEAU (i)
(ii)		 181,661
0 		0
0 		513
0 		6,236
0 		9,169
0 		197,579
0 		0
0






Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ENGLEWOOD PATHOLOGISTS PA SEE SCHEDULE O 447,729 SEE SCHEDULE O   No
(2) NORTHERN VALLEY ANESTHESIOLOGY SEE SCHEDULE O 2,160,683 SEE SCHEDULE O   No
(3) PATRICIA DURKIN SEE SCHEDULE O 64,786 SEE SCHEDULE O   No
(4) THOMAS SANCHEZ SEE SCHEDULE O 27,231 SEE SCHEDULE O   No
(5) JENNIFER SHANKS SEE SCHEDULE O 10,262 SEE SCHEDULE O   No
(6) NOAH SHANDER SEE SCHEDULE O 10,206 SEE SCHEDULE O   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Identifier Return Reference Explanation
ORGANIZATION'S MISSION STATEMENT FORM 990, PART I & PART III, LINE 1 PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND THE COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH AS DEMONSTRATED BY ITS AFFILIATION WITH THE MOUNT SINAI SCHOOL OF MEDICINE; PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS.
PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4A ABOUT ENGLEWOOD HOSPITAL AND MEDICAL CENTER ENGLEWOOD HOSPITAL WAS FULLY ACCREDITED AND ABOUT TO BECOME A MAJOR TEACHING HOSPITAL. A NURSING STAFF OF 725 AND MEDICAL STAFF OF MORE THAN 600 PROFESSIONALS SERVED MORE THAN 18,000 ADMITTED PATIENTS AND NEARLY 46,000 EMERGENCY CASES. THERE WERE 13,000 OPERATIONS AND SOME 2,000 BABIES BORN. VISITS TO THE MEDICAL CENTER'S CLINIC EXCEEDED 14,000. THE HOSPITAL'S WORKFORCE OF ALMOST 2,800 MADE IT THE LARGEST EMPLOYER IN THE AREA. A BRIEF HISTORY ENGLEWOOD HOSPITAL WAS INCORPORATED IN 1888 AS A NON-PROFIT, NON-SECTARIAN VOLUNTARY HEALTH CARE FACILITY DEVOTED TO "THE CARE, MAINTENANCE AND CURE OF THE SICK, INJURED AND THE INFIRMED." THE FIRST BUILDING WAS DEDICATED ON JUNE 14, 1890, AND HOUSED TWELVE BEDS. ENGLEWOOD HOSPITAL ADMITTED ITS FIRST PATIENT ON JUNE 25, 1890. OVER THE YEARS, POPULATION GROWTH IN THE NORTHERN VALLEY RESULTED IN SEVERE OVER-CROWDING, WHICH INDUCED A MAJOR NEW BUILDING PROGRAM IN 1923. IN 1925, THE HOSPITAL MOVED INTO WHAT IS NOW THE EAST WING. ENGLEWOOD HOSPITAL HAD GROWN TO A 200-BED HOSPITAL WITH LABORATORY, X-RAY FACILITIES, AN OPERATING SUITE, PEDIATRIC, MATERNITY AND OUTPATIENT DEPARTMENTS, INCLUDING A PUBLIC HEALTH NURSING SERVICE, AND A MEDICAL STAFF OF 30 DOCTORS INCLUDING SPECIALISTS IN EYE, EAR, NOSE AND THROAT, PEDIATRICS, SURGERY, RADIOLOGY AND LABORATORY. THROUGHOUT THE 1940S, THE HOSPITAL CONTINUED TO INTRODUCE NEW SERVICES NEEDED BY THE COMMUNITY OR AVAILABLE BECAUSE OF TECHNOLOGY. IT FORMALIZED THE RADIOLOGY DEPARTMENT, EQUIPPED WITH CURRENT TECHNOLOGY AND STARTED ITS "PLASMA BANK", BERGEN COUNTY'S FIRST BLOOD BANK FOR WHOLE BLOOD. IT ALSO ESTABLISHED GYNECOLOGICAL, BRONCHOSCOPY, GASTROSCOPY AND CARDIAC CLINICS. THE SPECIALIZATION TREND IN THE 1960S BRED A HOST OF NEW SERVICES, REFLECTING TECHNOLOGY ADVANCES IN EQUIPMENT AND PROCEDURES. AS THE MEDICAL AND CARING REPUTATION OF THE HOSPITAL GREW, SO DID ITS ROLE AS A TEACHING FACILITY; ITS NURSING SCHOOL WAS WELL ESTABLISHED, AND THE HOSPITAL NOW HAD INTERNSHIPS FOR DOCTORS AND DENTISTS, AND FOR CHAPLAINS. NEW PATIENT CARE PROGRAMS REFLECTED THE NEEDS OF THE 1970S: A NEUROSCIENCE CENTER, A DIABETES PROGRAM, A VASCULAR SURGERY PROGRAM AND A CHILD HEALTH CLINIC. A NEW CARDIOLOGY LABORATORY PROVIDED STRESS TESTING, ECHOCARDIOGRAPHY AND OTHER SOPHISTICATED SCREENINGS FOR CORONARY PATIENTS. A CRISIS INTERVENTION CENTER, A NEW BIRTHING CENTER AND A NETWORK OF SERVICES SUPPORTED THE NEW EMPHASIS ON "FAMILY". THE 1980S ALSO BROUGHT A NEW VOCABULARY OF SERVICES AND EQUIPMENT TO THE HOSPITAL. CAT SCAN, MRI, GENETIC COUNSELING, IMAGING, CATHETERIZATION, GERIATRICS, MAMMOGRAPHY, LAPAROSCOPY AND AMBULATORY SURGERY. THE DECADE ALSO INTRODUCED A NEW ARRAY OF ALTERNATIVE DELIVERY SYSTEMS THAT WOULD REQUIRE HOSPITALS ACROSS THE NATION TO CONTEND WITH DECREASING OCCUPANCY RATES AND RISING COSTS, AND WITH NEW DEFINITIONS OF QUALITY AND COMPETITIVENESS. AT THE CLOSE OF ITS FIRST CENTURY OF SERVICE, ENGLEWOOD HOSPITAL HAD GROWN TO 547 BEDS-THE LARGEST VOLUNTARY ACUTE CARE HOSPITAL IN BERGEN COUNTY AND THE THIRD LARGEST IN NEW JERSEY. ENGLEWOOD HOSPITAL WAS FULLY ACCREDITED AND ABOUT TO BECOME A MAJOR TEACHING HOSPITAL. A NURSING STAFF OF 725 AND MEDICAL STAFF OF 605 SERVED MORE THAN 18,000 ADMITTED PATIENTS AND NEARLY 46,000 EMERGENCY CASES. THERE WERE 13,000 OPERATIONS AND SOME 2,000 BABIES BORN. CLINIC VISITS EXCEEDED 14,000 AND THERAPY VISITS 26,000. HOME HEALTH NURSES MADE MORE THAN 26,000 VISITS. THE HOSPITAL'S WORKFORCE OF MORE THAN 2,700 MADE IT THE LARGEST EMPLOYER IN THE AREA. SUCH MASSIVE GROWTH SPURRED OTHER CHANGES, TOO. A GROWING EMPHASIS ON QUALITY, PATIENT WELFARE AND COMFORT LED TO THE DEVELOPMENT OF A PATIENT ADVOCACY PROGRAM-A MODEL FOR THE BERGEN COUNTY AREA. THE MEDICAL CENTER ALSO ESTABLISHED A DISCHARGE-PLANNING PROGRAM TO HELP EASE THE TRANSITION FROM HOSPITAL TO HOME. IN 1990, ENGLEWOOD HOSPITAL CELEBRATED ITS 100TH ANNIVERSARY. MEDICAL CENTER-BASED EFFORTS HELPED ENHANCE QUALITY AND MEASURE PERFORMANCE AS COMPARED TO OTHER ORGANIZATIONS. THE MEDICAL CENTER ALSO WORKED WITH OTHER STAKEHOLDERS ACROSS THE COUNTRY, SHARING INFORMATION AND IDEAS, AND PARTICIPATING IN IMPORTANT INITIATIVES SUCH AS TRANSFORMING CARE AT THE BEDSIDE AND 5 MILLION LIVES CAMPAIGN. CORPORATE STRUCTURE ENGLEWOOD HEALTHCARE FOUNDATION D/B/A/ ENGLEWOOD HEALTHCARE SYSTEM (THE "SYSTEM" OR "PARENT") IS A NEW JERSEY NONPROFIT CORPORATION, WHICH WAS ORGANIZED AS A 501(C)(3) TAX EXEMPT HOLDING CORPORATION. IT IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE MEDICAL CENTER AND THE OTHER SUBSIDIARIES OF THE PARENT. THE PARENT COORDINATES PLANNING, HOSPITAL OPERATIONS, REAL ESTATE ACTIVITY, AND SERVICES THAT SUPPORT FOR PROFIT VENTURES INCLUDING FUND RAISING PROVIDED BY THE SYSTEM AND ITS AFFILIATES. THE PARENT SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER, ENGLEWOOD HEALTHCARE PROPERTIES, INC., ("PROPERTIES"), ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. (THE "FOUNDATION") AND ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ("ENTERPRISES"); REFERRED TO COLLECTIVELY AS AFFILIATES ("AFFILIATES"), ENGLEWOOD MEDICAL ASSOCIATES, INC., IS A WHOLLY OWNED, 501(C)(3) NOT FOR PROFIT SUBSIDIARY OF THE MEDICAL CENTER. FOLLOWING IS A BRIEF DESCRIPTION OF EACH OF THE AFFILIATES OF THE PARENT OTHER THAN THE MEDICAL CENTER: ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, A NOT FOR PROFIT 501(C)(3) ORGANIZATION FOUNDED IN 1995, PERFORMS FUND RAISING AND DEVELOPMENT ON BEHALF OF THE SYSTEM AND ITS AFFILIATES. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ENGLEWOOD HEALTHCARE PROPERTIES, INC, A NOT FOR PROFIT 501(C)(3) COMPANY, WAS FORMED FOR THE PURPOSE OF ACQUIRING REAL ESTATE TO BE USED BY THE MEDICAL CENTER AND AFFILIATES OF THE SYSTEM. IT OWNS PROPERTIES IN BERGEN AND HUDSON COUNTIES. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A FOR PROFIT CORPORATION THAT PROVIDES HEALTHCARE RELATED SERVICES WITHIN THE MEDICAL CENTER'S SERVICE AREA. IT CURRENTLY MAINTAINS A MANAGEMENT SERVICE ORGANIZATION FOR THE PRACTICES OF ENGLEWOOD MEDICAL ASSOCIATES. ENGLEWOOD MEDICAL ASSOCIATES, INC. ENGLEWOOD MEDICAL ASSOCIATES, INC. ("EMA"), IS A 501(C)(3) NOT FOR PROFIT CORPORATION EMPLOYING FULL-TIME FACULTY PHYSICIANS. IT IS A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER.
...   GOVERNANCE THE AFFAIRS OF THE MEDICAL CENTER ARE GOVERNED BY A 28 MEMBER BOARD OF TRUSTEES. THE PRESIDENT OF THE MEDICAL CENTER AND THE PRESIDENT, VICE PRESIDENT AND IMMEDIATE PAST PRESIDENT OF THE MEDICAL STAFF SERVE EX OFFICIO WITH VOTING PRIVILEGES. THE BOARD OF TRUSTEES GENERALLY MEETS MONTHLY. COMMITTEES OF THE BOARD OF TRUSTEES COMMITTEES OF THE BOARD INCLUDE FACILITIES PLANNING, FINANCE, PERSONNEL, PROFESSIONAL AFFAIRS, AND STRATEGIC PLANNING. THE AUDIT AND COMPLIANCE, COMPENSATION, EXECUTIVE, INVESTMENT, GOVERNMENT AFFAIRS AND NOMINATING AND GOVERNANCE, ARE COMMITTEES OF THE SYSTEM. ENGLEWOOD HOSPITAL AND MEDICAL CENTER TODAY ENGLEWOOD HOSPITAL AND MEDICAL CENTER, A NON PROFIT ORGANIZATION, HAS CONTINUALLY RESPONDED TO THE NEEDS OF THE COMMUNITIES IT SERVES SINCE 1888. IT PROVIDES QUALITY HEALTHCARE TO AREA RESIDENTS AND FREQUENTLY TO PEOPLE FROM ACROSS THE NATION, ESPECIALLY THROUGH OUR BLOODLESS MEDICINE PROGRAM. ENGLEWOOD RECOGNIZES THE CONSTANT CHALLENGES OF DELIVERING QUALITY HEALTHCARE AND HAS DEVELOPED A CULTURE WHEREIN WE TREAT THE PATIENT, NOT JUST THE PATIENT'S ILLNESS. ENGLEWOOD HOSPITAL AND MEDICAL CENTER STRIVES TO BE THE REGIONAL LEADER IN PROVIDING STATE OF THE ART COMPASSIONATE CARE, IN A HUMANISTIC ENVIRONMENT. VISION STATEMENT ENGLEWOOD HOSPITAL AND MEDICAL CENTER WILL BE THE REGIONAL LEADER IN PROVIDING STATE-OF-THE-ART COMPASSIONATE CARE IN A HUMANISTIC ENVIRONMENT. THE MISSION OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS TO: PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES. EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS AMONG EMPLOYEES, MEDICAL STAFF AND COMMUNITY. -BE A CENTER OF EDUCATION AND RESEARCH, AS DEMONSTRATED BY ITS AFFILIATION WITH THE NEW YORK MOUNT SINAI SCHOOL OF MEDICINE. -PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. THE MEDICAL CENTER OPERATES AS A NON PROFIT ORGANIZATION, AND AS SUCH ANSWERS NOT TO SHAREHOLDERS, BUT TO THE COMMUNITIES IT SERVES. EXCESS OF REVENUE OVER EXPENSE IS RE-INVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, BUT ALSO TO MEET FUTURE PROGRAMMATIC NEEDS. ENGLEWOOD IS COMMITTED TO MEETING THE EXPECTATION OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE, AND THEREFORE MUST MAKE THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE MEDICAL CENTER OPERATES A MULTI DISCIPLINARY MEDICAL CLINIC SERVING THE INDIGENT AND MEDICAID POPULATION, PRIMARILY WITHIN ITS SERVICE AREA, BUT OPEN TO ANY RESIDENT OF THE STATE OF NEW JERSEY. ANNUALLY, A LITTLE MORE THAN 14,000 PATIENT VISITS ARE RECORDED IN THE CLINIC, AND MANY MORE INDIGENT AND UNDERINSURED PATIENTS ARE TREATED AS INPATIENTS. THE MEDICAL CENTER IS COMMITTED TO TREAT ALL PATIENTS REGARDLESS OF THEIR FINANCIAL ABILITY AND HAS IN PLACE A FORMAL CHARITY CARE POLICY; AS PER THIS POLICY THE MEDICAL CENTER WROTE OFF PATIENT CHARGES IN EXCESS OF $56.3 MILLION DOLLARS IN 2010. NOW IN ITS SECOND CENTURY OF SERVICE, ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS EVOLVED INTO A MAJOR MEDICAL AND ACADEMIC INSTITUTION, PROVIDING "WORLD CLASS MEDICINE IN A COMMUNITY SETTING." PROVIDING PRIMARY, SECONDARY AND TERTIARY CARE, ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS AN ACUTE CARE, COMMUNITY TEACHING HOSPITAL. IT IS THE FIRST NEW JERSEY AFFILIATE OF NEW YORK'S MOUNT SINAI SCHOOL OF MEDICINE AND IS A MEMBER OF THE MOUNT SINAI HEALTH SYSTEM. THROUGH ITS AFFILIATION WITH MOUNT SINAI SCHOOL OF MEDICINE, RESIDENTS IN SURGERY, ANESTHESIOLOGY, PEDIATRICS, AND PATHOLOGY, AS WELL AS CRITICAL CARE MEDICINE FELLOWS, ROTATE THROUGH ENGLEWOOD HOSPITAL AND MEDICAL CENTER. THE INSTITUTION ALSO MAINTAINS A FREESTANDING RESIDENCY PROGRAM IN MEDICINE, PODIATRY AND A FELLOWSHIP IN VASCULAR SURGERY. THE MEDICAL CENTER HOLDS MAGNET STATUS AWARDED TWICE (IN 2002 AND AGAIN IN 2006) BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) OF THE AMERICAN NURSES ASSOCIATION. THIS DESIGNATION SIGNIFIES NATIONAL ACKNOWLEDGEMENT OF HIGHEST NURSING STANDARDS. ENGLEWOOD IS ONE OF ONLY 294 HOSPITALS IN THE USA TO ACHIEVE MAGNET STATUS. AS A LEADER IN INNOVATIVE SERVICES, ENGLEWOOD HOSPITAL AND MEDICAL CENTER OFFERS A BROAD RANGE OF STATE-OF-THE-ART CLINICAL PROGRAMS. THESE INCLUDE: A NEW, WORLD-CLASS EMERGENCY CARE CENTER OPENED IN FALL 2009. HIGHLIGHTS OF THE 35,000 SQUARE FOOT CENTER INCLUDE 40 PRIVATE PATIENT ROOMS, FAST-TRACK TRIAGE AND TREATMENT FOR ADULTS AND CHILDREN, SPECIALIZED TREATMENT ROOMS FOR PEDIATRIC, BEHAVIORAL HEALTH AND TRAUMA PATIENTS, AND A DEDICATED 24/7 IMAGING SUITE. THE LESLIE SIMON BREAST AND CYTODIAGNOSIS CARE CENTER, IS ONE OF THE ONLY ALL-DIGITAL MAMMOGRAPHY CENTERS IN THE STATE AND IS THE ONLY HOSPITAL IN NEW JERSEY TO HOUSE AN AURORA DEDICATED BREAST MRI SYSTEM. A FEDERAL GRANT WAS AWARDED TO THE CENTER AS A NATIONAL MODEL FOR THE DIAGNOSIS AND MANAGEMENT OF BREAST CANCER. RECENTLY, THE CENTER WAS AWARDED A CENTER OF EXCELLENCE DESIGNATION FROM THE AMERICAN COLLEGE OF RADIOLOGY, AND ALSO BECAME THE FIRST AND ONLY ACCREDITED BREAST CENTER IN NEW JERSEY RECOGNIZED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HIGH-RISK CANCER ASSESSMENT PROGRAM OFFERS GENETIC COUNSELING TO PATIENTS CONCERNED WITH THEIR FAMILY HISTORY. THE INSTITUTE FOR PATIENT BLOOD MANAGEMENT AND BLOODLESS MEDICINE AND SURGERY, NOW IN ITS 16TH YEAR, IS A NATIONAL AND INTERNATIONAL RESEARCH, EDUCATION AND REFERRAL CENTER AND A WORLD-RECOGNIZED LEADER IN PATIENT BLOOD MANAGEMENT. IN 1997 THE INSTITUTE WAS SINGLED OUT AS A "HERO OF MEDICINE" BY TIME MAGAZINE. TODAY, 95% OF ALL ELECTIVE SURGERIES AT ENGLEWOOD HOSPITAL ARE PERFORMED TRANSFUSION-FREE. THE HEART AND VASCULAR INSTITUTE OF NEW JERSEY BRINGS TOGETHER IN ONE LOCATION NATIONALLY RECOGNIZED EXPERTS IN THE SPECIALTIES OF CARDIOTHORACIC SURGERY, VASCULAR SURGERY, CARDIOLOGY, AND INTERVENTIONAL CARDIOLOGY. THROUGH THIS MULTIDISCIPLINARY APPROACH, THE INSTITUTE IS ABLE TO TREAT THE PATIENT AS A WHOLE PERSON RESULTING IN A SUPERIOR LEVEL OF CARE. IN APRIL 2010, THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES ISSUED A REPORT "CARDIAC SURGERY IN NEW JERSEY 2007". FOR THE 4TH CONSECUTIVE YEAR, ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAD A 100% SURVIVAL RATE FOR PATIENTS WHO HAD UNDERGONE CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY WITH NO OTHER MAJOR SURGERY DURING THE SAME ADMISSION, I.E., ISOLATED CABG. THIS OUTCOME IS UNPRECEDENTED AMONG THE 18 NJ HOSPITALS THAT ARE LICENSED TO PERFORM THIS PROCEDURE. THE JOINT REPLACEMENT CENTER BRINGS TOGETHER A MULTIDISCIPLINARY TEAM OF MEDICAL PROFESSIONALS WHO ARE AT THE FOREFRONT OF MINIMALLY INVASIVE, ORTHOPEDIC SURGERIES. OUR KNEE AND HIP REPLACEMENT PROGRAMS HAVE DISEASE-SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION. THE VASCULAR CENTER AT THE MEDICAL CENTER INCLUDES DEDICATED, COMPREHENSIVE CARE CENTERS AND LABORATORIES INCLUDING LIMB SALVAGE CENTER, ENDOVASCULAR CENTER, VASCULAR LABORATORY, VEIN AND LYMPHEDEMA CENTER, WOUND CARE CENTER AND SURGICAL RESEARCH LABORATORY. THE VASCULAR INSTITUTE IS A MAJOR TEACHING SITE TRAINING SURGICAL RESIDENTS AND FELLOWS FROM OTHER MAJOR MEDICAL INSTITUTIONS. THE MEDICAL CENTER IS A PIONEER IN THE DIAGNOSIS AND TREATMENT OF STROKE AND WAS PART OF A SELECT GROUP OF FEWER THAN 150 HOSPITALS NATIONWIDE DESIGNATED AS A PRIMARY STROKE CENTER. THE WOUND HEALING CENTER HAS AN OVER 90% SUCCESS HEALING RATE FOR CHRONIC WOUNDS, RANKING OUR RESULTS AMONG THE BEST IN THE UNITED STATES. THE WOUND HEALING CENTER IS COMPRISED OF A TEAM OF PHYSICIANS AND NURSES WITH SPECIAL TRAINING AND EXPERTISE CHRONIC WOUND MANAGEMENT. THE PHYSICIAN TEAM IS COMPRISED OF VASCULAR AND PLASTIC SURGEONS, PODIATRISTS, AND ENDOCRINOLOGISTS. INFECTIOUS DISEASE, RHEUMATOLOGISTS AND ORTHOPEDIC SURGEONS ARE AVAILABLE FOR CONSULTATION. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S MODERNIZED FAMILY BIRTH PLACE OFFERS PATIENTS THE MOST COMPREHENSIVE RANGE OF SERVICES INCLUDING THE ENGLEWOOD-MOUNT SINAI OBSTETRICAL GENETICS CENTER; MATERNAL-FETAL MEDICINE AND A STATE-OF-THE-ART NEONATAL INTENSIVE CARE NURSERY.
PROGRAM SERVICE ACTIVITIES CONTINUED FORM 990, PART III, LINE 4A A BROAD RANGE OF WOMEN'S HEALTH SERVICES ARE AVAILABLE INCLUDING A BOARD CERTIFIED PERINATOLOGIST WHO HANDLES HIGH RISK PREGNANCIES AND BOARD CERTIFIED GYNECOLOGIC ONCOLOGISTS. THE FEMALE INCONTINENCE CENTER PROVIDES CARE AND ATTENTION FOR A CONCERN NOT OFTEN DISCUSSED. THE RADIOLOGY AND IMAGING DEPARTMENT FEATURES COMPREHENSIVE SERVICES AND THE MOST ADVANCED TECHNOLOGY - INCLUDING THREE SPIRAL CT SCANNERS, ONE 64 SLICE MULTI-DETECTOR CT, THREE 1.5 TESLA HIGH-FIELD MRI MACHINES, A BREAST MRI, 4-D ULTRASOUND IMAGING IN OUR ANTEPARTUM TESTING UNIT AND THE LATEST GENERATION COMBINATION PET/CT SCANNER FOR THE MOST SOPHISTICATED DIAGNOSTIC IMAGING IN CANCER CARE. THE COE RADIATION ONCOLOGY CENTER INCLUDES A DUAL-ENERGY LINEAR ACCELERATOR, THE SECOND AT OUR MEDICAL CENTER. WITH ITS STATE-OF-THE-ART MULTI-LEAF COLLIMATOR, PHYSICIANS CAN DELIVER EXTERNAL BEAM RADIATION WITH GREATER PRECISION AND AT HIGHER DOSES TO DESTROY CANCEROUS TUMORS, WHILE DECREASING THE DAMAGE TO SURROUNDING HEALTHY TISSUE. ENGLEWOOD HOSPITAL AND MEDICAL CENTER OFFERS A COMPREHENSIVE NETWORK OF PEDIATRICIANS AND PEDIATRIC SUB SPECIALISTS IN THE PEDIATRIC SPECIALTY CENTER. OTHER LEADING EDGE PROGRAMS INCLUDE THE CHEST PAIN EMERGENCY CENTER, THE CENTER FOR SLEEP AND CARDIOVASCULAR HEALTH, AND THE CENTER FOR PAIN MANAGEMENT. THE MEDICAL LIBRARY HOUSES ONE OF THE STATE'S LARGEST SELECTIONS OF SCIENTIFIC BOOKS AND JOURNALS. ITS MEDICAL CENTER OF LEARNING, WITH 400-SEAT AUDITORIUM, HAS ESTABLISHED THE INSTITUTION AS NORTHERN NEW JERSEY'S PREMIER LOCATION FOR MEDICAL AND EDUCATIONAL CONFERENCES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER WAS ACKNOWLEDGED RECENTLY BY SEVERAL PROMINENT HEALTHCARE ORGANIZATIONS FOR ITS SUPERIOR MEDICAL SERVICES AND ADVANCED TECHNOLOGY. AS A NATIONALLY ACCREDITED INSTITUTION, THE MEDICAL CENTER IS PLEASED TO ANNOUNCE THE FOLLOWING ACCREDITATIONS: MOST RECENTLY, ENGLEWOOD EARNED THE GOLD SEAL OF APPROVAL FOR STROKE CARE AND WAS AWARDED MEDICAL CENTER PRIMARY STROKE CENTER CERTIFICATION BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). ENGLEWOOD JOINS A SELECT GROUP OF FEWER THAN 150 HOSPITALS NATIONWIDE AS A PRIMARY STROKE CARE CENTER. THE MEDICAL CENTER'S VASCULAR LABORATORY HAS BEEN RECOGNIZED AS ONE OF A SELECT NUMBER OF VASCULAR LABORATORIES IN THE UNITED STATES, CANADA AND PUERTO RICO TO MEET THE NONINVASIVE VASCULAR TESTING STANDARDS OF THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES (ICAVL). THE VASCULAR LAB HAS BEEN CONTINUOUSLY ACCREDITED FOR THE LAST 13 YEARS. THE MEDICAL CENTER HAS RECEIVED TWO ACCREDITATIONS BY THE AMERICAN ASSOCIATION OF BLOOD BANKS (AABB). THE FIRST ENDORSEMENT ACKNOWLEDGES THE MEDICAL CENTER'S BLOOD TRANSFUSION SERVICES, SPECIFICALLY ITS EFFORTS IN THE SAFE HANDLING OF BLOOD AND BLOOD PRODUCTS. THE SECOND ACCREDITATION DISTINGUISHES THE MEDICAL CENTER'S PERIOPERATIVE BLOOD MANAGEMENT SERVICE, WHICH HELPS TO ELIMINATE TRANSFUSIONS IN THE OPERATING ROOM AND IS A DIRECT RESULT OF THE MEDICAL CENTER'S BLOODLESS MEDICINE AND SURGICAL PROGRAM. THROUGHOUT 2010, THE MEDICAL CENTER SPONSORED SEVERAL EXTERNAL SEMINARS AND HOSTED VISITING PHYSICIANS' SITE VISITS TO THE SOCIETY FOR THE ADVANCEMENT OF BLOOD MANAGEMENT. SINCE INCEPTION, THE BLOODLESS MEDICINE AND SURGICAL PROGRAM HAS TREATED PATIENTS FROM 40 STATES IN THE USA AND 42 COUNTRIES AROUND THE WORLD. THE MEDICAL CENTER'S DIAGNOSTIC ULTRA SOUND SERVICES HAVE BEEN ACCREDITED BY THE ULTRASOUND PRACTICE COUNCIL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE (AIUM) FOR ITS SUCCESSFUL COMPLETION OF A VOLUNTARY APPLICATION AND REVIEW PROCESS WHICH INCLUDED A REVIEW OF THE FACILITY, ITS PHYSICIANS AND SONOGRAPHERS. THE MEDICAL CENTER'S PRENATAL ULTRASOUND SERVICES HAVE BEEN AIUM ENDORSED SINCE 1999. THE AMERICAN COLLEGE OF RADIOLOGY HAS ENDORSED THE FOLLOWING DIAGNOSTIC SERVICES: RADIOLOGY, CT, MRI, ULTRASOUND, BREAST ULTRASOUND, MAMMOGRAPHY, FINE NEEDLE ASPIRATION AND MAMMOTOME BIOPSY. OTHER RECENT OFFICIAL RECOGNITIONS INCLUDE: -LABORATORY ACCREDITATION BY THE AMERICAN COLLEGE OF PATHOLOGY -PHARMACY PRACTICE RESIDENCY PROGRAM ACCREDITATION BY THE AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS -NUCLEAR CARDIOLOGY ACCREDITATION BY THE ICANL AS A COMMUNITY TEACHING HOSPITAL, ENGLEWOOD HOSPITAL AND MEDICAL CENTER IS COMMITTED TO ITS ROLE AS AN EDUCATOR AS WELL AS A HEALER. IT FIRMLY BELIEVES THAT INFORMED PATIENTS MAKE BETTER HEALTHCARE DECISIONS. EACH ONE OF THE PROGRAMS ESTABLISHED BY THE MEDICAL CENTER ENSURES OUR COMMUNITY MEMBERS STAY ABREAST OF THE CURRENT HEALTHCARE ISSUES AND TREATMENTS.
DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 BOARD MEMBERS, MR. JAY NADEL AND MR. RICHARD KURTZ HAVE A BUSINESS RELATIONSHIP. MR. DANIEL RUBIN IS A TRUSTEE OF AN ENTITY THAT HAS A BUSINESS RELATIONSHIP WITH ENGLEWOOD HOSPITAL AND MEDICAL CENTER. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 ENGLEWOOD HEALTHCARE SYSTEM IS THE SOLE MEMBER OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO: A)VOTE IN THE ELECTION OF TRUSTEES AND TO CAST ONE VOTE FOR EACH TRUSTEE ELECTED; B)ONE VOTE ON ALL OTHER MATTERS TO BE VOTED ON. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B ENGLEWOOD HEALTHCARE SYSTEM, SOLE MEMBER, HAS THE RIGHTS AND POWERS TO APPROVE: A)AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS, B)SALE, LEASE OR EXCHANGE OF SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS, C)MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION, D)DISSOLUTION, E)APPROVAL OF THE ANNUAL BUDGET, E)ANY SUBSTANTIAL TRANSFER OF FUNDS BY GRANT, GIFT OR LOAN, F)ANY OTHER MATTER THAT BY LAW REQUIRES THE APPROVAL OF THE MEMBER. DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B AT THE OCTOBER MEETING OF ENGLEWOOD HEALTHCARE SYSTEM, THE PARENT COMPANY OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER, FORM 990 WAS REVIEWED WITH ALL MEMBERS; PRESENTATION WAS MADE BY SENIOR MANAGEMENT AS WELL AS BY THE ORGANIZATION'S EXTERNAL AUDIT FIRM/PREPARER OF FORM 990. QUESTIONS AND ANSWERS ENSUED. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS CONFLICT OF INTEREST POLICIES THAT APPLY TO OFFICERS, DIRECTORS AND TRUSTEES. ENGLEWOOD HOSPITAL AND MEDICAL CENTER'S NOMINATING AND GOVERNANCE COMMITTEE OF ITS BOARD OF TRUSTEES REVIEWS CONFLICT OF INTEREST STATEMENTS. IF ANY MATTER IS BROUGHT TO THE BOARD IN SUCH A WAY AS TO GIVE RISE TO A CONFLICT OF INTEREST, THE AFFECTED TRUSTEE SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER DISCLOSED BY THE TRUSTEE'S WRITTEN STATEMENT OR NOT, AND AFTER ANSWERING ANY QUESTIONS THAT MIGHT BE ASKED, SHALL WITHDRAW FROM THE MEETING FOR SO LONG AS THE MATTER SHALL CONTINUE UNDER DISCUSSION, AND SHALL BE ALLOWED NO VOTE ON THE MATTER. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A AND 15B ENGLEWOOD HOSPITAL AND MEDICAL CENTER HAS A STANDING EXECUTIVE COMPENSATION COMMITTEE THAT MEETS THREE TO FIVE TIMES PER YEAR TO REVIEW MANAGEMENT'S PERFORMANCE AND APPROVE THEIR COMPENSATION LEVELS. REVIEW CRITERIA INCLUDES, BUT IS NOT LIMITED TO, OPERATING RESULTS, PERSONAL AND INSTITUTIONAL OBJECTIVES, ETC. THE COMMITTEE ALSO ENGAGES AN INDEPENDENT FIRM TO ASSESS COMPETITIVE COMPENSATION WITHIN THE LOCAL AREA COMMENSURATE WITH EXPERIENCE AND RESPONSIBILITY. FINALLY, DATA IS GATHERED FROM SEVERAL SOURCES REFLECTING LOCAL MARKET RATES AND COMPENSATION LEVELS FOR SIMILAR POSITIONS. THE REVIEW PROCEDURE WAS LAST PERFORMED IN MAY, 2010. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 ENGLEWOOD HOSPITAL AND MEDICAL CENTER COMPLIES WITH ALL GOVERNMENT REQUIREMENTS RELATING TO THE DISCLOSURE OF THESE ITEMS. FINANCIAL INFORMATION IS AVAILABLE PUBLICLY VIA THE REQUIRED SUBMISSION OF DATA TO THE INTERNAL REVENUE SERVICE AND THE NEW JERSEY STATE ATTORNEY GENERAL'S OFFICE. REQUESTS FROM THE PUBLIC FOR ADDITIONAL INFORMATION ARE HANDLED ON A CASE-BY-CASE BASIS. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 UNREALIZED GAIN ON INVESTMENT (105,175) CHANGE IN PENSION LIABILITY (6,980,246) CHANGE IN INTEREST IN EHMCF 1,893,374 RESTATEMENT OF AFS (2,400,573) ---------- TOTAL (7,592,621)
BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV NAME: ENGLEWOOD PATHOLOGISTS, PA RELATIONSHIP: MIGUEL SANCHEZ, MD, TRUSTEE, IS A PRINCIPAL OF ENGLEWOOD PATHOLOGISTS, PA AMOUNT: $ 447,727 DESCRIPTION: COMPENSATION PAID TO UNRELATED ENTITY WAS FOR PHYSICIAN SERVICES PROVIDED IN THE HOSPITAL'S LABORATORY. NAME: NORTHERN VALLEY ANESTHESIOLOGY RELATIONSHIP: ARYEH SHANDER, MD, TRUSTEE, IS A PRINCIPAL OF NORTHERN VALLEY ANESTHESIOLOGY AMOUNT: $ 2,160,683 DESCRIPTION: COMPENSATION PAID TO THE UNRELATED ENTITY WAS FOR PHYSICIAN SERVICES NAME: PATRICIA DURKIN RELATIONSHIP: PATRICIA DURKIN IS THE SISTER-IN-LAW OF ANDREW F. DURKIN, TRUSTEE. SHE IS EMPLOYED AS A MAMMOGRAPHY TECHNOLOGIST BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER AMOUNT: $ 64,786 DESCRIPTION: EMPLOYMENT. NAME: THOMAS SANCHEZ RELATIONSHIP: THOMAS SANCHEZ IS THE SON OF MIGUEL SANCHEZ, TRUSTEE. HE IS EMPLOYED AS A TRADES HELPER BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER AMOUNT: $ 27,231 DESCRIPTION: EMPLOYMENT. NAME: JENNIFER SHANKS RELATIONSHIP: JENNIFER SHANKS IS THE DAUGHTER OF DAVID SHANKS, TRUSTEE. SHE IS EMPLOYED AS A REGISTERED NURSE BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER AMOUNT: $ 10,262 DESCRIPTION: EMPLOYMENT. NAME: NOAH SHANDER RELATIONSHIP: NOAH SHANDER IS THE SON OF TRUSTEE ARYEH SHANDER. HE IS EMPLOYED AS A PURCHASING ASSISTANT BY ENGLEWOOD HOSPITAL AND MEDICAL CENTER. AMOUNT: $ 10,206 DESCRIPTION: EMPLOYMENT.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLAS A DUCHAK TITLE:PRESIDENT/SECRETARY/CEO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAY C NADEL TITLE:CHAIRMAN HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS C SENTER ESQ TITLE:VICE CHAIRMAN HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT F. MANGANO TITLE:TREASURER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANDREW F DURKIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDDIE R HADDEN ESQ TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARGARET R KAPLEN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD J KURTZ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK METZGER TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL RUBIN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MIGUEL A SANCHEZ MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS J VOLPE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY T ORLANDO TITLE:SENIOR VICE PRESIDENT/ CFO HOURS:1
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
 
Employer identification number

22-1487173
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ENGLEWOOD HOSPITAL & MEDICAL CTR FDTN

350 ENGLE STREET

ENGLEWOOD,NJ07631
22-3367281 		FUNDRAISING NJ 501(C)(3) 7 EHS
 
 
 
(2) ENGLEWOOD HEALTHCARE PROPERTIES INC

350 ENGLE STREET

ENGLEWOOD,NJ07631
22-2943092 		PROPERTY ACQ. NJ 501(C)(2)   EHS
 
 
 
(3) ENGLEWOOD MEDICAL ASSOCIATES INC

350 ENGLE STREET

ENGLEWOOD,NJ07631
22-3446625 		PHYSICIAN SVC NJ 501(C)(3) 11, TYPE I EHMC
 
 
 
(4) ENGLEWOOD HEALTHCARE SYSTEM

350 ENGLE STREET

ENGLEWOOD,NJ07631
22-2749097 		HLTH ACTIVITY NJ 501(C)(3) 11, TYPE II NA
 
 
 






For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) ENGLEWOOD HEALTHCARE ENTERPRISES INC
350 ENGLE STREET
ENGLEWOOD,NJ07631
22-2872393 		MEDICAL SERVICES NJ NA
  		C CORP      












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ENGLEWOOD HOSPITAL & MEDICAL CTR FOUNDATION

 N 655,360  
(2) ENGLEWOOD HOSPITAL & MEDICAL CTR FOUNDATION

 P 1,497,242  
(3) ENGLEWOOD HOSPITAL & MEDICAL CTR FOUNDATION

 C 2,950,311  
(4) ENGLEWOOD HEALTHCARE ENTERPRISES

 I 100,000  
(5) ENGLEWOOD HEALTHCARE ENTERPRISES

 P 207,834  
(6) ENGLEWOOD MEDICAL ASSOCIATES

 P 1,625,058  
(7) ENGLEWOOD MEDICAL ASSOCIATES

 Q 6,972,469  
(8) ENGLEWOOD HEALTHCARE PROPERTIES

 I 58,895  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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