Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS CONSIST OF NEW JERSEY HOSPITALS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TRUSTEES ARE ELECTED BY MEMBER HOSPITALS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE AND MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BOARD VIA SECURE WEBLINK BEFORE IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | IN ACCORDANCE WITH THE NJHA "CODE OF CONDUCT", ALL EMPLOYEES ARE REQUIRED TO REPORT ANY "CONFLICTS OF INTEREST" (WHICH INCLUDES FAMILIAL OR BUSINESS RELATIONSHIPS WITH OTHER NJHA EMPLOYEES) TO THE NJHA COMPLIANCE OFFICER AND THEIR SUPERVISOR. THIS IS DONE ON A "SELF DISCLOSURE INCIDENT REPORTING FORM". ALL EMPLOYEES ARE REQUIRED TO ACKNOWLEDGE THEIR UNDERSTANDING OF THIS POLICY, IN WRITING, ON AN ANNUAL BASIS AS PART OF THEIR ANNUAL REVIEW PROCESS. ALL EMPLOYEES MUST ALSO ATTEND A MANDATORY "COMPLIANCE TRAINING" SESSION ANNUALLY. ADDITIONALLY, TRUSTEES MUST ALSO COMPLETE A "CONFLICT OF INTEREST" FORM ANNUALLY, DISCLOSING ANY POTENTIAL CONFLICTS. NJHA ALSO USES A "1-800" HOTLINE FOR CODE OF CONDUCT VIOLATIONS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | OUTSIDE COMPENSATION CONSULTANTS ROUTINELY REVIEW TOTAL COMPENSATION FOR THE CEO, CFO AND OTHER SENIOR MANAGEMENT PERSONNEL WITH THE EXECUTIVE COMPENSATION COMMITTEE. OTHER MEMBERS OF UPPER MANAGEMENT ARE PERIODICALLY REVIEWED AND ASSESSED USING DATA OBTAINED VIA PUBLISHED SURVEYS AND OTHER EXTERNAL MARKET DATA, INTERNAL EQUITY CONCERNS AND RELATIVE PERFORMANCE. | |
| FORM 990, PART VI, SECTION C, LINE 18 | A SIGNED COPY OF THE FORM 990 AND SUPPLEMENTAL SCHEDULES WILL BE PROVIDED TO GUIDESTAR FOR POSTING ON THEIR WEBSITE SO IT IS AVIALABLE FOR PUBLIC INSPECTION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | NJHA'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. NJHA'S CERTIFICATE OF INCORPORATION IS AVAILABLE THROUGH THE SECRETARY OF STATE'S OFFICE. | |
| FORM 990, PART VII, SECTION A, LINE 1, COLUMN (B): | TRUSTEES OF THE ORGANIZATION MEET APPROXIMATELY SIX TIMES A YEAR. ON A WEEKLY BASIS, THE AMOUNT OF TIME FOR THIS SERVICE IS NOMINAL. THEREFORE, ZERO HOURS ARE REPORTED. | |
| FORM 990, PART VII, SECTION A, LINE 1, COLUMN (B): | CERTAIN BOARD MEMBERS, ELIZABETH RYAN, DAVID LAVINS AND CYNTHIA SORG ARE ALSO EMPLOYEES OF THE ORGANIZATION OR RELATED ORGANIZATION AND ARE BEING COMPENSATED AS SUCH, NOT FOR SERVICES RENDERED AS A BOARD MEMBER. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 360,614. MINIMUM PENSION LIABILITY ADJUSTMENT 208,559. EQUITY EARNINGS OF SUBSIDIARY 1,413,859. TOTAL TO FORM 990, PART XI, LINE 5: 1,983,032. |
| FORM 990, PART XII, LINE 2C: | PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. |
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