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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
NEW JERSEY ORGAN AND TISSUE SHRG NTWK
Employer identification number
22-2490603
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(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) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(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
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
313,554
190,694
205,188
207,669
300,000
1,217,105
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......
26,520,574
29,749,937
31,388,305
31,747,748
32,522,321
151,928,885
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.
26,834,128
29,940,631
31,593,493
31,955,417
32,822,321
153,145,990
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
20,150
0
0
0
20,150
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..
20,150
0
0
0
20,150
8
Public Support (Subtract line 7c from line 6.)
153,125,840
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
26,834,128
29,940,631
31,593,493
31,955,417
32,822,321
153,145,990
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
160,154
74,805
19,044
3,634
2,071
259,708
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
160,154
74,805
19,044
3,634
2,071
259,708
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.).
26,994,282
30,015,436
31,612,537
31,959,051
32,824,392
153,405,698
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
99.818 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
99.692 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0.169 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
0.283 %
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
NEW JERSEY ORGAN AND TISSUE SHRG NTWK
Employer identification number
22-2490603
Identifier
Return Reference
Explanation
COMMUNITY BENEFIT STATEMENT
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
HISTORY AND MISSION =================== NEW JERSEY ORGAN AND TISSUE SHARING NETWORK, INC. ("NJ SHARING NETWORK") IS THE FEDERALLY DESIGNATED, NON-PROFIT ORGAN PROCUREMENT ORGANIZATION (OPO) THAT SERVES MOST OF THE STATE OF NEW JERSEY. NJ SHARING NETWORK IS RESPONSIBLE FOR THE RECOVERY OF ORGANS AND TISSUE FOR THE NEARLY 5,000 NEW JERSEY RESIDENTS CURRENTLY WAITING FOR A TRANSPLANT AND IS PART OF THE NATIONAL RECOVERY SYSTEM, WHICH IS IN PLACE FOR THE OVER 110,000 PEOPLE ON THE NATIONAL WAITING LIST. THE ORGANIZATION IS AN INDEPENDENT OPO AND TISSUE TYPING LABORATORY. FOUNDED IN 1987, THROUGH THE CONSOLIDATION OF THREE HOSPITAL-BASED OPOS, NJ SHARING NETWORK SERVES APPROXIMATELY 6.2 MILLION RESIDENTS IN NORTHERN AND CENTRAL NEW JERSEY, INCLUDING THE CITY OF CAMDEN, NJ. NJ SHARING NETWORK IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN IRC CODE SECTION 501(C)(3) NONPROFIT, TAX-EXEMPT ORGANIZATION. NJ SHARING NETWORK IS GOVERNED BY A 13 PERSON GOVERNING BOARD OF TRUSTEES WITH MEMBERS OF NON-TRANSPLANT HOSPITAL AND PUBLIC BACKGROUNDS AND A 20 PERSON ADVISORY BOARD OF TRUSTEES. THE ADVISORY BOARD IS MADE UP OF A REPRESENTATIVE OF EACH TRANSPLANT HOSPITAL IN NJ SHARING NETWORK'S DONATION SERVICE AREA (SAINT BARNABAS MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY - NEWARK, HACKENSACK UNIVERSITY MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, AND OUR LADY OF LOURDES MEDICAL CENTER), A REPRESENTATIVE FROM A TISSUE BANK, A VOLUNTARY HEALTH ORGANIZATION, A REPRESENTATIVE FROM AN INTENSIVE CARE UNIT OR EMERGENCY ROOM, A MEMBER OF THE GENERAL PUBLIC, A NEUROSURGEON, ORGAN DONOR FAMILY MEMBER, A REPRESENTATIVE WITH KNOWLEDGE AND SKILLS IN THE FIELD OF HUMAN HISTOCOMPATIBILITY, AND A HOSPITAL ADMINISTRATOR. NJ SHARING NETWORK IS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND HOLDS A CERTIFICATE OF NEED ISSUED BY THE NEW JERSEY DEPARTMENT OF HEALTH FOR THE RECOVERY AND ALLOCATION OF HUMAN ORGANS AND TISSUES FOR TRANSPLANTATION. THE ORGANIZATION OPERATES A 24/7 CLINICAL LABORATORY THAT PROVIDES HLA TISSUE TYPING. THE LABORATORY IS LICENSED BY BOTH THE NEW JERSEY AND NEW YORK DEPARTMENTS OF HEALTH AND IS ASHI AND CLIA ACCREDITED. NJ SHARING NETWORK IS ACCREDITED BY THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO). THE ORGANIZATION ADHERES TO BOTH FDA AND CMS REGULATORY REQUIREMENTS. MISSION, VISION, AND VALUES =========================== THROUGH ORGAN AND TISSUE DONATION AND TRANSPLANTATION, NJ SHARING NETWORK SAVES LIVES, GIVES HOPE, AND RESTORES PHYSICAL FUNCTION. THE ORGANIZATION IS ALSO DEDICATED TO EDUCATING THE PUBLIC ABOUT THE BENEFITS OF DONATION AND TRANSPLANTATION AND SUPPORTS BOTH DONOR FAMILIES AND RECIPIENTS. NJ SHARING NETWORK EMPLOYEES ADHERE TO A VALUE BASED STANDARD OF CONDUCT THAT APPROPRIATELY REFLECTS THE TRUST, PASSION AND VISION ALL EMPLOYEES MUST EMBODY IN ORDER TO SERVE DONOR FAMILIES AND THOSE WHO WAIT FOR A LIFE SAVING TRANSPLANT. WHAT WE DO ========== SINCE BEING FOUNDED IN JUNE 1987, NJ SHARING NETWORK HAS MORE THAN QUADRUPLED THE TOTAL NUMBER OF ORGANS RECOVERED FOR TRANSPLANT IN NEW JERSEY. NJ SHARING NETWORK ALSO RECOVERS TISSUE FOR LIFE-ENHANCING TRANSPLANTS. THE ORGANIZATION CONTINUES TO EDUCATE RESIDENTS OF NEW JERSEY THROUGH THE HIGH SCHOOL HEROES PROGRAM WHICH TEACHES STUDENTS IN ALL PUBLIC HIGH SCHOOLS IN GRADES 9-12 ABOUT THE IMPORTANCE OF ORGAN AND TISSUE DONATION. THERE ARE MANY OTHER EDUCATION TOOLS AND OUTREACH THROUGH MAINSTREAM MEDIA THAT INFORM THE GENERAL PUBLIC ABOUT THE OPTION TO DONATE AND OF THE BENEFITS OF TRANSPLANTATION. NEW JERSEY IS A FIRST PERSON AUTHORIZATION STATE, WHICH MEANS THAT ONCE A PERSON MAKES THE DECISION THAT THEY WOULD LIKE TO BE A DONOR AT THE MOTOR VEHICLE AGENCY OR THROUGH THE ON-LINE REGISTRY THAT WISH IS HONORED IF THEY DIE IN A MANNER THAT WOULD ALLOW THEM TO BE A DONOR. NJ SHARING NETWORK SUPPORTS THE AUTONOMY OF THE PERSON MAKING THE DECISION AND MAKES IT A PRIORITY TO HONOR THEIR WISH. OVER THE PAST TWENTY FOUR YEARS, NJ SHARING NETWORK HAS SPEARHEADED A NUMBER OF STATE AND FEDERAL CAMPAIGNS TO MAXIMIZE ACCESS TO ORGAN TRANSPLANTS FOR NEW JERSEY CITIZENS. WITH THE ENACTMENT OF THE HERO ACT ON JULY 22, 2008, NEW JERSEY BECAME THE FIRST STATE IN THE UNION TO ADVOCATE THAT ITS RESIDENTS HAVE THE FUNDAMENTAL RESPONSIBILITY TO CHOOSE WHETHER TO HELP SAVE ANOTHER PERSON'S LIFE. THE STATE'S PUBLIC POLICY TOWARD ORGAN AND TISSUE DONATION MOVED FROM A POSITION OF GENERAL SUPPORT TO A POSITION OF ADVOCACY THAT ENCOURAGES POSITIVE DONATION DECISIONS AS IMPERATIVE TO SAVING MORE LIVES. THE HERO ACT WAS DESIGNED TO CREATE A MORE DYNAMIC AND COMPREHENSIVE PUBLIC POLICY REGARDING ORGAN AND TISSUE DONATION. NJ SHARING NETWORK OFFERS A DONOR FAMILY SUPPORT DEPARTMENT, WHICH PROVIDES CARE DURING AND AFTER A DONOR FAMILY'S ACTIVE HOSPITAL EXPERIENCE. THE DEPARTMENT ALSO ADDRESSES UNIQUE ISSUES RELATED TO SEEKING CONSENT FOR ORGAN AND TISSUE DONATION. NJ SHARING NETWORK ENLISTS A LARGE BASE OF VOLUNTEERS. THESE VOLUNTEERS ARE THE AMBASSADORS FOR THE ORGANIZATION AS THEY EDUCATE THE PUBLIC AND ENCOURAGE THEM TO REGISTER TO BECOME ORGAN AND TISSUE DONORS. OUR TRANSPLANT LABORATORY IS A FULLY ACCREDITED "STATE OF THE ART" FACILITY PERFORMING HISTOCOMPATIBILITY TESTING OF ORGAN DONORS AND RECIPIENTS. THE LABORATORY ALSO PLAYS A CRITICAL ROLE IN THE PRE AND POST-TRANSPLANT EVALUATION, AND SUCCESSFUL TRANSPLANTATION OF HIGHLY SENSITIZED INDIVIDUALS WHO WOULD BE DIFFICULT TO TREAT UNDER GENERAL CONDITIONS. MAINTAINED BY A HIGHLY TRAINED STAFF, THE LABORATORY CONTINUES TO PLAY A KEY ROLE IN COMPLETING THE CIRCLE OF LIFE. TO DATE, THE LAB IS CREDITED WITH SAVING THE LIVES OF OVER 8,000 NEW JERSEY RESIDENTS. CONTACT AND INFORMATION ======================== FOR FURTHER INFORMATION OR TO REGISTER TO BECOME A DONOR IN NEW JERSEY, PLEASE VISIT WWW.NJSHARINGNETWORK.ORG OR CALL 1-800-742-7365.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
CORE FORM, PART III; LINE 4D
EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTH CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATION
CORE FORM, PART VI, SECTION A; QUESTION 6 & 7
SHARING NETWORK MANAGEMENT COMPANY, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION. SHARING NETWORK MANAGEMENT COMPANY, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION
CORE FORM, PART VI, SECTION B; QUESTION 11B
THE ORGANIZATION IS AN AFFILIATE IN THE SHARING NETWORK MANAGEMENT COMPANY, INC. AND SUBSIDIARIES ("NETWORK"); A TAX-EXEMPT HEALTHcARE RELATED NETWORK. SHARING NETWORK MANAGEMENT COMPANY, INC. IS THE PARENT ENTITY OF THE NETWORK. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE IRS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
DISCLOSURE INFORMATION
CORE FORM, PART VI, SECTION B; QUESTION 12
THE ORGANIZATION IS AN AFFILIATE IN THE SHARING NETWORK MANAGEMENT COMPANY, INC. AND SUBSIDIARIES NETWORK ("NETWORK"). THE ORGANIZATION AND THE NETWORK REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE NETWORK'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER, IF APPLICABLE, THE NETWORK'S CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. IF APPLICABLE, THE PRESIDENT/CEO AND CHIEF COMPLIANCE OFFICER PRESENT THIS SUMMARY TO THE ORGANIZATION'S EXECUTIVE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION
CORE FORM, PART VI, SECTION B; QUESTION 15
THE ORGANIZATION'S BOARD OF TRUSTEES REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF TRUSTEES REVIEWS THE "TOTAL COMPENSATION" OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE REVIEW BY THE BOARD OF TRUSTEES IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE BOARD OF TRUSTEES RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE BOARD OF TRUSTEES OBTAINED INDEPENDENT SALARY SURVEY INFORMATION AND REVIEWED FORMS 990 OF SIMILAR ORGANIZATIONS THROUGHOUT THE UNITED STATES. THIS INCLUDED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED ORGANIZATIONS AND NET PATIENT SERVICE REVENUE. THE COMPENSATION AND BENEFITS OF OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S VICE PRESIDENT OF HUMAN RESOURCES IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. THE ORGANIZATION MAINTAINS A PERFORMANCE MANAGEMENT SYSTEM FOR ANNUAL REVIEWS; THE PERFORMANCE MANAGEMENT SYSTEM TRACKS JOB DESCRIPTIONS, LEVELS AND HIGHEST AND LOWEST COMPENSATION INFORMATION FOR VARIOUS POSITIONS AND LEVELS. THE PERFORMACE MANAGEMENT SYSTEM WAS IMPLEMENTED WITH THE ASSISTANCE OF A MAJOR CONSULTING FIRM WITH EXPERTISE IN THIS AREA.
DISCLOSURE INFORMATION
CORE FORM, PART VI, SECTION C; QUESTION 19
THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
RELATED HOURS DISCLOSURE
CORE FORM, PART VII, SECTION A, COLUMN B
THIS ORGANIZATION IS AN AFFILIATE IN THE SHARING NETWORK MANAGEMENT COMPANY, INC. AND SUBSIDIARIES NETWORK ("NETWORK"); A TAX-EXEMPT HEALTHCARE RELATED NETWORK. THE NETWORK INCLUDES THREE NOT FOR-PROFIT ORGANIZATIONS AND ONE FOR-PROFIT ORGANIZATION. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION.
AUDITED FINANCIAL STATEMENTS
CORE FORM, PART XII; QUESTION 2
AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE TAXPAYER FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY, AND ISSUED A CERTIFIED AUDITED FINANCIAL STATEMENT. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE TAXPAYERS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT AUDITOR. IN ADDITION, THE TAXPAYER IS AN AFFILIATE IN A TAX-EXEMPT, HEALTHCARE RELATED NETWORK. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.