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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
30 PROSPECT AVENUE
Suite
Room/suite
City or town, state or country, and ZIP + 4
HACKENSACK, NJ07601
D Employer identification number

22-1487576
E Telephone number

G Gross receipts $ 1,397,178,531
F Name and address of principal officer:
ROBERT C GARRETT
30 PROSPECT AVENUE
HACKENSACK,NJ07601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HACKENSACKUMC.ORG
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: THE ORGANIZATION IS A TEAM COMMITTED TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE THROUGH QUALITY PATIENT-CENTERED CARE, EDUCATION, RESEARCH, AND COMMUNITY OUTREACH.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 25
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 20
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 7,910
6 Total number of volunteers (estimate if necessary) ............. 6 1,592
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 13,827,867
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -157,317
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 26,481,071 11,491,906
9 Program service revenue (Part VIII, line 2g) ......... 1,154,572,301 1,184,677,409
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,006,017 9,102,333
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 15,969,946 17,315,970
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,206,029,335 1,222,587,618
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 171,970 297,745
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) 562,273,592 612,430,491
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–24e).... 582,351,044 515,866,023
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,144,796,606 1,128,594,259
19 Revenue less expenses. Subtract line 18 from line 12....... 61,232,729 93,993,359
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,416,651,577 1,451,813,137
21 Total liabilities (Part X, line 26)............. 907,119,940 989,273,044
22 Net assets or fund balances. Subtract line 21 from line 20..... 509,531,637 462,540,093
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 Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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: THE ORGANIZATION IS A TEAM COMMITTED TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE THROUGH QUALITY PATIENT-CENTERED CARE, EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S CHARITY CARE COMMUNITY BENEFIT STATEMENT.
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 132,640,774 including grants of $ 0 ) (Revenue $ 98,462,527 )
EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT AND FRINGE BENEFITS) INCURRED IN PROVIDING PHARMACEUTICAL SERVICES AND PHARMACEUTICALS, INCLUDING CHEMOTHERAPY DRUGS, TO ALL INDIVIDUALS REGARDLESS RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S CHARITY CARE COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 93,395,844 including grants of $ 0 ) (Revenue $ 351,476,168 )
EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT AND FRINGE BENEFITS) INCURRED IN PROVIDING ACUTE CARE SERVICES, INCLUDING MEDICAL SURGICAL, PEDIATRIC AND NEWBORN FLOOR UNITS, TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY PAY. DURING 2012 THE ORGANIZATION REGISTERED 236,287 CASES AND 45,322 PATIENT DAYS OF ACUTE CARE SERVICES NET OF SAME DAY SURGERY AND SAME DAY MEDICAL. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S CHARITY CARE COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 89,606,301 including grants of $ 0 ) (Revenue $ 130,348,197 )
EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT AND FRINGE BENEFITS) INCURRED IN PROVIDING OPERATING ROOM SERVICES, INCLUDING INPATIENT AND OUTPATIENT CARDIAC, PLASTIC SURGERY, TRAUMA, PEDIATRIC AND AMBULATORY SURGERY, TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2012 THE ORGANIZATION REGISTERED 12,532 INPATIENT AND 19,983 OUTPATIENT SURGICAL OPERATIONS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S CHARITY CARE COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 585,044,214 including grants of $ 297,745 ) (Revenue $ 612,410,192 )
4e Total program service expensesMediumBullet900,687,133
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
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, line 10?
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 VIIClick 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 VIIIClick to see attachment.......
11c
Yes
 
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 IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick 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 XClick 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 and XII 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 and XII 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
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
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 United States? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
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 United States? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
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 (see instructions)....
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
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization 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
Yes
 
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
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
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, highest 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect 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
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
802
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
7,910
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
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
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, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
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 as charitable contributions?...
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
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
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.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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
25
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
20
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ , NY
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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletROBERT L GLENNING30 PROSPECT AVENUEHACKENSACKNJ07601 (551) 996-3365
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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) JOSEPH M SANZARI........................................................................
CHAIRMAN - GOVERNOR
10.0
.......................  
X   X       2,025 0 0
(2) LAWRENCE R INSERRA JR........................................................................
1ST VICE CHAIR - GOVERNOR
5.0
.......................  
X   X       0 0 0
(3) JUSTICE MARIE L GARIBALDI........................................................................
2ND VICE CHAIR - GOVERNOR
5.0
.......................  
X   X       0 0 0
(4) ANTHONY C TACCETTA JR........................................................................
TREASURER - GOVERNOR
5.0
.......................  
X   X       0   0
(5) JAMES R BEATTIE ESQ........................................................................
SECRETARY - GOVERNOR
5.0
.......................  
X   X       0 0 0
(6) PAUL E KOVATIS MD........................................................................
ASSISTANT TREASURER - GOVERNOR
5.0
.......................  
X   X       0 0 0
(7) RICHARD W HENNING........................................................................
ASSISTANT SECRETARY - GOVERNOR
5.0
.......................  
X   X       0 0 0
(8) IGNAZIO CANGIALOSI........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(9) WILLIAM CRANE........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(10) J FLETCHER CREAMER JR........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(11) FRANK DECONGELIO........................................................................
GOVERNOR
3.0
.......................  
X           2,035 0 0
(12) ROBERT C GARRETT SEE SCH O........................................................................
GOVERNOR - PRESIDENT/CEO
60.0
.......................  
X   X       2,287,884 0 440,633
(13) MICHAEL J GEARY........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(14) WILLIAM HICKEY........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(15) JILL JOYCE........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(16) LINDA KANG BARATTA........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(17) DONALD A MCCAIN MD PHD........................................................................
GOVERNOR
3.0
.......................  
X           176,082 0 0
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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) WILLIAM J MURRAY........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(19) EDWARD V PICCINICH........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(20) EDWARD P SALZANO........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(21) ANTHONY SCARDINO JR........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(22) CHARLES V SCHAEFER III........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(23) JACK SCHECTER........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(24) JOSEPH SIMUNOVICH........................................................................
GOVERNOR
3.0
.......................  
X           2,080 0 0
(25) ROSEMARIE J SORCE........................................................................
GOVERNOR
3.0
.......................  
X           0 0 0
(26) KETUL J PATEL........................................................................
EVP/CHIEF OPERATING OFFICER
60.0
.......................  
    X       970,376 0 17,526
(27) ROBERT L GLENNING........................................................................
EVP FINANCE/CFO
60.0
.......................  
    X       1,507,089 0 45,960
(28) IHOR S SAWCZUK MD........................................................................
EVP/CMO
60.0
.......................  
    X       1,674,653 0 111,086
(29) AUDREY C MURPHY RN ESQ........................................................................
EVP/CHIEF LEGAL OFFICER
60.0
.......................  
    X       847,728 0 85,851
(30) NANCY R CORCORAN DAVIDOFF........................................................................
EVP/CHIEF HUMAN RESOURCES OFF
60.0
.......................  
    X       793,317 0 94,879
(31) KERRY KRUCKEL GIBBS........................................................................
EXECUTIVE VP/COO OF HUMC FDN.
60.0
.......................  
    X       329,283 0 31,068
(32) DIANNE A AROH........................................................................
EVP PATIENT CARE/CNO
60.0
.......................  
    X       674,489 0 16,509
(33) LAURA CIMA........................................................................
VP CLINCAL OPS (1/1-8/14)
60.0
.......................  
        X   1,106,243 0 145,980
(34) ANDREW L PECORA MD........................................................................
VP CANCER SERVICES
60.0
.......................  
        X   1,009,622 0 37,230
(35) MANUEL ALVAREZ MD........................................................................
CHAIRMAN OB/OGYN
60.0
.......................  
        X   530,958 211,320 92,935
(36) ROBIN RATLIFF........................................................................
VP PLANNING (1/1-8/31)
60.0
.......................  
        X   647,431 0 109,829
(37) CHARLES A RICCOBONO........................................................................
CHAIR & CHIEF QUALITY/SAFETY
60.0
.......................  
        X   592,250 0 104,675
(38) PETER A GROSS MD........................................................................
FORMER EVP/CMO
0.0
.......................  
          X 3,250,229 0 -47,841
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 16,403,774 211,320 1,286,320
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,196
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
Yes
 
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
NORTH JERSEY PRIMARY CARE ASSOCIATE, 30 PROSPECT AVENUEHACKENSACKNJ07601 MEDICAL 64,625,911
HUMC CARDIOVASCULAR PARTNERS PC, 30 PROSPECT AVENUEHACKENSACKNJ07601 MEDICAL 19,594,906
UMDNJ, LIBERTY PLAZA 4TH FLOORNEW BRUNSWICKNJ08903 MEDICAL 14,973,162
EPIC SYSTEMS CORPORATION, PO BOX 88314MILWAUKEEWI532880314 IT 5,315,358
SIEMENS MEDICAL SOLUTIONS USA, 51 VALLEY STREAM PARKWAYMALVERNPA19355 IT 4,952,193
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet196
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 5,544,543
e Government grants (contributions)1e 5,611,999
f All other contributions, gifts, grants, and
similar amounts not included above
1f
335,364
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 11,491,906
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 621500 1,150,386,814 1,145,733,568 4,653,246  
b OTHER HEALTHCARE RELATED REVENUE 621500 34,290,595 33,135,649 1,154,946  
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,184,677,409
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 8,165,281     8,165,281
4 Income from investment of tax-exempt bond proceeds..MediumBullet 39,206     39,206
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 4,857,013  
b Less: rental expenses 4,854,929  
c Rental income or (loss) 2,084 0
d Net rental income or (loss).......MediumBullet 2,084     2,084
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 170,548,830 85,000
b Less: cost or other basis and sales expenses 169,735,984  
c Gain or (loss) 812,846 85,000
d Net gain or (loss)..........MediumBullet 897,846     897,846
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 PHARMACY 446110 9,570,696   6,894,671 2,676,025
b CAFETERIA AND DIETARY 517000 4,408,827   72,145 4,336,682
c PARKING 812930 2,074,449     2,074,449
d All other revenue .... 1,259,914   1,052,859 207,055
e Total. Add lines 11a–11d ...... MediumBullet 17,313,886
12 Total revenue. See Instructions......MediumBullet 1,222,587,618 1,178,869,217 13,827,867 18,398,628
Form 990 (2012)
Form 990 (2012)
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).Check if Schedule O contains a response to any question in this Part IX ...............
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 United States. See Part IV, line 21 297,745 297,745
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 10,110,552 8,290,654 1,819,898 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) .... 0      
7 Other salaries and wages 484,916,064 402,598,038 82,318,026  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 25,571,084 21,279,948 4,291,136  
9 Other employee benefits ....... 53,367,395 45,061,815 8,305,580  
10 Payroll taxes ........... 38,465,396 32,008,566 6,456,830  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 2,245,906 59,084 2,186,822  
c Accounting ........... 442,876   442,876  
d Lobbying ........... 400,264   400,264  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 1,110,508   1,110,508  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 24,707,220 2,685,718 22,021,502  
12 Advertising and promotion .... 0      
13 Office expenses ....... 9,965,145 2,826,614 7,138,531  
14 Information technology ...... 32,892,253 16,678,634 16,213,619  
15 Royalties .. 0      
16 Occupancy ........... 32,254,991 14,779,410 17,475,581  
17 Travel ............ 1,716,726 882,532 834,194  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 25,687,573 21,333,702 4,353,871  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 51,480,723 41,745,766 9,734,957  
23 Insurance .............. 2,286,974 1,755,660 531,314  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 250,407,663 249,149,902 1,257,761 0
b HEALTHCARE COST REDUCTION 5,600,684 0 5,600,684 0
c OTHER EXPENSES 74,666,517 39,253,345 35,413,172 0
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,128,594,259 900,687,133 227,907,126 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 21,235 1 20,135
2 Savings and temporary cash investments ......... 197,025,561 2 181,049,650
3 Pledges and grants receivable, net ........... 1,298,046 3 1,024,590
4 Accounts receivable, net ............. 162,214,912 4 151,706,007
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 26,977,599 8 27,071,353
9 Prepaid expenses and deferred charges .......... 10,046,190 9 8,592,259
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,212,551,609
b Less: accumulated depreciation ..... 10b 676,173,821 544,316,314 10c 536,377,788
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 434,910,215 13 512,923,397
14 Intangible assets ............... 10,016,225 14 8,834,327
15 Other assets. See Part IV, line 11 ........... 29,825,280 15 24,213,631
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,416,651,577 16 1,451,813,137
Liabilities 17 Accounts payable and accrued expenses ......... 107,246,039 17 108,930,583
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 512,098,462 20 495,173,426
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 6,000,000 23 32,000,000
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 281,775,439 25 353,169,035
26 Total liabilities. Add lines 17 through 25......... 907,119,940 26 989,273,044
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 488,778,609 27 439,815,156
28 Temporarily restricted net assets ........... 14,388,335 28 16,164,834
29 Permanently restricted net assets ........... 6,364,693 29 6,560,103
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 509,531,637 33 462,540,093
34 Total liabilities and net assets/fund balances ........ 1,416,651,577 34 1,451,813,137
Form 990 (2012)
Form 990 (2012)
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
1,222,587,618
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,128,594,259
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
93,993,359
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
509,531,637
5
Net unrealized gains (losses) on investments ...............
5
16,068,176
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-157,053,079
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
462,540,093
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
2012
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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 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
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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
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........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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
2012
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total 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)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


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

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(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) (2012)

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
2012
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 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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 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 function 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  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) .................    
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(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? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
283,227
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
117,037
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
400,264
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible 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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G AND 1I DURING 2012, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM A TOTAL OF $78,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX EXEMPT ORGANIZATION, ALSO PAID AN OUTSIDE LOBBYING FIRM $300,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. PLEASE NOTE THAT THE AMOUNT PAID BY THE FOUNDATION IS NOT INCLUDED ON THIS FORM 990, SCHEDULE C; PART II-B, AS LOBBYING EXPENDITURES. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO CERTAIN SENIOR MANAGEMENT PERSONNEL TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $205,227. THE ORGANIZATION IS A MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $117,037.
Schedule C (Form 990 or 990EZ) 2012

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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 (ASC 958) 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 20,753,028 24,182,971 36,400,048 38,242,434 29,331,316
b Contributions ........ 5,962,281 19,955,057 8,527,776 9,891,614 9,612,118
c Net investment earnings, gains, and losses 1,954,074 -3,433,000 -78,267 -1,726,000 8,320,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
5,944,446 19,952,000 20,666,586 10,008,000 9,021,000
f Administrative expenses ....          
g End of year balance ...... 22,724,937 20,753,028 24,182,971 36,400,048 38,242,434
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet71.130 %
b
Permanent endowment SchDMd Bullet28.870 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   6,411,539 6,411,539
b Buildings ................   602,771,909 245,608,454 357,163,455
c Leasehold improvements ............   8,562,103 4,818,699 3,743,404
d Equipment ................   566,237,449 421,627,189 144,610,260
e Other .................   28,568,609 4,119,479 24,449,130
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 536,377,788
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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) must 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
(1) LIMITED USE 21,000,442 F
(2) LIMITED USE 58,984,513 F
(3) LIMITED USE 2,527,449 F
(4) USE 1,890,799 F
(5) LIMITED USE 1,564,153 F
(6) LIMITED USE 7,531 F
(7) INDENTURE; LIMITED USE 58,641,942 F
(8) POOLED INVESTMENTS 208,282,767 F
(9) TAX-EXEMPT ORGANIZATION 36,400,451 F
(10) INVESTMENT IN JOINT VENTURES 82,462,663 F
(11) MONEY MARKET FUNDS 39,948,971 F
(12) REAL ESTATE 124,780 F
(13) MARKETABLE EQUITY SECURITIES 1,086,936 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 512,923,397
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
OTHER LIABILITIES 45,821,607
ACCRUED INTEREST PAYABLE 15,885,184
ACCRUED EMPLOYEE BENEFITS 285,992,016
DUE TO AFFILIATES -6,518,689
ESTIMATED PROFESSIONAL LIABILITY 11,988,917




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 353,169,035
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII 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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HACKENSACK UNIVERSITY HEALTH NETWORK ("HUHN"). AN INDEPENDENT BIG FOUR CPA FIRM PREPARED CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HUHN AND ITS SUBSIDIARIES AND CONTROLLED ENTITIES, WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER, FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011; RESPECTIVELY. THE FIN 48 FOOTNOTE BELOW IS FROM THE 2008 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB INTERPRETATION (FIN) STATEMENT NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, ON JANUARY 1, 2007. FIN NO. 48 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS IN ACCORDANCE WITH FASB STATEMENT NO. 109. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURES OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE IMPACT OF ADOPTING FIN NO. 48 WAS NOT MATERIAL.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part I
General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. 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
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
Central America and the Caribbean 0 1 Program Services FINANCIAL VEHICLE 7,349,954
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 1 7,349,954
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 0 1 7,349,954
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2012
Schedule F (Form 990) 2012
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2012
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
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) ..
    74,304,217 9,153,599 65,150,618 5.770 %
b Medicaid (from Worksheet 3,
column a) ....
    16,234,535 4,637,197 11,597,338 1.030 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    90,538,752 13,790,796 76,747,956 6.800 %
Other Benefits
    17,735,642 3,281,402 14,454,240 1.280 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    12,847,015 9,418,278 3,428,737 0.300 %
g Subsidized health services
(from Worksheet 6) ..
    9,165,114 5,342,342 3,822,772 0.340 %
h Research (from Worksheet 7)     7,997,953 0 7,997,953 0.710 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    165,150 0 165,150 0.010 %
j Total. Other Benefits ..     47,910,874 18,042,022 29,868,852 2.640 %
k Total. Add lines 7d and 7j .     138,449,626 31,832,818 106,616,808 9.440 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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     75,275   75,275 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other     1,591,695 283,605 1,308,089 0.120 %
10 Total     1,666,970 283,605 1,383,364 0.130 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did 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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
80,189,761
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
35,697,518
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
277,752,114
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
316,488,629
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-38,736,515
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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 %
1THE CANCER CENTER AT
 
       
2HUMC LLC
 
MEDICAL SERVICES 44.100 % 0.250 % 6.375 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?3
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 HACKENSACK UNIVERSITY MEDICAL CENTER
30 PROSPECT AVENUE
HACKENSACK,NJ07601
WWW.HACKENSACKUMC.ORG
X X X X   X X     1
2 HACKENSACKUMC AT PASCACK VALLEY
250 OLD HOOK ROAD
WESTWOOD,NJ07675
WWW.HACKENSACKUMCPV.ORG
            X   JOINT VENTURE 1
3 HACKENSACKUMC MOUNTAINSIDE
ONE BAY AVENUE
MONTCLAIR,NJ07042
WWW.MOUNTAINSIDEHOSP.COM
X X         X   JOINT VENTURE 2
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HACKENSACK UNIVERSITY MEDICAL CENTER
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 12
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HACKENSACKUMC MOUNTAINSIDE
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 3
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1    
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20  
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 CHNA 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 CHNA report widely available to the public? ............. 5    
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7    
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a    
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15   No
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address Type of Facility (describe)
1 HUMC AT FRANKLIN LAKES
795 FRANKLIN AVENUE
FRANKLIN LAKES,NJ07417
PRIMARY CARE SERVICES
2 HUMC MEDICAL ARTS PLAZA
20 PROSPECT AVENUE
HACKENSACK,NJ07601
VARIOUS OUPATIENT HEALTHCARE SERVICES
3 THE ALFRED M SANZARI MEDICAL ARTS BLDG
360 ESSEX STREET
HACKENSACK,NJ07601
VARIOUS OUTPATIENT HEALTHCARE SERVICES
4 HUMC AIR EXPRESS
30 PROSPECT AVENUE
HACKENSACK,NJ07601
PRIMARY CARE SERVICES, MOBILE ASTHMA SCREENING SERVICES
5 JOHN THEURER CANCER CENTER AT HUMC
92 SECOND STREET
HACKENSACK,NJ07601
ONCOLOGY SERVICES
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
ELIGIBILITY FOR DISCOUNTED CARE SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2012 FEDERAL POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. THE FACILITY USES A SLIDING SCALE METHOD TO DETERMINE THE ELIGIBILITY FOR DISCOUNTED CARE.
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A ANNUALLY THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT WHICH IS POSTED ON THE ORGANIZATION'S WEBSITE, WWW.HACKENSACKUMC.ORG.
COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC") ACTIVELY ENGAGES IN COMMUNITY BUILDING ACTIVITIES THAT CONTRIBUTE TO THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. HACKENSACKUMC CONTRIBUTED $13,543,200 TO SURROUNDING COMMUNITIES IN SPONSORSHIP OF YOUTH SPORTING ACTIVITIES, JULY 4TH CELEBRATIONS, AND OTHER COMMUNITY BUILDING EVENTS. IN ADDITION, HACKENSACKUMC PROVIDES AND SUBSIDIZES DAY CARE SERVICES FOR THE BENEFIT OF THE COMMUNITY. THIS COMMUNITY BUILDING OPERATION RESULTED IN A LOSS OF $88,382 IN 2012.
BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS WERE PREPARED AND ISSUED FOR HACKENSACK UNIVERSITY HEALTH NETWORK, WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER. THE ATTACHED TEXT WAS OBTAINED FROM THE NOTES TO THE AUDITED FINANCIAL STATEMENTS OF HACKENSACK UNIVERSITY HEALTH NETWORK. PATIENT ACCOUNTS RECEIVABLE NET PATIENT SERVICE REVENUE IS ACCOUNTED FOR ON THE ACCRUAL BASIS IN THE PERIOD IN WHICH THE SERVICE IS PROVIDED. THESE AMOUNTS ARE NET OF APPROPRIATE ALLOWANCES TO GIVE RECOGNITION TO DIFFERENCES BETWEEN NETWORK CHARGES AND REIMBURSEMENT RATES FROM THIRD PARTY PAYERS. THE NETWORK IS REIMBURSED FROM THIRD PARTY PAYERS UNDER VARIOUS METHODOLOGIES BASED ON THE LEVEL OF CARE PROVIDED. CERTAIN NET REVENUES RECEIVED ARE SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENT FOR WHICH AMOUNTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THE NET POSITIVE ADJUSTMENTS INCLUDED WITHIN THE CONSOLIDATED STATEMENTS OF OPERATIONS RELATING TO PRIOR YEAR ESTIMATES WERE APPROXIMATELY $6,054,000 AND $1,000,000 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. ADDITIONALLY, DURING 2012 THE NETWORK RECEIVED A FAVORABLE SETTLEMENT APPEAL AND RECOGNIZED NET REVENUE OF $9,774,000, NET OF CONSULTING COSTS, RELATED TO PRIOR YEARS' MEDICARE REIMBURSEMENT. THE PROCESS FOR ESTIMATING THE ULTIMATE COLLECTION OF RECEIVABLES INVOLVES SIGNIFICANT ASSUMPTIONS AND JUDGMENTS. ACCOUNT BALANCES ARE WRITTEN OFF AGAINST THE ALLOWANCE WHEN MANAGEMENT DETERMINES IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED. THE USE OF HISTORICAL COLLECTION AND PAYER REIMBURSEMENT EXPERIENCE IS AN INTEGRAL PART OF THE ESTIMATION OF RESERVES FOR UNCOLLECTIBLE ACCOUNTS. REVISIONS IN RESERVE FOR UNCOLLECTIBLE ACCOUNTS ESTIMATES ARE RECORDED AS AN ADJUSTMENT TO THE PROVISION FOR BAD DEBTS. A SUMMARY OF THE PAYMENT ARRANGEMENTS WITH MAJOR THIRD-PARTY PAYERS IS AS FOLLOWS: MEDICARE - INPATIENT ACUTE CARE SERVICES AND MOST OUTPATIENT SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. INPATIENT NON-ACUTE SERVICES AND DEFINED CAPITAL AND MEDICAL EDUCATION COSTS RELATED TO MEDICARE BENEFICIARIES ARE PAID BASED ON A COST REIMBURSEMENT METHODOLOGY. THE NETWORK IS REIMBURSED FOR CERTAIN REIMBURSABLE ITEMS AT A TENTATIVE RATE WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF THE ANNUAL COST REPORT BY THE NETWORK AND AUDITS THEREOF BY THE MEDICARE FISCAL INTERMEDIARY. THE NETWORK'S CLASSIFICATION OF PATIENTS UNDER THE MEDICARE PROGRAM AND THE APPROPRIATENESS OF THEIR ADMISSION ARE SUBJECT TO AN INDEPENDENT REVIEW BY A PEER REVIEW ORGANIZATION UNDER CONTRACT WITH THE MEDICAL CENTER. THE NETWORK'S MEDICARE COST REPORTS HAVE BEEN AUDITED AND FINALIZED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2004. MEDICAID - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICAID PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. OUTPATIENT SERVICES ARE PAID BASED UPON A COST REIMBURSEMENT METHODOLOGY AND CERTAIN SERVICES ARE PAID BASED ON A MEDICAID FEE SCHEDULE. THE NETWORK IS PAID FOR REIMBURSABLE COSTS AT A TENTATIVE RATE WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF THE ANNUAL COST REPORT BY THE NETWORK AND AUDIT THEREOF BY THE MEDICAID FISCAL INTERMEDIARY. THE NETWORK'S MEDICAID COST REPORTS HAVE BEEN AUDITED AND FINALIZED BY THE MEDICAID FISCAL INTERMEDIARY THROUGH DECEMBER 31, 2006. THE NETWORK HAS ALSO ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS AND PREFERRED PROVIDER ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE MEDICAL CENTER UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DAY/CASE AND DISCOUNTS FROM ESTABLISHED CHARGES. REVENUE FROM MEDICARE AND MEDICAID ACCOUNTED FOR APPROXIMATELY 30% AND 9%, RESPECTIVELY, OF NET PATIENT SERVICE REVENUE IN 2012 AND 30% AND 8%, RESPECTIVELY, OF NET PATIENT SERVICE REVENUE IN 2011. THE CURRENT MEDICARE AND MEDICAID PROGRAMS ARE BASED UPON COMPLEX LAWS AND REGULATIONS. NONCOMPLIANCE WITH SUCH LAWS AND REGULATIONS COULD RESULT IN FINES, PENALTIES, AND EXCLUSION FROM SUCH PROGRAMS. THE NETWORK IS NOT AWARE OF ANY NONCOMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AND IS NOT AWARE OF ANY PENDING OR THREATENED INVESTIGATIONS INVOLVING ALLEGATIONS OF POTENTIAL WRONGDOING THAT COULD HAVE A MATERIAL ADVERSE EFFECT ON ITS CONSOLIDATED FINANCIAL STATEMENTS. CHARITY CARE IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE NETWORK PROVIDES A WIDE ARRAY OF SERVICES TO THE COMMUNITY, INCLUDING VARIOUS COMMUNITY-BASED SOCIAL SERVICE PROGRAMS, HEALTH SCREENINGS, TRAUMA SERVICES, TRAINING FOR EMERGENCY SERVICE PERSONNEL, SOCIAL SERVICE AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, AND TRANSPORTATION TO AND FROM THE NETWORK. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, MEDICAL EDUCATION, TELEPHONE INFORMATION SERVICES, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. THE NETWORK PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY. THE NETWORK'S DEFINITION OF CHARITY CARE INCLUDES THE FOLLOWING: (A) SERVICES PROVIDED AT NO CHARGE TO THE UNINSURED OR UNDERINSURED AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY, BUT WHO ARE DETERMINED TO BE UNABLE TO PAY BECAUSE OF SOCIOECONOMIC FACTORS. CHARITY CARE IS PROVIDED TO PATIENTS WHO MEET THE CRITERIA UNDER THE CHAPTER 160 SYSTEM FOR CHARITY CARE OR TO THOSE PATIENTS WHO QUALIFY FOR A NEW PROGRAM ESTABLISHED BY THE NETWORK IN 2008. THE NETWORK OFFERS ITS OWN CHARITY CARE TO UNINSURED PATIENTS WHO DID NOT QUALIFY UNDER THE CHAPTER 160 SYSTEM. THE DIFFERENCE BETWEEN THE NETWORK'S CHARGES AND THE REDUCED RATES ARE CONSIDERED THE NETWORK'S SELF-PAY CHARITY CARE. THE NETWORK MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. SUCH FORGONE CHARGES FOR 2012 AND 2011 ARE AS FOLLOWS (IN THOUSANDS): 2012 2011 (000'S) (000'S) ====== ====== CHARGES FORGONE CHAPTER 160 SYSTEM $216,926 $205,846 MEDICAL CENTER'S SELF-PAY CHARITY CARE PROGRAM $ 90,582 $ 88,131 ------------ ------------ TOTAL CHARGES FOREGONE $307,508 $293,977 ============ =========== OF THE NETWORK'S TOTAL EXPENSES REPORTED IN 2012 AND 2011, AN ESTIMATED $73,550,000 AND $68,663,000 AROSE DURING 2012 AND 2011, RESPECTIVELY, FROM PROVIDING SERVICES TO CHARITY CARE PATIENTS. THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE RATIO OF COST TO CHARGES IS CALCULATED BASED ON THE MEDICAL CENTER'S TOTAL EXPENSES (LESS BAD DEBT EXPENSE) DIVIDED BY GROSS PATIENT SERVICE REVENUE. ADDITIONALLY, THE NEW JERSEY HEALTH CARE REFORM ACT OF 1992 PROVIDED FOR CERTAIN SUBSIDY PAYMENTS FROM THE STATE TO QUALIFIED HOSPITALS TO PARTIALLY FUND UNCOMPENSATED CARE AND CERTAIN OTHER COSTS. SUBSIDY PAYMENTS RECOGNIZED AS REVENUE AMOUNTED TO APPROXIMATELY $9,154,000 AND $9,775,000 FOR 2012 AND 2011, RESPECTIVELY, AND ARE INCLUDED IN OTHER REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS.
MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY UTILIZED TO DETERMINE THE MEDICARE ALLOWABLE COSTS WAS THE COST TO CHARGE RATIO AS DERIVED FROM THE 2012 MEDICARE COST REPORT. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT EXPENSE ARE CONSIDERED COMMUNITY BENEFIT EXPENSE AND ASSOCIATED COSTS ARE INCLUDED WITHIN FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE INTERNAL REVENUE SERVICE (IRS). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE INDIGENT OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT A HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. ADDITIONALLY, THE AMERICAN HOSPITAL ASSOCIATION (AHA) HAS OUTLINED IN A LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA BELIEVES THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE INDIGENT AND ARE ALSO ELIGIBLE FOR MEDICAID - ALSO KNOWN AS "DUAL ELIGIBLES." DUAL ELIGIBLES ARE AMONG THE SICKEST AND POOREST INDIVIDUALS COVERED BY EITHER MEDICARE OR MEDICAID. MOST DUAL ELIGIBLES ARE VERY LOW-INCOME INDIVIDUALS. IN 2008, 86% OF DUAL ELIGIBLES HAD ANNUAL INCOMES BELOW 150% OF THE FEDERAL POVERTY LEVEL, COMPARED TO 22% OF NON-DUAL MEDICARE BENEFICIARES. ONLY 7 PERCENT HAD ANNUAL INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL. THERE IS A VERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. THE ANNUAL OVERALL MEDICARE UNDERPAYMENTS MUST BE ASSUMED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND INDIGENT. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THE ORGANIZATION BELIEVE THAT PATIENT BAD DEBT EXPENSE IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT ACCOUNTS DETERMINED TO BE BAD DEBT EXPENSE SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING APPLICATION FOR AND ULTIMATE APPROVAL FOR CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE ACCOUNTING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF THE ORGANIZATION'S BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF
DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE PROVISION FOR BAD DEBT, BUT RATHER, ACCOUNTED FOR AS A REDUCTION TO NET PATIENT SERVICE REVENUE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 3, 4, 5C, 6I & 7 NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTIONS 10 AND 12-21 NOT APPLICABLE.
FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 11 THE FACILITY USES A SLIDING SCALE METHOD TO DETERMINE THE ELIGIBILITY FOR DISCOUNTED CARE.
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 NOT APPLICABLE UNTIL THE TAX YEAR ENDING DECEMBER 31, 2013.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3 UNDER THE CHARITY CARE POLICY 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 BY MEETING WITH A HOSPITAL FINANCIAL AID SPECIALIST. THE HOSPITAL FINANCIAL AID SPECIALIST ALSO ANSWERS ALL INCOMING CALLS AND MAILS OUT THE NEW JERSEY HOSPITAL CARE BROCHURES UPON REQUEST. THE HOSPITAL FINANCIAL AID RECEPTIONIST WILL PROCESS ALL REQUESTS FOR CHARITY CARE FROM PROSPECTIVE APPLICANTS AND SECURE THE PROPER DOCUMENTATION THAT FOLLOWS THE STATE DEPARTMENT OF HEALTH GUIDELINES FOR FINANCIAL ASSISTANCE. ONCE APPROVED BASED ON INCOME/ASSET GUIDELINES, THEY WILL PREPARE A DETERMINATION OF CHARITY CARE NOTICE BASED ON THE RESULTS OF THE CALCULATIONS AND SEND IT TO THE PATIENT.
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 SERVICE AREA THE MEDICAL CENTER DEFINES ITS PRIMARY SERVICE AREA FOR INPATIENTS ("PSA") AS BERGEN COUNTY, ITS SECONDARY SERVICE AREA ("SSA") AS PASSAIC AND HUDSON COUNTIES, AND ITS TERTIARY SERVICE AREA ("TSA") AS OTHER COUNTIES IN NEW JERSEY AND CERTAIN COUNTIES IN NEW YORK AND PENNSYLVANIA. THE 2010 POPULATION OF THE PSA AND SSA WERE 905,116 AND 1,135,492, RESPECTIVELY, ACCORDING TO THE U.S. CENSUS BUREAU. IN 2010, APPROXIMATELY 22.6% OF THE PSA POPULATION AND 22.5% OF THE SSA POPULATION WERE UNDER 18 YEARS OF AGE AND 15.1% OF THE PSA POPULATION AND 11.1% OF THE SSA POPULATION WERE 65 YEARS OF AGE AND OLDER, ACCORDING TO THE U.S. CENSUS BUREAU. IN 2012, APPROXIMATELY 60.4% OF THE MEDICAL CENTER'S 44,847 DISCHARGES CAME FROM BERGEN COUNTY, 11.3% FROM HUDSON COUNTY AND 12.8% FROM PASSAIC COUNTY. THE MEDICAL CENTER REFERS TO BERGEN, HUDSON AND PASSAIC COUNTIES AS THE "TRI-COUNTY PSA/SSA". THE MEDICAL CENTER ALSO ATTRACTS A SIGNIFICANT NUMBER OF PATIENTS WHO RESIDE BEYOND THE TRI-COUNTY PSA/SSA, AND FREQUENTLY THESE PATIENTS ARE SEEKERS OF SUB-SPECIALTY CARE. IN 2012, APPROXIMATELY 15.4% OF THE MEDICAL CENTER'S DISCHARGES CAME FROM OUTSIDE OF THE TRI-COUNTY PSA/SSA. A CONSISTENT GOAL OF THE MEDICAL CENTER OVER THE PAST TWO DECADES HAS BEEN TO REDUCE OUTMIGRATION OF PSA AND SSA PATIENTS TO HOSPITALS IN NEW YORK CITY. ALTHOUGH HACKENSACKUMC HAS EXPERIENCED A REDUCTION IN OUTMIGRATION AND INCREASED PSA AND SSA ADMISSIONS, THE CONTINUING REDUCTION OF OUTMIGRATION REMAINS A LONG-TERM OBJECTIVE.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE NETWORK'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE NETWORK PROMOTES COMMUNITY HEALTH.
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 NOT FOR-PROFIT ENTITIES: HACKENSACK UNIVERSITY HEALTH NETWORK, INC. HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(3). THE ORGANIZATION IS THE PARENT ENTITY OF HACKENSACKUMC. HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC. HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HACKENSACK UNIVERSITY MEDICAL CENTER. BERGEN HEALTH MANAGEMENT SYSTEM, INC. BERGEN HEALTH MANAGEMENT SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(2). THE ORGANIZATION PROMOTES, SUPPORTS AND FURTHERS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF HACKENSACK UNIVERSITY MEDICAL CENTER. HACKENSACK SPECIALTY CARE ASSOCIATES, P.C. HACKENSACK SPECIALTY CARE ASSOCIATES, P.C. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(3). THE ORGANIZATION SERVES AS THE PHYSICIAN SERVICES COMPONENT OF HACKENSACK UNIVERSITY MEDICAL CENTER. HACKENSACK UNIVERSITY MEDICAL GROUP, P.C. HACKENSACK UNIVERSITY MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO IRC 509(A)(3). THE ORGANIZATION SERVES AS THE PHYSICIAN SERVICES COMPONENT OF HACKENSACK UNIVERSITY MEDICAL CENTER. HUMC CARDIOVASCULAR PARTNERS, P.C. HUMC CARDIOVASCULAR PARTNERS, P.C. IS AN ORGANIZATION RECOGNIZED BY THE IRS AS TAX-EXEMPT PURSUANT TO IRC 501(C)(3). THE ORGANIZATION SERVES AS THE PHYSICIAN SERVICES COMPONENT OF HACKENSACK UNIVERSITY MEDICAL CENTER. FOR-PROFIT ENTITIES: HACKENSACK UNIVERSITY MEDICAL CENTER CASUALTY COMPANY, LTD HACKENSACK UNIVERSITY MEDICAL CENTER CASUALTY COMPANY, LTD IS A CONTROLLED FOREIGN CORPORATION BY HACKENSACK UNIVERSITY MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. NORTH JERSEY OCCUPATIONAL MEDICINE ASSOCIATES, P.C. NORTH JERSEY OCCUPATIONAL MEDICINE ASSOCIATES IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS HUMC. THE ORGANIZATION IS LOCATED IN HACKENSACK, BERGEN COUNTY, NEW JERSEY. HUMC MEDICAL OBSERVATION, P.A. HUMC MEDICAL OBSERVATION, P.A. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS HUMC. THE ORGANIZATION IS LOCATED IN HACKENSACK, BERGEN COUNTY, NEW JERSEY. NEW AMSTERDAM MEDICAL ASSOCIATES, P.C. NEW AMSTERDAM MEDICAL ASSOCIATES, P.C. IS A FOR-PROFIT ENTITY WHOSE NOMINEE OWNER IS HUMC. THE ORGANIZATION IS LOCATED IN HACKENSACK, BERGEN COUNTY, NEW JERSEY. HACKENSACK PHYSICIAN ALLIANCE, L.L.C. HACKENSACK PHYSICIAN ALLIANCE, L.L.C. IS AN INACTIVE LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY. HACKENSACK PHYSICIAN-HOSPITAL ALLIANCE ACO, L.L.C. HACKENSACK PHYSICIAN-HOSPITAL ALLIANCE ACO, L.L.C. IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY AND SERVES AS AN ACCOUNTABLE CARE ORGANIZATION WHICH INCLUDES PARTICIPATION OF OVER 400 PHYSICIANS.
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY.
FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 THE ORGANIZATION HAS TWO HOSPITAL FACILITIES INCLUDED IN ONE FACILITY REPORTING GROUP. THESE INCLUDE HACKENSACK UNIVERSITY MEDICAL CENTER AND HACKENSACKUMC AT PASCACK VALLEY AS REFLECTED IN SCHEDULE H, PART V, SECTION A. PLEASE REFER TO OUR RESPONSES IN SCHEDULE H, PART VI, QUESTION 1 ABOVE.
Schedule H (Form 990) 2012
Additional Data


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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
2012
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
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. Part II can be duplicated if additional space is needed.
(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
(1) NEW JERSEY STATE FIRST AID COUNCIL INC
PO BOX 347
PITTSTOWN,NJ08867
22-6048588 501(C)(3) 6,000       SPONSORSHIP
(2) NJBIZ
1500 PAXTON STREET
HARRISBURG,PA17104
23-2345334   7,000       SPONSORSHIP
(3) INSTITUTE FOR NURSING
1479 PENNINGTON ROAD
TRENTON,NJ08618
22-2259791 501(C)(3) 7,500       SPONSORSHIP
(4) AMERICAN DIABETES ASSOCIATION
PO BOX 1638
MERRIFIELD,VA221161638
54-1734511 501(c)(3) 10,000       SPONSORSHIP
(5) SHELTER OUR SISTERS
405 STATE STREET
HACKENSACK,NJ07601
22-2184949 501(C)(3) 5,200       SPONSORSHIP
(6) CHRON'S & COLLITIS
PO BOX 252
HILLSDALE,NJ07642
13-6193105 501(C)(3) 6,000       SPONSORSHIP
(7) NFL ALUMNI CHARITY GOLF CLASSIC
1050 RATZER ROAD
WAYNE,NJ07470
31-1009812 501(C)(3) 6,000       SPONSORSHIP
(8) BERGEN COUNTY
ONE BERGEN COUNTY PLAZA 2ND FLOOR
HACKENSACK,NJ07601
22-3664483 501(c)(3) 10,000       SPONSORSHIP
(9) YWCA BERGEN COUNTY
2 UNIVERSITY PLAZA SUITE 208
HACKENSACK,NJ07601
95-1661119 501(C)(3) 10,000       SPONSORSHIP
(10) DEMAREST 5K
568 PIERMONT ROAD
DEMAREST,NJ07627
74-3175958 501(C)(3) 10,000       SPONSORSHIP
(11) IMUS RADIOTHON
2 PENNSYLVANIA PLAZA 1700
NEW YORK,NY10121
22-3280254 501(C)(3) 18,500       SPONSORSHIP
(12) HACKENSACK CHAMBER OF COMMERCE
5 UNIVERSITY PLAZA DRIVE
HACKENSACK,NJ07601
22-1717794 501(c)(3) 20,000       SPONSORSHIP
(13) HACKENSACK UNIVERSITY MED CTR FOUNDATION INC
360 ESSEX STREET STE 301
HACKENSACK,NJ07601
22-2339534 501(C)(3) 156,545       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
13
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
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.
Part III can be duplicated 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












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
GRANT FUND MONITORING SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2012


Additional Data


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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
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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 or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
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
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
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
Yes
 
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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ROBERT C GARRETT SEE SCH OGOVERNOR - PRESIDENT/CEO (i)
(ii)
1,205,801
0
527,200
0
554,883
0
416,548
0
24,085
0
2,728,517
0
192,118
0
(2)DONALD A MCCAIN MD PHDGOVERNOR (i)
(ii)
0
0
0
0
176,082
0
0
0
0
0
176,082
0
0
0
(3)KETUL J PATELEVP/CHIEF OPERATING OFFICER (i)
(ii)
710,009
0
219,300
0
41,067
0
8,750
0
8,776
0
987,902
0
0
0
(4)ROBERT L GLENNINGEVP FINANCE/CFO (i)
(ii)
879,680
0
262,600
0
364,809
0
22,047
0
23,913
0
1,553,049
0
113,398
0
(5)IHOR S SAWCZUK MDEVP/CMO (i)
(ii)
1,336,687
0
110,335
0
227,631
0
87,009
0
24,077
0
1,785,739
0
83,850
0
(6)AUDREY C MURPHY RN ESQEVP/CHIEF LEGAL OFFICER (i)
(ii)
489,053
0
135,200
0
223,475
0
61,849
0
24,002
0
933,579
0
70,652
0
(7)NANCY R CORCORAN DAVIDOFFEVP/CHIEF HUMAN RESOURCES OFF (i)
(ii)
439,978
0
112,200
0
241,139
0
94,846
0
33
0
888,196
0
81,842
0
(8)KERRY KRUCKEL GIBBSEXECUTIVE VP/COO OF HUMC FDN. (i)
(ii)
310,409
0
0
0
18,874
0
3,750
0
27,318
0
360,351
0
0
0
(9)DIANNE A AROHEVP PATIENT CARE/CNO (i)
(ii)
446,158
0
98,000
0
130,331
0
16,154
0
355
0
690,998
0
34,545
0
(10)LAURA CIMAVP CLINCAL OPS (1/1-8/14) (i)
(ii)
171,561
0
50,100
0
884,582
0
124,605
0
21,375
0
1,252,223
0
310,540
0
(11)ANDREW L PECORA MDVP CANCER SERVICES (i)
(ii)
759,831
0
207,400
0
42,391
0
37,230
0
0
0
1,046,852
0
16,875
0
(12)MANUEL ALVAREZ MDCHAIRMAN OB/OGYN (i)
(ii)
486,982
211,320
33,670
0
10,306
0
65,667
0
27,268
0
623,893
211,320
4,345
0
(13)ROBIN RATLIFFVP PLANNING (1/1-8/31) (i)
(ii)
245,036
0
61,500
0
340,895
0
81,752
0
28,077
0
757,260
0
144,590
0
(14)CHARLES A RICCOBONOCHAIR & CHIEF QUALITY/SAFETY (i)
(ii)
400,692
0
79,800
0
111,758
0
79,098
0
25,577
0
696,925
0
41,212
0
(15)PETER A GROSS MDFORMER EVP/CMO (i)
(ii)
11,224
0
148,387
0
3,090,618
0
-47,848
0
7
0
3,202,388
0
2,129,421
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 1 THE ORGANIZATION PROVIDED A SUPPLEMENTAL RETIREMENT PLAN FOR EXECUTIVE EMPLOYEES THAT CONTINUED THE QUALIFIED PENSION PLAN FORMULA AS TO COMPENSATION THAT EXCEEDED THE AMOUNT OF COMPENSATION THAT COULD BE CONSIDERED UNDER THE QUALIFIED PENSION PLAN. BECAUSE BENEFITS UNDER THE SUPPLEMENTAL PLAN MUST BE INCLUDED IN TAXABLE INCOME WHEN THEY BECAME VESTED, AND AS REQUIRED BY THE TERMS OF THE SUPPLEMENTAL PLAN, THE ORGANIZATION PROVIDED AN ADDITIONAL BENEFIT THAT COVERED THE TAX LIABILITY WHEN IT WAS INCURRED. THE TAX LIABILITY PAYMENTS WERE INCLUDED IN W-2 INCOME IN THE YEAR MADE TO THE EXECUTIVES, AND WERE INCLUDED IN THE FIGURES DISCLOSED IN SCHEDULE J. PLEASE NOTE THAT THIS PLAN WAS FROZEN AS OF DECEMBER 31, 2010. DURING 2012, HACKENSACKUMC PAID FOR TRAVEL COSTS FOR THE SPOUSES OF THREE BOARD MEMBERS. THESE COSTS WERE REPORTED AS TAXABLE COMPENSATION ON A FORM 1099-MISC ISSUED TO THE BOARD MEMBERS. THE FOLLOWING INDIVIDUALS RECEIVED A GROSS UP PAYMENT FOR TAXES WITH RESPECT TO A DISTRIBUTION OF DEFERRED COMPENSATION THAT HAD PREVIOUSLY BEEN ALLOCATED TO DEFERRED COMPENSATION ACCOUNTS UNDER THE EXECUTIVE FLEXIBLE BENEFIT PROGRAM: LAURA CIMA, $195,689; ROBIN RATLIFF, $52,976 AND PETER A. GROSS, M.D., $361,981. THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4 THE ORGANIZATION PROVIDED A SUPPLEMENTAL RETIREMENT PLAN FOR EXECUTIVE EMPLOYEES THAT CONTINUED THE QUALIFIED PENSION PLAN FORMULA AS TO COMPENSATION THAT EXCEEDED THE AMOUNT OF COMPENSATION THAT COULD BE CONSIDERED UNDER THE QUALIFIED PENSION PLAN. ALL PARTICIPATING EXECUTIVE EMPLOYEES RECEIVED A BENEFIT UNDER THE SUPPLEMENTAL PLAN THAT RELATED TO THE EXECUTIVE'S ENTIRE PERIOD OF SERVICE FOR THE ORGANIZATION, WHILE THE VALUE IN ANY ONE YEAR WOULD VARY GREATLY BASED ON FACTORS SUCH AS INTEREST RATES AND THE EMPLOYEE'S AGE. Please note that this plan was frozen as of december 31, 2010. DURING 2012, THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION OF DEFERRED COMPENSATION THAT HAD PREVIOUSLY BEEN ALLOCATED TO DEFERRED COMPENSATION ACCOUNTS UNDER THE EXECUTIVE FLEXIBLE BENEFIT PROGRAM: LAURA CIMA, $244,532, ROBIN RATLIFF, $87,963 AND PETER A. GROSS, M.D., $1,928,460. THESE AMOUNTS WERE PREVIOUSLY DISCLOSED ON FORM 990 in prior years WHEN INITIALLY DEFERRED AND, accordingly, ARE NOW being REPORTED as BOTH W-2, Box 5, Medicare Wage INCOME AND AS AN AMOUNT IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F) of this form 990.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A AN INDIVIDUAL INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED A SEVERANCE PAYMENT in 2012, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LAURA CIMA, $38,736; ROBIN RATLIFF, $19,941 AND PETER A. GROSS, M.D., $113,355. THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $397,526; ROBERT L. GLENNING, $234,774; IHOR S. SAWCZUK, M.D., $185,100; AUDREY C. MURPHY, R.N., ESQ., $146,370; NANCY R. CORCORAN-DAVIDOFF, $168,674; DIANNE A. AROH, $70,544; LAURA CIMA, $44,686; ANDREW L. PECORA, M.D., $35,871; MANUEL ALVAREZ, M.D., $9,289; ROBIN RATLIFF, $74,219; CHARLES A. RICCOBONO, $83,372 AND PETER A. GROSS, M.D., $87,606. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFITS. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $106,939; ROBERT L. GLENNING, $10,208; IHOR S. SAWCZUK, M.D., $32,093; AUDREY C. MURPHY, R.N., ESQ., $17,487; NANCY R. CORCORAN-DAVIDOFF, $28,293; DIANNE A. AROH, $3,820; ANDREW L. PECORA, M.D., $16,588; MANUEL ALVAREZ, M.D., $17,148 and CHARLES A. RICCOBONO, $18,258.
COMPENSATION INFORMATION SCHEDULE J, PART II; COLUMN F THE AMOUNTS REFLECTED IN COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THEY ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED AS NONTAXABLE DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LAURA CIMA, $38,736; ROBIN RATLIFF, $19,941 AND PETER A. GROSS, M.D., $113,355. THE AMOUNTS REFLECTED IN COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THEY ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED AS NONTAXABLE DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $192,118; ROBERT L. GLENNING, $113,398; IHOR S. SAWCZUK, M.D., $83,850; AUDREY C. MURPHY, R.N., ESQ., $70,652; NANCY R. CORCORAN-DAVIDOFF, $81,842; DIANNE A. AROH, $34,545; LAURA CIMA, $27,272; ANDREW L. PECORA, M.D., $16,875; MANUEL ALVAREZ, M.D., $4,345; ROBIN RATLIFF, $36,686; CHARLES A. RICCOBONO, $41,212 AND PETER A. GROSS, M.D., $87,606.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FVG5 04-10-2008 247,730,070 SEE PART VI   X   X   X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FE5B 08-26-2010 87,176,297 SEE PART VI   X   X   X
C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579fl92 10-26-2010 124,878,430 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 8,400,000 3,845,000 0  
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0  
3 Total proceeds of issue . . . . . . . . . . . . . . 247,730,070 87,176,297 124,878,430  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 16,950,138 5,388,581 0  
5 Capitalized interest from proceeds . . . . . . . . . . . 9,670,130 0 0  
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0  
7 Issuance costs from proceeds . . . . . . . . . . . . 2,405,194 1,287,851 1,615,900  
8 Credit enhancement from proceeds . . . . . . . . . . . 5,430,771 1,165,808 899,571  
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0  
10 Capital expenditures from proceeds . . . . . . . . . . . 66,509,711 0 0  
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0  
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0  
13 Year of substantial completion . . . . . . . . . . . . 2010 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X      
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0%   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .   X            
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X     X   X    
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X    
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X    
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X      
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TAX-EXEMPT BONDS SCHEDULE K A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS WAS APPLIED TO REFUND THE SERIES 2004 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $146,900,000. PROCEEDS USED WERE $146,768,126. A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS, TOGETHER WITH CAPITAL CAMPAIGN FUNDS AND OTHER MONEYS AVAILABLE TO THE INSTITUTION HAS BEEN APPLIED TO CONSTRUCT THE CANCER CENTER PROJECT. THE CANCER CENTER PORTION OF THE PROJECT IS A FOUR FLOOR, ENVIRONMENTALLY AND ENERGY CERTIFIED, 155,000 GROSS SQUARE FOOT AMBULATORY CARE BUILDING ON A 1.4 ACRE SITE ACROSS THE STREET FROM THE INSTITUTION'S MAIN CAMPUS AT THE NORTHEAST CORNER OF ATLANTIC AND SECOND STREETS IN HACKENSACK. THE PROJECT ALSO INCLUDES A 975 CAR PARKING GARAGE ON A 2.6 ACRE SITE ON THE ADJACENT BLOCK AT THE NORTHWEST CORNER OF THE SAME INTERSECTION AS THE CANCER CENTER. PEDESTRIAN BRIDGES CONNECT THE CANCER CENTER TO THE MAIN HOSPITAL CAMPUS THROUGH THE PARKING GARAGE. CONSTRUCTION OF THE PROJECT BEGAN IN APRIL 2008. THE PARKING GARAGE OPENED IN NOVEMBER OF 2009. THE CANCER CENTER OPENED IN JANUARY OF 2011. PROCEEDS OF THE SERIES 2008 BONDS WILL ALSO BE APPLIED TO: (I) ACQUIRE MEDICAL AND OTHER EQUIPMENT AT ITS FACILITIES; (II) TO PAY CAPITALIZED INTEREST ON A PORTION OF THE SERIES 2008 BONDS; (III) FUND THE DEBT SERVICE RESERVE FUND; AND (IV) PAY COSTS OF ISSUANCE OF THE SERIES 2008 BONDS INCLUDING THE PREMIUM FOR THE BOND INSURANCE POLICY SECURING A PORTION OF THE SERIES 2008 BONDS. THE PROCEEDS OF THE SERIES 2010 BONDS ARE APPLIED TO REFUND ALL OF THE SERIES 2000 BONDS AND A PORTION OF THE SERIES 1997 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $86,735,000. PROCEEDS OF THE SERIES 2010 BONDS WERE ALSO APPLIED TO: (I) FUND THE DEBT SERVICE RESERVE FUND AND (II) PAY COSTS OF ISSUANCE OF THE SERIES 2010 BONDS. THE PROCEEDS OF THE SERIES 2010B BONDS ARE APPLIED TOGETHER WITH OTHER AVAILABLE MONIES TO REFUND ALL OF THE SERIES 1998 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $126,140,000. PROCEEDS OF THE SERIES 2010B BONDS WERE ALSO APPLIED TO PAY COSTS OF ISSUANCE AND CREDIT ENHANCEMENT OF THE SERIES 2010B BONDS.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number
22-1487576
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FVG5 04-10-2008 247,730,070 SEE PART VI   X   X   X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FE5B 08-26-2010 87,176,297 SEE PART VI   X   X   X
C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579fl92 10-26-2010 124,878,430 SEE PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 8,400,000 3,845,000 0  
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0  
3 Total proceeds of issue . . . . . . . . . . . . . . 247,730,070 87,176,297 124,878,430  
4 Gross proceeds in reserve funds . . . . . . . . . . . . 16,950,138 5,388,581 0  
5 Capitalized interest from proceeds . . . . . . . . . . . 9,670,130 0 0  
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0  
7 Issuance costs from proceeds . . . . . . . . . . . . 2,405,194 1,287,851 1,615,900  
8 Credit enhancement from proceeds . . . . . . . . . . . 5,430,771 1,165,808 899,571  
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0  
10 Capital expenditures from proceeds . . . . . . . . . . . 66,509,711 0 0  
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 0  
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0  
13 Year of substantial completion . . . . . . . . . . . . 2010 2010 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . . X   X   X      
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X    
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X            
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X            
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X            
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0% 0% 0%   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet   %   %   %   %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .   %   %   %   %
7 Does the bond issue meet the private security or payment test? . . . . .   X            
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X    
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X    
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X     X   X    
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X    
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .                
b Exception to rebate? . . . . . . . .   X   X   X    
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X    
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X    
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . . . .                
e Was a hedge terminated? . . . . . . .                
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X    
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X    
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X      
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X      
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
TAX-EXEMPT BONDS SCHEDULE K A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS WAS APPLIED TO REFUND THE SERIES 2004 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $146,900,000. PROCEEDS USED WERE $146,768,126. A PORTION OF THE PROCEEDS OF THE SERIES 2008 BONDS, TOGETHER WITH CAPITAL CAMPAIGN FUNDS AND OTHER MONEYS AVAILABLE TO THE INSTITUTION HAS BEEN APPLIED TO CONSTRUCT THE CANCER CENTER PROJECT. THE CANCER CENTER PORTION OF THE PROJECT IS A FOUR FLOOR, ENVIRONMENTALLY AND ENERGY CERTIFIED, 155,000 GROSS SQUARE FOOT AMBULATORY CARE BUILDING ON A 1.4 ACRE SITE ACROSS THE STREET FROM THE INSTITUTION'S MAIN CAMPUS AT THE NORTHEAST CORNER OF ATLANTIC AND SECOND STREETS IN HACKENSACK. THE PROJECT ALSO INCLUDES A 975 CAR PARKING GARAGE ON A 2.6 ACRE SITE ON THE ADJACENT BLOCK AT THE NORTHWEST CORNER OF THE SAME INTERSECTION AS THE CANCER CENTER. PEDESTRIAN BRIDGES CONNECT THE CANCER CENTER TO THE MAIN HOSPITAL CAMPUS THROUGH THE PARKING GARAGE. CONSTRUCTION OF THE PROJECT BEGAN IN APRIL 2008. THE PARKING GARAGE OPENED IN NOVEMBER OF 2009. THE CANCER CENTER OPENED IN JANUARY OF 2011. PROCEEDS OF THE SERIES 2008 BONDS WILL ALSO BE APPLIED TO: (I) ACQUIRE MEDICAL AND OTHER EQUIPMENT AT ITS FACILITIES; (II) TO PAY CAPITALIZED INTEREST ON A PORTION OF THE SERIES 2008 BONDS; (III) FUND THE DEBT SERVICE RESERVE FUND; AND (IV) PAY COSTS OF ISSUANCE OF THE SERIES 2008 BONDS INCLUDING THE PREMIUM FOR THE BOND INSURANCE POLICY SECURING A PORTION OF THE SERIES 2008 BONDS. THE PROCEEDS OF THE SERIES 2010 BONDS ARE APPLIED TO REFUND ALL OF THE SERIES 2000 BONDS AND A PORTION OF THE SERIES 1997 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $86,735,000. PROCEEDS OF THE SERIES 2010 BONDS WERE ALSO APPLIED TO: (I) FUND THE DEBT SERVICE RESERVE FUND AND (II) PAY COSTS OF ISSUANCE OF THE SERIES 2010 BONDS. THE PROCEEDS OF THE SERIES 2010B BONDS ARE APPLIED TOGETHER WITH OTHER AVAILABLE MONIES TO REFUND ALL OF THE SERIES 1998 BONDS OUTSTANDING IN THE AGGREGATE PRINCIPAL AMOUNT OF $126,140,000. PROCEEDS OF THE SERIES 2010B BONDS WERE ALSO APPLIED TO PAY COSTS OF ISSUANCE AND CREDIT ENHANCEMENT OF THE SERIES 2010B BONDS.
Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
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) JOSEPH P SIMUNOVICH FAMILY MEMBER OF GOVERNOR 68,326 HACKENSACKUMC EMPLOYEE   No
(2) ELIZABETH SIMUNOVICH FAMILY MEMBER OF GOVERNOR 119,696 HACKENSACKUMC EMPLOYEE   No
(3) MICHAEL J SCARDINO FAMILY MEMBER OF GOVERNOR 50,521 HACKENSACKUMC EMPLOYEE   No
(4) DAVID SCARDINO FAMILY MEMBER OF GOVERNOR 30,474 HACKENSACKUMC EMPLOYEE   No
(5) MARY R KOZIBRODA FAMILY MEMBER OF GOVERNOR 59,259 HACKENSACKUMC EMPLOYEE   No
(6) PIA SISON FAMILY MEMBER OF GOVERNOR 150,380 HACKENSACKUMC EMPLOYEE   No
(7) DOREEN A PROWITZ FAMILY MEMBER OF GOVERNOR 97,156 HACKENSACKUMC EMPLOYEE   No
(8) MARY P DONNALLEY FAMILY MEMBER OF OFFICER 103,491 HACKENSACKUMC EMPLOYEE   No
(9) BARRY DAVIDOFF FAMILY MEMBER OF OFFICER 137,238 HACKENSACKUMC EMPLOYEE   No
(10) THERESA M EBEL FAMILY MEMBER OF OFFICER 136,556 HACKENSACKUMC EMPLOYEE   No
(11) UNITED WATER NJ INC SEE PART V GOVERNOR - SIMUNOVICH 818,310 REGULATED UTILITY FRANCHISE   No
(12) WARREN E SCOTT FAMILY MEMBER OF OFFICER 46,047 HACKENSACKUMC EMPLOYEE   No
(13) LISA SANZARI FAMILY MEMBER OF GOVERNOR 28,260 HACKENSACKUMC EMPLOYEE   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
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV JOSEPH SIMUNOVICH, GOVERNOR OF HACKENSACK UNIVERSITY MEDICAL CENTER, IS THE VICE CHAIRMAN OF THE BOARD OF UNITED WATER FROM WHICH HACKENSACK UNIVERSITY MEDICAL CENTER PURCHASES ITS WATER. PLEASE NOTE THAT UNITED WATER IS THE SOLE PROVIDER OF WATER IN THE AREA SURROUNDING HACKENSACKUMC.
Schedule L (Form 990 or 990-EZ) 2012

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
2012
Open to Public
Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== HACKENSACK UNIVERSITY MEDICAL CENTER (THE "MEDICAL CENTER" OR "HACKENSACKUMC") IS A NOT-FOR-PROFIT NEW JERSEY CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"). HACKENSACKUMC OWNS AND OPERATES A 775 LICENSED BED ACUTE CARE TEACHING HOSPITAL LOCATED AT 30 PROSPECT AVENUE IN THE CITY OF HACKENSACK, BERGEN COUNTY, NEW JERSEY. BERGEN COUNTY IS THE LARGEST COUNTY BY POPULATION IN THE STATE OF NEW JERSEY (THE "STATE"), WITH A 2009 POPULATION OF 895,250. ACCORDING TO THE U.S. CENSUS BUREAU 2009 POPULATION ESTIMATES, IT HAS THE SIXTEENTH HIGHEST PER CAPITA INCOME IN THE UNITED STATES. THE MEDICAL CENTER IS LOCATED NEAR MAJOR HIGHWAYS IN NORTHEASTERN NEW JERSEY, INCLUDING INTERSTATE 80, THE NEW JERSEY TURNPIKE, THE GARDEN STATE PARKWAY, STATE ROUTES 4, 17, AND 46 AND IS APPROXIMATELY 12 MILES FROM NEW YORK CITY. HACKENSACKUMC WAS FOUNDED IN 1888 AS A 12-BED HOSPITAL TO PROVIDE ACUTE CARE FOR THE RESIDENTS OF THE CITY OF HACKENSACK. IN THE LAST 25 YEARS, THE MEDICAL CENTER HAS EVOLVED FROM A COMMUNITY HOSPITAL OFFERING PATIENTS A SECONDARY LEVEL OF HEALTHCARE SERVICES TO A TEACHING HOSPITAL AFFILIATED WITH THE NEW JERSEY MEDICAL SCHOOL OF THE UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY ("UMDNJ") OFFERING AN INCREASING ARRAY OF TERTIARY AND QUATERNARY PATIENT SERVICES. HACKENSACKUMC PROVIDES THESE SERVICES PRIMARILY TO RESIDENTS OF BERGEN, HUDSON AND PASSAIC COUNTIES, BUT ALSO TO PATIENTS FROM THROUGHOUT THE STATE AND ADJACENT COUNTIES IN SOUTHEASTERN NEW YORK AND EASTERN PENNSYLVANIA. TO LEARN MORE, VISIT HACKENSACKUMC.ORG. HACKENSACKUMC IS A REGIONAL LEADER IN MANY SERVICE PROGRAMS AND ITS MANAGEMENT BELIEVES THAT PATIENTS WHOSE PRIMARY PHYSICIANS ARE NOT ON THE HACKENSACKUMC MEDICAL STAFF ARE REFERRED TO HACKENSACKUMC BECAUSE OF ITS REPUTATION FOR HIGH QUALITY CARE AND ITS ARRAY OF SPECIALIZED SERVICES, SUCH AS CARDIAC SERVICES; ONCOLOGY (WHICH INCLUDES ONE OF THE LARGEST BONE MARROW/STEM CELL TRANSPLANTATION PROGRAMS IN THE COUNTRY); TRANSPLANTATION SERVICES; AND WOMEN'S AND CHILDREN'S SERVICES. SINCE 1999, THE MEDICAL CENTER'S BED COMPLEMENT HAS INCREASED FROM 579 LICENSED BEDS TO THE PRESENT LICENSED COMPLEMENT OF 775 BEDS. ADULT AND PEDIATRIC OCCUPANCY HAS CONSISTENTLY APPROXIMATED 90% SOON AFTER EACH BED CAPACITY EXPANSION OF 30 BEDS IN 2000, 68 BEDS IN 2001, AND 98 BEDS IN 2006, WHICH FURTHER SUPPORTS THE NECESSITY OF THE MEDICAL CENTER WITHIN ITS COMMUNITY. HACKENSACKUMC IS BERGEN COUNTY'S LARGEST EMPLOYER WITH A WORK FORCE OF MORE THAN 7,700 EMPLOYEES AND ANNUAL NET REVENUE OF $1.3 BILLION. THE MORE THAN 1,580 PHYSICIANS AND DENTISTS ON THE MEDICAL AND DENTAL STAFF REPRESENT THE FULL SPECTRUM OF SPECIALTIES AND SUBSPECIALTIES. HACKENSACKUMC HAS A VOLUNTEER POPULATION OF APPROXIMATELY 1,922 MEN, WOMEN, AND TEENAGERS, WHO DONATE APPROXIMATELY 274,500 HOURS TO HACKENSACKUMC EACH YEAR. HACKENSACKUMC OFFERS ONE OF THE REGION'S MOST MODERN CAMPUSES, WHICH IS CONTINUALLY UPDATED AND EXPANDED TO INCORPORATE EMERGING CLINICAL APPROACHES, MEDICINE, AND TECHNOLOGIES. THE MEDICAL CENTER CONSISTS OF SEVENTEEN BUILDINGS AND FIVE FREESTANDING PARKING GARAGES, LOCATED ON ITS MAIN CAMPUS IN THE CITY OF HACKENSACK. SEVEN OF THE BUILDINGS ARE USED FOR INPATIENT SERVICES AND SIX ARE USED FOR OUTPATIENT SERVICES. ON THIS CAMPUS, HUNDREDS OF SPECIALIZED PROGRAMS AND SERVICES ARE DELIVERED. ABOUT HACKENSACK UNIVERSITY HEALTH NETWORK HACKENSACK UNIVERSITY HEALTH NETWORK IS THE NEW JERSEY BASED PARENT COMPANY OF HACKENSACKUMC, THE HACKENSACKUMC FOUNDATION, HACKENSACK UNIVERSITY MEDICAL GROUPS, AND CORPORATE JOINT VENTURE PARTNERS WITH LHP HOSPITAL GROUP (DALLAS, TX) IN OWNERSHIP OF TWO HOSPITALS: HACKENSACKUMC AT PASCACK VALLEY AND HACKENSACKUMC MOUNTAINSIDE. WITH NEARLY 10,000 EMPLOYEES AND 2,200 CREDENTIALED MEDICAL STAFF MEMBERS AT HOSPITALS WITHIN THE NETWORK, HACKENSACK UNIVERSITY HEALTH NETWORK IS THE LARGEST HEALTHCARE SYSTEM IN NORTHERN NEW JERSEY. WORLD-CLASS CARDIAC CARE HACKENSACKUMC IS HOME TO THE HEART & VASCULAR HOSPITAL, ONE OF AMERICA'S MOST COMPREHENSIVE CARDIAC AND VASCULAR CARE CENTERS. THIS "HOSPITAL WITHIN A HOSPITAL" PROVIDES A FULL-RANGE OF STATE-OF-THE-ART INVASIVE AND NON-INVASIVE SERVICES, INCLUDING ELECTROPHYSIOLOGY STUDIES, A STATE-DESIGNATED CARDIAC CATHETERIZATION CENTER, AND ONE OF THE LARGEST CARDIAC SURGERY PROGRAMS IN THE STATE. THE CARE AT THE HEART & VASCULAR HOSPITAL HAS GARNERED NATIONAL RECOGNITION BY BEING NAMED ONE OF HEALTHGRADES 2012-13 AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE, ONE OF HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION, RANKED IN U.S. NEWS & WORLD REPORT'S 2013-14 BEST HOSPITALS LIST FOR CARDIOLOGY AND HEART SURGERY, AND LISTED ON BECKER'S HOSPITAL REVIEW 2013 "100 HOSPITALS WITH GREAT HEART PROGRAMS" LIST. LED BY BREAKTHROUGH RESEARCH, THE HEART & VASCULAR HOSPITAL INTEGRATES PREVENTIVE, DIAGNOSTIC, AND TREATMENT SERVICES WITH A SPECIAL FOCUS ON CARDIOVASCULAR DISEASE MANAGEMENT. INPATIENTS AND OUTPATIENTS ARE TREATED FOR ALL TYPES OF CARDIAC AND VASCULAR DISEASES BY AN ARRAY OF SPECIALISTS-ALL FROM ONE CENTRAL LOCATION. THIS COLLABORATIVE, MULTIDISCIPLINARY MODEL ALLOWS FOR MORE EFFICIENT AND EFFECTIVE CARE. ONE OF THE NATION'S LARGEST CANCER CENTERS AT 155,000 SQUARE-FEET, THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC IS ONE OF THE NATION'S LARGEST AND MOST COMPREHENSIVE CANCER CENTERS, AND RANKS IN THE TOP 10 FOR PATIENT VOLUME. OPENED IN DECEMBER OF 2010, THE CANCER CENTER HAS QUICKLY ESTABLISHED A REPUTATION OF EXCELLENCE AND HAS BEEN RANKED AMONG THE 50 BEST HOSPITALS IN THE UNITED STATES AND IS THE HIGHEST-RANKED CANCER CENTER IN NEW JERSEY IN THE 2013-14 U.S. NEWS & WORLD REPORT'S BEST HOSPITALS FOR CANCER. BECKER'S HOSPITAL REVIEW LISTED THE JOHN THEURER CANCER CENTER ON ITS "100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT ONCOLOGY PROGRAMS" LIST. THE CANCER CENTER HOUSES OUTPATIENT CANCER SERVICES AND INCORPORATES DIAGNOSTIC FACILITIES, CHEMOTHERAPY PREPARATION AND INFUSION AREAS, PHARMACY AND LABORATORY RESOURCES, AS WELL AS A FULL SPECTRUM OF RADIATION ONCOLOGY SERVICES. WE HAVE 14 SPECIALIZED TEAMS ON-SITE WHO ARE FULLY ENGAGED IN THE MEDICAL AND EMOTIONAL CARE OF PATIENTS AND THEIR LOVED ONES. EACH OF THE 14 DIVISIONS FEATURES TEAMS OF PHYSICIANS, NURSES, TECHNOLOGISTS, AND SUPPORT STAFF WITH CLINICAL AND RESEARCH EXPERTISE IN A SPECIFIC TYPE OF CANCER, ALLOWING FOR ADVANCED, FOCUSED CARE. THE JOHN THEURER CANCER CENTER WAS BUILT FOLLOWING ECO-FRIENDLY GUIDELINES OUTLINED BY THE LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN AND DEVELOPED BY THE U. S. GREEN BUILDING COUNCIL, MAKING IT AN INSTITUTION DEVOTED TO LIFE-SUSTAINING PRACTICES FROM THE INSIDE OUT. NATIONALLY-RENOWNED CHILDREN'S HOSPITAL AS A STATE-DESIGNATED CHILDREN'S HOSPITAL, THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL PROVIDES COMPREHENSIVE MEDICAL AND SURGICAL PEDIATRIC CARE IN MORE THAN 30 SPECIALTIES, ALL INTEGRATED WITHIN A STATE-OF-THE-ART CHILD-FOCUSED FACILITY. THE 300,000-SQUARE-FOOT FACILITY OFFERS 24-HOUR ACCESS TO LEADING PHYSICIANS, NURSES, STAFF AND A PEDIATRIC EMERGENCY DEPARTMENT. THIS FACILITY IS ONE OF THE COUNTRY'S FIRST ENVIRONMENTALLY RESPONSIBLE AND SUSTAINABLE HEALTHCARE FACILITIES AND IS RANKED AS ONE OF THE TOP 10 GREEN HOSPITALS BY THE GREEN GUIDE. THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL HAS ALSO BEEN NAMED AMONG THE TOP 50 BEST CHILDREN'S HOSPITALS FOR NEUROLOGY AND NEUROSURGERY IN THE U.S. NEWS & WORLD REPORT'S 2013-14 BEST CHILDREN'S HOSPITALS RANKINGS. IT IS THE FIRST HOSPITAL IN NEW JERSEY EVER TO BE RANKED IN ANY BEST CHILDREN'S HOSPITALS SPECIALTY. ENVIRONMENTALLY-FRIENDLY HOSPITAL DESIGNED JUST FOR WOMEN AS THE RECIPIENT OF THE HEALTHGRADES WOMEN'S HEALTH EXCELLENCE AWARD FOR SEVEN CONSECUTIVE YEARS, THE DONNA A. SANZARI WOMEN'S HOSPITAL IS DEDICATED TO PROVIDING SUPERIOR CARE TO ITS PATIENTS. THE HOSPITAL IS PART OF THE 300,000-SQUARE-FOOT SARKIS AND SIRAN GABRELLIAN WOMEN'S AND CHILDREN'S PAVILION. THE PAVILION WAS CAREFULLY PLANNED AND DEVELOPED TO PROVIDE EXCEPTIONAL PATIENT SATISFACTION AND SERVICES WITHIN AN ENVIRONMENTALLY HEALTHY FACILITY. ITS DESIGN, ENERGY SYSTEMS, CLEANING SUPPLIES, LINENS, MEDICAL EQUIPMENT, AND EVEN THE FOOD PREPARED FOR PATIENT/STAFF/VISITOR CONSUMPTION ARE ENVIRONMENTALLY FRIENDLY IN KEEPING WITH THE VALUES OF THE DEIRDRE IMUS ENVIRONMENTAL CENTER FOR PEDIATRIC ONCOLOGY, AN AWARD-WINNING NON-PROFIT ORGANIZATION AT HACKENSACKUMC. IN 2012, WE WELCOMED MORE THAN 6,100 BABIES - MORE THAN ANY OTHER HOSPITAL IN NEW JERSEY - A TRUE TESTAMENT TO OUR LONG HISTORY OF TRUSTED CARE IN THE COMMUNITY. IN 2013, HACKENSACKUMC RECEIVED THE HEALTHGRADES WOMEN'S HEALTH EXCELLENCE AWARD FOR THE EIGHTH YEAR IN A ROW - THE ONLY HOSPITAL IN THE NATION TO DO SO.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III QUALITY & ACCREDITATIONS HACKENSACKUMC IS CONTINUING TO PROVE THAT "IMPOSSIBLE" IS JUST AN OPINION. WE'VE CREATED AN ENVIRONMENT THAT ENCOURAGES MEDICAL INNOVATION TO FLOURISH BY RECRUITING TOP DOCTORS AND GIVING THEM FREEDOM TO PUSH RESEARCH AND TREATMENTS BEYOND TRADITIONAL THINKING. SOME OF HACKENSACKUMC'S AWARDS INCLUDE: U.S. NEWS & WORLD REPORT'S 2013-14 BEST HOSPITALS: RANKED AS THE NUMBER ONE HOSPITAL IN NEW JERSEY AND THE THIRD BEST HOSPITAL IN THE NEW YORK METRO AREA. U.S. NEWS & WORLD REPORT'S 2013-14 BEST HOSPITALS (NATIONAL) - CANCER, CARDIOLOGY & HEART SURGERY; EAR, NOSE & THROAT; GASTROENTEROLOGY & GI SERVICES; GERIATRICS; NEUROLOGY & NEUROSURGERY; ORTHOPEDICS; PULMONOLOGY; AND UROLOGY. THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL RANKED NATIONALLY AMONG THE TOP 50 BEST CHILDREN'S HOSPITALS FOR NEUROLOGY AND NEUROSURGERY. U.S. NEWS & WORLD REPORT'S 2013-14 BEST HOSPITALS METRO AREA - DIABETES & ENDOCRINOLOGY; GYNECOLOGY; AND NEPHROLOGY. HEALTHGRADES AMERICA'S 50 BEST HOSPITALS 2013 (SEVEN CONSECUTIVE YEARS) HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE (11 CONSECUTIVE YEARS) AMERICAN COLLEGE OF RADIOLOGY ONE OF THE FIRST TWO DIAGNOSTIC IMAGING CENTERS OF EXCELLENCE IN THE NATION LEAPFROG TOP HOSPITALS LIST (THREE CONSECUTIVE YEARS) THE LEAPFROG GROUP- GRADE "A" PATIENT SAFETY RATING THE JOINT COMMISSION 19 GOLD SEALS OF APPROVAL - MORE THAN ANY HOSPITAL IN THE COUNTRY BECKER'S HOSPITAL REVIEW 100 GREAT HOSPITALS CEO CANCER GOLD STANDARD AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS "HOSPITAL OF CHOICE" NATIONAL RESEARCH CORPORATION (NRC) CONSUMER CHOICE AWARD (17 CONSECUTIVE YEARS SINCE AWARD'S INCEPTION) AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM BECKER'S HOSPITAL REVIEW 2013 100 BEST PLACES TO WORK IN HEALTHCARE PRACTICE GREENHEALTH 2013 "PARTNER FOR CHANGE" AWARD "SAFETY SUPERSTAR" BY AARP THE MAGAZINE AND THE LEAPFROG GROUP CENTERS OF EXCELLENCE DON IMUS/WFAN PEDIATRIC CENTER FOR TOMORROWS CHILDREN SARKIS AND SIRAN GABRELLIAN WOMEN'S AND CHILDREN'S PAVILION JOHN THEURER CANCER CENTER HEART & VASCULAR HOSPITAL JOSEPH M. SANZARI CHILDREN'S HOSPITAL PEDIATRIC EMERGENCY ROOM GREGORY M. HIRSCH HYPERTROPHIC CARDIOMYOPATHY CENTER DAVID JOSEPH JURIST RESEARCH CENTER FOR TOMORROWS CHILDREN JEFFREY M. CREAMER EMERGENCY AND TRAUMA CENTER DONNA A. SANZARI WOMEN'S HOSPITAL SARKIS & SIRAN GABRELLIAN CHILD CARE AND LEARNING CENTER AUDREY HEPBURN CHILDREN'S HOUSE HEKEMIAN CONFERENCE CENTER CENTER FOR ASTHMA, ALLERGY AND IMMUNE DISORDERS BEYOND DAY SPA BLOODLESS MEDICINE BETTY TORRICELLI INSTITUTE FOR BREAST CARE EXECUTIVE HEALTH PROGRAM INSTITUTE FOR SLEEP-WAKE DISORDERS DEIRDRE IMUS ENVIRONMENTAL HEALTH CENTER CENTER FOR ABNORMAL PLACENTATION THE COMPREHENSIVE STROKE CENTER MOLLY DIABETES EDUCATION/MANAGEMENT CENTER FOR ADULTS & CHILDREN DAVE WINFIELD NUTRITION CENTER THE HACKENSACKUMC CAMPUS INCLUDES ONE OF THE LARGEST AMBULATORY FACILITIES IN THE COUNTRY: THE HACKENSACK UNIVERSITY MEDICAL PLAZA. THIS NINE-STORY 276,000 SQUARE FOOT FACILITY HOUSES PHYSICIAN OFFICES AND HACKENSACKUMC PROGRAMS. IN ADDITION, HACKENSACKUMC'S MAIN FACILITIES INCLUDE: SINCE HACKENSACKUMC IS ONE OF THE REGION'S MOST COMPREHENSIVE AND PROGRESSIVE MEDICAL CENTERS, IT ATTRACTS MANY OF THE AREA'S LEADING PHYSICIANS. THESE PHYSICIANS, MANY OF WHOM ARE ON THE CUTTING-EDGE IN THEIR FIELDS AND HAVE RECEIVED THEIR TRAINING AT THE NATION'S MOST PROMINENT INSTITUTIONS, HAVE SELECTED HACKENSACKUMC AS THEIR PLACE TO PRACTICE. THE MEDICAL CENTER HAS A SEPARATE CAMPUS IN WESTWOOD, NEW JERSEY KNOWN AS HACKENSACKUMC AT PASCACK VALLEY HOSPITAL. APPROXIMATELY 10 MILES FROM THE HACKENSACK CAMPUS, THE SITE CONSISTS OF APPROXIMATELY 181,910 GROSS SQ. FT. THE SITE CURRENTLY PROVIDES WESTWOOD AND THE SURROUNDING COMMUNITIES WITH A SATELLITE EMERGENCY ROOM FACILITY, WHICH INCLUDES LAB AND DIAGNOSTIC IMAGING SERVICES. HACKENSACKUMC PURPOSE AND BELIEFS ================================= PURPOSE ------- HACKENSACKUMC IS A TEAM COMMITTED TO PROVIDING AN EXCEPTIONAL PATIENT EXPERIENCE THROUGH QUALITY PATIENT-CENTERED CARE, EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. GOAL ---- QUALITY CONTINUES TO EVOLVE AS THE NUMBER ONE, NON-NEGOTIABLE VALUE THAT DRIVES HACKENSACKUMC'S MISSION AND ACTIONS. HACKENSACKUMC INCORPORATES EMERGING BUSINESS MANAGEMENT OPERATIONS TO REFLECT A VISION THAT PUTS PATIENTS IN CHARGE. HACKENSACKUMC STRIVES TO CREATE CONTINUOUS HEALING RELATIONSHIPS WITH ITS PATIENTS. HACKENSACKUMC CUSTOMIZES CARE ACCORDING TO PATIENTS' NEEDS AND VALUES, NOT HACKENSACKUMC'S. HACKENSACKUMC CONTINUES TO INITIATE AND PARTICIPATE IN UNPRECEDENTED DATA COLLABORATION. BENCHMARKING HACKENSACKUMC'S OUTCOMES PROVIDES THE FOUNDATION FOR MORE INFORMED MEDICAL CARE JUDGMENTS. IT ALSO GIVES PATIENTS OBJECTIVE DECISION-MAKING DATA AND SERVES AS A RECRUITMENT TOOL FOR RECRUITING AND RETAINING TOP-QUALITY PHYSICIANS TO HACKENSACKUMC'S TEAM. BELIEFS ------- HACKENSACKUMC IS GUIDED BY THE FOLLOWING BELIEFS: - QUALITY - ACHIEVING EXCELLENCE IN PATIENT-CENTERED CARE AND SERVICE. - SERVICE - COMMITTING TO ANTICIPATE AND FULFILL THE NEEDS, REQUESTS, AND WISHES OF THE CUSTOMERS. - PATIENT - CENTERED CARE - PROVIDING CARE THAT IS COMPASSIONATE, EMPATHIC, AND RESPONSIVE TO THE NEEDS, VALUES, AND PREFERENCE OF INDIVIDUAL PATIENTS AND THE FAMILIES OF PATIENTS. - INNOVATION - ADVANCING THE DELIVERY OF HEALTHCARE THROUGH THE USE OF CUTTING-EDGE TECHNOLOGY, RESEARCH, EDUCATION, AND PROCESSES THAT ACHIEVE DESIRED OUTCOMES. - COMPASSION - SHOWING CONCERN FOR ALL INDIVIDUALS BY LISTENING TO, AND EMPATHIZING WITH, THEIR FEELINGS, ANXIETIES, AND EXPECTATIONS. - COMMUNICATION - PROVIDING TIMELY, RELIABLE INFORMATION WHICH RESULTS IN UNDERSTANDING. - INTEGRITY - ACTING IN A RESPONSIBLE AND ETHICAL MANNER. - PROFESSIONALISM - ACCEPTING INDIVIDUAL RESPONSIBILITY AND ACCOUNTABILITY WITHIN OUR ROLES, AS DEFINED BY THE STANDARDS OF THE PROFESSION. - RESPECT - LISTENING TO, AND VALUING, DIVERSE OPINIONS. - SATISFACTION - CREATING A SAFE, SUPPORTIVE, AND HEALING ENVIRONMENT THAT INSPIRES US TO EXCEED THE NEEDS AND EXPECTATIONS OF PATIENTS, THE FAMILIES OF PATIENTS, PHYSICIANS, AND EMPLOYEES. OUTLOOK ------- THE MEDICAL CENTER'S GOAL IS COMMITTED TO MEETING THE NEEDS OF THE COMMUNITIES IT SERVES DESPITE THE EXTRAORDINARY CHALLENGES AND COMPLEXITIES IN TODAY'S HEALTHCARE INDUSTRY AND ECONOMIC ENVIRONMENT. HACKENSACKUMC AT PASCACK VALLEY IS A SATELLITE, FREE-STANDING EMERGENCY DEPARTMENT LOCATED IN WESTWOOD, NEW JERSEY, AT THE SITE OF THE FORMER PASCACK VALLEY HOSPITAL. OWNED BY HACKENSACKUMC, HACKENSACKUMC AT PASCACK VALLEY SERVES THE PASCACK AND NORTHERN VALLEY COMMUNITIES IN NORTHERN BERGEN COUNTY, NEW JERSEY. ON OCTOBER 1, 2008, THE MEDICAL CENTER OPENED A FREESTANDING SATELLITE EMERGENCY DEPARTMENT AT THE PASCACK VALLEY SITE. IN ADDITION TO EMERGENCY SERVICES, THE MEDICAL CENTER ALSO PROVIDES SEVERAL OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING AND LABORATORY SERVICES AT THAT SITE. THE MEDICAL CENTER ALSO SEPARATELY ACQUIRED A LICENSE FOR MOBILE INTENSIVE CARE UNIT SERVICES IN THE PASCACK VALLEY AREA, WHICH SERVES TO CONNECT THE IMMEDIATE COMMUNITY TO THIS NEWLY RE-OPENED FACILITY. THE OPENING OF A COMMUNITY HOSPITAL WHICH EXPANDS FROM PROVIDING JUST EMERGENCY SERVICES TO PROVIDING INPATIENT CARE AT THE FORMER PASCACK VALLEY HOSPITAL SITE CONTINUED TO BE A PRIORITY OF THE MEDICAL CENTER. IN EARLY 2012, THE MEDICAL CENTER, WITH SUPPORT OF THE COMMUNITY, PUBLIC AND ELECTED OFFICIALS, LOCAL PHYSICIANS, AND THE GOVERNOR OF NEW JERSEY, RECEIVED THE FINAL APPROVAL TO RE-OPEN HACKENSACKUMC AT PASCACK VALLEY INTO A FULL SERVICE HOSPITAL. THE NEWLY RENOVATED AND RE-OPENED HOSPITAL WILL OFFER THE FOLLOWING SERVICES: 128 ALL-PRIVATE PATIENT ROOMS, INCLUDING INTENSIVE CARE UNIT, MEDICAL / SURGICAL, STATE-OF-THE-ART OBSTETRICAL UNITS, FIVE FULL SERVICE OPERATING ROOMS, ONE SPECIAL PROCEDURE ROOM, CARDIAC CATHETERIZATION LAB, RADIOLOGY AND LABORATORY. THIS INPATIENT HOSPITAL WILL ACT AS AN ANCHOR TO MANY IN-DEMAND, OUTPATIENT SERVICES SUCH AS RADIOLOGY, WOMEN'S HEALTH AND SAME-DAY SURGERY. IN 2012, HACKENSACKUMC WILL STRENGTHEN ITS CORE BY FOCUSING ON THE CENTERS OF EXCELLENCE SUCH AS THE NEUROSCIENCES INSTITUTE AND THE ORTHOPAEDICS INSTITUTE. ADDITIONAL CAPACITY IN THESE TWO AREAS ARE ESSENTIAL AS THE POPULATION AGES AND THE INCIDENCE OF CONDITIONS LIKE PARKINSON'S DISEASE AND ARTHRITIS INCREASES. IN 2012, HACKENSACKUMC OPENED A GAMMA KNIFE CENTER. THE GAMMA KNIFE IS USED TO ABLATE TUMORS BY FOCUSING RADIATION WITH EXTREME PRECISION ON THE TARGETED AREA OF THE BRAIN.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III EMERGENCY CARE IS ANOTHER AREA IN WHICH HACKENSACKUMC IS BUILDING CAPACITY. HACKENSACKUMC IS DOUBLING THE SIZE OF ITS EMERGENCY SERVICES. THE EXPANSION WILL NOT ONLY UPGRADE THE EMERGENCY AND TRAUMA CENTER, BUT WILL ALSO CONSTRUCT A NEW BUILDING THAT WILL ALLOW HACKENSACKUMC TO EXPAND THE FOOTPRINT OF THE EMERGENCY AND TRAUMA CENTER, INCLUDING SHELL SPACE FOR FUTURE EXPANSION AND REDESIGNING THE EXISTING AMBULANCE DROP-OFF. THE PLANS CALL FOR THE MEDICAL CENTER TO CONVERT THE EXISTING SEMIPRIVATE CURTAINED CUBICLES INTO PRIVATE TREATMENT SUITES THAT ARE 120 SQUARE FEET IN SIZE AND ABLE TO ACCOMMODATE NEW TECHNOLOGIES AND EQUIPMENT. THIS WILL RESULT IN A TOTAL OF 75 TREATMENT BEDS, FIVE OF WHICH WILL BE DESIGNATED FOR TRAUMA. WHILE THERE WILL BE NO INCREASE IN THE NUMBER OF TREATMENT BAYS AS A RESULT OF THIS PROJECT, THE EMERGENCY AND TRAUMA CENTER WILL BE MUCH LARGER AND WILL HAVE SPECIALTY CARE AREAS FOR CARDIAC, CANCER, GERIATRICS AND TRAUMA PATIENTS. THREE TRIAGE STATIONS WILL ALSO BE CREATED. THE MEDICAL CENTER IS ALSO TAKING A NUMBER OF STEPS TO RAISE ITS PRESENCE IN SURROUNDING AREAS. THE MEDICAL CENTER WILL REINFORCE ITS PARTNERSHIPS WITH SMALLER HOSPITALS IN THE REGION BY INSTITUTING MEDICAL AIR TRANSPORT SERVICES. THE NEW HELICOPTER, PUT INTO SERVICE DURING THE SPRING OF 2012, WILL ENABLE PATIENTS TO BE BROUGHT TO HACKENSACKUMC TO RECEIVE MORE SOPHISTICATED TREATMENT THAN THEY COULD RECEIVE ELSEWHERE. IN ADDITION, THE MEDICAL CENTER WILL BE EXPANDING ITS SERVICES INTO THE COMMUNITY THROUGH A NEW $22 MILLION WELLNESS CENTER SCHEDULED TO OPEN IN MID-2013 IN MAYWOOD, NEW JERSEY. THE 100,000-SQUARE-FOOT SPACE WILL OFFER EVERYTHING FROM A FULL-SERVICE GYM TO MAMMOGRAMS. IT WILL FEATURE AN INDOOR POOL, THERAPY AND REHABILITATION EQUIPMENT, AND A KITCHEN FOR DEMONSTRATING HEALTHY EATING OPTIONS. IT WILL BE THE LARGEST FACILITY OF ITS KIND IN NEW JERSEY. TAX-EXEMPT ORGANIZATION ----------------------- HACKENSACKUMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C) (3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, HACKENSACKUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, HACKENSACKUMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. HACKENSACKUMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. HACKENSACKUMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. HACKENSACKUMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF HACKENSACKUMC RESTS WITH ITS BOARD OF GOVERNORS WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. HACKENSACKUMC'S STANDING AS ONE OF NEW JERSEY'S AND THE NATION'S HEALTHCARE LEADERS IS DRIVEN BY A COMMITMENT TO QUALITY. AT HACKENSACKUMC, QUALITY MEANS ALWAYS STRIVING TO DELIVER THE BEST MEDICINE TO ITS PATIENTS. IT MEANS ALWAYS RE-EVALUATING THE DELIVERY OF HEALTHCARE TO ENSURE THAT HIGH STANDARDS ARE ACHIEVED. IT MEANS NEVER TURNING AWAY FROM A COMMUNITY NEED, BUT INSTEAD REDOUBLING EFFORTS AND COMMITMENT TO RESPOND TO THOSE NEEDS. TAX-EXEMPT PURPOSES, FREE CARE AND COMMUNITY BENEFIT CONSISTENT WITH REVENUE RULING 69-545 AND PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS AS OUTLINED ABOVE AND IN FURTHERANCE OF ITS EXEMPT PURPOSES, HACKENSACKUMC PROVIDES A WIDE ARRAY OF SERVICES TO THE COMMUNITY, INCLUDING VARIOUS COMMUNITY-BASED SOCIAL SERVICE PROGRAMS, SUCH AS FREE CLINICS, HEALTH SCREENINGS, TRAUMA SERVICES, TRAINING FOR EMERGENCY SERVICE PERSONNEL, SOCIAL SERVICES AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, AND TRANSPORTATION TO AND FROM HUMC. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, MEDICAL EDUCATION, TELEPHONE INFORMATION SERVICES, AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. HACKENSACKUMC ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY WHO MEET THE CRITERIA UNDER THE STATE OF NEW JERSEY PUBLIC LAW 1992 (CHAPTER 160) SYSTEM FOR CHARITY CARE AND ALSO INCURS BAD DEBTS. INCLUDED IN HACKENSACKUMC'S DEFINITION OF CHARITY CARE ARE THE FOLLOWING: (A) SERVICES PROVIDED AT NO CHARGE TO THE UNINSURED AND UNDERINSURED AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING WILLINGNESS TO PAY BUT WHO ARE DETERMINED TO BE UNABLE TO PAY BECAUSE OF SOCIOECONOMIC FACTORS. HACKENSACKUMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. SUCH FORGONE CHARGES AMOUNTED TO APPROXIMATELY $308,000,000 IN 2012. THE NEW JERSEY HEALTH CARE REFORM ACT OF 1992 PROVIDED FOR CERTAIN SUBSIDY PAYMENTS FROM THE STATE TO QUALIFIED HOSPITALS TO PARTIALLY FUND UNCOMPENSATED CARE AND CERTAIN OTHER COSTS. SUBSIDY PAYMENTS RECOGNIZED AS REVENUE AMOUNTED TO APPROXIMATELY $9,153,599 IN 2012; HOWEVER AS MORE FULLY OUTLINED BELOW ESTIMATED COSTS RELATING TO PROVIDING MEDICAL CARE TO INDIVIDUALS WITHOUT INSURANCE TOTALED APPROXIMATELY $74,304,217; FOR A NET DEFICIT OF APPROXIMATELY $65,150,618. BASED UPON THESE STATISTICS HACKENSACKUMC HAD APPROXIMATELY THE 11TH LARGEST CHARITY CARE PROGRAM IN THE STATE IN TERMS OF CHARITY CARE DOLLARS STATED AT MEDICAID RATES AND THE LARGEST NET LOSS OF ALL NEW JERSEY HOSPITALS FROM THE CHARITY PROGRAM IN THE STATE OF NEW JERSEY. IN ADDITION HACKENSACKUMC PAID THE HIGHEST HOSPITAL PROVIDER TAXES TO THE STATE OF NEW JERSEY FOR THE FUNDING OF CHARITY CARE PROGRAMS THROUGHOUT THE STATE; IN 2012 HUMC'S PAYMENTS TOTALED $7,698,375. DURING 2012 HACKENSACKUMC, THROUGH ITS AFFILIATION WITH UMDNJ, ALSO HAD THE ONE OF THE LARGEST GRADUATE MEDICAL EDUCATION PROGRAMS IN THE STATE OF NEW JERSEY WITH APPROXIMATELY 122 MEDICAL AND DENTAL RESIDENTS IN VARIOUS MEDICAL SPECIALTIES. COMMUNITY BENEFIT ----------------- HACKENSACKUMC'S OPERATIONS AND ACTIVITIES ARE DESIGNED TO BENEFIT A WIDE CROSS SECTION OF THE COMMUNITY, INCLUDING THOSE INDIVIDUALS WITH NO INSURANCE OR ABILITY TO PAY FOR THE NECESSARY MEDICAL SERVICES AND TREATMENT. DURING 2008 HACKENSACKUMC IMPLEMENTED A NEW PROGRAM FOR INDIVIDUALS WITH NO INSURANCE WHICH LIMITS THE AMOUNTS TO BE BILLED TO NO MORE THAN THE MEDICARE FEE SCHEDULE FOR INPATIENT SERVICES AND TWO TIMES THE MEDICARE FEE SCHEDULE FOR OUTPATIENT SERVICES. THIS DISCOUNT PROGRAM IS OFFERED TO ALL INDIVIDUALS WITH NO INSURANCE. THERE IS NO APPLICATION OR MEANS TESTING. FOR INDIVIDUALS WHO CANNOT AFFORD THESE FEES THERE ARE MEANS TESTED DISCOUNTS WHICH CAN REDUCE BILLS TO ZERO. COMMUNITY BENEFIT - COSTS ------------------------- FOR PURPOSES OF FORM 990, SCHEDULE H REPORTING AND IN ACCORDANCE WITH CURRENT IRS RULES AND REGULATIONS, HACKENSACKUMC UTILIZED THE CATHOLIC HEALTH ASSOCIATION ("CHA") MODEL WHEN QUANTIFYING COMMUNITY BENEFIT COSTS. UNDER THE CHA METHODOLOGY FOR QUANTIFYING COMMUNITY BENEFIT COSTS HACKENSACKUMC'S 2012 NET COMMUNITY BENEFIT COSTS WERE APPROXIMATELY $106,616,808 OR APPROXIMATELY 9.44% OF ITS TOTAL 2012 EXPENSES. THE CHA METHODOLOGY DOES NOT INCLUDE MEDICARE SHORTFALLS AND CERTAIN COSTS RELATED TO BAD DEBT. UTILIZING THE MODEL ADOPTED BY THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), WHICH HACKENSACKUMC BELIEVES MORE CLEARLY REPRESENTS ACTUAL COMMUNITY BENEFIT, WHEN QUANTIFYING ITS ESTIMATED TOTAL COMMUNITY BENEFIT COSTS FOR THE 2012 YEAR WOULD RESULT IN A SIGNIFICANTLY HIGHER COMMUNITY BENEFIT PERCENTAGE. UNDER THE AHA MODEL, A HOSPITAL MAY INCLUDE BOTH MEDICARE SHORTFALLS (THE AMOUNT BY WHICH YOUR COSTS EXCEED REIMBURSEMENTS) AND COSTS RELATED TO BAD DEBT. UNDER THE AHA MODEL DURING CALENDAR YEAR 2012, HACKENSACKUMC INCURRED NET COMMUNITY BENEFIT COSTS OF APPROXIMATELY $225,543,084; WHICH ACCOUNTED FOR APPROXIMATELY 18.65% OF ITS TOTAL 2012 EXPENSES. NET COSTS MEANS COSTS AFTER ALL ASSOCIATED REIMBURSEMENTS. HACKENSACKUMC ALSO PAID DIRECTLY $5,400,192 IN REAL ESTATE TAXES DURING 2012 INCLUDING $376,285 OF REAL ESTATE TAXES PAID TO THE BOROUGH OF WESTWOOD FOR HACKENSACKUMC AT PASCACK VALLEY. THESE PAYMENTS CLEARLY BENEFITED THE COMMUNITY. COMMUNITY BENEFIT PROGRAMS ========================== BUILDING A STRONG COMMUNITY --------------------------- HACKENSACK UNIVERSITY MEDICAL CENTER HELPS TO BUILD A STRONG, SAFE COMMUNITY BY INVESTING IN A NUMBER OF COMMUNITY BENEFITS TO IMPROVE HOUSING AND THE ENVIRONMENT, DEVELOP BUSINESSES, SUPPORT COMMUNITY ENHANCEMENTS, MENTOR CHILDREN, BUILD COALITIONS, AND INCREASE THE WORKFORCE.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III THE IMPACT OF COMMUNITY BENEFITS -------------------------------- HACKENSACK UNIVERSITY MEDICAL CENTER BELIEVES WE ARE ALL PART OF ONE LARGER COMMUNITY - ONE DEDICATED TO PROGRESSING EVEN FURTHER IN OUR MISSIONS OF HEALTHCARE, COMMUNITY SERVICE, AND RESEARCH, ONE THAT BRINGS HEALTHCARE DIRECTLY INTO THE COMMUNITY IF NEEDED. BOARD OF HEALTH CONTRACTS ------------------------- HACKENSACKUMC'S HEALTH AWARENESS REGIONAL PROGRAM ("HARP") ADMINISTRATES FREE PROFESSIONAL PUBLIC HEALTH SERVICES TO 29 BERGEN COUNTY MUNICIPALITIES THROUGH BOARD OF HEALTH CONTRACTS. TOWNS SERVED INCLUDE: BERGENFIELD, BOGOTA, CARLSTADT, HACKENSACK, CLOSTER, DUMONT, EAST RUTHERFORD, ELMWOOD PARK, EMERSON, ENGLEWOOD CLIFFS, FAIRVIEW, FORT LEE, GARFIELD, HASBROUCK HEIGHTS, LEONIA, MAHWAH, MONTVALE, NEW MILFORD, PALISADES PARK, RAMSEY, RIDGEFIELD, RIDGEFIELD PARK, RIVER EDGE, ROCHELLE PARK, SADDLE BROOK, SOUTH HACKENSACK, TENAFLY, TOWNSHIP OF WASHINGTON, AND WALLINGTON. IN COLLABORATION WITH PARTNERS THROUGHOUT NEW JERSEY, HARP DEVELOPS PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY. MAJOR PARTNERSHIPS INCLUDE: BERGEN COUNTY HEALTH OFFICERS, HEALTH DEPARTMENTS, MUNICIPALITIES, SCHOOLS, THE AMERICAN CANCER SOCIETY - BERGEN COUNTY CHAPTER, BERGEN COUNTY OFFICE ON AGING, COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP, ACCESS TO CARE TASK FORCE, NUTRITION AND PHYSICAL FITNESS TASK FORCE, BERGEN COUNTY DEPARTMENT OF HEALTH SERVICES, BERGEN COUNTY CANCER COALITION, BERGEN COUNTY MUNICIPAL NURSES ASSOCIATION AND NEW JERSEY STATE SCHOOL NURSES ASSOCIATION, MATERNAL AND CHILD HEALTH CONSORTIUM, PASSAIC-BERGEN LEAD COALITION, NEW JERSEY PUBLIC HEALTH ADMINISTRATORS ASSOCIATION, NEW JERSEY OFFICE OF CANCER CONTROL AND PREVENTION: MELANOMA CANCER TASKFORCE WORK GROUP, NEW JERSEY IMMUNIZATION NETWORK. PROMOTING A HEALTHY COMMUNITY ============================= - MELANOMA AWARENESS PREVENTION CAMPAIGN SKIN CANCER IS THE MOST COMMON FORM OF CANCER IN THE UNITED STATES. THROUGH COLLABORATIVE EFFORTS BETWEEN THE JOHN THEURER CANCER CENTER, THE PROMISE FOUNDATION OF RIDGEWOOD, NJ, PHYSICIANS AND HARP, A SKIN CANCER SCREENING WAS PROVIDED TO THE COMMUNITY SERVING MORE THAN 100 PARTICIPANTS. HARP WORKED WITH THE MIDDLE SCHOOL TEACHERS AND STAFF IN RIDGEWOOD TO PRESENT A THREE-DAY SKIN CANCER AWARENESS PROGRAM THAT EDUCATED 1,400 STUDENTS ON SUN SAFE BEHAVIORS. - HAVE F.U.N. IN GARFIELD THROUGH THE PARTNERSHIP WITH THE CITY OF GARFIELD, HARP WAS ABLE TO COLLABORATE ON THE INITIATIVE TO COMBAT CHILDHOOD OBESITY IN THE CITY OF GARFIELD SCHOOL DISTRICT. THIS PROGRAM HAS BEEN DIRECTED AT CHILDREN IN ORDER TO FORM A FOUNDATION OF HEALTHFUL HABITS, COMBAT THE RISING EPIDEMIC OF CHILD OBESITY AND ENSURE THAT FUTURE NEW JERSEY RESIDENTS WILL BE A MORE VITAL AND ENERGETIC POPULATION. - TAKE CONTROL OF YOUR HEALTH, CHRONIC DISEASE SELF MANAGEMENT WORKSHOP THROUGH A PARTNERSHIP AGREEMENT WITH THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES, STANFORD UNIVERSITY, PATIENT EDUCATION RESEARCH CENTER AND THE CITY OF HACKENSACK, HARP PARTNERED WITH THE CITY OF HACKENSACK'S HEALTH DEPARTMENT TO DELIVER A SIX-WEEK PROGRAM DESIGNED TO GIVE PEOPLE WITH CHRONIC CONDITIONS AND/OR THEIR CAREGIVERS THE KNOWLEDGE AND SKILLS NEEDED TO TAKE A MORE ACTIVE ROLE IN THEIR HEALTHCARE. THERE WERE WORKSHOPS PROVIDED IN 2012. - FLU IMMUNIZATION PROGRAMS AS PART OF THE PUBLIC HEALTH RESPONSE TO THE INFLUENZA VIRUS IN THE COMMUNITY, HARP PARTNERED WITH MUNICIPALITIES TO PROVIDE EDUCATION AND VACCINATIONS. EDUCATIONAL MATERIALS WERE DISTRIBUTED TO AT-RISK POPULATIONS. HARP WORKED WITH HEALTH OFFICERS, PUBLIC HEALTH NURSES, HEALTH DEPARTMENTS, MUNICIPALITIES, CHILD CARE CENTERS, DAY CARE, COMMUNITIES AND LOCAL CORPORATIONS. THROUGH THIS PARTNERSHIP, HARP ASSISTED IN VACCINATING MORE THAN 3,000 INDIVIDUALS AND CONTINUES TO WORK TO ACHIEVE MAXIMUM IMMUNIZATION RATES. - HEALTH PROMOTION PROGRAMS IN 2012, HARP PRESENTED 140 HEALTH PROMOTION PROGRAMS TO OVER 3,000 PARTICIPANTS THROUGHOUT BERGEN COUNTY. HARP ALSO PROVIDED OVER 1,800 ADULT HEALTH SCREENING PROGRAMS THAT INCLUDED EDUCATION ON BLOOD PRESSURE, STROKE RISK ASSESSMENT, CHOLESTEROL, PROSTATE SPECIFIC ANTIGEN, DIABETES RISK ASSESSMENT, OSTEOPOROSIS, SUN SAFETY, AND BODY FAT/BMI ASSESSMENT. HARP ADMINISTERED 50 CHILDHOOD IMMUNIZATION CLINICS THAT PROVIDED FREE IMMUNIZATIONS THROUGH THE VACCINE FOR CHILDREN PROGRAM. - HEALTHCARE FOR CORPORATIONS HARP PROVIDED LECTURES, SCREENINGS AND HEALTH PROMOTION PROGRAMS FOR CORPORATIONS TO ASSIST THEM IN THEIR EFFORTS TO PROVIDE EMPLOYEES WITH INFORMATION ON HEALTHY LIFESTYLE CHOICES. OTHER SERVICES INCLUDED HEALTH FAIRS, EDUCATIONAL PRESENTATIONS, FLU IMMUNIZATION, AMERICAN HEART ASSOCIATION'S CPR AND FIRST AID CLASSES, BLOOD BORNE PATHOGEN TRAINING, HEPATITIS B AND TDAP IMMUNIZATIONS, TUBERCULOSIS HEALTH EDUCATION AND TESTING. HARP PROVIDES THESE SERVICES TO CORPORATIONS THROUGHOUT BERGEN COUNTY. - OTHER COMMUNITY BENEFITS HACKENSACKUMC PROVIDES INCLUDE: FREE SCREENINGS WITH HACKENSACK UNIVERSITY MEDICAL CENTER'S AIR EXPRESS MOBILE ASTHMA CARE UNIT FOR UNINSURED AND UNDER-INSURED FAMILIES IN HACKENSACK - SCREENINGS HELD AT SCHOOLS AND CHURCHES. FREE PROSTATE CANCER SCREENINGS EVERY YEAR FOR A WEEK THROUGHOUT NORTHERN NEW JERSEY, HARLEM, AND MANHATTAN. THE TESTS ARE OFFERED AS A RESULT OF A LONGSTANDING PARTNERSHIP WITH THE NEW YORK DAILY NEWS IN THE FIGHT AGAINST PROSTATE CANCER. 1,340 TESTS WERE ADMINISTERED IN 2012. HACKENSACKUMC IS COMMITTED TO OUR COMMUNITY'S EDUCATION AND WELLNESS. THROUGH OUR SPEAKERS BUREAU AND HEALTH AWARENESS REGIONAL PROGRAM (HARP), WE WORK WITH LOCAL CITY AGENCIES, SCHOOLS AND CIVIC ORGANIZATIONS TO PROVIDE MEANINGFUL EDUCATION TO THOUSANDS OF RESIDENTS. WE PARTNER WITH OTHER HEALTH AND GOVERNMENT AGENCIES TO KEEP OUR COMMUNITY WELL, OFFERING FLU VACCINATIONS AND FREE SCREENINGS FOR ASTHMA, SKIN CANCER AND PROSTATE CANCER. HACKENSACK UNIVERSITY HEALTH NETWORK ALSO HOSTS NUMEROUS HEALTH FAIRS AND WELLNESS SCREENINGS FOR OUR HACKENSACKUMC TEAM MEMBERS AS WELL AS THE GENERAL PUBLIC. OUR ANNUAL HEART HEALTH FAIR AT THE SHOPS AT RIVERSIDE OFFERS HEALTH SCREENINGS AND THE CHANCE FOR ATTENDEES TO MEET SOME OF OUR CARDIAC PHYSICIANS. SPEAKER'S BUREAU EVENTS: 32 EVENTS IN 2012. BELOW IS A LISTING OF THE 32 EVENTS WHICH INCLUDES TO WHICH GROUP THE EVENT WAS PROVIDED, NAME OF THE SPEAKER AND TOPIC COVERED: 1. Midland Park PTA; Dr. Tozzi; Healthy Hearts/Healthy Kids/Screenings for Athletes 2. Senior Source, LLC; Dr. Hollywood; Women's Heart Health 3. Felician College, "Older is Better" group; Susan Kraus; Health & Nutrition for Seniors 4. JCC-Center for Older Adults; Susan Kraus; Health & Nutrition for Seniors 5. CareOne at the Cupola; Dr. William Salerno; Heart Healthy 6. Senior Source, LLC; Susan Kraus; Health & Nutrition for Seniors 7. CareOne at the Cupola; Susan Kraus; Health & Nutrition for Seniors 8. Allwood Women's Garden Club (Clifton); Susan Kraus; Timeless Guidelines of Healthy Eating for a Healthy Lifestyle 9. St. Philip Rosary Altar Society; Dr. Ali Seckin; Pain Management/Stress Reduction/How to live longer? 10. CareOne at the Cupola; Toni Manzo; Diabetes in Seniors 11. CareOne at the Cupola; Dr. Parulekar; Aging: Including Mental Health 12. CareOne at the Cupola; Dr. Susan Zafarlotfi; Sleep/Wake Geriatrics 13. Mrs. Friedberg-Group; Jill Rubinetti-Security; Security for personal belongings in the Hospital 14. Boiling Springs Savings Bank; Dr. Zafarlofti; Sleep/Wake-Stress 15. Boiling Springs Savings Bank; Dr. Seckin; How to live longer? 16. Boiling Springs Savings Bank; Susan Kraus; Nutrition and Diet 17. Boiling Springs Savings Bank; Dr. Tatiana Krasikov; Heart Health 18. Parisian Beauty Academy; Dr. Munk; Flu Season-Prevention 19. Our Lady of Mt. Carmel-Seniors Group; Dr. Tank; Geriatric Health 20. Senior Source, LLC; Dr. Knight Steel; Medical Myths 21. Senior Source, LLC; Dr. Parleuker; Aging & Improving Memory (Depression/Sleep wake 2/3rd choice) 22. Senior Platinum Plus Program; Susan Kraus; Molly Diabetes Center 23. Senior Source, LLC; Kate McDougall; Keeping Your Mind Sharp 24. Senior Source, LLC; Dr. Ravi Munver; Prostate Health 25. Weight Watchers Hackensack & Lodi; Susan Kraus; Nutrition and Diet 26. Senior Source, LLC; Dr. Gary Munk; Viruses: The Party Crashers 27. Bergen Community College; Dr. Giangola; Diabetes Awareness Month 28. Sunset Rotary Club; Dr. Gary Munk; Viruses: The Party Crashers 29. 5 Star Premier Residence of Teaneck; Dr. Gary Munk; Washing Hands/Viruses: The Party Crashers 30. Senior Source, LLC; Carol Brush; Are you up to date on your immunizations? 31. Ikea; Susan Kraus; Nutrition and Diet 32. Ikea; Susan Kraus; Nutrition and Diet
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS ======================================== HACKENSACKUMC CONTRIBUTES IN MANY WAYS TO COMMUNITY ORGANIZATIONS: - DONATIONS OF EQUIPMENT AND MEDICAL SUPPLIES TO BERGEN COUNTY EMERGENCY MEDICINE SQUADS, FIRE DEPARTMENTS, SCHOOLS, AND COMMUNITY ORGANIZATIONS. - HACKENSACKUMC'S DEPARTMENT OF NUTRITION AND FOOD MANAGEMENT DONATED 4,763 POUNDS OF PREPARED FOOD TO "TABLE TO TABLE", A COMMUNITY-BASED FOOD RESCUE PROGRAM, WHICH SERVES THE HUNGRY IN BERGEN, PASSAIC, ESSEX, AND HUDSON COUNTIES. - DONATIONS OF FOOD, CLOTHING AND BLANKETS TO HACKENSACK SHELTERS, CHURCHES, AND FAMILIES. - THE MEDICAL CENTER ALSO TOOK PART IN NORTH JERSEY MEDIA GROUP'S ANNUAL "ACTION AGAINST HUNGER FOOD DRIVE". HACKENSACKUMC ENCOURAGED ALL EMPLOYEES AND THE COMMUNITY-AT-LARGE TO DONATE NON-PERISHABLE GOODS FOR THIS IMPORTANT CAUSE. - HACKENSACKUMC IS A MEMBER OF THE GATEWAY-NORTHWEST MATERNAL AND CHILD HEALTH CONSORTIUM. "GATEWAY'S STRATEGIC DIRECTIVES ARE TO IMPROVE NON-HOSPITAL BASED PROVIDER SERVICES PARTICULARLY FOR CHILDREN, AND BECOME AN ADVOCATE FOR MOTHERS AND CHILDREN THROUGH POLITICAL AND OTHER AVENUES OF INFLUENCE. GATEWAY ALSO SEEKS TO MAXIMIZE RESOURCES TO ENABLE IMPLEMENTATION OF NEW OR EXPANDED SERVICES FOR PREGNANT WOMEN AND CHILDREN." - COOKING STUDIO EVENTS IN THE JOHN THEURER CANCER CENTER ARE HELD FOR PATIENTS. FUN FOOD FRIDAYS- COOKING DEMO AND NUTRITION DISCUSSION OFFERED EVERY FRIDAY TO EDUCATE PATIENTS, CAREGIVERS AND STAFF ON HEALTHY EATING AND COOKING METHODS. THIS IS RUN BY THE DIETITIANS WITH GUEST CHEFS FROM LOCAL RESTAURANTS PARTICIPATING. GOOD FOOD HAPPENS- 4 WEEK PROGRAM OFFERED IN THE EVENINGS TO PATIENTS AND CAREGIVERS FEATURING A PROFESSIONAL CHEF TO DEMONSTRATE HEALTHY COOKING TECHNIQUES. THIS IS OFFERED 3 TIMES PER YEAR. GUESTS PARTICIPATE IN THE PROGRAM AND SHARE A 3 COURSE MEAL AT THE END OF EACH CLASS. - CHECK WITH ALLERGY CENTER FOR UPDATE -AIR EXPRESS BUS - A MOBILE ASTHMA CARE UNIT THAT HELPS SCREEN ELEMENTARY SCHOOL STUDENTS FOR ASTHMA - PARTICIPATED IN "KICK BUTTS DAY", AN ANNUAL CELEBRATION WHERE KIDS ACROSS THE COUNTRY REBEL AGAINST TOBACCO USE AND TOBACCO COMPANIES. -22ND ANNUAL EMS EXCELLENCE AWARDS DINNER - HUMC RECOGNIZES THE WORK OF THOUSANDS OF OUTSTANDING EMTS, PARAMEDICS, POLICE OFFICERS, AND FIREFIGHTERS WHO HAVE DEMONSTRATED OUTSTANDING PERFORMANCE AND WHO HAVE RESPONDED TO MEDICAL EMERGENCIES IN THE SURROUNDING COMMUNITIES. THE AWARD WINNERS ARE NOMINATED BY THEIR PEERS, AS WELL AS HUMC. - MANTLE CELL SYMPOSIUM - HOSTED BY THE LYMPHOMA DIVISION OF THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC WITH PARTICIPATION FROM THE FACEBOOK GROUPS "HOPE FOR LYMPHOMA" AND "OUR MCL FAMILY". THE EVENT WAS OPEN TO BOTH HEALTHCARE PROFESSIONALS AND TO MANTLE CELL LYMPHOMA PATIENTS AND THEIR CAREGIVERS COPING WITH THIS CHALLENGING DIAGNOSIS. THE PROGRAM FEATURED AN INTERNATIONAL FACULTY OF LEADING MCL EXPERTS WHO REVIEWED THE LATEST ADVANCES IN RESEARCH, STATE-OF-THE-ART TREATMENT OPTIONS FOR NEW AND RELAPSED DISEASE, AND NEW AND NOVEL THERAPIES FOR MCL. NEW FRONTIERS IN THE MANAGEMENT OF SOLID AND LIQUID TUMORS CONFERENCE - A TWO-DAY CONFERENCE HOSTED BY THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC. THIS COMPLIMENTARY CONTINUING MEDICAL EDUCATION PROGRAM FEATURED INTERNATIONALLY RECOGNIZED ONCOLOGISTS AND HEMATOLOGISTS WHO PROVIDED THE LATEST UPDATES ON STATE-OF-THE-ART TREATMENT MODALITIES INCLUDING NOVEL THERAPIES AND NEW PROGNOSTIC MODELS IN HEMATOLOGICAL AND SOLID TUMORS. - NEURO-ONCOLOGY SYMPOSIUM - HOSTED BY THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC. THIS CONTINUING MEDICAL EDUCATION CONFERENCE PRESENTED THE LATEST NEURO-ONCOLOGY TRENDS BY LEADERS IN THE FIELD. - CLINICAL INSIGHTS PATIENT SYMPOSIUM - HOSTED BY THE MULTIPLE MYELOMA RESEARCH FOUNDATION AND THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC FOR PATIENTS AND CAREGIVERS WHO WANTED TO LEARN MORE ABOUT TREATMENT OPTIONS FOR MULTIPLE MYELOMA. LEADING MULTIPLE MYELOMA EXPERTS HIGHLIGHTED THE LATEST INFORMATION IN MULTIPLE MYELOMA DIAGNOSIS, TREATMENT OPTIONS, CLINICAL TRIALS AND RESEARCH. - NORTHERN NEW JERSEY BREAST CANCER CONFERENCE - HOSTED BY THE DIVISION OF BREAST ONCOLOGY AT THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC. THIS EVENT PRESENTED HIGHLIGHTS FROM THE 34TH ANNUAL SAN ANTONIO BREAST CANCER SYMPOSIUM, AN INTERNATIONAL SCIENTIFIC SYMPOSIUM FOR BREAST CANCER BASIC SCIENTISTS AND CLINICIANS, TO TRI-STATE AREA ONCOLOGISTS, HEMATOLOGISTS, OTHER PHYSICIANS AND HEALTHCARE PROFESSIONALS. - ANNUAL CANCER SURVIVOR'S DAY "CELEBRATING LIFE AND LIBERTY" - MORE THAN 3,000 ATTENDED THE THIRD ANNUAL EVENT HOSTED BY THE JOHN THEURER CANCER CENTER ON THE LAWN AT LIBERTY STATE PARK IN JERSEY CITY. THE EVENT SERVED AS A REMINDER THAT NEARLY 12 MILLION AMERICANS HAVE SURVIVED A LONG AND DIFFICULT JOURNEY - CANCER. ATTENDEES ENJOYED LIVE MUSIC AND A LUNCH OF COLD CUTS, SALADS AND CAKE IN A FOOTBALL-FIELD-SIZED BALLROOM UNDER A TENT WITH A BEAUTIFUL VIEW OF THE STATUE OF LIBERTY. Aretha Franklin performed. - NATIONAL "SAFE KIDS WALK THIS WAY" PROGRAM - A TRAUMA PREVENTION PROGRAM WHICH TEACHES SAFE BEHAVIOR TO MOTORISTS AND CHILD PEDESTRIANS AND CREATES SAFER, MORE WALK-ABLE COMMUNITIES. - "GET IT TOGETHER" SEATBELT CHALLENGE AWARDS CEREMONY LUNCHEON FOR NORTHERN NEW JERSEY HIGH SCHOOL STUDENTS IS DESIGNED TO INCREASE SEATBELT USAGE AMONGST TEENAGERS THROUGH PREVENTATIVE EDUCATION. - HACKENSACK HIGH SCHOOL DWI REENACTMENT - IN AN EFFORT TO SERVICE THE COMMUNITY THROUGH EDUCATION, HACKENSACKUMC PARAMEDICS, HACKENSACKUMC EMERGENCY MEDICAL SERVICES, HACKENSACKUMC'S EMERGENCY TRAUMA DEPARTMENT, TRAUMA/SURGICAL CRITICAL CARE AND INJURY PREVENTION AT HACKENSACKUMC, NORTHERN NJ MOBILE INTENSIVE CARE COMMUNICATIONS, HACKENSACK VOLUNTEER AMBULANCE CORPS, HACKENSACK FIRE DEPARTMENT, HACKENSACK POLICE DEPARTMENT, HACKENSACK HIGH SCHOOL, BERGEN COUNTY MEDICAL EXAMINER'S OFFICE AND BERGEN COUNTY PROSECUTOR'S OFFICE WORKED TOGETHER TO REENACT A DRUNK-DRIVING SCENE FOR HACKENSACK HIGH SCHOOL STUDENTS. THE SIMULATION DETAILED THE MANY OUTCOMES THAT CAN RESULT FROM SOMEONE WHO HAS BEEN DRINKING AND DECIDES TO GET BEHIND THE WHEEL OF A VEHICLE. THE GOAL WAS TO PROFOUNDLY IMPACT STUDENTS' DECISIONS TO NEVER DRINK AND DRIVE. - "AMERICA'S NIGHT OUT AGAINST CRIME" - HACKENSACKUMC'S DEPARTMENT OF SECURITY PARTICIPATED IN THIS ANNUAL EVENT HOSTED BY THE HACKENSACK POLICE DEPARTMENT TO HEIGHTEN CRIME AND DRUG PREVENTION AWARENESS, AND TO STRENGTHEN NEIGHBORHOOD SPIRIT AND POLICE-COMMUNITY PARTNERSHIPS. - AMERICAN GIRL FASHION SHOW BENEFITING THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL AT THE MEDICAL CENTER. THE FASHION SHOW ALLOWED YOUNG GIRLS TO CONFIDENTLY WALK DOWN A RUNWAY DRESSED TO MATCH THEIR FAVORITE AMERICAN GIRL DOLL OUTFITS. AS FAMILY AND FRIENDS LOOKED ON, THE GIRLS TOOK THE AUDIENCE THROUGH VARIOUS PERIODS OF U.S. HISTORY AS THEY REPRESENTED EACH DOLL. - BERGEN BIKE TOUR - COMMUNITY PARTICIPATES IN A BIKE RIDE TO RAISE FUNDS FOR TOMORROWS CHILDREN'S FUND (TCF) AND THE VOLUNTEER CENTER OF BERGEN COUNTY. - MARCH OF DIMES SEMINAR - FOR OBSTETRICIANS-GYNECOLOGISTS, PERINATALOGISTS, NEONATOLOGISTS, PEDIATRICIANS, MIDWIVES, NURSES AND OTHER PROFESSIONALS TO DISCUSS TOPICS SUCH AS NEW JERSEY BIRTH TRENDS, NEONATAL IMPLICATIONS OF PRETERM BIRTH, OBSTETRICAL IMPLICATIONS OF PRETERM BIRTH AND THE IMPORTANCE OF THE LAST WEEKS OF PREGNANCY. - BIOMEDICAL ETHICS COMMITTEE SYMPOSIUM. - 21ST ANNUAL HOLIDAY GIFT GIVING PARTY MAKES WISHES COME TRUE FOR FAMILIES OF PEDIATRIC PATIENTS - CHILD LIFE DEPARTMENT AT JOSEPH M. SANZARI CHILDREN'S HOSPITAL HELD ANNUAL PARTY. PATIENTS RECEIVED GIFTS DONATED FROM AREA BUSINESSES AND ORGANIZATIONS. SANTA MAKES CYBER-STOP AT HACKENSACKUMC - STAFF AT JOSEPH M. SANZARI CHILDREN'S HOSPITAL FACILITATE CISCO SYSTEMS "SANTA CONNECTION PROGRAM" WHERE CHILDREN CAN CONNECT TO SANTA REMOTELY. HURRICANE SANDY - AS HURRICANE SANDY MADE HER APPROACH INTO THE NEW JERSEY AND NEW YORK COASTLINES, HACKENSACK UNIVERSITY MEDICAL CENTER WAS BUSY TAKING ALL POSSIBLE PRECAUTIONS AND PREPARATIONS IN ORDER TO CONTINUE TO SAFELY PROVIDE NECESSARY PATIENT CARE AND ENSURE SUFFICIENT SUPPLY LEVELS.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III HUMC MOBILE SATELLITE EMERGENCY DEPARTMENT (MSED) VEHICLES WERE DEPLOYED TO A NUMBER OF LOW-LYING COMMUNITIES, SUCH AS HILLSBOROUGH, N.J. THE EMERGENCY VEHICLES ARE 43-FOOT BOX TRUCKS WITH EXPANDABLE SIDES FULLY OUTFITTED WITH SEVEN CRITICAL CARE BEDS HAVING MONITOR-DEFIBRILLATOR CAPABILITY; PORTABLE DIGITAL X-RAY UNIT; TELEMEDICINE CAPABILITY; PORTABLE FIELD LABORATORY; SMALL PHARMACEUTICAL CACHE; OVERHEAD MEDICAL PROCEDURE LIGHTING; AND ONBOARD MEDICAL GASES. THE FULLY FUNCTIONAL MOBILE EMERGENCY DEPARTMENTS, STAFFED BY HUMC EMERGENCY PHYSICIANS, NURSES AND OPERATIONS PERSONNEL, CAN BE RAPIDLY DEPLOYED. HACKENSACK UMC ALSO HAS DEPLOYED SIX MSED SUPPORT VEHICLES FOR COMMUNICATIONS, SUPPLIES AND EQUIPMENT. HACKENSACK DEPLOYED A MOBILE EMERGENCY SATELLITE DEPARTMENT TO OCEAN MEDICAL CENTER IN BRICK TOWNSHIP TO PROMPTLY PROVIDE MEDICAL ASSISTANCE TO 40 PATIENTS IN THE FIRST 24 HOURS OF THOSE AFFECTED BY HURRICANE SANDY. SEVENTEEN EMERGENCY PHYSICIANS, NURSES AND OPERATIONS EMPLOYEES TRAVELED TO OCEAN COUNTY TO MAN THE MSED. IN TOTAL, THE MSED SERVED 143 PATIENTS. TRANSPORTATION AND FUEL FOR STAFF MEMBERS - HUMC PURCHASED 1,000 GALLONS OF GAS AND BROUGHT A TANKER ON CAMPUS TO PROVIDE DIRECT PATIENT CAREGIVERS WITH UP TO FIVE GALLONS EACH. COLLEAGUE TO COLLEAGUE - SEVERAL EMPLOYEES WERE SEVERELY IMPACTED BY HURRICANE SANDY. TO ASSIST OUR EMPLOYEES HARDEST HIT BY HURRICANE SANDY, OTHER EMPLOYEES MADE CLOTHING, FOOD, AND MONETARY DONATIONS. ANNUAL "WALK TO REMEMBER" - A SPECIAL SERVICE HOSTED BY HACKENSACKUMC TO HONOR THE MEMORIES OF BABIES WHO DIED AS A RESULT OF MISCARRIAGE, ECTOPIC PREGNANCY, GENETIC DISORDERS, STILLBIRTH, OR NEWBORN DEATH. A MEMORIAL SERVICE PRECEDING THE WALK CONSISTED OF SONGS AND READINGS BY FAMILY AND STAFF MEMBERS IN ATTENDANCE, AS WELL AS A BANNER DISPLAY OF DECORATED FABRIC SQUARES CREATED IN MEMORY OF LOVED ONES. - DIABETES PROGRAM FOR COMMUNITY - ANNUAL SEMINAR HOSTED BY THE MOLLY DIABETES EDUCATION/MANAGEMENT CENTER FOR ADULTS AND CHILDREN AT HACKENSACKUMC THAT IS DIRECTED TO INDIVIDUALS WITH DIABETES AND THEIR FAMILIES. - MOLLY AND LINDSEY GOLF OUTING - HOSTED BY THE MOLLY AND LINDSEY DIABETES RESEARCH FOUNDATION AT HACKENSACKUMC BENEFITED THE MEDICAL CENTER AND THE DIABETES RESEARCH INSTITUTE. THIS YEAR'S OUTING HONORED MOLLY MINICUCCI-PHILLIPS AND LINDSEY INSERRA, THE INDIVIDUALS FOR WHICH THE FOUNDATION IS NAMED, WHO ARE STILL ENDURING TREATMENT AND ARE OPTIMISTIC ABOUT FINDING A CURE. EACH YEAR THE FOUNDATION PLANS THIS OUTING AS ITS MAJOR FUNDRAISER IN HOPES OF ONE DAY ENDING THIS DISEASE. TCI PARTY FOR TEEN CANCER AWARENESS WEEK WITH ALICIA ROSE VICTORIOUS FOUNDATION - THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL AT HACKENSACKUMC AND ADOLESCENT PATIENTS OF THE TOMORROWS CHILDREN'S INSTITUTE CELEBRATE NEW JERSEY'S ANNUAL TEEN CANCER AWARENESS WEEK TO HONOR THE LIVES OF YOUNG PEOPLE LIVING WITH CANCER. - "MAYOR'S 5K RUN/WALK TO BREAK THE SILENCE OF OVARIAN CANCER" - THE MAUREEN FUND FOR OVARIAN CANCER, A DIVISION OF THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC, PARTICIPATED IN THIS WALK ORIGINATED BY FORMER WEST ORANGE MAYOR JOHN F. MCKEON TO INCREASE AWARENESS AND RESEARCH FOR OVARIAN CANCER. - "ONE FORCE TO MAKE A DIFFERENCE" - 2ND ANNUAL OVARIAN CANCER SYMPOSIUM - MAUREEN FUND FOR THE PREVENTION AND EARLY DETECTION OF OVARIAN CANCER HELD A "GIRLS' NIGHT OUT" FUNDRAISING EVENT WITH OVARIAN CANCER SURVIVOR, SHANNON MILLER, THE MOST DECORATED GYMNAST IN U.S. HISTORY, AS THE FEATURED SPEAKER - PRESTIGE MINI ROAD RALLY - PRESTIGE MINI COOPER OF MAHWAH HELD ITS ANNUAL TOY DRIVE TO BENEFIT THE PATIENTS AT THE AUDREY HEPBURN CHILDREN'S HOUSE, A DIVISION OF THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL AT HACKENSACKUMC. SCORES OF MINI COOPERS PACKED WITH TOYS ARRIVED IN THE HOLIDAY SPIRIT. HACKENSACKUMC AND ST. GEORGE'S UNIVERSITY BESTOWS FOUR PARTIAL SCHOLARSHIPS TO SGU STUDENTS WHO ARE PERMANENT RESIDENTS OF BERGEN COUNTY. THE NY/NJ RED BULLS PROFESSIONAL SOCCER TEAM VISIT JOSEPH M. SANZARI PEDIATRIC PATIENTS. HACKENSACKUMC DONATES DEFIBRILLATORS TO MOUNT OLIVE BAPTIST CHURCH. PEDIATRIC PATIENTS CELEBRATE CHRISTMAS IN JULY WITH A PARTY AND DONATED GIFTS. JOSEPH M. SANZARI CHILDREN'S HOSPITAL RECEIVES 250 TICKETS TO NEW YORK METS GAMES AND DISTRIBUTES TICKETS TO PEDIATRIC PATIENTS AND THEIR FAMILIES. HACKENSACKUMC IN PARTNERSHIP WITH NATIONAL ORGANIZATION OF HEALING THE CHILDREN HELPED 13-YEAR-OLD PATIENT FROM PANAMA. SHE WAS TREATED FOR AN UNIDENTIFIED AUTOIMMUNE DISEASE. THE NEW YORK LIBERTY PROFESSIONAL WOMEN'S BASKETBALL TEAM VISITS PEDIATRIC PATIENTS AT HACKENSACKUMC. CANCER ORGANIZATIONS COME TOGETHER TO SUPPORT NEW YOUNG ADULT CANCER SURVIVORS WITH A MOVIE NIGHT. HACKENSACKUMC HOSTS SEEDS SCHOLARS. STUDENTS EXPLORE FUTURE CAREER PATHS AND MEET WITH HEALTHCARE PROFESSIONALS. HACKENSACKUMC HOSTS 12 VISITORS FROM CANADA ON A LEARNING JOURNEY. DEIRDRE IMUS HOLDS HEALTHY EATING COOKING DEMONSTRATION AT JOHN THEURER CANCER CENTER. HACKENSACKUMC HOSTS CONGENITAL HEART DEFECT AWARENESS. More than 100 children and families attended fun-filled day. NEW JERSEY NETS VISIT PEDIATRIC PATIENTS AT THE JOSEPH M. SANZARI CHILDREN'S HOSPITAL -16TH BIOMEDICAL ETHICS SYMPOSIUM - HOSTED BY THE BIOMEDICAL ETHICS COMMITTEE AT HACKENSACKUMC FOCUSED ON "THE MORAL RESPONSE TO HEALTHCARE REFORM". THIS PROGRAM WAS DESIGNED TO PROVIDE PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS, ALL LEVELS OF HOSPITAL STAFF, PATIENTS AND THEIR FAMILIES, STUDENTS AND INTERESTED MEMBERS OF THE COMMUNITY WITH AN OVERVIEW OF THE ETHICAL ISSUES RAISED BY HEALTHCARE REFORM, INCLUDING THE RESPONSE OF POLICY MAKERS, LEGISLATORS, AND OTHER GOVERNMENT LEADERS, AND CITIZENS TO THE MORAL IMPERATIVES OF PROVIDING, REGULATING AND PAYING FOR HEALTHCARE. - YOUTH WORLD AIDS DAY CONFERENCE - SPONSORED BY HACKENSACKUMC AND ATTENDED BY NEARLY 450 STUDENTS FROM 14 SCHOOLS IN THREE COUNTIES. PRENATAL CLASSES ---------------- - PREPARED CHILDBIRTH - PREPARATION FOR BREASTFEEDING - INFANT CARE - SIBLING PROGRAM PEDIATRIC --------- - YOUR CHILD'S SURGERY / PROCEDURE - THE MOLLY CENTER FOR CHILDREN WITH DIABETES AND ENDOCRINE DISORDERS - DIABETES EDUCATION CLASSES FOR PATIENT AND CAREGIVERS - THE JUDY CENTER FOR DOWN SYNDROME - PEDIATRIC AUDIOLOGY - PEDIATRIC RHEUMATOLOGY - PEDIATRIC GASTROENTEROLOGY AND NUTRITION - NEPHROLOGY - TOMORROWS CHILDREN'S INSTITUTE FOR CANCER AND BLOOD DISORDERS - SIDS CENTER OF NEW JERSEY INFANT AND CHILD BEREAVEMENT SERVICES - THE AUDREY HEPBURN CHILDREN'S HOUSE - THE DAVID CENTER FOR PAIN AND PALLIATIVE CARE - THE STEVEN AND RICHARD BADER IMMUNOLOGICAL INSTITUTE MOTHER BABY UNIT AND BEHAVIORAL MEDICINE ---------------------------------------- - NEW MOTHER'S SUPPORT GROUP - CELIAC SUPPORT GROUP - GASTROESOPHAGEAL REFLUX SUPPORT GROUP OTHER CLASSES ------------- - PARENTING SKILLS FOR PARENTS OF ADOLESCENTS - PARENTING BI-POLAR CHILDREN - CHANGING FAMILIES - NUTRITION FOR YOUR CHILD - EATING RIGHT - INDIVIDUAL NUTRITION CONSULTATIONS THE DAVE WINFIELD NUTRITION CENTER ---------------------------------- PROGRAMS OFFERED AT THE NUTRITION CENTER INCLUDE: -NUTRITION FOR YOUR CHILD: EATING RIGHT -HEALTHY START: GEARED TOWARDS OLDER INFANTS AND TODDLERS -NEXT STEP: GEARED TOWARDS PRESCHOOL AND SCHOOL AGE CHILDREN -CHALLENGES OF ADOLESCENCE: GEARED TOWARDS PRE-TEENS AND TEENS - INDIVIDUAL NUTRITION CONSULTATIONS INCLUDING WEIGHT MANAGEMENT, HIGH BLOOD PRESSURE, HEART DISEASE, DIABETES, PREGNANCY, GASTROINTESTINAL ISSUES, AND VEGETARIAN DIETS -THINKING THIN: WEIGHT MANAGEMENT PROGRAM FOR ADULTS AWARDS AND RECOGNITIONS ======================= HACKENSACKUMC CONTINUES TO RECEIVE RECOGNITIONS THAT TANGIBLY REAFFIRM OUR DETERMINATION TO PROVIDE THE HIGHEST LEVEL OF CARE TO ALL PATIENTS AND THEIR FAMILIES. THESE HONORS ILLUSTRATE AN UNWAVERING PLEDGE TO OUR PATIENTS AND THEIR FAMILIES THAT QUALITY AND VALUE ARE NEVER COMPROMISED. HEALTHGRADES, THE NATION'S LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION, HAS NAMED HACKENSACKUMC A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR THE TENTH CONSECUTIVE YEAR. THIS PRESTIGIOUS DISTINCTION PLACES HACKENSACKUMC AMONG THE TOP FIVE PERCENT OF HOSPITALS NATIONWIDE FOR CLINICAL PERFORMANCE. HACKENSACKUMC IS THE ONLY HOSPITAL IN NEW JERSEY, NEW YORK AND NEW ENGLAND TO RECEIVE THIS DISTINCTION 10 YEARS IN A ROW.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III HEALTHGRADES HOSPITAL QUALITY AND CLINICAL EXCELLENCE STUDY IDENTIFIES THOSE HOSPITALS WITH THE BEST OVERALL CLINICAL PERFORMANCE ACROSS 26 MEDICAL DIAGNOSES AND PROCEDURES THAT THE ORGANIZATION RATES. THESE 263 TOP-PERFORMING HOSPITALS REPRESENT ONLY FIVE PERCENT OF THE NATION'S HOSPITALS AND EACH IS DESIGNATED AS A HEALTHGRADES DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE. HEALTHGRADES EVALUATES HOSPITALS SOLELY ON CLINICAL OUTCOMES: RISK-ADJUSTED MORTALITY AND IN-HOSPITAL COMPLICATIONS. HEALTHGRADES ANALYSIS IS BASED ON APPROXIMATELY 40 MILLION MEDICARE DISCHARGES FOR THE YEARS 2008, 2009 AND 2010. USING THESE TOP-PERFORMING HOSPITALS AS A BENCHMARK IN THIS YEAR'S HEALTHGRADES STUDY, HEALTHGRADES THEN QUANTIFIES THE IMPACT OF DIFFERENCES IN HOSPITAL QUALITY IN TERMS OF LIVES LOST AND UNEXPECTED COMPLICATIONS. IN HEALTHGRADES 2012 ASSESSMENT OF HOSPITAL QUALITY, HACKENSACKUMC RANKS NUMBER ONE IN NEW JERSEY FOR: - OVERALL ORTHOPEDIC SERVICES, WHICH INCLUDES HIP FRACTURE TREATMENT, JOINT AND SPINE SURGERY - JOINT REPLACEMENT SURGERY SUCH AS KNEE AND HIP REPLACEMENTS - NEUROSURGERY, INCLUDING OPERATIONS SUCH AS CRANIOTOMIES AND ANEURYSM REPAIRS - NEUROSCIENCES, WHICH INCLUDES THE CARE OF STROKE PATIENTS - PULMONARY CARE, WHICH INCLUDES THE CARE OF PNEUMONIA AND COPD PATIENTS - CRITICAL CARE WHICH INCLUDES TREATING HIGH ACUITY PATIENTS WITH DIAGNOSES SUCH AS SEPSIS (INFECTION OF THE BLOOD) AND RESPIRATORY FAILURE - OVERALL GASTROINTESTINAL CARE - MEDICAL TREATMENT OF GASTROINTESTINAL ISSUES SUCH AS BOWEL OBSTRUCTION - PROSTATECTOMY - BARIATRIC SURGERY ALSO ACCORDING TO HEALTHGRADES HACKENSACKUMC IS FIVE-STAR RATED (OUT OF A POSSIBLE FIVE-STARS) IN THE FOLLOWING AREAS: - OVERALL CARDIAC SERVICES FOR 2 YEARS IN A ROW (2011 - 2012) - CARDIOLOGY SERVICES FOR 4 YEARS IN A ROW (2009 - 2012) - CORONARY BYPASS SURGERY FOR 2 YEARS IN A ROW (2011 - 2012) - CORONARY INTERVENTIONAL PROCEDURES FOR 4 YEARS IN A ROW (2009 - 2012) - TREATMENT OF HEART ATTACK FOR 10 YEARS IN A ROW (2003 - 2012) - TREATMENT OF HEART FAILURE FOR 10 YEARS IN A ROW (2003 - 2012) - OVERALL ORTHOPEDIC SERVICES IN 2012 - JOINT REPLACEMENT FOR 4 YEARS IN A ROW (2009 - 2012) - TOTAL KNEE REPLACEMENT FOR 4 YEARS IN A ROW (2009 - 2012) - TOTAL HIP REPLACEMENT FOR 7 YEARS IN A ROW (2006 - 2012) - HIP FRACTURE TREATMENT IN 2012 - BACK AND NECK SURGERY (SPINAL FUSION) FOR 2 YEARS IN A ROW (2011 - 2012) - NEUROSCIENCES IN 2012 - NEUROSURGERY IN 2012 - TREATMENT OF STROKE FOR 10 YEARS IN A ROW (2003 - 2012) - OVERALL PULMONARY SERVICES FOR 3 YEARS IN A ROW (2010 - 2012) - TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE FOR 2 YEARS IN A ROW (2011 - 2012) - TREATMENT OF PNEUMONIA FOR 7 YEARS IN A ROW (2006 - 2012) - PROSTATECTOMY FOR 7 YEARS IN A ROW (2006 - 2012) - OVERALL GI SERVICES FOR 4 YEARS IN A ROW (2009 - 2012) - GENERAL SURGERY FOR 7 YEARS IN A ROW (2006 - 2012) - GI MEDICAL TREATMENT FOR 2 YEARS IN A ROW (2011 - 2012) - GI PROCEDURES AND SURGERIES FOR 3 YEARS IN A ROW (2010 - 2012) - TREATMENT OF GI BLEED FOR 7 YEARS IN A ROW (2006 - 2012) - TREATMENT OF BOWEL OBSTRUCTION FOR 8 YEARS IN A ROW (2005 - 2012) - OVERALL CRITICAL CARE FOR 2 YEARS IN A ROW (2011 - 2012) - TREATMENT OF SEPSIS FOR 4 YEARS IN A ROW (2009 - 2012) - TREATMENT OF RESPIRATORY FAILURE FOR 5 YEARS IN A ROW (2008 - 2012) - EMERGENCY MEDICINE FOR 2 YEARS IN A ROW (2011 - 2012) HACKENSACKUMC IS ONE OF AMERICA'S 50 BEST HOSPITALS FOR SIX CONSECUTIVE YEARS WHICH PLACES IT AMONG THE TOP 1% OF HOSPITALS IN THE NATION. TO BE RECOGNIZED WITH THIS DISTINCTION, HOSPITALS MUST HAVE HAD RISK-ADJUSTED MORTALITY AND COMPLICATION RATES THAT WERE IN THE TOP FIVE PERCENT IN THE NATION FOR THE MOST CONSECUTIVE YEARS. HACKENSACKUMC IS THE ONLY HOSPITAL IN NJ, NY AND NEW ENGLAND TO BE NAMED ONE OF AMERICA'S 50 BEST HOSPITALS 6-YEARS IN A ROW. ACCORDING TO HEALTHGRADES, HACKENSACKUMC RANKED AMONG THE 100 BEST HOSPITALS IN AMERICA IN NINE SPECIALTY AREAS, THE ONLY HOSPITAL IN AMERICA TO ACHIEVE SUCH A DISTINCTION: - CARDIAC CARE - TEN CONSECUTIVE YEARS (2003 - 2012) - CORONARY INTERVENTION - PULMONARY CARE - ORTHOPEDIC SURGERY - JOINT REPLACEMENT - FOUR CONSECUTIVE YEARS (2009 - 2012) - STROKE CARE - SIX CONSECUTIVE YEARS (2007 - 2012) - PROSTATECTOMY - THREE CONSECUTIVE YEARS (2010 - 2012) - GASTROINTESTINAL CARE- EIGHT CONSECUTIVE YEARS (2005 - 2012) - GENERAL SURGERY- SEVEN CONSECUTIVE YEARS (2006 - 2012) BECKER'S HOSPITAL REVIEW, A LEADING INDUSTRY MAGAZINE FEATURING UP-TO-DATE BUSINESS AND LEGAL NEWS AND ANALYSIS RELATING TO HOSPITALS AND HEALTH SYSTEMS, PLACED HACKENSACKUMC ON ITS "50 BEST HOSPITALS IN AMERICA" AND "100 BEST PLACES TO WORK IN HEALTHCARE" LISTS. IT ALSO RECOGNIZED HACKENSACKUMC ON ITS "70 HOSPITALS WITH GREAT CARDIOLOGY PROGRAMS" LIST AND ITS LIST OF "70 HOSPITALS WITH GREAT ONCOLOGY PROGRAMS." HACKENSACK UMC HAS BEEN NAMED ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY THOMSON REUTERS FOR THE EIGHTH TIME. THE STUDY EXAMINED THE PERFORMANCE OF MORE THAN 1,000 HOSPITALS BY ANALYZING OUTCOMES FOR PATIENTS WITH HEART FAILURE AND HEART ATTACKS AND FOR THOSE WHO RECEIVED CORONARY BYPASS SURGERY AND PERCUTANEOUS CORONARY INTERVENTIONS SUCH AS ANGIOPLASTIES. THIS IS THE EIGHTH TIME HACKENSACKUMC HAS BEEN RECOGNIZED WITH THIS HONOR. U.S. NEWS & WORLD REPORT, ONE OF THE LEADING CONSUMER-BASED RANKING AND RATING SYSTEM OF U.S. HOSPITALS AND MEDICAL CENTERS, SCOURS THROUGH NEARLY 5,000 HOSPITALS. HACKENSACKUMC IS THE ONLY HOSPITAL IN NEW JERSEY TO RECEIVE THREE RANKINGS FOR THE 2011-12 BEST HOSPITALS LIST, AND IS RANKED NATIONALLY IN THREE ADULT SPECIALTIES: CANCER, CARDIOLOGY AND HEART SURGERY, AND GERIATRICS. IT WAS ALSO HIGH-PERFORMING IN EIGHT ADULT SPECIALTIES: EAR, NOSE & THROAT, GASTROENTEROLOGY, GYNECOLOGY, NEPHROLOGY, NEUROLOGY & NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY AND UROLOGY. U.S. NEWS & WORLD REPORT RANKED HACKENSACKUMC'S JOSEPH M. SANZARI CHILDREN'S HOSPITAL AS ONE OF THE TOP 50 HOSPITALS IN THE SPECIALTY OF NEUROLOGY AND NEUROSUSRGERY. IT IS THE FIRST HOSPITAL IN NEW JERSEY TO EVER RECEIVE SUCH A DESIGNATION. THE AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) RECOGNIZED HACKENSACKUMC AS ONE OF 26 ACS NSQIP PARTICIPATING HOSPITALS IN THE UNITED STATES THAT HAVE ACHIEVED EXEMPLARY OUTCOMES FOR SURGICAL PATIENT CARE. AS A PARTICIPANT IN ACS NSQIP, HACKENSACKUMC IS REQUIRED TO TRACK THE OUTCOMES OF INPATIENT AND OUTPATIENT SURGICAL PROCEDURES AND COLLECT DATA THAT DIRECTS PATIENT SAFETY AND THE QUALITY OF SURGICAL CARE IMPROVEMENTS. THE NON-INVASIVE VASCULAR LABORATORY ACHIEVED A THREE-YEAR ACCREDITATION BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES. THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS GRANTED A THREE-YEAR ACCREDITATION WITH COMMENDATION TO THE JOHN THEURER CANCER CENTER. THE CLINICAL VIROLOGY LABORATORY RECEIVED ACCREDITATION BY THE ACCREDITATION COMMITTEE OF THE COLLEGE OF AMERICAN PATHOLOGISTS. FOR THE 16TH CONSECUTIVE YEAR AND SINCE THE AWARD'S INCEPTION, HACKENSACKUMC RECEIVED THE 2011/2012 NATIONAL RESEARCH CORPORATION (NRC) CONSUMER CHOICE AWARD, AS CHOSEN BY THE PEOPLE HACKENSACKUMC SERVES IN THE COMMUNITY. HACKENSACKUMC HAS BEEN IDENTIFIED BY CONSUMERS AS PROVIDING THE HIGHEST QUALITY OF SERVICE AND HAVING THE BEST IMAGE. MAGNET STATUS HACKENSACKUMC RECEIVED ITS FOURTH MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER FOR NURSING EXCELLENCE (AN AWARD GIVEN EVERY FOUR YEARS) IN APRIL 2009. IN 1995, HACKENSACKUMC WAS FIRST IN NEW JERSEY TO RECEIVE MAGNET RECOGNITION FOR NURSING. EVERY ORGANIZATION HAS ITS HONORS AND AWARDS TO RECOGNIZE EXCELLENCE IN THE FIELD, THE PURSUIT OF THE HIGHEST VALUES, AND THE ATTAINMENT OF GOALS TO WHICH ALL OTHERS ASPIRE. IN NURSING, THE HIGHEST RECOGNITION THAT A HOSPITAL OR HACKENSACKUMC CAN ATTAIN IS THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET AWARD - AN AFFIRMATION THAT AN INSTITUTION ATTRACTS AND RETAINS WELL-QUALIFIED NURSES, UPHOLDS STRINGENT STANDARDS FOR NURSING PRACTICE, AND PROMOTES EXCEPTIONAL PATIENT CARE. TO BE A MAGNET HOSPITAL MEANS THAT A NEVER-ENDING CULTURE OF EXCELLENCE EXISTS AT HACKENSACKUMC. IT IS EVIDENT IN THE WAY WE CARE FOR PATIENTS AND THEIR FAMILIES, RECOGNIZING THAT EACH PATIENT HAS INDIVIDUAL NEEDS, CONCERNS, AND WAYS OF COPING WITH ILLNESS. TO BE A MAGNET HOSPITAL MEANS THAT HACKENSACKUMC VALUES THE CONTRIBUTIONS OF ITS NURSES AND SEEKS THEIR INPUT IN ALL ADMINISTRATIVE AND PATIENT CARE DECISIONS. TO BE A MAGNET HOSPITAL MEANS THAT OTHER LEADING HOSPITALS - SUCH AS MASSACHUSETTS GENERAL HOSPITAL, THE CLEVELAND CLINIC, AND JOHNS HOPKINS HOSPITAL - TURN TO THEM FOR EXTENSIVE MENTORING.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III HACKENSACKUMC IS PROUD OF ITS MANY INNOVATIONS, TECHNOLOGIES, RESEARCH PROJECTS, AND MEDICAL EXPERTISE. BUT AT THE TOP OF THE LIST IS THE ENTITY THAT OFTEN MEANS THE MOST TO THE PATIENTS - UNPARALLELED NURSING EXCELLENCE THAT MAKES HACKENSACKUMC STAND TALL OVER ALL OTHERS. JOINT COMMISSION THE JOINT COMMISSION, AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION THAT ACCREDITS AND CERTIFIES MORE THAN 19,000 HEALTHCARE ORGANIZATIONS AND PROGRAMS IN THE U.S., AWARDED HACKENSACKUMC WITH 17 GOLD SEALS OF APPROVAL. THE SEALS RECOGNIZE HACKENSACKUMC'S PERFORMANCE IN: ACUTE MYOCARDIAL INFARCTION, ASTHMA, BONE MARROW TRANSPLANTATION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CORONARY ARTERY DISEASE, DEPRESSION PROGRAM, END-STAGE RENAL DISEASE, HEART FAILURE, HIP REPLACEMENT, INPATIENT DIABETES PROGRAM, KNEE REPLACEMENT, PEDIATRIC ASTHMA, PNEUMONIA DISEASE, PRIMARY STROKE CENTER, TRAUMA, BREAST CANCER, AND GERIATRIC DELIRIUM. OTHER AWARDS AND RECOGNITIONS ============================= HACKENSACKUMC RECEIVED THE FOLLOWING ADDITIONAL AWARDS AND RECOGNITIONS: - THE LEAPFROG GROUP, A GROUP OF PUBLIC AND PRIVATE PURCHASERS OF EMPLOYEE HEALTH COVERAGE DEDICATED TO IMPROVEMENTS IN HEALTHCARE SAFETY, QUALITY AND AFFORDABILITY, NAMED HACKENSACKUMC AS ONE OF ITS TOP HOSPITALS FOR 2012. HACKENSACKUMC IS ONE OF 65 HOSPITALS FROM A FIELD OF NEARLY 1,200, AND IS THE ONLY NEW JERSEY HOSPITAL TO RECEIVE THIS HONOR TWO YEARS IN A ROW. - RECEIVED THE CEO CANCER GOLD STANDARD ACCREDITATION IN RECOGNITION OF HACKENSACKUMC'S EXTRAORDINARY COMMITMENT TO THE HEALTH OF ITS EMPLOYEES AND THEIR FAMILIES. THIS GOLD STANDARD CALLS FOR COMPANIES TO EVALUATE THEIR HEALTH BENEFITS AND CORPORATE CULTURE AND TAKE EXTENSIVE, CONCRETE ACTIONS IN FIVE KEY AREAS OF HEALTH AND WELLNESS TO FIGHT CANCER IN THE WORKPLACE. - EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR ITS BREAST CANCER PROGRAM AND GERIATRICS DELIRIUM PROGRAM BY DEMONSTRATING COMPLIANCE WITH THE JOINT COMMISSION'S NATIONAL STANDARDS FOR HEALTHCARE QUALITY AND SAFETY IN DISEASE-SPECIFIC CARE. THE CERTIFICATION AWARD RECOGNIZES THE MEDICAL CENTER'S DEDICATION TO CONTINUOUS COMPLIANCE WITH THE JOINT COMMISSION'S STATE-OF-THE-ART STANDARDS. THIS IS THE FIRST CERTIFICATION FOR BREAST CANCER AND THE FIRST CERTIFICATION FOR GERIATRICS DELIRIUM, AND IS HACKENSACKUMC'S 16TH AND 17TH GOLD SEALS OF APPROVAL FROM THE JOINT COMMISSION - THE MOST NUMBER OF CERTIFICATIONS FOR ANY HOSPITAL IN THE NATION. - SEVERAL NURSES WERE RECIPIENTS OF THE TEAMWORK AWARD AT THE NATIONAL NURSING PATIENT SAFETY AWARDS AT GEORGETOWN UNIVERSITY, WASHINGTON, DC FOR THEIR POSTER PRESENTATION, "UNITING A MULTIDISCIPLINARY TEAM WITH A COMMON GOAL: DECREASING CA-BSI'S." - THE MOLLY DIABETES EDUCATION CENTER FOR ADULTS AND CHILDREN RECEIVED ITS SEVENTH RECERTIFICATION FROM THE AMERICAN DIABETES ASSOCIATION FOR BEING A CERTIFIED SELF-MANAGEMENT DIABETES EDUCATION PROGRAM. - PHYSICIANS AT THE JOHN THEURER CANCER CENTER AND TOMORROWS CHILDREN'S INSTITUTE AT HACKENSACKUMC WERE CHOSEN AMONG THE BEST IN THEIR FIELDS IN THE 7TH EDITION OF THE CASTLE CONNOLLY GUIDE "AMERICA'S TOP DOCTORS FOR CANCER". RECENTLY RELEASED, THE 2011 EDITION FEATURES THE NATION'S FOREMOST PHYSICIANS OF VARIOUS SPECIALTIES FOCUSED ON THE DIAGNOSIS, TREATMENT AND PREVENTION OF CANCERS IN ADULTS AND CHILDREN. THE PHYSICIANS SELECTED FOR THIS PRESTIGIOUS HONOR ARE DISTINGUISHED, LEADING ONCOLOGISTS AT THE MEDICAL CENTER. - FIRST-EVER MARCH OF DIMES PRESIDENT'S AWARD FOR PREMATURITY PREVENTION LEADERSHIP FOR REDUCING EARLY ELECTIVE C-SECTIONS WAS AWARDED TO THE OB-GYN CHAIRMAN OF HACKENSACKUMC. - AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS "HOSPITAL OF CHOICE" AWARD. - RECEIVED NJ TOP HOSPITALS AWARDS PLAQUE FROM NJ TOP HOSPITALS, AN EXCLUSIVE HEALTHCARE RESOURCE PROFILING THE TOP SPECIALTY HOSPITALS IN NEW JERSEY AND A DIVISION OF NJ TOP DOCS. THE MEDICAL CENTER HAS BEEN RECOGNIZED AS AN OVERALL TOP HOSPITAL IN NEW JERSEY FOR ITS COMMITMENT TO EXCELLENCE. - RANKED BY CHILD MAGAZINE AS ONE OF THE TOP-RANKED CHILDREN'S HOSPITALS IN THE UNITED STATES AND THE TOP-RANKED CHILDREN'S HOSPITAL IN NEW JERSEY. - "TOP QUALITY PERFORMER" IN A CENTERS FOR MEDICARE & MEDICAID SERVICES, PREMIER HEALTHCARE ALLIANCE VALUE-BASED PURCHASING (VBP) PROJECT THAT REWARDS HOSPITALS FOR DELIVERING HIGH QUALITY CARE IN SIX CLINICAL AREAS. HACKENSACKUMC RECEIVED THREE AWARDS FOR TOP PERFORMANCE IN THE CLINICAL AREAS OF ACUTE MYOCARDIAL INFARCTION, HIP AND KNEE REPLACEMENT, AND PNEUMONIA; AND ATTAINMENT IN THE CLINICAL AREAS OF ACUTE MYOCARDIAL INFARCTION, CORONARY ARTERY BYPASS GRAFT, HEART FAILURE, PNEUMONIA, HIP AND KNEE REPLACEMENT, AND SURGICAL CARE IMPROVEMENT PROJECT. THE MEDICAL CENTER IS A UNIQUE ORGANIZATION THAT COMBINES UNCOMPROMISING DEDICATION TO QUALITY WITH STRONG FINANCIAL PERFORMANCE TO DELIVER THE BEST MEDICINE TO OUR PATIENTS. THESE AWARDS ARE PROOF TO THOSE SUCCESSES FOR HACKENSACK UNIVERSITY MEDICAL CENTER. MEDICAL SPECIALTIES/SERVICES ============================ IN ADDITION TO PROVIDING A COMPREHENSIVE ARRAY OF SECONDARY LEVEL PATIENT CARE, THE MEDICAL CENTER PROVIDES TERTIARY AND QUATERNARY SERVICES TO A WIDE REFERRAL AREA. THESE SERVICES INCLUDE: CARDIAC CARE ------------ THE MEDICAL CENTER IS ONE OF THE LARGEST AND MOST COMPREHENSIVE PROVIDERS OF CARDIAC CARE IN THE STATE OFFERING A FULL-RANGE OF STATE-OF-THE-ART INVASIVE AND NON-INVASIVE DIAGNOSTIC AND TREATMENT SERVICES INCLUDING PREVENTIVE CARDIOLOGY WITH ULTRA FAST COMPUTERIZED ELECTRON BEAM TOMOGRAPHY, NON-INVASIVE CARDIOLOGY LABORATORY, PACEMAKER CENTER, CONGESTIVE HEART FAILURE AND PULMONARY HYPERTENSION PROGRAM, CARDIAC CATHETERIZATION LABORATORY, ELECTROPHYSIOLOGY PROGRAM, CARDIAC SURGERY, AND CARDIAC REHABILITATION. HACKENSACKUMC'S EIGHT CARDIAC CATHETERIZATION LABORATORIES ARE USING RADIO-FREQUENCY FOR TOTALLY BLOCKED ARTERIES, INTRACORONARY ULTRASOUND, AND NEURO-INTRAVASCULAR PROCEDURES. RECENTLY THE ABILITY TO TEMPORARILY PLACE A CATHETER-BASED HEART ASSIST DEVICE ALLOWS THE PERFORMANCE OF INTERVENTIONAL PROCEDURES EVEN IN THE HIGHEST-RISK PATIENTS. ELECTROPHYSIOLOGY INCLUDES ATRIAL FIBRILLATION ABLATIONS, LEAD EXTRACTIONS, AND ELECTRO ANATOMICAL MAPPING WITH CARDIOMERGE TECHNOLOGY. THE HEART CENTER IS AN OUTPATIENT CARDIAC DEPARTMENT THAT OFFERS STRESS TESTING, ECHOCARDIOGRAMS, HALTER MONITOR SERVICES, A PACEMAKER CENTER, ELECTRON-BEAM TOMOGRAPHY, ENHANCED EXTERNAL COUNTER PULSATION, AND OUTPATIENT DIAGNOSTIC SERVICES. A NEW PICTURE ARCHIVING COMMUNICATION SYSTEM AND REPORT-GENERATING SYSTEM HAS BEEN RECENTLY INSTALLED. THE NEW HEART AND VASCULAR HOSPITAL IS CHARTING THE FUTURE OF CARDIOVASCULAR CARE IN NEW JERSEY. HACKENSACKUMC HAS EMBARKED ON A MISSION TO RECRUIT THE VERY BEST CARDIOLOGISTS IN THE COMMUNITY TO ENHANCE THE STATE-OF-THE-ART DIAGNOSTIC AND TREATMENT SERVICES OFFERED AT THE NEW, CUTTING-EDGE HEART & VASCULAR HOSPITAL. THIS "HOSPITAL WITHIN A HOSPITAL" PROVIDES ADDITIONAL SPACE, SUPERIOR PATIENT CARE, AND ACCESS TO LEADING TECHNOLOGY. CANCER CARE ----------- THE JOHN THEURER CANCER CENTER AT HACKENSACKUMC ("THE CANCER CENTER") IS NEW JERSEY'S LARGEST AND MOST COMPREHENSIVE CENTER DEDICATED TO THE DIAGNOSIS, TREATMENT, MANAGEMENT, RESEARCH, SCREENINGS AND PREVENTIVE CARE OF PATIENTS WITH ALL TYPES OF CANCER, AND IS AMONG THE NATION'S TOP 10 IN PATIENT VOLUME. THE CANCER CENTER HAS RECORDED APPROXIMATELY 53,000 ACTIVE TREATMENTS DURING 2012. EACH WEEK, APPROXIMATELY 150 NEW PATIENTS SEEK OUT HUMC'S SERVICES. ITS ADULT BLOOD AND MARROW STEM CELL TRANSPLANTATION PROGRAM, NOW ONE OF THE TOP 10 IN THE UNITED STATES, TREATS MORE THAN 200 PATIENTS A YEAR. HOUSED WITHIN HACKENSACKUMC, THE CANCER CENTER PROVIDES STATE-OF-THE-ART TECHNOLOGICAL ADVANCES, COMPASSIONATE CARE, RESEARCH INNOVATIONS, MEDICAL EXPERTISE, AND A FULL RANGE OF AFTER CARE SERVICES THAT DISTINGUISH THE CANCER CENTER FROM OTHER FACILITIES. THE CANCER CENTER IS COMPOSED OF 14 SPECIALIZED ON-SITE TEAMS FULLY ENGAGED IN THE MEDICAL AND EMOTIONAL CARE OF THEIR PATIENTS AND LOVED ONES. EACH OF THE 14 DIVISIONS FEATURES TEAMS OF PHYSICIANS, NURSES, TECHNOLOGISTS, AND SUPPORT STAFF WITH CLINICAL AND RESEARCH EXPERTISE IN A SPECIFIC TYPE OF CANCER (SUCH AS LEUKEMIA OR BREAST CANCER) OR SPECIFIC SERVICE (SUCH AS SUPPORTIVE CARE AND PAIN MANAGEMENT). THIS APPROACH, WHICH BRINGS TOGETHER A CLOSE-KNIT TEAM OF MEDICAL, RESEARCH, NURSING, AND SUPPORT STAFF WITH SPECIALIZED EXPERTISE, TRANSLATES INTO MORE ADVANCED, FOCUSED CARE FOR PATIENTS.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III THE CANCER CENTER HAS EXPERIENCED STEADY GROWTH IN ITS CANCER CARE PROGRAMS. IT OFFERS PATIENTS ACCESS TO ONE OF FOURTEEN SPECIALIZED DIVISIONS: BONE MARROW TRANSPLANTATION, BREAST, GASTROINTESTINAL, GENITOURINARY, GYNECOLOGICAL, HEAD AND NECK, LEUKEMIA, LYMPHOPROLIFERATIVE, MULTIPLE MYELOMA, NEURO-ONCOLOGY, SKIN AND SARCOMA, SUPPLEMENTARY CARE AND PAIN MANAGEMENT, THORACIC, AND RESEARCH. IN ADDITION, IT IS ONE OF ONLY 50 PROGRAMS IN THE NATION DESIGNATED AS A COMMUNITY CLINICAL ONCOLOGY PROGRAM (CCOP) BY THE NATIONAL CANCER INSTITUTE (NCI) OF THE NATIONAL INSTITUTES OF HEALTH. A CCOP IS A GROUP OF COMMUNITY HOSPITALS AND PHYSICIANS FUNDED BY A PEER-REVIEWED COOPERATIVE AGREEMENT TO PARTICIPATE IN NCI-SPONSORED CANCER TREATMENT, PREVENTION, AND CONTROLLED CLINICAL TRIALS. THE CANCER CENTER ENCOMPASSES THE ENTIRE RANGE OF ADVANCED DIAGNOSTIC AND TREATMENT CAPABILITIES THAT ARE AVAILABLE ONLY AT MAJOR HOSPITALS SUCH AS HACKENSACKUMC. THESE INCLUDE ALL TYPES OF IMAGING STUDIES, INCLUDING PET SCANNING, MRI, CT SCANNING, AND NUCLEAR MEDICINE; ADVANCED MINIMALLY INVASIVE SURGICAL DIAGNOSTICS, SUCH AS STEREOTACTIC BIOPSIES AND SENTINEL LYMPH NODE MAPPING; ROBOTIC AND MINIMALLY INVASIVE SURGICAL PROCEDURES; STATE-OF-THE-ART RADIATION THERAPY, INCLUDING INTENSITY MODULATED RADIATION THERAPY (IMRT), TOMOTHERAPY, IMPLANT AND HIGH-DOSE-RATE BRACHYTHERAPY, AND STEREOTACTIC RADIOSURGERY; NON-SURGICAL TREATMENTS, INCLUDING RADIOFREQUENCY ABLATION; ADVANCED CHEMOTHERAPY USING NEW MEDICATIONS AND COMBINATIONS; HORMONAL THERAPY; STEM CELL TRANSPLANTATION; AND HIGHLY PROMISING IMMUNOTHERAPY USING VACCINES TO DESTROY CANCER CELLS. HOWEVER, AT THE CANCER CENTER, HACKENSACKUMC IS NOT SATISFIED TO PROVIDE THE MOST ADVANCED, STATE-OF-THE-ART SERVICES AND TECHNOLOGY AVAILABLE TODAY. NOR IS IT SATISFIED TO PROVIDE CUTTING-EDGE BASIC RESEARCH, CLINICAL TRIALS, AND INNOVATIVE TREATMENT METHODS THAT ARE NOT FOUND ANYWHERE ELSE IN NEW JERSEY. WHEN IT COMES TO HELPING PEOPLE FACE THE BIGGEST CHALLENGE OF THEIR LIVES - A DIAGNOSIS OF CANCER - HACKENSACKUMC REACHES BEYOND ITS FACILITIES, ITS EQUIPMENT, AND ITS TREATMENTS AND OFFERS PATIENTS THE BEST OF HACKENSACKUMC, THE CANCER CARE TEAM OF DEDICATED INDIVIDUALS. NO TREATMENT CAN WORK WITHOUT THE SKILLS, EXPERTISE, AND COMPASSION OF HACKENSACKUMC'S EXTRAORDINARY TEAM OF CANCER CARE EXPERTS. ITS MISSION TO PROVIDE EXTRAORDINARY CARE STARTS WITH EACH MEMBER OF ITS TEAM. HACKENSACKUMC PLEDGES TO PARTNER WITH PATIENTS IN THE FIGHT OF THEIR LIVES, AND TO MAKE EVERY EFFORT TO SUPPORT THEM DURING THEIR EXPERIENCES WITH HACKENSACKUMC. PATIENTS ARE NOT A NUMBER TO HACKENSACKUMC, BUT A MOTHER, FATHER, SISTER, BROTHER, AUNT, OR UNCLE. HACKENSACKUMC CARES FOR PATIENTS WITH DIGNITY AND RESPECT AS HACKENSACKUMC MAKES THIS JOURNEY TOGETHER WITH PATIENTS. THE CANCER CENTER WORKS CLOSELY WITH SEVERAL CENTERS OF EXCELLENCE THAT OFFER DIAGNOSTIC AND TREATMENT CAPABILITIES THAT ARE NOT READILY AVAILABLE AT OTHER CANCER FACILITIES IN NEW JERSEY. THESE INCLUDE THE WORLD-RENOWNED ADULT BLOOD AND MARROW STEM CELL TRANSPLANTATION PROGRAM; THE PROSTATE CANCER INSTITUTE OF NEW JERSEY; THE BETTY TORRICELLI INSTITUTE FOR BREAST CARE; THE INSTITUTE FOR RADIOSURGERY; THE COLON CANCER PREVENTION CENTER; AND THE DEPARTMENT OF RADIATION ONCOLOGY. THE CANCER CENTER IS THE FIRST CANCER CENTER IN NEW JERSEY TO ACQUIRE A NEW, CUTTING EDGE RADIOTHERAPY SYSTEM THAT ENABLES A RADICALLY DIFFERENT APPROACH TO TREATING CANCER WITH IMAGE-GUIDED RADIOTHERAPY (IGRT) KNOWN AS THE TRUEBEAM SYSTEM. THIS STATE-OF-THE-ART RADIOTHERAPY SYSTEM ALLOWS THE JOHN THEURER CANCER CENTER TO OFFER EVEN FASTER TREATMENTS, ENHANCED ACCURACY, AND QUICKER IMAGING AT LOWER DOSES. BASIC RESEARCH -------------- BASIC RESEARCH STUDIES AT THE CANCER CENTER AND HACKENSACKUMC'S ON-SITE DAVID JOSEPH JURIST RESEARCH CENTER FOR TOMORROWS CHILDREN ARE CURRENTLY LOOKING INTO THE ORIGINS OF CANCER AT THE MOLECULAR LEVEL, HOW AND WHY CELLS PROGRESS INTO CANCER, AND THE BASIC BIOLOGY OF GRAFT-VERSUS-HOST DISEASE, A COMMON AND POTENTIALLY FATAL SIDE EFFECT OF STEM CELL TRANSPLANTATION. STEM CELL TRANSPLANTATION IS USED TO TREAT HEMATOLOGICAL (BLOOD) CANCERS, SUCH AS LEUKEMIA AND LYMPHOMA; CANCERS THAT INVOLVE SOLID TUMORS, SUCH AS BREAST AND OVARIAN CANCER; SERIOUS BLOOD DISORDERS; AND IMMUNE SYSTEM DEFICIENCIES. CLINICAL TRIALS OFFER INNOVATIVE TREATMENTS ------------------------------------------- AS A WORLD-CLASS FACILITY AND ACADEMIC HOSPITAL, THE CANCER CENTER IS ACTIVELY INVOLVED IN CLINICAL TRIALS THAT BRING RESEARCH ADVANCES DIRECTLY TO PATIENTS. THE CANCER CENTER PARTICIPATES IN MORE THAN 100 INTERNATIONAL AND NATIONAL CANCER CLINICAL TRIALS THAT GIVE PATIENTS ACCESS TO PROMISING INVESTIGATIONAL MEDICATIONS, TREATMENT PROTOCOLS, AND SURGICAL TECHNIQUES THAT ARE OFTEN NOT AVAILABLE AT OTHER FACILITIES IN NEW JERSEY. KEY AREAS OF CANCER RESEARCH THAT ARE CURRENTLY TAKING PLACE INCLUDE TARGETED THERAPIES THAT PINPOINT CANCER CELLS AND SPARE NORMAL CELLS, GENE THERAPY TO MUTATE CANCER, ADVANCES IN STEM CELL TRANSPLANTATION, NEW COMBINATIONS OF CHEMOTHERAPY, NEW RADIATION ONCOLOGY CANCER CELLS AND SAFE VIRUSES TO MAKE VACCINES THAT COMBAT CANCER. BONE MARROW TRANSPLANTATION PROGRAM ----------------------------------- THE ADULT BLOOD AND MARROW STEM CELL TRANSPLANTATION PROGRAM PROVIDES AUTOLOGOUS AND ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION IN THE TREATMENT OF MALIGNANT AND NON-MALIGNANT DISEASES INCLUDING USE OF BONE MARROW, PERIPHERAL BLOOD STEM CELLS, AND UMBILICAL CORD BLOOD STEM CELLS. THIS PROGRAM ALSO SERVES AS A COLLECTION FACILITY FOR NATIONAL MARROW DONOR PROGRAM DONOR CENTERS. THE ADULT BLOOD AND MARROW STEM CELL TRANSPLANTATION PROGRAM, WAS THE FIRST CENTER IN THE COUNTRY TO RECEIVE A BONE MARROW TRANSPLANT DISEASE SPECIFIC RECOGNITION BY THE JOINT COMMISSION (FORMERLY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, THE "JOINT COMMISSION") A NON-PROFIT ORGANIZATION THAT ACCREDITS AND CERTIFIES OVER 15,000 HEALTHCARE ORGANIZATIONS AND PROGRAMS IN THE UNITED STATES. AN AFFILIATION HAS BEEN FORMED WITH THE TRANSPLANT PROGRAM AT THE NATIONAL CANCER INSTITUTE OF THE NATIONAL INSTITUTES OF HEALTH, WHICH ENABLES SHARING OF PROTOCOLS. THIS PROGRAM HAS OVER TWENTY-ONE OPEN TRANSPLANT PROTOCOLS IN USE AT THIS TIME AND EIGHT MORE AWAIT APPROVAL. THE INSTITUTE FOR BREAST CARE ----------------------------- STAFFED BY RADIOLOGISTS, PATHOLOGISTS, NURSES AND TECHNOLOGISTS SPECIALLY TRAINED IN BREAST CARE, THE INSTITUTE FOR BREAST CARE OFFERS COMPREHENSIVE BREAST DIAGNOSTIC SERVICES. THESE SERVICES INCLUDE SCREENING AND DIAGNOSTIC MAMMOGRAPHY, BREAST ULTRASOUND, BREAST MAGNETIC RESONANCE IMAGING ("MRI"), STEREOTACTIC GUIDED CORE BIOPSIES, ULTRASOUND GUIDED PROCEDURES (FINE NEEDLE ASPIRATION AND CORE BIOPSY), NEEDLE LOCALIZATIONS FOR EXCISIONAL BIOPSIES, AND RADIOLOGIC SECOND OPINIONS. THE ONSITE PATHOLOGY LABORATORY PERMITS IMMEDIATE EVALUATION OF THE SPECIMENS WHEN NEEDED. THE INSTITUTE FOR BREAST CARE ALSO CONDUCTS BREAST CANCER RESEARCH, INCLUDING PREVENTION, AND PROVIDES PATIENT AND COMMUNITY EDUCATION AND SUPPORT. SPECIALIZED PEDIATRIC CARE -------------------------- THE MEDICAL CENTER IS THE ONLY HOSPITAL IN ITS SERVICE AREA THAT OFFERS A COMPREHENSIVE RANGE OF PEDIATRIC SPECIALTY AND SUBSPECIALTY SERVICES AT ONE LOCATION. AS A RESULT OF ITS EXTENSIVE RANGE OF SERVICES, THE MEDICAL CENTER HAS BEEN DESIGNATED AS AN INSTITUTIONAL MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, AS A CHILDREN'S HOSPITAL BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES (NJDHSS), AS A REGIONAL PERINATAL CENTER BY NJDHSS AND AS A REGIONAL DIAGNOSTIC AND TREATMENT CENTER FOR ABUSED CHILDREN BY THE LEGISLATURE OF NEW JERSEY. THE MEDICAL CENTER'S PEDIATRIC SERVICES AND PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, NEONATOLOGY AND PEDIATRIC PULMONOLOGY, NEUROSCIENCES, RHEUMATOLOGY, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASES, RENAL TRANSPLANTATION, NEPHROLOGY, GASTROENTEROLOGY, CARDIOLOGY, IMMUNOLOGY, DERMATOLOGY, ENDOCRINOLOGY, CHILD DEVELOPMENT (AUTISM), AND THE ONLY BONE MARROW TRANSPLANT PROGRAM IN NEW JERSEY. THE MEDICAL CENTER IS THE ONLY HOSPITAL IN BERGEN COUNTY THAT IS DESIGNATED AS A REGIONAL PERINATAL CENTER. A REGIONAL PERINATAL CENTER PROVIDES ALL LEVELS OF PRE- AND POST-NATAL MEDICAL, SURGICAL, AND SUBSPECIALTY SERVICES FOR MOTHERS AND BABIES. THE MEDICAL CENTER IS EQUIPPED AND STAFFED TO HANDLE HIGH-RISK PREGNANCIES AND COMPLICATIONS OF FULL-TERM AND PREMATURE NEWBORNS. THE PROGRAM PROVIDES 24-HOUR, SEVEN-DAY-A-WEEK COVERAGE BY PERINATOLOGISTS, NEONATOLOGISTS, AND PEDIATRICIANS.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III THE MEDICAL CENTER OPERATES A NEONATAL INTENSIVE CARE UNIT (NICU) WHICH PROVIDES 24-HOUR COVERAGE BY BOARD-CERTIFIED NEONATOLOGISTS. THE MEDICAL CENTER ALSO OPERATES A PEDIATRIC INTENSIVE CARE UNIT (PICU), WHICH PROVIDES CARE FOR CHILDREN WHO REQUIRE CRITICAL MONITORING AND INTENSIVE MEDICAL INTERVENTION. TRANSPORT SERVICES ARE PROVIDED FOR CHILDREN FROM OUTLYING HOSPITALS WHO ARE REFERRED TO BOTH THE PICU AND THE NICU. AN ADJACENT PEDIATRIC EPILEPSY MONITORING UNIT TO THE PICU IS THE ONLY LEVEL 4 (THE HIGHEST LEVEL) EPILEPSY CENTER IN THE STATE ACCREDITED BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS. THE PEDIATRIC EMERGENCY AND TRAUMA PROGRAM PROVIDES EMERGENCY CARE FOR CHILDREN WITH ACUTE ILLNESSES AND TRAUMATIC INJURIES. IT IS PHYSICALLY SEPARATE FROM THE ADULT EMERGENCY DEPARTMENT AND IS STAFFED BY TRAINED PEDIATRIC PHYSICIANS AND NURSES. IN 2012, THERE WERE 33,961 VISITS TO THE PEDIATRIC EMERGENCY ROOM. THE TOMORROW'S CHILDREN'S INSTITUTE FOR CANCER AND BLOOD DISORDERS PROVIDES SPECIALIZED CARE TO CHILDREN WITH HEMATOLOGY/ONCOLOGY DISORDERS. THE INSTITUTE FOR CHILD DEVELOPMENT PROVIDES DIAGNOSTIC AND THERAPEUTIC SERVICES FOR INFANTS, CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL AND BEHAVIORAL PROBLEMS. IT IS ALSO A STATE-FUNDED CENTER OF EXCELLENCE FOR AUTISM SPECTRUM DISORDERS. THE PEDIATRIC RHEUMATOLOGY PROGRAM IS THE LARGEST IN THE NEW YORK METROPOLITAN AREA. THE PROGRAM PRIMARILY RECEIVES REFERRALS FROM PHYSICIANS IN BERGEN, HUDSON, AND PASSAIC COUNTIES BUT ALSO ATTRACTS PATIENTS THROUGHOUT THE UNITED STATES AND INTERNATIONALLY. THE MEDICAL CENTER IS A REGIONAL DIAGNOSTIC AND TREATMENT CENTER FOR ABUSED CHILDREN, AND IS ONE OF THREE SUCH CENTERS IN THE STATE. THIS CENTER IS HOUSED IN ITS OWN FACILITY, KNOWN AS AUDREY HEPBURN CHILDREN'S HOUSE, LOCATED ADJACENT TO THE MEDICAL CENTER. WHILE AT AUDREY HEPBURN CHILDREN'S HOUSE, CHILDREN AND ADOLESCENTS WHO ARE SUSPECTED VICTIMS OF ABUSE AND/OR NEGLECT RECEIVE DIAGNOSTIC AND THERAPEUTIC SERVICES, AND UNDERGO EVALUATION BY A MULTI-DISCIPLINARY TEAM IN A SUPPORTIVE ENVIRONMENT RATHER THAN UNDERGOING A TRAUMATIC PROCESS OF MULTIPLE EVALUATIONS IN A HOSPITAL SETTING. THE MEDICAL CENTER'S OTHER ASSOCIATED/SUPPORTIVE SERVICES FOR CHILDREN INCLUDE THE CJ FOUNDATION FOR SUDDEN INFANT DEATH SYNDROME ("SIDS") AND THE NEW JERSEY SIDS CENTER, DEDICATED TO FUNDING RESEARCH INTO AND COUNSELING FAMILIES STRICKEN BY SIDS; THE MOLLY FOUNDATION FOR DIABETES RESEARCH, WHICH FUNDS RESEARCH IN THE TREATMENT AND POSSIBLE CURE FOR JUVENILE DIABETES; THE STEVEN AND RICHARD BADER IMMUNOLOGICAL CENTER, WHICH PROVIDES A MULTI-DISCIPLINARY APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF CHILDREN WITH SUSPECTED OR PROVEN DIFFICULTIES IN FIGHTING INFECTION BECAUSE OF IMMUNE DEFICIENCY DISORDERS; AND THE JUDY CENTER FOR DOWN'S SYNDROME, WHICH PROVIDES COMPREHENSIVE CARE FOR CHILDREN AND ADULTS WITH THIS GENETIC DISORDER GERIATRIC CARE -------------- ALMOST 40 PERCENT OF THE BED-DAYS AT THE MEDICAL CENTER ARE COVERED BY MEDICARE. GIVEN THE NEED TO PROVIDE PERSON-SPECIFIC RATHER THAN SITE-SPECIFIC CARE, THE GERIATRIC SERVICE CARES FOR ELDERS AT THE GERIATRIC CENTER, IN THE HOSPITAL, IN POST-ACUTE CARE AND LONG TERM CARE SETTINGS AND AT ASSISTED LIVING FACILITIES. ORGAN TRANSPLANTATION --------------------- THE MEDICAL CENTER PERFORMS ADULT KIDNEY TRANSPLANTS, PEDIATRIC KIDNEY TRANSPLANTS AND PANCREAS TRANSPLANTS (IN CONJUNCTION WITH KIDNEY TRANSPLANTS). THE KIDNEY AND PANCREAS TRANSPLANT PROGRAMS AT THE MEDICAL CENTER ARE THE ONLY SUCH PROGRAMS IN BERGEN, PASSAIC OR HUDSON COUNTY. IN 2012 THE MEDICAL CENTER PERFORMED 6 KIDNEY TRANSPLANTS. THE CENTER FOR ALLERGY, ASTHMA AND IMMUNE DISEASES --------------------------------------------------- THE CENTER OFFERS A MULTI-DISCIPLINARY APPROACH TO THE DIAGNOSIS, TREATMENT, AND MANAGEMENT OF DISORDERS AND ILLNESSES OF THE IMMUNE SYSTEM. STAFFED BY A TEAM OF BOARD-CERTIFIED ALLERGY/IMMUNOLOGY SPECIALISTS, THE CENTER PROVIDES EXPERT CARE IN RESPIRATORY ALLERGIES, FOOD AND DRUG ALLERGIES, ASTHMA, PERSISTENT SINUSITIS AND OTHER RECURRENT INFECTIONS IN ONE LOCATION. SERVICES ALSO INCLUDE PATIENT EDUCATION PROVIDED BY CLINICAL NURSE EDUCATORS AND LICENSED NUTRITIONISTS; THE ABILITY TO PARTICIPATE IN CLINICAL RESEARCH TRIALS; DOUBLE BLIND ORAL FOOD CHALLENGES, ASPIRIN CHALLENGES AND DESENSITIZATION; AND ASSESSMENT OF MEDICATION REACTIONS. THE CENTER RECEIVED 6,262 VISITS IN 2012. UROLOGY AND UROLOGIC ONCOLOGY ----------------------------- THE DEPARTMENT OF UROLOGY OFFERS COMPREHENSIVE DIAGNOSTIC, THERAPEUTIC AND PREVENTIVE SERVICES FOR PATIENTS WITH BOTH MALIGNANT AND NONMALIGNANT GENITOURINARY DISORDERS. CENTERS FOR BLADDER, PROSTATE AND PELVIC FLOOR HEALTH, MALE REPRODUCTIVE MEDICINE AND HUMAN SEXUALITY, ENDOUROLOGY AND STONE DISEASE, CRYOSURGERY, PEDIATRIC UROLOGY AND MINIMALLY INVASIVE UROLOGIC SURGERY ARE ESTABLISHED TO TREAT BOTH INPATIENT AND OUTPATIENT POPULATIONS. THE DAVINCI ROBOTIC SURGICAL SYSTEM IS USED FOR UROLOGIC SURGERY AND FOR TRAINING OF SURGEONS FROM ACROSS THE COUNTRY. RESEARCH ACTIVITIES INCLUDE PROSTATE HIGH INTENSITY FOCUSED ULTRASOUND AND FLUORESCENCE BASED CYSTOSCOPY FOR BLADDER CANCER. THE DEPARTMENT PARTICIPATED IN CLINICAL TRIALS WITH PROVENGE, A NEWLY APPROVED DRUG FOR THE TREATMENT OF PROSTATE CANCER, AND IS USING NEW RADIATION BASED TECHNOLOGY WITH TRUE BEAM SOFTWARE AND WIRELESS RADIATION SENSORS KNOWN AS DVS. DIAGNOSTIC IMAGING SERVICES --------------------------- THE DIAGNOSTIC IMAGING DEPARTMENT PROVIDES A FULL SPECTRUM OF IMAGING SERVICES. THESE INCLUDE 3T (MAGNET STRENGTH) MRI, 64-SLICE COMPUTED TOMOGRAPHY ("CT"), POSITRON EMISSION TOMOGRAPHY ("PET/CT"), BREAST MRI, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, ULTRASOUND, AND DIGITAL X-RAY. THE DEPARTMENT OPERATES IN A FULLY INTEGRATED PICTURE ARCHIVING AND COMMUNICATION SYSTEM ("PACS"), A FILM-LESS ENVIRONMENT. PHYSICIANS CAN LOG INTO THE PACS REMOTELY TO VIEW IMAGING STUDIES ANYWHERE THERE IS INTERNET ACCESS. THE STAFF PERFORMS COMPLEX ADVANCED PROCEDURES SUCH AS CARDIAC COMPUTED TOMOGRAPHY ANGIOGRAPHY, CARDIAC MRI, AND ADVANCED PET/CT APPLICATIONS. ALL RADIOLOGISTS ARE FELLOWSHIP TRAINED IN VARIOUS SUBSPECIALTIES AND AN ATTENDING RADIOLOGIST (NOT A RESIDENT IN TRAINING) IS ON SITE AT ALL TIMES FOR INTERPRETATION AND CONSULTATION, PRODUCING VERY RAPID REPORT TURN-AROUND TIMES. EMERGENCY SERVICES / TRAUMA --------------------------- THE JEFFREY M. CREAMER EMERGENCY/TRAUMA DEPARTMENT ("ETD") IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK AND TREATS ALL AGES AND ALL MEDICAL CONDITIONS. IN 2012, 86,489 PATIENTS VISITED THE ETD (INCLUDING THE ETD AT HACKENSACKUMC AT PASCACK VALLEY) WHICH RESULTED IN 20,205 ADMISSIONS. THERE IS ALSO A SEPARATE PEDIATRIC EMERGENCY ROOM THAT SAW 37,080 VISITS (INCLUDING THE PEDIATRIC ETD AT HACKENSACKUMC AT PASCACK VALLEY) IN 2012, WHICH RESULTED IN 2,676 ADMISSIONS. THE PEDIATRIC EMERGENCY ROOM IS STAFFED BY PHYSICIANS AND NURSES SPECIALTY-TRAINED IN PEDIATRIC EMERGENCY MEDICINE. THE TAKE-A-BREAK PROGRAM NOW SEEMS LIKE AN OBVIOUS IDEA. THE FAMILY MEMBERS WHO ACCOMPANY THEIR LOVED ONES TO EMERGENCY ROOMS CAN ALMOST ALWAYS BENEFIT FROM A SHORT BREAK - WHETHER TO PICK KIDS UP AT SCHOOL, MAKE A FEW PHONE CALLS OR JUST GRAB A CUP OF COFFEE. WHEN THE PROPOSAL WAS FIRST MADE TO SET UP A NETWORK OF VOLUNTEERS WHO COULD SUPPORT FAMILY MEMBERS IN THE EMERGENCY ROOM AND REPRESENT THEM IN THEIR ABSENCE, THERE WAS NOTHING LIKE IT ANYWHERE IN THE COUNTRY. TODAY 50 VOLUNTEERS COVER EACH OF THE EMERGENCY TRAUMA DEPARTMENT'S THREE SHIFTS, SEVEN DAYS A WEEK. EMERGENCY SERVICES OPENED A SATELLITE EMERGENCY DEPARTMENT AT HACKENSACKUMC NORTH IN OCTOBER 2008. SEE "HACKENSACKUMC AT PASCACK VALLEY" HEREIN. IN 2012, THIS SITE HAD 9,439 VISITS, WITH 438 ADMISSIONS SENT TO THE MEDICAL CENTER. THE EMERGENCY TRAUMA DEPARTMENT (ETD) IS DESIGNATED BY THE STATE OF NEW JERSEY AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AS A LEVEL II TRAUMA CENTER. THE ETD IS ALSO CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS AND IS AN ACCREDITED CHEST PAIN CENTER AS PER THE SOCIETY OF CHEST PAIN CENTERS. SINCE 2006, THE ETD HAS RECEIVED $14.6 MILLION FROM THE DEPARTMENT OF DEFENSE TO DEVELOP A PROGRAM THAT WILL ENHANCE THE LEVEL OF EMERGENCY PREPAREDNESS IN NORTHERN NEW JERSEY. THE MOBILE EMERGENCY RESPONSE PROTOTYPE PRODUCED ENCOMPASSES TWO 7-BED MOBILE EMERGENCY TRAUMA UNITS, A MOBILE COMMUNICATIONS VEHICLE AND A BIOLOGICAL INCIDENT RESPONSE VEHICLE. CURRENTLY, IN THE THIRD PHASE OF DEVELOPMENT, A MOBILE OPERATING ROOM IS BEING DESIGNED AND BUILT AND THE DEPARTMENT WILL UNDERTAKE TRAUMA-RELATED RESEARCH DESIGNED FOR TRANSITION TO A MILITARY APPLICATION.
COMMUNITY BENEFIT STATEMENT (CONTINUED) CORE FORM, PART III AMBULATORY SURGERY ------------------ THE MEDICAL CENTER PROVIDES SAME DAY SURGERY SERVICES ON ITS MAIN CAMPUS IN THREE DISTINCT LOCATIONS; THE CENTER FOR AMBULATORY SURGERY, THE PEDIATRIC SURGICAL SUITE, AND THE CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY. SPECIALTIES INCLUDE DENTAL, GENERAL, PLASTIC, ORTHOPEDIC, PEDIATRIC, VASCULAR, GYNECOLOGICAL, UROLOGICAL AND PODIATRIC SURGERY; NEUROSURGERY; OTOLARYNGOLOGY; AND OPHTHALMOLOGY. THE MEDICAL CENTER PERFORMED 16,084 SAME DAY SURGERIES IN 2012. RESEARCH -------- RESEARCH IS WHAT DISTINGUISHES HACKENSACKUMC FROM OTHER AREA COMMUNITY HOSPITALS. RESEARCH GIVES HACKENSACKUMC'S STAFF THE ABILITY TO EXPLORE THE NEWEST AND MOST PROMISING MEDICAL TREATMENTS AND COMPREHENSIVE MEDICAL AND SUPPORT SERVICES. THIS PURSUIT GIVES HACKENSACKUMC AND OTHER ALLIED STAFF THE EXTRAORDINARY ABILITY TO EXPLORE NEW AND BETTER APPROACHES TO MEDICINE - TO UNCOVER AND DELIVER NOVEL TREATMENT BREAKTHROUGHS. RESEARCH CENTERS ATTRACT GIFTED PHYSICIANS AND SCIENTISTS WHO COLLABORATE WITH LEADING INVESTIGATORS IN THEIR FIELD. THIS IS TRUE OF RESEARCHERS AT HACKENSACKUMC. THE DAVID JOSEPH JURIST RESEARCH CENTER FOR TOMORROW'S CHILDREN IS A FIVE-STORY, 55,000-SQUARE-FOOT BUILDING WHICH HOUSES THE DAVID AND ALICE JURIST INSTITUTE FOR RESEARCH. THE RESEARCH CENTER CONSOLIDATES ALL OF HACKENSACKUMC'S ONGOING RESEARCH ACTIVITIES INTO ONE LOCATION. THE FACILITY ENHANCES THE TIRELESS WORK THAT THE HACKENSACKUMC'S SCIENTISTS AND PHYSICIAN-INVESTIGATORS ARE PURSUING AS PARTNERS IN NATIONAL AND INTERNATIONAL MULTI-CENTER TRIALS. HACKENSACKUMC PARTNERED WITH THE UNIVERSITY OF MIAMI DIABETES RESEARCH INSTITUTE, ONE OF THE WORLD'S LEADING CENTERS FOR RESEARCH ON THE DISEASE. HACKENSACKUMC PATIENTS WITH TYPE 1, OR JUVENILE DIABETES WILL TAKE PART IN A TRIAL IN WHICH INSULIN-PRODUCING ISLET CELLS ARE TRANSPLANTED TO THEIR ABDOMENS. THIS TRIAL HAS THE PROMISE OF BEING AN IMPORTANT STEP ON THE WAY TO A CURE FOR THIS DISEASE. THE RESEARCH CENTER IS ALSO HOME TO THE DEIRDRE IMUS ENVIRONMENTAL CENTER FOR PEDIATRIC ONCOLOGY. THE JURIST INSTITUTE IS NAMED FOR DAVID JOSEPH JURIST, CO-PRESIDENT OF THE TOMORROWS CHILDREN'S FUND FOR PEDIATRIC CANCER AND THE FATHER OF EILEEN JURIST, WHO WAS TREATED FOR HODGKIN'S DISEASE AT HACKENSACKUMC'S TOMORROW'S CHILDREN'S INSTITUTE FOR CANCER AND BLOOD DISORDERS. MR. JURIST AND HIS WIFE, ALICE, ARE ACTIVE PARTICIPANTS IN ALL OF THE TOMORROWS CHILDREN'S FUND INITIATIVES. HIGHLIGHTS OF THE DAVID JOSEPH JURIST RESEARCH CENTER FOR TOMORROWS CHILDREN INCLUDE LABORATORIES FOR BASIC AND CLINICAL RESEARCH; ADMINISTRATIVE OFFICES; A "VIVARIUM"; STATE-OF-THE-ART OPERATING ROOMS; AND A LECTURE HALL EQUIPPED WITH AUDIO-VISUAL TECHNOLOGY AND A TELECOMMUNICATIONS SYSTEM. SCIENTISTS AND PHYSICIANS AT HACKENSACKUMC FREQUENTLY CONTRIBUTE TO THE BODY OF KNOWLEDGE ABOUT DISEASES, MEDICAL CONDITIONS, TREATMENT ADVANCES, TECHNOLOGICAL BREAKTHROUGHS, QUALITY-OF-LIFE ISSUES, AND OTHER PERTINENT RESEARCH ISSUES THROUGH PUBLICATION OF RESEARCH FINDINGS, ABSTRACTS, BOOK CHAPTERS, AND OTHER WRITTEN MATERIALS. SCIENTIFIC DISCOVERY IS A MAJOR COMPONENT OF THE HACKENSACKUMC'S MISSION AND A VITAL COMPONENT OF THE WORLD-CLASS CARE AVAILABLE AT HACKENSACKUMC. HACKENSACKUMC'S CLINICAL, TRANSLATIONAL, AND BASIC SCIENCE RESEARCH PROGRAMS HAVE GROWN TREMENDOUSLY, ESPECIALLY SINCE THE OPENING IN 2000 OF THE DAVID JOSEPH JURIST RESEARCH CENTER FOR TOMORROWS CHILDREN. RESEARCH STUDIES GREW FROM 75 IN 1987 TO TODAY'S 475 OPEN PROTOCOLS. HACKENSACKUMC PROTOCOLS ARE SUPPORTED BY SOME OF THE NATION'S TOP FUNDING SOURCES, INCLUDING THE NATIONAL INSTITUTES OF HEALTH, THE NATIONAL SCIENCE FOUNDATION, AND THE AMERICAN CANCER SOCIETY, AND FROM PRIVATE FOUNDATIONS AND CORPORATIONS SUCH AS PHARMACEUTICAL AND BIOTECHNOLOGY COMPANIES. IN 2012, $2,693,256 WAS RECEIVED FOR RESEARCH STUDIES. RESEARCH ADMINISTRATION ----------------------- THE DEPARTMENT OF RESEARCH CONSOLIDATES ALL BASIC AND CLINICAL RESEARCH THAT IS UNDER WAY AT HACKENSACKUMC. THE DEPARTMENT CENTRALIZES THE ADMINISTRATIVE ASPECTS OF RESEARCH, INCLUDING FINANCIAL, LEGAL, AND PROFESSIONAL OVERSIGHT, AND GUIDES THE INVESTIGATOR THROUGH THE MAZE OF INTERNAL AND EXTERNAL REGULATION. RESEARCH PARTNERS ----------------- SCIENTIFIC DISCOVERY THROUGH RESEARCH IS A MAJOR COMPONENT OF HACKENSACKUMC'S MISSION. RESEARCH AT HACKENSACKUMC IS CONDUCTED IN NEARLY EVERY FIELD, WITH AN EMPHASIS ON PEDIATRIC AND ADULT CANCERS, CHILDHOOD DISEASES, CARDIOLOGY, ALLERGY AND IMMUNOLOGY, ORTHOPEDICS, UROLOGY, PULMONARY MEDICINE, NEUROLOGY, AND INFECTIOUS DISEASES. INVESTIGATORS AT HACKENSACKUMC COLLABORATE WITH THEIR COUNTERPARTS AT OTHER HEALTHCARE INSTITUTIONS AND RESEARCH FACILITIES, INCLUDING THE U.S. DEPARTMENT OF ENERGY, CITY UNIVERSITY OF NEW YORK ("CUNY") MEMORIAL SLOAN-KETTERING CANCER CENTER, AND ROCKEFELLER UNIVERSITY. OUTSTANDING RESEARCH COLLABORATIONS ALSO ARISE FROM HACKENSACKUMC'S ROLE AS A MAJOR TEACHING AFFILIATE OF UMDNJ-NJMS. HACKENSACKUMC IS DESIGNATED BY THE NATIONAL CANCER INSTITUTE AND THE NATIONAL INSTITUTES OF HEALTH AS A COMMUNITY CLINICAL ONCOLOGY PROGRAM SITE, ONE OF ONLY 50 IN THE NATION AND THE ONLY SUCH PROGRAM IN NEW JERSEY. CLINICAL TRIALS, PROTOCOL STUDIES, AND CANCER CONTROL GROUP RESEARCH ARE CONDUCTED THROUGH THE EASTERN COOPERATIVE ONCOLOGY GROUP, THE SOUTHWEST ONCOLOGY GROUP, THE CHILDREN'S ONCOLOGY GROUP, THE UNIVERSITY OF ROCHESTER CANCER CENTER, AND THE NATIONAL SURGICAL ADJUVANT BREAST AND BOWEL PROJECT.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.
GOVERNANCE, MANAGEMENT, AND DISCLOSURE CORE FORM, PART VI, SECTION A; QUESTION 2 J. FLETCHER CREAMER, JR. AND JOSEPH M. SANZARI - BUSINESS RELATIONSHIP.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF GOVERNORS, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND FOLLOWING A REVIEW BY THE NETWORK'S AUDIT AND COMPLIANCE COMMITTEE. THE ORGANIZATION'S BOARD OF GOVERNORS HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. 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 MEMBERS OF THE NETWORK'S AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF ITS GOVERNING BODY PRIOR TO FILING WITH IRS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE ORGANIZATION'S BOARD OF GOVERNORS, 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'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BASIS. THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER THEN PRESENTS THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF GOVERNORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY OVER SEVERAL MEETINGS, AND APPROVES ONLY "TOTAL COMPENSATION" THAT THE COMMITTEE HAS CONCLUDED DOES NOT EXCEED WHAT THE COMMITTEE CONSIDERS TO BE REASONABLE COMPENSATION. THE COMMITTEE STRUCTURES AND CONDUCTS ITS REVIEW AND APPROVAL PROCESS SO AS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF FEDERAL INCOME TAX LAW. THIS REVIEW AND APPROVAL PROCESS APPLIES TO ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF GOVERNORS, EACH OF WHOM IS "DISINTERESTED" AS DEFINED BY THE IRS IN ITS REGULATIONS DESCRIBING THIS STANDARD. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS DETAILED STUDY USES COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA FOR TAX-EXEMPT HOSPITALS AND HEALTHCARE SYSTEMS OF A SIMILAR LEVEL OF NET ANNUAL OPERATING REVENUE IN THE SAME GEOGRAPHIC REGION. NO DATA FROM ANY FOR-PROFIT ENTITIES IS USED. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE REVIEW AND APPROVAL PROCESS USED BY THE COMMITTEE, INCLUDING ALL ACTIONS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, IS APPLIED TO ALL MEMBERS OF THE SENIOR MANAGEMENT TEAM OF THE ORGANIZATION, WHETHER OR NOT THEY WOULD BE CONSIDERED 'DISQUALIFIED PERSONS' UNDER THE INTERMEDIATE SANCTIONS RULES. IN ADDITION TO RELYING ON MARKET DATA, THE COMMITTEE APPLIES A WIDE RANGE OF BUSINESS JUDGMENT FACTORS INCLUDING, BUT NOT LIMITED TO, INDIVIDUAL PERFORMANCE, INDIVIDUAL EXPERIENCE, RECRUITMENT AND RETENTION FACTORS, AND THE UNIQUE DEMANDS OF PARTICULAR POSITIONS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS AND ARE, ON AN ANNUAL BASIS, MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. THE ORGANIZATION ALSO MAKES AVAILABLE TO THE PUBLIC VIA ITS WEBSITE, WWW.HACKENSACKUMC.ORG, ITS COMPLIANCE PLAN DOCUMENTS, CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY.
RELATED HOURS INFORMATION CORE FORM, PART VII, SECTION A This organization is AN AFFILIATE WITHIN HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF GOVERNOR 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 SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT 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 SYSTEM, 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 SYSTEM; NOT SOLELY THIS ORGANIZATION.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF GOVERNORS.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J ROBERT L. TORRE WAS HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.'S EXECUTIVE DIRECTOR UNTIL HIS RETIREMENT IN 2012. HOWEVER, HIS COMPENSATION AND BENEFITS WERE PAID BY HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). MR. TORRE WAS SHOWN AS AN OFFICER ON THE PRIOR YEARS' FORM 990 FOR HACKENSACKUMC BUT HE WAS NOT AN OFFICER OF HACKENSACKUMC. HE IS REPORTED ON HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.'S 2012 FORM 990 AS A TRUSTEE AND FORMER OFFICER WITH COMPENSATION AND BENEFITS INFORMATION RECEIVED FROM A RELATED ORGANIZATION (HACKENSACKUMC) BUT HE IS NOT BEING REPORTED ON THE 2012 HACKENSACKUMC FORM 990 BECAUSE HE WAS NOT AN OFFICER OF THIS ORGANIZATION AND, THUS, WOULD NOT BE A FORMER OFFICER.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - PENSION RELATED ADJUSTMENTS - ($100,047,885) - TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - ($50,541,526) - NET ASSETS RELEASED FROM RESTRICTIONS - $4,393,938 - NET CHANGE IN TEMPORARILY RESTRICTED NET ASSETS - $1,776,499 - NET CHANGE IN PERMANENTLY RESTRICTED NET ASSETS - $195,410 - OTHER CHANGES IN NET ASSETS - ($12,829,515)
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS HACKENSACK UNIVERSITY HEALTH NETWORK ("HUHN"). AN INDEPENDENT BIG FOUR CPA FIRM PREPARED CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HUHN AND ITS SUBSIDIARIES AND CONTROLLED ENTITIES, FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THESE CONSOLIDATED AUDITED FINANCIAL STATEMENTS EACH YEAR. THE HACKENSACK UNIVERSITY MEDICAL CENTER AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE HACKENSACK UNIVERSITY HEALTH NETWORK CONSOLIDATED AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
MANAGEMENT COMPANIES AND JOINT VENTURES FORM 990, SCHEDULE H, PART IV IN EARLY 2013, THE ORGANIZATION SOLD ITS ENTIRE INTEREST IN PROGENITOR CELL THERAPY, LLC AT ITS CURRENT ESTIMATED FAIR MARKET VALUE TO A PUBLICLY TRADED ORGANIZATION PURSUANT TO ARMS LENGTH NEGOTIATIONS. HACKENSACK UNIVERSITY MEDICAL CENTER'S OWNERSHIP INTEREST IN THIS ENTITY WAS PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990, SCHEDULE H, PART IV.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

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
2012
Open to Public Inspection
Name of the organization
HACKENSACK UNIVERSITY MEDICAL CENTER
 
Employer identification number

22-1487576
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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

(1) HUMCTOURO LLC
30 PROSPECT AVENUE
HACKENSACK,NJ07601
26-1844522
HEALTHCARE NJ 0 0 HUMC
 
(2) HACKENSACK PHYSICIAN ALLIANCE LLC
30 prospect avenue
hackensack,NJ07601
45-4966639
inactive NJ 0 0 humc
 
(3) HACKENSACK PHYS-HOSP ALLIANCE ACO LLC
30 prospect avenue
hackensack,NJ07601
45-3067377
HLTHCARE SVCS NJ 0 0 humc
 






Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) BERGEN HEALTH MANAGEMENT SYSTEM INC

30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-2989731
DAY CARE NJ 501(C)(3) 509(A)(2) HUHN
 
 
No
(2) BERGEN HOME HEALTH SERVICES INC

30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-3091474
HLTHCARE SVCS NJ 501(C)(3) 509(A)(2) HUHN
 
 
No
(3) HACKENSACK UNIV MED CTR FDN INC

360 ESSEX STREET 301

HACKENSACK,NJ07601
22-2339534
SUPPORT HUMC NJ 501(C)(3) 509(A)(3) HUHN
 
 
No
(4) HACKENSACK SPECIALTY CARE ASSOC PC

30 PROSPECT AVENUE

HACKENSACK,NJ07601
20-1017013
PHYS. SVCS. NJ 501(C)(3) 509(A)(3) HUMC
 
Yes
 
(5) HACKENSACK UNIVERSITY HEALTH NETWORK

30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-2595857
SUPPORT NJ 501(C)(3) 509(A)(3) NA
 
 
No
(6) NJ TRAUMA AND CRITICAL CARE ASSOCIATES

30 PROSPECT AVENUE

HACKENSACK,NJ07601
20-1123530
PHYS. SVCS. NJ 501(C)(3) 509(A)(3) HUMC
 
Yes
 
(7) HACKENSACK UNIVERSITY MEDICAL GROUP PC

30 PROSPECT AVENUE

HACKENSACK,NJ07601
22-3376459
PHYS. SVCS. NJ 501(C)(3) 509(A)(3) HUMC
 
Yes
 
(8) HUMC CARDIOVASCULAR PARTNERS PC

30 PROSPECT AVENUE

HACKENSACK,NJ07601
27-0614861
HEALTHCARE NJ 501(C)(3) 509(A)(3) HUMC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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
(1) HUMCUSP SURGERY CENTERS LLC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
HEALTHCARE SVCS. NJ HUMC
 
RELATED 2,292,692 19,724,283   No     No 50.100 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) PEDIATRIC SPECIALTIES OF OAKLAND PA

5 SUMMIT AVENUE
HACKENSACK,NJ07601
22-3537262
HEALTHCARE SVCS. NJ NA
 
S CORP.         No
(2) HUMC CASUALTY COMPANY LTD

 
 
22-1487576
FINANCIAL VEHICLE BD HUMC
 
FOREIGN CORP. 3,377,697 32,240,933 100.000 % Yes  
(3) BERGEN HEALTH SERVICES INC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
22-2849212
MANAGEMENT SVCS. NJ NA
 
C CORP.         No
(4) NORTH JERSEY OCCUPATIONAL MEDICINE ASSOC

20 PROSPECT AVENUE
HACKENSACK,NJ07601
22-3508404
HEALTHCARE SVCS. NJ HUMC
 
C CORP. 955,688 665,800 100.000 % Yes  
(5) HILLCREST PROFESSIONAL SERVICES CORP

30 PROSPECT AVENUE
HACKENSACK,NJ07601
22-3417915
INACTIVE NJ NA
 
CORP.         No
(6) HUMC MEDICAL OBSERVATION PA

30 PROSPECT AVENUE
HACKENSACK,NJ07601
27-2371424
HEALTHCARE SVCS. NJ HUMC
 
C CORP. 713,104 199,043 100.000 % Yes  
(7) NEW AMSTERDAM MEDICAL ASSOCIATES PC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
27-0849894
PHYSICIAN SVCS. NY HUMC
 
C CORP. 2,641,904 2,398,481 100.000 % Yes  
(8) HACKENSACK OCCUPATIONAL MEDICINE PC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
86-1153504
INACTIVE NJ HUMC
 
C CORP. 0 0 100.000 % Yes  
(9) HUMC PRIMARY CARE ASSOCIATES PC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
45-3744725
HEALTHCARE SVCS. NJ HUMC
 
C CORP. 9,350,331 3,569,206 100.000 % Yes  
(10) CARDIOTHORACIC SURGERY PARTNERS PC

30 PROSPECT AVENUE
HACKENSACK,NJ07601
45-4699449
INACTIVE NJ HUMC
 
C CORP. 0 0 100.000 % Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
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-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) HACKENSACK UNIV MED CTR CASUALTY COMPANY LTD

R 7,349,954 COST
(2) NORTH JERSEY PRIMARY CARE ASSOCIATES PA

R 64,625,911 COST
(3) NEW AMSTERDAM MEDICAL ASSOCIATES PC

R 2,435,295 COST
(4) NORTH JERSEY OCCUPATIONAL MEDICINE ASSOCIATES

R 670,297 COST
(5) HACKENSACK SPECIALTY CARE ASSOCIATES PC

S 3,971,572 COST
(6) HUMC CARDIOVASCULAR PARTNERS PC

R 19,594,906 COST
(7) HUMCUSP SURGERY CENTERS LLC

B 11,148,191 COST
(8) HUMC MEDICAL OBSERVATION PA

R 155,612 COST
(9) HUMC PRIMARY CARE ASSOCIATES PC

R 4,263,285 COST
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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
TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V HACKENSACK UNIVERSITY HEALTH NETWORK IS THE SOLE MEMBER OF THIS ORGANIZATION AND THE PARENT ENTITY OF A TAX EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). HACKENSACK UNIVERSITY MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

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