Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VISITING NURSE ASSOCIATION OF ST CLARE'S
Employer identification number
22-1768334
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the 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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
99,908
124,952
109,998
66,594
174,835
576,287
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......
2,883,708
2,924,462
2,995,022
2,464,960
2,036,571
13,304,723
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
2,983,616
3,049,414
3,105,020
2,531,554
2,211,406
13,881,010
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
0
0
0
0
0
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.
0
0
0
0
0
0
c
Add lines 7a and 7b..
0
0
0
0
0
0
8
Public support (Subtract line 7c from line 6.)
13,881,010
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
2,983,616
3,049,414
3,105,020
2,531,554
2,211,406
13,881,010
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
1,828
2,039
2,834
2,207
4,135
13,043
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
1,828
2,039
2,834
2,207
4,135
13,043
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
0
403,688
508,709
279,768
1,192,165
13
Total support. (Add lines 9, 10c, 11, and 12.)..
2,985,444
3,051,453
3,511,542
3,042,470
2,495,309
15,086,218
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
92.010 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
93.920 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.080 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.120 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
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) 2013
Additional Data
Software ID:
13000248
Software Version:
2013v3.1
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VISITING NURSE ASSOCIATION OF ST CLARE'S
Employer identification number
22-1768334
Return Reference
Explanation
FORM 990, PART III, LINE 1, MISSION STATEMENT
THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
FORM 990, PART III, LINE 4A, PROGRAM SERVICE DESCRIPTION
HOME NURSE SERVICES SOMETIMES THE BEST CARE IS THE CARE YOU GET RIGHT AT HOME. WHETHER YOU OR A LOVED ONE IS HOME ILL, COPING WITH A DISABILITY, OR RECUPERATING, YOU DESERVE THE SAME STATE-OF-THE-ART CARE AND INDIVIDUALIZED ATTENTION THAT YOU WOULD EXPECT TO RECEIVE IN A HOSPITAL. THE VISITING NURSE ASSOCIATION OF ST. CLARE'S (VNA), A MEMBER OF SAINT CLARE'S HEALTH SYSTEM, CAN MEET THESE EXPECTATIONS WITH HIGHLY SKILLED HOME HEALTH PROFESSIONALS. WE COMBINE THE LATEST HEALTH CARE TECHNIQUES WITH THE COMPASSION AND EXCELLENCE YOU'VE COME TO EXPECT FROM SAINT CLARE'S AND A CENTURY-LONG TRADITION OF SERVICE ESTABLISHED BY THE VNA. WHETHER YOU NEED A STATE-CERTIFIED HOME HEALTH AIDE TO HELP OUT FOR A FEW HOURS A WEEK, SKILLED NURSING, OR OTHER HOME CARE SERVICES, YOU CAN FEEL CONFIDENT IN YOUR DECISION TO TURN TO THE VISITING NURSE ASSOCIATION OF ST. CLARE'S. ABOUT THE VNA THE VISITING NURSE ASSOCIATION OF ST. CLARE'S IS A NEW JERSEY-LICENSED HOME CARE SERVICE ORGANIZATION THAT IS ALSO ACCREDITED BY THE JOINT COMMISSION. THE VNA PROVIDES VISITING NURSES, CERTIFIED HOME HEALTH AIDES, REHABILITATION THERAPISTS, MEDICAL SOCIAL WORKERS, AND NUTRITION COUNSELORS TO PATIENTS IN THE COMFORT OF THEIR OWN HOMES. EVERY HEALTH CARE PROFESSIONAL AT THE VNA CARRIES ON A STRONG TRADITION OF EXCELLENCE, DEPENDABILITY, AND COMPASSION. PART OF THE MORE THAN 100-YEAR-OLD VISITING NURSE ASSOCIATION, WE WERE THE FIRST HOME CARE AGENCY IN SUSSEX COUNTY. THE VNA IS A MEMBER OF SAINT CLARE'S HEALTH SYSTEM. WELL KNOWN FOR ITS COMPASSION AND TECHNICAL EXPERTISE, SAINT CLARE'S IS AMONG THE REGION'S PREMIER HEALTH CARE PROVIDERS. AS A MEDICARE CERTIFIED AGENCY, THE VISITING NURSE ASSOCIATION OF ST. CLARE'S IS AVAILABLE TO PROVIDE SKILLED SERVICES ON AN INTERMITTENT BASIS TO THE RESIDENTS OF WARREN AND SUSSEX COUNTIES. HOME NURSING SERVICES WHETHER CARE IS GIVEN OVER A SHORT OR LONG TERM, OUR REGISTERED NURSES WORK HAND-IN-HAND WITH YOU AND YOUR PHYSICIAN TO ASSURE QUALITY AND A CONTINUUM OF CARE. OUR SERVICES INCLUDE: * WOUND CARE * DIABETIC TEACHING * IV THERAPY * DISEASE MANAGEMENT PROGRAMS * TUBE FEEDINGS * MANAGEMENT OF CATHETER CARE * OSTOMY CARE * PULSE OXIMETRY * INCONTINENCE THERAPY * PAIN MANAGEMENT * ANTICOAGULATION TESTING WITH IMMEDIATE RESULTS REHABILITATION SERVICES YOU CAN REST ASSURED THAT OUR REHABILITATION SERVICES WILL RESTORE MAXIMUM FUNCTION TO THOSE WHO WANT TO ENJOY LIFE TO ITS FULLEST. OUR SERVICES INCLUDE: * PHYSICAL THERAPY: JOINT REPLACEMENT REHABILITATION, FALL RISK ASSESSMENTS AND PREVENTION PROGRAMS, BALANCE RETRAINING, THERAPEUTIC EXERCISE PROGRAMS, PAIN MANAGEMENT, AND STROKE REHABILITATION; * OCCUPATIONAL THERAPY: THERAPIES TO MAXIMIZE INDEPENDENCE AND FUNCTION WITH ACTIVITIES OF DAILY LIVING, ENERGY CONSERVATION TECHNIQUES, AND ADAPTIVE EQUIPMENT RECOMMENDATIONS AND TRAINING; AND * SPEECH THERAPY: THERAPEUTIC PROGRAMS TO IMPROVE SPEECH AND LANGUAGE SKILLS, AS WELL AS SWALLOWING DISORDERS. ADDITIONAL HOME HEALTH SERVICES IN ADDITION, THE VNA OFFERS THE FOLLOWING HOME CARE SERVICES: * CERTIFIED HOME HEALTH AIDES TO HELP WITH BATHING, DRESSING, MEAL PREPARATION, MOVING IN AND OUT OF BED, AND LIGHT HOUSEKEEPING * REGISTERED DIETITIANS * MEDICAL SOCIAL WORKERS WHO CAN ASSIST WITH LONG-TERM PLANNING, COUNSELING, AND FINDING EXTRA HELP * RESPITE CARE PROGRAM THAT PROVIDES CAREGIVERS WITH A BREAK FROM THE DEMANDS OF TAKING CARE OF FAMILY MEMBERS * LIFELINE PERSONAL EMERGENCY ALERTING DEVICES VISITING NURSE ASSOCIATION PAYMENTS AND INSURANCE THE VNA ACCEPTS MEDICARE, MEDICAID, PRIVATE PAY, AND A VARIETY OF OTHER INSURANCE PLANS. ALZHEIMER'S SUPPORT GROUP THE VNA HOSTS A FREE, MONTHLY ALZHEIMER'S SUPPORT GROUP. THE SUPPORT GROUP IS AVAILABLE FOR CAREGIVERS AND THEIR FAMILIES TO DISCUSS THE CHALLENGES OF CARING FOR SOMEONE WITH ALZHEIMER'S DISEASE. MEETINGS ARE HELD AT THE VNA IN SPARTA, NJ.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders
ACCORDING TO THE ORGANIZATION'S BYLAWS THE ENTITY'S SOLE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC., A NEW JERSEY NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body
ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders
VISITING NURSE ASSOCIATION OF SAINT CLARE'S, INC.'S (VNA) CORPORATE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH SAINT CLARE'S HEALTH SERVICES, INC. AND CATHOLIC HEALTH INITIATIVES ("CHI") (SAINT CLARE'S HEALTH SERVICES, INC.'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE SAINT CLARE'S HEALTH SERVICES, INC. BOARD: *APPROVE MEMBERS OF VNA'S BOARD *AMENDMENT OF THE CORPORATE DOCUMENTS OF VNA *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF VNA *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR VNA THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF VNA *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF VNA *APPROVAL OF ISSUANCE OF DEBT BY VNA *APPROVAL OF PARTICIPATION OF VNA IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY VNA *APPROVAL OF A MERGER INVOLVING VNA *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF VNA *TO REQUIRE THE TRANSFER OF ASSETS BY VNA TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SAINT CLARE'S HEALTH SERVICES, INC. OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE BOARD PRIOR TO FILING. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
ANNUALLY, OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ACKNOWLEDGING THAT THEY HAVE NO CONFLICTS OF INTEREST. THE COMPLETED FORM IS RETURNED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW. IN ADDITION, ANY CONFLICTS THAT MAY ARISE DURING THE YEAR MUST BE DISCLOSED TO THE COMPLIANCE OFFICER. IN ADDITION TO THE ANNUAL QUESTIONNAIRE, IF THERE IS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE INDIVIDUAL WITH THE CONFLICT IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON MATTERS RELATED TO THE CONFLICT.
FORM 990, PART VI, LINE 15A, PROCESS USED FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL
THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE PRESIDENT OF SAINT CLARE'S HOSPITAL. COMPARABILITY DATA WAS USED TO DETERMINE HER COMPENSATION AND THE PROCESS WAS DOCUMENTED IN THE EMPLOYEE'S FILE.
FORM 990, PART VI, LINE 15B, PROCESS OF DETERMINING COMPENSATION FOR OTHER OFFICERS
DURING THE TAX YEAR ENDED 6/30/14, NO OTHER OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS N/A BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public
THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE STATE OF NEW JERSEY SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
FORM 990, PART VII, SECTION A, REPORTABLE COMPENSATION
DIANNE HALFORD WAS AN INTERIM CFO FOR VISITING NURSE ASSOCIATION PRIOR TO BECOMING CFO AND WAS PAID BY FTI CONSULTING. CATHOLIC HEALTH INITIATIVES (CHI), THE PARENT COMPANY TO SAINT CLARE'S HEALTH SERVICES, INC., PAID FTI CONSULTING FOR DIANNE HALFORD'S SERVICES AND FOR SEVERAL OTHER INTERIM POSITIONS THROUGHOUT THE ORGANIZATION'S HEALTH CARE SYSTEM. THEREFORE, DIANNE HALFORD SHOWS $0 REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND FROM ANY RELATED ORGANIZATION AS SHE WAS PAID DIRECTLY BY FTI CONSULTING. MARK HERBERS IS THE INTERIM CFO FOR VISITING NURSE ASSOCIATION AND IS PAID BY FTI CONSULTING. CHI, THE PARENT COMPANY TO SAINT CLARE'S HEALTH SERVICES, INC., PAYS FTI CONSULTING FOR MARK HERBERS SERVICES AND FOR SEVERAL OTHER INTERIM POSITIONS THROUGHOUT THE ORGANIZATION'S HEALTHCARE SYSTEM. THEREFORE, MARK HERBERS WILL SHOW $0 REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION AND FROM ANY RELATED ORGANIZATION AS HE IS PAID DIRECTLY BY FTI CONSULTING.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.