Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 0 | 0 | 0 | 0 | 0 | 0 |
| 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...... | 54,247 | 9,881,820 | 22,548,642 | 32,484,709 | ||
| 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. | 0 | 0 | 54,247 | 9,881,820 | 22,548,642 | 32,484,709 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 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 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 32,484,709 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 0 | 0 | 54,247 | 9,881,820 | 22,548,642 | 32,484,709 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 55,751 | 340,097 | 395,848 | |||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 55,751 | 340,097 | 395,848 | |||
| 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 VI.) .. | 0 | |||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 0 | 0 | 54,247 | 9,937,571 | 22,888,739 | 32,880,557 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | JFK Medical Associates, P.A. ("JFKMA") is a professional service corporation that was organized under the corporate medicine laws of New Jersey as the physician-provided medical services component of the community health care services provided by JFK Health System and its affiliates. JFK Health System, Inc. ("JFK Health System"), is a New Jersey nonprofit corporation that is tax-exempt under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code") and the "parent" of a community health care system which includes JFK Medical Center ("JFK Medical Center"), also a New Jersey nonprofit corporation that is tax-exempt under Code Section 501(c)(3). New Jersey law requires that a corporation created to employ physicians providing medical services to patients be incorporated under the Professional Service Corporation Act, N.J.S.A. 14A:7-1 et seq. ("PSA"). The PSA mandates that all stock in such a corporation be held by a physician licensed in the State of New Jersey and that all members of the board of directors be physicians licensed by New Jersey. All providers of medical services in the corporation must also be licensed. Although the PSA does not permit JFK Health System or JFK Medical Center to serve as JFKMA's stockholder, control by JFK Health System and JFKMA's commitment to Section 501(c)(3) purposes is insured because of language in JFKMA's Certificate of Incorporation, Bylaws and its Stock Transfer and Control Agreement (the "STC Agreement"). JFK Health System insures control over JFKMA through JFKMA's sole stockholder and director, Dr. William Oser, M.D. As JFKMA's sole stockholder and director, Dr. Oser must be, and is, an employee of JFK Health System and a member of JFK Medical Center's medical staff and must enter into the STC Agreement with JFKMA and JFK Health System. The STC Agreement and Dr. Oser's employment with JFK Health System ensures continued structural, financial and managerial control of JFKMA by JFK Health System. While Dr. Oser holds legal title to JFKMA's stock, Dr. Oser merely acts as JFK Health System's nominee pursuant to the STC Agreement and is not the beneficial owner of the stock. Instead, JFK Health System holds all the significant rights granted by stock ownership. The STC Agreement provides that Dr. Oser holds the stock at JFK Health System's pleasure and that Dr. Oser cannot act with regard to the stock contrary to JFK Health System's instructions or in any way benefit from JFKMA's profits. JFK Health System can at any time replace Dr. Oser and cause Dr. Oser to sell JFKMA's stock to another JFK Health System employed physician of JFK Health System's own choosing at the same nominal price of $1.00 that Dr. Oser paid for the stock. In addition, through the reservation in JFKMA's Bylaws of all significant powers affecting JFKMA to the Sole Shareholder, and JFK Health System's effective control of the sole Shareholder through the STC Agreement, JFK Health System effectively has the control and oversight of JFKMA, thereby enabling it to ensure that JFKMA pursues its Section 501(c)(3) purposes and benefits the community served by JFK Health System. |
| FORM 990, PART VI, SECTION A, LINE 7B: | See response to Form 990, Part VI, Section A, Line 6 in this Schedule O. |
| FORM 990, PART VI, SECTION B, LINE 11: | An Ad-hoc Committee, which includes the Chairman of the JFK Health System Audit and Compliance Committee and a selected designee of the Audit and Compliance Committee as well as designees from the Finance, Legal, and Audit and Compliance departments of JFK Health System review the IRS Form 990 with EisnerAmper LLP, the tax accountant for JFK Health System. During this review, all comments and recommendations that are made are addressed by the Finance, Legal, and Audit and Compliance departments of JFK Health System along with EisnerAmper. The final revised draft is reviewed by the Ad-hoc Committee to ensure all comments and recommendations were addressed in the final draft. JFK Medical Associates has given the Ad-hoc Committee the authority to approve the Form 990, once the form 990 is approved by the Ad-hoc Committee, the sole director is sent an e-mail with instructions on how to access the form 990 for his review and comments for 4 days on a secure website provided by EisnerAmper LLP. At the end of the 4 day review period, and after any comments have been addressed, the Form 990 is finalized and filed. Also, after the form 990 is filed, it is posted on the JFK Health System Board Portal. |
| FORM 990, PART VI, SECTION B, LINE 12C: | ON AN ANNUAL BASIS, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE DISTRIBUTED TO EACH DIRECTOR, OFFICER, AND APPLICABLE SENIOR STAFF MEMBER. ALL DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE CHAIR OF THE JFK HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE, WHICH IS AUTHORIZED TO SO ACT ON BEHALF OF JFK MEDICAL ASSOCIATES. ANY POTENTIAL CONFLICT OF INTEREST IS BROUGHT TO SAID COMMITTEE FOR REVIEW AND CONSIDERATION AND ANY APPROPRIATE ACTION DEEMED NECESSARY PURSUANT TO THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A: | As Chief Medical Officer of JFK Medical Center, Dr. Oser serves as sole shareholder, sole director and President of JFKMA. Although Dr. Oser is not paid by JFKMA, he receives compensation from JFK Medical Center for his positions there, which include his responsibilities associated with JFKMA. It is JFK Medical Center's policy to require that the total compensation of all of its executive and senior staff must be negotiated at arm's length, set within a fair market value range and be commercially reasonable as established by a written opinion from a qualified independent consultant. This policy is administered by the Executive Compensation Committee for JFK Health System, and as the Chief Medical Officer of JFK Medical Center, this policy applies to Dr. Oser. In administering the policy the Committee annually reviews and analyzes every element of compensation, including current and deferred compensation, and benefits. The Committee reviews in advance independent data showing the compensation by other nonprofit/tax-exempt organizations for functionally similar positions and approves compensation and benefits only to the extent that the committee has concluded that the total compensation is reasonable based on those comparisons. The Committee is assisted by an outside compensation consultant and legal counsel. All the members of the Committee are independent members of the JFK Health System Board, and the Committee prepares a timely and thorough written record of its deliberations and conclusions. As a result the Committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the Federal Income Tax law intermediate sanctions rules. Under a policy applicable to all JFK Medical Center senior executives, Dr. Oser may also receive an annual performance-based lump-sum monetary award based on his achievement of market competitive stretch performance goals for the year. This incentive plan is more particularly described in response to Schedule J of Form 990, Part I, Line [5(b) and/or Line 6(b)], as set forth in Part III of such Schedule J. |
| FORM 990, PART VI, SECTION C, LINE 19: | JFK HEALTH SYSTEM'S CONSOLIDATED AND THE ORGANIZATION'S CONSOLIDATING FINANCIAL STATEMENTS ARE POSTED ON THE JFK HEALTH SYSTEM WEBSITE; ANY OTHER PUBLIC INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | TRANSFER FROM JFKHS: $13,279,467 |
| FORM 990, PART XII, QUESTION 2C | JFK HEALTH SYSTEM HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS, THE AFFILIATES' AUDITS ON A CONSOLIDATED BASIS, WHICH INCLUDES JFK MEDICAL ASSOCIATES, AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT FOR JFK HEALTH SYSTEM AND ITS AFFILIATES, INCLUDING JFK MEDICAL ASSOCIATES. |
| FORM 990, PART VII | METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES' TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. THE OFFICERS OF JFK HEALTH SYSTEM HOURS PER WEEK ARE ALLOCATED AMONG MANY OF THE RELATED ORGANIZATIONS. |
| EXTENSION | DESCRIPTION OF WHY THE RETURN WAS NOT TIMELY FILED AWAITING INFORMATION FROM THIRD PARTIES NECESSARY TO FILE A COMPLETE AND ACCURATE RETURN. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE RESPONSE TO FORM 900, PART VI, SECTION A, LINE 6 IN THIS SCHEDULE O. |
| FORM 990, PART VI, SECTION A, LINE 3 | To benefit from efficiencies and coordination of services and operations, JFK Health System provides various administrative and ancillary services to JFKMA. JFKMA reimburses JFK Health System for these services on a cost/fair market value basis. These services include billing services, and the following: Human Resources: Assistance with HR policies and procedures, employee benefits, and staff training and orientation. Finance: Accounts payable and accounts receivable, payroll administration and banking relationships. Information Technology: Electronic medical records system and maintenance, IT support and phone systems. Administration and Compliance: Marketing, governance, strategic planning, budget review and approval, insurance and licensing. |
| FORM 990, PART VI, SECTION B, LINE 15B: | The compensation of Richard Smith, Treasurer is also subject to review by the JFK Health System Executive Compensation Committee described in response to Form 990, Part VI, Section B, Line 15(a) on this Schedule O. In addition, it is JFKMA's policy to require that the total compensation of all physicians, whether engaged through either a professional services or employment agreement, must be negotiated at arm's length, set within a fair market value range and be commercially reasonable as established by a written opinion from a qualified independent consultant. Similarly, the policy requires that any assets that are part of such a transaction be acquired at fair market value and that any real property lease provide for rental payments within fair market value, and in each case that an independent opinion to that effect be obtained from an appropriate qualified evaluation professional. Finally, the policy requires that JFKMA obtain a legal analysis of each proposed transaction from an outside law firm addressing compliance with federal and state self-referral and anti-kickback laws. The policy, and related procedures, are consistently followed in connection with all of these arrangements on behalf of JFKMA. |
| FORM 990, PART III, LINE 4(A): | JFK Medical Associates, P.A. ("JFKMA") is a professional service corporation that was organized under the corporate medicine laws of New Jersey as the physician-provided medical services component of the community health care services provided by JFK Health System and its affiliates. JFK Health System, Inc. ("JFK Health System"), is a New Jersey nonprofit corporation that is tax-exempt under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the "Code") and the "parent" of a community health care system which includes JFK Medical Center ("JFK Medical Center"), also a New Jersey nonprofit corporation that is tax-exempt under Code Section 501(c)(3). JFK Health System is also the parent of other nonprofit and Section 501(c)(3) organizations that provide nursing home and assisted living services, as well as an affiliated foundation that conducts fundraising for the group. JFKMA engages in the private practice of medicine. It provides and will provide primary medical services as well as specialty medical services, currently including internal medicine, pulmonology, cardiology, vascularology, gastroenterology, endocrinology, hematology, oncology, and obstetrics and gynecology. It provides its medical care services to the sick and injured who present for diagnosis, treatment and care in the service area of JFK Medical Center, without regard to race, color, creed, sex, age or ability to pay. JFKMA operates to further the charitable purposes of JFK Health System and JFK Medical Center. |
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