TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOSEPH SIMUNOVICH...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(2) EDWARD J LUDWIG...................................................................... VICE CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(3) MARVIN M GOLDSTEIN ESQ...................................................................... SECRETARY - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(4) FRANK FEKETE...................................................................... TREASURER - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(5) KEITH BANKS...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(6) J FLETCHER CREAMER JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(7) JUSTICE MARIE L GARIBALDI...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(8) ROBERT C GARRETT...................................................................... TRUSTEE - PRESIDENT/CEO	60.0 ................. 0.0	X	X	3,953,618	936,072
(9) PETER C GERHARD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) PETER O HANSON...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) LAWRENCE R INSERRA JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) JAMES R NAPOLITANO ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(13) JOSEPH M SANZARI...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(14) ROBERT L GLENNING...................................................................... EVP/CHIEF FINANCIAL OFFICER	60.0 ................. 0.0		X	2,224,856	479,420
(15) IHOR S SAWCZUK MD...................................................................... EVP/CHIEF MEDICAL OFFICER	60.0 ................. 0.0		X	1,859,283	518,474
(16) AUDREY C MURPHY RN ESQ...................................................................... EVP/CHIEF LEGAL OFFICER	60.0 ................. 0.0		X	930,842	347,968
(17) KETUL J PATEL TERM 13115...................................................................... EVP/CHIEF OPERATING OFFICER	60.0 ................. 0.0		X	300,131	11,883

- TIN:

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

HACKENSACK UNIVERSITY HEALTH NETWORK INC

Employer identification number

22-2595857

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross 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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............. 1

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 (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)
(i)Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) HACKENSACK UNIVERSITY MEDICAL CENTER	221487576	3		No	0	0

Total 1

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 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.

Section B. Total Support

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.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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 ....................... right arrow

33 1/3% support test—2014. 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 ..................... right arrow

17a

10%-facts-and-circumstances test—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2015

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) 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	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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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 ....... right arrow

33 1/3% support tests—2014. 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 .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Yes

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
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)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HACKENSACK UNIVERSITY HEALTH NETWORK INC

Employer identification number

22-2595857

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

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? ...........

Yes No

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? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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" on Form 990, Part IV, line 8.

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.

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)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. 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 ...
b	Buildings
c	Leasehold improvements
d	Equipment ...	1,171,250	796,385	374,865
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				374,865

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATES	5,889,805
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,889,805
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
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, 2015 AND 2014; 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.

Return Reference

Explanation

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, 2015 AND 2014; 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) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HACKENSACK UNIVERSITY HEALTH NETWORK INC

Employer identification number

22-2595857

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Yes

Were any amounts reported on 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 .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ROBERT C GARRETTTRUSTEE - PRESIDENT/CEO	(i) (ii)	0 ------------- 1,490,912	0 ------------- 676,300	0 ------------- 1,786,406	0 ------------- 880,049	0 ------------- 56,023	0 ------------- 4,889,690	0 ------------- 853,929
2ROBERT L GLENNINGEVP/CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 995,563	0 ------------- 229,900	0 ------------- 999,393	0 ------------- 443,869	0 ------------- 35,551	0 ------------- 2,704,276	0 ------------- 492,472
3IHOR S SAWCZUK MDEVP/CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 1,440,663	0 ------------- 149,700	0 ------------- 268,920	0 ------------- 474,340	0 ------------- 44,134	0 ------------- 2,377,757	0 ------------- 83,850
4AUDREY C MURPHY RN ESQEVP/CHIEF LEGAL OFFICER	(i) (ii)	0 ------------- 532,617	0 ------------- 125,700	0 ------------- 272,525	0 ------------- 315,267	0 ------------- 32,701	0 ------------- 1,278,810	0 ------------- 70,243
5KETUL J PATEL TERM 13115EVP/CHIEF OPERATING OFFICER	(i) (ii)	0 ------------- 96,487	0 ------------- 199,260	0 ------------- 4,384	0 ------------- 1,485	0 ------------- 10,398	0 ------------- 312,014	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 3	PLEASE REFER TO OUR RESPONSE TO CORE FORM, PART VI, QUESTION 15 INCLUDED IN SCHEDULE O.
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.
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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $168,840; ROBERT L. GLENNING, $106,740 AND AUDREY C. MURPHY, RN, ESQ., $55,524 (NEW FLEX PLAN). 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $1,536,397; ROBERT L. GLENNING, $854,231; IHOR S. SAWCZUK, M.D., $221,897 AND AUDREY C. MURPHY, RN, ESQ., $181,744 (NEW SERP PLAN). HACKENSACKUMC; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ON JANUARY 1, 2011, INSTITUTED A DEFERRED COMPENSATION PROGRAM UNDER INTERNAL REVENUE CODE SECTION 401(A) WHEREIN THE ORGANIZATION MATCHES 2% OF AN INDIVIDUAL'S SALARY UP TO A MAXIMUM OF $5,300. THE MATCH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE AMOUNTS WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $287,897; ROBERT L. GLENNING, $29,283; IHOR S. SAWCZUK, M.D., $172,597 AND AUDREY C. MURPHY, RN, ESQ., $136,896 (OLD AND NEW SERP PLANS).
SCHEDULE J, PART I; QUESTION 7	CERTAIN LISTED INDIVIDUALS RECEIVED, AS PART OF THEIR COMPENSATION, PAYMENTS UNDER A LONG-TERM INCENTIVE COMPENSATION PLAN. THESE PERFORMANCE AWARDS WERE BASED ON THE ACHIEVEMENT OF CHALLENGING LONG-TERM GOALS RELATING TO HACKENSACK UNIVERSITY MEDICAL CENTER'S MISSION OF DELIVERING EXCELLENT PATIENT CARE TO THE COMMUNITY IT SERVES. THE INCENTIVE COMPENSATION AWARDS WERE REVIEWED AND APPROVED BY A COMMITTEE OF THE HACKENSACK UNIVERSITY HEALTH NETWORK, INC. BOARD OF TRUSTEES CONSISTING ENTIRELY OF INDEPENDENT BOARD MEMBERS. THIS COMMITTEE REVIEWED AND APPROVED THE INCENTIVE COMPENSATION AWARDS, TOGETHER WITH ALL COMPENSATION AMOUNTS, IN A MANNER THAT QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER INTERNAL REVENUE SERVICE RULES. THIS MEANS THAT THE COMPENSATION IS PRESUMED TO BE REASONABLE UNDER FEDERAL TAX LAW.
SCHEDULE J, PART II; COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE REPORTED IN SCHEDULE J, PART II, COLUMN (C) AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORM 990. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN THE INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ROBERT C. GARRETT, $853,929; ROBERT L. GLENNING, $492,472; IHOR S. SAWCZUK, M.D., $83,850 and AUDREY C. MURPHY, R.N., ESQ., $70,243.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

HACKENSACK UNIVERSITY HEALTH NETWORK INC

Employer identification number

22-2595857

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HACKENSACK, NEW JERSEY. HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER (THE "MEDICAL CENTER"HACKENSACKUMC"). 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 2013 population of 918,888. According to the u.s. census bureau 2013 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. The medical center has evolved from a community hospital offering patients a secondary level of healthcare services to a teaching hospital affiliated with Georgetown University School of Medicine, Rutgers New Jersey Medical School, Seton Hall University, St. Georges University, and Stevens Institute of Technology, 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 in 2015 of 8,697 employees. Hackensackumc has a volunteer population of approximately 1,800 men, women, and teenagers, who donate their time 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. Hackensack university health network: Hackensack University Health Network ("hackensackuHN") is the New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the HackensackUMC Foundation, Hackensack University Medical Group, and corporate joint venture partners with LHP Hospital Group in ownership of two hospitals: HackensackUMC at Pascack Valley and HackensackUMC Mountainside. In 2015, HackensackUHN welcomed Englewood Hospital and Medical Center as an affiliate hospital. In May 2015, HackensackUHN signed a definitive agreement to merge with Meridian Health; creating one, integrated healthcare delivery system, known as Hackensack Meridian Health. In June 2015, HackensackUHN and Seton Hall University announced a definitive agreement to form a new, four-year school of medicine the only private medical school in New Jersey. HackensackUHN also enjoys clinical and academic affiliations with some of the nations most well-renowned health systems, hospitals and universities, including: Aetna, AllSpire Health Partners, CityMD, Georgetown Lombardi Comprehensive Cancer Center, Good Samaritan Regional Medical Center, Horizon Blue Cross and Blue Shield of New Jersey; MedStar Georgetown University Hospital, MinuteClinic, NYU Langone Medical Centers Division of Pediatric Surgery, OMNIA Health Alliance; Rutgers Medical School, St. Georges University, Stevens Institute of Technology, Summit Medical Group, The Statesir Cancer Center at CentraState, and United Surgical Partners International. With more than 10,800 employees, 3,300 credentialed medical staff members and 1,717 hospital and nursing home beds at hospitals within the Network, Hackensack University Health Network is one of the largest healthcare systems in 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 ranked in u.s. news & world report's 2015-16 best hospitals list for cardiology & heart surgery, and listed on becker's hospital review 2015 "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. 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 has been ranked as one of the top 10 green hospitals by the green guide.
CORE FORM, PART III	Environmentally-friendly hospital designed just for women: 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 with the Deirdre Imus Environmental Health Center 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 2015, we welcomed more than 6,358 babies - more than any other hospital in new jersey - a true testament to our long history of trusted care in the community. In 2015, hackensackumc was named one of the "100 Hospitals with Great Women's Health Programs" by Beckers Hospital Review, and was named one of 2015 Americas Best Hospitals for Obstetrics by WomenCertified Inc. 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: - HackensackUMC was listed as the number one hospital in New Jersey and ranked among the top four New York Metro Area hospitals by U.S. News & World Report in its 2015-16 Best Hospitals list. - Received 5 national rankings in: Cardiology & Heart Surgery; Geriatrics; Neurology & Neurosurgery; Orthopedics; and Urology. - Also listed as high-performing in the New York metro area in six specialties: Gynecology; Nephrology; Cancer; Ear, Nose & Throat; Gastroenterology & GI Surgery; and Pulmonology. - 2015 Healthgrades Americas 50 Best Hospitals the only hospital in NJ, NY and New England to receive nine years in a row. - The first hospital nationwide recognized by the U.S. Department of Health and Human Services (HHS) for reaching Phase IV Gold level achievement in the Workplace Partnership for Life Hospital Campaign. - HackensackUMCs Bariatric Surgery program (including Gastric Stapling and Gastric Banding) for being recognized as a Blue Distinction Center (BDC) and a Blue Distinction Center+ (BDC+) by the Blue Cross Blue Shield Association. - Healthgrades Distinguished Hospital Award - Clinical Excellence Award - 13 years in a row (2003-2015), placing the hospital among the Top 5% of the nations hospitals for overall quality for more than a decade. HackensackUMC is the only hospital in NJ, NY and New England to receive this award for 13 consecutive years. - 23 Joint Commission Gold Seals of Approval the most in the country: Abdominal Aortic Aneurysm, Acute Myocardial Infarction, Asthma, Asthma (Pediatrics), Bone Marrow Transplant, Breast Cancer, Carotid Stenosis, Chronic Obstructive Pulmonary Disease, Colorectal Cancer, Coronary Artery Bypass Graft, Depression, Geriatrics Delirium, Heart Failure, Inpatient Diabetes, Joint Replacement Hip, Joint Replacement Knee, Multi-System Trauma, Palliative Care, Peripheral Vascular Disease, Pneumonia, Prostate Cancer, Stroke (Primary Stroke Center), and Uterine-Ovarian Cancer. - 2015/2016 National Research Corporation Consumer Choice Award 20th consecutive year and every year since the awards inception. - 2014 NJBIA Award for Excellence in Environmental Quality. - 2015 Beckers Hospital Review Awards: 100 Hospitals With Great Orthopedic Programs, 100 Hospitals With Great Heart Programs, 150 Great Places to Work in Healthcare, 100 Hospitals with Great Womens Health Programs, 100 Great Hospitals, 100 Hospitals and Health Systems With Great Oncology Programs; 50 Top-Grossing Nonprofit Hospitals in America, 125 Hospitals and Health Systems with Great Orthopedic Programs, 100 ACOs to Know, 50 of the Greenest Hospitals in America. - CEO Cancer Gold Standard Re-designation. - Radiology successfully achieved American College of Radiology accreditation, and The American College of Radiology (ACR) recognized HackensackUMC as the first-ever Diagnostic Imaging Centers of Excellence Award recipient, recognizing a distinctive level of excellence in diagnostic imaging. - First nonprofit hospital in the state to sign MOU with EPA for Green/Sustainability Initiative. - Awarded Practice Greenhealths highest honor as a 2015 Environmental Excellence Award winner, earning recognition as one of the Top 25 green hospitals in the country two years in a row. - NJBIZ Hospital of the Year 2015. - New York Corporate Culture Award winner by SmartCEO. 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 department - 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 Patient care Magnet status: Nursing, the largest group at the forefront of care delivery, is the backbone of HackensackUMCs frontline of care. Its 1,931 nurses are renowned for achieving Magnet recognition for Nursing Excellence, the highest honor that can be bestowed by the American Nurses Credentialing Center. The medical center was the first in New Jersey and the second in the country to receive this designation a-true testament to the quality of care delivered at HackensackUMC. In January 2014, HackensackUMC received its fifth Magnet designation by the American Nurses Credentialing Center-making the medical center just one of two hospitals in the entire nation to achieve this feat. After a rigorous three-day site visit by the Magnet Appraisal Team in December, they unanimously re-designated HackensackUMC as a Magnet hospital for its 20th consecutive year. 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. In September 2015, HackensackUMCs Coronary Care Unit (CCU) and Medical Intensive Care Unit (MICU) received the Silver Beacon Award for Excellence. The Beacon Award is a prestigious honor given by the American Association of Critical-Care Nurses (AACN) to adult critical care units that achieve high-quality outcomes exemplifying excellence in professional practice, patient care and outcomes. HackensackUMC joins only 14 other units in New Jersey to achieve Beacon designation, which indicates to patients and their families high levels of care, satisfaction and exceptional clinical outcomes. HackensackUMC was named one of the 30 Most Nurse-Friendly Hospitals in the United States by Top RN to BSN, a leading online information source for current and prospective nursing students, in 2015.
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. Hackensackumc purpose, goal, 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. 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. - 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. 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 recently been installed. The new heart & 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 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 providers in patient volume. There were 2,776 blood and marrow stem cell transplants performed in 2015. 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 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. 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/CANCER CARE: 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.
CORE FORM, PART III	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 awaiting 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. 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. The Childrens Cancer Institute 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: 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. 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. 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.
CORE FORM, PART III	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 Emergency and Trauma Center (ETC) is open 24 hours a day, seven days a week and treats all ages and all medical conditions. In 2015, 117,150 patients visited the ETC. There is also a separate pediatric emergency department. The pediatric emergency department 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 departments 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 department and represent them in their absence, there was nothing like it anywhere in the country. Today 50 volunteers cover each of the emergency trauma center's three shifts, seven days a week. The etc 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 etc is also certified by the american college of surgeons and is an accredited chest pain center as per the society of chest pain centers. The NJ-MSED vehicles are one of only a few mobile medical assets of their kind in the nation, originally funded through a unique partnership with the U.S. Department of Defense and the Urban Areas Security Initiative. UASI Funding substantially ended after the UASI Mobile ER was built and DOD funding ended in 2012, but in early 2015, HackensackUMC obtained state funding and a group of 16 hospitals and systems came together to form the Advanced Medical Emergency Resource Coalition (AMERCO). The nonprofit corporation selected HackensackUMC as the Host Hospital. The MSED assets are ready to deploy to non-emergency events and we expect the MSED teams to be trained and ready to deploy for emergencies by the end of 2016. The core of the NJ-MSED complex exists in the form of two 43-foot trailers and a 48-foot trailer with expandable sides. Two are fully outfitted with critical care beds, and one is outfitted as a mobile operating room. They are fully functional mobile medical assets able to respond to large-scale incidents that result in the need for on-site Emergency Department services and can be pre-deployed to expected events like hurricanes or other potential incidents based on intelligence. 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. 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 tomorrow's 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 tomorrow's children's fund initiatives. Highlights of the david joseph jurist research center for tomorrow's 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 tomorrow's children. Research studies grew from 75 in 1987 to today's 466 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 2015, HackensackUMC received the highest amount of funding in New Jersey from the National Institutes of Health. 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.
CORE FORM, PART III	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. Outlook: Hackensackumc, a nonprofit academic, research and medical center, is the largest provider of inpatient and outpatient services in new jersey. It was the first hospital in new jersey and second in the nation to become a magnet recognized hospital for nursing excellence. Hackensackumc is the hometown hospital of the new york giants and the new york red bulls, and remains committed to its community through fundraising and community events. hackensackumc ranks among the best hospitals in the nation and enjoys numerous clinical, research and academic affiliations with world-renowned partners. Founded in 1888 as the countys first hospital, it is a member of Hackensack University Health Network, one of the largest health networks in the state comprised of 1,250 beds, more than 10,000 employees and more than 3,000 credentialed physicians. HackensackUMC was listed as the number one hospital in New Jersey in the U.S. News & World Reports Best Hospital rankings for 2015-16. The joseph m. Sanzari childrens hospital is housed with the Donna A. Sanzari Womens Hospital in the Sarkis and Siran Gabrellian Womens and Childrens Pavilion, which was designed with The Deirdre Imus Environmental Health Center, and was included on the Green Guides list of Top 10 Green Hospitals in the U.S. HackensackUMC is one of Healthgrades America's 50 Best Hospitals for nine years in a row, and received the Healthgrades Distinguished Hospital Award for Clinical Excellence 13 years in a row. The medical center has also been named a Leapfrog Top Hospital, and received 23 Gold Seals of Approval by the Joint Commission more than any other hospital in the country. It was the first hospital in New Jersey and second in the nation to become a Magnet recognized hospital for nursing excellence; receiving its fifth consecutive designation in 2014. HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls and was Official Medical Services Provider to The Barclays PGA Golf Tournament and the NY/NJ Super Bowl XLV111 Host Committee. It remains committed to its community through fundraising and community events. 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 department trauma center 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. 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 hackensackumcumc. 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 $89,054,051 in 2015. 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 $4,825,099 in 2015; however as more fully outlined below estimated costs relating to providing medical care to individuals without insurance totaled approximately $32,810,041; for a net deficit of approximately $27,984,942. Based upon these statistics hackensackumc had approximately the fifth 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 with a loss of $57,459,775. 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 2015 hackensackumcumc's payments totaled $8,726,045. During 2015 hackensackumc, through its affiliation with umdnj, also had the one of the largest graduate medical education programs in the state of new jersey with 168 medical and dental residents in various medical specialties. Community benefit continued: 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. Hackensackumc also has a 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 2015 net community benefit costs were approximately $106,561,318 or approximately 8.50% of its total 2015 expenses. The cha methodology does not include medicare shortfalls and certain costs related to bad debt.
CORE FORM, PART III	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 2015 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 the costs exceed reimbursements) and costs related to bad debt. Under the aha model during calendar year 2015, hackensackumc incurred net community benefit costs of approximately $215,388,788; which accounted for approximately 17.17% of its total 2015 expenses. Net costs means costs after all associated reimbursements. Hackensackumc also paid $6,357,782 in real estate taxes during 2015. 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. The impact of community benefits: Hackensackumc 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. Promoting a healthy community: 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. Speakers topics included: nutrition, grandparenting, aids awareness, heart health, stress, diabetes, keeping your mind sharp, cancer prevention, food allergies and medication interactions. (referenced in schedule h). Many health fair booths were related to: blood pressure screenings, fitness & nutrition, run health, flu shoots and sun safety. (referenced in schedule h). MELANOMA AWARENESS PREVENTION Skin cancer is the most common form of cancer in the United States. Melanoma is the third most common skin cancer, but is more dangerous and more likely to cause death than other skin cancers. Through collaborative efforts, the John Theurer Cancer Center, the Promise Foundation of Ridgewood, New Jersey, physicians and the Health Awareness Regional Program (HARP) of HackensackUMC, a skin cancer screening was provided to the community serving more than 50 participants. This partnership includes an ongoing educational initiative to teach youth sun safe behaviors. In collaboration with schools and teachers skin cancer awareness programs educated more than 5,000 students on sun safe behaviors. PROJECT HEALTHY BONES Project Healthy Bones is a 24-week exercise and education program for older women and men at risk for, or who have osteoporosis. The program is offered in partnership with the New Jersey Department of Health. In 2014, HARP collaborated with Montvale and Ramsey to provide this program to their communities. Currently, there are more than 100 participants. MATTER OF BALANCE In 2015, HARP was awarded a New Jersey Department of Human Services grant for delivery of the evidence-based fall prevention program: A Matter of Balance: Managing Concerns About Falls (MOB). HARP will provide this program throughout Bergen County, serve as Master Trainers for others interested in providing this program, and participate in the NJs Fall Prevention Workgroup. On an average day in NJ, 201 older adults are treated in NJ ERs due to falls. Falls among New Jerseys seniors and adults with disabilities result in physical, psychological and financial hardships for individuals and place a significant burden on caregivers, social services and healthcare agencies. CORPORATIONS In 2015, HARP provided on-site workplace wellness programs to corporations of all sizes throughout Bergen County. Worksite wellness programs are designed to empower employees to better manage their health. We partner with corporations to create and support a healthy workforce by providing physical examinations, mandated tests, Health Risk Assessments, health fairs, American Heart Association Heartsaver CPR classes, biometric screening, and on-site screenings, trainings, and seminars. - HARP conducted 26 onsite flu immunization programs that vaccinated 1,159 employees against influenza. - Three corporate health fairs were conducted that included screenings such as: comprehensive metabolic blood profile, blood pressure, body mass index (BMI), and body fat. The age range for participants was 19 to 68 years old. One hundred and ninety-eight were screened for total cholesterol, 36 men for prostate specific antigen, and 142 screened for blood pressure. Education was distributed to increase the awareness of risk factors for hypertension, sodium and high blood pressure, high cholesterol, healthy nutrition, and the benefits of physical activity. - Three bloodborne pathogen classes were presented to 182 participants. - One hundred twenty-two tuberculin skin tests were given along with education on prevention, and recognizing the signs and symptoms of Tuberculosis. - Educational programs were provided onsite that highlighted: mens health, nutrition and physical activity, and cardiac education which focused on prevention, early detection, testing and diagnosis, and treatment. HEALTH PROMOTION PROGRAMS In 2015, HARP presented 283 health promotion programs to 14,681 participants throughout Bergen County. Health education programs focused on the prevention of chronic illness by teaching the community to eat healthy, be active, and avoid tobacco. HARP also provided 2,349 adult health screenings that included education on blood pressure, stroke risk assessment, diabetes risk assessment, osteoporosis, and body fat/BMI assessment. HARP administered childhood immunization clinics across Bergen County that provided 1,400 free immunizations to uninsured children through the New Jersey Vaccine for Children program. LOCAL HEALTH AGENCY PARTNERSHIP The Health Awareness Regional Program of HackensackUMC (HARP) has been committed to providing the highest quality of health promotion and illness prevention services in Bergen County since 1977. We are proud of the strong collaborative relationships with community organizations and local health agency partners to provide high quality, professional health education and public health services to 25 Bergen County municipalities.
CORE FORM, PART III	TOWNS SERVED Bogota, City of Hackensack, Closter, Dumont, East Rutherford, Emerson, Englewood Cliffs, Fairview, Fort Lee, Garfield, Hasbrouck Heights, Leonia, Lodi, Mahwah, Montvale, New Milford, Palisades Park, Ramsey, Ridgefield, Ridgefield Park, River Edge, South Hackensack, Tenafly, Township of Washington, and Wallington. COMMUNITY PARTNERSHIPS Health Officers, Schools, the American Diabetes Association, the American Cancer Society, Bergen County Office On Aging, Community Health Improvement Partnership of Bergen County, Nutrition and Physical Activity Task Force, Bergen County Diabetes Collaborative, Pascack Valley Meals on Wheels, Bergen County Department of Health Services, Bergen-Hudson Chronic Disease Coalition, Bergen County Municipal Nurse Association and School Nurses Association, Partnership for Maternal and Child Health of Northern New Jersey: New Jersey Office of Cancer Control and Prevention: Melanoma Cancer Taskforce Work Group, New Jersey Immunization Network. BERGEN SENIOR COALITION In 2014-2015 HARP collaborated with Brightside Manor, Chore Service, Pascack Valley Meals, The Henry and Marilyn Taub Foundation, and Visiting Homemakers, to form a coalition to address the needs of our growing older adult population. The mission of this group is to The Senior Coalition will be a forum for education and advocacy around the needs and resources to help seniors age in place. There are 40 non- profit agencies participating. HAVE F.U.N. IN GARFIELD Through our partnership with the City of Garfield, HARP was able to collaborate on an initiative to combat childhood obesity in the City of Garfield. In 2015, community gardens were planted throughout the city providing fresh vegetables to residents and teaching gardening skills to the youth. This program has been focused on families 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. FLU IMMUNIZATION PROGRAMS As part of the public health response to the influenza virus in the community, HARP partnered with communities to provide education and vaccinations. Educational materials were distributed to at-risk populations. HARP worked with health officers, public health nurses, health departments, municipalities, and child care centers. Through this partnership, HARP assisted in vaccinating more than 2,000 individuals and continues to work to achieve maximum immunization rates.
CORE FORM, PART VI, SECTION A; QUESTION 2	J. FLETCHER CREAMER, JR. AND JOSEPH M. SANZARI - BUSINESS RELATIONSHIP.
CORE FORM, PART VI, SECTION B; QUESTION 11b	DURING 2015 THE ORGANIZATION WAS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). IN MAY 2015, THE NETWORK SIGNED A DEFINITIVE AGREEMENT WITH MERIDIAN HEALTH SYSTEM ("MERIDIAN HEALTH") TO MERGE BOTH PARENT ORGANIZATIONS; CREATING ONE INTEGRATED HEALTHCARE DELIVERY SYSTEM KNOWN AS HACKENSACK MERIDIAN HEALTH, INC., TO BETTER MEET THE NEEDS OF MANY NEW JERSEY COMMUNITIES. THE MERGER BECAME EFFECTIVE UPON THE RECEIPT OF REGULATORY APPROVALS ON JULY 1, 2016. THE NAME OF THIS NEW INTEGRATED HEALTHCARE DELIVERY SYSTEM IS HACKENSACK MERIDIAN HEALTH, INC ("HMH"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY AND ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND FOLLOWING A REVIEW BY HMH'S COMPLIANCE AND AUDIT COMMITTEE. HMH'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THIS FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS the system 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 system's FINANCE PERSONNEL AND INTERNAL WORKING GROUP (WHICH INCLUDED, BUT WAS NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, CONTROLLER, ACCOUNTING MANAGER AND CHIEF COMPLIANCE OFFICER) 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 system's INTERNAL WORKING GROUP FOR REVIEW. The system's INTERNAL WORKING GROUP 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 SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF HMH'S COMPLIANCE AND AUDIT COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY PRIOR TO FILING WITH IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). The System REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF the board of trustees, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO HACKENSACKUMC'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 WHICH IS PRESENTED TO HACKENSACKUMC'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION AND IMPLEMENTATION OF ANY NECESSARY MITIGATING ACTIONS.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). THE NETWORK'S BOARD OF TRUSTEES 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 SYSTEM'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND CHIEF OPERATING 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 TRUSTEES, 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 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 SYSTEM, 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.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII, SECTION A	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE 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 THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. 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.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT OFFICERS AND BOARD MEMBERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS AN OFFICER OR VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - NET EQUITY TRANSFERS TO HACKENSACK UNIVERSITY MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,649,664.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE NETWORK AND ITS SUBSIDIARIES AND CONTROLLED ENTITIES, FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THESE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE NETWORK'S AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE HACKENSACK UNIVERSITY HEALTH NETWORK AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

HACKENSACK UNIVERSITY HEALTH NETWORK INC

Employer identification number

22-2595857

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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) HACKENSACK PHYS-HOSP ALLIANCE ACO LLC 30 PROSPECT AVENUE HACKENSACK,NJ07601 45-3067377	HEALTHCARE	NJ	4,061,864	4,167,514	HUHN

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
(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	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	Yes
(2)HACKENSACK UNIVERSITY MEDICAL CENTER 30 PROSPECT AVENUE HACKENSACK,NJ07601 22-1487576	HLTHCARE SVCS	NJ	501(C)(3)	HOSPITAL	HUHN	Yes
(3)HACKENSACK UNIV MED CTR FDN INC 30 PROSPECT AVENUE HACKENSACK,NJ07601 22-2339534	SUPPORT HUMC	NJ	501(C)(3)	509(A)(3)	HUHN	Yes
(4)HACKENSACK SPECIALTY CARE ASSOC PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 20-1017013	PHYS. SVCS.	NJ	501(C)(3)	509(A)(3)	HUMC		No
(5)HACKENSACK UNIVERSITY MEDICAL GROUP PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 22-3376459	PHYS. SVCS.	NJ	501(C)(3)	509(A)(3)	HUMC		No
(6)HUMC CARDIOVASCULAR PARTNERS PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 27-0614861	PHYS. SVCS.	NJ	501(C)(3)	509(A)(3)	HUMC		No
(7)HUMC MEDICAL OBSERVATION PA 30 PROSPECT AVENUE HACKENSACK,NJ07601 27-2371424	PHYS. SVCS.	NJ	501(C)(3)	509(A)(3)	HUMC		No
(8)THE AUXILIARY OF HACKENSACKUMC 30 PROSPECT AVENUE HACKENSACK,NJ07601 22-1537117	SUPPORT HUMCF	NJ	501(C)(3)	509(A)(3)	HUMC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) HUMCUSP SURGERY CENTERS LLC 30 PROSPECT AVENUE HACKENSACK,NJ07601	HEALTHCARE SVCS.	NJ	NA

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) PEDIATRIC SPECIALTIES OF OAKLAND PA 5 SUMMIT AVENUE HACKENSACK,NJ07601 22-3537262	HEALTHCARE SVCS.	NJ	NA	S CORP.				No
(2) HACKENSACKUMC CASUALTY COMPANY LTD CHEVRON HOUSE 44 CHURCH STREET HM12 HAMILTON, BD BD 22-1487576	FINANCIAL VEHICLE	BD	NA	FOREIGN CORP.				No
(3) NEW AMSTERDAM MEDICAL ASSOCIATES PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 27-0849894	PHYSICIAN SVCS.	NY	NA	C CORP.				No
(4) HUMC PRIMARY CARE ASSOCIATES PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 45-3744725	PHYSICIAN SVCS.	NJ	na	C CORP.				No
(5) HACKENSACK OCCUPATIONAL MEDICINE PC 30 PROSPECT AVENUE HACKENSACK,NJ07601 86-1153504	INACTIVE	NJ	na	C CORP.				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HACKENSACK UNIVERSITY MEDICAL CENTER	S	2,339,039	COST
(2) HACKENSACK UNIVERSITY MEDICAL CENTER	S	310,625	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

SCHEDULE R, PART V

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). HACKENSACKUMC 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.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO ACT AS A NOT-FOR-PROFIT HOLDING COMPANY CREATED TO ESTABLISH, MAINTAIN, SPONSOR AND PROMOTE ACTIVITIES RELATING TO THE IMPROVEMENT OF HUMAN HEALTH AND THE PROVISION OF CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	551,166	4,061,864
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	551,166	4,061,864
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	3,126,330	4,587,587
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,126,330	4,587,587
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,575,164	-525,723
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,432,787	10,167,514
21	Total liabilities (Part X, line 26).............	5,347,050	6,957,836
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,085,737	3,209,678

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,587,587 including grants of $ 0 ) (Revenue $ 4,061,864 )
	TO ACT AS A NOT-FOR-PROFIT HOLDING COMPANY CREATED TO ESTABLISH, MAINTAIN, SPONSOR AND PROMOTE ACTIVITIES RELATING TO THE IMPROVEMENT OF HUMAN HEALTH AND THE PROVISION OF CARE TO THE SICK. PLEASE REFER TO THE ORGANIZATION'S CHARITY CARE COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,587,587

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	9,268,730	2,293,817

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		0

			Business Code
2a	CONSULTING REVENUE	900099	4,061,864	4,061,864
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			4,061,864

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			0
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....			0
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..			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..			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..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			4,061,864	4,061,864

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
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 ....	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	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	1,272,701	1,272,701
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	337,954	337,954
12	Advertising and promotion ....	0
13	Office expenses .......	13,851	13,851
14	Information technology ......	9,916	9,916
15	Royalties ..	0
16	Occupancy ...........	35,568	35,568
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	7,749	7,749
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	133,677	133,677
23	Insurance ...	83,055	83,055
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	ALLOCATION OF PERSONNEL COST	2,106,682	2,106,682	0	0
b	EQUIPMENT & MAINTENANCE	150,144	150,144	0	0
c	TRAINING	50,925	50,925	0	0
d	OTHER EXPENSES	385,365	385,365	0	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	4,587,587	4,587,587	0	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			5,748,262	1	9,579,753
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
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 ........			0	8	0
9	Prepaid expenses and deferred charges ......			0	9	4,261
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,171,250
b	Less: accumulated depreciation	10b	796,385	0	10c	374,865
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 ..			684,525	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			0	15	208,635
16	Total assets. Add lines 1 through 15 (must equal line 34)...			6,432,787	16	10,167,514

17	Accounts payable and accrued expenses .....	1,143,173	17	1,068,031
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
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 ..	0	23	0
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	4,203,877	25	5,889,805
26	Total liabilities. Add lines 17 through 25..	5,347,050	26	6,957,836

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,085,737	27	3,209,678
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,085,737	33	3,209,678
34	Total liabilities and net assets/fund balances ........	6,432,787	34	10,167,514