Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ALBERT EINSTEIN HEALTHCARE NETWORK GROUP |
465338502 | 3 | Yes | 5,511,145 | 0 | |
| (B)
MONTGOMERY HOSPITAL |
231352193 | 3 | Yes | 0 | 0 | |
|
Total 2
|
5,511,145 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 1 | THE LANGUAGE OF THE ARTICLES STATES THAT THE NETWORK SUPPORTS AEMC, BELMONT, EPPI, AND ECHA AND "OTHER ORGANIZATIONS WHICH QUALIFY UNDER SECTIONS 501(C)(3) AND 509(A)(1) AND (2) OF THE CODE AND WHICH ARE AFFILIATED WITH [AEHN], THE MEDICAL CENTER, BELMONT, EPPI, OR ECHA . . . ." THOSE NOT LISTED ARE: EINSTEIN MEDICAL CENTER MONTGOMERY, FORNANCE PHYSICIAN SERVICES, BROADLINE RRG, AND MONTGOMERY HOSPITAL MEDICAL CENTER. SCHEDULE A, PART IV, SECTION D, LINE 3 INCLUDING THROUGH ITS ABILITY TO ELECT THE TRUSTEES OF ITS SUPPORTED ORGANIZATIONS, THE NETWORK AND ITS SUPPORTED ORGANIZATIONS MAINTAIN A CLOSE WORKING RELATIONSHIP AND REGULAR AND ONGOING COMMUNICATION THAT PROVIDES THE SUPPORTED ORGANIZATIONS THE ABILITY TO PROVIDE INPUT IN THESE AREAS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | THE ARTICLES OF INCORPORATION AND BYLAWS OF EACH OF THE SUPPORTED ORGANIZATIONS (INCLUDING THOSE SPECIFICALLY NAMED IN THE NETWORK ARTICLES) PROVIDE THAT THE NETWORK IS THE SOLE MEMBER AND ELECTS THE TRUSTEES (GOVERNING BODY) OF EACH. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B | AS THE SOLE MEMBER OF EACH OF THE SUPPORTED ORGANIZATIONS THE NETWORK RETAINS SIGNIFICANT RESERVED POWERS OVER ITS AFFILIATED ORGANIZATIONS INCLUDING BUT NOT LIMITED TO STRATEGIC DECISIONS, FINANCES, INCURRENCE OF DEBT, CLINICAL PROGRAMS AND ACTIVITIES. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION | THE ORGANIZATION'S MISSION IS TO SUPPORT THOSE ORGANIZATIONS THAT HAVE, AS ITS PRINCIPAL PURPOSE, THE PROVISION OF COMPASSIONATE, HIGH QUALITY HEALTH CARE IN ORDER TO ELEVATE THE HEALTH STATUS OF THE PATIENTS IT SERVES IN SOUTHEASTERN PENNSYLVANIA, SOUTHERN NEW JERSEY AND DELAWARE. THE CORPORATION SERVES THESE INDIVIDUALS AND OTHERS WITH HEALTH CARE PROGRAMS AND SERVICES RANGING FROM COMMUNITY HEALTH EDUCATION AND PREVENTIVE MEDICINE TO COMPLEX AND SPECIALIZED CARE REQUIRING ADVANCED TECHNOLOGY AND HIGHLY EXPERT STAFF. THE CORPORATION ENTHUSIASTICALLY EMBRACES ITS SPECIAL RESPONSIBILITY TO THE MOST VULNERABLE RESIDENTS IN ITS PRIMARY SERVICE AREA AND TO THE MEMBERS OF THE JEWISH COMMUNITY. THE CORPORATION REFLECTS THE VALUES OF THE JEWISH COMMUNITY BY CARING FOR ANY PERSON REGARDLESS OF RACE, RELIGION, NATIONAL ORIGIN, OR THE ABILITY TO PAY. THE CORPORATION'S EDUCATIONAL COMMITMENT INCLUDES PROVIDING HEALTH EDUCATION TO THE COMMUNITY, AND TRAINING AND EDUCATING MEDICAL SCHOOL STUDENTS, GRADUATE AND PRACTICING PHYSICIANS, AND OTHER HEALTH CARE PROFESSIONALS. THE CORPORATION ALSO SUPPORTS CLINICAL RESEARCH FOR THE PURPOSE OF ENHANCING THE QUALITY OF PATIENT CARE AND ADVANCING THE SCIENCE OF MEDICINE. FORM 990, PART III, LINE 4 - COVID-19 RESPONSE IN RESPONSE TO THE COVID-19 PANDEMIC OUTBREAK WITHIN THE PHILADELPHIA AND MONTGOMERY COUNTY COMMUNITIES DURING MARCH OF 2020, IN ACCORDANCE WITH ITS POLICY AND PROCEDURE REGARDING DISASTER RESPONSE, ALBERT EINSTEIN HEALTHCARE NETWORK ESTABLISHED A COVID-19 INCIDENT COMMAND CENTER THAT COMPRISED A MULTI-DISCIPLINARY TEAM OF CLINICAL AND ADMINISTRATIVE LEADERSHIP. THE TASK OF THE COMMAND CENTER WAS TO PROVIDE RAPID MOBILIZATION RELATED TO SURGE PLANNING, PROMPT DECISION MAKING AND A COORDINATION OF PERSONNEL, EQUIPMENT, AND PERSONAL PROTECTIVE EQUIPMENT (PPE). THROUGH THE ACTIONS OF THE COMMAND CENTER, COVID-19 RESOURCES WERE ESTABLISHED (SUCH AS, NEGATIVE PRESSURE ROOMS, CONVERSION OF ANESTHESIA EQUIPMENT TO VENTILATORS, NURSING SPACES WITH POSITIVE AIR FLOW) TO CREATE SAFE AREAS TO TREAT COVID-19 PATIENTS WHILE AT THE SAME TIME PROTECTING THE CARE TEAMS, STAFF AND OTHER PATIENTS. THESE ACTIONS ALLOWED THE NETWORK AND ITS AFFILIATED SUBSIDIARIES TO RESPOND TO THE COMMUNITY NEEDS IN VARIOUS WAYS: - THE NETWORK TREATED OVER 4,100 COVID-19 POSITIVE OR CLINICALLY SUSPECTED PATIENTS WITHIN ITS INPATIENT FACILITIES BETWEEN MARCH 1, 2020 AND JUNE 30, 2020. - OPENED COVID-19 TESTING SITES WITHIN ITS COMMUNITY PRACTICES STARTING - 3/21/2020. - PARTICIPATED IN A CITY-WIDE COLLABORATION ON COVID PATIENT LOAD LEVELING AND EDUCATION. - COLLABORATED WITH ARMY MEDICAL RESERVE. - CONVERTED 80% OF OUTPATIENT IN-PERSON PROFESSIONAL PRACTICE BASED VISITS TO TELEHEALTH VISITS. - PROVIDED EDUCATION FOR COMMUNITY THROUGH VARIOUS OUTREACH CHANNELS. MOSS-REHAB OPENED ONE OF THE FIRST UNITS IN THE UNITED STATES TO SERVE COVID-19 INFECTED PATIENTS AND ASSOCIATED REHAB NEEDS. THE CORE+ UNIT STARTED APRIL 4TH, 2020. THE UNIT SERVES PATIENTS IN THE ACUTE PHASE OF COVID19 INFECTION WITH REHABILITATION NEEDS. CORE+ IS A SPECIALIZED REHABILITATION CARE ENVIRONMENT DEVELOPED TO TREAT PATIENTS WHO ARE RECOVERING FROM COVID-19 WHILE STILL POTENTIALLY CONTAGIOUS. STAFF IS TRAINED IN THE USE OF SAFETY EQUIPMENT AND IN THE PROVISION OF THIS CARE SAFELY. FORM 990, PART V, LINE 2A ALBERT EINSTEIN HEALTHCARE NETWORK DOES NOT FILE FORMS W2/W3 FOR ITS EMPLOYEES. FORMS W2/W3 ARE FILED BY ITS COMMON PAYING AGENT, ALBERT EINSTEIN MEDICAL CENTER 23-1396794. ACCORDINGLY, AEMC FILED FORM 4720 TO REPORT THE INTERNAL REVENUE CODE SECTION 4960 TAX ON EXCESS COMPENSATION. |
| FORM 990, PART VI, SECTION B POLICIES, LINE 11B | THE FORM 990 IS PREPARED IN CONNECTION WITH ALBERT EINSTEIN HEALTHCARE NETWORK'S INDEPENDENT ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP AND IS REVIEWED INTERNALLY BY ALBERT EINSTEIN HEALTHCARE NETWORK'S MANAGEMENT. THE FORM 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY FOR REVIEW. AFTER REVIEW, BUT PRIOR TO FILING, THE RETURNS ARE ELECTRONICALLY MAILED TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION B POLICIES, LINE 12C IN ACCORDANCE WITH ORGANIZATION POLICY, EACH MEMBER OF THE BOARD OF TRUSTEES, ALL KEY EMPLOYEES AND OFFICERS ARE REQUIRED ANNUALLY TO COMPLETE A COMPREHENSIVE CONFLICT OF INTEREST DISCLOSURE FOR REVIEW BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES AND ARE REQUIRED TO UPDATE SUCH DISCLOSURES IF THERE ARE ANY CHANGES. ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCUSSED AND RESOLVED IN ACCORDANCE WITH SPECIFIC GUIDELINES AND REPORTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B POLICIES, LINE 15A AND 15B THE BOARD OF TRUSTEES HAS DELEGATED THE RESPONSIBILITY FOR COMPENSATION REVIEW TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE REVIEW AND APPROVE THE COMPENSATION FOR THE CEO AND ALL OTHER OFFICERS AND KEY EMPLOYEES OF ALBERT EINSTEIN HEALTHCARE NETWORK. THE COMPENSATION COMMITTEE REQUIRES THAT ONE OR MORE INDEPENDENT COMPENSATION EXPERTS REVIEW THE COMPENSATION OF ALL SUCH PERSONS TO DETERMINE THAT SUCH COMPENSATION IS APPROPRIATE AND REASONABLE AND SUCH INDEPENDENT EXPERT USES APPLICABLE COMPARABILITY DATA. THE COMMITTEE REVIEWS THE REPORTS OF THE INDEPENDENT EXPERTS IN DETAIL AND DOCUMENTS THE DATA REVIEWED, THE DELIBERATION AND DISCUSSION CONTEMPORANEOUSLY. FORM 990,PART VI, SECTION C DISCLOSURE, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN ALBERT EINSTEIN HEALTHCARE NETWORK. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS. |
| FORM 990, PART X, LINE 20 | THE SERIES '09 BONDS ARE OWNED BY ALBERT EINSTEIN HEALTHCARE NETWORK (EIN 23-2290323). THE DEBT IS RECORDED ON THE BOOKS OF ALBERT EINSTEIN HEALTHCARE NETWORK GROUP (EIN 46-5338502). |
| Software ID: | |
| Software Version: |