2023-11-13T10:05:47-06:00 2022-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2022-01-01 221487173 ENGLEWOOD HOSPITAL AND MEDICAL CENTER % ANTHONY T ORLANDO ENGL 2018943037 350 ENGLE STREET ENGLEWOOD NJ 07631 ANTHONY ORLANDO SVP, FINANCE/CFO 2018943280 2023-11-09 true ANTHONY ORLANDO 000000000 HAYLEY L STOUT CPA P01293083 9738989494 2023-11-09 3 2022 2023-04-26 12:10:37Z ENGLEWOOD HOSPITAL ANTHONY ORLANDO 350 ENGLE STREET ENGLEWOOD NJ 07631 987990733 false X WWW.ENGLEWOODHEALTH.ORG X 1888 NJ TO PROVIDE COMPREHENSIVE, STATE-OF-THE- ART PATIENT SERVICES, EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES. 27 24 3657 295 0 0 4013360 7954763 883552284 975928527 154881 1256740 2730898 2850703 890451423 987990733 0 0 0 0 227515378 231958114 0 0 0 654998517 734628471 882513895 966586585 7937528 21404148 770563796 906828967 384037837 496040632 386525959 410788335 X TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 857794867 0 975928527 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 857794867 true true false true false false false false false false true false true true true true false true false false false false false false false false true true false false true false false false true false false true false false false false false true true true true false false true X 427 0 true 3657 true false false false false false false false false false false true false X 27 24 true false false false true true true true true false false true true true true true true true true true true NJ X X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 07631 X WARREN GELLER SECRETARY - TRUSTEE; PRES/CEO 55.0 8.0 X X 2015697 0 295480 ANTHONY T ORLANDO EVP, FINANCE/CFO 55.0 8.0 X 1384649 0 159259 PATRICIA G WILSON SVP, HUMAN RESOURCES/CHRO 55.0 0.0 X 615389 0 52259 HELENE WOLK EVP, OPERATIONS/COO 55.0 0.0 X 635629 0 26833 KATHLEEN KAMINSKY MS RN SVP, PATIENT SVCS/CNO 55.0 0.0 X 603838 0 56981 MICHAEL PIETROWICZ SVP, PLANNING & PROG DEV/CSO 55.0 0.0 X 585667 0 63918 HARVEY WEBER VP, FACILITIES MGT EMERG PREP 55.0 0.0 X 353585 0 38172 VICKI LYN HOFFMAN VP OPERATIONS 55.0 0.0 X 348717 0 30871 ALICIA PARK VP, COMMUNICATIONS/CCO 55.0 0.0 X 362841 0 11236 MARK SHAPIRO MD TRUSTEE 3.0 54.0 X 0 250000 0 RICHARD LERNER CHAIRMAN - TRUSTEE 3.0 2.0 X X 0 0 0 STEVEN E SIESSER ESQ VICE CHAIRMAN - TRUSTEE 3.0 1.0 X X 0 0 0 JONATHAN ABAD TREASURER - TRUSTEE 3.0 1.0 X X 0 0 0 DAVID ABRAMSON MD TRUSTEE 5.0 0.0 X 0 0 0 YALE BLOCK TRUSTEE 1.0 0.0 X 0 0 0 ANA BURGA MD TRUSTEE - MED STAFF PRES 1.0 0.0 X 0 0 0 IN JIN CHOI TRUSTEE 1.0 1.0 X 0 0 0 IRA COHEN TRUSTEE 3.0 1.0 X 0 0 0 ANDREW F DURKIN TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL GUTTER TRUSTEE 1.0 1.0 X 0 0 0 RICHARD HAN TRUSTEE 1.0 0.0 X 0 0 0 CLARICE MAY JACOBSON TRUSTEE 1.0 0.0 X 0 0 0 SUN CHONG KIM TRUSTEE 3.0 1.0 X 0 0 0 JONATHAN LEFCOURT TRUSTEE 1.0 0.0 X 0 0 0 GREGG LOBEL MD TRUSTEE 1.0 1.0 X 0 0 0 ROBERT F MANGANO TRUSTEE 3.0 1.0 X 0 0 0 JAY C NADEL TRUSTEE 5.0 2.0 X 0 0 0 ARI NAIM TRUSTEE 1.0 0.0 X 0 0 0 LEON REDENSKY TRUSTEE 3.0 1.0 X 0 0 0 STEVEN RUDNITSKY TRUSTEE 3.0 1.0 X 0 0 0 THOMAS C SENTER ESQ TRUSTEE 3.0 2.0 X 0 0 0 LISA SEPULVEDA TRUSTEE 1.0 1.0 X 0 0 0 LAURENCE SHADEK TRUSTEE 1.0 0.0 X 0 0 0 PETER SYMINGTON MD TRUSTEE (EFF 1/1/2022) 1.0 0.0 X 0 0 0 BARINE TEE TRUSTEE (EFF 1/1/2022) 1.0 0.0 X 0 0 0 MARK SAPIENZA MD TRUSTEE (TERMED 1/1/2022) 1.0 0.0 X 0 0 0 6906012 250000 735009 543 false true false QUEST DIAGNOSTICS INC PO BOX 740709 ATLANTA GA 30374 LABORATORY 11124860 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 ENVIRONMENTAL 8110950 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 532880314 IT 7277956 NIGHTINGALE NURSES DRAWER 1256 TROY MI 480075935 STAFFING 4973371 STRUCTURE TONE LLC 10 WOODBRIDGE CENTER DRIVE WOODBRIDGE NJ 07095 CONTRACTOR 4457568 102 5664367 2290396 7954763 NET PATIENT SERVICE REVENUE 622110 967269424 967269424 OTHER HEALTHCARE RELATED REVENUE 622110 8399219 8399219 RENTAL INCOME FROM AFFILIATES 531190 259884 259884 975928527 1215890 1215890 0 0 758135 758135 0 758135 758135 40850 40850 40850 40850 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING SALES 722210 2092568 2092568 2092568 987990733 975928527 4107443 X 0 0 0 0 4739813 4739813 0 187365368 147738985 39626383 7032438 5498754 1533684 17736437 13673909 4062528 15084058 11629057 3455001 531501 531501 1611005 69709 1541296 310872 310872 73699 73699 0 0 348873983 338931134 9942849 0 4288660 3566414 722246 1932445 1755738 176707 18729359 15699949 3029410 0 19511635 13931301 5580334 678590 523837 154753 0 87600 56267 31333 6327831 6327831 0 45240466 38067553 7172913 6331779 4102353 2229426 MEDICAL SUPPLIES 125926747 125687394 239353 PHARMACEUTICALS/DRUGS 78020679 77993072 27607 CONTRACTED SERVICES 60625151 46209756 14415395 FOOD/DIETARY 2608159 2608159 12918310 3192194 9726116 966586585 857794867 108791718 0 6472193 12496131 137737116 37613847 0 0 70857241 81207463 462580 471580 0 0 2371043 2371043 22071421 25593288 8152223 6234385 876102781 558836950 342409860 317265831 0 0 0 0 151469000 240098211 0 0 28561119 183477188 770563796 906828967 93168339 104749826 0 0 479068 151650 0 0 0 0 0 0 143847990 206352922 0 0 146542440 184786234 384037837 496040632 X 294766331 315221402 91759628 95566933 386525959 410788335 770563796 906828967 X 21404148 -1707370 4565598 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 48000 false true 25699 73699 false SCHEDULE C, PART II-B; LINES 1G & 1I ENGLEWOOD HOSPITAL ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL. DURING 2022, THE ORGANIZATION PAID AN OUTSIDE FIRM $48,000 FOR LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), THE NEW JERSEY HOSPITAL ASSOCIATION ("NJHA") AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION ("NJBIA") WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $25,699 DURING 2022. THIS ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. ("FAIR SHARE") TO WHICH IT PAID DUES IN THE AMOUNT OF $15,000 IN 2022. ONE OF THE FUNCTIONS OF FAIR SHARE IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS. 180588 180588 120090511 54869110 65221401 746020718 502335762 243684956 9810964 1632078 8178886 317265831 CASH & CASH EQUIVALENTS 58523853 F GOVT & FIXED INCOME SECURITIES 5993904 F ACCRUED INTEREST 193924 F MORTGAGE RESERVE FUND 18101296 F PROCEEDS UNDER LEASE AGREEMENT 55009256 F OTHER INVESTMENTS 6709045 F INVESTMENTS IN EHF NET ASSETS 95566933 F 240098211 DUE FROM AFFILIATES 11775278 OTHER RECEIVABLES 7271250 RIGHT OF USE ASSETS 152308196 OTHER ASSETS 12122464 183477188 0 DUE TO THIRD PARTY PAYORS 32757282 ACCRUED PENS & POST-RET HLTH LIAB 18467745 ESTIMATED MALPRACTICE CLAIMS 2931820 LEASE LIABILITY 116582356 DUE TO AFFILIATES 5000 OTHER LIABILITIES 14042031 184786234 X SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ENGLEWOOD HOSPITAL AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2022 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2022 AND 2021. true true X true X true X 900. true true true false false 23552306 2259008 21293298 0.02200 141462150 70603535 70858615 0.07330 165014456 72862543 92151913 0.09530 1066622 1066622 0.00110 16612422 2541025 14071397 0.01460 265779783 143599764 122180019 0.12650 502637 74398 428239 0.00040 412500 412500 0.00040 284373964 146215187 138158777 0.14300 449388420 219077730 230310690 0.23830 true 24352609 4673266 153429235 252433863 -99004628 X true true 1 1 ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 WWW.ENGLEWOODHEALTH.ORG 10202 X X X X X ENGLEWOOD HOSPITAL AND MEDICAL CENTER 1 false false true X X X X X X X X X 22 true true true true X WWW.ENGLEWOODHEALTH.ORG X www.healthybergen.org X true 22 true WWW.ENGLEWOODHEALTH.ORG false true X 200. 900. X X X X X true true X X X true X WWW.ENGLEWOODHEALTH.ORG X WWW.ENGLEWOODHEALTH.ORG X WWW.ENGLEWOODHEALTH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 While conducting its most recent community health needs assessment ("chna") englewood hospital and medical center ("englewood hospital") took into account input from persons who represent the broad interest of the community served by the hospital facility. This CHNA is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the service area of Englewood Hospital. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A CHNA provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This assessment for ENGLEWOOD HOSPITAL is part of a regional project conducted by Professional Research Consultants, Inc. (PRC) for the Community Health Improvement Partnership (CHIP) of Bergen County ("the Partnership"). PRC is a nationally recognized health care consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. Methodology - this assessment incorporates data from multiple sources, including primary research (through the PRC Community Health Survey and PRC Online Key Informant Survey), as well as secondary research (vital statistics and other existing health-related Online Key Informant Survey --------------------------- To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by the Community Health Improvement Partnership of Bergen County; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. Local stakeholders were asked to provide input about communities in Bergen County; the input also included stakeholders who work more regionally or statewide. In all, 146 community stakeholders in Bergen County took part in the Online Key Informant Survey, as outlined below: - 17 Physicians - 15 Public Health Representatives - 39 Other Health Providers - 26 Social Services Providers - 49 Other Community Leaders Final participation included representatives of the organizations outlined below: - Academic Medical Practice - Age-Friendly Englewood - Age-Friendly Teaneck - ALL Thingz AP - Annie Clyde Holt Food Pantry - Asian Women's Christian Association - Balance and Thrive Counseling Center - BC Special Services School District - Becton Dickinson/private practice/CHIP - Behavioral Health - Bergen Community College - Bergen County - Bergen County Commissioner - Bergen County Department of Health Services - Bergen County Department of Health Services-Drug Prevention Alliance - Bergen County Division of Senior Services - Bergen Family Center - Bergen Family Center, Southeast Senior Center for Independent Living - Bergen New Bridge Medical Center - Bergen Volunteer Medical Initiative - Bergen's Promise - Borough of Westwood - Boys & Girls Club - Carlstadt Health Department - Center for Food Action - Christian Health - Church of the Tabernacle North Bergen - Community Chest - Community Health - Community Outreach - Comprehensive Behavioral Health Care - Digital Voice Network - Dwight Morrow HS - Eastwick College - Ebeneezer Church - Embody Wellness - Englewood Health - Englewood Health Department - EZ Ride-Bike & Pedestrian - Family Promise of Ridgewood - Family Success Center - Food Pantry-Fairlawn - Franklin Lakes Recreation - Fusion Muslim Community Center of NJ - Galilee Church - Garfield Public School - Generations Counseling & Care Management - Greater Bergen Community Action - Hackensack Meridian - Hackensack Meridian Health-Pascack Valley Medical Center - Hackensack Public Schools - HealthBarn USA - Holy Name Medical Center - Holy Name Cancer Community - Holy Name Fitness - Jewish Family and Children's Services - Korean American Senior Citizens Association of NJ - Korean Community Center - K-Radio, Esther Ha Foundation - LPM Strategies, LLC - Maywood Health Department/Wellness - Meadowlands Area YMCA - Meals on Wheels Northern Jersey - Metro Community Center/Church - Midland Park Senior Center and Age Friendly Ridgewood - Mount Bethel Church - NAACP, Bergen County Chapter - New Jersey Buddies - Office of Concern Food Pantry - Pascack Medical Group - Pascack Valley Medical Center - Pascack Valley Medical Group - Pediatric Emergency Department - Physicians' Practice Enhancement - Pilgrim Church - Presbyterian Church of Teaneck - Renfrew Center for Eating Disorders - Ridgecrest Apartments - Ridgewood Public Schools - Russell Berrie Foundation - Saddle Brook Public Schools - ShopRite - Sodexo - Teaneck Health Department - Teaneck Recreation Department - Teaneck Recreation Center - The Center for Alcohol and Drug Resources - Township of Teaneck - Valley Home Care - Valley Hospital - Vantage Health System - West Bergen Mental Healthcare - Westwood for All Ages - WFM Project & Construction - Young Men's Christian Association Northern New Jersey Focus Groups & Key Informant Interviews --------------------------------------- To complement the survey and other findings, multiple focus groups were held throughout the county among those representing the following populations: - African American Community Leaders - Elder Care Providers - EMT/First Responders - Health Officers from Bergen County Communities - Korean Language Speakers - LGBTQ+ Community Members - Mental Health and Substance Use Providers - Latinx Community Leaders - Youth Service Providers In addition, a series of one-on-one interviews was also conducted with a variety of key informants. These focus groups and interviews were conducted by 35th Street Consulting, LLC. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B Englewood hospital's chna was completed in collaboration with the community health improvement partnership ("chip") of bergen county, which included bergen new bridge medical center, Christian Health - ramapo ridge psychiatric hospital, englewood health, hackensack meridian health hackensack university medical center, hackensack meridian health pascack valley medical center, holy name medical center, and the valley hospital. Representatives from these seven hospitals, along with representatives of the bergen county department of health services ("bcdhs") and the chip of bergen county, worked collaboratively to plan and execute the chna. The steering committee hired Professional Research Consultants, Inc. ("PRC"), a public health research and consulting firm, to support their efforts and complete the chna. SCHEDULE H, PART V, SECTION B, QUESTIONS 7A & 7B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/ABOUT-ENGLEWOOD-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT ADDITIONALLY, THE COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP OF BERGEN COUNTY'S CHNA, WHICH INCLUDES THIS ORGANIZATION, IS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.HEALTHYBERGEN.ORG SCHEDULE H, PART V, SECTION B, QUESTION 10A DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY IS MADE WIDELY AVAILABLE AND CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/ABOUT-ENGLEWOOD-HEALTH/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 11 The organization is committed to improving the health status and well-being of all residents living in their service area. Certainly all geographic, demographic, and socioeconomic segments of the population face challenges that may impede their ability to access care or maintain good health. Regardless of age, race/ethnicity, income, family history, or other characteristics, everyone is impacted in some way by health-related disparities. With this in mind, englewood's implementation strategy includes activities that will support all residents, across all segments of the population. However, based on the assessment's quantitative and qualitative findings, the implementation strategy will prioritize certain demographic and socio-economic segments of the population. The organization's implementation strategy was approved by the Englewood Health board of trustees on February 23, 2023. The implementation strategy is the result of bergen county's chna, conducted in 2022. The assessment incorporates data from multiple sources, including primary research and qualitative research including focus groups, key informant interviews, as well as a review of secondary data including vital statistics and other existing health indicators. Based on the results from its chna, englewood has prioritized the significant needs identified into the following priority areas: 1) Healthy Minds - mental health, substance abuse, and stress. 2) Healthy Bodies - chronic disease prevention and awareness. 3) Building Bridges - communication, connection, outreach, and access. Englewood health is committed to achieving improved health through better quality care at lower costs. To address the needs of its community, englewood health is allocating significant resources to achieve the goals set forth in its implementation strategy. Englewood health's population health department, which includes both clinical and community support services, will lead this effort. Englewood health is dedicated to being the healthcare leader for our community. The below describes the organization's priority areas, goals, objective/strategies and sample process/outcome measurements as defined within its implementation strategy: Healthy Minds ------------- Goal: increase access to mental and behavioral health supports at the appropriate level of care for all people. Objectives: 1) expand access to behavioral health information, services, education, resources, and screenings with an emphasis on vulnerable and priority populations (multiple languages) 2) expand behavioral health partnerships with outside organizations to further meet patient and community needs 3) continue to promote efforts to reduce BH stigma 4) recruit, retain and promote diverse behavioral health staff Strategies: - expand screening opportunities for patients and community and increase connection to resources - expand emotional wellness awareness education and programs including skill building and healthy habits - provide behavioral health and disease specific emotional wellness groups for patients/community and their families - collaborate with local and regional partners to provide education, information and connection to resources for behavioral health issues - continue to support education and resources that address substance misuse among patients and the community at large - continue to provide staff training and development on hiring with a focus on culture and diversity Healthy Bodies -------------- Goal: increase availability, coordination, and connection to healthy living services and resources for all people. Objectives: 1) provide education and interventions regarding wellness, health promotion, prevention efforts, risk factors, and healthy behaviors 2) provide programs that promote education and awareness of chronic and complex conditions 3) expand care delivery to increase access to care for diverse and vulnerable populations 4) support public health departments in local prevention and emergency initiatives Strategies: - increase participation in best practices food and healthy living programs among diverse and vulnerable populations - implement programs and events with local and regional collaboratives that address issues related to wellness, prevention, and risk factors - expand programs and policies that screen for and address SDOH (with a focus on nutrition and food security) - conduct screenings for chronic disease risk factors (e.g. cancer, high blood pressure, cholesterol, BMI) and provide referrals to appropriate treatment or services - provide linkage to care, with increased access to providers and navigation within physician network - continue to expand partnerships with external organizations to enhance care delivery to populations currently experiencing gaps in care Building Bridges ---------------- Goal: increase equitable access to the resources needed to prevent, screen and treat disease Objectives: 1) expand resources, tools and navigation services that remove barriers to care (language, age/transportation) 2) implement local and regional efforts to address social determinants of health and access to care issues 3) enhance Englewood Hospital competency / health equity commitment to patients and community and increase communication on this topic Strategies: - promote better awareness of health care access opportunities, affordable transportation options and execute communication in a culturally informed approach - increase screening for Social Determinants of Health - Facilitate ease of referral access and increase connections between partner agencies - make appropriate referrals to community-based resources - continue to expand opportunities for collaborative action with diverse community partners - strengthen cultural competency training for team members and physicians SCHEDULE H, PART V, SECTION B, QUESTION 13A DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART V, SECTION B, QUESTION 13, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART V, SECTION B, QUESTION 16 DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE SCHEDULE H, PART I, LINE 3B DUE TO CHARACTER LIMITATIONS, THE PERCENTAGE REFLECTED IN SCHEDULE H, PART I, LINE 3B, FOR THE ORGANIZATION'S FEDERAL POVERTY GUIDELINE ("FPG") FAMILY INCOME LIMIT TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE IS 900%. HOWEVER, THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART I, LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, ENGLEWOOD HOSPITAL USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO ENGLEWOOD HOSPITAL'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ==================================================================== CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME ELIGIBILITY CRITERIA --------------------------- PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR DISCOUNTED CARE. ASSET CRITERIA -------------- CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. RESIDENCY CRITERIA ------------------ CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. ADDITIONALLY, PLEASE NOTE THAT THIS ORGANIZATION OFFERS DISCOUNTED CARE TO ALL UNINSURED PATIENTS FOR EMERGENCY AND MEDICALLY NECESSARY CARE REGARDLESS OF INCOME. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7 THE ORGANIZATION'S COST TO CHARGE RATIO REFLECTS TOTAL OPERATING COSTS, EXCLUDING BAD DEBT AND OTHER OPERATING REVENUE, TO GROSS CHARGES. THE HOSPITAL UTILIZED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO DERIVE ITS COST-TO-CHARGE RATIO. SCHEDULE H, PART II NOT APPLICABLE. SCHEDULE H, PART III, QUESTIONS 2 & 3 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENT, WHICH IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN MEDICARE AND MEDICAID HEALTH COVERAGE AND OTHER COLLECTION INDICATORS. ADDITIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS RESULT FROM THE PROVISION FOR BAD DEBTS; DEDUCTIONS FROM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS RESULT FROM ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, REFLECTED ON SCHEDULE H, PART III, LINE 3, IS APPROXIMATELY 19.19% OF THE TOTAL BAD DEBT EXPENSE. THIS PERCENTAGE REPRESENTS THE PORTION OF SELF-PAY INDIVIDUALS INCLUDED WITHIN THE BAD DEBT EXPENSE AMOUNT. HAD THESE INDIVIDUALS COMPLETED THE REQUIREMENTS NECESSARY TO APPLY FOR FINANCIAL ASSISTANCE, THEY WOULD HAVE LIKELY BEEN ELIGIBLE. THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND FINANCIAL ASSISTANCE POLICIES ARE CONSISTENTLY APPLIED. SCHEDULE H, PART III, QUESTION 4 ENGLEWOOD HOSPITAL AND ITS SUBSIDIARIES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT BELOW WAS OBTAINED FROM THE ENGLEWOOD HOSPITAL AND SUBSIDIARIES AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOOTNOTES: PATIENT ACCOUNTS RECEIVABLE --------------------------- Accounts receivable are recorded at net realizable value at the transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured or underinsured patients in accordance with the Hospital's policies, and/or implicit price concessions provided to uninsured or underinsured patients, and do not bear interest. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient revenue in the period of the change. REVENUE RECOGNITION ------------------- Net patient service revenue is recognized at the amount that reflects the consideration to which the Hospital expects to be entitled in exchange for providing patient care. These amounts are due from patients, third-party payors (including commercial and governmental programs) and others and includes variable consideration for retroactive revenue adjustments due to settlement of audits, reviews and investigations. Generally, the Hospital bills the patients and third-party payors several days after the services are performed and/or the patient is discharged from the facility. Revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by the Hospital. Revenue for performance obligations satisfied over time is recognized based on actual services incurred in relation to total expected (or actual) payments. The Hospital believes that this method provides a faithful depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Generally, performance obligations satisfied over time relate to patients in the Hospital receiving inpatient acute care services. The Hospital measures the performance obligation from admission into the facility to the point when it is no longer required to provide services to that patient, which is generally at the time of discharge. Revenue for performance obligations satisfied at a point in time are recognized when services are provided and the Hospital does not believe it is required to provide additional services to the patient. Generally, because all the Hospital's performance obligations relate to contracts with a duration of less than one year, the Hospital has elected to apply the optional exemption provided in Accounting Standard Codification (ASC) 606-10-50-14(a) and, therefore, the Hospital is not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occurs within days or weeks of the end of the reporting period. The Hospital determines the transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the Hospital's policy, and /or implicit price concessions provided to uninsured patients. The Hospital determines its estimates of contractual adjustments and discounts based on contractual agreements, its discount policies and historical experience. The Hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. NET PATIENT SERVICE REVENUE --------------------------- THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTS FROM CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS DUE FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO ONGOING AND FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THAT RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS. CHARITY CARE AND COMMUNITY BENEFIT ---------------------------------- IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, THE HOSPITAL COMMITS SUBSTANTIAL RESOURCES TO SPONSOR A BROAD RANGE OF SERVICES TO BOTH THE INDIGENT AS WELL AS THE BROADER COMMUNITY. COMMUNITY BENEFITS PROVIDED TO THE INDIGENT INCLUDE THE COST OF PROVIDING SERVICES TO PERSONS WHO CANNOT AFFORD HEALTH CARE DUE TO INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: TRADITIONAL CHARITY CARE; UNPAID COSTS OF CARE PROVIDED TO BENEFICIARIES OF MEDICARE AND MEDICAID AND OTHER INDIGENT PUBLIC PROGRAMS. CHARITY CARE IS PROVIDED BY THE HOSPITAL TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH ("DOH") WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE HOSPITAL REDUCES NET REVENUES IN ACCORDANCE WITH THESE CRITERIA. THE HOSPITAL'S RECORDS IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. COMMUNITY BENEFITS PROVIDED TO THE BROADER COMMUNITY INCLUDE THE COSTS OF PROVIDING SERVICES TO OTHER POPULATIONS WHO MAY NOT QUALIFY AS INDIGENT BUT MAY NEED SPECIAL SERVICES AND SUPPORT. THIS TYPE OF COMMUNITY BENEFIT INCLUDES THE COSTS OF: SERVICES SUCH AS HEALTH PROMOTION AND EDUCATION, HEALTH SCREENINGS, ALL OF WHICH ARE NOT BILLED OR CAN BE OPERATED ONLY ON A DEFICIT BASIS; UNPAID PORTIONS OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, STUDENTS IN ALLIED HEALTH PROFESSIONS; AND THE UNPAID PORTIONS OF TESTING MEDICAL EQUIPMENT AND CONTROLLED STUDIES OF THERAPEUTIC PROTOCOLS. The costs of charity care and other community benefit activities are derived from both estimated and actual data. The estimated cost of charity care includes the direct and indirect cost of providing such services and is estimated utilizing the Hospital's ratio of cost to gross charges, which is then multiplied by the gross uncompensated charges associated with providing care to charity patients. The Hospital receives payments from the New Jersey Health Care Subsidy Funds for charity care and such amounts totaled approximately $2,300,000 and $1,400,000 for the years ended December 31, 2022 and 2021, respectively. This amount is subject to change from year to year based on available state amounts and allocation methodologies. Charity care subsidies and distributions subsequent to June 30, 2023 are presently unknown. OTHER THIRD-PARTY PAYORS ------------------------ THE HOSPITAL ALSO HAS ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE HOSPITAL UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR DAYS OF HOSPITALIZATION AND DISCOUNTS FROM ESTABLISHED CHARGES. SOME OF THESE AGREEMENTS HAVE RETROSPECTIVE AUDIT CLAUSES, ALLOWING THE PAYOR TO REVIEW AND ADJUST CLAIMS SUBSEQUENT TO INITIAL PAYMENT. THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF THESE ESTABLISHED RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUES ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED IN ACCORDANCE WITH THE HOSPITAL'S POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION OF BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. For the years ended December 31, 2022 and 2021, net patient service revenue was increased by approximately $12,349,000 and $5,247,000, respectively, for favorable adjustments and settlements related to prior years. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2022 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL PATIENTS RE SCHEDULE H, PART III, SECTION B; QUESTION 9B IT IS THE POLICY OF ENGLEWOOD HOSPITAL TO TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR ALL EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES AND TO BILL AND COLLECT ACCOUNTS RECEIVABLE IN ACCORDANCE WITH ALL FEDERAL AND STATE BILLING AND COLLECTION REGULATIONS. ADDITIONALLY, IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6), THE ORGANIZATION'S BILLING AND COLLECTION POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AS FURTHER OUTLINED BELOW. INCLUDED BELOW ARE THE PROCEDURES OUTLINED WITHIN THAT POLICY: 1) THE BILLS FOR ALL INSURED PATIENTS WILL BE SENT DIRECTLY FROM ENGLEWOOD HOSPITAL TO THE PATIENT'S INSURANCE COMPANY. IF THE INSURANCE COMPANY DENIES THE CLAIM FOR REASONS SUCH AS: BENEFITS EXHAUSTED, EXPERIMENTAL, MEDICAL NECESSITY, PRE-EXISTING CONDITION, NON-COVERED CHARGES, ETC. THE PATIENT WILL BE BILLED AT THE UNINSURED RATE OF PERCENTAGE OF GROSS CHARGES AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY. 2) IF A PATIENT'S INSURANCE PAYS THE CLAIM AND THERE IS A DEDUCTIBLE, CO-PAY, OR CO-INSURANCE AMOUNT DUE FROM THE PATIENT, THE HOSPITAL WILL BILL THE PATIENT THE AMOUNT INDICATED AS PATIENT RESPONSIBILITY BY THE INSURANCE COMPANY. 3) BILLS FOR UNINSURED PATIENTS ARE REDUCED TO A PERCENTAGE OF GROSS CHARGES AS DESCRIBED IN THE FINANCIAL ASSISTANCE POLICY. 4) PATIENTS WILL RECEIVE BILLING STATEMENTS AND COLLECTION LETTERS FROM ENGLEWOOD HOSPITAL ON ALL BALANCES THAT ARE DEEMED PATIENT RESPONSIBILITY. THE BILLING STATEMENTS AND COLLECTION LETTERS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY. 5) EMPLOYEES FROM THE FINANCIAL COUNSELING DEPARTMENT WILL ATTEMPT TO CONTACT THE PATIENT BY TELEPHONE ON UNPAID BALANCES OF $5,000 OR GREATER THAT ARE DEEMED PATIENT RESPONSIBILITY. THEY WILL EXPLAIN THE AVAILABILITY OF FINANCIAL ASSISTANCE WHEN SPEAKING WITH THE PATIENT. ALL CALLS ARE DOCUMENTED WITHIN THE FINANCIAL SYSTEM 6) IN ADDITION TO FINANCIAL ASSISTANCE, PAYMENT PLANS WILL BE OFFERED TO PATIENTS. PATIENTS CAN MAKE MONTHLY PAYMENTS ON OUTSTANDING BALANCES. PAYMENT PLANS WILL BE APPROVED FOR A PERIOD OF ONE YEAR. PAYMENT PLANS BEYOND ONE YEAR MUST BE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 7) ALL UNPAID BALANCES THAT ARE DUE FROM PATIENTS WILL BE REFERRED TO OUTSIDE COLLECTION AGENCIES AFTER COLLECTION ATTEMPTS BY ENGLEWOOD HOSPITAL HAVE FAILED. THE COLLECTION AGENCIES WILL ATTEMPT TO OBTAIN PAYMENT FROM THE PATIENT. IF FULL PAYMENT IS NOT RECEIVED, THE COLLECTION AGENCIES WILL NOTIFY THE PATIENT BY MAIL THAT THEY MAY PROCEED WITH EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED IN INTERNAL REVENUE CODE SECTION 501(R) WHICH CAN INCLUDE FILING OF JUDGMENTS THAT INCLUDE WAGE GARNISHMENTS, SEIZING BANK ACCOUNTS, AND PLACING LIENS ON PROPERTY OWNED IN THE STATE OF NEW JERSEY. THE COLLECTION AGENCIES MUST NOTIFY THE PATIENT IN WRITING AT LEAST 30 DAYS BEFORE INITIATING ECAS. THE COLLECTION AGENCIES WILL REFRAIN FROM ENGAGING IN ECAS UNTIL AT LEAST 120 DAYS AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT SENT BY THE HOSPITAL. 8) ALL REFERRALS TO OUTSIDE COLLECTION AGENCIES ARE APPROVED BY THE FINANCIAL COUNSELING MANAGER. 9) REFER TO THE FINANCIAL ASSISTANCE POLICY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE GUIDELINES. 10) REFER TO NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE POLICY FOR PROCEDURES ON APPLYING FOR ASSISTANCE THROUGH THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM/CHARITY CARE AT ENGLEWOOD HOSPITAL. IN ADDITION, ENGLEWOOD HOSPITAL DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS MADE WIDELY AVAILABLE ON ITS WEBSITE: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE CHNA PROCESS OUTLINED IN SCHEDULE H, PART V, SECTION B, QUESTIONS 1-12 AND THE NARRATIVE RESPONSE TO SCHEDULE H, PART V, SECTION B, QUESTION 5 INCLUDED IN SCHEDULE H, PART V, SECTION C, THE ORGANIZATION'S CHNA ASSESSED THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES BY INCORPORATING DATA FROM SECONDARY SOURCES (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). A VARIETY OF EXISTING SECONDARY DATA WAS OBTAINED FROM THE FOLLOWING SOURCES TO COMPLEMENT THE RESEARCH USED FOR THE ORGANIZATION'S CHNA: - CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF INFECTIOUS DISEASE, NATIONAL CENTER FOR HIV/AIDS, VIRAL HEPATITIS, STD, AND TB PREVENTION; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, CENTER FOR SURVEILLANCE, EPIDEMIOLOGY AND LABORATORY SERVICES, DIVISION OF HEALTH INFORMATICS AND SURVEILLANCE; - CENTERS FOR DISEASE CONTROL & PREVENTION, OFFICE OF PUBLIC HEALTH SCIENCE SERVICES, NATIONAL CENTER FOR HEALTH STATISTICS; - COMMUNITY COMMONS; - ESRI ARCGIS MAP GALLERY; - NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES; - OPENSTREETMAP; - TRUVEN HEALTH ANALYTICS AND DIGNITY HEALTH; - US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY; - US CENSUS BUREAU, COUNTY BUSINESS PATTERNS; - US CENSUS BUREAU, DECENNIAL CENSUS; - US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE; - US DEPARTMENT OF HEALTH & HUMAN SERVICES; - US DEPARTMENT OF HEALTH & HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION; - US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION; AND - US DEPARTMENT OF LABOR, BUREAU OF LABOR STATISTICS. ENGLEWOOD HOSPITAL ALSO UTILIZES AN INDEPENDENT MARKET RESEARCH COMPANY TO SOLICIT SURVEYS AND COMMENTS FROM ALL PATIENTS OF THE MEDICAL CENTER REGARDING THEIR PATIENT CARE. THE INDEPENDENT MARKET RESEARCH COMPANY ANALYZES AND PROVIDES REPORTS ON THE ORGANIZATION'S PERFORMANCE IN A VARIETY OF AREAS AND PROCEDURES. ADDITIONALLY, THIS ORGANIZATION MONITORS ITS PERFORMANCE ON THE INTERNET WEB SITE REFERRED TO AS HEALTHGRADES, WHICH OFFERS COMPARATIVE DATA TO OTHER HOSPITALS. THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RELEASE "REPORT CARDS" TO THE PUBLIC REGARDING THE HOSPITAL'S PERFORMANCE. ENGLEWOOD HOSPITAL ACQUIRES DEMOGRAPHIC DATA FOR ITS SURROUNDING COMMUNITIES AND MAKES DETERMINATIONS AS TO WHETHER THE NEEDS OF ANY OF THE GROUPS WITHIN THE COMMUNITY ARE BEING SERVED. ALL OF THESE TOOLS ARE UTILIZED BY THE HOSPITAL'S TO DETERMINE IF THE COMMUNITY IS BEING FULLY SERVED. SCHEDULE H, PART VI; QUESTION 3 ENGLEWOOD HOSPITAL INFORMS AND EDUCATES PATIENTS WHO MAY BE BILLED FOR PATIENT CARE ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING THE AVAILABILITY OF FINANCIAL ASSISTANCE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE AVAILABILITY OF FINANCIAL ASSISTANCE IS WIDELY PUBLICIZED IN THE FOLLOWING WAYS: IN AN EFFORT TO ENSURE THE COMMUNITY SERVED BY THE ORGANIZATION IS AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE, INFORMATIVE SIGNS AND POSTERS ARE POSTED IN THE FOLLOWING HOSPITAL LOCATIONS: EMERGENCY ROOM, ADMITTING DEPARTMENT, OUTPATIENT REGISTRATION DEPARTMENT AND THE FINANCIAL COUNSELING DEPARTMENT. THESE SIGNS AND POSTERS ADVISE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PROVIDE ADDITIONAL INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AND MAY BE OBTAINED ON THE ORGANIZATION'S WEBSITE AT THE FOLLOWING URL: WWW.ENGLEWOODHEALTH.ORG/FOR-PATIENTS-VISITORS/BILLING-INSURANCE. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST, FREE OF CHARGE IN THE PATIENT REGISTRATION AREAS AND THE FINANCIAL COUNSELING DEPARTMENT LOCATED AT 350 ENGLE STREET ENGLEWOOD, NJ 07631. PAPER COPIES MAY BE REQUESTED BY CONTACTING (201)894-3031. REPRESENTATIVES ARE AVAILABLE MONDAY THROUGH FRIDAY 9AM TO 5PM. ADDITIONALLY, THE ORGANIZATION HAS AN EMPLOYEE OF THE BERGEN COUNTY BOARD OF SOCIAL SERVICES ON-SITE AT THE HOSPITAL AT LEAST THREE DAYS PER WEEK TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS, IF ELIGIBLE. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R), THESE DOCUMENTS ARE ALSO TRANSLATED AND AVAILABLE IN THE FOLLOWING LIMITED ENGLISH PROFICIENCY ("LEP") LANGUAGES: SPANISH, KOREAN, CHINESE, RUSSIAN, JAPANESE, ITALIAN, TAGALOG, ARABIC, GUJARATI, GREEK, PORTUGUESE, PORTUGUESE CREOLE, SERBIO-CROATIAN AND ARMENIAN. IT IS IMPORTANT TO NOTE THAT ANY AND ALL PATIENTS NOT ELIGIBLE FOR CHARITY CARE UNDER THE STATE OF NEW JERSEY CHARITY CARE GUIDELINES, AND WHO HAVE NO OTHER INSURANCE COVERAGE ARE CLASSIFIED AS A "SELF-PAY" PATIENT. SUCH PATIENTS' BILLS ARE AUTOMATICALLY DISCOUNTED PER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (WHICH APPROXIMATES 115% OF MEDICARE RATES). SCHEDULE H, PART VI; QUESTION 4 Englewood hospital is located in bergen county, new jersey. The hospital's primary community benefits service area includes 9 cities and towns in northern bergen county (bergenfield, cliffside park, cresskill, dumont, englewood, fort lee, palisades park, teaneck, and tenafly), and paterson in passaic county. Included below are demographic information as captured within its most recently conducted chna: Population ---------- - The percentage of bergen county residents over the age of 65 (17.0%) was significantly high compared to new jersey overall (15.9%). The median age in bergen county (41.9) was also higher than new jersey overall (39.9). - Bergen county is almost entirely urban, with 99.9% of the population living in areas designated as urban. The urban population in Bergen county is significantly higher than new jersey (94.7%). Age --- - The percentage of bergen county residents over the age of 65 (17.0%) was significantly high compared to new jersey overall (15.9%). The median age in bergen county (41.9) was also higher than new jersey overall (39.9). Race & Ethnicity ---------------- - bergen county is predominantly white (71.6%), though there is a large asian population. The percentage of asian residents in bergen county (16.3%) was significantly high compared to the state overall (9.5%). - the percentage of black/african american residents in bergen county (6.0%) was significantly low compared to the state overall (13.5%). - the percentage of hispanic/latino residents in bergen county (19.9) was similar to the state overall (20.2%). Linguistic Isolation -------------------- - a total of 7.2% of Bergen county population age 5 and older live in a home in which no person age 14 or older is proficient in English (speaking only English or speaking English very well). This is a higher percentage of linguistic isolation than the rest of the state (6.3%). Social Determinants of Health ============================= Social determinants of health (SDOH) are the conditions in the environments were people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Poverty ------- - the latest census estimate shows 6.7% of Bergen county's total population living below the federal poverty level, which is less than the new jersey average of 10.0%. - Among children (ages 0 to 17), the percentage in Bergen County living below the federal poverty level is 7.4%, representing about 14,492 children. The new jersey average is 7.4%. Education --------- - Among the Bergen county population age 25 and older, an estimated 7.5% (over 49,000 people) do not have a high school diploma. This is less than the new jersey average of 10.2% of the population without a high school diploma. Employment ---------- - According to data derived from the US Department of Labor, the unemployment rate in Bergen County as of July 2022 was 3.5%, which is consistent with the new jersey unemployment rate. Financial Resilience -------------------- - a total of 19.7% of Bergen county residents would not be able to afford an unexpected $400 expense without going into debt. This is better than the national average. The disparity is higher in central Bergen and southeast Bergen. Housing ------- - a considerable share (34.2%) of Bergen county adults reported that they were sometimes, usually, or always worried or stressed about having to pay their rent or mortgage in the past year. - a total of 16.3% of Bergen county residents report living in unhealthy or unsafe housing conditions during the past year. This is higher than the U.S. finding of approximately 12.2%. Food Access ----------- - US Department of Agriculture data show that 10.3% of the Bergen county population (representing over 92,000 residents) have low food access, meaning that they do not live near a supermarket or large grocery store. This is significantly below the state average of 23.8% and national average of 22.2%. - Overall, 28.5% of Bergen county residents are determined to be food insecure, having run out of food in the past year and/or been worried about running out of food. This is less than the national average of 34.1%, however it is a significant increase in Bergen county since 2016 (19.5%). - a total of 8.7% of Bergen county adults report using a food pantry or receiving free meals from a charitable organization within the past year. Health Literacy --------------- - Most Bergen county adults report little to no trouble understanding health information, whether written or spoken. However, 12.5% report that health information is seldom or never written in a way that is easy for them to understand. Another 8.6% report that health information is seldom or never spoken in a way that is easy for them to understand. Internet Access --------------- - Most Bergen county adults (94.1%) report that they have access to high-speed internet that is sufficient for their daily needs. SCHEDULE H, PART VI; QUESTION 5 ENGLEWOOD HOSPITAL WAS FOUNDED IN 1888. THE HOSPITAL IS A LEADING PROVIDER OF HIGH-QUALITY, COMPREHENSIVE, AND HUMANISTIC CARE SERVING NORTHERN NEW JERSEY AND BEYOND. ENGLEWOOD HOSPITAL IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY AND IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, EHMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF ENGLEWOOD HOSPITAL RESTS WITH ITS BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION, PRINCIPALLY THROUGH CAPITAL INVESTMENT, AND ALSO TO MEET FUTURE PROGRAMMATIC NEEDS, WHICH MEETS THE ORGANIZATION'S COMMITMENT TO MEET THE EXPECTATIONS OF ITS PATIENTS BY PROVIDING QUALITY HEALTHCARE AND THEREFORE, MAKES THESE INVESTMENTS TO SECURE ITS FUTURE OF SERVICE DELIVERY TO THE COMMUNITY. THE OPERATIONS OF THE HOSPITAL AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ADDITIONALLY, VARIOUS COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IT SERVES. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I, FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THE ORGANIZATION PROVIDES NUMEROUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - ACCELERATED CHILDBIRTH CLASSES; - BREASTFEEDING CLASSES; - CHILDBIRTH REFRESHER CLASSES; - HEALTH FAIRS AT VARIOUS COMMUNITY EVENTS; AND - SIBLING PREPARATION CLASSES. ENGLEWOOD HOSPITAL ALSO PROVIDES NUMEROUS HEALTH SCREENINGS FOR THE COMMUNITY WHICH INCLUDES, BUT IS NOT LIMITED TO: - BLOOD DRIVES; - HOSPITAL SCREENINGS; - SKIN CANCER SCREENINGS; - PROSTATE CANCER SCREENINGS; AND - VEIN SCREENING. IN ADDITION, THE ORGANIZATION PROVIDES VARIOUS PROGRAMS THAT PROMOTE GOOD HEALTH THESE INCLUDE, BUT ARE NOT LIMITED TO: - FLU/COVER YOUR MOUTH EDUCATIONAL HANDOUTS AND POSTERS; - HAND HYGIENE PUBLIC SERVICE ANNOUNCEMENTS AND POSTERS; - PILATES (WHICH PROMOTES IMPROVED HEALTH); - POSTNATAL YOGA; - PRENATAL YOGA; AND - WEIGHT WATCHERS AT WORK (FOR EMPLOYEES). ENGLEWOOD HOSPITAL REACHES OUT TO NOTIFY THE COMMUNITY ABOUT ITS VARIOUS PROGRAMS AND SERVICES VIA A COMMUNITY NEWSLETTER PUBLISHED QUARTERLY. ADDITIONALLY, THE ORGANIZATION ADVERTISES IN COMMUNITY AND REGIONAL NEWSPAPERS. FOR ADDITIONAL INFORMATION, PLEASE REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISES ENGLEWOOD HEALTHCARE SYSTEM AND ITS AFFILIATES: ENGLEWOOD HEALTHCARE SYSTEM, INC. --------------------------------- ENGLEWOOD HEALTHCARE SYSTEMC, INC. ("ENGLEWOOD HEALTH") IS THE TAX-EXEMPT PARENT OF ENGLEWOOD HEALTHCARE SYSTEM AND AFFILIATES ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER ENGLEWOOD HEALTH OR ANOTHER SYSTEM AFFILIATE CONTROLLED BY ENGLEWOOD HEALTH. THE ORGANIZATION WAS FOUNDED IN 1986 AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). ADDITIONALLY, THE ORGANIZATION IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION'S PURPOSE IS TO COORDINATE AND SUPPORT THE PLANNING AND OTHER ACTIVITIES RELATED TO THE PROMOTION OF HEALTH OF PEOPLE IN THE SYSTEM'S SERVICE AREA OF BERGEN COUNTY. ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. ------------------------------------------- ENGLEWOOD HOSPITAL AND MEDICAL CENTER, INC. ("ENGLEWOOD HOSPITAL") WAS FOUNDED IN 1888 AND IS CURRENTLY A 531-LICENSED BED, MAJOR TEACHING, ACUTE CARE HOSPITAL LOCATED IN ENGLEWOOD, NEW JERSEY. THE ORGANIZATION'S MISSION IS TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS AND IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. ENGLEWOOD HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ------------------------------------------------------ ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. ("ENGLEWOOD HEALTH FOUNDATION") IS NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1995. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING AND DEVELOPMENT ACTIVITIES ENGLEWOOD HEALTH FOUNDATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. ------------------------------------- MEDICAL ASSOCIATES OF ENGLEWOOD, P.C. ("ENGLEWOOD HEALTH PHYSICIAN NETWORK") IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2011. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES TO FURTHER THE CHARITABLE AND HEALTHCARE PURPOSES OF THE ENGLEWOOD HEALTH AND ITS AFFILIATES. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF ENGLEWOOD HOSPITAL AND IS AN INTEGRAL PART OF THE SYSTEM. EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. --------------------------------------- EMERGENCY PHYSICIANS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE EMERGENCY ROOM SERVICES AT ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. ------------------------------------- PHYSICIAN PARTNERS OF ENGLEWOOD, P.C. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 2012. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS STRUCTURED AS A PROFESSIONAL CORPORATION PURSUANT TO THE PROVISIONS OF THE PROFESSIONAL SERVICES CORPORATION ACT OF NEW JERSEY. THE ORGANIZATION'S PURPOSE IS TO PROVIDE PHYSICIAN SERVICES FOR PATIENTS OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. ENGLEWOOD MEDICAL ASSOCIATES, INC. --------------------------------- ENGLEWOOD MEDICAL ASSOCIATES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1996. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND IS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION WAS FORMED TO ACQUIRE PHYSICIAN MEDICAL PRACTICES AND EMPLOY FULL-TIME FACULTY PHYSICIANS IN SUPPORT OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION IS CURRENTLY INACTIVE. ENGLEWOOD HEALTHCARE PROPERTIES, INC. ------------------------------------- ENGLEWOOD HEALTHCARE PROPERTIES, INC. IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1989. THE ORGANIZATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). THE ORGANIZATION'S PURPOSE IS TO MANAGE REAL PROPERTY IN SUPPORT OF ENGLEWOOD HOSPITAL'S PRIMARY TAX-EXEMPT PURPOSE OF PROVIDING QUALITY HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY. ENGLEWOOD HEALTH ALLIANCE ACO, LLC ---------------------------------- ENGLEWOOD HEALTH ALLIANCE ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE OF PROMOTING THE PROVISION OF BETTER CARE FOR INDIVIDUALS, IMPROVED HEALTH FOR POPULATIONS AND LOWER PER CAPITA GROWTH IN EXPENDITURES OF HORIZON BENEFICIARIES. ENGLEWOOD HEALTH ACO, LLC ------------------------- ENGLEWOOD HEALTH ACO, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS ENGLEWOOD HOSPITAL. THIS ORGANIZATION IS AN ACCOUNTABLE CARE ORGANIZATION FORMED WITH THE PURPOSE TO OPERATE AND PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM. ENGLEWOOD HEALTHCARE ENTERPRISES, INC. -------------------------------------- ENGLEWOOD HEALTHCARE ENTERPRISES, INC. IS A WHOLLY-OWNED SUBSIDIARY OF ENGLEWOOD HEALTHCARE SYSTEM. THE ORGANIZATION WAS FORMED IN 1988 FOR THE PURPOSE OF PROVIDING HEALTHCARE SERVICES WITHIN THE SYSTEM'S PRIMARY SERVICE AREA. THIS ORGANIZATION PROVIDES CLINICAL AND ADMINISTRATIVE STAFF SUPPORT THE PROFESSIONAL CORPORATIONS WITHIN THE ENGLEWOOD HOSPITAL PHYSICIAN INTEGRATION PROGRAM. SCHEDULE H, PART VI; QUESTION 7 THIS ORGANIZATION IS LOCATED IN THE STATE OF NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED BY THIS STATE. X X X X false true false false false false false true false WARREN GELLER SECRETARY - TRUSTEE; PRES/CEO 1311961 0 519700 0 184036 0 260950 0 34530 0 2311177 0 0 0 ANTHONY T ORLANDO EVP, FINANCE/CFO 665957 0 174715 0 543977 0 130750 0 28509 0 1543908 0 0 0 PATRICIA G WILSON SVP, HUMAN RESOURCES/CHRO 450885 0 127200 0 37304 0 30750 0 21509 0 667648 0 0 0 HELENE WOLK EVP, OPERATIONS/COO 488017 0 139600 0 8012 0 10250 0 16583 0 662462 0 0 0 KATHLEEN KAMINSKY MS RN SVP, PATIENT SVCS/CNO 443769 0 125600 0 34469 0 28742 0 28239 0 660819 0 0 0 MICHAEL PIETROWICZ SVP, PLANNING & PROG DEV/CSO 436653 0 117200 0 31814 0 30750 0 33168 0 649585 0 0 0 HARVEY WEBER VP, FACILITIES MGT EMERG PREP 281821 0 67800 0 3964 0 9545 0 28627 0 391757 0 0 0 VICKI LYN HOFFMAN VP OPERATIONS 279106 0 67300 0 2311 0 2600 0 28271 0 379588 0 0 0 ALICIA PARK VP, COMMUNICATIONS/CCO 291874 0 68600 0 2367 0 8829 0 2407 0 374077 0 0 0 MARK SHAPIRO MD TRUSTEE 0 250000 0 0 0 0 0 0 0 0 0 250000 0 0 SCHEDULE J, PART I; QUESTION 4B The deferred compensation amount reflected in Schedule J, Part II, Column B(iii) for the following individual includes current year vesting in AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) as the amount was no longer subject to a substantial risk of complete forfeiture. The amount outlined herein was included in his 2022 Form W-2, Box 5, as taxable Medicare wages: Anthony T. Orlando, $481,874. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, 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, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WARREN GELLER, $230,200 AND ANTHONY T. ORLANDO, $100,000. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. WARREN GELLER OFFICER RETENTION X 450000 471580 false true true 471580 DAVID KAMINSKY FAMILY MEMBER OF OFFICER 118767 EMPLOYEE false THEODORE SIESSER FAMILY MEMBER OF TRUSTEE 44314 EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== ENGLEWOOD HOSPITAL AND MEDICAL CENTER ("ENGLEWOOD HOSPITAL") WAS FOUNDED IN 1888. ENGLEWOOD HOSPITAL IS A LEADING PROVIDER OF HIGH-QUALITY, COMPREHENSIVE CARE SERVING NORTHERN NEW JERSEY AND BEYOND. ENGLEWOOD HOSPITAL IS A PROVIDER OF GENERAL ACUTE HEALTHCARE SERVICES IN BERGEN COUNTY, NEW JERSEY. ENGLEWOOD HOSPITAL IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN, OR ABILITY TO PAY. MOREOVER, ENGLEWOOD HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE, AND MEDICAID PATIENTS; 2. OPERATES AN EMERGENCY DEPARTMENT FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF ENGLEWOOD HOSPITAL RESTS WITH ITS BOARD OF TRUSTEES, WHICH COMPRISES INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES, AND ADVANCE MEDICAL CARE, PROGRAMS, AND ACTIVITIES. THE OPERATIONS OF ENGLEWOOD HOSPITAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF ENGLEWOOD HOSPITAL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL, NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, ENGLEWOOD HOSPITAL PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ENGLEWOOD HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. OVERVIEW ======== ENGLEWOOD HOSPITAL AND MEDICAL CENTER, A COMMUNITY TEACHING HOSPITAL IN ENGLEWOOD, NEW JERSEY, HAS EARNED HIGH MARKS FOR CLINICAL EXCELLENCE AND PATIENT SAFETY. IT HOLDS THE LEAPFROG HOSPITAL SAFETY GRADE 'A' (FALL 2022), AND WAS NAMED A LEAPFROG TOP TEACHING HOSPITAL (2022). ENGLEWOOD HOSPITAL IS NATIONALLY RECOGNIZED FOR NURSING EXCELLENCE, EARNING A FIFTH CONSECUTIVE DESIGNATION BY THE MAGNET RECOGNITION PROGRAM IN 2021. AREAS OF CLINICAL EXCELLENCE OFFERED BY THE HEALTH SYSTEM (COMPRISING ENGLEWOOD HOSPITAL AND THE ENGLEWOOD HEALTH PHYSICIAN NETWORK) INCLUDE CARDIAC SURGERY AND CARDIAC CARE, CANCER CARE, ORTHOPEDIC SURGERY, PRIMARY CARE, SPINE SURGERY, VASCULAR SURGERY, AND WOMEN'S HEALTH, AS WELL AS BLOODLESS MEDICINE AND SURGERY AND MINIMALLY INVASIVE ROBOTIC SURGERY. THE HOSPITAL OFFERS A VASCULAR SURGERY FELLOWSHIP, RESIDENCY PROGRAMS IN DENTISTRY, INTERNAL MEDICINE, NURSING, PHARMACY, AND PODIATRY, AND TRAINING PROGRAMS IN RADIOGRAPHY, EMERGENCY MEDICAL SERVICES, AND OTHER DISCIPLINES. IN 2022, IT WAS APPROVED TO OFFER A BREAST SURGERY FELLOWSHIP PROGRAM. THE HOSPITAL'S STATE-OF-THE-ART IMAGING CENTERS ACROSS THE REGION ENHANCE ACCESS TO DIAGNOSTIC IMAGING, BREAST IMAGING, AND CARDIAC IMAGING. A SINGLE ELECTRONIC HEALTH RECORD SYSTEM OFFERS FULL AND SEAMLESS INTEGRATION OF PATIENT INFORMATION AMONG THE PRACTICES, HOSPITAL, AND IMAGING SITES TO SUPPORT THE PATIENT EXPERIENCE AND CONTINUITY OF CARE. ENGLEWOOD HEALTH'S FOCUS ON HEALTH EQUITY AND POPULATION HEALTH ENCOMPASSES OUTREACH TO UNDERSERVED COMMUNITIES TO ENHANCE INDIVIDUAL AND PUBLIC HEALTH, PREVENT DISEASE, SUPPORT LIFELONG WELLNESS, REDUCE THE BURDEN OF MENTAL HEALTH CHALLENGES AND SUBSTANCE USE DISORDERS, AND MEET THE CULTURAL, SOCIAL, AND HOLISTIC NEEDS OF SPECIFIC POPULATIONS. WITH ITS HIGH-QUALITY, CULTURALLY SENSITIVE INPATIENT CARE, OUTPATIENT SERVICES, AND COMMUNITY HEALTH AND WELLNESS PROGRAMS, ENGLEWOOD HEALTH DELIVERS A HEALTHCARE EXPERIENCE THAT PUTS PATIENTS AT THE CENTER. VISION: TO BE THE REGIONAL LEADER IN PROVIDING STATE-OF-THE-ART, COMPASSIONATE CARE IN A HUMANISTIC ENVIRONMENT. MISSION: TO PROVIDE COMPREHENSIVE, STATE-OF-THE-ART PATIENT SERVICES; EMPHASIZE CARING AND OTHER HUMAN VALUES IN THE TREATMENT OF PATIENTS, IN RELATIONS WITH THEIR FAMILIES, AND AMONG EMPLOYEES, MEDICAL STAFF, AND COMMUNITY; BE A CENTER OF EDUCATION AND RESEARCH; AND PROVIDE EMPLOYEES AND MEDICAL STAFF WITH MAXIMUM OPPORTUNITIES TO ACHIEVE THEIR PERSONAL AND PROFESSIONAL GOALS. COMMUNITY HEALTH ================ COMMUNITY NEEDS & OUTREACH -------------------------- THE SELECTION AND CRITERIA FOR THE ENGLEWOOD HEALTH (EH) COMMUNITY HEALTH INITIATIVES ARE GUIDED BY THE HOSPITAL'S IMPLEMENTATION STRATEGY, UPDATED IN 2022 BASED ON THE MOST RECENT RESULTS AND ANALYSIS IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE 2022-2025 GOALS WERE TO 1) INCREASE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SUPPORTS AT THE APPROPRIATE LEVEL OF CARE FOR ALL PEOPLE; 2) INCREASE AVAILABILITY, COORDINATION, AND CONNECTION TO HEALTHY LIVING SERVICES AND RESOURCES FOR ALL PEOPLE; AND 3) INCREASE EQUITABLE ACCESS TO THE RESOURCES NEEDED TO PREVENT, SCREEN AND TREAT DISEASE. IN 2022, ENGLEWOOD REMAINED ACTIVELY COMMITTED TO EFFORTS AROUND CANCER CARE AND DETECTION. EH PROMOTED AND LED SEVERAL PROGRAMS TO EDUCATE COMMUNITY MEMBERS ON THE IMPORTANCE OF RECEIVING REGULAR CANCER SCREENINGS AND EARLY DETECTION. EH'S CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM, FUNDED THROUGH THE NEW JERSEY DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH SERVICES, SCREENED MORE THAN 240 PATIENTS FOR BREAST AND CERVICAL CANCERS IN 2022. THE SCREEN NJ GRANT SUPPORTED AN EH INITIATIVE TO PROVIDE COLONOSCOPIES AND LUNG CT SCREENINGS FOR 43 PATIENTS, IN COLLABORATION WITH RUTGERS AND THE KOREAN HEALTH AND WELLNESS TEAM. EH CONTINUED ITS STRONG FOCUS ON THE DIABETES EDUCATION AND SUPPORT PROGRAM, ONCE AGAIN OBTAINING RECOGNITION BY THE AMERICAN DIABETES ASSOCIATION FOR MEETING THE NATIONAL STANDARDS OF DIABETES SELF-MANAGEMENT EDUCATION, WHICH IT HAS HELD FOR OVER 20 YEARS. EH WORKED IN CONJUNCTION WITH THE NORTH HUDSON COMMUNITY ACTION CORPORATION TO PROVIDE NEEDED DIABETES SUPPORT AND EDUCATION TO ITS PATIENT POPULATION. THIS INCLUDED PROVIDING FREE DIABETES TESTING SUPPLIES FOR UNINSURED WOMEN WITH GESTATIONAL DIABETES AS WELL AS DIETARY COUNSELING AND EDUCATION. LASTLY, THE DIABETES PROGRAM ALSO CONNECTED PATIENTS IN NEED TO DISCOUNT PRESCRIPTION PROGRAMS TO OBTAIN INSULIN AND OTHER NECESSARY MEDICATIONS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS OVER THE YEARS, ENGLEWOOD HOSPITAL HAS RECOGNIZED THE NEED TO SUPPORT BERGEN COUNTY'S KOREAN COMMUNITY, ONE OF THE STATE'S FASTEST-GROWING POPULATIONS. NEW JERSEY HAS MORE THAN 113,000 KOREANS, WITH NEARLY 60 PERCENT LIVING IN BERGEN COUNTY. THE CENTER FOR KOREAN HEALTH & WELLNESS'S MISSION COMPRISES PATIENT AND FAMILY SERVICES AS WELL AS COMMUNITY EDUCATION AND OUTREACH. FOR PATIENTS AND FAMILIES, THE CENTER PROVIDES IMPORTANT NAVIGATION SERVICES TO HELP WITH PRACTICAL NEEDS DURING THEIR STAY, SUCH AS INTERPRETATION, BILLING AND FINANCIAL ISSUES, REFERRALS AND APPOINTMENTS, AND DIETARY PREFERENCES AND NEEDS. MORE BROADLY, THE CENTER IS DEDICATED TO CREATING PROGRAMS IN THE COMMUNITY THAT IMPROVE ACCESS TO HEALTHCARE, PROVIDE EARLY ATTENTION TO SERIOUS DISEASE AND ILLNESS, AND NOT ONLY TREAT AND HEAL THE PHYSICAL CONDITION, BUT ALSO SUPPORT SOCIAL WELL-BEING. IT HAS COLLABORATED WITH NUMEROUS LOCAL AND REGIONAL KOREAN ORGANIZATIONS, INCLUDING THE KOREAN COMMUNITY CENTER, KOREAN AMERICAN SENIOR CITIZEN'S ASSOCIATION OF NEW JERSEY, KOREAN AMERICAN ASSOCIATION OF NEW JERSEY, ASIAN WOMEN'S CHRISTIAN ASSOCIATION, KOREAN AMERICAN MEDICAL ASSOCIATION, ASSOCIATION OF KOREAN AMERICAN MEDICAL GRADUATES, ESTHER HA FOUNDATION, FAMILY TOUCH, SENIOR CENTERS, AND MANY OTHERS ON PROGRAMS SUCH AS HEALTH FAIRS, SCREENINGS, SEMINARS, AND CULTURAL PROGRAMS THAT PROMOTE HEALTH. TO HELP EDUCATE THE COMMUNITY, THE CENTER HAS DEVELOPED VIDEOS AND ARTICLES FOR KOREAN SOCIAL MEDIA AND VARIOUS KOREAN MEDIA OUTLETS. THE EH KOREAN HEALTH AND WELLNESS CENTER CONTINUED TO SUCCESSFULLY ENGAGE THE KOREAN POPULATION WITH THEIR LARGE-SCALE VIRTUAL HEALTH PLATFORM, WHICH SUPPORTS HEALTH EDUCATION PROGRAMMING EFFORT. THE TEAM HAS PROVIDED EDUCATION TO THE KOREAN POPULATION ON A WIDE RANGE OF IMPORTANT HEALTH ISSUES INCLUDING NEUROLOGY, PAIN MANAGEMENT, AND COVID SAFETY INFORMATION. THIS DIGITAL EFFORT RESULTED IN OVER 233,000 VIEWS IN 2022 ALONE. THESE VIDEOS HAVE INFORMED MILLIONS OF VIEWERS OVER THE YEARS WITH TIMELY MEDICAL INFORMATION ON VARIOUS CHRONIC CONDITIONS. AS WE RESUME IN-PERSON PROGRAMS, THREE MEMBERS OF THE KOREAN TEAM HAVE BEEN CERTIFIED AS HEALTH EDUCATION FACILITATORS AND WILL BE ABLE TO BRING ADDITIONAL FREE HEALTH PROGRAMS TO THE COMMUNITY IN 2023. ADDITIONALLY, THIS YEAR THE KOREAN TEAM CONNECTED MEMBERS OF THE COMMUNITY TO IMPORTANT CANCER RESOURCES, INCLUDING FREE LUNG CANCER SCREENINGS AND FREE SMOKING CESSATION PROGRAMS. EH PROMOTED THE CARDIAC HEALTH AND WELLNESS OF COMMUNITY MEMBERS THROUGH TRAINING AND EDUCATIONAL PROGRAMMING. IN 2022, OVER 200 INDIVIDUALS WERE TRAINED IN VARIOUS CPR COURSES, INCLUDING ADVANCED CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, PEDIATRIC EMERGENCY ASSESSMENT RECOGNITION AND STABILIZATION, AND BASIC LIFE SUPPORT. FOR STROKE HEALTH, EH URGENT CARE CENTERS HELD HEART SCREENINGS BY TAKING BLOOD PRESSURE AND BMI ASSESSMENTS. EH ALSO SPONSORED THE AMERICAN HEART ASSOCIATION'S TRI-COUNTY CYCLE NATION EVENT, WHICH FOCUSED ON STROKE AWARENESS. THE AMERICAN HEART ASSOCIATION HEART WALK PROMOTING STROKE AWARENESS WAS ALSO SPONSORED BY ENGLEWOOD HEALTH. THE BLOODLESS MEDICINE AND SURGERY DEPARTMENT CONTINUED HOSTING VIRTUAL EDUCATION SEMINARS FOR THE COMMUNITY; THESE SEMINAR TOPICS INCLUDED WAYS TO BETTER CARE FOR YOUR HEALTH, LIFESTYLE CHOICES AND UNDERSTANDING BLOODLESS MEDICINE. FOUR VIRTUAL SEMINARS WERE HELD, REACHING APPROXIMATELY 7,300 PARTICIPANTS. THE POPULATION HEALTH CARE MANAGEMENT TEAM BEGAN A CHRONIC CARE MANAGEMENT PROGRAM FOR 440 PATIENTS WITH THE GOAL OF MORE EFFECTIVELY MANAGING CHRONIC CONDITIONS AND MEDICATION ADHERENCE. ADDITIONALLY, THE TEAM DEVELOPED AND PILOTED A CARDIAC CARE PROGRAM FOCUSED ON ENGAGING CARDIAC PATIENTS IN A SKILLS-BASED PROGRAM AROUND EXERCISE, HEALTHY EATING, EFFECTIVELY MANAGING MEDICATION AND DEVELOPING EMOTIONAL SKILLS TO MANAGE STRESS WHILE DEALING WITH A CHRONIC CONDITION. THE EH POPULATION HEALTH DEPARTMENT'S COMMUNITY OUTREACH HAS MADE SIGNIFICANT IMPACT THROUGH THE EFFORTS OF THE LIVE WELL CENTER TEAM AND THEIR INTEGRATION WITH COMMUNITY AGENCIES AND ENGAGEMENT OF THEIR RESPECTIVE AUDIENCES. THE DIVERSE PROGRAMMING, FREQUENTLY PRODUCED IN ENGLISH AND SPANISH, ENGAGES MIDDLE SCHOOL AND HIGH SCHOOL YOUTH, ADULTS AND SENIORS. THE PROGRAMMING PROVIDES EDUCATION AND HANDS-ON INTERACTIVE EXPERIENCES BUILDING SKILLS TO SUPPORT EMOTIONAL, PHYSICAL, AND NUTRITIONAL WELLNESS. THIS SPECIFICALLY INCLUDES YOGA, ART THERAPY, AND STRESS MANAGEMENT RESOURCES, AS WELL AS THE DEVELOPMENT OF HEALTHY CULINARY SKILLS IN THE KITCHEN AND WORKING WITH FITNESS EXPERTS TO GET IN BETTER SHAPE AND BUILD NEW HABITS. EH CONTINUED ITS FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH. IN 2022, EH SCREENED MORE THAN 40,000 PATIENTS FOR FOOD INSECURITY AND CONNECTED THOSE WHO SCREENED POSITIVE TO LOCAL FOOD RESOURCES. WITH CONTINUED EXPANSION OF FOOD INSECURITY SCREENING SITES TO INCLUDE EH INPATIENT CARE COORDINATION, NORTH HUDSON COMMUNITY ACTION CORPORATION CLINIC, AND ADDITIONAL PHYSICIAN PRACTICES, IN TOTAL ALMOST 500 PATIENTS WERE IDENTIFIED AS FOOD INSECURE. CONTINUING ITS FOOD INSECURITY RESPONSE INITIATIVE (FIRI), EH PARTNERED WITH THE BERGEN COUNTY FOOD SECURITY TASK FORCE AND CREATED A SERIES OF NUTRITION EDUCATION EVENTS AT FIVE BERGEN COUNTY FOOD PANTRIES. THESE EVENTS INCLUDED LIVE DEMONSTRATIONS UTILIZING THE TYPICAL INGREDIENTS PROVIDED BY FOOD PANTRIES AND PREPARING THEM IN APPETIZING AND NUTRITIOUS WAYS TO SERVE TO FOOD PANTRY CLIENTS. ADDITIONALLY, AN EH REGISTERED DIETITIAN WAS AVAILABLE TO ANSWER QUESTIONS AND PROVIDE EDUCATION. EH ALSO DISTRIBUTED A NEWLY DEVELOPED GUIDE ON "HOW TO PREPARE HEALTHY MEALS USING FOOD PANTRY INGREDIENTS" IN ENGLISH AND IN SPANISH. OVER 10,000 GUIDES WERE DISTRIBUTED TO THE BROADER FOOD PANTRY SYSTEM IN BERGEN COUNTY. EH ALSO ADDRESSED THE TRANSPORTATION CHALLENGES OF POPULATIONS IN THE COMMUNITY NEEDING BETTER ACCESS TO HEALTHCARE BY PROVIDING FREE UBER HEALTH TRANSPORTATION TO MEDICAL VISITS. THIS TRANSLATED INTO OVER 41,500 RIDES IN 2022. EH CONTINUED TO FURTHER SUPPORT THE BEHAVIORAL HEALTH OF THE COMMUNITY, AS THE RESIDUAL EFFECT OF THE PANDEMIC HAS RESULTED IN AN EVEN GREATER DEMAND FOR SUPPORT AND SERVICES. EH CONTINUED ITS PARTNERSHIP WITH THE BERGEN FAMILY CENTER TO PROVIDE YOUTH AND ADULT ART THERAPY WORKSHOPS, EMOTIONAL WELLNESS PRESENTATIONS AND YOGA THAT REACHED A COMBINED 200 PARTICIPANTS. THE ANNUAL BEHAVIORAL HEALTH CONFERENCE WAS HELD VIRTUALLY WITH 82 BEHAVIORAL HEALTH PROFESSIONALS IN ATTENDANCE. THE TOPIC WAS "UNIVERSALITY OF TRAUMA". ADDITIONALLY, EH HAS EMPLOYED AN EMERGENCY DEPARTMENT HEALTH EQUITY SOCIAL WORKER TO SCREEN ED PATIENTS ON SOCIAL DETERMINANTS OF HEALTH AND CONNECT PATIENTS TO THE APPROPRIATE RESOURCES. A CANNABIS EDIBLES SAFETY CAMPAIGN WAS LAUNCHED TO THE PUBLIC, AND ADDITIONAL RESOURCES WERE USED TO ADDRESS OPIOID MISUSE AND GENERAL SUBSTANCE MISUSE EDUCATION. PHYSICIAN NETWORK ----------------- THE ENGLEWOOD HEALTH PHYSICIAN NETWORK ENHANCES PATIENT CARE AND QUALITY BY IMPROVING THE COORDINATION OF SERVICES, ACCESS, CONVENIENCE, AND EFFICIENCY. THE ENGLEWOOD HEALTH PHYSICIAN NETWORK WAS ESTABLISHED IN 2011 AND HAS SINCE GROWN TO INCLUDE MORE THAN 600 PROVIDERS FROM A WIDE RANGE OF SPECIALTIES WHO PROVIDE CARE AT MORE THAN 100 OFFICE LOCATIONS IN BERGEN, ESSEX, HUDSON, MORRIS, AND PASSAIC COUNTIES, AS WELL AS ONSITE AT THE HOSPITAL. THE BACKBONE OF THE NETWORK IS THE MORE THAN 175 PRIMARY CARE PRACTITIONERS, WHO ARE CENTRAL TO MANAGING A PATIENT'S CARE AND STREAMLINING ACCESS TO SPECIALISTS AND TERTIARY-LEVEL CARE. WITH CARE COORDINATORS, SOCIAL WORKERS, QUALITY COORDINATORS, AND PATIENT NAVIGATORS, THE PRACTICES ARE PUTTING PATIENTS AT THE FOREFRONT, BRIDGING RELATIONSHIPS AMONG PATIENTS AND FAMILIES AND THEIR CARE TEAMS. THE PRACTICES ACCEPT ALMOST ALL INSURANCES, ARE CONNECTED THROUGH A SINGLE ELECTRONIC HEALTH RECORD SYSTEM, OFFER EXTENDED HOURS AND WALK-IN/URGENT CARE, HAVE MULTILINGUAL PROVIDERS AND STAFF, AND OFFER TRANSPORTATION ASSISTANCE. IN 2022, THE NETWORK GREW FURTHER TO INCLUDE MORE PRIMARY CARE PHYSICIANS AND ADDITIONAL SPECIALTIES AND LOCATIONS. MORE THAN 1,464,000 PATIENT ENCOUNTERS WERE CONDUCTED IN 2022. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CLINICAL SERVICES ----------------- OVER THE PAST DECADE, ENGLEWOOD HOSPITAL HAS INVESTED SIGNIFICANTLY IN THE KEY CLINICAL SERVICES. AREAS OF CLINICAL EXCELLENCE AND STRATEGIC FOCUS INCLUDE CARDIAC SURGERY AND CARDIAC CARE, CANCER CARE, ORTHOPEDIC SURGERY, SPINE SURGERY, VASCULAR SURGERY, AND WOMEN'S HEALTH, AS WELL AS BLOODLESS MEDICINE AND SURGERY. BLOODLESS MEDICINE: OUR INSTITUTE FOR PATIENT BLOOD MANAGEMENT & BLOODLESS MEDICINE AND SURGERY IS AN INTERNATIONAL LEADER IN TRANSFUSION-FREE SURGERY AND THE OPTIMAL USE AND CONSERVATION OF BLOOD. OVER THE YEARS, PATIENT BLOOD MANAGEMENT HAS EVOLVED FROM A FOCUS ON CARING FOR PATIENTS FOR WHOM BLOOD TRANSFUSION IS NOT AN OPTION INTO AN ELEVATED STANDARD OF CARE FOR ALL OUR PATIENTS, AS A RESULT OF ITS DEMONSTRATED BENEFITS IN PATIENT SAFETY. BREAST CARE: OUR LESLIE SIMON BREAST CARE AND CYTODIAGNOSIS CENTER HAS LONG BEEN A MODEL FOR THE DIAGNOSIS AND TREATMENT OF BREAST CANCER AND BENIGN BREAST DISEASE. IN RECENT YEARS, THE HOSPITAL HAS EXPANDED BREAST SERVICES TO THREE OFFSITE IMAGING LOCATIONS INCLUDING JERSEY CITY IN 2022. CANCER: THE LEFCOURT FAMILY CANCER TREATMENT AND WELLNESS CENTER BRINGS TOGETHER PROVIDERS, STAFF, SERVICES, AND TECHNOLOGY IN A SINGLE CENTRALIZED LOCATION THAT EMBODIES A PATIENT-FIRST PHILOSOPHY. WE HAVE ALSO EXPANDED OUR OUTPATIENT ONCOLOGY SERVICES, INCLUDING RECRUITING SEVERAL NEW SPECIALISTS TO SERVE OUR HUDSON COUNTY PATIENTS. IN 2022, 1,535 PATIENTS WERE DIAGNOSED WITH CANCER AND TREATED AT ENGLEWOOD. EMERGENCY MEDICINE AND EMERGENCY MEDICAL SERVICES: OUR EMERGENCY DEPARTMENT HAS CONTINUED AND ENHANCED ITS EFFORTS IN PATIENT SAFETY AND QUALITY, IMPLEMENTED CHANGES TO IMPROVE THE PATIENT EXPERIENCE, AND EXPANDED PROGRAMS AND SERVICES TO ADDRESS THE NEEDS OF OUR COMMUNITY. HEART AND VASCULAR: THE ACQUISITION OF NEW TECHNOLOGY, OUR RAPIDLY EXPANDING EXPERTISE IN MINIMALLY INVASIVE AND CATHETER-BASED TREATMENTS, AND INCREASED COORDINATION WITH OUR PHYSICIAN PRACTICES HAVE MADE THIS A DYNAMIC TIME IN THE TREATMENT OF PATIENTS WITH HEART AND VASCULAR DISEASE. IN 2022, WE PERFORMED 49,000 HEART AND VASCULAR PROCEDURES, INCLUDING OPEN HEART SURGERY. IMAGING: HIGH-TECH TOOLS ARE ESSENTIAL TO MAKING A PRECISE DIAGNOSIS AND DELIVERING HIGH-QUALITY CARE. WE HAVE INVESTED IN STATE-OF-THE-ART DIAGNOSTIC IMAGING TECHNOLOGY, INTRODUCED NEW IMAGING SERVICES, AND EXPANDED OUR LEADING DIAGNOSTIC SERVICES INTO ADDITIONAL COMMUNITIES. IN 2022, ENGLEWOOD HOSPITAL IMAGING AT JERSEY CITY OPENED. JOINT AND SPINE: AS THE POPULATION AGES, ORTHOPEDIC AND SPINAL CARE ARE INCREASINGLY IMPORTANT SERVICES FOR OUR COMMUNITY. PATIENTS NEEDING A HIP OR KNEE REPLACEMENT OR SPINAL SURGERY HAVE BENEFITED FROM AN INTERDISCIPLINARY TEAM COMMITTED TO IMPROVING QUALITY OF LIFE, MINIMIZING PAIN, AND MAXIMIZING MOBILITY. THE HOSPITAL WAS RE-ACCREDITED BY THE JOINT COMMISSION IN 2021 FOR HIP REPLACEMENT, KNEE REPLACEMENT, AND SPINAL FUSION. IN 2022, WE PERFORMED 1,265 TOTAL JOINT REPLACEMENTS AND SPINE SURGERIES. MATERNITY: OUR MATERNITY UNIT IS A BUSY CENTER OFFERING COMPASSIONATE, EXPERT CARE IN AN ENVIRONMENT WHERE PATIENTS CAN FEEL AT HOME. IN 2022, MORE THAN 3,150 BABIES WERE BORN AT OUR HOSPITAL. PATIENT SAFETY, QUALITY & EXPERIENCE ==================================== AS THE HEALTHCARE INDUSTRY CONTINUES TO PAY GREATER ATTENTION TO THE VALUE OF CARE PROVIDED, OUR EFFORTS TO IMPROVE PATIENT SAFETY, QUALITY, AND EXPERIENCE REMAIN UNWAVERING. EVERY DAY WE STRIVE TO DELIVER THE BEST EXPERIENCE POSSIBLE FOR PATIENTS AND THEIR FAMILIES. THIS CAN BE ACHIEVED ONLY BY REMAINING VIGILANT ABOUT PATIENT SAFETY; CREATING A WELCOMING, PATIENT-CENTERED ENVIRONMENT THAT EMPHASIZES HEALING; PROVIDING TOOLS AND SUPPORT THAT EMPOWER STAFF TO PROVIDE THE HIGHEST-QUALITY CARE, TAILORED TO WHAT'S IMPORTANT TO PATIENTS; AND BEING TRANSPARENT WITH OUTCOMES DATA SO PATIENTS CAN MAKE INFORMED DECISIONS ABOUT THEIR CARE. WE HAVE A PROUD RECORD OF ACHIEVEMENT IN PATIENT SAFETY AND QUALITY, REFLECTED IN AWARDS RECEIVED FROM EXTERNAL RATING AGENCIES, AND CONTINUALLY SEEK TO FURTHER ENHANCE OUR PERFORMANCE. AWARDS AND ACCOLADES -------------------- AMONG THE AWARDS AND ACCOLADES THAT ENGLEWOOD HOSPITAL RECEIVED IN 2022 ARE: US NEWS AND WORLD REPORT BEST REGIONAL HOSPITAL; HIGH PERFORMING IN COPD, COLON CANCER SURGERY, HEART ATTACK, HEART FAILURE, HIP FRACTURE, KIDNEY FAILURE, LUNG CANCER SURGERY, ORTHOPEDICS; STROKE; AND MATERNITY CARE. THE LEAPFROG GROUP SPRING 2022 AND FALL 2022 HOSPITAL SAFETY GRADE "A LEAPFROG TOP HOSPITAL AWARD. AMERICAN COLLEGE OF CARDIOLOGY'S NCDR CHEST PAIN-MI REGISTRY SILVER PERFORMANCE ACHIEVEMENT AWARD FOR 2022. AMERICAN HEART ASSOCIATION'S SILVER PLUS GET WITH THE GUIDELINES - STROKE QUALITY ACHIEVEMENT AWARD. A 3-STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS -THE HIGHEST POSSIBLE QUALITY RATING-FOR TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). TRANSCATHETER VALVE CERTIFICATION BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). MOST WIRED HOSPITAL AWARD IN THE 2022 DIGITAL HEALTH MOST WIRED SURVEY. PANCREATIC CANCER "CENTER OF EXCELLENCE" DESIGNATION BY THE NATIONAL PANCREAS FOUNDATION (NPF) FOR THE LEFCOURT FAMILY CANCER TREATMENT AND WELLNESS CENTER. ENGLEWOOD HEALTH'S EMERGENCY MEDICAL SERVICES (EMS) RECEIVED ITS SIXTH CONSECUTIVE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE EMS GOLD PLUS ACHIEVEMENT AWARD. REACCREDITATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A QUALITY ASSURANCE PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. HEALTHGRADES EXCELLENCE AWARDS IN PATIENT SAFETY, LABOR AND DELIVERY, AND OBSTETRICS AND GYNECOLOGY; 5 STARS IN C-SECTION DELIVERY, GALL BLADDER REMOVAL, HIP FRACTURE TREATMENT, REPAIR OF ABDOMINAL AORTA, SPINAL FUSION, SPINE SURGERY, TREATMENT OF HEART ATTACK, VAGINAL DELIVERY. CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII, SECTION B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTHCARE SYSTEM, INC. ("ENGLEWOOD HEALTH") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF CERTAIN OTHER AFFILIATES WITHIN THE SYSTEM. IN CONJUNCTION WITH THIS SERVICE, THIS ORGANIZATION ALSO PREPARES AND ISSUES FORMS 1099 TO THE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES FORMS 1099 WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO THE APPROPRIATE AFFILIATE WITHIN THE SYSTEM VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V; QUESTION 15 WARREN GELLER AND ANTHONY T. ORLANDO ARE OFFICERS OF THIS ORGANIZATION AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION. MR. GELLER AND MR. ORLANDO ARE EMPLOYED BY THIS ORGANIZATION AND RECEIVE A FEDERAL FORM W-2. ACCORDINGLY, THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ENGLEWOOD HOSPITAL (EIN: 22-1487173). ENGLEWOOD HOSPITAL FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO THEIR RESPECTIVE COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTION 2 RICHARD LERNER & ARI NAIM - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ENGLEWOOD HEALTH IS THE SOLE MEMBER OF THIS ORGANIZATION. ENGLEWOOD HEALTH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ENGLEWOOD HEALTH BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ENGLEWOOD HEALTH GOVERNING BODY HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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 VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") 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 THEIR REVIEW. THE 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 INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED AND MADE AVAILABLE TO THE ENGLEWOOD HEALTH GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES AND CERTAIN OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE SYSTEM'S DIRECTOR OF AUDIT/COMPLIANCE FOR REVIEW. THE ORGANIZATION'S GOVERNING BODY HAS A NOMINATING AND GOVERNANCE COMMITTEE ("COMMITTEE") WHICH IS COMPRISED OF MEMBERS ITS GOVERNING BOARD AS WELL AS TRUSTEES OF ENGLEWOOD HEALTH. THE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE CONFLICT OF INTEREST DISCLOSURE AND REVIEW PROCESS. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE GOVERNING BODY OF ENGLEWOOD HEALTH, ITS 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 THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S VICE PRESIDENTS AND ABOVE ("SENIOR MANAGEMENT PERSONNEL"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN 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 WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, NUMBER OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS WITHIN THE ORGANIZATION ARE REVIEWED ANNUALLY BY THE SYSTEM'S PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 18 PURSUANT TO STATE OF NEW JERSEY P.L. 2019, CHAPTER 513, (WHICH WAS EFFECTIVE ON JULY 21, 2020), AND AMENDED P.L. 2008, CHAPTER 58 (C.26: 2H-5.1B), THIS ORGANIZATION HAS POSTED ON ITS INTERNET WEBSITE A COPY OF THIS INTERNAL REVENUE SERVICE (IRS) FORM 990 AND ALL SCHEDULES AND SUPPORTING DOCUMENTATION REQUIRED TO BE SUBMITTED TO THE IRS IN CONJUNCTION WITH THE FORM 990 WITH THE EXCEPTION OF THOSE SCHEDULES NOT OPEN FOR PUBLIC INSPECTION. SAID FORM 990 WAS POSTED BY THE ORGANIZATION AFTER FILING ITS FORM 990 WITH THE IRS. 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. IN ADDITION, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN MINIMUM PENSION LIABILITIES - ($2,087,400); - CHANGE IN MINIMUM POST-RETIREMENT HEALTH LIABILITIES - $126,566; - CHANGE IN INTEREST IN NET ASSETS OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,807,305; - EQUITY TRANSFER FOR CAPITAL PURPOSES - $7,324,069; AND - CUMULATIVE EFFECT OF CHANGES IN ACCOUNTING STANDARD ASC 842 - ($4,604,942). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ENGLEWOOD HEALTH IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF ENGLEWOOD HOSPITAL AND SUBSIDIARIES, FOR THE YEARS ENDED DECEMBER 31, 2022 AND DECEMBER 31, 2021; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE GOVERNING BODY OF ENGLEWOOD HEALTH, ITS BOARD OF TRUSTEES, HAS AN AUDIT AND COMPLIANCE COMMITTEE. THE ENGLEWOOD HEALTH AUDIT AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3A THE ORGANIZATION IS AN AFFILIATE WITHIN ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit as set forth in the uniform guidance, 2 C.F.R., Part 200, Subpart F. FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:NJ HEALTHCARE SUBSIDY FND TOTAL FEES:4318140 FORM 990 PART IX LINE 11G DESCRIPTION:NURSE PRACTITIONER FEES TOTAL FEES:4213620 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:2678225 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:2101419 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:112418 ENGLEWOOD HEALTH ALLIANCE ACO LLC 350 ENGLE STREET ENGLEWOOD NJ 07631 465759919 HEALTHCARE NJ 0 10 ENG HOSPITAL ENGLEWOOD HEALTH ACO LLC 350 ENGLE STREET ENGLEWOOD NJ 07631 822282888 HEALTHCARE NJ 0 5000 ENG HOSPITAL ENGLEWOOD HOSPITAL & MEDICAL CENTER FDN 350 ENGLE STREET ENGLEWOOD NJ 07631 223367281 FUNDRAISING NJ 501(C)(3) 7 ENG HEALTH false ENGLEWOOD HEALTHCARE SYSTEM INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222749097 HEALTHCARE NJ 501(C)(3) 12B NA false ENGLEWOOD HEALTHCARE PROPERTIES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222943092 PROPERTY ACQ NJ 501(C)(2) ENG HEALTH false ENGLEWOOD MEDICAL ASSOCIATES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 223446625 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true MEDICAL ASSOCIATES OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 452548322 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true EMERGENCY PHYSICIANS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 454604076 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true PHYSICIAN PARTNERS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 455597971 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL true ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 HEALTHCARE SVCS NJ NA C CORP. false false false true true true false false false false true false false false true true true true true false MEDICAL ASSOCIATES OF ENGLEWOOD PC D 2107385 COST MEDICAL ASSOCIATES OF ENGLEWOOD PC J 54600 COST ENGLEWOOD MEDICAL ASSOCIATES E 3807522 COST SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH-QUALITY COST-EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.