2023-11-13T10:05:47-06:00 2022-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2022-01-01 223367281 ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION INC % 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 HEALTH FOUNDATION DEBRA ALBANESE 350 ENGLE STREET ENGLEWOOD NJ 07631 14114875 false X WWW.ENGLEWOODHOSPITALFOUNDATION.ORG X 1995 NJ TO DEVELOP PRIVATE RESOURCES TO SUPPORT THE CAPITAL, ENDOWMENT AND ANNUAL OPERATING NEEDS OF ENGLEWOOD HOSPITAL. 40 35 0 35 0 0 17634378 12182229 0 0 972346 940528 -297584 5280 18309140 13128037 2404356 5714367 0 0 450479 423512 38933 0 2171853 3350492 3941226 6244260 10079105 12064880 3048932 99587008 99844456 1519113 1953006 98067895 97891450 X ESTABLISHED IN 1995, THE ENGLEWOOD HOSPITAL AND MEDICAL CENTER FOUNDATION, INC. D/B/A ENGLEWOOD HEALTH FOUNDATION, IS THE NOT-FOR-PROFIT ORGANIZATION THAT DEVELOPS PRIVATE RESOURCES TO SUPPORT THE CAPITAL, ENDOWMENT AND ANNUAL OPERATING NEEDS OF ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THROUGH ITS FUNDRAISING PROGRAMS, SPECIAL EVENTS, AND OUTREACH ACTIVITIES, ENGLEWOOD HEALTH FOUNDATION FOSTERS COMMUNITY AWARENESS OF AND INVESTMENT IN THE HOSPITAL'S HEALTHCARE PROGRAMS AND SERVICES. THE GENEROSITY OF THE COMMUNITY HAS HELPED ENSURE QUALITY PATIENT CARE BY SUPPORTING OPERATING NEEDS, FUNDING NEW CLINICAL PROGRAMS, NURSING SCHOLARSHIPS, EQUIPMENT AND MAJOR CAPITAL PROJECTS. false false 5714367 5714367 0 EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ENGLEWOOD HEALTH AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") IN ITS MISSION TO PROVIDE THE HIGHEST QUALITY HEALTHCARE IN THE COMMUNITIES IT SERVES. IN PARTICULAR, ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT 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. 5714367 true true false false false false false false false true true false true false true false true false false false true false false false true false false true true true false false false false false false false false true false false false false true false false false true X 0 0 0 false false false false false true true false false false false false false X 40 35 true false false false true true true true true false false true true true true true true true true false NJ NY X ANTHONY T ORLANDO 2018943280 350 ENGLE STREET ENGLEWOOD NJ 07631 X WARREN GELLER PRESIDENT/CEO ENG HEALTH 5.0 58.0 X 0 2015697 295480 ANTHONY T ORLANDO TRUSTEE; EVP FINANCE/CFO 1.0 62.0 X 0 1384649 159259 DEBRA ALBANESE EVP FOUNDATION 55.0 0.0 X 403917 0 19595 ALEXANDRA GOTTDIENER MD TRUSTEE 1.0 55.0 X 0 170276 13266 RICHARD GOLDWEIT MD TRUSTEE 1.0 0.0 X 0 51288 0 MICHAEL GUTTER CHAIRMAN - TRUSTEE 1.0 1.0 X X 0 0 0 STEVEN M KAPLAN ESQ VICE CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 NANCY BROWN SECRETARY - TRUSTEE 1.0 0.0 X X 0 0 0 NEIL PIEKNY TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 GIA ALVAREZ TRUSTEE 1.0 0.0 X 0 0 0 MARC ARGINTEANU MD TRUSTEE 1.0 0.0 X 0 0 0 LULU ATANDA TRUSTEE 1.0 0.0 X 0 0 0 DANA BAUMGARTEN TRUSTEE 1.0 0.0 X 0 0 0 MARC BLATT TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL B BRENNER TRUSTEE 1.0 0.0 X 0 0 0 J BRAD CAMPOLI TRUSTEE 1.0 0.0 X 0 0 0 ANDREW M CLARKE TRUSTEE 1.0 0.0 X 0 0 0 JARED COHEN TRUSTEE (EFF 9/29/2022) 1.0 0.0 X 0 0 0 EMMET DENNIS JR TRUSTEE 1.0 0.0 X 0 0 0 DONALD DICKSTEIN TRUSTEE 1.0 0.0 X 0 0 0 ROBERT FEUERSTEIN TRUSTEE 1.0 0.0 X 0 0 0 MERLE FISH TRUSTEE 1.0 0.0 X 0 0 0 GAYLE GERSTEIN TRUSTEE 1.0 0.0 X 0 0 0 EUN RAE JO TRUSTEE 1.0 0.0 X 0 0 0 BERNARD KOSTER ESQ TRUSTEE 3.0 0.0 X 0 0 0 RICHARD J KURTZ TRUSTEE 1.0 2.0 X 0 0 0 RICHARD LERNER TRUSTEE 1.0 4.0 X 0 0 0 SUSAN MARENOFF-ZAUSNER TRUSTEE 1.0 0.0 X 0 0 0 TINA MOUSOUROULIS TRUSTEE 1.0 0.0 X 0 0 0 JAY C NADEL TRUSTEE 1.0 6.0 X 0 0 0 ERICA PARK TRUSTEE 1.0 0.0 X 0 0 0 THOMAS C SENTER ESQ TRUSTEE 1.0 4.0 X 0 0 0 YAZ SHAH TRUSTEE 1.0 0.0 X 0 0 0 AMY SHIRVAN TRUSTEE 1.0 0.0 X 0 0 0 STANLEY SHIRVAN TRUSTEE 1.0 0.0 X 0 0 0 TED SIEBOLD TRUSTEE 1.0 0.0 X 0 0 0 GRANT R SIMONS MD TRUSTEE 1.0 0.0 X 0 0 0 KAREN SINGER TRUSTEE 1.0 0.0 X 0 0 0 MARK SPIVAK TRUSTEE 1.0 0.0 X 0 0 0 JOHN R STABILE MD TRUSTEE 1.0 0.0 X 0 0 0 MATTHEW WASSERLAUF TRUSTEE 1.0 0.0 X 0 0 0 MARTIN ZAIKOV TRUSTEE 1.0 0.0 X 0 0 0 RAFAEL MARTINEZ TRUSTEE (TERM 3/3/2022) 1.0 0.0 X 0 0 0 403917 3621910 487600 1 false true false ON THE MARK COMMUNICATIONS LLC 719 RARITAN ROAD CLARK NJ 07066 GRAPHIC DESIGN 475327 EVENTION INC PO BOX 1104 GLEN ROCK NJ 07452 EVENT PLANNING 168004 2 1255212 10927017 228779 12182229 0 816836 816836 0 0 0 0 0 123692 123692 123692 123692 986818 1255212 986818 5300 20 5280 5280 0 0 0 0 13128037 945808 5664367 5664367 50000 50000 0 0 423512 105878 317634 0 0 0 0 0 0 0 16011 4003 12008 0 0 0 502432 139140 363292 55954 55954 444348 111087 333261 0 0 105284 25268 80016 259 65 194 0 1986 497 1489 0 0 11000 2750 8250 0 PROVISION UNCOLLECTIBLE PLED 1477697 1477697 ALLOCATION OF PERSONNEL COSTS 1138267 317611 820656 DONOR RECOGNITION 137164 137164 CAPITAL FUND EXPENSES 15390 15390 35434 8889 26545 10079105 5714367 2192885 2171853 3010998 535537 0 0 28792681 28385916 0 0 0 0 0 0 0 0 0 0 65061 74121 538993 255486 294507 283507 0 0 0 0 66023136 70058879 0 0 1400625 506496 99587008 99844456 135459 140673 0 0 956800 1535113 0 0 0 0 0 0 0 0 0 0 426854 277220 1519113 1953006 X 6308267 2324517 91759628 95566933 98067895 97891450 99587008 99844456 3048932 -3321341 95964 X X false true X true false X 5657935 15189716 11947641 17328180 12182229 62305701 0 0 5657935 15189716 11947641 17328180 12182229 62305701 7113127 55192574 805788 1117550 876803 455731 816836 4072708 0 0 66378409 3691423 0.83148 0.86352 X SCHEDULE A, PART II, SECTION A, LINE 1 DURING THE YEAR ENDED DECEMBER 31, 2018, THE ORGANIZATION RECEIVED A DONATION FROM AN ESTATE IN THE AMOUNT OF $4,500,000. THIS CONTRIBUTION IS BEING CLASSIFIED AS AN UNUSUAL GRANT AND EXCLUDED FROM BOTH THE NUMERATOR AND DENOMINATOR IN THE PUBLIC SUPPORT PERCENTAGE CALCULATION. THIS CONTRIBUTION IS UNUSUAL IN NATURE BECAUSE, ACCORDING TO THE FEDERAL FORM 990, SCHEDULE A INSTRUCTIONS AND IN ACCORDANCE WITH TREASURY REGULATIONS 1.509(A)-3(C)(4): - IT WAS ATTRACTED BECAUSE OF THE PUBLICLY SUPPORTED NATURE OF THE ORGANIZATION, - IT WAS UNUSUAL AND UNEXPECTED BECAUSE OF THE AMOUNT (NO OTHER INDIVIDUAL, CORPORATION OR FOUNDATION CONTRIBUTED ANY AMOUNT SIMILAR TO THIS AMOUNT IN THE FIVE YEAR PERIOD), AND - IT IS LARGE ENOUGH THAT IT WOULD SIGNIFICANTLY DECREASE THE ORGANIZATION'S PUBLIC SUPPORT PERCENTAGE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13431308 -2079646 300000 11051662 11983414 1822894 375000 13431308 13216137 -932723 300000 11983414 10967635 2476927 225000 3425 13216137 11897114 -700221 225000 4258 10967635 0.28270 0.71730 false false 283507 283507 234443 234443 0 21043 21043 0 283507 U.S. GOVERNMENT OBLIGATIONS 48154298 F MUTUAL FUNDS 10585382 F CASH AND CASH EQUIVALENTS 7599475 F MORTGAGE-BACKED SECURITIES 2837268 F TRUSTEE HELD ASSETS 631839 F INTERNATIONAL BONDS 250617 F 70058879 0 DUE TO AFFILIATES 264005 OTHER LIABILITIES 13215 277220 14087147 95964 95964 13991183 -863146 -863146 13128037 4511675 986838 986838 3524837 6554268 6554268 10079105 SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 INCLUDE: - REALIZED GAIN ON INVESTMENTS - $123,692; - SPECIAL EVENT EXPENSES - ($986,818); AND - RAFFLE EXPENSES - ($20). SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: - SPECIAL EVENT EXPENSES - $986,818; AND - RAFFLE EXPENSES - $20. SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 INCLUDE: - CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR CAPITAL PURPOSES - $2,214,639; AND - CONTRIBUTION TO ENGLEWOOD HOSPITAL FOR OPERATING PURPOSES - $4,339,629. Middle East and North Africa 0 0 Investments 250617 0 0 0 0 250617 250617 false false false false false false GALA 1428440 748904 679536 151998 180705 128692 218141 GOLF CLASSIC 320550 160205 160345 142817 17528 3 493040 346103 146937 120315 26622 2242030 1255212 986818 415130 180705 128692 262291 986818 350 ENGLE STREET ENGLEWOOD NJ 07631 true ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 501(c)(3) 5664367 PROGRAM SUPPORT 1 SCHOLARSHIPS 19 50000 SCHEDULE I, PART I, QUESTION 2 GRANTS WERE MADE TO A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THESE FUNDS ARE USED TO FURTHER THE ORGANIZATION'S TAX-EXEMPT CHARITABLE PURPOSES. SCHOLARSHIPS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X false true false false false false false true false WARREN GELLER PRESIDENT/CEO ENG HEALTH 0 1311961 0 519700 0 184036 0 260950 0 34530 0 2311177 0 0 ANTHONY T ORLANDO TRUSTEE; EVP FINANCE/CFO 0 665957 0 174715 0 543977 0 130750 0 28509 0 1543908 0 0 ALEXANDRA GOTTDIENER MD TRUSTEE 0 139093 0 27000 0 4183 0 4854 0 8412 0 183542 0 0 DEBRA ALBANESE EVP FOUNDATION 318541 0 73600 0 11776 0 10250 0 9345 0 423512 0 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 THE 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. X 1395 FMV X 10 211037 FMV X 2 2200 FMV X GIFT CARDS 17 3592 FMV X FOOD 2 2155 FMV X MISCELLANEOUS 7 8400 FMV false true false 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"). THE ORGANIZATION'S FORM 990 REPORTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). ENGLEWOOD HOSPITAL AND MEDICAL CENTER ("ENGLEWOOD HOSPITAL"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, ENGLEWOOD HOSPITAL, ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. ENGLEWOOD HOSPITAL ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART V, LINE 2A & CORE FORM, PART VII THIS FILING ORGANIZATION ITSELF HAS NO PAID PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, CERTAIN INDIVIDUALS OF THE ORGANIZATION ARE EMPLOYED BY ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. THEREFORE, THE COMPENSATION AND BENEFITS OF ANY ALLOCATED PERSONNEL ARE RECORDED ON THE FEDERAL FORM 941 FILED BY ENGLEWOOD HOSPITAL UNDER EMPLOYER IDENTIFICATION NUMBER 22-1487173. CORE FORM, PART V; QUESTION 15 WARREN GELLER IS THE PRESIDENT/CEO OF ENGLEWOOD HEALTH. ADDITIONALLY, ANTHONY T. ORLANDO IS A VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. MESSRS. GELLER AND ORLANDO ARE EMPLOYED BY A RELATED ORGANIZATION AND ARE INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF ENGLEWOOD HOSPITAL AND MEDICAL CENTER ("ENGLEWOOD HOSPITAL"). 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 JAY C. NADEL & RICHARD J. KURTZ - BUSINESS RELATIONSHIP. STANLEY SHIRVAN & AMY SHIRVAN - FAMILY 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 MADE AVAILABLE 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, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE 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 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") WHICH INCLUDES ENGLEWOOD HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. 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 AS WELL AS 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 AUDIT AND COMPLIANCE DEPARTMENT FOR REVIEW. ENGLEWOOD HOSPITAL'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 SYSTEM'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 SYSTEMS'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 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 RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THESE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION 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 FINANCIAL STATEMENTS EACH YEAR. THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. ENGLEWOOD HOSPITAL & MED CTR INC 350 ENGLE STREET ENGLEWOOD NJ 07631 221487173 HOSPITAL NJ 501(C)(3) 3 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 false MEDICAL ASSOCIATES OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 452548322 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL false EMERGENCY PHYSICIANS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 454604076 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL false PHYSICIAN PARTNERS OF ENGLEWOOD PC 350 ENGLE STREET ENGLEWOOD NJ 07631 455597971 HEALTHCARE NJ 501(C)(3) 12A ENG HOSPITAL false ENGLEWOOD HEALTHCARE ENTERPRISES INC 350 ENGLE STREET ENGLEWOOD NJ 07631 222872393 HEALTHCARE SVCS. NJ NA C CORP. false false true false false true false false false false true false true false true true true false false false 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.