Hackensack Specialty Care Associates PC

“Hackensack university medical center ("hackensackumc") is the sole member of this organization which exists through a physician nominee agreement due to state of new jersey corporate practice of medicine prohibitions. Hackensackumc has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within hackensack university health network, inc. ("network"); a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). The organization's federal form 990 was provided to each voting member of its governing body, its board of trustees, prior to filing with the internal revenue service ("irs"). The organization's board of trustees has assumed the responsibility to oversee, review and approve the federal form 990, including the preparation, review and filing process. As part of the tax return preparation process the organization hired a professional cpa firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with hackensackumc's finance personnel and internal working group (which included, but was not limited to, the chief financial officer, controller, accounting manager and chief compliance officer) to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's finance personnel and internal working group for their review. Hackensackumc's finance personnel and 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 hackensackumc's finance personnel and internal working group for final review and approval prior to filing with the irs.”

“The organization is an affiliate within hackensack university health network, inc. ("network"); a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). The network and this organization regularly monitor and enforce compliance with its conflict of interest policy. Annually all members of the board of trustees, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The completed questionnaires are returned to hackensackumc's chief compliance officer for review. Thereafter the chief compliance officer prepares a summary of the completed questionnaires which contains information disclosed on an individual by individual basis. The chief compliance officer then presents this summary to hackensackumc's governance committee for its review and discussion.”

“The organization is an affiliate within hackensack university health network, inc. ("network"); a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). The network is the tax-exempt parent of the system. The network's board of trustees has an executive compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of the system's senior management, including, but not limited to, directors of this organization. The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee conducts its review and approval process at least annually over several meetings, and approves only "total compensation" that the committee has concluded does not exceed what the committee considers to be reasonable compensation. The committee structures and conducts its review and approval process so as to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions rules of federal income tax law. This review and approval process applies to all forms of compensation and benefits provided to all members of the system's senior management team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of trustees, each of whom is "disinterested" as defined by the irs in its regulations describing this standard. The committee relied upon appropriate comparable data; specifically the committee obtained a written compensation study from an independent firm which specializes in the review of hospital and healthcare system executive compensation and benefits throughout the united states. This detailed study uses comparable geographic and demographic market data for tax-exempt hospitals and healthcare systems of a similar level of net annual operating revenue in the same geographic region. No data from any for-profit entities is used. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The review and approval process used by the committee, including all actions designed to qualify for the rebuttable presumption of reasonableness, is applied to all members of the senior management team of the system, whether or not they would be considered 'disqualified persons' under the intermediate sanctions rules. In addition to relying on market data, the committee applies a wide range of business judgment factors including, but not limited to, individual performance, individual experience, recruitment and retention factors, and the unique demands of particular positions.”

“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.”

“The organization is an affiliate within hackensack university health network, inc. ("network"); a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). The system includes both for-profit and not-for-profit organizations. Certain board of trustee members, officers and/or trustees listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours reflected on part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Part vii and schedule j reflect officers and board members receiving compensation and benefits from a related organization. Please note this remuneration was for services rendered as full-time employees of the related organization and not for services rendered as an officer or voting member of this organization's board of trustees.”

“The organization is an affiliate within hackensack university health network, inc. ("network"); a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). An independent big four cpa firm prepared audited consolidated financial statements for the network and its subsidiaries and controlled entities, for the years ended december 31, 2014 and 2013, respectively. The independent cpa firm issued an unqualified opinion with respect to these audited consolidated financial statements each year. The network's audit and corporate compliance committee has assumed responsibility for the oversight of the audit of the hackensack university health network audited consolidated financial statements and the selection of an independent auditor.”