Civic Intelligence

Hackensack University Health Network Inc

990 • Fiscal year 2015 • EIN 22-2595857

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 03, 2016

30 Prospect AvenueHackensack, NJ 07601

(551) 996-3365

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

81st percentile

0.68x

Higher debt load relative to assets than 81% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

86th percentile

1.71x

Higher debt load relative to revenue than 86% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

13th percentile

-13%

Higher net margin than 13% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

100th percentile

$4,889,690

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 120.4% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

95th percentile

58%

Faster asset growth than 95% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

99th percentile

637%

Faster revenue growth than 99% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Up

$10,167,514

Up $3,734,727 (+58%) from 2014

Net Assets

Up

$3,209,678

Up $2,123,941 (+196%) from 2014

Liabilities

Up

$6,957,836

Up $1,610,786 (+30%) from 2014

Revenue

Up

$4,061,864

Up $3,510,698 (+637%) from 2014

Expenses

Up

$4,587,587

Up $1,461,257 (+47%) from 2014

Net Income

Up

-$525,723

Up $2,049,441 (+80%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2010: $3,663,567Liabilities 2010: $34,901Net Assets 2010: $3,628,6662010Assets 2011: $3,660,961Liabilities 2011: $20,000Net Assets 2011: $3,640,9612011Assets 2012: $3,660,983Liabilities 2012: $30,000Net Assets 2012: $3,630,9832012Assets 2013: $5,166,901Liabilities 2013: $1,506,000Net Assets 2013: $3,660,9012013Assets 2014: $6,432,787Liabilities 2014: $5,347,050Net Assets 2014: $1,085,7372014Assets 2015: $10,167,514Liabilities 2015: $6,957,836Net Assets 2015: $3,209,6782015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016

Highlighted filing

2015

Assets$10,167,514
Liabilities$6,957,836
Net Assets$3,209,678

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $18,0472010Revenue 2011: $32,320Expenses 2011: $20,025Net Income 2011: $12,2952011Expenses 2012: $10,0252012Revenue 2013: $29,918Expenses 2013: $0Net Income 2013: $29,9182013Revenue 2014: $551,166Expenses 2014: $3,126,330Net Income 2014: -$2,575,1642014Revenue 2015: $4,061,864Expenses 2015: $4,587,587Net Income 2015: -$525,7232015Revenue 2016: $1,006,665Expenses 2016: $1,620,574Net Income 2016: -$613,9092016

Highlighted filing

2015

Revenue$4,061,864
Expenses$4,587,587
Net Income-$525,723
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 3, 2016
Return Version
2015v2.1
Gross Receipts
$4,061,864
Mission and Program Overview

Mission

To act as a not-for-profit holding company created to establish, maintain, sponsor and promote activities relating to the improvement of human health and the provision of care to the sick. Please refer to schedule o for the organization's charity care community benefit statement.

To act as a not-for-profit holding company created to establish, maintain, sponsor and promote activities relating to the improvement of human health and the provision of care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$5,748,262$9,579,753▲ $3,831,491
Investments Program Related$684,525$0▼ $684,525
Land, Buildings, and Equipment, Net$0$374,865▲ $374,865
Prepaid Expenses and Deferred Charges$0$4,261▲ $4,261
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$6,432,787$10,167,514▲ $3,734,727
Other Assets Total$0$208,635▲ $208,635
Liabilities
Other Liabilities$4,203,877$5,889,805▲ $1,685,928
Accounts Payable and Accrued Expenses$1,143,173$1,068,031▼ $75,142
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$5,347,050$6,957,836▲ $1,610,786
Net Assets / Fund Balance
Unrestricted Net Assets$1,085,737$3,209,678▲ $2,123,941
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$1,085,737$3,209,678▲ $2,123,941
Total Liabilities and Net Assets / Fund Balance$6,432,787$10,167,514▲ $3,734,727

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$374,865$796,385$1,171,250
Compensation and Service Providers

Board Members and Trustees

NameTitle
Joseph SimunovichChairman - Trustee
Robert C GarrettTrustee - President/CEO
Edward J LudwigVice Chairman - Trustee
Marvin M Goldstein EsqSecretary - Trustee
Frank FeketeTreasurer - Trustee
J Fletcher Creamer JrTrustee
James R Napolitano EsqTrustee
Joseph M SanzariTrustee
Justice Marie L GaribaldiTrustee
Keith BanksTrustee
Lawrence R Inserra JrTrustee
Peter C GerhardTrustee
Peter O HansonTrustee
Robert L GlenningEvp/chief Financial Officer
Audrey C Murphy Rn EsqEvp/chief Legal Officer
Ihor S Sawczuk MdEvp/chief Medical Officer
Ketul J Patel Term 13115Evp/chief Operating Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$4,061,864
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-525,723
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,587,587
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$1,272,701--$1,272,701
Other Expenses$385,365$0$0$385,365
Fees for Services Other$337,954--$337,954
Depreciation Depletion$133,677--$133,677
Insurance$83,055--$83,055
Occupancy$35,568--$35,568
Office Expenses$13,851--$13,851
Information Technology$9,916--$9,916
Conferences and Meetings$7,749--$7,749
Total Functional Expenses$4,587,587$0$0$4,587,587
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$5,889,805
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

CORE FORM, PART VI, SECTION A; QUESTION 2

J. Fletcher creamer, jr. And joseph m. Sanzari - business relationship.

CORE FORM, PART VI, SECTION B; QUESTION 11B

DURING 2015 THE ORGANIZATION WAS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). IN MAY 2015, THE NETWORK SIGNED A DEFINITIVE AGREEMENT WITH MERIDIAN HEALTH SYSTEM ("MERIDIAN HEALTH") TO MERGE BOTH PARENT ORGANIZATIONS; CREATING ONE INTEGRATED HEALTHCARE DELIVERY SYSTEM KNOWN AS HACKENSACK MERIDIAN HEALTH, INC., TO BETTER MEET THE NEEDS OF MANY NEW JERSEY COMMUNITIES. THE MERGER BECAME EFFECTIVE UPON THE RECEIPT OF REGULATORY APPROVALS ON JULY 1, 2016. THE NAME OF THIS NEW INTEGRATED HEALTHCARE DELIVERY SYSTEM IS HACKENSACK MERIDIAN HEALTH, INC ("HMH"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY AND ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS") AND FOLLOWING A REVIEW BY HMH'S COMPLIANCE AND AUDIT COMMITTEE. HMH'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THIS FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS the system HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH the system's FINANCE PERSONNEL AND INTERNAL WORKING GROUP (WHICH INCLUDED, BUT WAS NOT LIMITED TO, THE CHIEF FINANCIAL OFFICER, CONTROLLER, ACCOUNTING MANAGER AND CHIEF COMPLIANCE OFFICER) TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO the system's INTERNAL WORKING GROUP FOR REVIEW. The system's INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE SYSTEM'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF HMH'S COMPLIANCE AND AUDIT COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF HMH'S GOVERNING BODY PRIOR TO FILING WITH IRS.

CORE FORM, PART VI, SECTION B; QUESTION 12

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF HACKENSACK UNIVERSITY HEALTH NETWORK, INC. ("NETWORK") AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER ("HACKENSACKUMC"). The System REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF the board of trustees, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO HACKENSACKUMC'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BASIS WHICH IS PRESENTED TO HACKENSACKUMC'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION AND IMPLEMENTATION OF ANY NECESSARY MITIGATING ACTIONS.

CORE FORM, PART VI, SECTION B; QUESTION 15

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

CORE FORM, PART VI, SECTION C; QUESTION 19

The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of the treasury.

Core Form, Part VII, Section A

The organization is the tax-exempt parent entity of hackensack university health network, inc. ("network") and affiliates; a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). The system includes both for-profit and not-for-profit organizations. Certain board of trustee members, officers and/or directors listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected on part vii of this form 990. The hours reflected on part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.

Core Form, Part VII and Schedule J

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

Filing and Contact Details

Filer

Filer Name
Hackensack University Health Network Inc
EIN
22-2595857
In Care Of
% ROBERT L GLENNING
Phone
5519963365
Address
30 PROSPECT AVENUE, HACKENSACK, NJ 07601

Signing Officer

Name
Robert L Glenning
Title
Evp/CFO
Phone
5519963365
Signed
2016-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert C Garrett
Formed
1985
Legal Domicile
Nj
Voting Board Members
13
Independent Board Members
10
Employees
0
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
465 South St Ste 200, Morristown, NJ 07960-6497
Preparer
Anthony J Panico
Phone
9738989494
Supplemental Narrative

Additional Explanations

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HACKENSACK, NEW JERSEY. HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED HACKENSACK UNIVERSITY HEALTH NETWORK, INC. AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HACKENSACK UNIVERSITY HEALTH NETWORK, INC. IS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES HACKENSACK UNIVERSITY MEDICAL CENTER (THE "MEDICAL CENTER"HACKENSACKUMC"). hackensackumc is a not-for-profit new jersey corporation exempt from federal income taxes under section 501(c)(3) of the internal revenue code of 1986, as amended (the "code"). Hackensackumc owns and operates a 775 licensed bed acute care teaching hospital located at 30 prospect avenue in the city of hackensack, bergen county, new jersey. Bergen county is the largest county by population in the state of New Jersey (the "state"), with a 2013 population of 918,888. According to the u.s. census bureau 2013 population estimates, it has the sixteenth highest per capita income in the united states. The medical center is located near major highways in northeastern new jersey, including interstate 80, the new jersey turnpike, the garden state parkway, state routes 4, 17, and 46 and is approximately 12 miles from new york city. Hackensackumc was founded in 1888 as a 12-bed hospital to provide acute care for the residents of the city of hackensack. The medical center has evolved from a community hospital offering patients a secondary level of healthcare services to a teaching hospital affiliated with Georgetown University School of Medicine, Rutgers New Jersey Medical School, Seton Hall University, St. Georges University, and Stevens Institute of Technology, offering an increasing array of tertiary and quaternary patient services. Hackensackumc provides these services primarily to residents of bergen, hudson and passaic counties, but also to patients from throughout the state and adjacent counties in southeastern new york and eastern pennsylvania. To learn more, visit hackensackumc.org. Hackensackumc is a regional leader in many service programs and its management believes that patients whose primary physicians are not on the hackensackumc medical staff are referred to hackensackumc because of its reputation for high-quality care and its array of specialized services, such as: cardiac services; oncology (which includes one of the largest bone marrow/stem cell transplantation programs in the country); transplantation services; and women's and children's services. Since 1999, the medical center's bed complement has increased from 579 licensed beds to the present licensed complement of 775 beds. Adult and pediatric occupancy has consistently approximated 90% soon after each bed capacity expansion of 30 beds in 2000, 68 beds in 2001, and 98 beds in 2006, which further supports the necessity of the medical center within its community. Hackensackumc is bergen county's largest employer with a work force in 2015 of 8,697 employees. Hackensackumc has a volunteer population of approximately 1,800 men, women, and teenagers, who donate their time to hackensackumc each year. Hackensackumc offers one of the region's most modern campuses, which is continually updated and expanded to incorporate emerging clinical approaches, medicine, and technologies. The medical center consists of seventeen buildings and five freestanding parking garages, located on its main campus in the city of hackensack. Seven of the buildings are used for inpatient services and six are used for outpatient services. On this campus, hundreds of specialized programs and services are delivered. Hackensack university health network: Hackensack University Health Network ("hackensackuHN") is the New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the Hacken

Core Form, Part III

Environmentally-friendly hospital designed just for women: The donna a. Sanzari women's hospital is dedicated to providing superior care to its patients. The hospital is part of the 300,000 square-foot sarkis and siran gabrellian women's and children's pavilion. The pavilion was carefully planned and developed with the Deirdre Imus Environmental Health Center to provide exceptional patient satisfaction and services within an environmentally healthy facility. Its design, energy systems, cleaning supplies, linens, medical equipment, and even the food prepared for patient/staff/visitor consumption are environmentally friendly in keeping with the values of the deirdre imus environmental center for pediatric oncology, an award-winning non-profit organization at hackensackumc. In 2015, we welcomed more than 6,358 babies - more than any other hospital in new jersey - a true testament to our long history of trusted care in the community. In 2015, hackensackumc was named one of the "100 Hospitals with Great Women's Health Programs" by Beckers Hospital Review, and was named one of 2015 Americas Best Hospitals for Obstetrics by WomenCertified Inc. Quality & accreditations: Hackensackumc is continuing to prove that "impossible" is just an opinion. We've created an environment that encourages medical innovation to flourish by recruiting top doctors and giving them freedom to push research and treatments beyond traditional thinking. Some of hackensackumc's awards include: - HackensackUMC was listed as the number one hospital in New Jersey and ranked among the top four New York Metro Area hospitals by U.S. News & World Report in its 2015-16 Best Hospitals list. - Received 5 national rankings in: Cardiology & Heart Surgery; Geriatrics; Neurology & Neurosurgery; Orthopedics; and Urology. - Also listed as high-performing in the New York metro area in six specialties: Gynecology; Nephrology; Cancer; Ear, Nose & Throat; Gastroenterology & GI Surgery; and Pulmonology. - 2015 Healthgrades Americas 50 Best Hospitals the only hospital in NJ, NY and New England to receive nine years in a row. - The first hospital nationwide recognized by the U.S. Department of Health and Human Services (HHS) for reaching Phase IV Gold level achievement in the Workplace Partnership for Life Hospital Campaign. - HackensackUMCs Bariatric Surgery program (including Gastric Stapling and Gastric Banding) for being recognized as a Blue Distinction Center (BDC) and a Blue Distinction Center+ (BDC+) by the Blue Cross Blue Shield Association. - Healthgrades Distinguished Hospital Award - Clinical Excellence Award - 13 years in a row (2003-2015), placing the hospital among the Top 5% of the nations hospitals for overall quality for more than a decade. HackensackUMC is the only hospital in NJ, NY and New England to receive this award for 13 consecutive years. - 23 Joint Commission Gold Seals of Approval the most in the country: Abdominal Aortic Aneurysm, Acute Myocardial Infarction, Asthma, Asthma (Pediatrics), Bone Marrow Transplant, Breast Cancer, Carotid Stenosis, Chronic Obstructive Pulmonary Disease, Colorectal Cancer, Coronary Artery Bypass Graft, Depression, Geriatrics Delirium, Heart Failure, Inpatient Diabetes, Joint Replacement Hip, Joint Replacement Knee, Multi-System Trauma, Palliative Care, Peripheral Vascular Disease, Pneumonia, Prostate Cancer, Stroke (Primary Stroke Center), and Uterine-Ovarian Cancer. - 2015/2016 National Research Corporation Consumer Choice Award 20th consecutive year and every year since the awards inception. - 2014 NJBIA Award for Excellence in Environmental Quality. - 2015 Beckers Hospital Review Awards: 100 Hospitals With Great Orthopedic Programs, 100 Hospitals With Great Heart Programs, 150 Great Places to Work in Healthcare, 100 Hospitals with Great Womens Health Programs, 100 Great Hospitals, 100 Hospitals and Health Systems With Great Oncology Programs; 50 Top-Grossing Nonprofit Hospitals in America, 125 Hospitals and Health Systems wit

Core Form, Part III

Hackensackumc is proud of its many innovations, technologies, research projects, and medical expertise. But at the top of the list is the entity that often means the most to the patients - unparalleled nursing excellence that makes hackensackumc stand tall over all others. Hackensackumc purpose, goal, and beliefs: Purpose - hackensackumc is a team committed to providing an exceptional patient experience through quality patient-centered care, education, research, and community outreach. Goal - quality continues to evolve as the number one, non-negotiable value that drives hackensackumc's mission and actions. Hackensackumc incorporates emerging business management operations to reflect a vision that puts patients in charge. Beliefs - hackensackumc is guided by the following beliefs: - quality - achieving excellence in patient-centered care and service. - service - committing to anticipate and fulfill the needs, requests, and wishes of the customers. - patient - centered care - providing care that is compassionate, empathic, and responsive to the needs, values, and preference of individual patients and the families of patients. - innovation - advancing the delivery of healthcare through the use of cutting-edge technology, research, education, and processes that achieve desired outcomes. - communication - providing timely, reliable information which results in understanding. - integrity - acting in a responsible and ethical manner. - professionalism - accepting individual responsibility and accountability within our roles, as defined by the standards of the profession. - respect - listening to, and valuing, diverse opinions. - satisfaction - creating a safe, supportive, and healing environment that inspires us to exceed the needs and expectations of patients, the families of patients, physicians, and employees. Medical specialties/services: In addition to providing a comprehensive array of secondary level patient care, the medical center provides tertiary and quaternary services to a wide referral area. These services include: Cardiac care: The medical center is one of the largest and most comprehensive providers of cardiac care in the state offering a full-range of state-of-the-art invasive and non-invasive diagnostic and treatment services including preventive cardiology with ultra fast computerized electron beam tomography, non-invasive cardiology laboratory, pacemaker center, congestive heart failure and pulmonary hypertension program, cardiac catheterization laboratory, electrophysiology program, cardiac surgery, and cardiac rehabilitation. Hackensackumc's eight cardiac catheterization laboratories are using radio-frequency for totally blocked arteries, intracoronary ultrasound, and neuro-intravascular procedures. Recently the ability to temporarily place a catheter-based heart assist device allows the performance of interventional procedures even in the highest-risk patients. Electrophysiology includes atrial fibrillation ablations, lead extractions, and electro anatomical mapping with cardiomerge technology. The heart center is an outpatient cardiac department that offers stress testing, echocardiograms, halter monitor services, a pacemaker center, electron-beam tomography, enhanced external counter pulsation, and outpatient diagnostic services. A new picture archiving communication system and report-generating system has recently been installed. The new heart & vascular hospital is charting the future of cardiovascular care in new jersey. Hackensackumc has embarked on a mission to recruit the very best cardiologists in the community to enhance the state-of-the-art diagnostic and treatment services offered at the new, cutting-edge heart & vascular hospital. This "hospital within a hospital" provides additional space, superior patient care, and access to leading technology. Cancer care: The john theurer cancer center at hackensackumc is new jersey's largest and most comprehensive center dedicated to the diagnosis, treatment,

Core Form, Part III

Clinical trials offer innovative treatments: As a world-class facility and academic hospital, the cancer center is actively involved in clinical trials that bring research advances directly to patients. The cancer center participates in more than 100 international and national cancer clinical trials that give patients access to promising investigational medications, treatment protocols, and surgical techniques that are often not available at other facilities in new jersey. Key areas of cancer research that are currently taking place include targeted therapies that pinpoint cancer cells and spare normal cells, gene therapy to mutate cancer, advances in stem cell transplantation, new combinations of chemotherapy, new radiation oncology cancer cells and safe viruses to make vaccines that combat cancer. Bone marrow transplantation program: The adult blood and marrow stem cell transplantation program provides autologous and allogeneic hematopoietic stem cell transplantation in the treatment of malignant and non-malignant diseases including use of bone marrow, peripheral blood stem cells, and umbilical cord blood stem cells. This program also serves as a collection facility for national marrow donor program donor centers. The adult blood and marrow stem cell transplantation program, was the first center in the country to receive a bone marrow transplant disease specific recognition by the joint commission (formerly the joint commission on accreditation of healthcare organizations, the "joint commission") a non-profit organization that accredits and certifies over 15,000 healthcare organizations and programs in the united states. An affiliation has been formed with the transplant program at the national cancer institute of the national institutes of health, which enables sharing of protocols. This program has over twenty-one open transplant protocols in use at this time and eight more awaiting approval. The institute for breast care: Staffed by radiologists, pathologists, nurses and technologists specially trained in breast care, the institute for breast care offers comprehensive breast diagnostic services. These services include screening and diagnostic mammography, breast ultrasound, breast magnetic resonance imaging ("mri"), stereotactic guided core biopsies, ultrasound guided procedures (fine needle aspiration and core biopsy), needle localizations for excisional biopsies, and radiologic second opinions. The onsite pathology laboratory permits immediate evaluation of the specimens when needed. The institute for breast care also conducts breast cancer research, including prevention, and provides patient and community education and support. Specialized pediatric care: The medical center is the only hospital in its service area that offers a comprehensive range of pediatric specialty and subspecialty services at one location. As a result of its extensive range of services, the medical center has been designated as an institutional member of the national association of children's hospitals and related institutions, as a children's hospital by the new jersey department of health and senior services (njdhss), as a regional perinatal center by njdhss and as a regional diagnostic and treatment center for abused children by the legislature of new jersey. The medical center's pediatric services and programs include, but are not limited to, neonatology and pediatric pulmonology, neurosciences, rheumatology, hematology/oncology, infectious diseases, renal transplantation, nephrology, gastroenterology, cardiology, immunology, dermatology, endocrinology, child development (autism), and the only bone marrow transplant program in new jersey. The medical center is the only hospital in bergen county that is designated as a regional perinatal center. A regional perinatal center provides all levels of pre- and post-natal medical, surgical, and subspecialty services for mothers and babies. The medical center is equipped and staffed to handle high-ris

Core Form, Part III

Research activities include prostate high intensity focused ultrasound and fluorescence based cystoscopy for bladder cancer. The department participated in clinical trials with provenge, a newly approved drug for the treatment of prostate cancer, and is using new radiation based technology with true beam software and wireless radiation sensors known as dvs. Diagnostic imaging services: The diagnostic imaging department provides a full spectrum of imaging services. These include 3t (magnet strength) mri, 64-slice computed tomography ("ct"), positron emission tomography ("pet/ct"), breast mri, nuclear medicine, interventional radiology, ultrasound, and digital x-ray. The department operates in a fully integrated picture archiving and communication system ("pacs"), a film-less environment. Physicians can log into the pacs remotely to view imaging studies anywhere there is internet access. The staff performs complex advanced procedures such as cardiac computed tomography angiography, cardiac mri, and advanced pet/ct applications. All radiologists are fellowship trained in various subspecialties and an attending radiologist (not a resident in training) is on site at all times for interpretation and consultation, producing very rapid report turn-around times. Emergency services/trauma: The Emergency and Trauma Center (ETC) is open 24 hours a day, seven days a week and treats all ages and all medical conditions. In 2015, 117,150 patients visited the ETC. There is also a separate pediatric emergency department. The pediatric emergency department is staffed by physicians and nurses specialty-trained in pediatric emergency medicine. The take-a-break program now seems like an obvious idea. The family members who accompany their loved ones to emergency departments can almost always benefit from a short break - whether to pick kids up at school, make a few phone calls or just grab a cup of coffee. When the proposal was first made to set up a network of volunteers who could support family members in the emergency department and represent them in their absence, there was nothing like it anywhere in the country. Today 50 volunteers cover each of the emergency trauma center's three shifts, seven days a week. The etc is designated by the state of new jersey and the u.s. department of health and human services as a level ii trauma center. The etc is also certified by the american college of surgeons and is an accredited chest pain center as per the society of chest pain centers. The NJ-MSED vehicles are one of only a few mobile medical assets of their kind in the nation, originally funded through a unique partnership with the U.S. Department of Defense and the Urban Areas Security Initiative. UASI Funding substantially ended after the UASI Mobile ER was built and DOD funding ended in 2012, but in early 2015, HackensackUMC obtained state funding and a group of 16 hospitals and systems came together to form the Advanced Medical Emergency Resource Coalition (AMERCO). The nonprofit corporation selected HackensackUMC as the Host Hospital. The MSED assets are ready to deploy to non-emergency events and we expect the MSED teams to be trained and ready to deploy for emergencies by the end of 2016. The core of the NJ-MSED complex exists in the form of two 43-foot trailers and a 48-foot trailer with expandable sides. Two are fully outfitted with critical care beds, and one is outfitted as a mobile operating room. They are fully functional mobile medical assets able to respond to large-scale incidents that result in the need for on-site Emergency Department services and can be pre-deployed to expected events like hurricanes or other potential incidents based on intelligence. Ambulatory surgery: The medical center provides same day surgery services on its main campus in three distinct locations; the center for ambulatory surgery, the pediatric surgical suite, and the center for plastic and reconstructive surgery. Specialties include dental, general, plastic

Core Form, Part III

Investigators at hackensackumc collaborate with their counterparts at other healthcare institutions and research facilities, including the u.s. department of energy, city university of new york ("cuny") memorial sloan-kettering cancer center, and rockefeller university. Outstanding research collaborations also arise from hackensackumc's role as a major teaching affiliate of umdnj-njms. Hackensackumc is designated by the national cancer institute and the national institutes of health as a community clinical oncology program site, one of only 50 in the nation and the only such program in new jersey. Clinical trials, protocol studies, and cancer control group research are conducted through the eastern cooperative oncology group, the southwest oncology group, the children's oncology group, the university of rochester cancer center, and the national surgical adjuvant breast and bowel project. Outlook: Hackensackumc, a nonprofit academic, research and medical center, is the largest provider of inpatient and outpatient services in new jersey. It was the first hospital in new jersey and second in the nation to become a magnet recognized hospital for nursing excellence. Hackensackumc is the hometown hospital of the new york giants and the new york red bulls, and remains committed to its community through fundraising and community events. hackensackumc ranks among the best hospitals in the nation and enjoys numerous clinical, research and academic affiliations with world-renowned partners. Founded in 1888 as the countys first hospital, it is a member of Hackensack University Health Network, one of the largest health networks in the state comprised of 1,250 beds, more than 10,000 employees and more than 3,000 credentialed physicians. HackensackUMC was listed as the number one hospital in New Jersey in the U.S. News & World Reports Best Hospital rankings for 2015-16. The joseph m. Sanzari childrens hospital is housed with the Donna A. Sanzari Womens Hospital in the Sarkis and Siran Gabrellian Womens and Childrens Pavilion, which was designed with The Deirdre Imus Environmental Health Center, and was included on the Green Guides list of Top 10 Green Hospitals in the U.S. HackensackUMC is one of Healthgrades America's 50 Best Hospitals for nine years in a row, and received the Healthgrades Distinguished Hospital Award for Clinical Excellence 13 years in a row. The medical center has also been named a Leapfrog Top Hospital, and received 23 Gold Seals of Approval by the Joint Commission more than any other hospital in the country. It was the first hospital in New Jersey and second in the nation to become a Magnet recognized hospital for nursing excellence; receiving its fifth consecutive designation in 2014. HackensackUMC is the Hometown Hospital of the New York Giants and the New York Red Bulls and was Official Medical Services Provider to The Barclays PGA Golf Tournament and the NY/NJ Super Bowl XLV111 Host Committee. It remains committed to its community through fundraising and community events. Tax-exempt organization: Hackensackumc is recognized by the irs as an internal revenue code section 501(c) (3) tax-exempt organization. Pursuant to its charitable purposes, hackensackumc provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, hackensackumc operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Hackensackumc provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients. 2. Hackensackumc operates an active emergency department trauma center for all persons, which is open 24 hours a day, 7 days a week, 365 days per year. 3. Hackensackumc maintains an open medical staff, with privileges available to all qualified physicians. 4. Control of hackensackumc rests with it

Core Form, Part III

Utilizing the model adopted by the american hospital association ("aha"), which hackensackumc believes more clearly represents actual community benefit, when quantifying its estimated total community benefit costs for the 2015 year would result in a significantly higher community benefit percentage. Under the aha model, a hospital may include both medicare shortfalls (the amount by which the costs exceed reimbursements) and costs related to bad debt. Under the aha model during calendar year 2015, hackensackumc incurred net community benefit costs of approximately $215,388,788; which accounted for approximately 17.17% of its total 2015 expenses. Net costs means costs after all associated reimbursements. Hackensackumc also paid $6,357,782 in real estate taxes during 2015. Community benefit programs: Building a strong community: Hackensack university medical center helps to build a strong, safe community by investing in a number of community benefits to improve housing and the environment, develop businesses, support community enhancements, mentor children, build coalitions, and increase the workforce. The impact of community benefits: Hackensackumc university medical center believes we are all part of one larger community - one dedicated to progressing even further in our missions of healthcare, community service, and research, one that brings healthcare directly into the community if needed. Promoting a healthy community: Hackensackumc is committed to our community's education and wellness. Through our speakers bureau and health awareness regional program (harp), we work with local city agencies, schools and civic organizations. Speakers topics included: nutrition, grandparenting, aids awareness, heart health, stress, diabetes, keeping your mind sharp, cancer prevention, food allergies and medication interactions. (referenced in schedule h). Many health fair booths were related to: blood pressure screenings, fitness & nutrition, run health, flu shoots and sun safety. (referenced in schedule h). MELANOMA AWARENESS PREVENTION Skin cancer is the most common form of cancer in the United States. Melanoma is the third most common skin cancer, but is more dangerous and more likely to cause death than other skin cancers. Through collaborative efforts, the John Theurer Cancer Center, the Promise Foundation of Ridgewood, New Jersey, physicians and the Health Awareness Regional Program (HARP) of HackensackUMC, a skin cancer screening was provided to the community serving more than 50 participants. This partnership includes an ongoing educational initiative to teach youth sun safe behaviors. In collaboration with schools and teachers skin cancer awareness programs educated more than 5,000 students on sun safe behaviors. PROJECT HEALTHY BONES Project Healthy Bones is a 24-week exercise and education program for older women and men at risk for, or who have osteoporosis. The program is offered in partnership with the New Jersey Department of Health. In 2014, HARP collaborated with Montvale and Ramsey to provide this program to their communities. Currently, there are more than 100 participants. MATTER OF BALANCE In 2015, HARP was awarded a New Jersey Department of Human Services grant for delivery of the evidence-based fall prevention program: A Matter of Balance: Managing Concerns About Falls (MOB). HARP will provide this program throughout Bergen County, serve as Master Trainers for others interested in providing this program, and participate in the NJs Fall Prevention Workgroup. On an average day in NJ, 201 older adults are treated in NJ ERs due to falls. Falls among New Jerseys seniors and adults with disabilities result in physical, psychological and financial hardships for individuals and place a significant burden on caregivers, social services and healthcare agencies. CORPORATIONS In 2015, HARP provided on-site workplace wellness programs to corporations of all sizes throughout Bergen County. Worksite wellness programs are designed to

Core Form, Part III

TOWNS SERVED Bogota, City of Hackensack, Closter, Dumont, East Rutherford, Emerson, Englewood Cliffs, Fairview, Fort Lee, Garfield, Hasbrouck Heights, Leonia, Lodi, Mahwah, Montvale, New Milford, Palisades Park, Ramsey, Ridgefield, Ridgefield Park, River Edge, South Hackensack, Tenafly, Township of Washington, and Wallington. COMMUNITY PARTNERSHIPS Health Officers, Schools, the American Diabetes Association, the American Cancer Society, Bergen County Office On Aging, Community Health Improvement Partnership of Bergen County, Nutrition and Physical Activity Task Force, Bergen County Diabetes Collaborative, Pascack Valley Meals on Wheels, Bergen County Department of Health Services, Bergen-Hudson Chronic Disease Coalition, Bergen County Municipal Nurse Association and School Nurses Association, Partnership for Maternal and Child Health of Northern New Jersey: New Jersey Office of Cancer Control and Prevention: Melanoma Cancer Taskforce Work Group, New Jersey Immunization Network. BERGEN SENIOR COALITION In 2014-2015 HARP collaborated with Brightside Manor, Chore Service, Pascack Valley Meals, The Henry and Marilyn Taub Foundation, and Visiting Homemakers, to form a coalition to address the needs of our growing older adult population. The mission of this group is to The Senior Coalition will be a forum for education and advocacy around the needs and resources to help seniors age in place. There are 40 non- profit agencies participating. HAVE F.U.N. IN GARFIELD Through our partnership with the City of Garfield, HARP was able to collaborate on an initiative to combat childhood obesity in the City of Garfield. In 2015, community gardens were planted throughout the city providing fresh vegetables to residents and teaching gardening skills to the youth. This program has been focused on families in order to form a foundation of healthful habits, combat the rising epidemic of child obesity and ensure that future New Jersey residents will be a more vital and energetic population. FLU IMMUNIZATION PROGRAMS As part of the public health response to the influenza virus in the community, HARP partnered with communities to provide education and vaccinations. Educational materials were distributed to at-risk populations. HARP worked with health officers, public health nurses, health departments, municipalities, and child care centers. Through this partnership, HARP assisted in vaccinating more than 2,000 individuals and continues to work to achieve maximum immunization rates.

CORE FORM, PART XI; QUESTION 9

Other changes in net assets or fund balances include: - net equity transfers to hackensack university medical center foundation, inc.; a related internal revenue code section 501(c)(3) tax-exempt organization - $2,649,664.

CORE FORM, PART XII; QUESTION 2

The organization is the tax-exempt parent entity of hackensack university health network, inc. ("network") and affiliates; a tax-exempt integrated healthcare delivery system ("system"), which includes hackensack university medical center ("hackensackumc"). An independent big four cpa firm audited the consolidated financial statements for the network and its subsidiaries and controlled entities, for the years ended december 31, 2015 and 2014, respectively. The independent cpa firm issued an unqualified opinion with respect to these audited consolidated financial statements each year. The network's audit and corporate compliance committee has assumed responsibility for the oversight of the audit of the hackensack university health network audited consolidated financial statements and the selection of an independent auditor.

Financial Statement Notes

Schedule D, Part X

The organization's sole corporate member is hackensack university health network ("huhn"). An independent big four cpa firm prepared consolidated audited financial statements for huhn and its subsidiaries and controlled entities, which includes hackensack university medical center, for the years ended december 31, 2015 and 2014; respectively. The fin 48 footnote below is from the 2008 consolidated audited financial statements: the organization adopted the provisions of fasb interpretation (fin) statement no. 48, accounting for uncertainty in income taxes - an interpretation of fasb statement no. 109, on january 1, 2007. Fin no. 48 clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements in accordance with fasb statement no. 109. It prescribes an uncertainty threshold and measurement attributes for financial statement disclosures of tax positions taken or expected to be taken on a tax return. The impact of adopting fin no. 48 was not material.

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