Civic Intelligence

Hackensack Meridian Outpatient Services Inc

990 • Fiscal year 2013 • EIN 22-2666023

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 12, 2014

98 James Street 4th FloorSuite08820

(732) 321-7747

Siviq Scores

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

Liabilities / Assets

95th percentile

1.51x

Higher debt load relative to assets than 95% of similar nonprofits.

2013 filings • NTEE E • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

80th percentile

0.88x

Higher debt load relative to revenue than 80% of similar nonprofits.

2013 filings • NTEE E • $25M-$50M nonprofits • Source year 2013

Net Margin

15th percentile

-5.5%

Higher net margin than 15% of similar nonprofits.

2013 filings • NTEE E • $25M-$50M nonprofits • Source year 2013

Top Officer Pay

87th percentile

$1,280,041

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

2013 filings • NTEE E • $25M-$50M nonprofits • Source year 2013

Asset Growth

11th percentile

-6.9%

Faster asset growth than 11% of similar nonprofits.

2013 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$22,451,507

Down $1,664,985 (-6.9%) from 2012

Net Assets

Down

-$11,370,707

Down $2,116,327 (-23%) from 2012

Liabilities

Up

$33,822,214

Up $451,342 (+1.4%) from 2012

Revenue

$38,251,439

No earlier filing loaded for comparison.

Expenses

Up

$40,367,766

Up $730,181 (+1.8%) from 2012

Net Income

-$2,116,327

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$40M$20M$0-$20MAssets 2010: $28,778,381Liabilities 2010: $34,960,622Net Assets 2010: -$6,182,2412010Assets 2011: $26,412,319Liabilities 2011: $33,667,066Net Assets 2011: -$7,254,7472011Assets 2012: $24,116,492Liabilities 2012: $33,370,872Net Assets 2012: -$9,254,3802012Assets 2013: $22,451,507Liabilities 2013: $33,822,214Net Assets 2013: -$11,370,7072013Assets 2014: $21,388,298Liabilities 2014: $33,450,519Net Assets 2014: -$12,062,2212014Assets 2015: $21,777,319Liabilities 2015: $34,266,015Net Assets 2015: -$12,488,6962015Assets 2016: $19,224,105Liabilities 2016: $33,852,972Net Assets 2016: -$14,628,8672016Assets 2017: $16,398,664Liabilities 2017: $23,647,342Net Assets 2017: -$7,248,6782017

Highlighted filing

2013

Assets$22,451,507
Liabilities$33,822,214
Net Assets-$11,370,707

Operations Trend

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

$60M$40M$20M$0-$20MExpenses 2010: $42,234,4342010Expenses 2011: $42,499,7332011Expenses 2012: $39,637,5852012Revenue 2013: $38,251,439Expenses 2013: $40,367,766Net Income 2013: -$2,116,3272013Revenue 2014: $42,613,150Expenses 2014: $43,304,664Net Income 2014: -$691,5142014Revenue 2015: $43,427,334Expenses 2015: $43,853,809Net Income 2015: -$426,4752015Revenue 2016: $41,432,022Expenses 2016: $43,572,193Net Income 2016: -$2,140,1712016Revenue 2017: $35,763,522Expenses 2017: $40,591,294Net Income 2017: -$4,827,7722017

Highlighted filing

2013

Revenue$38,251,439
Expenses$40,367,766
Net Income-$2,116,327
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 12, 2014
Return Version
2013v3.1
Gross Receipts
$38,251,439
Mission and Program Overview

Mission

Jfk hartwyck network is committed to providing both high quality care and management services for people in need of long term care, subacute care, adult day care, huntington's disease, head injury programming, respiratory care, transitional living and assisted living, in a manner that promotes resident dignity and choice within the continuum of care in the jfk health system.

See Schedule O.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$13,993,849$13,135,679▼ $858,170
Accounts Receivable$7,443,098$7,251,312▼ $191,786
Cash and Non-Interest-Bearing Accounts$2,152,759$1,474,834▼ $677,925
Inventories for Sale or Use$130,956$124,911▼ $6,045
Prepaid Expenses and Deferred Charges$15,687$10,740▼ $4,947
Savings and Temporary Cash Investments$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 Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$24,116,492$22,451,507▼ $1,664,985
Other Assets Total$380,143$454,031▲ $73,888
Liabilities
Tax Exempt Bond Liabilities$15,761,139$15,392,700▼ $368,439
Other Liabilities$12,484,413$12,758,472▲ $274,059
Accounts Payable and Accrued Expenses$5,125,320$5,671,042▲ $545,722
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
Total Liabilities$33,370,872$33,822,214▲ $451,342
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-9,254,380$-11,370,707▼ $2,116,327
Total Net Assets Fund Balance$-9,254,380$-11,370,707▼ $2,116,327
Total Liabilities and Net Assets / Fund Balance$24,116,492$22,451,507▼ $1,664,985

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,286,388$23,279,598$31,565,986
Equipment$975,677$7,542,621$8,518,298
Land$3,873,614-$3,873,614
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Jay M JeneyVice Chairman-$1,280,041$1,280,041
David a BelowichTreasurer-$618,368$618,368
John O GrunSecretary-$511,491$511,491
Val MeszarosBoard Member-$430,707$430,707
Leonard SendelskyChairman-$293,461$293,461
Helen J PaternitiBoard Member-$276,812$276,812
Michael a Kleiman DmdEx-officio$133,625$12,118$145,743
Fran YoreyBoard Member$116,205$7,155$123,360

Board Members and Trustees

NameTitle
Raymond FredericksPresident/CEO/Ex-Officio
Robin O Winter MdBoard Member
Sean Patrick Murphy EsqAssistant Secretary
John McGeeFormer Officer
Carolina MolinaHighest Compensated
Dawn GiakasHighest Compensated
Eileen UstHighest Compensated
Josephine AbeledaHighest Compensated
Robin MathewsHighest Compensated
Thomas LankeySVP
Richard C SmithSVP & CFO
Renee LakeVP, Long Term Care

Highest Paid Contractors

ContractorServicesLocationCompensation
Creative Management National INCDIETARY MANAGEMement-$2,011,837
Tender Touch Healthcare Services IPt, Ot, & Speech-$1,923,411
Partners Healthcare LLCPharmacy Services-$1,338,698
Healthcare Services Group INCHOUSEKEEPING Mgmt-$960,089
Freedom Medical IncEquipment Rental-$162,585
Revenue and Support

Revenue Composition

Contributions and Grants
$49,899
Program Service Revenue
$37,825,455
Investment Income
$4,085
Other Revenue
$372,000
Change in Net Assets
$-2,116,327

Audited Revenue Reconciliation

Revenue per Audited Statements
$38,201,540
Revenue Not Reported on Financial Statements
$49,899
Revenue Not Reported on Form 990
$-1,095,445
Other Revenue Adjustments
$49,899
Total Revenue per Audited Statements
$37,106,095
Total Revenue per Form 990
$38,251,439
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$23,107,811
Other Expenses$17,259,955
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,472,145$2,035,883-$18,508,028
Fees for Services Other$5,249,746$648,845-$5,898,591
Other Employee Benefits$2,608,166$322,358-$2,930,524
Payroll Taxes$1,220,517$150,850-$1,371,367
Other Expenses$1,080,264$133,516-$1,213,780
Depreciation Depletion$1,035,228$127,949-$1,163,177
All Other Expenses$963,549$113,183-$1,076,732
Interest$907,661$112,183-$1,019,844
Insurance$503,402$62,218-$565,620
Pension Plan Contributions$265,124$32,768-$297,892
Information Technology$104,203$12,879-$117,082
Fees for Services Legal-$61,297-$61,297
Fees for Services Management-$55,776-$55,776
Office Expenses$47,646$5,889-$53,535
Advertising$29,733$3,675-$33,408
Travel$20,021$2,475-$22,496
Conferences and Meetings$12,854$1,589-$14,443
Total Functional Expenses$36,087,653$4,280,113$0$40,367,766

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$40,367,766
Expenses per Audited Statements$39,272,321
Total Expenses per Audited Statements$39,272,321
Expenses Not Reported on Financial Statements$1,095,445
Other Expense Adjustments$1,095,445
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
Amounts Due to Third Party Payors$3,482,879
Due to Jfkmc$3,241,027
Notes Payable to Jfkmc$2,893,851
Due to Jfk Health System, Inc.$2,583,021
Current Portion of Long-term Debt$369,123
Due to Hartwyck West Nursing Home$98,181
Funds Held for Patient Needs$90,390

Bond Issues

BondIssuerIssuedIssue PricePurpose
A22-19870842009-06-01$13,934,409see schedule o.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$13,934,409$0$0$226,712

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization uses outside management services for rehabilitation services, housekeeping/laundry services AND DIETARY SERVICES.

Form 990, Part VI, Section A, line 6

The organization has jfk health system, inc. As its sole member.

Form 990, Part VI, Section A, line 7B

Certain decisions of the governing body of the organization are subject to approval by the member.

Form 990, Part VI, Section B, line 11

An Ad-hoc Committee, which includes the Chairman of the Audit & Compliance Committee and a selected designee of the Audit and Compliance Committee as well as designees from the Finance, Legal and Audit and Compliance departments, review the IRS 990 Tax Returns with EisnerAmper LLP, the tax accountant for JFK Health System, Inc. During this review, all comments and recommendations that are made are addressed by the Finance, Legal, and Audit and Compliance departments along with EisnerAmper. The final revised drafts are reviewed by the Ad-hoc Committee to ensure all comments and recommendations were addressed in the final drafts. THE Audit and Compliance committee has given the Ad-hoc Committee the authority to approve the IRS 990 Tax Returns. Once the IRS 990 Tax Returns are approved by the Ad-hoc Committee, all Board members are sent an e-mail with instructions on how to access the respective IRS 990 Tax Returns for their review and comments for 4 days on a secure website provided by EisnerAmper LLP. At the end of the 4 day review period, and after any comments have been addressed, the IRS 990 Tax Returns are finalized and filed. Also, after the IRS 990 Tax Returns are filed, the returns are posted on the JFK Health System Board Portal.

Form 990, Part VI, Section B, Line 12C

On an annual basis, conflict of interest disclosure statements are distributed to all board members and employees that are department head and higher levels. All disclosures are reviewed by the compliance officer and the chair of the jfk health system audit and compliance committee. Any potential conflict of interest is brought to said committee for review and consideration and any appropriate action deemed necessary pursuant to the conflict of interest policy.

fORM 990, pART VI, SECTION B, lINE 15

The jfk health system board of directors has duly appointed an executive compensation committee (the "committee") that is responsible for the review and approval of all compensation and benefits provided to executive management of the organization. The committee has adopted a written executive compensation philosophy statement and an executive compensation committee charter. The committee follows the procedures described in the philosophy statement and the charter when it reviews and approves the compensation and employee benefits provided to the organization's senior management, including the president and chief executive officer and the chief financial officer. The committee's review analyzes every element of compensation, including current and deferred compensation, and benefits, including qualified and non-qualified benefits. The committee conducts its review and approval process at least annually, and approves compensation and benefits only to the extent that the committee has concluded that the total compensation and benefits constitute no more than reasonable compensation. The committee consists entirely of independent members of the jfk health system board, the committee reviews in advance independent data showing the compensation provided by non-profit organizations for functionally similar positions, and the committee prepares a timely and thorough written record of its deliberations and conclusions. Assisting the committee is an outside compensation consultant along with outside legal counsel. As a result, the committee's review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness under the federal income tax law intermediate sanctions rules.

Form 990, Part VI, Section C, Line 19

Jfk health systems' consolidated and the organization's consolidating financial statements are posted on the jfk health system website; any other public information is available upon request.

Form 990, Part VII

METHOD EMPLOYED IN THE DETERMINATION OF ESTIMATED HOURS PER WEEK. DURING THE ANNUAL BUDGET PROCESS, THE FINANCE DEPARTMENT PERFORMS AN ANALYSIS OF THE EXECUTIVE LEVEL EMPLOYEES TIME ALLOCATION FROM TIME KEEPING RECORDS. THE APPROPRIATE ADJUSTMENTS ARE MADE TO THE TIME ALLOCATIONS AT THAT TIME. The officers of JFK Health System hours per week are allocated among many of the related organizations.

Form 990, Part VI, Section A, Line 7A

While the member cannot elect or appoint one or more members of the governing body, all board appointments are subject to approval by the member. THE DIRECTORS, OTHER THAN EX-OFFICIO DIRECTORS, ARE ELECTED BY A VOTE OF THE BOARD AT THE ANNUAL MEETING OF THE CORPORATION. THE DIRECTOR MEMBERSHIP COMMITTEE SHALL NOMINATE A SLATE OF DIRECTORS TO SERVE AS OFFICERS TO REPLACE OR REELECT THOSE OFFICERS WHOSE TERMS ARE ENDING.

Form 990, Part VII, Section A

Elizabeth swales is no longer a board member.

Filing and Contact Details

Filer

EIN
22-2666023
In Care Of
% RICHARD C SMITH
Phone
7323217747

Signing Officer

Name
Richard C Smith
Title
CFO
Phone
7323217747
Signed
2014-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Raymond F Fredericks
Formed
1985
Legal Domicile
Nj
Voting Board Members
10
Independent Board Members
8
Employees
559

Preparer

Preparer
Richard a Sackin
Phone
7323217747
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Question 2C

The process has not changed since last year. Jfk health system has a committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant.

Form 990, Part I, Question 1

Describe the organization's mission or most significant activities. The jfk hartwyck network is committed to providing both high quality care and management services for people in need of long term care, subacute care, adult day care, huntington's disease, head injury programming, respiratory care, transitional living and assisted living, in a manner that pormotes resident dignity and choice within the continuum of care in the jfk health system.

HARTWYCK AT OAK TREE'S PURPOSE.

Hartwyck at Oak Tree operates a licensed 120-bed skilled nursing, convalescent, and rehabilitation facility and a licensed 60-bed residential facility. In addition, Oak Tree operates Hartwyck at Edison Estates, a licensed 280-bed facility that provides sub-acute and conventional long-term care, as well as providing specific units dedicated to the care of Alzheimer and dementia care patients. HARTWYCK AT OAK TREE IS A MODERN, THREE-STORY FACILITY THAT OPENED IN 1987. THE CENTER IS HOME TO MANY SPECIALIZED SERVICES AND PROGRAMS, INCLUDING THOSE FOR HEAD INJURED PATIENTS, COMA PATIENTS AND INDIVIDUALS DEPENDENT ON VENTILATORS. THE RESIDENTIAL UNIT IS DESIGNED FOR ADULTS WHO ARE NO LONGER ABLE TO LIVE INDEPENDENTLY AT HOME BUT ENJOY THE COMFORT AND SECURITY OF 24-HOUR NURSING CARE WHENEVER IT'S NEEDED. HARTWYCK AT OAK TREE IS ACCREDITED BY THE JOINT COMMISSION FOR THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS AS WELL AS THE COMMISSION FOR THE ACCREDITATION OF REHABILITATION HOSPITALS. Hartwyck at Edison Estates delivers sub-acute and long term care in a warm and inviting atmosphere. The spacious, well-tended grounds, elegant gazebo, cheerful dining areas, and comfortable, stylish bedrooms make patient stays pleasant and home-like. The multi-disciplinary team approach focuses on the patient's unique needs, with care provided by specialists including highly skilled nurses, physicians, physical therapists, recreation therapists, speech therapists, occupational therapists, social workers and support staff. Patients and residents focus on healing while enjoying an exceptional activities program with live entertainment, crafts, educational lectures, community integration/trips, an Adopt-A-Grandparent program, a large volunteer program, and much more. Specialized services at Edison Estates include: Sub-acute Care Unit with private rooms Physical, speech, occupational and recreation therapy Post-surgical care Post-hip/knee replacement therapy IV therapy Wound care Dementia Unit

HARTWYCK AT OAK TREE'S DEMOGRAPHICS.

Hartwyck at oak tree is located in edison - an urban / suburban area of middlesex county.

Form 990, Part III, Question 1

Briefly describe the organization's mission. We are committed to excellence in providing quality and compassionate healthcare services to our diverse communities. The jfk hartwyck network is committed to providing both high quality care and management services for people in need of long term care, subacute care, huntingtons disease, head injury programming, respiratory care, transitional living and assisted living, in a manner that promotes resident dignity and choice within the continuum of care in the jfk health system.

Extension

Description on why the return was not timely filed. Awaiting information from third parties necessary to file a complete and accurate return.

Schedule R, Part V, Line 1O

Jfk health system maintains a master employee leasing agreement that provides for the leasing of personnel to and from various jfk health system entities.

Schedule K, Part I

The refinancing of various series of bonds issued on behalf of, and other indebtedness of, JFK Medical Center, Hartwyck at Oak Tree and Muhlenberg Regional Medical Center, as described below, all in connection with the termination of the provision of hospital acute care services at Muhlenberg Regional Medical Center and pursuant to the State's Hospital Asset Transformation Program. Current refundings: 1993 Bonds $9,773,982 1998 Bonds $4,160,427 Costs of issuance $226,712

Schedule K, Part III

The private business part of schedule k is not applicable. See above explanation.

Form 990, Page 1, Box C

Hartwyck at Oak Tree Inc. includes the operations of Hartwyck at Oak Tree and Hartwyck at Edison Estates.

Definition of Ex-officio.

People who hold a position by virtue of their office.

Form 990 Part IX Line 11G

Description:rehab services total fees:2186474

Form 990 Part IX Line 11G

Description:housekeeping/laundry total fees:1212966

Form 990 Part IX Line 11G

Description:dietary services total fees:2046116

Form 990 Part IX Line 11G

Description:medical directors total fees:259684

Form 990 Part IX Line 11G

Description:pharmacy consultant total fees:73925

Form 990 Part IX Line 11G

Description:other total fees:119426

Financial Statement Notes

Part XI Line 4B - Other Adjustments

Transfer from jfk medical center foundation, inc. 49,899.

Part X, Line 2

Hartwyck at Oak Tree accounts for uncertainty in income taxes by prescribing 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 appropriate recognition threshold has been met. There were no tax uncertainties that met the recognition threshold in 2013 or 2012.

Part XI, Line 2D - Other Adjustments

Provision for doubtful collections -1,095,445

Part XII, Line 4B - Other Adjustments

Provision for doubtful collections 1,095,445

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