Civic Intelligence

Hunterdon Specialty Care PC

990 • Fiscal year 2023 • EIN 47-4913206

Jan 01, 2023 to Dec 31, 2023 • Filed on May 15, 2024

2100 Wescott DriveFlemington, NJ 08822

(908) 788-6100

Siviq Scores

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

Liabilities / Assets

100th percentile

12.24x

Higher debt load relative to assets than 100% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Liabilities / Revenue

87th percentile

1.93x

Higher debt load relative to revenue than 87% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Net Margin

9th percentile

-64%

Higher net margin than 9% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Top Officer Pay

72nd percentile

$1,003,929

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 3.5% of source-year revenue.

2023 filings • NTEE E • $25M-$50M nonprofits • Source year 2023

Asset Growth

96th percentile

87%

Faster asset growth than 96% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2022 to 2023

Revenue Growth

71st percentile

18%

Faster revenue growth than 71% of similar nonprofits.

2023 filings • NTEE E • $25M-$50M nonprofits • Annualized from 2022 to 2023

Assets

Up

$4,532,391

Up $2,104,673 (+87%) from 2022

Net Assets

Down

-$50,938,369

Down $18,487,563 (-57%) from 2022

Liabilities

Up

$55,470,760

Up $20,592,236 (+59%) from 2022

Revenue

Up

$28,709,394

Up $4,407,992 (+18%) from 2022

Expenses

Up

$47,196,957

Up $9,333,186 (+25%) from 2022

Net Income

Down

-$18,487,563

Down $4,925,194 (-36%) from 2022

Historical Trend

Balance Sheet Trend

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

$100M$50M$0-$50M-$100MAssets 2016: $3,685,070Liabilities 2016: $10,716,830Net Assets 2016: -$7,031,7602016Assets 2017: $5,004,494Liabilities 2017: $5,004,494Net Assets 2017: $02017Assets 2018: $6,323,426Liabilities 2018: $6,629,714Net Assets 2018: -$306,2882018Assets 2019: $6,184,686Liabilities 2019: $18,513,214Net Assets 2019: -$12,328,5282019Assets 2020: $4,932,046Liabilities 2020: $21,894,965Net Assets 2020: -$16,962,9192020Assets 2021: $3,946,893Liabilities 2021: $22,835,330Net Assets 2021: -$18,888,4372021Assets 2022: $2,427,718Liabilities 2022: $34,878,524Net Assets 2022: -$32,450,8062022Assets 2023: $4,532,391Liabilities 2023: $55,470,760Net Assets 2023: -$50,938,3692023Assets 2024: $6,344,368Liabilities 2024: $73,892,114Net Assets 2024: -$67,547,7462024

Highlighted filing

2023

Assets$4,532,391
Liabilities$55,470,760
Net Assets-$50,938,369

Operations Trend

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

$60M$40M$20M$0-$20MRevenue 2016: $15,821,048Expenses 2016: $22,852,808Net Income 2016: -$7,031,7602016Revenue 2017: $34,260,785Expenses 2017: $27,229,025Net Income 2017: $7,031,7602017Revenue 2018: $20,797,222Expenses 2018: $29,309,907Net Income 2018: -$8,512,6852018Revenue 2019: $22,564,640Expenses 2019: $34,586,880Net Income 2019: -$12,022,2402019Revenue 2020: $21,598,979Expenses 2020: $26,233,370Net Income 2020: -$4,634,3912020Revenue 2021: $25,039,620Expenses 2021: $26,965,138Net Income 2021: -$1,925,5182021Revenue 2022: $24,301,402Expenses 2022: $37,863,771Net Income 2022: -$13,562,3692022Revenue 2023: $28,709,394Expenses 2023: $47,196,957Net Income 2023: -$18,487,5632023Revenue 2024: $32,480,698Expenses 2024: $49,090,075Net Income 2024: -$16,609,3772024

Highlighted filing

2023

Revenue$28,709,394
Expenses$47,196,957
Net Income-$18,487,563
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
May 15, 2024
Return Version
2023v5.1
Gross Receipts
$28,709,394
Mission and Program Overview

Mission

To support the goals and objectives of hunterdon healthcare system, inc. And its affiliates; a tax-exempt integrated healthcare delivery system. Hunterdon specialty care, p.c.s activities and charitable purposes include, without limitation, activities in furtherance of hunterdon medical center; a related internal revenue code section 501(c)(3) tax-exempt hospital and by delivering compassionate and exceptional care that improves the health of the community by offering community focused health improvement.

to deliver compassionate and exceptional care that improves the health of the community by offering community focused health improvemement.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$705,895$2,271,603▲ $1,565,708
Accounts Receivable$1,721,823$2,260,788▲ $538,965
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
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$2,427,718$4,532,391▲ $2,104,673
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$33,384,609$52,033,134▲ $18,648,525
Accounts Payable and Accrued Expenses$1,493,915$3,437,626▲ $1,943,711
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$34,878,524$55,470,760▲ $20,592,236
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-32,450,806$-50,938,369▼ $18,487,563
Total Net Assets Fund Balance$-32,450,806$-50,938,369▼ $18,487,563
Total Liabilities and Net Assets / Fund Balance$2,427,718$4,532,391▲ $2,104,673
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Neal Varughese MdPhysicianFT$800,000$203,929$1,003,929
Jeffrey Hartford MdPhysicianFT$910,079$42,601$952,680
Sarah Qureshi MdPhysicianFT$452,364$435,708$888,072
Sandeep Bhargava MdPhysicianFT$631,782$85,306$717,088
Jennifer Montes MdPhysicianFT$409,610$290,783$700,393

Board Members and Trustees

NameTitle
David D Skillinge DoTrustee - VP Medical Practices
Nicolene M KushnerCOO

Highest Paid Contractors

ContractorServicesLocationCompensation
Hunterdon Medical CenterVarious Services2100 WESCOTT DRIVE, Flemington, NJ 08822$21,576,774
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$28,709,394
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-18,487,563
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$24,098,107
Other Expenses$23,098,850
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$20,388,864$2,780,300-$23,169,164
Fees for Services Other$18,987,561$2,589,213$0$21,576,774
Payroll Taxes$705,441$96,197-$801,638
Occupancy$232,419$31,694-$264,113
Other Employee Benefits$112,028$15,277-$127,305
Other Expenses$1,760$240-$2,000
Total Functional Expenses$41,533,320$5,663,637$0$47,196,957
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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$52,033,134
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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

CORE FORM, PART V; QUESTION 1A & CORE FORM, PART VII; SECTION B

The organization is an affiliate within the hunterdon healthcare system, inc. And affiliates; a tax-exempt integrated healthcare delivery system. The organization's form 990 reflects one top five independent contractor for services and reports that no forms 1099 were filed with the internal revenue service ("irs"). Hunterdon medical center, a related internal revenue code section 501(c)(3) tax-exempt organization pays all outstanding accounts payable invoices on behalf of this organization. In conjunction with this service, hunterdon medical center also prepares and issues forms 1099 to these vendors receiving payments where applicable and files these forms 1099 with the irs. Hunterdon medical center allocates these payments to the organization via an intercompany account.

CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7

Hunterdon medical center ("hmc") 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. Hunterdon healthcare system, inc. ("hhs") is the sole member of hmc. Hhs has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved power as defined in the organization's bylaws.

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

The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. Hunterdon healthcare system, inc. Is the tax-exempt parent entity of the system. The organization's federal form 990 was provided to each voting member of the organization's governing body (its board of trustees) prior to the filing of the federal form 990 with the internal revenue service ("irs") and after presentation and review by hunterdon healthcare system, inc.'s finance and investment committee. As part of the tax return preparation process the organization 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 organization's finance personnel ("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 organization's internal working group for their review. The organization'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 organization's internal working group for final review. After this review the form 990 was presented to the members of hunterdon healthcare system, inc.'s finance and investment committee for review and thereafter provided to the board of trustees through a secure website for their review prior to filing with the irs.

CORE FORM, PART VI, SECTION B; QUESTION 12

A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS OBTAINED ANNUALLY FROM ALL TRUSTEES, SENIOR STAFF, AND OTHER KEY EMPLOYEES WHO ARE CURRENTLY SERVING THE ORGANIZATION. IT IS THE ORGANIZATION'S POLICY THAT IN THE EVENT OF A CONFLICT THEY DO THE FOLLOWING: IF THERE IS A CONFLICT RELEVANT TO A MATTER REQUIRING ACTION BY THE BOARD OF TRUSTEES, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD OF TRUSTEES, AND THE TRUSTEE CONCERNED SHALL NOT VOTE ON THE MATTER. MOREOVER, THE PERSON HAVING A CONFLICT SHALL RETIRE FROM THE ROOM IN WHICH THE BOARD IS MEETING AND SHALL NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE MATTER UNDER CONSIDERATION. WHEN THERE IS DOUBT AS TO WHETHER A CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE RESOLVED BY VOTE OF THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF, EXCLUDING FROM THE ROOM AND THE VOTE of THE PERSON WHOSE SITUATION WILL BE DISCUSSED. WHEN A CONFLICT OF INTEREST ARISES FOR ANY STAFF MEMBER EXCEPT THE PRESIDENT, THAT STAFF MEMBER SHALL REPORT IT TO THE PRESIDENT IN WRITING. A CONFLICT OF INTEREST RELATING TO THE PRESIDENT SHALL BE REPORTED IN WRITING TO THE CHAIRMAN OF THE BOARD.

CORE FORM, PART VI, SECTION B; QUESTION 15

The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system which includes hunterdon medical center ("hmc"). Hunterdon healthcare system, inc. Is the tax-exempt parent entity of the system. This filing organization itself has no paid senior management personnel receiving compensation directly from this organization. Rather, key senior management personnel are employed by hmc. Accordingly, hmc'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 the compensation and benefits of hmc's senior management, including the president/chief executive 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's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. In 2023, the executive compensation committee reported to the full board for ratification. 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, including the president/chief executive officer. 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 similarly sized healthcare systems and hospitals, # of licensed beds and net patient service revenue. In addition, the committee reviews and approves executive compensation adjustments based on market surveys developed by independent consultants, industry average comparison, years of service and other exempt organizations in the geographic area. After a review of the individual's performance for the year and relying on comparable information and other objective data, the executive committee will recommend an adjustment to the individual's compensation. Any determinations are documented contemporaneously in the executive committee minutes. 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 applies to certain senior management personnel, including, but not limited to, the president/chief executive officer. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the hunterdon healthcare system, inc.'s president/chief executive officer with assistance from the organi

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 and Schedule J

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

Core Form, Part VII, Section A, Column B

This organization is an affiliate within the hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. The system includes both for-profit and not for-profit organizations. Certain board of trustee members, officers and key employees 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 core form, part vii of this form 990. The hours reflected on core form, 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 hunterdon healthcare system, inc. And all affiliates and not total hours worked per week on behalf of only this organization.

Filing and Contact Details

Filer

Filer Name
Hunterdon Specialty Care Pc
EIN
47-4913206
In Care Of
% HERBERT WHITE
Phone
9087886100
Address
2100 WESCOTT DRIVE, FLEMINGTON, NJ 08822

Signing Officer

Name
Herbert White
Title
CFO
Phone
9087886100
Signed
2024-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
David D Skillinge Do
Formed
2015
Legal Domicile
Nj
Voting Board Members
1
Independent Board Members
0
Employees
77
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
200 Jefferson Park Suite 400, Whippany, NJ 07981-1070
Preparer
Scott J Mariani
Phone
9738989494
Supplemental Narrative

Additional Explanations

CORE FORM, PART V; QUESTION 15

Neal varughese, m.d. Is included within the organization's form 990, part vii. The organization was not required to file a form 4720 for any remittance of excise tax related to dr. Varughese because he is a licensed medical provider whose compensation was for clinical services and thus exempt from excise taxes as provided for under internal revenue code section 4960.

CORE FORM, PART XII; QUESTION 2

The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. Hunterdon healthcare system, inc. Is the tax-exempt parent entity of the system. An independent cpa firm audited the consolidated financial statements of hunterdon healthcare system, inc. And all entities within the system for the years ended december 31, 2023 and december 31, 2022; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements.

Form 990 Part IX Line 11G

Description:purchased services total fees:21576774

Financial Statement Notes

Schedule D, Part X

The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. The System's parent entity is hunterdon healthcare system, inc. Hunterdon Healthcare system, inc. Issues audited consolidated financial statements Which include all related entities; including this organization. The Audited consolidated financial statements contain consolidating schedules On an entity by entity basis. The independent cpa firm issued an Unmodified opinion with respect to the audited consolidated financial Statements. The following footnote is included in the audited 2023 Consolidated financial statements that reports the consolidated liability For uncertain tax provisions under fin 48 (asc 740). HHS, the Medical Center, HRCH and the Foundation, except for the affiliates mentioned below, are tax exempt not-for-profit organizations under Section 501(c)(3) of the IRC. Accordingly, these organizations are not subject to income taxes on income generating activities that are substantially related to their tax-exempt purposes or that are statutorily excluded from income tax for organizations exempt under Section 501(c)(3). Therefore, no provision for federal and state income taxes is required. The federal tax exempt organization business income tax returns are no longer subject to examination by the Internal Revenue Service (IRS) for years before 2019. The System recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded.

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IRS990/MissionDesc0TO SUPPORT THE GOALS AND OBJECTIVES OF HUNTERDON HEALTHCARE SYSTEM, INC. AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HUNTERDON SPECIALTY CARE, P.C.S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF HUNTERDON MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL AND BY DELIVERING COMPASSIONATE AND EXCEPTIONAL CARE THAT IMPROVES THE HEALTH OF THE COMMUNITY BY OFFERING COMMUNITY FOCUSED HEALTH IMPROVEMENT.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The organization is an affiliate within hunterdon healthcare system, inc. ("system"); a tax-exempt integrated healthcare delivery system. The System's parent entity is hunterdon healthcare system, inc. Hunterdon Healthcare system, inc. Issues audited consolidated financial statements Which include all related entities; including this organization. The Audited consolidated financial statements contain consolidating schedules On an entity by entity basis. The independent cpa firm issued an Unmodified opinion with respect to the audited consolidated financial Statements. The following footnote is included in the audited 2023 Consolidated financial statements that reports the consolidated liability For uncertain tax provisions under fin 48 (asc 740). HHS, the Medical Center, HRCH and the Foundation, except for the affiliates mentioned below, are tax exempt not-for-profit organizations under Section 501(c)(3) of the IRC. Accordingly, these organizations are not subject to income taxes on income generating activities that are substantially related to their tax-exempt purposes or that are statutorily excluded from income tax for organizations exempt under Section 501(c)(3). Therefore, no provision for federal and state income taxes is required. The federal tax exempt organization business income tax returns are no longer subject to examination by the Internal Revenue Service (IRS) for years before 2019. The System recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material tax liabilities that need to be recorded.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PART X
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