2019-01-14T08:22:01-06:00 2018-02-28 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2017-03-01 222159336 SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC SOUT 6095670434 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 LINDA FLAKE CHIEF EXECUTIVE OFFICER 6095670434 2019-01-09 1 THOMAS LANNING P00851654 9732283500 2018-11-20 209.3.217.20 2019-01-09 09:45:46 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A999648B7C0F94429496C189B46642AFC33E1A30 2017 2019-02-21 02:37:17Z LINDA FLAKE 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 32296992 0 X WWW.SJMC.ORG X 1977 NJ A COMMUNITY HEALTH CENTER IN THE STATE OF NEW JERSEY THAT OPERATES IN THE COUNTIES OF ATLANTIC, BURLINGTON, AND SALEM THAT PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 12 12 308 0 0 0 9212528 10925568 20692927 20403181 683 1120 1277551 913020 31183689 32242889 0 0 0 0 19298141 19299611 0 0 0 11147476 11471366 30445617 30770977 738072 1471912 22951305 25414060 4448079 5438922 18503226 19975138 TO PROVIDE AND PROMOTE EFFECTIVE HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE SERVICES FOR RESIDENTS AND MIGRANT FARM WORKERS IN SOUTHERN JERSEY REGARDLESS OF THEIR ABILITY TO PAY, AND ELIMINATE BARRIERS TO CARE UPON RACE AND OTHER BELIEFS AND STATUS. 0 0 16054927 14092672 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $4,294,370 OR GRANT REVENUE OF $7,143,466. 6441714 5654399 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE DENTAL SERVICES. - NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $1,723,029 OR GRANT REVENUE OF $2,866,171. 1823335 1600485 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE OB SERVICES. - NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $487,705 OR GRANT REVENUE OF $817,273. 24319976 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 46 0 1 308 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X RON KAPLAN CFO 6094813002 1 WHITE HOUSE CENTRE HAMMONTON NJ 07037 CAROL RAMSEY BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER COLON VICE PRESIDENT 1.00 X X 0 0 0 CONNIE TROILO BOARD MEMBER 1.00 X 0 0 0 JOCELYN TYSON BOARD MEMBER 1.00 X 0 0 0 JOSE CAMACHO MD BOARD MEMBER 1.00 X 0 0 0 JOSEPH YEOMAN BOARD MEMBER 1.00 X 0 0 0 KATHRYN RIGBY PRESIDENT 1.00 X X 0 0 0 MIGUEL BERMUDEZ BOARD MEMBER 1.00 X 0 0 0 NELLIE RODRIGUEZ SECRETARY 1.00 X X 0 0 0 NORMAN KING TREASURER 1.00 X X 0 0 0 RAMON SANDOVAL OUTGOING BOARD MEMBER 1.00 X 0 0 0 REV REGINALD FLOYD ESQ BOARD MEMBER 1.00 X 0 0 0 TERESA KELLY BOARD MEMBER 1.00 X 0 0 0 ESTHER CARPENTER COO 40.00 X 150182 0 20076 LINDAY FLAKE CEO 40.00 X 360536 0 93569 RONALD KAPLAN CFO 40.00 X 150453 0 33845 GREGORY COLLINS CMO 40.00 X 228945 0 40636 RODNEY CAPIRO ASSO. MEDICAL DIR-OB/GYN 40.00 X 177926 0 31597 ANDREA PALERMO PHYSICIAN 40.00 X 185709 0 24188 JUAN BEJARAN PHYSICIAN 40.00 X 240427 0 40586 KATHERINE YON PHYSICIAN 40.00 X 182930 0 41925 OWEN MCFARLANE PHYSICIAN 40.00 X 209427 0 1300 REBECCA MCLANE PHYSICIAN 40.00 X 185280 0 8734 2071815 0 336456 37 0 1 0 BERTINO & ASSOCIATES 65 MECHANIC STREET SUITE 104 RED BANK NJ 07701 CONTRACTOR 1181276 KEYCARE 145 TALMADGE RD STE 10 EDISON NJ 08817 IT CONSULTING 722971 BERGEN MEDICAL GROUP 26 WILSON DR NORTHFIELD NJ 08225 CONTRACTED PHYSICIAN SERVICES 615369 ALLIANCE OBGYN CONSULTANTS 130 SOUTH SUITE 1 DELRAN NJ 08075 OB/GYN SERVICES 479531 GREENWAY HEALTH 100 GREENWAY BLVD CARROLTON GA 30117 PATIENT MANAGEMENT SYSTEM 350726 14 103871 10820910 787 1387158 10925568 MEDICAID 621400 7463978 7463978 MEDICAID WRAPAROUND 621400 7246755 7246755 UNCOMPENSATED CARE 621400 2343099 2343099 OTHER THRID PARTY 621400 1315326 1315326 SELF PAY 621400 1045485 1045485 988538 988538 20403181 1120 1120 22748 103871 54103 -31355 -31355 PHYSICIAN INCENTIVES 900099 382900 382900 340B PHARMACY 900099 264498 264498 MEANINGFUL USE INCENTIVES 621400 63750 63750 233227 233227 944375 32242889 21347556 0 -30235 995908 794594 201314 14388865 11477434 2911431 1269279 1013978 255301 1669793 1333932 335861 975766 779501 196265 158080 158080 138795 138795 2846950 1954778 892172 387210 268311 118899 636931 636931 1312288 1052749 259539 74372 66889 7483 56857 51137 5720 89064 75239 13825 1047712 921386 126326 318776 91164 227612 CONSUMABLE SUPPLIES 1849591 1566968 282623 DONATED VACCINES 1386371 1386371 EQUIPMENT RENTAL & MAIN 388312 369654 18658 DUES & SUBSCRIPTION 374494 89931 284563 405563 389029 16534 30770977 24319976 6451001 0 3840963 4635272 1189673 1189250 305293 219936 4658429 4277737 287357 228533 26277082 11526488 12569595 14750594 99995 112738 22951305 25414060 2399994 2169478 1897966 3211398 150119 58046 4448079 5438922 X 18503226 19975138 18503226 19975138 22951305 25414060 1471912 0 X X 0 1 X 1 1 1 X 6773887 9670244 10644036 9212528 10925568 47226263 6773887 9670244 10644036 9212528 10925568 47226263 47226263 2142 1929 1464 683 1120 7338 521894 250029 467952 1277551 967123 3484549 50718150 98732778 0.93120 0.93950 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - 2013 AMOUNT: $ 401,676. 2014 AMOUNT: $ 60,183. 2015 AMOUNT: $ 60,316. 2016 AMOUNT: $ 152,393. 2017 AMOUNT: $ 233,227. MEANINGFUL USE INCENTIVES - 2013 AMOUNT: $ 120,218. 2014 AMOUNT: $ 119,000. 2015 AMOUNT: $ 250,750. 2016 AMOUNT: $ 361,500. 2017 AMOUNT: $ 63,750. FUNDRAISING - 2017 AMOUNT: $ 22,748. PHYSICIAN INCENTIVES - 2014 AMOUNT: $ 70,846. 2015 AMOUNT: $ 107,634. 2016 AMOUNT: $ 168,018. 2017 AMOUNT: $ 382,900. GAIN ON SECURITY DEPOSITS - 2015 AMOUNT: $ 4,084. 340B PHARMACY - 2015 AMOUNT: $ 45,168. 2016 AMOUNT: $ 335,536. 2017 AMOUNT: $ 264,498. INSURANCE SETTLEMENT - 2016 AMOUNT: $ 260,104. 528123 528123 13031630 3043277 9988353 3674281 2112374 1561907 9043048 6370837 2672211 14750594 CAPITAL LEASE OBLIGATIONS 58046 58046 X 32023788 -273204 -273204 32296992 -54103 -54103 32242889 30551876 54103 54103 30497773 273204 273204 30770977 PART X, LINE 2: THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. THERE WERE NO INTEREST OR PENALTIES RECOGNIZED AS OF OR FOR THE YEAR ENDED FEBRUARY 28, 2018. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT FEBRUARY 28, 2018. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2013 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -273,204. FUNDRAISING EXPENSES PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -54,103. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 54,103. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 273,204. ANNIVERSARY RUBY GALA 126619 103871 22748 21293 7500 25310 126619 103871 22748 21293 7500 25310 54103 -31355 X X X X 0 1 0 0 0 0 0 1 0 ESTHER CARPENTER COO 148371 0 0 0 1811 0 7424 0 12652 0 170258 0 0 0 LINDAY FLAKE CEO 297979 0 55000 0 7557 0 67000 0 26569 0 454105 0 0 0 RONALD KAPLAN CFO 138910 0 10000 0 1543 0 7276 0 26569 0 184298 0 0 0 GREGORY COLLINS CMO 216882 0 9929 0 2134 0 3250 0 37386 0 269581 0 0 0 RODNEY CAPIRO ASSO. MEDICAL DIR-OB/GYN 172665 0 3814 0 1447 0 6248 0 25349 0 209523 0 0 0 ANDREA PALERMO PHYSICIAN 172383 0 11429 0 1897 0 1794 0 22394 0 209897 0 0 0 JUAN BEJARAN PHYSICIAN 234851 0 3500 0 2076 0 3200 0 37386 0 281013 0 0 0 KATHERINE YON PHYSICIAN 171219 0 9929 0 1782 0 4539 0 37386 0 224855 0 0 0 OWEN MCFARLANE PHYSICIAN 200128 0 7007 0 2292 0 1300 0 0 0 210727 0 0 0 REBECCA MCLANE PHYSICIAN 173566 0 9929 0 1785 0 8734 0 0 0 194014 0 0 0 PART I, LINE 4B CEO LINDA FLAKE PARTICIPATES IN A NON-QUALIFIED 457(F) PLAN. DURING 2017, THE ORGANIZATION MADE A $55,000 CONTRIBUTION, THAT AMOUNT IS INCLUDED IN SCHEDULE J COL C. PART I, LINE 7 INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD, AND INCLUDED IN THE INDIVIDUALS 2017 W-2'S. X 1 1386371 FMV X OTHER 1 787 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 RETURN IS REVIEWED WITH THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE IRS. ALL SCHEDULES ARE REVIEWED WITH THE COMMITTEE AND ANY QUESTIONS ARE ANSWERED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD, THE CEO AND ALL EMPLOYEES ARE OBLIGATED TO ADVISE THE BOARD AND CEO IF A PROPOSED PROCUREMENT OF GOODS, SPACE OR SERVICES BY SJFMC CREATES A POTENTIAL CONFLICT OF INTEREST (COI). THE BOARD MEMBERS OR EMPLOYEES INDICIATING A COI MAY NOT THEREAFTER DELIBERATE AND OR VOTE ON ANY SUCH PROPOSAL OR OVERSEE THE PROCUREMENT OF GOODS, SPACE OR SERVICES ON BEHALF OF SJFMC. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE UTILIZED THE SERVICES OF AN INDEPENDENT CONSULTANT WHO PERFORMED A COMPARATIVE ANALYSIS OF THE COMPENSATION OF PRESIDENT/CEO'S OF COMMUNITY HEALTH CENTERS AND OTHER HEALTHCARE ORGANIZATIONS IN THE REGION WITH COMPARABLE YEARS OF EXPERIENCE, EDUCATION, LENGTH OF SERVICE, AND SIZE AND COMPLEXITY OF THE ORGANIZATION. AT THAT TIME, THE CEO'S SALARY WAS ADJUSTED ACCORDING TO MARKET AND EACH YEAR THE CEO PER CONTRACT RECEIVES AN ANNUAL COST OF LIVING INCREASE. A PERFORMANCE BONUS IS ALSO AFFORDED THE CEO BASED UPON A PERFORMANCE EVALUATION THAT IS CONDUCTED BY THE EXECUTIVE COMMITTEE THAT INCLUDES A LISTING BY THE CEO OF ALL THE ACCOMPLISHMENTS OF THE PREVIOUS YEAR AND THE OBJECTIVES FOR THE UPCOMING YEAR. THE ACCOMPLISHMENTS ARE COMPARED TO THE OBJECTIVES FROM THE PREVIOUS YEAR AND A WRITTEN PERFORMANCE EVALUATION IS PREPARED AND SUBMITTED TO THE FULL BOARD FOR APPROVAL. THE PERFORMANCE BONUS, IF ANY, IS RECOMMENDED TO THE BOARD BY THE EXECUTIVE COMMITTEE, AND APPROVED BY THE MAJORITY VOTE OF THE FULL BOARD, OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 SJFMC DOES NOT PUBLISH ITS PUBLIC DOCUMENTS ON THEIR WEBSITE. ANY REQUESTS FOR PUBLIC DOCUMENT ARE SENT TO THE CEO FOR APPROVAL AND THE DOCUMENTS ARE RELEASED TO THE ORGANIZATION OR INDIVIDUALS. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT.