2020-01-15T09:26:39-06:00 2019-02-28 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2018-03-01 222159336 SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC SOUT 6095670434 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 LINDA FLAKE CHIEF EXECUTIVE OFFICER 6095670434 2020-01-15 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2019-12-24 209.59.242.22 2020-01-15 08:17:37 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 238159564A7F207AC3E2D33505B4833284B8AC6F 2018 2020-09-22 18:59:49Z LINDA FLAKE 1 WHITE HORSE CENTRE HAMMONTON NJ 08037 32958688 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 12 314 0 0 0 10925568 9212440 20403181 23089843 1120 1316 913020 655089 32242889 32958688 0 0 0 0 19299611 20058949 0 0 0 11471366 12748368 30770977 32807317 1471912 151371 25414060 25109084 5438922 4982575 19975138 20126509 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 18744616 17080198 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $4,593,090 OR GRANT REVENUE OF $7,020,259. 5713076 5006132 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE DENTAL SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $1,399,904 OR GRANT REVENUE OF $2,139,668. 1892823 1658602 PROVIDE HIGH QUALITY PRIMARY AND PREVENTATIVE OB SERVICES. NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $463,808 OR GRANT REVENUE OF $708,902. 26350515 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 39 0 1 314 1 0 0 0 0 0 0 0 0 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 BOARD CHAIR 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 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 158906 0 20856 LINDAY FLAKE CEO 40.00 X 344622 0 99210 RONALD KAPLAN CFO 40.00 X 170136 0 35219 GREGORY COLLINS CMO 40.00 X 252974 0 44436 ANDREA PALERMO PHYSICIAN 40.00 X 183593 0 24588 JUAN BEJARAN PHYSICIAN 40.00 X 243921 0 41836 KATHERINE YON PHYSICIAN 40.00 X 178438 0 42600 TIFFANY TOLIVER PHYSICIAN 40.00 X 184541 0 13203 WAYNE SHAW PHYSICIAN 40.00 X 175428 0 38846 1892559 0 360794 38 0 1 0 KEYCARE 145 TALMADGE RD STE 10 EDISON NJ 08817 IT CONSULTING 756615 BERGEN MEDICAL GROUP 26 WILSON DR NORTHFIELD NJ 08225 CONTRACTED PHYSICIAN SERVICES 606899 ALLIANCE OBGYN CONSULTANTS 130 SOUTH SUITE 1 DELRAN NJ 08075 OB/GYN SERVICES 527401 SERVICE MASTER 7905 BROWNING RD SUITE 100 PENNSAUKEN NJ 08109 CONTRACTED MAINTENANCE SERVICES 187700 LEGAL MEDICAL STAFFING SERVICES INC 751 RT 73 NORTH SUITE 7 MARLTON NJ 08053 STAFFING AGENCY 179982 16 9205495 6945 1266455 9212440 MEDICAID WRAPAROUND 621400 9702064 9702064 MEDICAID 621400 7077754 7077754 UNCOMPENSATED CARE 621400 2481166 2481166 OTHER THIRD PARTY 621400 1768215 1768215 SELF PAY 621400 1107888 1107888 952756 952756 23089843 1316 1316 340B PHARMACY 900099 282686 282686 INSURANCE INCENTIVES 900099 233170 233170 MISC. INCOME 900099 139233 139233 655089 32958688 23744932 0 1316 1037930 842214 195716 14900665 12088852 2811813 167431 136029 31402 2621872 2130135 491737 1331051 1081409 249642 148042 148042 146328 146328 3196844 2227059 969785 450918 310921 139997 668357 668357 1477297 1205200 272097 62789 54980 7809 39820 34868 4952 174223 166495 7728 1143685 972132 171553 374921 95215 279706 CONSUMABLE SUPPLIES 2350758 2141750 209008 DONATED VACCINES 1266455 1266455 REPAIRS & MAINTENANCE 398851 382040 16811 DUES & SUBSCRIPTION 376126 104211 271915 472954 442193 30761 32807317 26350515 6456802 0 4635272 2193595 1189250 1189798 219936 58722 4277737 7270995 228533 326662 26626700 12670126 14750594 13956574 112738 112738 25414060 25109084 2169478 2064494 3211398 2896816 58046 21265 5438922 4982575 X 19975138 20126509 19975138 20126509 25414060 25109084 151371 0 X X 0 1 X 1 1 1 X 9670244 10644036 9212528 10925568 9212440 49664816 9670244 10644036 9212528 10925568 9212440 49664816 49664816 1929 1464 683 1120 1316 6512 250029 467952 1277551 967123 655089 3617744 53289072 103396530 0.93200 0.93120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - 2014 AMOUNT: $ 60,183. 2015 AMOUNT: $ 60,316. 2016 AMOUNT: $ 152,393. 2017 AMOUNT: $ 233,227. 2018 AMOUNT: $ 139,233. MEANINGFUL USE INCENTIVES - 2014 AMOUNT: $ 119,000. 2015 AMOUNT: $ 250,750. 2016 AMOUNT: $ 361,500. 2017 AMOUNT: $ 63,750. FUNDRAISING - 2017 AMOUNT: $ 22,748. INSURANCE INCENTIVES - 2014 AMOUNT: $ 70,846. 2015 AMOUNT: $ 107,634. 2016 AMOUNT: $ 168,018. 2017 AMOUNT: $ 382,900. 2018 AMOUNT: $ 233,170. GAIN ON SECURITY DEPOSITS - 2015 AMOUNT: $ 4,084. 340B PHARMACY - 2015 AMOUNT: $ 45,168. 2016 AMOUNT: $ 335,536. 2017 AMOUNT: $ 264,498. 2018 AMOUNT: $ 282,686. INSURANCE SETTLEMENT - 2016 AMOUNT: $ 260,104. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 549333 549333 12320023 3429881 8890142 4511282 2280897 2230385 9246062 6959348 2286714 13956574 CAPITAL LEASE OBLIGATIONS 21265 21265 X 32685484 -273204 -273204 32958688 0 32958688 32534113 0 32534113 273204 273204 32807317 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, 2019. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT FEBRUARY 28, 2019. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2014 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -273,204. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 273,204. X X X X 0 1 0 0 0 0 0 1 0 ESTHER CARPENTER COO 158906 0 0 0 0 0 8018 0 12838 0 179762 0 0 0 LINDAY FLAKE CEO 314622 0 30000 0 0 0 72250 0 26960 0 443832 0 0 0 RONALD KAPLAN CFO 160136 0 10000 0 0 0 8259 0 26960 0 205355 0 0 0 GREGORY COLLINS CMO 248127 0 4847 0 0 0 6500 0 37936 0 297410 0 0 0 ANDREA PALERMO PHYSICIAN 181994 0 1599 0 0 0 1865 0 22723 0 208181 0 0 0 JUAN BEJARAN PHYSICIAN 243921 0 0 0 0 0 3900 0 37936 0 285757 0 0 0 KATHERINE YON PHYSICIAN 177336 0 1102 0 0 0 4664 0 37936 0 221038 0 0 0 TIFFANY TOLIVER PHYSICIAN 177942 0 6599 0 0 0 365 0 12838 0 197744 0 0 0 WAYNE SHAW PHYSICIAN 172118 0 3310 0 0 0 910 0 37936 0 214274 0 0 0 PART I, LINE 4B CEO LINDA FLAKE PARTICIPATES IN A NON-QUALIFIED 457(F) PLAN. DURING 2018, 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 2018 W-2'S. X 1 1266455 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.