2022-09-15T13:17:02-05:00 2021-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2021-01-01 223125397 ZUFALL HEALTH CENTER INC % PETER BEBEL ZUFA 9733289100 18 WEST BLACKWELL ST DOVER NJ 07801 PETER BEBEL CFO 9733289100 2022-09-06 true PETER BEBEL 000000000 Scott J Mariani P00642486 9738989494 2 2021 2023-04-26 12:10:37Z PETER BEBEL 18 WEST BLACKWELL ST DOVER NJ 07801 43915069 false X WWW.ZUFALLHEALTH.ORG X 1991 NJ TO PROVIDE QUALITY, AFFORDABLE, AND CULTURALLY COMPETENT HEALTH CARE TO PEOPLE AND COMMUNITIES WHO EXPERIENCE BARRIERS TO CARE. 12 12 613 100 0 0 12958086 13552079 20073022 28886325 11085 336078 4146260 34384 37188453 42808866 767 28690 0 0 20787765 24425709 0 0 160530 12291286 14025956 33079818 38480355 4108635 4328511 31410279 38077944 8422890 7571984 22987389 30505960 X WITH THE GUIDANCE OF OUR CONSUMER BOARD AND THE EFFORTS OF OUR DEDICATED STAFF, WE OFFER ACCESS TO A BROAD ARRAY OF MEDICAL AND ENABLING SERVICES. false false 31140991 0 25053950 ZUFALL HEALTH CENTER PROVIDES MEDICAL, DENTAL & BEHAVIORAL HEALTH TO MORE THAN 41,000 UNINSURED AND UNDERINSURED PATIENTS AND MORE THAN 170,000 MEDICAL, DENTAL & BEHAVIORAL HEALTH VISITS TO LOW INCOME COMMUNITY RESIDENTS. ZUFALL HEALTH CENTER PROVIDED SPECIALLY TARGETED HEALTH CARE SERVICES TO THE HOMELESS, RESIDENTS OF PUBLIC HOUSING AND MIGRANT FARM WORKERS IN NORTHWEST NEW JERSEY. 31140991 true true false false false false false false false false true false false false true true true false false false false false false false false false false true false true false false false false false false true false true false false false false true true false false false true X 126 0 true 613 true false false false false false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true false false false NJ X PETER BEBEL 9733289100 18 WEST BLACKWELL STREET DOVER NJ 07801 X Eva Turbiner MA President & CEO 40.0 0.0 X 375458 0 18024 Rina Ramirez-Alexander MD Chief Medical Officer 40.0 0.0 X 328048 0 19422 Sam Wakim DMD Chief Dental Officer 40.0 0.0 X 255594 0 19385 Douglas Bishop MD Assist Med Dir./Fam Physician 40.0 0.0 X 196149 0 36009 Peter Bebel MBA Chief Financial Officer 40.0 0.0 X 181908 0 31942 Brian Whang Chief Information Officer 40.0 0.0 X 181872 0 27749 Frances Palm MPA Chief Operating Officer 40.0 0.0 X 176107 0 15742 Lilian Zorrilla MD Physician Clinical Leader 40.0 0.0 X 171423 0 15590 Ken Kinoshita MD Family Practice Physician 40.0 0.0 X 167789 0 12607 Amy Kotler MD Pediatrician 40.0 0.0 X 164458 0 15806 Jacqueline Blank DO OB-GYN 40.0 0.0 X 163480 0 5617 William Shuler Chairman - Director 1.0 0.0 X X 0 0 0 Donald Costanzo Vice Chair - Director 1.0 0.0 X X 0 0 0 Linda Seeley Secretary - Director 1.0 0.0 X X 0 0 0 Andrea Rios Treasurer - Director 1.0 0.0 X X 0 0 0 Raul Aguirre Director 1.0 0.0 X 0 0 0 Amanda Angarita Director 1.0 0.0 X 0 0 0 John Krueger Director 1.0 0.0 X 0 0 0 Michael McCloe Director 1.0 0.0 X 0 0 0 Irma McKenna Director 1.0 0.0 X 0 0 0 Michael O'Donnell Director 1.0 0.0 X 0 0 0 Barry Rabner MPA Director 1.0 0.0 X 0 0 0 Robert Zufall MD Director 1.0 0.0 X 0 0 0 Paul Nusbaum Director (Termed 02/2021) 1.0 0.0 X 0 0 0 2362286 0 217893 58 false true false A TEAM BUILDERS 630 WEST HANOVER AVENUE MORRISTOWN NJ 07960 REPAIRS& MAINTENANCE 382965 TOTAL MAINTENANCE SERVICES 2040 SIXTH AVENUE SUITE E NEPTUNE CITY NJ 07753 JANITORIAL SERVICES 234885 INSIGHT DIRECT USA INC PO BOX 731069 DALLAS TX 753731069 IT SERVICES 234396 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 BILLING 161969 CERIDIAN HCM INC PO BOX 772830 CHICAGO IL 60677 HR SERVICES 127066 9 13552079 1230124 13552079 NET PATIENT SERVICE REVENUE 621498 19274796 19274796 OTHER HEALTHCARE RELATED REVENUE 621498 9611529 9611529 28886325 72097 72097 0 0 0 0 0 1370184 1106203 263981 263981 263981 0 0 0 0 0 0 0 0 0 THRIFT SHOP REVENUE 621400 34384 34384 34384 42808866 28886325 370462 28690 28690 0 0 0 1631251 1359127 265207 6917 0 18616643 15511031 3026674 78938 388027 323297 63085 1645 2055903 1712939 334247 8717 1733885 1444640 281893 7352 0 83287 83287 59680 59680 0 0 0 1196901 1024229 172672 4431 4431 980422 605963 366789 7670 771167 246332 524835 0 1020997 651326 340246 29425 301742 272639 28862 241 0 4343 1843 2500 134295 134295 0 420985 304077 112698 4210 186686 134843 49976 1867 MEDICAL SUPPLIES 5358622 5358622 PURCHASED SERVICES 1668639 1060996 601367 6276 REPAIRS AND MAINTENANCE 567833 391212 171205 5416 BAD DEBT 427623 427623 838303 709185 127262 1856 38480355 31140991 7178834 160530 3984 4534 12292183 15824691 1683695 1019309 3841750 3834053 0 0 0 0 0 0 0 0 323028 241529 18218499 4915447 10602766 13303052 2590521 3459067 0 0 0 0 0 0 72352 391709 31410279 38077944 2929871 3647922 0 0 0 366316 0 0 0 0 0 0 1287305 2968217 0 0 4205714 589529 8422890 7571984 X 22485200 30405960 502189 100000 22987389 30505960 31410279 38077944 X 4328511 42107 3147953 X X false true X true true true X 10126854 11562660 12491951 12958086 13552079 60691630 0 0 10126854 11562660 12491951 12958086 13552079 60691630 0 60691630 85927 88000 85174 80668 72097 411866 0 1555144 2187960 4056639 4146260 3866759 15812762 76916258 91894876 0.78906 0.80820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12855625 2467354 10388271 2027860 256652 1771208 2367961 1923088 444873 967053 268353 698700 13303052 0 LINE OF CREDIT 589529 589529 X 42472788 42107 42107 42430681 378185 378185 42808866 38059370 38059370 420985 420985 38480355 SCHEDULE D, PART X, LINE 2 THE CENTER IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. THE CENTER IS ALSO EXEMPT UNDER TITLE 15 OF THE STATE OF NEW JERSEY CORPORATIONS AND ORGANIZATIONS NOT-FOR-PROFIT ACT. ACCORDINGLY, NO PROVISION FOR FEDERAL OR STATE INCOME TAX HAS BEEN PRESENTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE CENTER FOLLOWS THE PROVISIONS OF FASB ASC INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION AS THEY RELATE TO THOSE TAX POSITIONS. THE CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE POSITIONS TAKEN ON ITS TAX RETURNS AND ACCORDINGLY, HAS NOT RECORDED ANY TAX PROVISION FOR THE YEAR ENDED DECEMBER 31, 2021. HOWEVER, THE CENTER IS SUBJECT TO AUDIT BY TAX AUTHORITIES INCLUDING A REVIEW OF ITS NONPROFIT STATUS WHICH MANAGEMENT BELIEVES WOULD BE UPHELD UPON EXAMINATION. AS SUCH, CERTAIN TAX POSITIONS COULD BE CHALLENGED AND THE AMOUNTS ULTIMATELY PAID, IF ANY, UPON RESOLUTION OF THE ISSUES RAISED BY THE TAXING AUTHORITIES, MAY DIFFER MATERIALLY FROM THE AMOUNTS FILED. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 INCLUDE: - NET INVESTMENT INCOME - $378,185. SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 INCLUDE: - DEPRECIATION - $420,985. true ZUFALL HEALTH FOUNDATION INC 18 WEST BLACKWELL STREET DOVER NJ 07801 851152298 501(C)(3) 28690 PROGRAM SUPPORT 1 0 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true X X false false false false false false false true false Eva Turbiner MA President & CEO 349638 0 0 0 25820 0 8700 0 9324 0 393482 0 0 0 Rina Ramirez-Alexander MD Chief Medical Officer 304097 0 500 0 23451 0 8700 0 10722 0 347470 0 0 0 Sam Wakim DMD Chief Dental Officer 243439 0 500 0 11655 0 7774 0 11611 0 274979 0 0 0 Douglas Bishop MD Assist Med Dir./Fam Physician 153697 0 13040 0 29412 0 6387 0 29622 0 232158 0 0 0 Peter Bebel MBA Chief Financial Officer 167692 0 500 0 13716 0 5861 0 26081 0 213850 0 0 0 Brian Whang Chief Information Officer 181252 0 500 0 120 0 1040 0 26709 0 209621 0 0 0 Frances Palm MPA Chief Operating Officer 175091 0 500 0 516 0 5343 0 10399 0 191849 0 0 0 Lilian Zorrilla MD Physician Clinical Leader 170131 0 500 0 792 0 5191 0 10399 0 187013 0 0 0 Ken Kinoshita MD Family Practice Physician 165369 0 2240 0 180 0 0 0 12607 0 180396 0 0 0 Amy Kotler MD Pediatrician 163682 0 500 0 276 0 4993 0 10813 0 180264 0 0 0 Jacqueline Blank DO OB-GYN 143204 0 500 0 19776 0 4896 0 721 0 169097 0 0 0 SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION MADE A PAYMENT WITH RESPECT TO AN INSURANCE PLAN FOR THE FOLLOWING INDIVIDUALS: RINA RAMIREZ-ALEXANDER, M.D., SAM WAKIM, D.M.D. AND DOUGLAS BISHOP, M.D. THE ORGANIZATION GROSSED-UP THE PAYMENTS MADE FOR TAX-PURPOSES. ACCORDINGLY, THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RINA RAMIREZ-ALEXANDER, M.D., $22,500; SAM WAKIM, D.M.D., $11,475 AND DOUGLAS BISHOP, M.D., $9,792. SCHEDULE J, PART I; QUESTION 7 Certain individuals included in Schedule J, Part II received a bonus during calendar year 2021 which was included in Schedule J, Part II, Column B(II) herein and in each individual's 2021 Form W-2, Box 5, as taxable Medicare wages. Please refer to this section of the Form 990, Schedule J for this information by person by amount. DANIEL F ALEXANDER FAMILY MEM - KEY EMPLOYEE 56910 EMPLOYEE false X 1 1230124 FMV false true false CORE FORM PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MISSION ======= TO PROVIDE ACCESS TO QUALITY, AFFORDABLE AND CULTURALLY COMPETENT HEALTHCARE TO PEOPLE AND COMMUNITIES WHO EXPERIENCE BARRIERS TO CARE. VISION ====== TO CREATE EQUAL OPPORTUNITY FOR GOOD HEALTH. HISTORY ======= IN 1990, WITH LITTLE SEED MONEY AND A FEW VOLUNTEERS, DR. ROBERT ZUFALL AND HIS WIFE, KATHRYN, OPENED A SMALL COMMUNITY CLINIC IN DOVER TO PROVIDE MEDICAL CARE TO POOR, MOSTLY IMMIGRANT FAMILIES. THE RETIRED UROLOGIST TREATED PATIENTS WHILE HIS WIFE MANAGED THE CLINIC AND DOGGEDLY PURSUED FUNDING OPPORTUNITIES. THEIR TENACITY FOR ENLISTING VOLUNTEERS GENERATED A CORE TEAM OF PHYSICIANS, DENTISTS, AND SUPPORT STAFF SO THEY COULD PROVIDE A FULL SPECTRUM OF SERVICES. ALMOST INSTANTLY, THE ONCE-A-WEEK CLINIC ATTRACTED A GROWING PATIENT BASE WHICH, OVER THE YEARS, NECESSITATED EXPANSIONS OF SPACE AND HOURS OF OPERATION. HOWEVER, DESPITE PRIVATE AND PUBLIC SUPPORT, FUNDING FOR "LA CLINICA" WAS A CONSTANT STRUGGLE. IN 2004, ITS SURVIVAL WAS ASSURED BY ITS DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER. RENAMED IN 2006 TO HONOR THE ZUFALLS, THE NON-PROFIT HEALTH CENTER NOW PROUDLY CARRIES ON THEIR COMMITMENT IN SEVEN NEW JERSEY COUNTIES. ACHIEVEMENTS AND AWARDS ======================= - IN DECEMBER 2021, ZUFALL WAS NAMED HEALTH CHAMPION OF THE YEAR BY THE MORRIS COUNTY HISPANIC-AMERICAN CHAMBER OF COMMERCE. - IN DECEMBER 2021, ZUFALL'S HIV SERVICES - PREVENTION AND RETENTION PROGRAM MANAGER, RICARDO SALCIDO, RECEIVED A PROUD AWARD FROM ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL. THE AWARD RECOGNIZED HIS TREMENDOUS CONTRIBUTION AND OUTSTANDING COMMITMENT TO THE LGBTQIA+ COMMUNITY IN THE ADVANCEMENT OF THEIR HEALTH CARE NEEDS. - IN OCTOBER 2021 AT THE REGIONAL HYPERTENSION SUMMIT, ZUFALL HEALTH WAS NAMED ONE OF TWO HEALTH CARE PRACTICES IN NEW JERSEY TO ACHIEVE GOLD + LEVEL RECOGNITION, THE HIGHEST, BY THE AMERICAN HEART ASSOCIATION AND THE AMERICAN MEDICAL ASSOCIATION FOR TARGET BP AWARDS. THESE AWARDS RECOGNIZE PRACTICES FOR THEIR UNWAVERING COMMITMENT TO ACHIEVING BETTER BLOOD PRESSURE CONTROL, WITH THE ULTIMATE GOAL OF REDUCING THE NUMBER OF AMERICANS WHO HAVE HEART ATTACKS AND STROKES. GOLD + PRACTICES DEMONSTRATE A COMMITMENT TO MEASUREMENT ACCURACY AND REACHING 70 PERCENT BLOOD PRESSURE CONTROL OR HIGHER WITHIN THEIR PATIENT POPULATION. - ON MAY 1, ZUFALL HEALTH OPENED ITS NINTH LOCATION AFTER TAKING THE HELM OF A COMMUNITY HEALTH CENTER ON THE PENN MEDICINE PRINCETON HEALTH CAMPUS IN PLAINSBORO, NJ. THE HEALTH CENTER HAS BEEN RENAMED ZUFALL HEALTH - PLAINSBORO. - IN 2021, ZUFALL HEALTH WAS AWARDED A HRSA COMMUNITY HEALTH CENTER QUALITY RECOGNITION (CHQR) BADGE FOR PATIENT-CENTERED MEDICAL HOME (PCMH), AWARDED TO HEALTH CENTERS WITH PCMH RECOGNITION IN ONE OR MORE DELIVERY SITES. ZUFALL ALSO EARNED GOLD TIER RECOGNITION, PLACING ZUFALL AMONG THE TOP 10% HEALTH CENTERS IN TERMS OF OVERALL CLINICAL QUALITY MEASURE PERFORMANCE, AND WAS HONORED FOR COVID-19 TESTING, INDICATING THAT ZUFALL TESTED MORE THAN 50% OF 2020 PATIENTS FROM APRIL 10, 2020 TO JULY 2, 2021. COMMUNITY PROGRAMS ================== ARTS IN HEALTH -------------- ZUFALL HEALTH IS BRINGING THE WORLD OF ART TO OUR PATIENTS. THROUGH OUR ARTS IN HEALTH PROGRAM, WE ARE PROVIDING LOCAL PROFESSIONAL AND AMATEUR ARTISTS THE OPPORTUNITY TO SHOWCASE THEIR CREATIVE TALENTS AND CULTURAL DIVERSITY ON THE WALLS OF OUR LANDMARK DOVER BUILDING. THE ARTS IN HEALTH PROGRAM ADDS ANOTHER DIMENSION TO THE CARE WE PROVIDE BY DRAWING UPON THE THERAPEUTIC VALUE OF ART IN THE HEALING PROCESS. WE BELIEVE FINE ART ADDS A SENSE OF COMFORT AND BEAUTY TO AN ATMOSPHERE TRADITIONALLY CONSIDERED STERILE AND HELPS ALLEVIATE THE ANXIETY OF BEING IN A MEDICAL SETTING. ON A BROADER SCALE, OUR INTENT IS TO REACH BEYOND OUR PATIENTS AND STAFF TO CULTURALLY ENRICH OUR COMMUNITY BY PROVIDING NEW CHANNELS FOR CREATIVE EXPRESSION AND BY INSPIRING AN APPRECIATION OF THE ARTS TO INDIVIDUALS WHO TYPICALLY MAY NOT HAVE ACCESS TO MAINSTREAM VISUAL ARTS EXPERIENCES. THE H.E.A.L. PROGRAM -------------------- The Health, Education, and Legal Program (H.E.A.L.) is a medical-legal partnership between Legal Services of Northwest Jersey (LSNWJ) and Zufall Health. H.E.A.L. provides education, case management and legal assistance to low-income Morris County residents. The program focuses on legal issues involving housing, income maintenance and domestic violence. Zufall patients must be referred to the program and meet certain qualifications in order to be accepted as a H.E.A.L. client. Speak to your Zufall healthcare provider or social worker about how you may benefit from this service. Intensive Senior Support (ISS) ------------------------------ Intensive Senior Support (ISS) is a program for older adults (60 years and over) who live in Morris County. ISS provides a comprehensive support system for vulnerable older adults that are at high risk of losing their independent living status due to mental illness, substance abuse, dementia, homelessness, domestic violence and extreme resistance to services. ISS provides those in need of in-home services with linkage to supportive programs and access to comprehensive primary medical, dental and behavioral health care to address chronic and acute medical issues. Program participants will experience a continuity of care that facilitates stabilization of their medical and behavioral health conditions. Those who do not have a regular medical provider will be linked to Zufall Health for their primary care needs. Additionally, participants receive case management intervention services and appropriate referrals, including transportation to appointments to ensure continuation of care. THE MATERNAL WRAPAROUND PROGRAM ------------------------------- The Maternal Wraparound Program (M-WRAP) is an initiative funded by the New Jersey Division of Mental Health and Addiction Services to provide intensive case management to pregnant/postpartum individuals residing in Morris, Sussex and Warren counties who are using or have recently used alcohol or drugs (including prescription narcotics). Services are provided during their pregnancy and for up to one year after a birth event. M-WRAP staff is here to listen and help program eligible participants take the steps that are right for them and their baby to improve their health and well-being. M-Wrap staff can assist with finding: - Treatment and Counseling - Recovery Support Services - Services to Support Family Members - Safe Shelter - Prenatal and Primary Health Care - Transportation - And Much More Parent Readiness Education Program (PREP) ----------------------------------------- Parent Readiness Education Program (PREP) is an ongoing, free, psycho-educational, case-management program for pregnant teen girls (ages 13-19) and their partners in Somerset County, NJ, held in an individual and group format at a location of convenience to the participant. Participants receive education concerning: - Healthy pregnancy strategies - Childbirth - Infant care and development - Budget planning - Attaining education and career goals - Community resources - Identifying and utilizing a support system - Post-delivery birth control options The program is administered by a part-time Coordinator who follows a curriculum that is designed to educate and empower the teens to make healthy decisions for themselves and their unborn children. SNAP-ED ------- SNAP-Ed is short for Supplemental Nutrition Assistance Program Education. This program offers educational classes to teach you how to make healthy food choices on a limited budget. It also shows you how to incorporate physical activity into your lifestyle. SNAP-Ed classes teach behavioral changes such as how to: - Eat more fruits, vegetables and whole grains - Drink fewer sugary beverages and reduce sodium intake - Increase physical activity levels - Maintain appropriate nutritional balance at all life stages Classes are free and open to the public. Zufall Health offers classes in Hunterdon, Morris, Somerset, Sussex, and Warren counties. Classes are adapted to each audience including special lessons to meet the needs of children, teens, adults, seniors and pregnant, breast-feeding or new moms. SNAP-Ed is an extension of the federal Supplemental Nutrition Assistance Program (SNAP), formerly known as Food Stamps. Zufall Health runs the SNAP-Ed program in Hunterdon, Morris, Somerset, Sussex, and Warren counties. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ZUFALL WELLNESS CENTER ---------------------- The Zufall Wellness Center, located on 85 Washington Street in Morristown, provides auxiliary health care and support services in collaboration with Zufall's AmeriCorps program as well as local volunteers and instructors. With complete, professional kitchen facilities and an open communal space for public use, the site is well equipped for all kinds of activities that encourage and support a healthy lifestyle. Among the programs that have been offered at the Wellness Center are: - Fitness classes - Weight loss support - Yoga and Qi Gong classes for seniors and special needs populations - Health education workshops - Pharmacy counseling - Fun and informative classes in healthy cooking and nutrition focusing on the needs and interests of pregnant women as well as all different age groups. Classes are free and open to Zufall patients and the general community. OUTREACH PROGRAMS ================= Seasonal Agricultural Workers ----------------------------- Zufall helps seasonal agricultural workers in Morris and Warren counties navigate the health care system. Some of the services we provide may include: - Assistance making medical appointments - Transportation for workers and their families to a Zufall site or to a specialist for medical or dental treatment - Assistance picking up prescriptions from a pharmacy - Language translation during a medical or dental visit Homeless Men and Women ---------------------- Zufall regularly visits shelters and food pantries to provide on-site medical and dental services to the homeless. We also provide transportation to Zufall sites for patients needing additional treatment or services. Veterans -------- While many veterans are eligible for medical treatment through the Veteran's Administration, they may have difficulty reaching a VA facility. Zufall provides veterans and their families medical and dental services close to their homes. Zufall also provides dental services at the Morris County Veterans' Clinic in Morris Township. In collaboration with the County of Morris, we bring the Zufall Health Delta Dental Mobile to the clinic site where veterans who do not receive VA dental benefits will receive free dental screenings and a discount on follow-up treatment. The program is supported by a grant from The Arconic Foundation. Seniors ------- Outreach activities for seniors are directed at helping to keep men and women over the age of 65 healthy, safe, and independent. Public Housing Residents ------------------------ Outreach activities for seniors are directed at helping to keep men and women over the age of 65 healthy, safe, and independent. CORE FORM, PART VI, SECTION A, LINE 2 WILLIAM SHULER & EVA TURBINER, MA - BUSINESS RELATIONSHIP. WILLIAM SHULER & ROBERT ZUFALL, M.D. - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION B; QUESTION 11B The organization is the tax-exempt parent entity of Zufall Health; a tax-exempt integrated healthcare delivery system ("System"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). 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 AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION ("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 FROM 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 AND APPROVAL PRIOR TO PROVIDING THE FEDERAL FORM 990 TO THE ORGANIZATION'S BOARD OF DIRECTORS AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B, LINE 12C THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT REGULARLY MONITORS AND ENFORCES. THE BOARD MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, GOVERNING BODY AND MANAGEMENT WILL INVESTIGATE THE ISSUE. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, MANAGEMENT AND THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY. THE MEMBER WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THAT THERE IS NO LONGER A CONFLICT. CORE FORM, PART VI, SECTION B, LINE 15 COMPENSATION AT ZUFALL HEALTH CENTER TAKES INTO CONSIDERATION THE COMPENSATION PAID FOR OTHER SIMILAR POSITIONS IN THE MARKET PLACE AS WELL AS GENERAL PERFORMANCE OF THE EMPLOYEE AND THE CURRENT FINANCIAL CAPACITY OF THE ORGANIZATION. EACH YEAR THE BOARD OF DIRECTORS CONDUCTS A PERFORMANCE REVIEW OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER ("CEO") AND DETERMINES THE CEO'S SALARY. WHEN ESTABLISHING THE SALARY, THE BOARD REVIEWS COMPENSATION SURVEYS CONDUCTED BY THE NEW JERSEY HEALTH CENTERS TO ENSURE THAT THE ORGANIZATION'S CEO'S COMPENSATION IS CONSISTENT WITH STATE AND NATIONAL BENCHMARKS. SIMILARLY, THE CEO TAKES INTO ACCOUNT THOSE SAME COMPENSATION SURVEYS AS THE CEO SETS THE COMPENSATION FOR CERTAIN OTHER OFFICERS AND KEY EMPLOYEES. CORE FORM, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE UPON WRITTEN REQUEST AT THE ORGANIZATION'S OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801. IN ADDITION, FORM 1023 AS WELL AS THE FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST AT THE ORGANIZATION'S OFFICE AT 18 WEST BLACKWELL STREET, DOVER, NJ, 07801. CORE FORM, PART VII AND SCHEDULE J THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF ZUFALL HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CORE FORM, PART VII AND SCHEDULE J, PART II REFLECTS BOARD MEMBERS/OFFICERS OF THIS ORGANIZATION WHO RECEIVED COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER/OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B The organization is the tax-exempt parent entity of Zufall Health; a tax-exempt integrated healthcare delivery system ("System"). Certain board of director members and officers listed on Core Form, Part VII and schedule J of this form 990 may hold similar positions with both this organization and Zufall Health Foundation, Inc. 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 directors of Zufall Health Foundation, Inc., their respective hours per week per organization are approximately the same as reflected in 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 or key employees, reflect total hours worked per week on behalf of the system; not solely this organization. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - GAIN ON EXTINGUISHMENT OF DEBT - $3,147,953. CORE FORM, PART XII; QUESTION 2 AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR THE YEAR ENDED DECEMBER 31, 2021. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION'S FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS REQUIRED TO FOLLOW THE AUDIT REQUIREMENTS OF TITLE 2 U.S. CODE OF FEDERAL REGULATIONS PART 200, UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS (UNIFORM GUIDANCE) WHICH SUPERSEDES OMB CIRCULAR A-133. ZUFALL HEALTH FOUNDATION INC 18 WEST BLACKWELL STREET DOVER NJ 07801 851152298 FUNDRAISING NJ 501(C)(3) 509(A)(3) ZHCI true false true false true false false false false false false false false false true true false false false false ZUFALL HEALTH FOUNDATION INC D 322659 COST ZUFALL HEALTH FOUNDATION INC O 194347 COST SCHEDULE R, PART V The organization is the tax-exempt parent entity of Zufall Health; a tax-exempt integrated healthcare delivery system. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM'S ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.