Form 990 for tax year 2022
Filed by COOPER UNIVERSITY HEALTH CAPE REGIONAL INC.
Totals
- Total revenue
- $38,985
- Total expenses
- $1,628
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $88,184
- Other revenue
- -$49,199
- Total assets, end of year
- $59,772,296
- Total liabilities, end of year
- $3,992,891
- Net assets or fund balances, end of year
- $55,779,405
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $1,628
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $0
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
3 · Investment income
total $88,184 · excluded $88,184
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $1,428,282
-
6b · Less rental expenses
real property $1,477,481
-
6c · Rental income or loss
real property -$49,199 · personal property $0
-
6d · Net rental income or loss
total -$49,199 · excluded -$49,199
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $0
-
10 · Payroll taxes
total $0
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total -$10,500 · management and general -$10,500
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $175 · program services $0 · management and general $175 · fundraising $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $0
-
13 · Office expenses
total $0
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $0
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $11,953 · management and general $11,953
-
23 · Insurance
total $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $899,138 · end of year $353,666
-
2 · Savings and temporary cash investments
beginning of year $31,381 · end of year $31,412
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $4,353 · end of year $4,354
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $14,228 · end of year $23,486
-
10a · Land, buildings and equipment: cost or other basis
$19,784,297
-
10b · Land, buildings and equipment: accumulated depreciation
$4,815,856
-
10c · Land, buildings and equipment, net
beginning of year $14,674,630 · end of year $14,968,441
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $2,080,190 · end of year $1,712,625
-
14 · Intangible assets
beginning of year $53,175 · end of year $48,668
-
15 · Other assets
beginning of year $38,887,750 · end of year $42,629,644
-
17 · Accounts payable and accrued expenses
beginning of year $83,955 · end of year $86,003
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $3,641,270 · end of year $3,438,956
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $594,809 · end of year $467,932
-
27 · Net assets without donor restrictions
beginning of year $52,324,811 · end of year $55,779,405
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
THE MISSION OF CAPE REGIONAL HEALTH SYSTEM, INC. IS TO CONTINUALLY DEVELOP AND OPERATE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
Activities or mission (Part I)
TO CONTINUALLY DEVELOP AND OPERATE A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM.
-
EXPENSES INCURRED IN FUNCTIONING AS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPE REGIONAL MEDICAL CENTER, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES to all individuals IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Joanne Carrocino FacheJOANNE CARROCINO FACHE
TRUSTEE - PRESIDENT/CEO CRMC
- Total calculated
- $922,606
- From this org
- $0
- From related orgs
- $853,045
- Other
- $69,561
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $695,595 related
- Bonus
- $0 + $111,683 related
- Other
- $0 + $45,767 related
- Deferred
- $0 + $48,816 related
- Nontaxable benefits
- $0 + $20,745 related
- Filer's total
- $0 + $922,606 related
-
Samir Shaikh MDSAMIR SHAIKH MD
TRUSTEE
- Total calculated
- $542,238
- From this org
- $0
- From related orgs
- $475,589
- Other
- $66,649
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $364,472 related
- Bonus
- $0 + $110,776 related
- Other
- $0 + $341 related
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0 + $57,499 related
- Filer's total
- $0 + $542,238 related
-
Richard A Michner MDRICHARD A MICHNER MD
TRUSTEE
- Total calculated
- $2,500
- From this org
- $0
- From related orgs
- $2,500
- Other
- $0
- Hours/week
- 1
-
Richard Werman DoRICHARD WERMAN DO
TRUSTEE
- Total calculated
- $2,500
- From this org
- $0
- From related orgs
- $2,500
- Other
- $0
- Hours/week
- 1
-
Garry GilbertGARRY GILBERT
CHAIRMAN - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Robert A Fineberg EsqROBERT A FINEBERG ESQ
VICE CHAIRMAN - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Henry S BrzyskiHENRY S BRZYSKI
SECRETARY/TREASURER - TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Ralph AutuoreRALPH AUTUORE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Ellen Kravet BurkeELLEN KRAVET BURKE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Thomas F Dierkes DoTHOMAS F DIERKES DO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Mary Ann Francisco RNMARY ANN FRANCISCO RN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Herbert L Hornsby JrHERBERT L HORNSBY JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Pastor Willie Johnson JrPASTOR WILLIE JOHNSON JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Barbara St ClairBARBARA ST CLAIR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Suzanna WaltersSUZANNA WALTERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
William Wenzel JrWILLIAM WENZEL JR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Bill YohBILL YOH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 6b · Pay contingent on a related organization's net earnings
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART I; QUESTION 4B
- THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, SHE MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HER 2022 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOANNE CARROCINO, FACHE, $45,356.
- SCHEDULE J, PART I; QUESTION 6B
- THE DEFERRED COMPENSATION AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN C MAY INCLUDE ADDITIONAL CONTRIBUTIONS MADE BY CAPE REGIONAL MEDICAL CENTER ("CRMC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO EMPLOYEES THAT PARTICIPATE IN THE CRMC INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN. ACCORDING TO ARTICLE 35 OF CRMC'S COLLECTIVE BARGAINING AGREEMENT, IF CRMC'S AUDITED INCOME FROM OPERATIONS AS REPORTED IN ITS AUDITED FINANCIAL STATEMENTS EXCEEDS CERTAIN THRESHOLDS OUTLINED IN THE COLLECTIVE BARGAINING AGREEMENT, CRMC WILL CONTRIBUTE ADDITIONAL FUNDS INTO EACH PARTICIPATING MEMBER'S INTERNAL REVENUE CODE SECTION 403(B) DEFINED CONTRIBUTION RETIREMENT PLAN ACCOUNT.
- SCHEDULE J, PART I; QUESTION 7
- CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTH SVCS. · NJ · controlled entity
Directly controlled by CRHS
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
CAPE REGIONAL HOLDINGS LLC
REAL ESTATE · NJ · income $1,428,371 · assets $15,308,869
Directly controlled by CRHS
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
CRPT MGMT SVCS LLC
MANAGEMENT SVCS. · NJ
Directly controlled by NA
-
CR MIRACLES
FITNESS CENTER · NJ
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
CAPE REGIONAL HEALTH ENTERPRISES INC
C CORP. · HEALTHCARE MGMT. · NJ · 100% owned · share of income $2,294,750 · share of assets $3,252,966 · controlled entity
Directly controlled by CRHS
-
CAPE CARDIOLOGY ASSOCIATES INC
C CORP. · HEALTHCARE SVCS. · NJ
Directly controlled by NA
-
CAPE IMAGING SERVICES
C CORP. · HEALTHCARE SVCS. · NJ
Directly controlled by NA
-
CAPE PHYSICIAN ASSOCIATES PA
C CORP. · HEALTHCARE SVCS. · NJ
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303189349307650
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