UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC (EIN 22-2095812)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349301423
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T04:41:28-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Jefferson Park Suite 400 | AddressLine1Txt |
| City | Whippany | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079811070 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222095812 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN ASSOCIATES OF | BusinessNameLine1Txt |
| Business Name Line2 | NEW JERSEY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CATHERINE DOWDY CPA | InCareOfNm |
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 9733224032 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O CORP FINANCE 2 CRESCENT PLACE | AddressLine1Txt |
| City | OCEANPORT | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07757 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CATHERINE DOWDY | PersonNm |
| Person Title | SVP FINANCE | PersonTitleTxt |
| Phone | 7329238929 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CATHERINE | PersonFirstNm |
| Person Last | DOWDY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott J Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 9738989494 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | DAVID HAIER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 CRESCENT PLACE | AddressLine1Txt |
| City | OCEANPORT | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07757 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,040,523 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RWJBH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | promotes the interests of rwj barnabas health, inc., barnabas health, inc. and rutgers, the state university & nj medical school in their charitable & benevolent activities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 39 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,600,494 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,645,497 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,023,334 | PYInvestmentIncomeAmt |
| CY Investment Income | $286,135 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $13,623,828 | PYTotalRevenueAmt |
| CY Total Revenue | $28,931,632 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,601,392 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,278,919 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,459,782 | PYOtherExpensesAmt |
| CY Other Expenses | $13,506,054 | CYOtherExpensesAmt |
| PY Total Expenses | $13,061,174 | PYTotalExpensesAmt |
| CY Total Expenses | $28,784,973 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $562,654 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $146,659 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,402,701 | TotalAssetsBOYAmt |
| Total Assets EOY | $81,309,216 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $62,304,949 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $82,304,920 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$902,248 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$995,704 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To promote the interests of RWJ Barnabas Health, Inc., Barnabas Health, Inc. and Rutgers, the State University and New Jersey Medical School, all in their charitable and benevolent activities in the fields of health management, healthcare delivery, health education and training, scientific research, and in other related fields to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $25,906,476 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $28,645,497 | RevenueAmt |
| Desc | Expenses incurred in promoting the interests of RWJ Barnabas Health, Inc., Barnabas Health, Inc. and Rutgers, the State University and New Jersey Medical School, all in their charitable and benevolent activities in the fields of health management, healthcare delivery, health education and training, scientific research, and in other related fields to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. | Desc |
| Total Program Service Expenses | $25,906,476 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 87 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 39 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CATHERINE DOWDY CPA | PersonNm |
| Phone | 7329238929 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 CRESCENT PLACE | AddressLine1Txt |
| City | OCEANPORT | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07757 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN W DOLL CPA | ||||||||
| TRUSTEE | 60.0 | 0.0 | Yes (X) | $0 | $4,850,122 | $625,194 | ||
| RURIC C ANDERSON MD | ||||||||
| CHAIRMAN - TRUSTEE | 55.0 | 0.0 | Yes (X) | $0 | $1,304,820 | $373,386 | Yes (X) | |
| DOUGLAS A ZEHNER | ||||||||
| TREASURER - TRUSTEE | 55.0 | 0.0 | Yes (X) | $0 | $671,703 | $138,539 | Yes (X) | |
| TIPTON H FORD | ||||||||
| SECRETARY - TRUSTEE | 55.0 | 0.0 | Yes (X) | $0 | $650,008 | $118,936 | Yes (X) | |
| DAVID HAIER | ||||||||
| CEO | 55.0 | 0.0 | $562,740 | $0 | $30,242 | Yes (X) | ||
| JOANNE C GORDON | ||||||||
| CCO | 55.0 | 0.0 | $239,307 | $0 | $2,754 | Yes (X) | ||
| DONNA L CONLIN SAWLER | ||||||||
| HUMAN RESOURCES MANAGER | 40.0 | 0.0 | $216,185 | $0 | $17,037 | Yes (X) | ||
| MOHAMMED RAQEEB | ||||||||
| DIRECTOR OF IT | 40.0 | 0.0 | $186,867 | $0 | $34,416 | Yes (X) | ||
| MATHEW JACOB | ||||||||
| DIRECTOR OF ACCOUNTING | 55.0 | 0.0 | $200,124 | $0 | $2,277 | Yes (X) | ||
| NIAZ A KHAN | ||||||||
| SYSTEM ANALYST 1 | 40.0 | 0.0 | $127,621 | $0 | $38,879 | Yes (X) | ||
| VANESSA NOZIGLIA | ||||||||
| DIR. OF VALUE BASE PERFORM. | 40.0 | 0.0 | $122,060 | $0 | $5,088 | Yes (X) | ||
| JOHN JAIRO ESPINOSA | ||||||||
| MANAGER | 40.0 | 0.0 | $104,714 | $0 | $8,703 | Yes (X) | ||
| JEAN ANDERSON ELOY MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| LARRY P FROHMAN MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| JUSTIN SAMBOL MD | ||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,759,618 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,476,653 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,395,451 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHANGE HEALTHCARE LLC | |||||
| PO BOX 742526 | ATLANTA | GA | 303742526 | BILLING & COLLECTION | $10,949,752 |
| IHEALTH SOLUTIONS LLC | |||||
| PO BOX 92198 | LAS VEGAS | NV | 89193 | BILLING & COLLECTION | $368,477 |
| ROBERT A SOLOMON PC | |||||
| 91 PACIFIC STREET | NEWARK | NJ | 07105 | BILLING & COLLECTION | $217,440 |
| MEDICAL CONSULTANTS INC | |||||
| PO BOX 735160 | DALLAS | TX | 75373 | I.T. SUPPORT | $186,119 |
| DOCTORS MANAGEMENT LLC | |||||
| PO BOX 23590 | KNOXVILLE | TN | 379331590 | MEDICAL EDUCATION | $152,912 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM RELATED REVENUE | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $28,645,497 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,645,497 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,645,497 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $395,026 | TotalRevenueColumnAmt |
| Exclusion | $395,026 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $108,891 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$108,891 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$108,891 | TotalRevenueColumnAmt |
| Exclusion | -$108,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,931,632 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,645,497 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $286,135 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,444 | TotalAmt |
| Program Services | $933,700 | ProgramServicesAmt |
| Management And General | $103,744 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,673,542 | TotalAmt |
| Program Services | $9,606,188 | ProgramServicesAmt |
| Management And General | $1,067,354 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,853 | TotalAmt |
| Program Services | $155,568 | ProgramServicesAmt |
| Management And General | $17,285 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,119,761 | TotalAmt |
| Program Services | $2,807,785 | ProgramServicesAmt |
| Management And General | $311,976 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,319 | TotalAmt |
| Program Services | $247,787 | ProgramServicesAmt |
| Management And General | $27,532 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,201 | TotalAmt |
| Program Services | $231,481 | ProgramServicesAmt |
| Management And General | $25,720 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,221 | TotalAmt |
| Program Services | $201,799 | ProgramServicesAmt |
| Management And General | $22,422 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,029,546 | TotalAmt |
| Program Services | $9,926,591 | ProgramServicesAmt |
| Management And General | $1,102,955 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,610 | TotalAmt |
| Program Services | $666,549 | ProgramServicesAmt |
| Management And General | $74,061 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,143 | TotalAmt |
| Program Services | $192,729 | ProgramServicesAmt |
| Management And General | $21,414 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,061 | TotalAmt |
| Program Services | $2,755 | ProgramServicesAmt |
| Management And General | $306 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,894 | TotalAmt |
| Program Services | $13,405 | ProgramServicesAmt |
| Management And General | $1,489 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER EXPENSES | Desc |
| Total | $1,022,378 | TotalAmt |
| Program Services | $920,139 | ProgramServicesAmt |
| Management And General | $102,239 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,784,973 | TotalAmt |
| Program Services | $25,906,476 | ProgramServicesAmt |
| Management And General | $2,878,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,127,589 | BOYAmt |
| EOY | $17,369,847 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,888 | BOYAmt |
| EOY | $3,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,673,020 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,673,020 | LandBldgEquipAccumDeprecAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,271,224 | BOYAmt |
| EOY | $2,869,532 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $61,065,922 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,402,701 | BOYAmt |
| EOY | $81,309,216 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,301,485 | BOYAmt |
| EOY | $70,276,943 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,464 | BOYAmt |
| EOY | $12,027,977 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,304,949 | BOYAmt |
| EOY | $82,304,920 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$902,248 | BOYAmt |
| EOY | -$995,704 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$902,248 | BOYAmt |
| EOY | -$995,704 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,402,701 | BOYAmt |
| EOY | $81,309,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $146,659 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$240,115 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARNABAS HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222405279 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Sch A Type3 Func Int | Form990SchAType3FuncIntGrp |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A; Part I; Line 12g | FormAndLineReferenceDesc |
| Explanation | The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization supports the charitable purposes of RWJ Barnabas Health, Inc. and affiliates including specifically Barnabas Health, Inc.; a related organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code section 501(c)(3) and as a supporting organization pursuant to internal revenue code section 509(a)(3). In order to meet the electronic filing requirements, its supported organization, Barnabas Health, Inc. is being reflected in Schedule A; Part I; Line 12g, as an Internal revenue Code Section 501(c)(3) organization and as a non-private foundation pursuant to internal revenue code section 509(a)(2). | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,203,469 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,203,469 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $469,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $469,551 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $61,065,922 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $61,065,922 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $12,027,977 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,027,977 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH 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 FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2021 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN W DOLL CPA | ||||||||||||||
| TRUSTEE | $0 | $1,384,273 | $0 | $914,500 | $0 | $2,551,349 | $0 | $594,575 | $0 | $30,619 | $0 | $5,475,316 | $0 | $1,909,593 |
| RURIC C ANDERSON MD | ||||||||||||||
| CHAIRMAN - TRUSTEE | $0 | $960,440 | $0 | $318,400 | $0 | $25,980 | $0 | $341,511 | $0 | $31,875 | $0 | $1,678,206 | $0 | $0 |
| DOUGLAS A ZEHNER | ||||||||||||||
| TREASURER - TRUSTEE | $0 | $544,282 | $0 | $88,481 | $0 | $38,940 | $0 | $108,822 | $0 | $29,717 | $0 | $810,242 | $0 | $0 |
| TIPTON H FORD | ||||||||||||||
| SECRETARY - TRUSTEE | $0 | $466,927 | $0 | $164,587 | $0 | $18,494 | $0 | $98,935 | $0 | $20,001 | $0 | $768,944 | $0 | $0 |
| DAVID HAIER | ||||||||||||||
| CEO | $509,615 | $0 | $53,125 | $0 | $0 | $0 | $0 | $0 | $30,242 | $0 | $592,982 | $0 | $0 | $0 |
| JOANNE C GORDON | ||||||||||||||
| CCO | $229,719 | $0 | $9,588 | $0 | $0 | $0 | $0 | $0 | $2,754 | $0 | $242,061 | $0 | $0 | $0 |
| DONNA L CONLIN SAWLER | ||||||||||||||
| HUMAN RESOURCES MANAGER | $210,361 | $0 | $5,824 | $0 | $0 | $0 | $0 | $0 | $17,037 | $0 | $233,222 | $0 | $0 | $0 |
| MOHAMMED RAQEEB | ||||||||||||||
| DIRECTOR OF IT | $181,829 | $0 | $5,038 | $0 | $0 | $0 | $0 | $0 | $34,416 | $0 | $221,283 | $0 | $0 | $0 |
| MATHEW JACOB | ||||||||||||||
| DIRECTOR OF ACCOUNTING | $191,692 | $0 | $8,432 | $0 | $0 | $0 | $0 | $0 | $2,277 | $0 | $202,401 | $0 | $0 | $0 |
| NIAZ A KHAN | ||||||||||||||
| SYSTEM ANALYST 1 | $124,198 | $0 | $3,423 | $0 | $0 | $0 | $5,082 | $0 | $33,797 | $0 | $166,500 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I; QUESTION 4B | The amount reflected in column b(iii) for the following individual includes an amount reported on a form w-2, Box 1, as federal taxable wages issued by fidelity investments institutional operations co., the employer's third-party administrator of the organization's supplemental executive retirement plan ("serp"). The SERP was terminated and Fidelity made a distribution of the entire balance to each participant. This amount included employer contributions previously taxed on Form W-2, Box 5, for Medicare wage purposes (and reported on prior years Forms 990) and account earnings. Accordingly, the amount outlined herein is also included in schedule j, part ii, column e, total compensation column: JOHN W. DOLL, CPA, $2,001,371. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN W. DOLL, CPA, $543,750. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN W. DOLL, CPA, $578,625; RURIC C. ANDERSON, M.D., $329,600; DOUGLAS A. ZEHNER, $95,772 AND TIPTON H. FORD, $95,938. |
| SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH AMOUNTS WERE INCLUDED IN 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. |
| SCHEDULE J, PART II, COLUMN F | The amounts reported in schedule j, part ii, column (f) include amounts reported on prior years' forms 990 in schedule j, part ii, either in column (b)(iii) as Form W-2, Box 5, taxable Medicare wages or in column (c) as non-taxable unvested deferred compensation that is now being reported again on this year's form 990. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART I, LINES 3 & 4 & PART VI, SECTION A; Q'S 1A & 1B | THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS REFLECTED ON CORE FORM, PART I, LINES 3 AND 4 AND ALSO IN PART VI, LINES 1A AND 1B, THERE ARE A TOTAL OF SEVEN VOTING MEMBERS ON THE BOARD OF TRUSTEES. AT YEAR END, OF THESE SEVEN VOTING BOARD MEMBERS, FOUR ARE NON-INDEPENDENT BECAUSE EACH ARE EMPLOYED BY AN AFFILIATE AND RECEIVE WAGES AS AN EMPLOYEE. ALTHOUGH THIS FEDERAL FORM 990 SHOWS LESS THAN A MAJORITY OF INDEPENDENT BOARD OF TRUSTEES UNDER THE INTERNAL REVENUE SERVICE RULES AND REGULATIONS; THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CONTROLLED BY RWJ BARNABAS HEALTH, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHICH ARE INDEPENDENT VOTING MEMBERS. ORGANIZATION, WHICH IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHICH ARE INDEPENDENT VOTING MEMBERS. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11b | THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM 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 SYSTEM INDIVIDUALS INCLUDING EXECUTIVE VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("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 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 AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | 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. GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF RWJ BH'S SENIOR MANAGEMENT. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. 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. 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. 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 REVIEW 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. THE COMMITTEE ADEQUATELY DOCUMENTED THE 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 RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM RWJBARNABAS HEALTH'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| 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 THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR 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 AND SCHEDULE J | JOHN W. DOLL, CPA IS LISTED AS A TRUSTEE ON THIS FORM 990. JOHN W. DOLL, CPA IS NOT INVOLVED WITH THIS ORGANIZATION IN ANY OTHER CAPACITY; HE PROVIDES NO SERVICES TO OR FOR THIS ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OF THIS ORGANIZATION. HE IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME IN A CORPORATE SYSTEM ROLE FOR RWJBARNABAS HEALTH AS THE SYSTEM'S EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH BARNABAS HEALTH, INC. (EIN: 22-2405279). BARNABAS HEALTH, INC. FILED A 2021 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. RURIC C. ANDERSON, M.D. IS LISTED AS A TRUSTEE ON THIS FORM 990. RURIC C. ANDERSON, M.D. IS NOT INVOLVED WITH THIS ORGANIZATION IN ANY OTHER CAPACITY; HE PROVIDES NO SERVICES TO OR FOR THIS ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OF THIS ORGANIZATION. HE IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME AS THE CHIEF EXECUTIVE OFFICER OF BARNABAS HEALTH MEDICAL GROUP, P.C. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH BARNABAS HEALTH MEDICAL GROUP, P.C. (EIN: 22-3316007). BARNABAS HEALTH MEDICAL GROUP, P.C. FILED A 2021 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. ANDERSON'S COMPENSATION IN EXCESS OF $1M. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS, DIRECTORS 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 IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON 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 RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJ BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:11029546 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| UPA-NP LLC | |||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223644535 | SUPPORT | NJ | $0 | $0 | UPA |
| UPA-AB LLC | |||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223762184 | SUPPORT | NJ | $0 | $0 | UPA |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BARNABAS BAYONNE DEV URBAN RENEWAL CORP | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 352219655 | STAFFING SVCS | NJ | 501(C)(3) | 509(a)(3) | SBRDC | false |
| BARNABAS HEALTH INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222405279 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | RWJ BH | false |
| BARNABAS HEALTH MEDICAL GROUP PC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223316007 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | RWJ BH | false |
| CENTER STATE HEALTH GROUP INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222939956 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223343959 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | SBBH | false |
| CHILDRENS SPECIALIZED HOSPITAL | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221487148 | PED. CARE | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| CLARA MAASS FOUNDATION | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222132516 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| CLARA MAASS MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221500556 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| COMMUNITY MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223452306 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| COMMUNITY MEDICAL CENTER FOUNDATION | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222597592 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| DOCTORS' CENTER MANAGEMENT CORP | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223175258 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| GREENVILLE HOSPITAL | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 220963805 | INACTIVE | NJ | 501(c)(3) | HOSPITAL | RWJ BH | false |
| IRVINGTON HOSPITAL FOUNDATION | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 237025428 | INACTIVE | NJ | 501(C)(3) | 509(a)(3) | RWJ BH | false |
| JERSEY CITY MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222783298 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| LAKEVIEW CHILD CARE CENTER INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222627639 | CHILD CARE | NJ | 501(C)(3) | 509(A)(2) | RWJ BH | false |
| LIBERTY RIVERSIDE HEALTHCARE | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223284894 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| MEGA CARE INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222578561 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | CSHG | false |
| MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222630076 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| MONMOUTH MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223452412 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| MONMOUTH MEDICAL CENTER - FACULTY PRACT | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223357053 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | MMC | false |
| MONMOUTH MEDICAL CENTER FOUNDATION | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222456079 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| NEW BRUNSWICK AFFILIATED HOSPITALS INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221946837 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| NEW MARGARET HAGUE CTR WOMENS JCM OBGYN | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223363012 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | JCMC | false |
| NEWARK BETH ISRAEL MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07112 | 223452311 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| OPPORTUNITY PROJECT INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223242203 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(1) | CSH | false |
| ROBERT WOOD JOHNSON VISITING NURSES INC | ||||||||||
| 972 SHOPPES BOULEVARD | NORTH BRUNSWICK | NJ | 08902 | 263659270 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | NA | false |
| RWJBH MEDICAL GROUP PC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 842840311 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| RWJ BARNABAS HEALTH INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 810682747 | INACTIVE | NJ | 501(C)(3) | 509(A)(3) | NA | false |
| RWJ HEALTH NETWORK INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223420314 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| RWJ UNIVERSITY HOSPITAL | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221487243 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| RWJ UNIV HOSP AT HAMILTON FDN INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222552329 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | RWJ BH | false |
| RWJ UNIV HOSPITAL AT HAMILTON | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 210634572 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| RWJ UNIV HOSPITAL FOUNDATION INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222378007 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | RWJ BH | false |
| RWJ UNIVERSITY HOSPITAL RAHWAY | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221487305 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222977312 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | CSHG | false |
| SAINT BARNABAS HEALTH CARE SYSTEM FDN | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223769036 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| SAINT BARNABAS HOSPICE AND PALLIATIVE | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222354659 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(1) | RWJ BH | false |
| COOPERMAN BARNABAS MEDICAL CENTER | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 221494440 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | RWJ BH | false |
| SAINT BARNABAS OUTPATIENT CENTERS | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222458479 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | RWJ BH | false |
| SAINT BARNABAS REALTY DEVELOPMENT CORP | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222940008 | TITLE HLDNG. | NJ | 501(C)(3) | 509(a)(3) | RWJ BH | false |
| SANDY HOOK FRNDS OF ST BARNABAS BURN FDN | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223236202 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | RWJ BH | false |
| SOMERSET HEALTH CARE FOUNDATION INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223294408 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(1) | RWJ BH | false |
| THE JERSEY CITY MEDICAL CENTER FDN | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223113911 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(2) | RWJ BH | false |
| UNITED RESCUE AT JERSEY CITY INC | ||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222458481 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(2) | JCMC | false |
| VNA HEALTH GROUP OF NEW JERSEY LLC | ||||||||||
| 176 RIVERSIDE AVENUE | RED BANK | NJ | 07701 | 474841103 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | MEGA CARE | false |
| RUTGERS NJ MEDICAL SCHOOL | ||||||||||
| 185 SOUTH ORANGE AVENUE | NEWARK | NJ | 07107 | 226001083 | MED. SCHOOL | NJ | 501(C)(3) | 509(A)(1) | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| AVENEL ISELIN MEDICAL GROUP LLC | |||||||
| 400 GILL LANE | ISELIN | NJ | 08830 | 221965695 | HEALTH SVCS. | NJ | NA |
| BARNABAS ON TIME HOLDINGS LLC | |||||||
| 135 E HIGHLAND PARK | ROSELLE | NJ | 07203 | 842572508 | HEALTH SVCS. | NJ | NA |
| CENTRAL JERSEY ACO LLC | |||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 455460713 | HEALTH SVCS. | NJ | NA |
| CREST PHYSICAL THERAPY SERVICES LLC | |||||||
| 66 WEST GILBERT STREET | RED BANK | NJ | 07701 | 844913447 | HEALTH SVCS. | NJ | NA |
| HAMILTON ENDO & SURG LLC | |||||||
| 1235 WHITEHORSE-MERCERVILLE RD STE | HAMILTON | NJ | 08619 | 223837967 | HEALTH SVCS. | NJ | NA |
| HUDSON MD GROUP LLC | |||||||
| 443 NORTHFIELD AVE | WEST ORANGE | NJ | 07052 | 841928885 | HEALTH SVCS. | NJ | NA |
| INNOVATIVE PURCHASING CONCEPTS | |||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223786557 | INACTIVE | NJ | NA |
| JERSEY ASC VENTURES LLC | |||||||
| 1A BURTON HILLS BLVD | NASHVILLE | TN | 37215 | 473368037 | HEALTH SVCS. | TN | NA |
| LIBERTYUSP SURGERY CENTERS LLC | |||||||
| 15305 DALLAS PKWY SUITE 1600 LB 28 | ADDISON | TX | 37215 | 264756962 | HEALTH SVCS. | TX | NA |
| MEDEMERGE LLC | |||||||
| 1005 WASHINGTON AVE | GREEN BROOK | NJ | 08812 | 030382501 | HEALTH SVCS. | NJ | NA |
| NEW JERSEY IMAGING NTWKLLC | |||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 460623701 | HEALTH SVCS. | NJ | NA |
| RWJBH ASSOCIATES 2 LLC | |||||||
| 66 WEST GILBERT STREET | RED BANK | NJ | 07701 | 842867293 | HEALTH SVCS. | NJ | NA |
| RWJ-REGENT II LLC | |||||||
| ONE ROBERT WOOD JOHNSON PLACE | NEW BRUNSWICK | NJ | 08903 | 800878969 | HEALTH SVCS. | NJ | NA |
| RWJ-REGENT LLC | |||||||
| 10 PLUM STREET 4TH FLOOR | NEW BRUNSWICK | NJ | 08901 | 453853994 | HEALTH SVCS. | NJ | NA |
| SHREWSBURY DIAGNOSTIC IMAGING LLC | |||||||
| 1131 BROAD STREET SUITE 110 | SHREWSBURY | NJ | 07702 | 203833246 | HEALTH SVCS. | NJ | NA |
| SOMERSET PEDIATRIC GROUP LLC | |||||||
| 575 ROUTE 28 BLDG 2 STE 2205 | RARITAN | NJ | 08869 | 221908643 | HEALTH SVCS. | NJ | NA |
| CARE STATION MSO LLC | |||||||
| 328 WEST ST GEORGES AVENUE | LINDEN | NJ | 07036 | HEALTH SVCS. | NJ | NA | |
| JAG-ONE HOLDINGS LP | |||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 854395273 | HEALTH SVCS. | NJ | NA |
| PREDICTIVE HEALTH SOLUTIONS LLC | |||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 871292461 | HEALTH SVCS. | NJ | NA |
| ADVANCED GASTROENTEROLOGY GROUP LLC | |||||||
| 1308 MORRIS AVENUE SUITE 102 | UNION | NJ | 07083 | 223759909 | HEALTH SVCS. | NJ | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTER STATE MANAGEMENT CORP | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222506125 | MGMT SVCS. | NJ | NA | C CORP. | false | |||||
| CSH VENTURES INC | ||||||||||||||
| 200 SOMERSET STREET | NEW BRUNSWICK | NJ | 08901 | 472729885 | MED. CONSULTING | NJ | NA | C CORP. | false | |||||
| HEALTH CARE FACILITIES MGT | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223532988 | MAINT. SVCS. | NJ | NA | C CORP. | false | |||||
| LIVINGSTON INFUSION CARE INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223190756 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| LIVINGSTON SERVICES CORP | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222779395 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| LSC PHARMACY SERVICES INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 452552776 | PHARMACY SVCS. | NJ | NA | C CORP. | false | |||||
| MAJOR INVESTIGATIONS INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223040539 | SECURITY SVCS. | NJ | NA | C CORP. | false | |||||
| NJ HEALTH CARE SYSTEM INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223536986 | INACTIVE | NJ | NA | C CORP. | false | |||||
| RWJ MED SVCS ORG AT HAMILTON | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223454270 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| RWJ MEDICAL ASSOCIATES PA | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223586872 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| RWJ PHYSICIAN ENTERPRISE PA | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 453967414 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| RWJ SURGERY CENTER INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223698431 | HEALTH SVCS. | NJ | NA | C CORP. | false | |||||
| SBC MANAGEMENT CORPORATION | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223414332 | MGMT SVCS. | NJ | NA | C CORP. | false | |||||
| SHC ENTERPRISES INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222665595 | MGMT SVCS. | NJ | NA | C CORP. | false | |||||
| SOMERSET REALTY GROUP INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 223269525 | REAL ESTATE | NJ | NA | C CORP. | false | |||||
| VISION HEALTHCARE INC | ||||||||||||||
| C/O CORP FIN 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 204285005 | INVESTMENT | NJ | NA | C CORP. | false | |||||
| CPIC | ||||||||||||||
| FINANCIAL VEHICLE | NA | FOREIGN CORP. | false | 44 CHURCH STREET | HAMILTON | BD | HM11 | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V | FormAndLineReferenceDesc |
| Explanation | THIS ORGANIZATION IS A MEMBER OF RWJBARNABAS 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 RWJBARNABAS HEALTH 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. | ExplanationTxt |