FURP.ORG / PUBLIC DATA EXPLORER

MONMOUTH MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MONMOUTH MEDICAL CENTER FOUNDATION INC (EIN 22-2456079)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349301129
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

FieldValueIRS element (for citing)
Return2022-11-15T06:18:19-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 Jefferson Park Suite 400AddressLine1Txt
CityWhippanyCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079811070ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222456079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH MEDICAL CENTER FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CATHERINE DOWDY CPAInCareOfNm
Business Name ControlMONMBusinessNameControlTxt
Phone9733224032PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CORP FINANCE 2 CRESCENT PLACEAddressLine1Txt
CityOCEANPORTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07757ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATHERINE A DOWDYPersonNm
Person TitleSVP FinancePersonTitleTxt
Phone7329238929PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCATHERINE APersonFirstNm
Person LastDOWDYPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone9738989494PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerCAITLIN R OLSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 CRESCENT PLACEAddressLine1Txt
CityOCEANPORTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07757ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,195,620GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RWJBH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO SUPPORT THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED IRC SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,726,156PYContributionsGrantsAmt
CY Contributions Grants$13,831,287CYContributionsGrantsAmt
PY Program Service Revenue$1,823,753PYProgramServiceRevenueAmt
CY Program Service Revenue$4,319,303CYProgramServiceRevenueAmt
PY Investment Income$673,560PYInvestmentIncomeAmt
CY Investment Income$683,872CYInvestmentIncomeAmt
PY Other Revenue$1,490PYOtherRevenueAmt
CY Other Revenue$71,231CYOtherRevenueAmt
PY Total Revenue$9,224,959PYTotalRevenueAmt
CY Total Revenue$18,905,693CYTotalRevenueAmt
PY Grants And Similar Paid$14,722,548PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,158,271CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$386,400PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,550,468CYTotalFundraisingExpenseAmt
PY Other Expenses$2,131,699PYOtherExpensesAmt
CY Other Expenses$2,767,003CYOtherExpensesAmt
PY Total Expenses$17,240,647PYTotalExpensesAmt
CY Total Expenses$13,925,274CYTotalExpensesAmt
PY Revenues Less Expenses-$8,015,688PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,980,419CYRevenuesLessExpensesAmt
Total Assets BOY$41,292,369TotalAssetsBOYAmt
Total Assets EOY$47,507,975TotalAssetsEOYAmt
Total Liabilities BOY$1,028,369TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,606,975TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,264,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,901,000NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SUPPORT THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,158,271ExpenseAmt
Grant$11,158,271GrantAmt
Revenue$4,319,303RevenueAmt
DescEXPENSES INCURRED IN SUPPORT OF THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY.Desc
Total Program Service Expenses$11,158,271TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
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States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
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States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCATHERINE DOWDY CPAPersonNm
Phone7329238929PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 CRESCENT PLACEAddressLine1Txt
CityOCEANPORTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07757ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
WILLIAM DOWNS DO
TRUSTEE; EX-OFFICIO55.00.0Yes (X)$0$381,135$37,038
VICTOR ALMEIDA DO
TRUSTEE55.00.0Yes (X)$0$325,482$7,333
GREGORY GRECO MD
TRUSTEE55.00.0Yes (X)$0$271,012$17,376
CAITLIN R OLSON
VP, DEVELOPMENT55.00.0$0$138,582$8,064Yes (X)
TARA FORMICA KELLY
TRUSTEE-VP DEV (TERM 2/24/21)55.00.0Yes (X)$0$110,356$6,588Yes (X)
ANIL K SHARMA MD
TRUSTEE10.00.0Yes (X)$0$8,068$0
CLAIRE M KNOPF
CHAIR - TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
DENNIS KELLY
VICE CHAIR - TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
BONNIE KLEIN
VICE CHAIR - TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
GLORIA NILSON
SECRETARY - TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
MARIO A MONELLO
TREASURER - TRUSTEE1.00.0Yes (X)$0$0$0Yes (X)
ANDREA Z AIKINS
TRUSTEE1.00.0Yes (X)$0$0$0
ANA BLANK
TRUSTEE1.00.0Yes (X)$0$0$0
GARY CHROPUVKA
TRUSTEE1.00.0Yes (X)$0$0$0
CAROLYN DEFORTE-WASSERFALL
TRUSTEE1.00.0Yes (X)$0$0$0
MEGHAN DEL PRIORE
TRUSTEE1.00.0Yes (X)$0$0$0
CAROLYN DESENA
TRUSTEE1.00.0Yes (X)$0$0$0
WARREN DIAMOND
TRUSTEE1.00.0Yes (X)$0$0$0
JAY GRUNIN
TRUSTEE1.00.0Yes (X)$0$0$0
KEVIN KELLY
TRUSTEE1.00.0Yes (X)$0$0$0
PATRICK P SCIRE
TRUSTEE1.00.0Yes (X)$0$0$0
DARSIT SHAH MD
TRUSTEE; EX-OFFICIO1.00.0Yes (X)$0$0$0
ROBERT H SICKLES
TRUSTEE1.00.0Yes (X)$0$0$0
WILLIAM THYGESON
TRUSTEE1.00.0Yes (X)$0$0$0
VINCENT TIZZIO
TRUSTEE1.00.0Yes (X)$0$0$0
DANIEL WHALEN
TRUSTEE1.00.0Yes (X)$0$0$0
MARSHALL KNOPF
TRUSTEE (TERMED 5/1/21)1.00.0Yes (X)$0$0$0
GLENN MILLER
RWJBH CHIEF DEV. OFFICER0.055.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,234,635TotReportableCompRltdOrgAmt
Total Other Compensation$76,399TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonCOMMUNITY COUNSELING SERVICE CO LPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1527 MADISON AVENUE 5TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10022ZIPCd
FieldValueIRS element (for citing)
ServicesCAMPAIGN MANAGEMENTServicesDesc
Compensation$627,600CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$312,794FundraisingAmt
All Other Contributions$13,518,493AllOtherContributionsAmt
Noncash Contributions$293,727NoncashContributionsAmt
Total Contributions$13,831,287TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescOTHER PROGRAM RELATED REVENUEDesc
Business900099BusinessCd
Total Revenue Column$4,319,303TotalRevenueColumnAmt
Related Or Exempt Func Income$4,319,303RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,319,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$683,872TotalRevenueColumnAmt
Exclusion$683,872ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$234,208FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$312,794ContriRptFundraisingEventAmt
Fundraising Direct Expenses$234,208FundraisingDirectExpensesAmt
Gaming Gross Income$126,950GamingGrossIncomeAmt
Gaming Direct Expenses$55,719GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,231TotalRevenueColumnAmt
Exclusion$71,231ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,905,693TotalRevenueColumnAmt
Related Or Exempt Func Income$4,319,303RelatedOrExemptFuncIncomeAmt
Exclusion$755,103ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,558,999TotalAmt
Program Services$10,558,999ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$599,272TotalAmt
Program Services$599,272ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$627,600TotalAmt
Fundraising$627,600FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$82,088TotalAmt
Management And General$77,910ManagementAndGeneralAmt
Fundraising$4,178FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,886TotalAmt
Management And General$5,943ManagementAndGeneralAmt
Fundraising$5,943FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$317TotalAmt
Management And General$317ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,584TotalAmt
Management And General$1,584ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ALLOC. OF PERSONNEL COSTS$1,167,622$440,310$727,312
VARIOUS FUNDRAISING EXPENSES$221,072$35,637$185,435
DUES AND SUBSCRIPTIONS$2,719$2,719
OTHER EXPENSES$652,115$652,115

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,925,274TotalAmt
Program Services$11,158,271ProgramServicesAmt
Management And General$1,216,535ManagementAndGeneralAmt
Fundraising$1,550,468FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$480,751BOYAmt
EOY$96,529EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,186,963BOYAmt
EOY$23,584,547EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,970BOYAmt
EOY$6,479EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,950LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,950LandBldgEquipAccumDeprecAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$22,543,098BOYAmt
EOY$23,212,464EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,999,587BOYAmt
EOY$607,956EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$41,292,369BOYAmt
EOY$47,507,975EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,893BOYAmt
EOY$36,215EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$993,476BOYAmt
EOY$2,570,760EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,028,369BOYAmt
EOY$2,606,975EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,766,000BOYAmt
EOY$960,000EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,498,000BOYAmt
EOY$43,941,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,264,000BOYAmt
EOY$44,901,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,292,369BOYAmt
EOY$47,507,975EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,980,419ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$372,860NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$29,441OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,656,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,343,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,965,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,726,156CurrentTaxYearMinus1YearAmt
Current Tax Year$4,831,287CurrentTaxYearAmt
Total$18,522,081TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,656,369CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,343,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,965,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,726,156CurrentTaxYearMinus1YearAmt
Current Tax Year$4,831,287CurrentTaxYearAmt
Total$18,522,081TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,006,953SubstantialContributorsTotAmt
Public Support Total170$17,515,128PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$408,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$611,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,103,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$673,560CurrentTaxYearMinus1YearAmt
Current Tax Year$683,872CurrentTaxYearAmt
Total$3,480,689TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$22,002,770TotalSupportAmt
Gross Receipts Rltd Activities$9,769,479GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79604PublicSupportCY170Pct
Public Support PY1700.73378PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceUNUSUAL GRANTSFormAndLineReferenceDesc
ExplanationThe organization received CONTRIBUTIONS: (1) in the amount of $1,000,000 from a private foundation in 2016; (2) IN THE AMOUNT OF $1,200,000 FROM AN INDIVIDUAL IN 2017; (3) IN THE AMOUNT OF $1,502,000 FROM AN INDIVIDUAL IN 2017; (4) IN THE AMOUNT OF $8,300,000 FROM AN INDIVIDUAL IN 2018; (5) IN THE AMOUNT OF $3,000,000 FROM A PRIVATE FOUNDATION IN 2019; (6) IN THE AMOUNT OF $3,000,000 FROM AN INDIVIDUAL IN 2020; AND (7) IN THE AMOUNT OF $9,000,000 FROM AN INDIVIDUAL IN 2021. These contributions WERE classified as unusual grants and excluded from both the numerator and denominator in the public support percentage calculation. Each contribution IS unusual in nature because, according to Form 990, Schedule A instructions and in accordance with Treasury Regulations 1.509(a)-3(c)(4): - They were attracted because of the publicly supported nature of the organization, - They were unusual and unexpected because of the amounts (no other individuals or foundations contributed any amount similar to these amounts in the five year period), and - They are large enough that they would significantly decrease the organization's public support percentage.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,416,000BeginningYearBalanceAmt
End Year Balance$5,416,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,416,000BeginningYearBalanceAmt
End Year Balance$5,416,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,416,000BeginningYearBalanceAmt
End Year Balance$5,416,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,416,000BeginningYearBalanceAmt
End Year Balance$5,416,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,416,000BeginningYearBalanceAmt
End Year Balance$5,416,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,950OtherCostOrOtherBasisAmt
Depreciation$17,950DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (9 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MUTUAL FUNDS - FIXED INCOME$3,590,074F
CASH EQUIVALENTS$2,313,391F
CORPORATE BONDS$10,271,811F
ASSET BACKED SECURITIES$3,508,870F
COMMERCIAL MORTGAGE-BACKED$1,561,222F
MUNICIPAL BONDS$903,111F
GOVERNMENT OBLIGATIONS$966,689F
ACCRUED INTEREST$58,069F
BOND FUNDS$39,227F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$23,212,464TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$2,554,333
OTHER LIABILITIES$16,427
FieldValueIRS element (for citing)
Total Liability$2,570,760TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, QUESTION 4RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. THE FOUNDATIONS' ENDOWMENTS CONSIST OF THE BOARD-DESIGNATED AND DONOR-RESTRICTED ENDOWMENT FUNDS. THE ENDOWMENT INVESTMENTS PROVIDE FUNDING FROM INVESTMENT EARNINGS, WHICH IS EXPENDABLE TO SUPPORT EQUIPMENT PURCHASES, EDUCATION, COMMUNITY, AND OTHER VARIOUS PROGRAMS.
SCHEDULE D, PART XTHE 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.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonCOMMUNITY COUNSELING SERVICE CO LPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1527 madison avenue 5th floorAddressLine1Txt
Citynew yorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10022ZIPCd
FieldValueIRS element (for citing)
ActivityCAMPAIGN MANAGEMENTActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$627,600RetainedByContractorAmt
Net To Organization$0NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$0TotalGrossReceiptsAmt
Total Retained By Contractors$627,600TotalRetainedByContractorsAmt
Total Net To Organization$0TotalNetToOrganizationAmt
Licensed StatesALLicensedStatesCd
Licensed StatesAKLicensedStatesCd
Licensed StatesCALicensedStatesCd
Licensed StatesCOLicensedStatesCd
Licensed StatesDCLicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesGALicensedStatesCd
Licensed StatesHILicensedStatesCd
Licensed StatesILLicensedStatesCd
Licensed StatesKSLicensedStatesCd
Licensed StatesKYLicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesMDLicensedStatesCd
Licensed StatesMALicensedStatesCd
Licensed StatesMNLicensedStatesCd
Licensed StatesMSLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNMLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNDLicensedStatesCd
Licensed StatesOHLicensedStatesCd
Licensed StatesOKLicensedStatesCd
Licensed StatesSCLicensedStatesCd
Licensed StatesTNLicensedStatesCd
Licensed StatesUTLicensedStatesCd
Licensed StatesWALicensedStatesCd
Licensed StatesWVLicensedStatesCd
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$210,964GrossReceiptsEvent1Amt
Charitable Contri Event1$106,903CharitableContriEvent1Amt
Gross Revenue Event1$104,061GrossRevenueEvent1Amt
Rent Facility Costs Event1$14,146RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$89,915OtherDirectExpensesEvent1Amt
Event2POWER OF PINKEvent2Nm
Gross Receipts Event2$181,760GrossReceiptsEvent2Amt
Charitable Contri Event2$62,286CharitableContriEvent2Amt
Gross Revenue Event2$119,474GrossRevenueEvent2Amt
Rent Facility Costs Event2$37,774RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$81,700OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$154,278GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$143,605CharitableContriOtherEventsAmt
Gross Revenue Other Events$10,673GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$10,673OthDirectExpnssOtherEventsAmt
Gross Receipts Total$547,002GrossReceiptsTotalAmt
Charitable Contributions Tot$312,794CharitableContributionsTotAmt
Gross Revenue Total Events$234,208GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$51,920RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$182,288OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$234,208DirectExpenseSummaryEventsAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$126,950GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming$47,407NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$8,312OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingfalseVolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$126,950GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming$47,407NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$8,312OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$55,719DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$71,231NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0.90000GamingOwnFacilityPct
Gaming Other Facility0.10000GamingOtherFacilityPct
Individual With Booksevelyn nitisIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O CORP FINANCE 2 CRESCENT PLACEAddressLine1Txt
CityOCEANPORTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07757ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager Personevelyn nitis AND OTHER MMCF PERSONNGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvMANAGE DAY TO DAY ACTIVITIES OF RAFFLESGamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O CORP FIN 2 CRESCENT PLACEAddressLine1Txt
CityOCEANPORTCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07757ZIPCd
FieldValueIRS element (for citing)
Recipient EIN223452412RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$10,558,999CashGrantAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
SCHOLARSHIPS37$65,290FMV
COMMUNITY ASSISTANCE21$254,150FMV
EMPLOYER ASSISTANCE32$279,832FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL AND HUMAN RESOURCES department personnel THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM DOWNS DO
TRUSTEE; EX-OFFICIO$0$380,169$0$0$0$966$0$10,802$0$26,236$0$418,173$0$0
VICTOR ALMEIDA DO
TRUSTEE$0$315,976$0$0$0$9,506$0$1,146$0$6,187$0$332,815$0$0
GREGORY GRECO MD
TRUSTEE$0$271,012$0$0$0$0$0$17,376$0$0$0$288,388$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I; QUESTION 7FormAndLineReferenceDesc
ExplanationTara Formica Kelly is listed on Core Form, Part VII and received a bonus during calendar year 2021, which was included in her 2021 Form W-2, Box 5, as taxable Medicare wages.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution8ContributionCnt
Noncash Contributions Rpt F990$293,727NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I; QUESTION 32AFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HIRES INDEPENDENT THIRD-PARTIES TO SELL NON-CASH CONTRIBUTIONS IT RECEIVES; IF THE ORGANIZATION DECIDES NOT TO RETAIN THE ITEM(S). THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. FOR ANY GIFTS OF STOCK THE ORGANIZATION'S POLICY IS TO SELL IT IMMEDIATELY FOLLOWING RECEIPT.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VI, SECTION A; QUESTIONS 2CLAIRE M. KNOPF AND MARSHALL KNOPF - FAMILY RELATIONSHIP.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7RWJ 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 11BThe 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. Thereafter there was a special meeting held to review this Federal Form 990 with at least one representative from the organization, a representative from system corporate finance and a representative from the cpa firm. Following these reviews and the special meeting and prior to filing with the irs, the final federal form 990 was made available to each voting member of the organization's board of trustees (its governing body).
CORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH AN INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE INDIVIDUAL'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE INDIVIDUAL'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 15THE 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 19THE 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 JCORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A BOARD MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII AND SCHEDULE JTHE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"); WHICH INCLUDES BARNABAS HEALTH, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. GLENN MILLER IS LISTED AN OFFICER OF THIS ORGANIZATION (TOP FINANCIAL OFFICIAL) SOLELY BECAUSE HE IS THE CHIEF DEVELOPMENT OFFICER OF THE SYSTEM. HE PROVIDES NO SERVICES TO OR FOR THIS ORGANIZATION IN ANY MANNER AND IS NOT COMPENSATED FOR SERVING AS AN OFFICER OF THE ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER-EMPLOYEE RELATIONSHIP IS WITH BARNABAS HEALTH, INC. AND AS SUCH HE RECEIVED A FEDERAL FORM W-2 FROM BARNABAS HEALTH, INC. MR. MILLER'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF BARNABAS HEALTH, INC. (EIN: 22-2405279); FEDERAL FORM 990. PLEASE REFER TO THE BARNABAS HEALTH, INC. FORM 990 FOR THIS INFORMATION.
CORE FORM, PART VII, SECTION A, COLUMN BTHIS 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 XI; LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFER OF EQUITY FROM SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $29,441.
CORE FORM, PART XII; QUESTION 2THE 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 RWJBARNABAS HEALTH 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BARNABAS BAYONNE DEV URBAN RENEWAL CORP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757352219655STAFFING SVCSNJ501(C)(3)509(a)(3)SBRDCfalse
BARNABAS HEALTH INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222405279HEALTH SVCS.NJ501(C)(3)509(a)(3)RWJ BHfalse
BARNABAS HEALTH MEDICAL GROUP PC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223316007HEALTH SVCS.NJ501(C)(3)509(A)(2)RWJ BHfalse
CENTER STATE HEALTH GROUP INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222939956HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223343959HEALTH SVCS.NJ501(C)(3)509(A)(3)SBBHfalse
CHILDRENS SPECIALIZED HOSPITAL
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221487148PED. CARENJ501(C)(3)HOSPITALRWJ BHfalse
CLARA MAASS FOUNDATION
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222132516FUNDRAISINGNJ501(C)(3)509(a)(1)RWJ BHfalse
CLARA MAASS MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221500556HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
COMMUNITY MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223452306HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
COMMUNITY MEDICAL CENTER FOUNDATION
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222597592FUNDRAISINGNJ501(C)(3)509(a)(1)RWJ BHfalse
DOCTORS' CENTER MANAGEMENT CORP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223175258HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
GREENVILLE HOSPITAL
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757220963805INACTIVENJ501(c)(3)HOSPITALRWJ BHfalse
IRVINGTON HOSPITAL FOUNDATION
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757237025428INACTIVENJ501(C)(3)509(a)(3)RWJ BHfalse
JERSEY CITY MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222783298HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
LAKEVIEW CHILD CARE CENTER INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222627639CHILD CARENJ501(C)(3)509(A)(2)RWJ BHfalse
LIBERTY RIVERSIDE HEALTHCARE
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223284894INACTIVENJ501(C)(3)HOSPITALRWJ BHfalse
MEGA CARE INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222578561HEALTH SVCS.NJ501(C)(3)509(a)(3)CSHGfalse
MONMOUTH MED CNTR - SOUTHERN CAMPUS FDN
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222630076FUNDRAISINGNJ501(C)(3)509(a)(1)RWJ BHfalse
MONMOUTH MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223452412HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
MONMOUTH MEDICAL CENTER - FACULTY PRACT
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223357053HEALTH SVCS.NJ501(C)(3)509(a)(3)MMCfalse
NEW BRUNSWICK AFFILIATED HOSPITALS INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221946837HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
NEW MARGARET HAGUE CTR WOMENS JCM OBGYN
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223363012HEALTH SVCS.NJ501(C)(3)509(A)(3)JCMCfalse
NEWARK BETH ISRAEL MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223452311HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
OPPORTUNITY PROJECT INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223242203HEALTH SVCS.NJ501(C)(3)509(A)(1)CSHfalse
ROBERT WOOD JOHNSON VISITING NURSES INC
972 SHOPPES BOULEVARDNORTH BRUNSWICKNJ08902263659270HEALTH SVCS.NJ501(C)(3)509(A)(2)NAfalse
RWJBH MEDICAL GROUP PC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757842840311HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
RWJ BARNABAS HEALTH INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757810682747INACTIVENJ501(C)(3)509(A)(3)NAfalse
RWJ HEALTH NETWORK INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223420314HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
RWJ UNIVERSITY HOSPITAL
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221487243HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
RWJ UNIV HOSP AT HAMILTON FDN INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222552329FUNDRAISINGNJ501(C)(3)509(A)(1)RWJ BHfalse
RWJ UNIV HOSPITAL AT HAMILTON
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757210634572HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
RWJ UNIV HOSPITAL FOUNDATION INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222378007FUNDRAISINGNJ501(C)(3)509(A)(1)RWJ BHfalse
RWJ UNIVERSITY HOSPITAL RAHWAY
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221487305HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
SAINT BARNABAS BEHAVIORAL HEALTH CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222977312HEALTH SVCS.NJ501(C)(3)HOSPITALCSHGfalse
SAINT BARNABAS HEALTH CARE SYSTEM FDN
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223769036FUNDRAISINGNJ501(C)(3)509(a)(1)RWJ BHfalse
SAINT BARNABAS HOSPICE AND PALLIATIVE
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222354659HEALTH SVCS.NJ501(C)(3)509(a)(1)RWJ BHfalse
COOPERMAN BARNABAS MEDICAL CENTER
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757221494440HEALTH SVCS.NJ501(C)(3)HOSPITALRWJ BHfalse
SAINT BARNABAS OUTPATIENT CENTERS
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222458479HEALTH SVCS.NJ501(C)(3)509(A)(2)RWJ BHfalse
SAINT BARNABAS REALTY DEVELOPMENT CORP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222940008TITLE HLDNG.NJ501(C)(3)509(a)(3)RWJ BHfalse
SANDY HOOK FRNDS OF ST BARNABAS BURN FDN
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223236202FUNDRAISINGNJ501(C)(3)509(A)(3)RWJ BHfalse
SOMERSET HEALTH CARE FOUNDATION INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223294408FUNDRAISINGNJ501(C)(3)509(A)(1)RWJ BHfalse
THE JERSEY CITY MEDICAL CENTER FDN
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223113911FUNDRAISINGNJ501(C)(3)509(a)(2)RWJ BHfalse
UNITED RESCUE AT JERSEY CITY INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222458481HEALTH SVCS.NJ501(C)(3)509(a)(2)JCMCfalse
UNIVERSITY PHYSICIAN ASSOCIATES OF NJ
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222095812HEALTH SVCS.NJ501(C)(3)509(A)(3)RWJ BHfalse
VNA HEALTH GROUP OF NEW JERSEY LLC
176 RIVERSIDE AVENUERED BANKNJ07701474841103HEALTH SVCS.NJ501(C)(3)509(A)(2)MEGA CAREfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
AVENEL ISELIN MEDICAL GROUP LLC
400 GILL LANEISELINNJ08830221965695HEALTH SVCS.NJNA
BARNABAS ON TIME HOLDINGS LLC
135 E HIGHLAND PARKROSELLENJ07203842572508HEALTH SVCS.NJNA
CENTRAL JERSEY ACO LLC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757455460713HEALTH SVCS.NJNA
CREST PHYSICAL THERAPY SERVICES LLC
66 WEST GILBERT STREETRED BANKNJ07701844913447HEALTH SVCS.NJNA
HAMILTON ENDO & SURG LLC
1235 WHITEHORSE-MERCERVILLE RD STEHAMILTONNJ08619223837967HEALTH SVCS.NJNA
HUDSON MD GROUP LLC
443 NORTHFIELD AVEWEST ORANGENJ07052841928885HEALTH SVCS.NJNA
INNOVATIVE PURCHASING CONCEPTS
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223786557INACTIVENJNA
JERSEY ASC VENTURES LLC
1A BURTON HILLS BLVDNASHVILLETN37215473368037HEALTH SVCS.TNNA
LIBERTYUSP SURGERY CENTERS LLC
15305 DALLAS PKWY SUITE 1600 LB 28ADDISONTX75001264756962HEALTH SVCS.TXNA
MEDEMERGE LLC
1005 WASHINGTON AVEGREEN BROOKNJ08812030382501HEALTH SVCS.NJNA
NEW JERSEY IMAGING NTWKLLC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757460623701HEALTH SVCS.NJNA
RWJBH ASSOCIATES 2 LLC
66 WEST GILBERT STREETRED BANKNJ07701842867293HEALTH SVCS.NJNA
RWJ-REGENT II LLC
ONE ROBERT WOOD JOHNSON PLACENEW BRUNSWICKNJ08903800878969HEALTH SVCS.NJNA
RWJ-REGENT LLC
10 PLUM STREET 4TH FLOORNEW BRUNSWICKNJ08901453853994HEALTH SVCS.NJNA
SHREWSBURY DIAGNOSTIC IMAGING LLC
1131 BROAD STREET SUITE 110SHREWSBURYNJ07702203833246HEALTH SVCS.NJNA
SOMERSET PEDIATRIC GROUP
575 ROUTE 28 BLDG 2 STE 2205RARITANNJ08869221908643HEALTH SVCS.NJNA
CARE STATION MSO LLC
328 WEST ST GEORGES AVENUELINDENNJ07036HEALTH SVCS.NJNA
JAG-ONE HOLDINGS LP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757854395273HEALTH SVCS.NJNA
PREDICTIVE HEALTH SOLUTIONS LLC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757871292461HEALTH SVCS.NJNA
ADVANCED GASTROENTEROLOGY GROUP LLC
1308 MORRIS AVENUE SUITE 102UNIONNJ07083223759909HEALTH SVCS.NJNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CENTER STATE MANAGEMENT CORP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222506125MGMT SVCS.NJNAC CORP.false
CSH VENTURES INC
200 SOMERSET STREETNEW BRUNSWICKNJ08901472729885MED. CONSULTINGNJNAC CORP.false
HEALTH CARE FACILITIES MGT
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223532988MAINT. SVCS.NJNAC CORP.false
LIVINGSTON INFUSION CARE INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223190756HEALTH SVCS.NJNAC CORP.false
LIVINGSTON SERVICES CORP
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222779395HEALTH SVCS.NJNAC CORP.false
LSC PHARMACY SERVICES INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757452552776PHARMACY SVCS.NJNAC CORP.false
MAJOR INVESTIGATIONS INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223040539SECURITY SVCS.NJNAC CORP.false
NJ HEALTH CARE SYSTEM INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223536986INACTIVENJNAC CORP.false
RWJ MED SVCS ORG AT HAMILTON
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223454270HEALTH SVCS.NJNAC CORP.false
RWJ MEDICAL ASSOCIATES PA
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223586872HEALTH SVCS.NJNAC CORP.false
RWJ PHYSICIAN ENTERPRISE PA
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757453967414HEALTH SVCS.NJNAC CORP.false
RWJ SURGERY CENTER INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223698431HEALTH SVCS.NJNAC CORP.false
SBC MANAGEMENT CORPORATION
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223414332MGMT SVCS.NJNAC CORP.false
SHC ENTERPRISES INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757222665595MGMT SVCS.NJNAC CORP.false
SOMERSET REALTY GROUP INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757223269525REAL ESTATENJNAC CORP.false
VISION HEALTHCARE INC
C/O CORP FIN 2 CRESCENT PLACEOCEANPORTNJ07757204285005INVESTMENTNJNAC CORP.false
CPIC
FINANCIAL VEHICLENAFOREIGN CORP.false44 CHURCH STREETHAMILTONBERMUDABDHM11BD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationThis 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