SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER INC (EIN 22-2354659)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349302302
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-14T09:44:49-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222354659 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT BARNABAS HOSPICE & PALLIATIVE CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % THOMAS G SCOTT CPA | InCareOfName |
| Name Control | SAIN | NameControl |
| Phone | 9733224032 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 OLD SHORT HILLS ROAD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | WEST ORANGE | City |
| State | NJ | State |
| ZIP Code | 07052 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA R SIMMONS | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 9738989494 | Phone |
| Date Signed | 2013-11-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Scott Mariani | Name |
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARNABAS HEALTH HOSPICE & PALLIATIVE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY H OSTROWSKY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 OLD SHORT HILLS ROAD | AddressLine1 |
| City | WEST ORANGE | City |
| State | NJ | State |
| ZIP Code | 07052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23209163 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BARNABASHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES CARE & SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 232 | TotalNbrEmployees |
| Total Nbr Volunteers | 310 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 399856 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 368883 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 22078157 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22700104 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16632 | InvestmentIncomePriorYear |
| Investment Income Current Year | 38997 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5420 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22494645 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23113404 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14496438 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 15160438 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7410328 | OtherExpensePriorYear |
| Other Expenses Current Year | 7531034 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21906766 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22691472 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 587879 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 421932 | RevenuesLessExpensesCY |
| Total Assets BOY | 13586875 | TotalAssetsBOY |
| Total Assets EOY | 14957485 | TotalAssetsEOY |
| Total Liabilities BOY | 4845469 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4872246 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8741406 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10085239 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 20422325 | Expense |
| Grants | 0 | Grants |
| Revenue | 22700104 | Revenue |
| Description | A COMPREHENSIVE SYSTEM FOR THE DELIVERY OF HEALTH RELATED SERVICES TO THE TERMINALLY ILL AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | Description |
| Total Program Service Expense | 20422325 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 204 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 232 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS G SCOTT CPA | NamePerson |
| Telephone Number | 7329238072 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 CRESCENT PLACE | AddressLine1 |
| City | OCEANPORT | City |
| State | NJ | State |
| ZIP Code | 07757 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ANTHONY J ACETI | |||||||
| CHAIRMAN - TRUSTEE | 1.0 | X | X | ||||
| ELAINE PARCELLS | |||||||
| VICE CHAIR - TRUSTEE | 1.0 | X | X | ||||
| DAVID A MEBANE ESQ | |||||||
| SECRETARY-TRUSTEE; EX-OFFICIO | 55.0 | X | X | 0 | 690383 | 38770 | |
| AARON SCHWIMMER | |||||||
| TREASURER - TRUSTEE | 1.0 | X | X | 0 | 0 | 0 | |
| CATHERINE AINORA | |||||||
| TRUSTEE; EX-OFFICIO | 55.0 | X | 0 | 402999 | 18422 | ||
| DOLORES D BRADLEY | |||||||
| TRUSTEE | 1.0 | X | |||||
| JEFFREY S COHEN | |||||||
| TRUSTEE | 1.0 | X | |||||
| GREGG GOTTSEGEN | |||||||
| TRUSTEE | 1.0 | X | |||||
| PETER HOLSTEIN | |||||||
| TRUSTEE | 1.0 | X | |||||
| JOSEPH M KOZIOL MD | |||||||
| TRUSTEE | 1.0 | X | |||||
| KENNETH A ROSEN ESQ | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| VIVIAN SCHWARTZ | |||||||
| TRUSTEE | 1.0 | X | |||||
| LORRAINE M SCIARA TERM 1231 | |||||||
| TRUSTEE; EX-OFFICIO - PRES/CEO | 55.0 | X | X | 252137 | 0 | 30712 | |
| MICHAEL SCOPPETUOLO MD | |||||||
| TRUSTEE; EX-OFFICIO | 50.0 | X | 0 | 720828 | 10335 | ||
| GEORGIA SOLOTOFF | |||||||
| TRUSTEE | 1.0 | X | |||||
| LOUIS URBAN | |||||||
| TRUSTEE | 1.0 | X | |||||
| MARY E WANDERPOLO ESQ | |||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||
| KEITH BOROCH | |||||||
| PRESIDENT & CEO (EFF 10/29/12) | 50.0 | X | 37055 | 0 | 0 | ||
| ELLEN COUGHLIN | |||||||
| VICE PRESIDENT | 50.0 | X | 149828 | 0 | 7677 | ||
| PATRICIA MURRAY | |||||||
| VICE PRESIDENT | 50.0 | X | 133904 | 0 | 18987 | ||
| CHRISTINA HALL | |||||||
| VICE PRESIDENT | 50.0 | X | 95137 | 0 | 23430 | ||
| WILLIAM DELANEY TERM 12412 | |||||||
| CFO, VICE PRESIDENT | 50.0 | X | 26037 | 0 | 10034 | ||
| NANCY BURDICK | |||||||
| NURSING SUPERVISOR | 50.0 | 125432 | 0 | 11452 | X | ||
| MARIA T ROESLER | |||||||
| DIRECTOR | 50.0 | 106469 | 0 | 17956 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 925999 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1814210 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 187775 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SBC MANAGEMENT CORPORATION | |||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | MANAGEMENT | 1644043 |
| DAUGHTERS OF ISRAEL INC | |||||
| 1155 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | MEDICAL | 998265 |
| SAINT BARNABAS MEDICAL CENTER | |||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | MEDICAL | 471712 |
| CANTERBURY OF CEDAR GROVE | |||||
| PO BOX 437 WEST HANOVER AVENUE | MORRIS PLAINS | NJ | 07950 | MEDICAL | 303200 |
| INGLEMOOR CARE CENTER | |||||
| 311 SOUTH LIVINGSTON AVENUE | LIVINGSTON | NJ | 07039 | MEDICAL | 273058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Info In Schedule O Part VIII | X | InfoInScheduleOPartVIII |
| Fundraising Events | 148888 | FundraisingEvents |
| Related Organizations | 10000 | RelatedOrganizations |
| All Other Contributions | 209995 | AllOtherContributions |
| Total Contributions | 368883 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541860 | 22553289 | 22553289 |
| OTHER PROGRAM RELATED REVENUE | 900099 | 146815 | 146815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22700104 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38997 | TotalRevenueColumn |
| Exclusion | $38,997 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 95759 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 148888 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 95759 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 5420 | GrossIncomeGaming |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5420 | TotalRevenueColumn |
| Exclusion | $5,420 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23113404 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22700104 | RelatedOrExemptFunctionIncome |
| Exclusion | $44,417 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 784939 | Total |
| Program Services | 706445 | ProgramServices |
| Management And General | 78494 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11091085 | Total |
| Program Services | 9981977 | ProgramServices |
| Management And General | 1109108 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379959 | Total |
| Program Services | 341963 | ProgramServices |
| Management And General | 37996 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1993194 | Total |
| Program Services | 1793874 | ProgramServices |
| Management And General | 199320 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 911261 | Total |
| Program Services | 820135 | ProgramServices |
| Management And General | 91126 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1133162 | Total |
| Program Services | 1019846 | ProgramServices |
| Management And General | 113316 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510 | Total |
| Program Services | 1359 | ProgramServices |
| Management And General | 151 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -3894 | Total |
| Program Services | -3505 | ProgramServices |
| Management And General | -389 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29938 | Total |
| Program Services | 26944 | ProgramServices |
| Management And General | 2994 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205458 | Total |
| Program Services | 184912 | ProgramServices |
| Management And General | 20546 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1810051 | Total |
| Program Services | 1629046 | ProgramServices |
| Management And General | 181005 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202687 | Total |
| Program Services | 182418 | ProgramServices |
| Management And General | 20269 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 780723 | Total |
| Program Services | 702651 | ProgramServices |
| Management And General | 78072 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290814 | Total |
| Program Services | 261733 | ProgramServices |
| Management And General | 29081 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174 | Total |
| Program Services | 157 | ProgramServices |
| Management And General | 17 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61233 | Total |
| Program Services | 55110 | ProgramServices |
| Management And General | 6123 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84927 | Total |
| Program Services | 76434 | ProgramServices |
| Management And General | 8493 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75482 | Total |
| Program Services | 67934 | ProgramServices |
| Management And General | 7548 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 1721737 | 1549563 | 172174 |
| CONTRACTED SERVICES | 660613 | 594552 | 66061 |
| PHYSICIAN SALARIES & FEES | 332266 | 299039 | 33227 |
| DUES & SUBSCRIPTIONS | 35092 | 31583 | 3509 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109061 | Total |
| Program Services | 98155 | ProgramServices |
| Management And General | 10906 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22691472 | Total |
| Program Services | 20422325 | ProgramServices |
| Management And General | 2269147 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | X | InfoInScheduleOPartX |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346606 | BOY |
| EOY | 556074 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2390354 | BOY |
| EOY | 2920093 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8155553 | BOY |
| EOY | 8102552 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000 | BOY |
| EOY | 25000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57040 | BOY |
| EOY | 59599 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3415 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7729 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59084 | BOY |
| EOY | -4314 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2599770 | BOY |
| EOY | 2735888 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -46532 | BOY |
| EOY | 562593 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13586875 | BOY |
| EOY | 14957485 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1767866 | BOY |
| EOY | 2824498 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7440 | BOY |
| EOY | 60882 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4017 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3066146 | BOY |
| EOY | 1986866 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4845469 | BOY |
| EOY | 4872246 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7736083 | BOY |
| EOY | 9078567 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1005323 | BOY |
| EOY | 1006672 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8741406 | BOY |
| EOY | 10085239 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13586875 | BOY |
| EOY | 14957485 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 421932 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 99916 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 821985 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 840633 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 685672 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 417485 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 399856 | CurrentTaxYearMinus1Year |
| Current Tax Year | 368883 | CurrentTaxYear |
| Total | 2712529 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 840633 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 685672 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 417485 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 399856 | CurrentTaxYearMinus1Year |
| Current Tax Year | 368883 | CurrentTaxYear |
| Total | 2712529 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2712529 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 244181 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 601154 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21034 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16642 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38997 | CurrentTaxYear |
| Total | 922008 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3634537 | TotalSupport |
| Gross Receipts From Admissions Etc | 107607826 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.74632 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.65278 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1005323 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1349 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1006672 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1003727 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1596 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1005323 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1003009 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 718 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1003727 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 999238 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3771 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1003009 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 980058 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 19180 | InvestmentEarningsOrLosses |
| End Of Year Balance | 999238 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3415 | OtherCostOrOtherBasis |
| Depreciation | 7729 | Depreciation |
| Book Value | -4314 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | -4314 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ASSETS; NON-CURRENT | 1374645 | F |
| ASSETS; CURRENT | 1361243 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 2735888 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE | $687,752 |
| DUE TO AFFILIATES; CURRENT | $357,994 |
| DUE TO AFFILIATES; NON-CURRENT | $573,135 |
| OTHER LIABILITIES | $367,985 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1986866 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|
| ENDOWMENT FUNDS | SCHEDULE D, PART V, QUESTION 4 |
| TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE | SCHEDULE D, PART X |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 183441 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 100443 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 82998 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 70321 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 12677 | OtherDirectExpensesEvent1 |
| Name Of Event2 | OTHER EVENTS | NameOfEvent2 |
| Gross Receipts Event2 | 61206 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 48445 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 12761 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 12761 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 244647 | GrossReceiptsTotal |
| Charitable Contributions Total | 148888 | CharitableContributionsTotal |
| Gross Revenue Total Events | 95759 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 70321 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 25438 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 95759 | DirectExpenseSummaryEvents |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID A MEBANE ESQ | ||||||||||||||
| SECRETARY-TRUSTEE; EX-OFFICIO | 0 | 422391 | 0 | 110000 | 0 | 157992 | 0 | 10000 | 0 | 28770 | 0 | 729153 | 0 | 0 |
| CATHERINE AINORA | ||||||||||||||
| TRUSTEE; EX-OFFICIO | 0 | 295943 | 0 | 62500 | 0 | 44556 | 0 | 10000 | 0 | 8422 | 0 | 421421 | 0 | 0 |
| LORRAINE M SCIARA TERM 1231 | ||||||||||||||
| TRUSTEE; EX-OFFICIO - PRES/CEO | 179361 | 0 | 33100 | 0 | 39676 | 0 | 23371 | 0 | 7341 | 0 | 282849 | 0 | 22222 | 0 |
| MICHAEL SCOPPETUOLO MD | ||||||||||||||
| TRUSTEE; EX-OFFICIO | 0 | 717213 | 0 | 0 | 0 | 3615 | 0 | 7500 | 0 | 2835 | 0 | 731163 | 0 | 0 |
| ELLEN COUGHLIN | ||||||||||||||
| VICE PRESIDENT | 134452 | 0 | 14150 | 0 | 1226 | 0 | 5844 | 0 | 1833 | 0 | 157505 | 0 | 0 | 0 |
| PATRICIA MURRAY | ||||||||||||||
| VICE PRESIDENT | 116137 | 0 | 14219 | 0 | 3548 | 0 | 5215 | 0 | 13772 | 0 | 152891 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 4A | WILLIAM DELANEY, CFO, VICE PRESIDENT OF THE ORGANIZATION RECEIVED A SEVERANCE PAYMENT DURING 2012. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WILLIAM DELANEY, $23,241. |
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 4B | THE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP"). THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID A. MEBANE, ESQ., $121,110 AND CATHERINE AINORA, $40,038. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A BARNABAS HEALTH INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AND IN SCHEDULE J, PART II, COLUMN B(III) HEREIN: LORRAINE M. SCIARA, $22,222, AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL 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 INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AND IN SCHEDULE J, PART II, COLUMN B(III) HEREIN: LORRAINE M. SCIARA, $15,183. |
| COMPENSATION INFORMATION | CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 | CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 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. |
| COMPENSATION INFORMATION | SCHEDULE J, PART II, COLUMN F | THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2012 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: LORRAINE M. SCIARA, $22,222. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | CORE FORM, PART III; QUESTION 3 | EFFECTIVE 12/31/2012, COMMUNITY MEDICAL CENTER ("CMC"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TRANSFERRED THE ASSETS OF VAN DYKE HOSPICE, A DIVISION OF CMC, TO THE ORGANIZATION. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | BARNABAS HEALTH, INC. ("BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF BARNABAS HEALTH, INC. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL 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 IN HOUSE COUNSEL, EXECUTIVE VICE-PRESIDENT AND CHIEF FINANCIAL OFFICER, VICE PRESIDENT, INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS 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, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR 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. A MEETING WAS ALSO HELD TO REVIEW THE FINAL DRAFT OF THE FEDERAL FORM 990 WITH THE CHAIRPERSON OF THE ORGANIZATION'S FINANCE COMMITTEE AND OTHER INDIVIDUALS FOR 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 THE FILING WITH THE IRS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. 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 A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL ARE EMPLOYED BY ANOTHER ENTITY WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS OR BOARD MEMBERS OF THIS ORGANIZATION. BARNABAS HEALTH, INC. ("BH") IS THE PARENT ENTITY OF THE INTEGRATED HEALTHCARE DELIVERY SYSTEM. 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 BH'S SENIOR MANAGEMENT. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF BARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION 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 REVIEWING 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 ITS 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 BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, ARE REVIEWED ANNUALLY BY THE BARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'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. |
| DISCLOSURE INFORMATION | 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. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| RELATED HOURS DISCLOSURE | CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF BARNABAS 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 AND/OR DIRECTORS 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 ONE HOUR. 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 BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
| OTHER CHANGES IN NET ASSETS | CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - EQUITY TRANSFER FROM COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $712,213; AND - PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST - $109,772. |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS BARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF BARNABAS HEALTH, INC. AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2012 AND DECEMBER 31, 2011; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (38 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTER STATE HEALTH GROUP INC | ||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222939956 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | BH | false |
| CENTER STATE PROPERTIES CORPORATION | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 521571939 | TITLE HLDNG. | NJ | 501(C)(2) | N/A | CSHG | false |
| CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC | ||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 223343959 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBBH | false |
| CLARA MAASS FOUNDATION | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222132516 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| CLARA MAASS HEALTH SYSTEM INC | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222802778 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | BH | false |
| CLARA MAASS MEDICAL CENTER | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 221500556 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| CLARA MAASS PROPERTIES INC | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 521855420 | INACTIVE | NJ | 501(C)(2) | N/A | BH | false |
| COMMUNITY MEDICAL CENTER | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 223452306 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| COMMUNITY MEDICAL CENTER FOUNDATION | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 222597592 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| COUNTRY MANOR AT DOVER | ||||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 222462909 | INACTIVE | NJ | 501(C)(3) | 509(A)(2) | CSHG | false |
| IRVINGTON GENERAL HOSPITAL | ||||||||||
| 832 CHANCELLOR AVENUE | IRVINGTON | NJ | 07111 | 223452411 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | BH | false |
| IRVINGTON HOSPITAL FOUNDATION | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 237025428 | INACTIVE | NJ | 501(C)(3) | 509(a)(3) | BH | false |
| KENSINGTON MANOR CARE CENTER | ||||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 521571883 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | CSHG | false |
| KIMBALL MEDICAL CENTER | ||||||||||
| 600 RIVER AVENUE | LAKEWOOD | NJ | 08701 | 223452413 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| KIMBALL MEDICAL CENTER FOUNDATION | ||||||||||
| 600 RIVER AVE ANNEX BLDG E | LAKEWOOD | NJ | 08701 | 222630076 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| MEDICAL CENTER STAFFING SERVICES INC | ||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 352219655 | STAFFING SVCS | NJ | 501(C)(3) | 509(a)(3) | CSHG | false |
| MEGA CARE INC | ||||||||||
| 1020 GALLOPING HILL ROAD | UNION | NJ | 07083 | 222578561 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | CSHG | false |
| MMC AMBULATORY SURGERY CENTER INC | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 753166377 | INACTIVE | NJ | 501(C)(3) | N/A | MMC | false |
| MONMOUTH MEDICAL CENTER | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223452412 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| MONMOUTH MEDICAL CENTER - FACULTY PRACT | ||||||||||
| 100 STATE HIGHWAY 36 | WEST LONG BRANCH | NJ | 07764 | 223357053 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | MMC | false |
| MONMOUTH MEDICAL CENTER FOUNDATION | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222456079 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| BARNABAS HEALTH MEDICAL GROUP PC | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223316007 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(2) | MMC | false |
| NBI HEALTH PARTNERS PA | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 271694034 | INACTIVE | NJ | 501(C)(3) | N/A | NBI | false |
| NEWARK BETH ISRAEL MEDICAL CENTER | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 223452311 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| SAINT BARNABAS ASSIST LIVING AT LAKEWOOD | ||||||||||
| 77 WILLIAMS STREET | LAKEWOOD | NJ | 08701 | 223451655 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | CSHG | false |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER | ||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 222977312 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | CSHG | false |
| BARNABAS HEALTH INC | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222405279 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | NA | false |
| SAINT BARNABAS DEVELOPMENT FOUNDATION | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222378422 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | NJHCIC | false |
| SAINT BARNABAS HEALTH CARE SYSTEM FDN | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223769036 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| SAINT BARNABAS MEDICAL CENTER | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 221494440 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | BH | false |
| HARVEY E NUSSBAUM MD RESEARCH INST OF SB | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 227146916 | RESEARCH | NJ | 501(C)(3) | 170, BOX 4 | NJHCIC | false |
| SAINT BARNABAS OUTPATIENT CENTERS | ||||||||||
| 200 SOUTH ORANGE AVENUE | LIVINGSTON | NJ | 07039 | 222458479 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | BH | false |
| SAINT BARNABAS PALLIATIVE CARE PHYS PA | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 262532578 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HOSPICE | false |
| SAINT BARNABAS REALTY DEVELOPMENT CORP | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222940008 | TITLE HLDNG. | NJ | 501(C)(3) | 509(a)(3) | NJHCIC | false |
| NJ HEALTH CARE INNOVATION CENTER INC | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222458481 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | BH | false |
| THE NEWARK BETH ISRAEL MEDICAL CNTR FDN | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 222587176 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | BH | false |
| UNION HOSPITAL | ||||||||||
| 1000 GALLOPING HILL ROAD | UNION | NJ | 07083 | 221413947 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | BH | false |
| SANDY HOOK FRNDS OF ST BARNABAS BURN FDN | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223236202 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | BH | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| INNOVATIVE PURCHASING CONCEPTS | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223786557 | PURCHASING | NJ | BH | false | $0 | false |
| KIM-MED ASSOCIATES | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222775619 | REAL ESTATE | NJ | KHCA | false | $0 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LSC HOLDING COMPANY INC | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223569598 | HOLDING CO. | NJ | NA | C CORP. | false | ||||||
| LIVINGSTON SERVICES CORP | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222465402 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| LIVINGSTON INFUSION CARE INC | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223190756 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| MAJOR SECURITY SERVICES INC | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223040539 | SECURITY SVCS. | NJ | NA | C CORP. | false | ||||||
| MEDICAL CTR HEALTH CARE SVCS | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223011742 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| CENTER STATE HEALTH SVCS | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222592293 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| CENTER STATE MANAGEMENT CORP | |||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222506125 | MGMT SVCS. | NJ | NA | C CORP. | false | ||||||
| CENTER STATE COLLECTION SVCS | |||||||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222629075 | COLLECTION SVCS. | NJ | NA | C CORP. | false | ||||||
| COMMUNITY KARE INC | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222993840 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| KIMBALL HLTH CARE AFFILIATES | |||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222701213 | INVESTMENT | NJ | NA | C CORP. | false | ||||||
| HEALTH CARE FACILITIES MGT | |||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223532988 | MAINT. SVCS. | NJ | NA | C CORP. | false | ||||||
| PREMIUM HEALTH SYSTEMS INC | |||||||||||||||
| ONE FRANKLIN AVENUE | BELLEVILLE | NJ | 07109 | 222779395 | HEALTHCARE SVCS. | NJ | NA | C CORP. | false | ||||||
| SBC MANAGEMENT CORPORATION | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223414332 | MGMT SVCS. | NJ | NA | C CORP. | false | ||||||
| PROFESSIONAL QUALITY LIAB | |||||||||||||||
| 100 BANK STREET | BURLINGTON | VT | 05401 | 205163819 | INSURANCE SVCS. | VT | NA | C CORP. | false | ||||||
| NJ HEALTH CARE SYSTEM INC | |||||||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223536986 | INACTIVE | NJ | NA | C CORP. | false | ||||||
| CPIC | |||||||||||||||
| FINANCIAL VEHICLE | NA | FOREIGN CORP. | false | 44 CHURCH STREET | HAMILTON | BERMUDA | BD | HM11 | BD | ||||||
| LSC PHARMACY SERIVCES INC | |||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 452552776 | PHARMACY SVCS. | NJ | NA | C CORP. | false | ||||||
| SAINT BARNABAS PHYSICIAN ASSOCIATES PA | |||||||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 271259104 | HEALTHCARE SVCS. | NJ | NA | C CORP | false | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSACTIONS WITH RELATED ORGANIZATIONS | Identifier |
| Return Reference | SCHEDULE R, PART V | ReturnReference |
| Explanation | BARNABAS HEALTH, INC. AND SBC MANAGEMENT CORPORATION ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES WITHIN BARNABAS HEALTH IN THE ORDINARY COURSE OF BUSINESS, INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED. | Explanation |
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