FURP.ORG / PUBLIC DATA EXPLORER

MONMOUTH MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MONMOUTH MEDICAL CENTER FOUNDATION INC (EIN 22-2456079)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349302303
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

FieldValueIRS element (for citing)
Timestamp2013-11-14T09:33:27-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222456079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH MEDICAL CENTER FDN INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% THOMAS G SCOTT CPAInCareOfName
Name ControlMONMNameControl
Phone9733224032Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 SECOND AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityLONG BRANCHCity
StateNJState
ZIP Code077406300ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLISA DEMARIAName
TitleCFO FOUNDATIONSTitle
Phone9738989494Phone
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY H OSTROWSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line195 OLD SHORT HILLS ROADAddressLine1
CityWEST ORANGECity
StateNJState
ZIP Code07052ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8537404GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BARNABASHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body44NbrVotingMembersGoverningBody
Nbr Independent Voting Members35NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers264TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2670974ContributionsGrantsPriorYear
Contributions Grants Current Year5399785ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1811437ProgramServiceRevenuePriorYear
Program Service Revenue CY1854122ProgramServiceRevenueCY
Investment Income Prior Year448736InvestmentIncomePriorYear
Investment Income Current Year464775InvestmentIncomeCurrentYear
Other Revenue Prior Year5050OtherRevenuePriorYear
Other Revenue Current Year-2301OtherRevenueCurrentYear
Total Revenue Prior Year4936197TotalRevenuePriorYear
Total Revenue Current Year7716381TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3018231GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1001423GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year56615TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY165580TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1053122TotalFundrsngExpCurrentYear
Other Expense Prior Year1355684OtherExpensePriorYear
Other Expenses Current Year1473711OtherExpensesCurrentYear
Total Expenses Prior Year4430530TotalExpensesPriorYear
Total Expenses Current Year2640714TotalExpensesCurrentYear
Revenues Less Expenses Prior Year505667RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5075667RevenuesLessExpensesCY
Total Assets BOY19870241TotalAssetsBOY
Total Assets EOY26014779TotalAssetsEOY
Total Liabilities BOY1194241TotalLiabilitiesBOY
Total Liabilities EOY543779TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18676000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25471000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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, RELIGION OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1001423Expense
Grants1001423Grants
Revenue1854122Revenue
DescriptionEXPENSES 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, RELIGION OR ABILITY TO PAY.Description
Total Program Service Expense1001423TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096147NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members44NbrVotingGoverningBodyMembers
Number Independent Voting Members35NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS G SCOTT CPANamePerson
Telephone Number7329238072TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 CRESCENT PLACEAddressLine1
CityOCEANPORTCity
StateNJState
ZIP Code07757ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ANN UNTERBERG
CHAIR - TRUSTEE1.0XX000
TERRY INGRAM
VICE CHAIR - TRUSTEE1.0XX000
TRACY BROWN
SECRETARY - TRUSTEE1.0XX000
FRANCIS S BRANIN JR
TREASURER - TRUSTEE1.0XX000
MICHAEL ARVANITIS MD
TRUSTEE25.0X0662040
LUCIA M BARATTA
TRUSTEE1.0X000
RICHARD S BERGER
TRUSTEE1.0X000
MICHAEL BONEVENTO
TRUSTEE1.0X000
ROBERT L BOYLE
TRUSTEE1.0X000
JOHN BROCKRIEDE
TRUSTEE1.0X000
JOHN B CHECTON MD
TRUSTEE1.0X000
MORGAN E CLINE
TRUSTEE1.0X000
JUDITH W DAWKINS
TRUSTEE1.0X000
ROSANNA FAZIO
TRUSTEE1.0X000
TARA FORMICA-KELLY
TRUSTEE;EX-OFFICIO- VP DEV50.0XX021715815487
DOUGLAS H FORSYTH
TRUSTEE1.0X000
ROBERT M GERARD
TRUSTEE1.0X000
BARBARA GOLDFARB
TRUSTEE1.0X000
ARTHUR M GREENBAUM ESQ
TRUSTEE1.0X000
HILDE JENSSEN HOVNANIAN CFA
TRUSTEE1.0X000
JACK C HOWLEY
TRUSTEE1.0X000
MICHELE DAVIS KARAGIANAKIS
TRUSTEE1.0X000
MARSHALL KNOPF
TRUSTEE1.0X000
GEORGE R LAUFENBERG
TRUSTEE1.0X000
SIMON LEVIN ESQ
TRUSTEE1.0X000
GERALD C MARRONE
TRUSTEE1.0X000
JUDY MAZZEO ZOCCHI
TRUSTEE1.0X000
EDWARD F MCNAMEE
TRUSTEE1.0X000
GLORIA NILSON
TRUSTEE1.0X000
TY J OLSON MD
TRUSTEE1.0X000
MICHAEL ONEILL
TRUSTEE1.0X000
ROBERT PATTON
TRUSTEE1.0X000
LUANNE M PETERPAUL ESQ
TRUSTEE1.0X000
RONALD J RAC ESQ
TRUSTEE1.0X000
RICHARD B RUCHMAN MD
TRUSTEE50.0X01246150
CYNTHIA RUSIS
TRUSTEE1.0X000
SIRAN HOVNANIAN SAHAKIAN
TRUSTEE1.0X000
PATRICK P SCIRE
TRUSTEE1.0X000
ROBERT H SICKLES
TRUSTEE1.0X000
RICHARD SPENGLER
TRUSTEE1.0X000
CAROL STILLWELL
TRUSTEE1.0X000
ANTHONY TERRACCIANO
TRUSTEE1.0X000
FRANK J VOZOS MD FACS
TRUSTEE55.0X069343923710
LOUIS J ZINTERHOFER MD
TRUSTEE1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1101416TotalReportableCompFrmRltdOrgs
Total Other Compensation39197TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonRUOTOLO ASSOCIATES INCNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129 BROADWAY SUITE 210AddressLine1
CityCRESSKILLCity
StateNJState
ZIP Code07626ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSULTANTDescriptionOfServices
Compensation162000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Fundraising Events311050FundraisingEvents
Related Organizations5300RelatedOrganizations
All Other Contributions5083435AllOtherContributions
Noncash Contributions253233NoncashContributions
Total Contributions5399785TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOTHER PROGRAM RELATED REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column1854122TotalRevenueColumn
Related Or Exempt Function Income1854122RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1854122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column464775TotalRevenueColumn
Exclusion$464,775ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events558688GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events328272CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses558688FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory260034GrossSalesOfInventory
Cost Of Goods Sold262335CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-2301TotalRevenueColumn
Exclusion-$2,301ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7716381TotalRevenueColumn
Related Or Exempt Function Income1854122RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$462,474ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total996923Total
Program Services996923ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4500Total
Program Services4500ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total13500Total
Program Services0ProgramServices
Management And General6750ManagementAndGeneral
Fundraising6750Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total180Total
Management And General180ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21887Total
Management And General21887ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2903Total
Fundraising2903Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total165580Total
Fundraising165580Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total173042Total
Fundraising173042Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61726Total
Management And General44247ManagementAndGeneral
Fundraising17479Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1110Total
Management And General1110ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total772Total
Management And General772ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7228Total
Management And General3614ManagementAndGeneral
Fundraising3614Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6130Total
Management And General6130ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
ALLOCATION OF PERSONNEL994142362525631617
PURCHASED SERVICES108835108435400
VARIOUS FUNDRAISING EXPENSES4634646346
DUES, SUBSCRIPT. & LICENSES31202264614741

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4708Total
Management And General4058ManagementAndGeneral
Fundraising650Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2640714Total
Program Services1001423ProgramServices
Management And General586169ManagementAndGeneral
Fundraising1053122Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2936827BOY
EOY5704469EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2416648BOY
EOY4026858EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY1238EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY48922BOY
EOY45186EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115893LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec108449LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13574BOY
EOY7444EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13831096BOY
EOY15620146EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY622874BOY
EOY609138EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19870241BOY
EOY26014779EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY120334BOY
EOY107281EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY389131EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1073907BOY
EOY47367EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1194241BOY
EOY543779EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3151000BOY
EOY5212000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10109000BOY
EOY14843000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5416000BOY
EOY5416000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18676000BOY
EOY25471000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19870241BOY
EOY26014779EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5075667ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1070058ReconciliationUnrealizedInvest
Reconcilation Other Changes649275ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3674369CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2798968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2762465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2670974CurrentTaxYearMinus1Year
Current Tax Year2893485CurrentTaxYear
Total14800261Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3674369CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2798968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2762465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2670974CurrentTaxYearMinus1Year
Current Tax Year2893485CurrentTaxYear
Total14800261Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total418189AmountsSubstContributorsTotal
Public Support Total17014382072PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years467627CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years371484CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years532767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year448736CurrentTaxYearMinus1Year
Current Tax Year464775CurrentTaxYear
Total2285389Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support17085650TotalSupport
Gross Receipts From Admissions Etc8059306GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.84176PublicSupportPertcentage170
Public Support Pertcent Prior Year0.75765PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationThe organization received a contribution in the amount of $2,506,300 from an individual in 2012. This contribution is being classified as an unusual grant and excluded from both the numerator and denominator in the public support percentage calculation. The 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): - It was attracted because of the publicly supported nature of the organization, - It was unusual and unexpected because of the amount (no other individuals contributed any amount similar to this amount in the five year period), and - It is large enough that it would significantly decrease the organization's public support percentage.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,903OtherActivitiesAmount
Total Lobbying Expenditures IIB2903TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINE 1iReturnReference
ExplanationDURING 2012, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $2,903 FOR LOBBYING ON A FEDERAL AND STATE LEVEL FOR THE BENEFIT OF community MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION ON VARIOUS MATTERS INCLUDING, BUT NOT LIMITED TO, FEDERAL AND STATE OF NEW JERSEY REIMBURSEMENT ISSUES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5416000BeginningOfYearBalance
End Of Year Balance5416000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5416000BeginningOfYearBalance
End Of Year Balance5416000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5416000BeginningOfYearBalance
End Of Year Balance5416000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5416000BeginningOfYearBalance
End Of Year Balance5416000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5416000BeginningOfYearBalance
End Of Year Balance5416000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis115893OtherCostOrOtherBasis
Depreciation108449Depreciation
Book Value7444BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings7444TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS - U.S. EQUITIES6117000F
EQUITIES1109000F
CHARITABLE GIFT ANNUITY10000F
DEPOSITS23000F
MUTUAL FUNDS - FIXED INCOME5831000F
ALTERNATIVE INVESTMENTS435000F
ACCRUED INTEREST10000F
CASH AND CASH EQUIVALENTS43146F
CORPORATE BONDS831000F
OTHER INVESTMENTSF
MONEY MARKET FUNDS1211000F
FieldValueIRS element (for citing)
Total Of Book Value Program Related15620146TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$46,167
OTHER LIABILITIES$1,200
FieldValueIRS element (for citing)
Total Of Amounts47367TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XTHE ORGANIZATION IS AN AFFILIATE of BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2007 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN JULY 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE CORPORATION ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualRUOTOLO ASSOCIATES INCNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129 BROADWAY AVENUE SUITE 210AddressLine1
CityCRESSKILLCity
StateNJState
ZIP Code07626ZIPCode
FieldValueIRS element (for citing)
ActivityCAMPAIGN CONSULTINGActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Amount Retained By Contractor162000AmountRetainedByContractor
FieldValueIRS element (for citing)
Total Retained By Contractors162000TotalRetainedByContractors
Licensed StatesNJLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLFNameOfEvent1
Gross Receipts Event1346060GrossReceiptsEvent1
Charitable Contributions Event1152916CharitableContributionsEvent1
Gross Revenue Event1193144GrossRevenueEvent1
Cash Prizes Event13575CashPrizesEvent1
Non Cash Prizes Event146857NonCashPrizesEvent1
Rent Facility Costs Event145113RentFacilityCostsEvent1
Other Direct Expenses Event197599OtherDirectExpensesEvent1
Name Of Event2GARDEN TOURNameOfEvent2
Gross Receipts Event2165300GrossReceiptsEvent2
Charitable Contributions Event277806CharitableContributionsEvent2
Gross Revenue Event287494GrossRevenueEvent2
Other Direct Expenses Event287494OtherDirectExpensesEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events375600GrossReceiptsOtherEvents
Charitable Contrib Other Events97550CharitableContribOtherEvents
Gross Revenue Other Events278050GrossRevenueOtherEvents
Cash Prizes Other Events9400CashPrizesOtherEvents
Non Cash Prizes Other Events44485NonCashPrizesOtherEvents
Rent Facility Costs Other Events13031RentFacilityCostsOtherEvents
Food And Beverage Other Events36353FoodAndBeverageOtherEvents
Other Direct Expenses Other Events174781OtherDirectExpensesOtherEvents
Gross Receipts Total886960GrossReceiptsTotal
Charitable Contributions Total328272CharitableContributionsTotal
Gross Revenue Total Events558688GrossRevenueTotalEvents
Cash Prizes Total Events12975CashPrizesTotalEvents
Non Cash Prizes Total Events91342NonCashPrizesTotalEvents
Rent Facility Costs Total Events58144RentFacilityCostsTotalEvents
Food And Beverage Total Events36353FoodAndBeverageTotalEvents
Other Direct Expenses Total Events359874OtherDirectExpensesTotalEvents
Direct Expense Summary Events558688DirectExpenseSummaryEvents

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1300 SECOND AVENUEAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code077406300ZIPCode

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MONMOUTH MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 SECOND AVENUEAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code07740ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient223452412EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant959323AmountOfCashGrant
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT AND FUND MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I; QUESTION 2ReturnReference
ExplanationGRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TARA FORMICA-KELLY
TRUSTEE;EX-OFFICIO- VP DEV02080980886901910865406833023264500
FRANK J VOZOS MD FACS
TRUSTEE04788590180360034220010000013710071714900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION INFORMATIONIdentifier
Return ReferenceCORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7ReturnReference
ExplanationTHE 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.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F990253233NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNON-CASH CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE M, PART I; QUESTION 32AReturnReference
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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE, MANAGEMENT, AND DISCLOSURECORE FORM, PART VI, SECTION A; QUESTION 2HILDE JENSSEN HOVNANIAN, CFA AND SIRAN HOVNANIAN SAHAKIAN - FAMILY RELATIONSHIP
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7BARNABAS 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11bTHE 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE 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 INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH, INC. ("BH") IS THE PARENT ENTITY OF BARNABAS HEALTH. CERTAIN OFFICERS AND EMPLOYEES OF OTHER BARNABAS HEALTH ENTITIES MAY BE OFFICERS, TRUSTEES OR KEY INDIVIDUALS OF THIS ORGANIZATION. 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 SBC 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 INFORMATIONCORE 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.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART VII AND SCHEDULE J REFLECT BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION. PLEASE NOTE THAT THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURECORE FORM, PART VII, SECTION A, COLUMN BTHIS 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 ASSETSCORE FORM, PART VI; QUESTION 9OTHER CHANGES IN FUND BALANCE INCLUDE: - PROVISION FOR UNCOLLECTIBLE CONTRIBUTIONS - ($364,212); and - NET TRANSFER TO INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATES - $1,013,487.
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XI; QUESTION 2THE 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. IN ADDITION, THE FOUNDATIONS OF BARNABAS HEALTH RECEIVED A CONSOLIDATED AUDIT REPORT 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTER STATE HEALTH GROUP INC
2 CRESCENT PLACEOCEANPORTNJ08755222939956HEALTH SVCS.NJ501(c)(3)509(a)(3)BHfalse
CENTER STATE PROPERTIES CORPORATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08754521571939TITLE HLDNG.NJ501(c)(2)N/ACSHGfalse
CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC
1691 ROUTE 9TOMS RIVERNJ07109223343959HEALTH SVCS.NJ501(c)(3)509(a)(3)SBBHfalse
CLARA MAASS FOUNDATION
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222132516FUNDRAISINGNJ501(c)(3)509(a)(1)BHfalse
CLARA MAASS HEALTH SYSTEM INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222802778HEALTH SVCS.NJ501(c)(3)509(a)(3)BHfalse
CLARA MAASS MEDICAL CENTER
ONE CLARA MAASS DRIVEBELLEVILLENJ07109221500556HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
CLARA MAASS PROPERTIES INC
ONE CLARA MAASS DRIVEBELLEVILLENJ08755521855420INACTIVENJ501(c)(2)N/ABHfalse
COMMUNITY MEDICAL CENTER
99 HIGHWAY 37 WESTTOMS RIVERNJ08755223452306HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
COMMUNITY MEDICAL CENTER FOUNDATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08753222597592FUNDRAISINGNJ501(c)(3)509(a)(1)BHfalse
COUNTRY MANOR AT DOVER
16 WHITESVILLE ROADTOMS RIVERNJ07757222462909INACTIVENJ501(c)(3)509(A)(2)CSHGfalse
IRVINGTON GENERAL HOSPITAL
832 CHANCELLOR AVENUEIRVINGTONNJ07052223452411INACTIVENJ501(c)(3)HOSPITALBHfalse
IRVINGTON HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ08753237025428INACTIVENJ501(c)(3)509(a)(3)BHfalse
KENSINGTON MANOR CARE CENTER
16 WHITESVILLE ROADTOMS RIVERNJ08701521571883inactiveNJ501(c)(3)509(a)(2)CSHGfalse
KIMBALL MEDICAL CENTER
600 RIVER AVENUELAKEWOODNJ08701223452413HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
KIMBALL MEDICAL CENTER FOUNDATION
600 RIVER AVE ANNEX BLDG ELAKEWOODNJ07080222630076FUNDRAISINGNJ501(c)(3)509(a)(1)BHfalse
MEDICAL CENTER STAFFING SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07083352219655STAFFING SVCSNJ501(c)(3)509(a)(3)CSHGfalse
MEGA CARE INC
1020 GALLOPING HILL ROADUNIONNJ07052222578561HEALTH SVCS.NJ501(c)(3)509(a)(3)CSHGfalse
MMC AMBULATORY SURGERY CENTER INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07740753166377INACTIVENJ501(c)(3)N/AMMCfalse
MONMOUTH MEDICAL CENTER
300 SECOND AVENUELONG BRANCHNJ07764223452412HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
MONMOUTH MEDICAL CENTER - FACULTY PRACT
100 STATE HIGHWAY 36WEST LONG BRANCHNJ07740223357053HEALTH SVCS.NJ501(c)(3)509(a)(3)MMCfalse
BARNABAS HEALTH MEDICAL GROUP PC
300 SECOND AVENUELONG BRANCHNJ07112223316007HEALTH SVCS.NJ501(c)(3)509(a)(2)MMCfalse
NBI HEALTH PARTNERS PA
201 LYONS AVENUENEWARKNJ07112271694034INACTIVENJ501(c)(3)N/ANBIfalse
NEWARK BETH ISRAEL MEDICAL CENTER
201 LYONS AVENUENEWARKNJ08701223452311HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
SAINT BARNABAS ASSIST LIVING AT LAKEWOOD
77 WILLIAMS STREETLAKEWOODNJ08754223451655inactiveNJ501(c)(3)509(a)(2)CSHGfalse
SAINT BARNABAS BEHAVIORAL HEALTH CENTER
1691 ROUTE 9TOMS RIVERNJ07039222977312HEALTH SVCS.NJ501(c)(3)HOSPITALCSHGfalse
BARNABAS HEALTH INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222405279HEALTH SVCS.NJ501(c)(3)509(a)(3)NAfalse
SAINT BARNABAS DEVELOPMENT FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052222378422FUNDRAISINGNJ501(c)(3)509(a)(1)NJHCICfalse
SAINT BARNABAS HEALTH CARE SYSTEM FDN
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223769036FUNDRAISINGNJ501(c)(3)509(a)(1)BHfalse
SAINT BARNABAS HOSPICE AND PALLIATIVE
95 OLD SHORT HILLS ROADWEST ORANGENJ07039222354659HEALTH SVCS.NJ501(c)(3)509(a)(1)BHfalse
SAINT BARNABAS MEDICAL CENTER
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039221494440HEALTH SVCS.NJ501(c)(3)HOSPITALBHfalse
HARVEY E NUSSBAUM MD RESEARCH INST OF SB
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039227146916RESEARCHNJ501(c)(3)170, BOX 4NJHCICfalse
SAINT BARNABAS OUTPATIENT CENTERS
200 SOUTH ORANGE AVENUELIVINGSTONNJ07052222458479HEALTH SVCS.NJ501(c)(3)509(A)(2)BHfalse
SAINT BARNABAS PALLIATIVE CARE PHYS PA
95 OLD SHORT HILLS ROADWEST ORANGENJ07039262532578HEALTH SVCS.NJ501(c)(3)509(A)(2)HOSPICEfalse
SAINT BARNABAS REALTY DEVELOPMENT CORP
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222940008TITLE HLDNG.NJ501(c)(3)509(a)(3)NJHCICfalse
NJ HEALTH CARE INNOVATION CENTER INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07112222458481HEALTH SVCS.NJ501(c)(3)509(a)(3)BHfalse
THE NEWARK BETH ISRAEL MEDICAL CNTR FDN
201 LYONS AVENUENEWARKNJ07083222587176FUNDRAISINGNJ501(c)(3)509(a)(1)BHfalse
UNION HOSPITAL
1000 GALLOPING HILL ROADUNIONNJ07052221413947INACTIVENJ501(c)(3)HOSPITALBHfalse
SANDY HOOK FRNDS OF ST BARNABAS BURN FDN
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223236202FUNDRAISINGNJ501(c)(3)509(A)(3)BHfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
INNOVATIVE PURCHASING CONCEPTS
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223786557PURCHASINGNJBHfalse$0false
KIM-MED ASSOCIATES
300 SECOND AVENUELONG BRANCHNJ07740222775619REAL ESTATENJKHCAfalse$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
LSC HOLDING COMPANY INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223569598HOLDING CO.NJNAC CORP.false
LIVINGSTON SERVICES CORP
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222465402HEALTHCARE SVCS.NJNAC CORP.false
LIVINGSTON INFUSION CARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223190756HEALTHCARE SVCS.NJNAC CORP.false
MAJOR SECURITY SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223040539SECURITY SVCS.NJNAC CORP.false
MEDICAL CTR HEALTH CARE SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223011742HEALTHCARE SVCS.NJNAC CORP.false
CENTER STATE HEALTH SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222592293HEALTHCARE SVCS.NJNAC CORP.false
CENTER STATE MANAGEMENT CORP
300 SECOND AVENUELONG BRANCHNJ07740222506125MGMT SVCS.NJNAC CORP.false
CENTER STATE COLLECTION SVCS
2 CRESCENT PLACEOCEANPORTNJ07757222629075COLLECTION SVCS.NJNAC CORP.false
COMMUNITY KARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222993840HEALTHCARE SVCS.NJNAC CORP.false
KIMBALL HLTH CARE AFFILIATES
300 SECOND AVENUELONG BRANCHNJ07740222701213INVESTMENTNJNAC CORP.false
HEALTH CARE FACILITIES MGT
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223532988MAINT. SVCS.NJNAC CORP.false
PREMIUM HEALTH SYSTEMS INC
ONE FRANKLIN AVENUEBELLEVILLENJ07109222779395HEALTHCARE SVCS.NJNAC CORP.false
SBC MANAGEMENT CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223414332MGMT SVCS.NJNAC CORP.false
PROFESSIONAL QUALITY LIAB
100 BANK STREETBURLINGTONVT05401205163819INSURANCE SVCS.VTNAC CORP.false
NJ HEALTH CARE SYSTEM INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223536986INACTIVENJNAC CORP.false
CPIC
FINANCIAL VEHICLENAFOREIGN CORP.false44 CHURCH STREETHAMILTONBERMUDABDHM11BD
LSC PHARMACY SERVICES INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052452552776PHARMACY SVCS.NJNAC CORP.false
SAINT BARNABAS PHYSICIAN ASSOCIATES PA
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039271259104HEALTHCARE SVCS.NJNAC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferenceSCHEDULE R, PART VReturnReference
ExplanationBARNABAS 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