FURP.ORG / PUBLIC DATA EXPLORER

MONMOUTH MEDICAL CENTER FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MONMOUTH MEDICAL CENTER FOUNDATION INC (EIN 22-2456079)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-30
IRS object ID
201340309349300169
Schema version
2011v1.5
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)
Timestamp2013-01-30T12:50:57-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
Phone7329238072Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLISA DEMARIAName
TitleCFO FOUNDATIONSTitle
Date Signed2013-01-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts5875593GrossReceipts
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 Body42NbrVotingMembersGoverningBody
Nbr Independent Voting Members37NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers274TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2762465ContributionsGrantsPriorYear
Contributions Grants Current Year2670974ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1696795ProgramServiceRevenuePriorYear
Program Service Revenue CY1811437ProgramServiceRevenueCY
Investment Income Prior Year532767InvestmentIncomePriorYear
Investment Income Current Year448736InvestmentIncomeCurrentYear
Other Revenue Prior Year-30179OtherRevenuePriorYear
Other Revenue Current Year5050OtherRevenueCurrentYear
Total Revenue Prior Year4961848TotalRevenuePriorYear
Total Revenue Current Year4936197TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3936750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3018231GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY56615TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year738418TotalFundrsngExpCurrentYear
Other Expense Prior Year1599293OtherExpensePriorYear
Other Expenses Current Year1355684OtherExpensesCurrentYear
Total Expenses Prior Year5536043TotalExpensesPriorYear
Total Expenses Current Year4430530TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-574195RevenuesLessExpensesPriorYear
Revenues Less Expenses CY505667RevenuesLessExpensesCY
Total Assets BOY20109830TotalAssetsBOY
Total Assets EOY19870241TotalAssetsEOY
Total Liabilities BOY1645830TotalLiabilitiesBOY
Total Liabilities EOY1194241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18464000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18676000NetAssetsOrFundBalancesEOY
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 REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3018231Expense
Grants3018231Grants
Revenue1811437Revenue
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 Expense3018231TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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
GamingtrueGaming
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096217NumberFormsTransmittedWith1096
Number W2 G Included5NumberW2GIncluded
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 Members42NbrVotingGoverningBodyMembers
Number Independent Voting Members37NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ANN UNTERBERG
CHAIR - TRUSTEE1.0XX000
GREGORY M FROMKIN
VICE CHAIRMAN - TRUSTEE1.0XX000
TERRY INGRAM
VICE CHAIR - TRUSTEE1.0XX000
FRANCIS S BRANIN JR
TREASURER - TRUSTEE1.0XX000
TRACY BROWN
SECRETARY - TRUSTEE1.0XX000
MICHAEL ARVANITIS MD
TRUSTEE25.0X0650460
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
DOUGLAS H FORSYTH
TRUSTEE1.0X000
ROBERT M GERARD
TRUSTEE1.0X000
BARBARA GOLDFARB
TRUSTEE1.0X000
ARTHUR M GREENBAUM ESQ
TRUSTEE1.0X000
LEROY J HERBERT
TRUSTEE1.0X000
HILDE JENSSEN HOVNANIAN CFA
TRUSTEE1.0X000
MICHELE DAVIS KARAGIANAKIS
TRUSTEE1.0X000
TARA KELLY
TRUSTEE - VP DEV (EFF 6/1/11)50.0XX01188495926
GEORGE R LAUFENBERG
TRUSTEE1.0X000
SIMON LEVIN ESQ
TRUSTEE1.0X000
GERALD C MARRONE
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
TRUSTEE50.0X01153850
CYNTHIA RUSIS
TRUSTEE1.0X000
SIRAN HOVNANIAN SAHAKIAN
TRUSTEE1.0X000
PATRICK P SCIRE
TRUSTEE1.0X000
RICHARD SPENGLER
TRUSTEE1.0X000
CAROL STILLWELL
TRUSTEE1.0X000
ANTHONY TERRACCIANO
TRUSTEE1.0X000
FRANK J VOZOS MD FACS
TRUSTEE55.0X082252134151
LOUIS J ZINTERHOFER MD
TRUSTEE1.0X000
JUDY MAZZEO ZOCCHI
TRUSTEE1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1121801TotalReportableCompFrmRltdOrgs
Total Other Compensation40077TotalOtherCompensation
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 PersonSBC MANAGEMENT CORPORATIONNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line195 OLD SHORT HILLS ROADAddressLine1
CityWEST ORANGECity
StateNJState
ZIP Code07052ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMANAGEMENTDescriptionOfServices
Compensation100400Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events385314FundraisingEvents
Related Organizations6245RelatedOrganizations
All Other Contributions2279415AllOtherContributions
Noncash Contributions5248NoncashContributions
Total Contributions2670974TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOTHER PROGRAM RELATED REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column1811437TotalRevenueColumn
Related Or Exempt Function Income1811437RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1811437TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column448736TotalRevenueColumn
Exclusion$448,736ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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 Events582839GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events385314CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses582839FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming79200GrossIncomeGaming
Gaming Direct Expenses39600GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column39600TotalRevenueColumn
Exclusion$39,600ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory282407GrossSalesOfInventory
Cost Of Goods Sold316957CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-34550TotalRevenueColumn
Exclusion-$34,550ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4936197TotalRevenueColumn
Related Or Exempt Function Income1811437RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$453,786ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3018231Total
Program Services3018231ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2069Total
Management And General2069ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20600Total
Management And General20600ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total60000Total
Management And General60000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total56615Total
Fundraising56615Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6062Total
Management And General3031ManagementAndGeneral
Fundraising3031Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total153826Total
Management And General121763ManagementAndGeneral
Fundraising32063Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total3001Total
Management And General3001ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5535Total
Management And General5535ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
ALLOC. OF PERSONNEL COSTS8702710418920451351
OTHER FUNDRAISING COSTS291120029112
PURCHASED SVCS & OTHER EXP205208038962166246

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4430530Total
Program Services3018231ProgramServices
Management And General673881ManagementAndGeneral
Fundraising738418Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3248442BOY
EOY2936827EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2769029BOY
EOY2416648EOY

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
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50908BOY
EOY48922EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115893LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec102319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11036BOY
EOY13574EOY

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)
BOY13426000BOY
EOY13831096EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY604115BOY
EOY622874EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20109830BOY
EOY19870241EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY132610BOY
EOY120334EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY1513220BOY
EOY1073907EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1645830BOY
EOY1194241EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2849000BOY
EOY3151000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10199000BOY
EOY10109000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5416000BOY
EOY5416000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18464000BOY
EOY18676000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20109830BOY
EOY19870241EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses505667ReconcilationRevenueExpenses
Reconcilation Other Changes-293667ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7131000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3674369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2798968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2762465CurrentTaxYearMinus1Year
Current Tax Year2670974CurrentTaxYear
Total19037776Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7131000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3674369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2798968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2762465CurrentTaxYearMinus1Year
Current Tax Year2670974CurrentTaxYear
Total19037776Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2978671AmountsSubstContributorsTotal
Public Support Total17016059105PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337546CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years467627CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years371484CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year532767CurrentTaxYearMinus1Year
Current Tax Year448736CurrentTaxYear
Total2158160Total
FieldValueIRS element (for citing)
Total Support21195936TotalSupport
Gross Receipts From Admissions Etc4689740GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.75765PublicSupportPertcentage170
Public Support Pertcent Prior Year0.64797PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 LegislatorstrueDirectContactLegislators
Direct Contact Legislators$60,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB60000TotalLobbyingExpendituresIIB
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 1GReturnReference
ExplanationDURING 2011, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $60,000 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
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
Depreciation102319Depreciation
Book Value13574BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Depreciation0Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13574TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS - U.S. EQUITIES5343000F
EQUITIES1202000F
CHARITABLE GIFT ANNUITY0F
DEPOSITS0F
MUTUAL FUNDS - FIXED INCOME5024000F
ALTERNATIVE INVESTMENTS423000F
ACCRUED INTEREST15000F
CASH AND CASH EQUIVALENTS33096F
CORPORATE BONDS770000F
OTHER INVESTMENTS25000F
MONEY MARKET FUNDS996000F
FieldValueIRS element (for citing)
Total Of Book Value Program Related13831096TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$1,073,907Amount
FieldValueIRS element (for citing)
Total Of Amounts1073907TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 ASSOCIATESNameOfIndividual

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 Contractor56615AmountRetainedByContractor
FieldValueIRS element (for citing)
Total Retained By Contractors56615TotalRetainedByContractors
Licensed StatesNJLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1408490GrossReceiptsEvent1
Charitable Contributions Event1221338CharitableContributionsEvent1
Gross Revenue Event1187152GrossRevenueEvent1
Non Cash Prizes Event115000NonCashPrizesEvent1
Rent Facility Costs Event135268RentFacilityCostsEvent1
Food And Beverage Event159282FoodAndBeverageEvent1
Entertainment Event115000EntertainmentEvent1
Other Direct Expenses Event162602OtherDirectExpensesEvent1
Name Of Event2GOLFNameOfEvent2
Gross Receipts Event2329815GrossReceiptsEvent2
Charitable Contributions Event2121211CharitableContributionsEvent2
Gross Revenue Event2208604GrossRevenueEvent2
Cash Prizes Event25069CashPrizesEvent2
Non Cash Prizes Event244020NonCashPrizesEvent2
Rent Facility Costs Event257146RentFacilityCostsEvent2
Other Direct Expenses Event2102369OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events229848GrossReceiptsOtherEvents
Charitable Contrib Other Events42765CharitableContribOtherEvents
Gross Revenue Other Events187083GrossRevenueOtherEvents
Cash Prizes Other Events14112CashPrizesOtherEvents
Rent Facility Costs Other Events9082RentFacilityCostsOtherEvents
Other Direct Expenses Other Events163889OtherDirectExpensesOtherEvents
Gross Receipts Total968153GrossReceiptsTotal
Charitable Contributions Total385314CharitableContributionsTotal
Gross Revenue Total Events582839GrossRevenueTotalEvents
Cash Prizes Total Events19181CashPrizesTotalEvents
Non Cash Prizes Total Events59020NonCashPrizesTotalEvents
Rent Facility Costs Total Events101496RentFacilityCostsTotalEvents
Food And Beverage Total Events59282FoodAndBeverageTotalEvents
Entertainment Total Events15000EntertainmentTotalEvents
Other Direct Expenses Total Events328860OtherDirectExpensesTotalEvents
Direct Expense Summary Events582839DirectExpenseSummaryEvents

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming79200GrossRevenueOtherGaming
Cash Prizes Other Gaming39600CashPrizesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming79200GrossRevenueTotalGaming
Cash Prizes Total Gaming39600CashPrizesTotalGaming
Direct Expense Summary Gaming39600DirectExpenseSummaryGaming
Net Gaming Income Summary39600NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNJStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Name Of Gaming Rec Keeper PersonJACI MCHUGHNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1300 SECOND AVENUEAddressLine1
CityLONG BRANCHCity
StateNJState
ZIP Code077406300ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonVARIOUS MMCF PERSONNELGamingManagerNamePerson
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedMANAGE DAY TO DAY ACTIVITIES OF RAFFLE OPERATIONSGamingManagerServicesProvided
Charitable Distrib RequiredfalseCharitableDistribRequired

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 Grant3018231AmountOfCashGrant
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 PlantrueSupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonFRANK J VOZOS MD FACSNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs430320CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs110000BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs282201OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs20417DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs13734NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs856672TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs144CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE 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 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $144, AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE.
COMPENSATION INFORMATIONCORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7ONE INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN HIS 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION.
COMPENSATION INFORMATIONSCHEDULE J, PART II, COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2011 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: FRANK J. VOZOS, M.D., FACS, $144.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7SAINT BARNABAS CORPORATION ("SBC") IS THE SOLE MEMBER OF THIS ORGANIZATION. SBC 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. SAINT BARNABAS CORPORATION 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 SAINT BARNABAS CORPORATION 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 SAINT BARNABAS CORPORATION. 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. SAINT BARNABAS CORPORATION ("SBC") 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. SBC'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 SBC'S SENIOR MANAGEMENT, INCLUDING THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VP OPERATIONS AND EXECUTIVE VP/CFO. 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, INCLUDING THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VP OPERATIONS AND EXECUTIVE VP/CFO. 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, INCLUDING, BUT NOT LIMITED TO, THE RETIRED CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER, BOTH THE RETIRED AND CURRENT EXECUTIVE VP OPERATIONS, EXECUTIVE VP/CFO AND THE EXECUTIVE DIRECTORS OF THE BARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. 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 THAT RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER 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, REPRESENTS 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.
RECONCILIATION OF NET ASSETSCORE FORM, PART VI; QUESTION 5OTHER CHANGES IN FUND BALANCE INCLUDE: - RECOVERY OF UNCOLLECTIBLE CONTRIBUTIONS - $7,626 - NET TRANSFER OF CASH FROM TAX-EXEMPT AFFILIATES - $28,791 - UNREALIZED LOSSES ON INVESTMENTS - ($330,084)
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 SAINT BARNABAS CORPORATION. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT BARNABAS CORPORATION AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; 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 SAINT BARNABAS CORPORATION 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, 2011 AND DECEMBER 31, 2010; 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 (41 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)SBCfalse
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)SBCfalse
CLARA MAASS HEALTH SYSTEM INC
ONE CLARA MAASS DRIVEBELLEVILLENJ07109222802778HEALTH SVCS.NJ501(C)(3)509(a)(3)SBCfalse
CLARA MAASS MEDICAL CENTER
ONE CLARA MAASS DRIVEBELLEVILLENJ07109221500556HEALTH SVCS.NJ501(C)(3)HOSPITALSBCfalse
CLARA MAASS PROPERTIES INC
ONE CLARA MAASS DRIVEBELLEVILLENJ08755521855420INACTIVENJ501(C)(2)N/ASBCfalse
COMMUNITY MEDICAL CENTER
99 HIGHWAY 37 WESTTOMS RIVERNJ08755223452306HEALTH SVCS.NJ501(C)(3)HOSPITALSBCfalse
COMMUNITY MEDICAL CENTER FOUNDATION
99 HIGHWAY 37 WESTTOMS RIVERNJ08753222597592FUNDRAISINGNJ501(C)(3)509(a)(1)SBCfalse
COUNTRY MANOR AT DOVER
16 WHITESVILLE ROADTOMS RIVERNJ07757222462909INACTIVENJ501(C)(3)509(A)(2)CSHGfalse
EMTAC INC
2 CRESCENT PLACEOCEANPORTNJ07111222549945INACTIVENJ501(C)(3)509(a)(2)SBCfalse
IRVINGTON GENERAL HOSPITAL
832 CHANCELLOR AVENUEIRVINGTONNJ07052223452411INACTIVENJ501(C)(3)HOSPITALSBCfalse
IRVINGTON HOSPITAL FOUNDATION
95 OLD SHORT HILLS ROADWEST ORANGENJ08753237025428INACTIVENJ501(C)(3)509(a)(3)SBCfalse
KENSINGTON MANOR CARE CENTER
16 WHITESVILLE ROADTOMS RIVERNJ08701521571883inactiveNJ501(C)(3)509(a)(2)CSHGfalse
KIMBALL MEDICAL CENTER
600 RIVER AVENUELAKEWOODNJ08701223452413HEALTH SVCS.NJ501(C)(3)HOSPITALSBCfalse
KIMBALL MEDICAL CENTER FOUNDATION
600 RIVER AVE ANNEX BLDG ELAKEWOODNJ07080222630076FUNDRAISINGNJ501(C)(3)509(a)(1)SBCfalse
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)HOSPITALSBCfalse
MONMOUTH MEDICAL CENTER - FACULTY PRACT
100 STATE HIGHWAY 36WEST LONG BRANCHNJ07740223357053HEALTH SVCS.NJ501(C)(3)509(a)(3)MMCfalse
MONMOUTH MEDICAL CENTER FOUNDATION
300 SECOND AVENUELONG BRANCHNJ07740222456079FUNDRAISINGNJ501(C)(3)509(a)(1)SBCfalse
MONMOUTH 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)HOSPITALSBCfalse
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
SAINT BARNABAS CORPORATION
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)(2)SBHCSRIfalse
SAINT BARNABAS HEALTH CARE SYSTEM FDN
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223769036FUNDRAISINGNJ501(C)(3)509(a)(1)SBCfalse
SAINT BARNABAS HOSPICE AND PALLIATIVE
95 OLD SHORT HILLS ROADWEST ORANGENJ07039222354659HEALTH SVCS.NJ501(C)(3)509(a)(1)SBCfalse
SAINT BARNABAS MEDICAL CENTER
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039221494440HEALTH SVCS.NJ501(C)(3)HOSPITALSBCfalse
HARVEY E NUSSBAUM MD RESEARCH INST OF SB
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039227146916RESEARCHNJ501(C)(3)170, BOX 4SBHCSRIfalse
SAINT BARNABAS OUTPATIENT CENTERS
200 SOUTH ORANGE AVENUELIVINGSTONNJ07052222458479HEALTH SVCS.NJ501(C)(3)509(A)(2)SBCfalse
SAINT BARNABAS PALLIATIVE CARE PHYS PA
95 OLD SHORT HILLS ROADWEST ORANGENJ07039262532578HEALTH SVCS.NJ501(C)(3)509(A)(2)HOSPICEfalse
SAINT BARNABAS PHYSICIAN ASSOCIATES PA
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039271259104HEALTH SVCS.NJ501(C)(3)509(A)(2)SBMCfalse
SAINT BARNABAS REALTY DEVELOPMENT CORP
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039222940008TITLE HLDNG.NJ501(C)(3)509(a)(3)SBHCSRIfalse
SBHCS RESEARCH INSTITUTE INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07112222458481HEALTH SVCS.NJ501(C)(3)509(a)(3)SBCfalse
THE NEWARK BETH ISRAEL MEDICAL CNTR FDN
201 LYONS AVENUENEWARKNJ07083222587176FUNDRAISINGNJ501(C)(3)509(a)(1)SBCfalse
UNION HOSPITAL
1000 GALLOPING HILL ROADUNIONNJ07052221413947INACTIVENJ501(C)(3)HOSPITALSBCfalse
SANDY HOOK FRNDS OF ST BARNABAS BURN FDN
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223236202FUNDRAISINGNJ501(C)(3)509(A)(3)SBCfalse

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 PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
INNOVATIVE PURCHASING CONCEPTS
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223786557PURCHASINGNJSBCfalse$0false0.00000
KIM-MED ASSOCIATES
300 SECOND AVENUELONG BRANCHNJ07740222775619REAL ESTATENJKHCAfalse$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress 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.
LIVINGSTON SERVICES CORP
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222465402HEALTHCARE SvCS.NJNAC CORP.
ACC PHARMACY INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223555334PHARMACY SVCS.NJNAC CORP.
LIVINGSTON INFUSION CARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223190756HEALTHCARE SVCS.NJNAC CORP.
MAJOR SECURITY SERVICES INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223040539SECURITY SVCS.NJNAC CORP.
MEDICAL CTR HEALTH CARE SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223011742HEALTHCARE SVCS.NJNAC CORP.
CENTER STATE HEALTH SVCS
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222592293HEALTHCARE SVCS.NJNAC CORP.
CENTER STATE MANAGEMENT CORP
300 SECOND AVENUELONG BRANCHNJ07740222506125MGMT SVCS.NJNAC CORP.
CENTER STATE COLLECTION SVCS
2 CRESCENT PLACEOCEANPORTNJ07757222629075COLLECTION SVCS.NJNAC CORP.
COMMUNITY KARE INC
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080222993840HEALTHCARE SVCS.NJNAC CORP.
KIMBALL HLTH CARE AFFILIATES
300 SECOND AVENUELONG BRANCHNJ07740222701213INVESTMENTNJNAC CORP.
HEALTH CARE FACILITIES MGT
1 CRAGWOOD ROAD SUITE 3DSOUTH PLAINFIELDNJ07080223532988MAINT. SVCS.NJNAC CORP.
PREMIUM HEALTH SYSTEMS INC
ONE FRANKLIN AVENUEBELLEVILLENJ07109222779395HEALTHCARE SVCS.NJNAC CORP.
SBC MANAGEMENT CORPORATION
95 OLD SHORT HILLS ROADWEST ORANGENJ07052223414332MGMT SVCS.NJNAC CORP.
PROFESSIONAL QUALITY LIAB
100 BANK STREETBURLINGTONVT05401205163819INSURANCE SVCS.VTNAC CORP.
NJ HEALTH CARE SYSTEM INC
94 OLD SHORT HILLS ROADLIVINGSTONNJ07039223536986INACTIVENJNAC CORP.
CPIC
FINANCIAL VEHICLENAFOREIGN CORP.44 CHURCH STREETHAMILTONBERMUDABDHM11BD
LSC PHARMACY SERVICES INC
95 OLD SHORT HILLS ROADWEST ORANGENJ07052452552776PHARMACY SVCS.NJNAC CORP.
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
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