BARNABAS HEALTH MEDICAL GROUP P C: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BARNABAS HEALTH MEDICAL GROUP P C (EIN 22-3316007)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-30
- IRS object ID
- 201340309349300244
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-30T14:03:28-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223316007 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MONMOUTH MEDICAL GROUP PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % THOMAS G SCOTT CPA | InCareOfName |
| Name Control | MONM | NameControl |
| Phone | 7329238072 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 SECOND AVENUE | AddressLine1 |
| City | LONG BRANCH | City |
| State | NJ | State |
| ZIP Code | 07740 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | IVETTE D YATCILLA | Name |
| Title | CFO | Title |
| Date Signed | 2013-01-23 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCED MEDICAL GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY H OSTROWSKY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 OLD SHORT HILLS ROAD | AddressLine1 |
| City | WEST ORANGE | City |
| State | NJ | State |
| ZIP Code | 07052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 27708556 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BARNABASHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 1 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 228 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12674359 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 27690839 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 103 | InvestmentIncomePriorYear |
| Investment Income Current Year | 37 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 34863 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17680 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12709325 | TotalRevenuePriorYear |
| Total Revenue Current Year | 27708556 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9771262 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9614589 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2938063 | OtherExpensePriorYear |
| Other Expenses Current Year | 18093967 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12709325 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27708556 | TotalExpensesCurrentYear |
| Revenues Less Expenses CY | 0 | RevenuesLessExpensesCY |
| Total Assets BOY | 5446370 | TotalAssetsBOY |
| Total Assets EOY | 6486940 | TotalAssetsEOY |
| Total Liabilities BOY | 6564892 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7605462 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1118522 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1118522 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 24937699 | Expense |
| Grants | 0 | Grants |
| Revenue | 27690839 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
| Total Program Service Expense | 24937699 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 200 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 228 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 1 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS G SCOTT CPA | NamePerson |
| Telephone Number | 7329238072 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 CRESCENT PLACE | AddressLine1 |
| City | OCEANPORT | City |
| State | NJ | State |
| ZIP Code | 07757 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ERIC N BURKETT MD | |||||||
| TRUSTEE/PRESIDENT | 50.0 | X | X | 54819 | 315188 | 27663 | |
| IVETTE D YATCILLA | |||||||
| CFO | 55.0 | X | 84085 | 0 | 40137 | ||
| MARGO A PETERS | |||||||
| DIRECTOR OPERATIONS | 55.0 | X | 126069 | 0 | 43287 | ||
| DAVID WALLACE MD | |||||||
| PHYSICIAN | 50.0 | 506504 | 0 | 38606 | X | ||
| JOSEPH CLEMENTE MD | |||||||
| PHYSICIAN | 50.0 | 461471 | 0 | 10481 | X | ||
| CARL A NATH MD | |||||||
| PHYSICIAN | 50.0 | 449589 | 0 | 48446 | X | ||
| DAVID GONZALEZ MD | |||||||
| PHYSICIAN | 50.0 | 439294 | 0 | 69108 | X | ||
| NISHA MALIK MD | |||||||
| PHYSICIAN | 50.0 | 437196 | 0 | 74354 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2559027 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 315188 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 352082 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CENTER STATE COLLECTION SERVICES IN | |||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | COLLECTION | 644885 |
| SBC MANAGEMENT CORPORATION | |||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | MANAGEMENT | 329016 |
| GARFUNKEL WILD PC | |||||
| 411 HACKENSACK AVENUE | HACKENSACK | NJ | 07601 | LEGAL | 196587 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | 27397603 | 27397603 |
| OTHER HEALTHCARE RELATED REVENUE | 541900 | 293236 | 293236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 27690839 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37 | TotalRevenueColumn |
| Exclusion | $37 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17680 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17680 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17680 | TotalRevenueColumn |
| Exclusion | $17,680 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27708556 | TotalRevenueColumn |
| Related Or Exempt Function Income | 27690839 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $17,717 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 348394 | Total |
| Program Services | 313556 | ProgramServices |
| Management And General | 34838 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6352991 | Total |
| Program Services | 5717692 | ProgramServices |
| Management And General | 635299 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465625 | Total |
| Program Services | 419062 | ProgramServices |
| Management And General | 46563 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1479115 | Total |
| Program Services | 1331200 | ProgramServices |
| Management And General | 147915 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 968464 | Total |
| Program Services | 871618 | ProgramServices |
| Management And General | 96846 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31697 | Total |
| Program Services | 28527 | ProgramServices |
| Management And General | 3170 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153051 | Total |
| Program Services | 137746 | ProgramServices |
| Management And General | 15305 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30000 | Total |
| Program Services | 27000 | ProgramServices |
| Management And General | 3000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171903 | Total |
| Program Services | 154713 | ProgramServices |
| Management And General | 17190 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 823809 | Total |
| Program Services | 741428 | ProgramServices |
| Management And General | 82381 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 700 | Total |
| Program Services | 630 | ProgramServices |
| Management And General | 70 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22349 | Total |
| Program Services | 20114 | ProgramServices |
| Management And General | 2235 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1799 | Total |
| Program Services | 1619 | ProgramServices |
| Management And General | 180 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2459084 | Total |
| Program Services | 2213176 | ProgramServices |
| Management And General | 245908 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 975231 | Total |
| Program Services | 877708 | ProgramServices |
| Management And General | 97523 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PHYSICIAN SALARIES & FEES | 9159039 | 8243135 | 915904 | 0 |
| PURCHASED SERVICES | 2624811 | 2362330 | 262481 | 0 |
| MEDICAL SUPPLIES | 563233 | 506910 | 56323 | 0 |
| PROVISION FOR BAD DEBT | 466593 | 419934 | 46659 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 610668 | Total |
| Program Services | 549601 | ProgramServices |
| Management And General | 61067 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27708556 | Total |
| Program Services | 24937699 | ProgramServices |
| Management And General | 2770857 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -26490 | BOY |
| EOY | 50590 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322640 | BOY |
| EOY | 1368286 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2123277 | BOY |
| EOY | 3820870 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303956 | BOY |
| EOY | 667059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1656489 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1124815 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 418847 | BOY |
| EOY | 531674 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106650 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2142567 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54923 | BOY |
| EOY | 48461 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5446370 | BOY |
| EOY | 6486940 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1468113 | BOY |
| EOY | 3052588 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5096779 | BOY |
| EOY | 4552874 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6564892 | BOY |
| EOY | 7605462 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1118522 | BOY |
| EOY | -1118522 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1118522 | BOY |
| EOY | -1118522 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5446370 | BOY |
| EOY | 6486940 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 0 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11612284 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11878386 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10800194 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12674359 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27690839 | CurrentTaxYear |
| Total | 74656062 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11612284 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11878386 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10800194 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12674359 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27690839 | CurrentTaxYear |
| Total | 74656062 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 74656062 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40762 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41670 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34770 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 34966 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17717 | CurrentTaxYear |
| Total | 169885 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40762 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 41670 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34770 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 34966 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17717 | CurrentTaxYear |
| Total | 169885 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11653046 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11920056 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10834964 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12709325 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27708556 | CurrentTaxYear |
| Total | 74825947 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 197299 | OtherCostOrOtherBasis |
| Depreciation | 179437 | Depreciation |
| Book Value | 17862 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1459190 | OtherCostOrOtherBasis |
| Depreciation | 945378 | Depreciation |
| Book Value | 513812 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 531674 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $3,458,418 |
| ACCRUED PENSION LIABILITY | $790,960 |
| OTHER LIABILITIES | $303,496 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4552874 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC N BURKETT MD | |||||||||||||
| 0 | 280018 | 0 | 25524 | 54819 | 9646 | 0 | 15054 | 0 | 12609 | 54819 | 342851 | 0 | 0 |
| MARGO A PETERS | |||||||||||||
| 123097 | 0 | 0 | 0 | 2972 | 0 | 28749 | 0 | 14538 | 0 | 169356 | 0 | 0 | 0 |
| DAVID WALLACE MD | |||||||||||||
| 503914 | 0 | 0 | 0 | 2590 | 0 | 16333 | 0 | 22273 | 0 | 545110 | 0 | 0 | 0 |
| JOSEPH CLEMENTE MD | |||||||||||||
| 459149 | 0 | 0 | 0 | 2322 | 0 | 9991 | 0 | 490 | 0 | 471952 | 0 | 0 | 0 |
| CARL A NATH MD | |||||||||||||
| 449070 | 0 | 0 | 0 | 519 | 0 | 29074 | 0 | 19372 | 0 | 498035 | 0 | 0 | 0 |
| DAVID GONZALEZ MD | |||||||||||||
| 438453 | 0 | 0 | 0 | 841 | 0 | 48382 | 0 | 20726 | 0 | 508402 | 0 | 0 | 0 |
| NISHA MALIK MD | |||||||||||||
| 436417 | 0 | 0 | 0 | 779 | 0 | 51592 | 0 | 22762 | 0 | 511550 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION INFORMATION | Identifier |
| Return Reference | CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 | ReturnReference |
| Explanation | ONE 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BENEFIT STATEMENT | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== MONMOUTH MEDICAL GROUP ("MMG") WAS FORMED IN 1994 AS A PROFESSIONAL CORPORATION UNDER NEW JERSEY FOR-PROFIT CORPORATION LAWS TO SUPPORT MONMOUTH MEDICAL CENTER ("MMC") BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. AS DESCRIBED BELOW, MMG CONSTITUTES A MAJORITY OF THE CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF MMC. MMG IS AN INTEGRAL PART OF MMC'S MEMBERSHIP IN BARNABAS HEALTH ("BH"), NEW JERSEY'S LARGEST INTEGRATED HEALTHCARE DELIVERY SYSTEM. MMG IS CONTROLLED BY MMC THROUGH MMG'S SOLE PHYSICIAN SHAREHOLDER. DUE TO CORPORATE PRACTICE OF MEDICINE LAWS IN NEW JERSEY, ERIC N. BURKETT, M.D., AN EMPLOYEE OF MMC, IS THE SOLE SHAREHOLDER AND NOMINEE OWNER OF MMG FOR THE BENEFIT OF MMC. NEW JERSEY CORPORATE PRACTICE OF MEDICINE LAWS DO NOT PERMIT MMC TO SERVE AS THE SHAREHOLDER OF MMG. CONTROL BY MMC OF MMG IS INSURED AND WILL CONTINUE BASED ON THE FACT THAT DR. BURKETT IS AN EMPLOYEE OF MMC AND A MEMBER OF MMC'S MEDICAL STAFF AND HAS ENTERED INTO AN OPERATING AGREEMENT WITH MMG AND MMC. THE OPERATING AGREEMENT TOGETHER WITH DR. BURKETT'S EMPLOYMENT AT MMC ENSURES STRUCTURAL AND FINANCIAL CONTROL OF MMG BY MMC. MMG AMENDED ITS ORIGINAL CERTIFICATE OF INCORPORATION WITH THE STATE OF NEW JERSEY TO REFLECT THE ORGANIZATION AS A NOT FOR-PROFIT ORGANIZATION. THE AMENDED CERTIFICATE OF INCORPORATION STATES THAT MMG IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT ALSO STATES THAT MMG IS ORGANIZED TO RENDER MEDICAL SERVICES TO PATIENTS OF MMC AND TO PROVIDE MEDICAL EDUCATION, RESEARCH AND TEACHING SERVICES IN FURTHERANCE OF MMC'S CHARITABLE PURPOSES AS A 501(C)(3) TAX-EXEMPT ORGANIZATION. MMG IS A MEDICAL PRACTICE COMPONENT OF MMC. MMG PROVIDES MEDICAL SERVICES, MEDICAL RESEARCH AND EDUCATION OF MMC RESIDENTS AND MEDICAL STUDENTS. IN ITS ROLE AS A MEDICAL PRACTICE COMPONENT OF MMC AND AS AN EDUCATOR, MEDICAL STUDENTS AND MEDICAL RESIDENTS OF MMC RECEIVE EDUCATION AND TRAINING AT MMG THROUGH MEDICAL ROTATIONS. THESE ACTIVITIES FURTHER THE CHARITABLE PURPOSES OF MMG AND THE CHARITABLE PURPOSES OF MMC BY PROVIDING HEALTHCARE SERVICES TO ALL THOSE IN NEED OF CARE WITHOUT REGARD TO ABILITY TO PAY, RACE, COLOR, NATIONAL ORIGIN, RELIGIOUS CREED, PHYSICAL HANDICAP OR DISABILITY. MMG WAS FORMED TO EXPAND MMC'S, AND THUS BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM THROUGHOUT PRIMARILY MONMOUTH COUNTY, NEW JERSEY, IS A SEAMLESS EXTENSION OF MMC'S HEALTHCARE SERVICES AND IS OPERATED FOR THE CONVENIENCE OF MMC'S PATIENTS. CONSISTENT WITH MMC'S GENERAL PRACTICE DESCRIBED ABOVE, MMG IS STAFFED BY ITS OWN PHYSICIANS AND MMC EMPLOYED PHYSICIANS. ALL PHYSICIANS EMPLOYED BY MMG HAVE ADMITTING PRIVILEGES AT MMC. MMG PERFORMS A CRUCIAL FUNCTION IN MMC'S, AND THUS BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY. MMG SUPPORTS MMC BY REACHING OUT INTO THE COMMUNITY AND THEREBY ALLOWING MMC TO DELIVER ITS STATE-OF-THE-ART HEALTHCARE SERVICES TO A LARGER PATIENT BASE THAN IT WOULD OTHERWISE BE ABLE TO REACH. THIS COMMUNITY SERVICE, INCLUDES, BUT IS NOT LIMITED TO, THE PHYSICIANS OF MMG PROVIDING SPEAKING ENGAGEMENTS TO THE COMMUNITY AT NO COST IN ORDER TO EDUCATE THE PUBLIC ON VARIOUS MEDICAL AND HEALTHCARE ISSUES. MMG IS A DIVERSIFIED MULTI-SPECIALTY GROUP WHOSE PHYSICIANS ARE VERY ACTIVE WITHIN THE COMMUNITY AND IN ASSISTING OTHER HOSPITALS AND MEDICAL CENTERS WITHIN BH. SEE BELOW FOR A BRIEF SYNOPSIS OF EACH OF MMG'S SPECIALTIES: PRIMARY CARE ------------ PRIMARY CARE PHYSICIANS ARE EMPLOYED BY MMG COVERING OFFICE LOCATIONS IN WEST LONG BRANCH, MIDDLETOWN, LONG BRANCH AND TINTON FALLS, NEW JERSEY. SOME OF THESE PHYSICIANS ARE EXTREMELY ACTIVE IN PROVIDING LECTURES ON VARIOUS TOPICS RELATIVE TO FEMALE HEALTH ISSUES. MATERNAL/FETAL MEDICINE ----------------------- PHYSICIANS ARE EMPLOYED BY MMG SPECIALIZING IN THIS AREA. THE PRIMARY LOCATION FOR THIS PRACTICE IS IN LONG BRANCH, NEW JERSEY. THIS GROUP OF PHYSICIANS IS VERY ACTIVE AND PLAYS A VITAL ROLE IN THE WOMEN'S AND CHILDREN'S SPECIALTY CENTER LOCATED IN LAKEWOOD, NEW JERSEY. THIS CENTER MEETS THE NEEDS AND DEMANDS OF HIGH RISK OB/GYN PATIENTS IN THE OCEAN COUNTY, NEW JERSEY AREA. THIS SERVICE PROVIDED BY THE MMG PHYSICIANS PROVIDES A DIRECT BENEFIT TO COMMUNITY AND KIMBALL MEDICAL CENTERS LOCATED IN TOMS RIVER AND LAKEWOOD, NEW JERSEY; RESPECTIVELY. BOTH ARE MEMBERS OF BH ALONG WITH MMC. UROGYNECOLOGY ------------- PHYSICIANS ARE EMPLOYED BY MMG PROVIDE UROGYNECOLOGY SERVICES IN LAKEWOOD, COLTS NECK AND TINTON FALLS, NEW JERSEY. THE PHYSICIANS WITHIN THIS SPECIALTY AREA TAKE A VERY ACTIVE ROLE IN DEVELOPING THIS PROGRAM AND IN TEACHING AT MMC. THERE IS A GREAT DEMAND FOR THESE SERVICES WITHIN THE COMMUNITY; MAINLY AMONG THE FEMALE POPULATION. IN ADDITION, THE PHYSICIANS PROVIDE MANY SPEAKING ENGAGEMENTS TO OTHER AREA ORGANIZATIONS RELATIVE TO THIS TOPIC. PEDIATRIC SPECIALISTS --------------------- PHYSICIANS PROVIDE PEDIATRIC CARE SERVICES TO THE COMMUNITY. ALL ELEVEN PHYSICIANS HAVE PRACTICE SITES WITHIN OR AROUND MMC IN LONG BRANCH, SHREWSBURY AND TOMS RIVER, NEW JERSEY. ALL PHYSICIANS WITHIN THIS SPECIALTY HAVE DEVELOPED THEIR RESPECTIVE PRACTICE AND PROGRAM WITHIN MMG AND CONTINUE TO EXPAND AND ENHANCE ACTIVITIES ON A DAILY BASIS WITHIN THE PRACTICE ITSELF AND THE COMMUNITY AT LARGE. ALL OF THESE PHYSICIANS PROVIDE SPEAKING ENGAGEMENTS TO THE COMMUNITY RELATIVE TO IMPORTANT TOPICS WITHIN THE PEDIATRIC SPECIALTY AREA. UNTIL THIS SPECIALTY WAS FORMED AT MMG, BOTH KIMBALL AND COMMUNITY MEDICAL CENTERS HAD VOIDS IN THE PEDIATRIC SPECIALIST AREA. MOREOVER, ONE OF THE PHYSICIANS WITHIN THIS SPECIALTY AT MMG HAS BEEN INSTRUMENTAL IN DEVELOPING A WIDELY RECOGNIZED CYSTIC FIBROSIS PROGRAM WHICH RECEIVES STATE OF NEW JERSEY GRANT SUPPORT. MONMOUTH MEDICAL CENTER ("MMC") =============================== MMC IS A 513-BED NON-PROFIT, REGIONAL TERTIARY CARE TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. THE INSTITUTION PROVIDES A FULL SPECTRUM OF SERVICES, RANGING FROM HIGH-RISK NEONATOLOGY TO GERIATRIC CARE. ADMISSIONS TOTAL OVER 22,000 ANNUALLY, WITH OVER 4,000 BIRTHS, AND APPROXIMATELY 50,000 EMERGENCY VISITS A YEAR. MMC SERVES A DIVERSE COMMUNTY WITH OVER 25% OF ITS PATIENTS COMPRISED OF MINORITY GROUPS AND 31% OF PATIENTS IN UNDERINSURED AND UNINSURED PAYER GROUPS. IT HAS A JCAHO CERTIFIED CHEST PAIN CENTER AND IS STATE DESIGNATED AS A PRIMARY STROKE CENTER. ANNUAL OUTPATIENT VISITS ARE MORE THAN 187,000. MMC IS ONE OF NEW JERSEY'S LARGEST COMMUNITY TEACHING HOSPITALS, WHERE PHYSICIANS WORK AS A TEAM DEDICATED TO ACADEMIC EXCELLENCE, CLINICAL COMPETENCE, AND COMPREHENSIVE AND COMPASSIONATE PATIENT CARE. FOR MORE THAN 100 YEARS, MMC HAS BEEN THE LEADER IN CENTRAL NEW JERSEY IN PROVIDING THE BEST IN HEALTHCARE AND THE LATEST IN MEDICAL TECHNOLOGY TO THE NEARLY 1 MILLION RESIDENTS THAT COMPRISE ITS PRIMARY SERVICE AREA OF MONMOUTH COUNTY, AND PORTIONS OF OCEAN AND MIDDLESEX COUNTIES. THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER IS A MEMBER OF THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS (NACHRI) AND OFFERS MORE THAN 140 PEDIATRIC SPECIALISTS WHO CONCENTRATE IN 26 SPECIALTIES. THE ORGANIZATION PROVIDES SPECIALIZED PEDIATRIC CARE, OFFERING A 29-BASSINET REGIONAL NEWBORN CENTER, A 15-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, THE REGION'S ONLY PROGRAM IN CHILDREN'S CRISIS INTERVENTION SERVICES AND SUBSPECIALTY PEDIATRIC CARE IN AREAS SUCH AS CARDIOLOGY, GASTROENTEROLOGY, SURGERY AND ORTHOPEDICS. THE PRESTIGIOUS AMERICAN DIABETES ASSOCIATION EDUCATION RECOGNITION CERTIFICATE FOR A QUALITY DIABETES SELF-MANAGEMENT EDUCATION PROGRAM WAS RECENTLY AWARDED TO THE PEDIATRIC ENDOCRINOLOGY PROGRAM OF THE CHILDREN'S HOSPITAL AT MONMOUTH MEDICAL CENTER AS WELL AS THE CENTER FOR DIABETES EDUCATION AT MONMOUTH MEDICAL CENTER - AN HONOR ORIGINALLY BESTOWED ON THE MEDICAL CENTER IN 2007. WITH THIS RECOGNITION, THE CENTER WAS RE-CERTIFIED BY THE ADA AS OFFERING HIGH QUALITY DIABETES SELF-MANAGEMENT EDUCATION THAT IS AN ESSENTIAL COMPONENT OF EFFECTIVE DIABETES TREATMENT. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | MMC HAS THE LARGEST PSYCHIATRIC PROGRAM IN MONMOUTH COUNTY, WITH A TOTAL OF 63 BEDS IN VOLUNTARY AND INVOLUNTARY ADULT INPATIENT UNITS AND 19 BEDS IN ITS INPATIENT CHILDREN'S CRISIS INTERVENTION SERVICE, WHERE CHILDREN AND ADOLESCENTS WITH ACUTE EMOTIONAL, BEHAVIORAL OR PSYCHIATRIC PROBLEMS ARE TREATED. IN ADDITION, ITS NEWLY RENOVATED PSYCHIATRIC EMERGENCY SCREENING SERVICE IS THE DESIGNATED SUCH SERVICE FOR MONMOUTH COUNTY. MONMOUTH IS DREXEL UNIVERSITY'S LARGEST MAJOR ACADEMIC MEDICAL AFFILIATE IN NEW JERSEY AND IS THE ONLY AREA ACADEMIC MEDICAL CENTER TO ACHIEVE REGIONAL MEDICAL CAMPUS STATUS. IT IS RECOGNIZED AS A DISTINGUISHED ACADEMIC MEDICAL CENTER AMONG AN ELITE GROUP OF THE NATION'S NINE LEADING TEACHING HOSPITALS, BY PRESS GANEY. ADDITIONALLY, MONMOUTH MEDICAL CENTER HAS EARNED THE COVETED SOLUCIENT 100 TOP HOSPITALS - PERFORMANCE IMPROVEMENT LEADERS AWARD, RECOGNIZING MONMOUTH MEDICAL CENTER FOR ITS CLINICAL OUTCOMES AND PATIENT SAFETY AMONG 100 TOP HOSPITALS IN THE NATION. MMC'S SOLE CORPORATE MEMBER IS SAINT BARNABAS CORPORATION ("SBC"). SBC IS THE TAX-EXEMPT PARENT OF BARNABAS HEALTH ("BH"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER BH AFFILIATE CONTROLLED BY SBC. BH IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY THAT PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. BH IS CURRENTLY ONE OF THE LARGEST MULTI-HOSPITAL SYSTEMS IN NEW JERSEY. BH CONSISTS OF FREE-STANDING HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, LONG-TERM CARE AND ASSISTED LIVING FACILITIES, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. BH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, BH PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SBC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH ASSOCIATION OF AMERICAN MEDICAL COLLEGES AS OUTLINED ABOVE, MMC IS A MEMBER OF BH. BH IS A MEMBER OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES ("AAMC"). AAMC IS A NON-PROFIT ASSOCIATION OF MEDICAL SCHOOLS, TEACHING HOSPITALS, AND ACADEMIC SOCIETIES. THE AAMC SEEKS TO IMPROVE THE NATION'S HEALTH BY ENHANCING THE EFFECTIVENESS OF ACADEMIC MEDICINE. THE AAMC ASSISTS ACADEMIC MEDICINE'S INSTITUTIONS, ORGANIZATIONS, AND INDIVIDUALS IN THREE MAIN MISSION AREAS: 1. MEDICAL EDUCATION - EDUCATING THE PHYSICIAN AND MEDICAL SCIENTIST WORKFORCE. 2. MEDICAL RESEARCH - DISCOVERING NEW MEDICAL KNOWLEDGE AND DEVELOPING INNOVATIVE TECHNOLOGIES FOR THE PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. 3. PATIENT CARE - PROVIDING HEALTHCARE SERVICES IN ACADEMIC SETTINGS. - MONMOUTH MEDICAL CENTER'S RELATIONSHIP WITH DREXEL UNIVERSITY COLLEGE OF MEDICINE MMC IS AFFILIATED WITH THE DREXEL UNIVERSITY COLLEGE OF MEDICINE ("DREXEL"). DREXEL, A NEW NAME JUST A FEW YEARS AGO, IS THE CONSOLIDATION OF TWO VENERABLE MEDICAL SCHOOLS WITH RICH AND INTERTWINED HISTORIES: HAHNEMANN MEDICAL COLLEGE AND WOMAN'S MEDICAL COLLEGE OF PENNSYLVANIA. ESTABLISHED IN 1848 AND 1850, RESPECTIVELY, THEY WERE TWO OF THE EARLIEST MEDICAL COLLEGES IN THE UNITED STATES, AND WOMAN'S WAS THE VERY FIRST MEDICAL SCHOOL FOR WOMEN IN THE NATION. TODAY, WITH OVER 1,000 MEDICAL STUDENTS, DREXEL IS THE LARGEST PRIVATE MEDICAL SCHOOL IN THE COUNTRY. BIOMEDICAL GRADUATE STUDENTS NUMBER MORE THAN 500. THERE ARE SOME 550 RESIDENTS, 600 CLINICAL AND BASIC SCIENCE FACULTY, AND OVER 1,700 AFFILIATE AND VOLUNTEER FACULTY. DREXEL'S CLINICAL PRACTICE, DREXEL UNIVERSITY PHYSICIANS, IS A PATIENT-FOCUSED PRACTICE EMPHASIZING QUALITY, INNOVATION AND COMMUNITY SERVICE, AND ENHANCED BY PHYSICIAN INVOLVEMENT IN THE RESEARCH AND EDUCATIONAL PROGRAMS. DREXEL HAS PARTICIPATED IN PIONEERING CLINICAL TRIALS INVOLVING THE WORLD'S FIRST IMPLANTABLE ARTIFICIAL HEART, ESTABLISHED A MAJOR REGIONAL CENTER FOR SPINAL CORD RESEARCH, AND FOUNDED ONE OF THE LEADING CENTERS FOR MALARIA STUDY IN THE NATION. COLLABORATIVE PROJECTS LEVERAGING DREXEL'S TECHNOLOGICAL EXPERTISE PUSH THE FRONTIERS OF NANOMEDICINE AND NEUROENGINEERING. DREXEL HOUSES ONE OF JUST 21 NATIONAL CENTERS OF EXCELLENCE IN WOMEN'S HEALTH DESIGNATED BY THE DEPARTMENT OF HEALTH & HUMAN SERVICES. IT HAS DEVELOPED THE LARGEST HIV/AIDS PRIMARY CARE PRACTICE IN THE MID-ATLANTIC REGION. FACULTY CLINICIANS ARE HIGHLY RESPECTED IN NUMEROUS OTHER SPECIALTIES, INCLUDING PAIN MANAGEMENT, SPORTS MEDICINE AND TOXICOLOGY. MONMOUTH MEDICAL SCHOOL SCHOLARS -------------------------------- THE MMC SCHOLARS PROGRAM IS AN EIGHT-YEAR UNDERGRADUATE/MEDICAL SCHOOL PROGRAM DIRECTED TOWARD THE PREPARATION OF PHYSICIANS FOR THE 21ST CENTURY. THE PROGRAM IS FOR STUDENTS WHO HAVE EXCELLED ACADEMICALLY AND WHO WISH TO ENTER THE MEDICAL DISCIPLINES OF FAMILY MEDICINE, GENERAL INTERNAL MEDICINE, OR GENERAL PEDIATRICS. THE MMC SCHOLARS PROGRAM IS A COOPERATIVE INTEGRATED PROGRAM DEVELOPED BY MONMOUTH UNIVERSITY, MONMOUTH MEDICAL CENTER, AND DREXEL IN PHILADELPHIA, PENNSYLVANIA. THE PROGRAM STRUCTURE IS AS FOLLOWS: STUDENTS COMPLETE A FOUR-YEAR UNDERGRADUATE DEGREE AT MONMOUTH UNIVERSITY. WHILE PURSUING THIS DEGREE, STUDENTS INTERACT EXTENSIVELY WITH THE FACULTY MEMBERS WHO MAKE UP MONMOUTH'S PRE-PROFESSIONAL ADVISORY COMMITTEE. THIS INTERACTION IS INTENDED TO PREPARE STUDENTS FOR MEDICAL SCHOOL ENROLLMENT. WHILE AT MONMOUTH UNIVERSITY, UNDERGRADUATE STUDENTS COMPLETE A PRECEPTORSHIP AT MMC, A TEACHING HOSPITAL LOCATED TWO MILES FROM THE UNIVERSITY'S CAMPUS. THE PRECEPTORSHIP OCCURS DURING THE STUDENTS' SENIOR YEAR. UPON GRADUATION FROM MONMOUTH UNIVERSITY, STUDENTS CONTINUE THEIR STUDIES AT DREXEL. THE FIRST TWO YEARS OF STUDY ARE DEVOTED TO FOUNDATION COURSES IN MEDICINE. THE FINAL TWO YEARS OF MEDICAL SCHOOL INVOLVE CLINICAL CLERKSHIPS AT DREXEL CLINICAL CAMPUSES IN PHILADELPHIA AND NEW JERSEY. THE FIRST CLERKSHIP IS AT MMC. IN SUMMARY, MMG IS AN INTEGRAL PART OF MMC AND OF BH'S INTEGRATED HEALTHCARE DELIVERY SYSTEM. IT PROVIDES AN ESSENTIAL SERVICE TO MMC BY EXTENDING THE REACH OF MMC, AND ULTIMATELY BH'S, INTEGRATED HEALTHCARE DELIVERY SYSTEM FURTHER INTO THE NEW JERSEY COMMUNITY. MOREOVER, THE CONTROLS AND RESTRICTIONS DISCUSSED ABOVE ENSURE THAT MMG IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES IN SUPPORT OF MMC AND SBHCS. |
| OTHER PROGRAM SERVICES | CORE FORM, PART III; LINE 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A, QUESTION 4 | PLEASE NOTE THAT THE ORGANIZATION FILED AN AMENDED CERTIFICATE OF INCORPORATION WITH THE STATE OF NEW JERSEY LEGALLY CHANGING ITS NAME TO BARNABAS HEALTH MEDICAL GROUP, P.C. ON FEBRUARY 14, 2012. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | MONMOUTH MEDICAL CENTER ("MMC") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. SAINT BARNABAS CORPORATION ("SBC") IS THE SOLE MEMBER OF MMC. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SAINT BARNABAS CORPORATION IS THE PARENT ENTITY OF THE SYSTEM. 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 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 PRIOR TO THE FILING WITH THE IRS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. 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 VICE PRESIDENT OPERATIONS AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. 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 VICE PRESIDENT OPERATIONS AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. 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 VICE PRESIDENT OPERATIONS, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER 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 INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECTS A BOARD MEMBER/OFFICER RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS A FULL-TIME EMPLOYEE OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| RELATED HOURS DISCLOSURE | CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS PART OF BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF BARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (40 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTER STATE HEALTH GROUP INC | ||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222939956 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC | false |
| CENTER STATE PROPERTIES CORPORATION | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 521571939 | TITLE HLDNG. | NJ | 501(C)(2) | N/A | CSHG | false |
| CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC | ||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 223343959 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBBH | false |
| CLARA MAASS FOUNDATION | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222132516 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| CLARA MAASS HEALTH SYSTEM INC | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222802778 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC | false |
| CLARA MAASS MEDICAL CENTER | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 221500556 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| CLARA MAASS PROPERTIES INC | ||||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 521855420 | INACTIVE | NJ | 501(C)(2) | N/A | SBC | false |
| COMMUNITY MEDICAL CENTER | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 223452306 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| COMMUNITY MEDICAL CENTER FOUNDATION | ||||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 222597592 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| COUNTRY MANOR AT DOVER | ||||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 222462909 | INACTIVE | NJ | 501(C)(3) | 509(A)(2) | CSHG | false |
| EMTAC INC | ||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222549945 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | SBC | false |
| IRVINGTON GENERAL HOSPITAL | ||||||||||
| 832 CHANCELLOR AVENUE | IRVINGTON | NJ | 07111 | 223452411 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| IRVINGTON HOSPITAL FOUNDATION | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 237025428 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(3) | SBC | false |
| KENSINGTON MANOR CARE CENTER | ||||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 521571883 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | CSHG | false |
| KIMBALL MEDICAL CENTER | ||||||||||
| 600 RIVER AVENUE | LAKEWOOD | NJ | 08701 | 223452413 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| KIMBALL MEDICAL CENTER FOUNDATION | ||||||||||
| 600 RIVER AVE ANNEX BLDG E | LAKEWOOD | NJ | 08701 | 222630076 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| MEDICAL CENTER STAFFING SERVICES INC | ||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 352219655 | STAFFING SVCS | NJ | 501(C)(3) | 509(a)(3) | CSHG | false |
| MEGA CARE INC | ||||||||||
| 1020 GALLOPING HILL ROAD | UNION | NJ | 07083 | 222578561 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | CSHG | false |
| MMC AMBULATORY SURGERY CENTER INC | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 753166377 | INACTIVE | NJ | 501(C)(3) | N/A | MMC | false |
| MONMOUTH MEDICAL CENTER | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223452412 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| MONMOUTH MEDICAL CENTER - FACULTY PRACT | ||||||||||
| 100 STATE HIGHWAY 36 | WEST LONG BRANCH | NJ | 07764 | 223357053 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | MMC | false |
| MONMOUTH MEDICAL CENTER FOUNDATION | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222456079 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| NBI HEALTH PARTNERS PA | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 271694034 | INACTIVE | NJ | 501(C)(3) | N/A | NBI | false |
| NEWARK BETH ISRAEL MEDICAL CENTER | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 223452311 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| SAINT BARNABAS ASSIST LIVING AT LAKEWOOD | ||||||||||
| 77 WILLIAMS STREET | LAKEWOOD | NJ | 08701 | 223451655 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | CSHG | false |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER | ||||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 222977312 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | CSHG | false |
| SAINT BARNABAS CORPORATION | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222405279 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | NA | false |
| SAINT BARNABAS DEVELOPMENT FOUNDATION | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222378422 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(2) | SBHCSRI | false |
| SAINT BARNABAS HEALTH CARE SYSTEM FDN | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223769036 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| SAINT BARNABAS HOSPICE AND PALLIATIVE | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222354659 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| SAINT BARNABAS MEDICAL CENTER | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 221494440 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| HARVEY E NUSSBAUM MD RESEARCH INST OF SB | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 227146916 | RESEARCH | NJ | 501(C)(3) | 170, BOX 4 | SBHCSRI | false |
| SAINT BARNABAS OUTPATIENT CENTERS | ||||||||||
| 200 SOUTH ORANGE AVENUE | LIVINGSTON | NJ | 07039 | 222458479 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | SBC | false |
| SAINT BARNABAS PALLIATIVE CARE PHYS PA | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 262532578 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | HOSPICE | false |
| SAINT BARNABAS PHYSICIAN ASSOCIATES PA | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 271259104 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | SBMC | false |
| SAINT BARNABAS REALTY DEVELOPMENT CORP | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222940008 | TITLE HLDNG. | NJ | 501(C)(3) | 509(a)(3) | SBHCSRI | false |
| SBHCS RESEARCH INSTITUTE INC | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222458481 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC | false |
| THE NEWARK BETH ISRAEL MEDICAL CNTR FDN | ||||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 222587176 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC | false |
| UNION HOSPITAL | ||||||||||
| 1000 GALLOPING HILL ROAD | UNION | NJ | 07083 | 221413947 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC | false |
| SANDY HOOK FRNDS OF ST BARNABAS BURN FDN | ||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223236202 | FUNDRAISING | NJ | 501(C)(3) | 509(A)(3) | SBC | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INNOVATIVE PURCHASING CONCEPTS | |||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223786557 | PURCHASING | NJ | SBC | false | $0 | false | 0.00000 |
| KIM-MED ASSOCIATES | |||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222775619 | REAL ESTATE | NJ | KHCA | false | $0 | false | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LSC HOLDING COMPANY INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223569598 | HOLDING CO. | NJ | NA | C CORP. | ||||||
| LIVINGSTON SERVICES CORP | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222465402 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| ACC PHARMACY INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223555334 | PHARMACY SVCS. | NJ | NA | C CORP. | ||||||
| LIVINGSTON INFUSION CARE INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223190756 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| MAJOR SECURITY SERVICES INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223040539 | SECURITY SVCS. | NJ | NA | C CORP. | ||||||
| MEDICAL CTR HEALTH CARE SVCS | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223011742 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE HEALTH SVCS | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222592293 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE MANAGEMENT CORP | ||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222506125 | MGMT SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE COLLECTION SVCS | ||||||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222629075 | COLLECTION SVCS. | NJ | NA | C CORP. | ||||||
| COMMUNITY KARE INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222993840 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| KIMBALL HLTH CARE AFFILIATES | ||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222701213 | INVESTMENT | NJ | NA | C CORP. | ||||||
| HEALTH CARE FACILITIES MGT | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223532988 | MAINT. SVCS. | NJ | NA | C CORP. | ||||||
| PREMIUM HEALTH SYSTEMS INC | ||||||||||||||
| ONE FRANKLIN AVENUE | BELLEVILLE | NJ | 07109 | 222779395 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| SBC MANAGEMENT CORPORATION | ||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223414332 | MGMT SVCS. | NJ | NA | C CORP. | ||||||
| PROFESSIONAL QUALITY LIAB | ||||||||||||||
| 100 BANK STREET | BURLINGTON | VT | 05401 | 205163819 | INSURANCE SVCS. | VT | NA | C CORP. | ||||||
| NJ HEALTH CARE SYSTEM INC | ||||||||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 223536986 | INACTIVE | NJ | NA | C CORP. | ||||||
| CPIC | ||||||||||||||
| FINANCIAL VEHICLE | NA | FOREIGN CORP. | 44 CHURCH STREET | HAMILTON | BERMUDA | BD | HM11 | BD | ||||||
| LSC PHARMACY SERVICES INC | ||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 452552776 | PHARMACY SVCS. | NJ | NA | C CORP. | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments