KIMBALL MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- KIMBALL MEDICAL CENTER (EIN 22-3452413)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201113199349305936
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T12:55:51-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223452413 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBALL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KIMB | NameControl |
| Phone | 7329238072 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 RIVER AVENUE | AddressLine1 |
| City | LAKEWOOD | City |
| State | NJ | State |
| ZIP Code | 08701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERALD L TOFANI CPA | Name |
| Title | CFO, VP | Title |
| Date Signed | 2011-11-15 | 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 | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD J DEL MAURO | 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 | 140708944 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SBHCS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1321 | TotalNbrEmployees |
| Total Nbr Volunteers | 537 | TotalNbrVolunteers |
| Total Gross UBI | 89206 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -307203 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3459646 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3304120 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 131207833 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 134795129 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 996887 | InvestmentIncomePriorYear |
| Investment Income Current Year | 670236 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1113310 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1939459 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 136777676 | TotalRevenuePriorYear |
| Total Revenue Current Year | 140708944 | 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 | 75295438 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 72159431 | 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 | 72648293 | OtherExpensePriorYear |
| Other Expenses Current Year | 72581257 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 147943731 | TotalExpensesPriorYear |
| Total Expenses Current Year | 144740688 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -11166055 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4031744 | RevenuesLessExpensesCY |
| Total Assets BOY | 99221876 | TotalAssetsBOY |
| Total Assets EOY | 87837570 | TotalAssetsEOY |
| Total Liabilities BOY | 72257737 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 62259065 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 26964139 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25578505 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16480223 | Expense |
| Grants | 0 | Grants |
| Revenue | 17064417 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PSYCHIATRIC SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION SERVICED 2,840 PATIENTS FOR A TOTAL OF 19,784 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9803916 | Expense |
| Grants | 0 | Grants |
| Revenue | 10151447 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY PULMONARY SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION SERVICED 1,175 PATIENTS FOR A TOTAL OF 6,792 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7846006 | Expense |
| Grants | 0 | Grants |
| Revenue | 8124133 | Revenue |
| Description | EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICINE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2010 THE ORGANIZATION SERVICED 1,385 PATIENTS FOR A TOTAL OF 5,753 PATIENT DAYS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 96136472 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 99544338 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 130266617 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | 700 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1321 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS G SCOTT CPA | NamePerson |
| Telephone Number | 7329238072 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 CRESCENT PLACE | AddressLine1 |
| City | OCEANPORT | City |
| State | NJ | State |
| ZIP Code | 07757 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (30 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 |
|---|---|---|---|---|---|---|---|
| RAYMOND SHEA | |||||||
| CHAIRMAN - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| DAVID SICKEL | |||||||
| VICE CHAIRMAN - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| FRED VAN LOOY | |||||||
| TREASURER - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| WILLIAM SMITHERS | |||||||
| SECRETARY - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| MOSHE BACHARACH MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| FRANK COCCO MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| RONALD J DEL MAURO | |||||||
| TRUSTEE | 1.0 | X | 0 | 1479132 | 548724 | ||
| HOWARD KAPLAN | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| THOMAS F KELAHER ESQ | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JERRY KOKES | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| RABBI AARON KOTLER | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| REV MONSIGNOR C H LADZINSKI | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| STEPHEN LANE III | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| GERALD J PICERNO | |||||||
| TRUSTEE | 3.0 | X | 0 | 716609 | 18523 | ||
| WILLIAM M SCHULMAN MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| LAWRENCE SILVERS MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| NILES SPIER DDS | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| GEORGE HICKS | |||||||
| EXECUTIVE DIRECTOR | 25.0 | X | 498570 | 0 | 18754 | ||
| GERALD L TOFANI CPA | |||||||
| CFO, VP | 25.0 | X | 0 | 547102 | 19580 | ||
| DEANNA SPERLING | |||||||
| VICE PRESIDENT | 55.0 | X | 227071 | 0 | 12600 | ||
| CARYL L SINGER | |||||||
| VICE PRESIDENT | 3.0 | X | 152929 | 0 | 19993 | ||
| MICHELE H SCHWEERS | |||||||
| VICE PRESIDENT | 55.0 | X | 134684 | 0 | 20578 | ||
| JAMES L PEQUEEN JR | |||||||
| VICE PRESIDENT | 55.0 | X | 106753 | 0 | 16718 | ||
| ANTHONY LOMBARDINO MD | |||||||
| VP MEDICAL AFFAIRS | 55.0 | X | 105973 | 0 | 1132 | ||
| ERIC G LEHNES MD | |||||||
| MEDICAL STAFF PRESIDENT | 52.0 | X | 84588 | 0 | 0 | ||
| BRUCE FEINBERG MD | |||||||
| MEDICAL DIRECTOR | 55.0 | 415122 | 0 | 3620 | X | ||
| STEVEN A CULBERT MD | |||||||
| PHYSICIAN | 55.0 | 259519 | 0 | 3040 | X | ||
| VINCENT L MOSS MD | |||||||
| PHYSICIAN | 55.0 | 148048 | 0 | 0 | X | ||
| ANDREW HARRISON MD | |||||||
| PHYSICIAN | 55.0 | 146104 | 0 | 995 | X | ||
| THOMAS KEDERSHA MD | |||||||
| PHYSICIAN | 55.0 | 137164 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2416525 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2742843 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 684257 | TotalOtherCompensation |
| Number Individuals GT100 K | 60 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CENTRAL JERSEY BEHAVIORAL HEALTH | |||||
| 1691 US HIGHWAY 9 | TOMS RIVER | NJ | 08754 | MEDICAL/MANAGEMENT | 12396367 |
| SBC MANAGEMENT CORPORATION | |||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | MANAGEMENT | 9048313 |
| COMMUNITY MEDICAL CENTER | |||||
| 95 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | MEDICAL | 3266538 |
| LIVINGSTON SERVICES CORPORATION | |||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | IT | 1847101 |
| OCEAN RADIOLOGY ASSOCIATES LLP | |||||
| 330 ROUND HILL DRIVE | FREEHOLD | NJ | 07728 | MEDICAL | 1211955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 41 | NumberOfContractorsGT100K |
| Related Organizations | 525650 | RelatedOrganizations |
| Government Grants | 2778470 | GovernmentGrants |
| Total Contributions | 3304120 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | 133198173 | 133198173 |
| PHYSICIAN BILLINGS AND OTHER REVENUE | 541900 | 1596956 | 1596956 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 134795129 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 628164 | TotalRevenueColumn |
| Exclusion | $628,164 | 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 | 499736 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 499736 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 499736 | TotalRevenueColumn |
| Exclusion | $499,736 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 42072 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 42072 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42072 | TotalRevenueColumn |
| Exclusion | $42,072 | ExclusionAmount |
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 |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CORPORATE CARE | 900099 | 718758 | $718,758 | |
| CAFETERIA | 722210 | 475440 | $475,440 | |
| DAY CARE | 624410 | 245525 | $156,319 | 89206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1439723 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 140708944 | TotalRevenueColumn |
| Related Or Exempt Function Income | 134795129 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 89206 | UnrelatedBusinessRevenue |
| Exclusion | $2,520,489 | 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 | 1400336 | Total |
| Program Services | 1260304 | ProgramServices |
| Management And General | 140032 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57520515 | Total |
| Program Services | 51768460 | ProgramServices |
| Management And General | 5752055 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306770 | Total |
| Program Services | 276093 | ProgramServices |
| Management And General | 30677 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8330881 | Total |
| Program Services | 7497793 | ProgramServices |
| Management And General | 833088 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4600929 | Total |
| Program Services | 4140836 | ProgramServices |
| Management And General | 460093 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6895040 | Total |
| Program Services | 6205536 | ProgramServices |
| Management And General | 689504 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417157 | Total |
| Program Services | 375441 | ProgramServices |
| Management And General | 41716 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38679 | Total |
| Program Services | 34811 | ProgramServices |
| Management And General | 3868 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23142 | Total |
| Program Services | 20828 | ProgramServices |
| Management And General | 2314 | ManagementAndGeneral |
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 | 900694 | Total |
| Program Services | 810625 | ProgramServices |
| Management And General | 90069 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22110064 | Total |
| Program Services | 19899058 | ProgramServices |
| Management And General | 2211006 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625416 | Total |
| Program Services | 562874 | ProgramServices |
| Management And General | 62542 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3286391 | Total |
| Program Services | 2957752 | ProgramServices |
| Management And General | 328639 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44026 | Total |
| Program Services | 39623 | ProgramServices |
| Management And General | 4403 | 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 | 1012581 | Total |
| Program Services | 911323 | ProgramServices |
| Management And General | 101258 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3740352 | Total |
| Program Services | 3366317 | ProgramServices |
| Management And General | 374035 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2725602 | Total |
| Program Services | 2453042 | ProgramServices |
| Management And General | 272560 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHYSICIAN FEES AND SALARIES | 8138217 | 7324395 | 813822 |
| CONTRACTED SERVICES | 8191217 | 7372095 | 819122 |
| PROVISION FOR BAD DEBTS | 7006860 | 6306174 | 700686 |
| UTILITIES | 2624148 | 2361733 | 262415 |
| REPAIRS & MAINTENANCE | 2836001 | 2552401 | 283600 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1965670 | Total |
| Program Services | 1769103 | ProgramServices |
| Management And General | 196567 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144740688 | Total |
| Program Services | 130266617 | ProgramServices |
| Management And General | 14474071 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2765 | BOY |
| EOY | 2425 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3179774 | BOY |
| EOY | -18823307 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1016685 | BOY |
| EOY | 1525674 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10792443 | BOY |
| EOY | 11535036 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35441952 | BOY |
| EOY | 37756132 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1285251 | BOY |
| EOY | 1403789 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2479151 | BOY |
| EOY | 2249573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 146071217 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 113735039 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32957996 | BOY |
| EOY | 32336178 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15927476 | BOY |
| EOY | 18494737 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2497931 | BOY |
| EOY | 1357333 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99221876 | BOY |
| EOY | 87837570 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13483032 | BOY |
| EOY | 13158435 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 381457 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8731837 | BOY |
| EOY | 8692081 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1247904 | BOY |
| EOY | 1151984 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48794964 | BOY |
| EOY | 38875108 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72257737 | BOY |
| EOY | 62259065 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26964139 | BOY |
| EOY | 25578505 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26964139 | BOY |
| EOY | 25578505 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99221876 | BOY |
| EOY | 87837570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4031744 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2646110 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $23,142 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 23142 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B; QUESTION 1H | ReturnReference |
| Explanation | SAINT BARNABAS CORPORATION, THE PARENT ENTITY OF THE SAINT BARNABAS HEALTH CARE SYSTEM; WHICH INCLUDES KIMBALL MEDICAL CENTER, ENGAGES IN LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $23,142. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 535558 | OtherCostOrOtherBasis |
| Book Value | 535558 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 90274508 | OtherCostOrOtherBasis |
| Depreciation | 64774484 | Depreciation |
| Book Value | 25500024 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 868750 | OtherCostOrOtherBasis |
| Depreciation | 749333 | Depreciation |
| Book Value | 119417 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 52344153 | OtherCostOrOtherBasis |
| Depreciation | 47113435 | Depreciation |
| Book Value | 5230718 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2048248 | OtherCostOrOtherBasis |
| Depreciation | 1097787 | Depreciation |
| Book Value | 950461 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 32336178 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN AFFILIATES | 1236719 | F |
| INVESTMENTS; LIMITED USE | 12824018 | F |
| BOND SERIES 1998; LIMITED USE | 424000 | F |
| INTEREST IN NET ASSETS OF | F | |
| FOUNDATION | 4010000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 18494737 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PARTY PAYORS; CURRENT | $2,788,637 |
| PARTY PAYORS; NON-CURRENT | $4,890,729 |
| ACCRUED PENSION EXPENSE | $9,151,613 |
| DUE TO AFFILIATES, NON-CURRENT | $7,426,677 |
| OTHER LIABILITIES | $2,886,868 |
| DUE TO AFFILIATES; CURRENT | $11,730,584 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 38875108 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART X | ReturnReference |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 62059 | PersonsServed |
| Total Community Benefit Expense | 22525379 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11226127 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11299252 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 20781 | PersonsServed |
| Total Community Benefit Expense | 22192651 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21199078 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 993573 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 639420 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 639420 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 82840 | PersonsServed |
| Total Community Benefit Expense | 45357450 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32425205 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12932245 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09380 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 5157 | PersonsServed |
| Total Community Benefit Expense | 257765 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47523 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 210242 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 111 | PersonsServed |
| Total Community Benefit Expense | 138587 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49412 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 89175 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 300000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 300000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 37 | NumberOfActivitiesOrPrograms |
| Persons Served | 5268 | PersonsServed |
| Total Community Benefit Expense | 696352 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 96935 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 599417 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 40 | NumberOfActivitiesOrPrograms |
| Persons Served | 88108 | PersonsServed |
| Total Community Benefit Expense | 46053802 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32522140 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13531662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09810 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1808 | PersonsServed |
| Total Community Building Expense | 125684 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 81211 | DirectOffsettingRevenue |
| Net Community Building Expense | 44473 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 216 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1790 | PersonsServed |
| Total Community Building Expense | 3681 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 3681 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 3814 | PersonsServed |
| Total Community Building Expense | 129365 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 81211 | DirectOffsettingRevenue |
| Net Community Building Expense | 48154 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $7,969,477 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 51858329 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 50270540 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1587789 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBALL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 RIVER AVENUE | AddressLine1 |
| City | LAKEWOOD | City |
| State | NJ | State |
| ZIP Code | 08701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBALL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| WOMEN'S HEALTH ASSOCIATES OCEAN COUNTY | ||||
| 101 PROSPECT ST SUITE 202 | LAKEWOOD | NJ | 08701 | WOMEN'S HEALTH SERVICES |
| KIMBALL OUTPATIENT REHABILITATION SVCS | ||||
| 500 RIVER AVENUE | LAKEWOOD | NJ | 08701 | PHYSICAL/OCCUPATIONAL THERAPY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELIGIBILITY FOR DISCOUNTED CARE | PART I, LINE 3C | THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2010 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. |
| COMMUNITY BENEFIT REPORT | SCHEDULE H, PART I; QUESTION 6A | NOT APPLICABLE. |
| SUBSIDIZED HEALTH SERVICES | SCHEDULE H, PART I; QUESTION 7G | NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. |
| PERCENT OF TOTAL EXPENSE | SCHEDULE H, PART I; QUESTION 7 COLUMN (F) | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,006,860. |
| CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST | SCHEDULE H, PART I, QUESTION 7 | WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO. |
| BAD DEBT EXPENSE AND HFMA STATEMENT #15 | SCHEDULE H, PART III, SECTION A; QUESTION 1 | HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO 15 ("STATEMENT 15") PROVIDES GUIDELINES FOR DISTINGUISHING CHARITY CARE FROM BAD DEBT EXPENSE. STATEMENT 15 REQUIRES THAT CHARITY CARE IS NOT RECOGNIZED AS RECEIVABLE OR REVENUE IN THE FINANCIAL STATEMENTS. STATEMENT 15 FURTHER EXPLAINS THAT SELF PAY PATIENTS THAT DO HAVE A REASONABLE LIKELIHOOD OF PAYMENT SHOULD BE REPORTED AS CHARITY CARE AND NOT BAD DEBT EXPENSE. THE HOSPITAL GENERALLY FOLLOWS THE GUIDELINES OUTLINED IN STATEMENT 15. IN ADDITION, THE HOSPITAL FOLLOWS THE STATE OF NEW JERSEY GUIDELINES IN DETERMINING CHARITY CARE ELIGIBILITY. IN CERTAIN INSTANCES, IT IS UNLIKELY THAT UNINSURED PATIENTS WILL PAY FOR THE SERVICES RENDERED, BUT THEY DO NOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM BECAUSE OF LACK OF PATIENT COOPERATION OR OTHER REASONS. THE HOSPITAL PURSUES COLLECTION OF THESE AMOUNTS AND UNPAID BALANCES ARE REPORTED AS BAD DEBT EXPENSE. UNDER STATEMENT 15, THESE AMOUNTS WOULD BE RECORDED AS CHARITY CARE RATHER THAN BAD DEBT EXPENSE AND THIS IS THE RATIONALE FOR OUR RESPONSE: "NO". |
| BAD DEBT EXPENSE | SCHEDULE H, PART III, SECTION A; QUESTION 4 | BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE SAINT BARNABAS CORPORATION AND ITS AFFILIATES, INCLUDING ITS HOSPITALS AND SUBSIDIARIES, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE SAINT BARNABAS CORPORATION. PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT THE REIMBURSED OR CONTRACTED AMOUNTS AND DO NOT BEAR INTEREST. THE CORPORATION GRANTS CREDIT TO PATIENTS AND GENERALLY DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE SYSTEM'S BEST ESTIMATE OF PROBABLE CREDIT LOSSES IN THE SYSTEM'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE SYSTEM DETERMINES THE ALLOWANCE BASED ON HISTORICAL COLLECTION EXPERIENCE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED. CHARITY CARE THE CORPORATION 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 ITS ESTABLISHED RATES. THE CORPORATION 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. THE AMOUNT OF CHARITY CARE PROVIDED DURING THE YEARS ENDED DECEMBER 31, 2010 AND 2009, BASED ON THE CORPORATION'S ESTABLISHED CHARGES, WAS APPROXIMATELY $718,000,000 AND $571,000,000, RESPECTIVELY. |
| COMMUNITY BENEFIT | SCHEDULE H, PART III, SECTION B; QUESTION 8 | MEDICARE COSTS WERE DERIVED FROM THE 2010 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; |
| COLLECTION POLICY | SCHEDULE H, PART III, SECTION B; QUESTION 9B | ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE SAINT BARNABAS HEALTH CARE SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE 'SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $5,000.00 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY. |
| FACILITY INFORMATION | SCHEDULE H, PART V | NOT APPLICABLE. |
| NEEDS ASSESSMENT | SCHEDULE H, PART VI; QUESTION 1 | KMC CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTH CARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST OF NEW JERSEY, KID'S COUNT, ETC.). KMC CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, KMC WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SCHEDULE H, PART VI; QUESTION 3 | CHARITY CARE SIGNAGE IS POSTED IN ALL PATIENT REGISTRATION AREAS IN ENGLISH AND SPANISH. CHARITY CARE NOTICE OF FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH THEIR GENERAL CONSENT. PATIENTS ARE REFERRED TO A FINANCIAL COUNSELOR IF THEY REQUIRE ASSISTANCE. LETTERS ARE MAILED TO SELF-PAY PATIENTS ADVISING THEM OF FINANCIAL ASSISTANCE PROGRAMS. |
| COMMUNITY INFORMATION | SCHEDULE H, PART VI; QUESTION 4 | KMC IS LOCATED IN LAKEWOOD TOWNSHIP, OCEAN COUNTY. LAKEWOOD HAS BEEN IDENTIFIED AS THE FASTEST-GROWING TOWN IN NEW JERSEY WITH A 54% INCREASE DURING THIS PAST DECADE AND IS RANKED THE 7TH MOST POPULOUS CITY IN THE STATE. OCEAN COUNTY IS THE SECOND LARGEST COUNTY IN THE STATE IN TERMS OF GEOGRAPHIC SIZE. THE LOCATION OF KMC IS WITHIN A DESIGNATED MEDICALLY UNDERSERVED AREA/POPULATION (MUA/MUP) BY THE HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) BRANCH OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. LAKEWOOD TOWNSHIP IS ALSO ONE OF THE HUBS OF ORTHODOX JUDAISM AND IS HOME TO ONE OF THE LARGEST YESHIVAS IN THE WORLD. THE LARGE ORTHODOX POPULATION COMPRISES NEARLY HALF OF THE TOWNSHIP'S POPULATION. KMC SERVES A NUMBER OF DIVERSE COMMUNITIES IN THE COUNTY WITH A PROPORTIONALLY HIGHER MIX OF ELDERLY AND UNINSURED/ UNDERINSURED. AS A RESULT, KMC SERVES MORE THAN 20% MINORITY POPULATION AND NEARLY 36% OF UNDERINSURED/UNINSURED PATIENTS. MEDICARE COMPRISES AN ADDITIONAL 41% OF PATIENTS PAYOR CLASSIFICATION. |
| PROMOTION OF COMMUNITY HEALTH | SCHEDULE H, PART VI; QUESTION 5 | COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY KMC IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. KMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS. KIMBALL MEDICAL CENTER HOLDS AN ANNUAL BOARD MEETING OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEE'S MEMBERS ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE SBHCS'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE 0, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE SAINT BARNABAS HEALTH CARE SYSTEM. |
| AFFILIATED HEALTHCARE SYSTEM | SCHEDULE H, PART VI; QUESTION 6 | OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE SAINT BARNABAS HEALTH CARE SYSTEM. NOT FOR PROFIT SAINT BARNABAS HEALTH CARE SYSTEM ENTITIES SAINT BARNABAS CORPORATION SAINT BARNABAS CORPORATION ("SBC") IS THE TAX-EXEMPT PARENT OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SBHCS"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTH CARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER SBC OR ANOTHER SBHCS AFFILIATE CONTROLLED BY SBC. SBHCS IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. SAINT BARNABAS CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION OF THE LARGEST TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY. SAINT BARNABAS CORPORATION STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTH CARE SERVICES TO THE RESIDENTS OF NEW JERSEY AND SURROUNDING COMMUNITIES. SAINT BARNABAS CORPORATION ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGINS OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. SAINT BARNABAS HEALTH CARE SYSTEM ACTIVE HOSPITALS INCLUDE: CLARA MAASS MEDICAL CENTER, COMMUNITY MEDICAL CENTER, KIMBALL MEDICAL CENTER, MONMOUTH MEDICAL CENTER, NEWARK BETH ISRAEL MEDICAL CENTER, SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. AND SAINT BARNABAS MEDICAL CENTER. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF SAINT BARNABAS CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CLARA MAASS MEDICAL CENTER CLARA MAASS MEDICAL CENTER ("CMMC") IS A 472-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. CMMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 COMMUNITY MEDICAL CENTER COMMUNITY MEDICAL CENTER, INC. ("CMC") IS A 601-BED NON-PROFIT HOSPITAL LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. CMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 IRVINGTON GENERAL HOSPITAL IRVINGTON GENERAL HOSPITAL ("IGH") WAS A 157-BED NON-PROFIT ACUTE CARE COMMUNITY HOSPITAL LOCATED IN IRVINGTON, ESSEX COUNTY, NEW JERSEY. IGH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IGH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PRIOR TO ITS RECENT CLOSING, IGH OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KIMBALL MEDICAL CENTER KIMBALL MEDICAL CENTER, INC. ("KMC") IS A 355-BED NON-PROFIT MEDICAL CENTER LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, KMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 MONMOUTH MEDICAL CENTER MONMOUTH MEDICAL CENTER ("MMC") IS A 536-BED NON-PROFIT COMMUNITY TEACHING HOSPITAL LOCATED IN LONG BRANCH, MONMOUTH COUNTY, NEW JERSEY. MMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 NEWARK BETH ISRAEL MEDICAL CENTER NEWARK BETH ISRAEL MEDICAL CENTER ("NBIMC") IS A 671-BED NON-PROFIT, FULLY ACCREDITED REGIONAL CARE TEACHING HOSPITAL LOCATED IN NEWARK, ESSEX COUNTY, NEW JERSEY. NBIMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, NBIMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, NBIMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC. SAINT BARNABAS BEHAVIORAL HEALTH CENTER IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS BEHAVIORAL HEALTH CENTER (WITH KIMBALL BEHAVIORAL HEALTH SERVICES) CONSTITUTES A FREESTANDING 100-BED ACUTE CARE PSYCHIATRIC FACILITY IN OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES INPATIENT, PARTIAL HOSPITALIZATION, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADULTS AND OLDER ADULTS DIAGNOSED WITH PSYCHIATRIC AND DUAL DISORDERS. SAINT BARNABAS BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION FOR HEALTHCARE ORGANIZATIONS. SAINT BARNABAS MEDICAL CENTER SAINT BARNABAS MEDICAL CENTER ("SBMC") IS NEW JERSEY'S OLDEST NON-PROFIT, NON-SECTARIAN ACUTE CARE HOSPITAL, LOCATED IN LIVINGSTON, ESSEX COUNTY, NEW JERSEY. WITH 645 LICENSED BEDS. SBMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SBMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SBMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545 UNION HOSPITAL UNION HOSPITAL ("UH") WAS A 201-BED, NON-PROFIT, OSTEOPATHIC TEACHING HOSPITAL LOCATED IN UNION, UNION COUNTY, NEW JERSEY. UH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, UH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PRIOR TO ITS RECENT CLOSING, UH OPERATED CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. |
| AFFILIATED HEALTHCARE SYSTEM CONTINUED | SCHEDULE H, PART VI; QUESTION 6 | CENTER STATE HEALTH GROUP, INC. CENTER STATE HEALTH GROUP, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS CORPORATION AND THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS. IT ACTS AS THE CENTRALIZED BUSINESS OFFICE FOR THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS AND ASSISTS THEM WITH BILLING AND COLLECTING OF REVENUE FOR MEDICAL SERVICES PROVIDED BY THESE ORGANIZATIONS. CENTER STATE PROPERTIES, INC. CENTER STATE PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC. CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS FOUNDATION, INC. CLARA MAASS FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS HEALTH SYSTEM, INC. CLARA MAASS HEALTH SYSTEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CLARA MAASS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CLARA MAASS PROPERTIES, INC. CLARA MAASS PROPERTIES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). COMMUNITY MEDICAL CENTER FOUNDATION, INC. COMMUNITY MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF COMMUNITY MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. COUNTRY MANOR AT DOVER, INC. COUNTRY MANOR AT DOVER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). COUNTRY MANOR AT DOVER, INC. WAS A NURSING HOME THAT PROVIDED MEDICALLY NECESSARY NURSING HOME CARE AND HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION IS CURRENTLY INACTIVE. EMTAC, INC. EMTAC, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS CREATED TO PROVIDE EMERGENCY AMBULATORY TRANSPORT AND COACH SERVICES IN SUPPORT OF ALL AFFILIATES WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. HARVEY E. NUSSBAUM, M.D. RESEARCH INSTITUTE OF SAINT BARNABAS HARVEY E. NUSSBAUM, M.D. RESEARCH INSTITUTE OF SAINT BARNABAS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. THE ORGANIZATION ACTS AS A MEDICAL RESEARCH ORGANIZATION OPERATED IN CONJUNCTION WITH SAINT BARNABAS MEDICAL CENTER; A HOSPITAL DESCRIBED IN INTERNAL REVENUE CODE 170 (B)(1)(A)(III) AND RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION CONDUCTS RESEARCH IN FURTHERANCE OF SAINT BARNABAS MEDICAL CENTER'S MEDICAL EDUCATION AND TEACHING PROGRAM AND CHARITABLE PURPOSES, PROGRAMS AND SERVICES. PERIODICALLY, THE ORGANIZATION WILL ASSIST AND/OR SUPPORT FINANCIALLY SAINT BARNABAS MEDICAL CENTER IN MEDICAL RESEARCH AND DEVELOPMENT ACTIVITIES. IRVINGTON HOSPITAL FOUNDATION, INC. IRVINGTON HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF IRVINGTON GENERAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDED 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 PRIOR TO CLOSING. THE ORGANIZATION IS CURRENTLY INACTIVE. KENSINGTON MANOR CARE CENTER, INC. KENSINGTON MANOR CARE CENTER IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE 206-BED KENSINGTON MANOR CARE CENTER OFFERS LONG- AND SHORT-TERM CARE, SPECIALIZING IN IV THERAPY, WOUND CARE, POST-ACUTE CARDIAC CARE AND JOINT SURGERY REHABILITATION. THE FACILITY HAS A SEPARATE 26-BED NEWLY RENOVATED REHABILITATION SUITE CALLED NOTTINGHAM HOUSE. KIMBALL MEDICAL CENTER FOUNDATION, INC. KIMBALL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KIMBALL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| AFFILIATED HEALTHCARE SYSTEM CONTINUED | SCHEDULE H, PART VI; QUESTION 6 | MEDICAL CENTER STAFFING SERVICES, INC. MEDICAL CENTER STAFFING SERVICES, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CENTER STATE HEALTH GROUP, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, AND SUPPORTS THE SAINT BARNABAS HEALTH CARE SYSTEM BY PROVIDING TEMPORARY STAFFING SERVICES TO VARIOUS AFFILIATES. MEGA CARE, INC. MEGA CARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS LOCATED IN UNION, UNION COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY NURSING HOME CARE AND HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY THROUGH THE OPERATION OF (1) GREENBROOK MANOR, IN GREENBROOK, NEW JERSEY; (2) LLANFAIR HOUSE, IN WAYNE, NEW JERSEY; (3) CORNELL HALL, IN UNION, NEW JERSEY; AND (4) ASHBROOK, IN SCOTCH PLAINS, NEW JERSEY. MMC AMBULATORY SURGERY CENTER, INC. MMC AMBULATORY SURGERY CENTER, INC. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT FOR PROFIT ORGANIZATION. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDES CLINICAL SERVICES, EDUCATION AND TRAINING IN CONJUNCTION WITH MONMOUTH MEDICAL CENTER'S MEDICAL RESIDENCY TEACHING PROGRAM. MONMOUTH MEDICAL CENTER FOUNDATION, INC. MONMOUTH MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MONMOUTH MEDICAL GROUP, P.C. MONMOUTH MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTS MONMOUTH MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF MONMOUTH MEDICAL CENTER AND IS AN INTEGRAL PART OF MONMOUTH MEDICAL CENTER. NBI HEALTH PARTNERS, P.A. NBI HEALTH PARTNERS, P.A. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT-FOR-PROFIT ORGANIZATION. SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD, INC. SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS ASSISTED LIVING AT LAKEWOOD IS FULLY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES AND OFFERS RESIDENTS AND FAMILIES PERSONALIZED CARE AND FREEDOM FROM WORRY. THE FACILITY HAS 39 LIVING SUITES INCLUDING 25 STUDIOS, 8 DELUXE STUDIOS, AND 6 ONE-BEDROOM APARTMENTS - ALL OF WHICH AFFORD EACH TENANT'S NEED FOR PRIVACY AND CHOICE. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC. SAINT BARNABAS DEVELOPMENT FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. SAINT BARNABAS HEALTH CARE SYSTEM FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE SAINT BARNABAS HEALTH CARE SYSTEM. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. FOR MORE THAN 25 YEARS THE CARING, COMPASSIONATE PROFESSIONALS OF THE NATIONALLY-RENOWNED SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. HAVE PROVIDED EXCEPTIONAL PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO PATIENTS AND THEIR FAMILIES DURING LIFE'S FINAL STAGES. WHETHER AT HOME, IN THE HOSPITAL, OR IN A LONG-TERM CARE OR ASSISTED LIVING FACILITY, OUR DEDICATED, HIGHLY SKILLED TEAM STRIVES TO IMPROVE QUALITY OF LIFE WHILE PROVIDING COMFORT, PRESERVING DIGNITY, AND HONORING THE UNIQUE WISHES OF EACH PATIENT AND FAMILY. SAINT BARNABAS OUTPATIENT CENTERS SAINT BARNABAS OUTPATIENT CENTERS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT BARNABAS OUTPATIENT CENTERS IS ONE OF THE NATION'S MOST SOPHISTICATED AMBULATORY HEALTHCARE FACILITIES--PROVIDING THE HIGHEST QUALITY MEDICAL CARE IN AN ENVIRONMENT DESIGNED TO SET A NEW STANDARD FOR PATIENT SATISFACTION. THE ORGANIZATION PROVIDES VARIOUS TYPES OF MEDICALLY NECESSARY OUTPATIENT MEDICAL AND SURGICAL SPECIALTY SERVICES, INCLUDING AMBULATORY SURGERY AND WOMEN'S GYNECOLOGICAL SURGERY, RENAL DIALYSIS SERVICES, IMAGING SERVICES, DIABETES SERVICES AND ENDOCRINOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. |
| AFFILIATED HEALTHCARE SYSTEM CONTINUED | SCHEDULE H, PART VI; QUESTION 6 | SAINT BARNABAS PALLIATIVE CARE PHYSICIANS, P.A. SAINT BARNABAS PALLIATIVE CARE PHYSICIANS, P.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS FORMED TO SUPPORT SAINT BARNABAS HOSPICE AND PALLIATIVE CARE CENTER, INC. ("HOSPICE"); A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, BY ENGAGING IN PATIENT CARE EDUCATION, RESEARCH AT HOSPICE, PROVIDING ADMINISTRATIVE SERVICES FOR HOSPICE, PROVIDING CLINICAL SERVICES FOR THE PATIENTS OF HOSPICE AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION CONSTITUTES A MAJORITY OF THE ADMINISTRATIVE AND CLINICAL SERVICES PHYSICIAN PRACTICE PLANS OF HOSPICE AND IS AN INTEGRAL PART OF HOSPICE'S MEMBERSHIP WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. SAINT BARNABAS PHYSICIAN ASSOCIATES, P.A. SAINT BARNABAS PHYSICIAN ASSOCIATES, P.A. IS AN INACTIVE ORGANIZATION INCORPORATED AS A NOT FOR PROFIT ORGANIZATION. SAINT BARNABAS REALTY DEVELOPMENT CORPORATION SAINT BARNABAS REALTY DEVELOPMENT CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS A SUPPORTING ORGANIZATION OF SAINT BARNABAS MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND IS PRIMARILY RESPONSIBLE FOR THE MANAGEMENT AND OPERATION OF RENTAL SPACE FOR VARIOUS AFFILIATES OF THE SAINT BARNABAS HEALTH CARE SYSTEM. SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION SANDY HOOK FRIENDS OF SAINT BARNABAS BURN FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF SAINT BARNABAS BURN FOUNDATION; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. SBHCS RESEARCH INSTITUTE, INC. SBHCS RESEARCH INSTITUTE, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. THE NEWARK BETH ISRAEL MEDICAL CENTER FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF NEWARK BETH ISRAEL MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. UNION HOSPITAL FOUNDATION, INC. UNION HOSPITAL FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF UNION HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDED 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 PRIOR TO CLOSING. THE ORGANIZATION IS CURRENTLY INACTIVE. FOR PROFIT SAINT BARNABAS HEALTH CARE SYSTEM ENTITIES A.C.C. PHARMACY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LIVINGSTON SERVICES CORPORATION ("LSC"). THIS ENTITY OPERATES A PHARMACY AT THE SAINT BARNABAS AMBULATORY CARE CENTER, LIVINGSTON, ESSEX COUNTY, NEW JERSEY AND VARIOUS OTHER LOCATIONS. CENTER STATE COLLECTION SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CENTER STATE HEALTH SERVICES, CORP. ("CSHS"). THE ENTITY PROVIDES COLLECTION SERVICES FOR BOTH SBHCS ENTITIES AND NON-SBHCS ENTITIES. CENTER STATE HEALTH SERVICES CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION DERIVES RENTAL INCOME AND RECEIVES FORMS K-1 INCOME FROM MEDICAL SERVICES RELATED INVESTMENT PARTNERSHIPS. CENTER STATE MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THE ORGANIZATION IS LOCATED IN TOMS RIVER, OCEAN COUNTY, NEW JERSEY. THIS ENTITY PROVIDES ADVERTISING SERVICES FOR BOTH SBHCS ENTITIES AND NON-SBHCS ENTITIES AND PROVIDES MANAGEMENT SERVICES TO PHYSICIAN GROUPS. COMMERCIAL PROFESSIONAL INSURANCE COMPANY, LTD. A CONTROLLED FOREIGN CORPORATION BY SAINT BARNABAS MEDICAL CENTER. THE ORGANIZATION WAS FORMED AND OPERATES SOLELY IN BERMUDA. COMMUNITY KARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THE ORGANIZATION IS LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. THE ORGANIZATION IS A HOME HEALTH AGENCY THAT PROVIDES NURSES AND NURSES AIDES TO THE HOMES OF INDIVIDUALS THAT REQUIRE ASSISTANCE. HEALTH CARE FACILITIES MANAGEMENT, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC MANAGEMENT CORPORATION (THE SOLE STOCKHOLDER OF WHICH IS SBC). THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES ENGINEERING, PLANT OPERATIONS AND MATERIALS MANAGEMENT SERVICES PRIMARILY TO SBHCS ENTITIES. HEALTHCARE SYSTEMS MANAGEMENT, INC. AN INACTIVE FOR-PROFIT CORPORATION. INNOVATIVE PURCHASING CONCEPTS, L.L.C. A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS. THIS ORGANIZATION ENGAGES IN GROUP PURCHASING ACTIVITY. KIMBALL HEALTH CARE AFFILIATES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CSHS. THIS ENTITY IS A PARTNER IN KIM-MED ASSOCIATES AND RECEIVES A FORM K-1 ANNUALLY FROM THE PARTNERSHIP. KIM-MED ASSOCIATES A PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC AND KIMBALL HEALTH CARE AFFILIATES, INC. ARE THE PARTNERS IN THIS PARTNERSHIP WITH 5.073% AND 80.808% OWNERSHIP INTERESTS, RESPECTIVELY. |
| AFFILIATED HEALTHCARE SYSTEM CONTINUED | SCHEDULE H, PART VI; QUESTION 6 | LIVINGSTON INFUSION CARE, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES HOME INFUSION AND DIALYSIS SERVICES TO INDIVIDUALS. LIVINGSTON SERVICES CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC HOLDING COMPANY, INC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES TECHNOLOGY SERVICES TO SBHCS ENTITIES AND UNRELATED ENTITIES, OPERATES A "LIFELINE BEEPER" PROGRAM FOR ELDERLY INDIVIDUALS, OPERATES A PHYSICAL THERAPY PROGRAM AND CONDUCTS MEDICALLY RELATED LECTURES. LSC HOLDING COMPANY, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THIS ENTITY IS THE SOLE OWNER OF ALL THE OUTSTANDING COMMON STOCK OF LIVINGSTON SERVICES CORPORATION, CENTER STATE HEALTH SERVICES, CORP. AND SBC MANAGEMENT CORPORATION. MAJOR SECURITY SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION PROVIDES SECURITY SERVICES PRIMARILY TO SBHCS ENTITIES AND OTHERS. THE ORGANIZATION CONDUCTS BACKGROUND CHECKS AND OTHER INVESTIGATORY SERVICES. MEDICAL CENTER HEALTH CARE SERVICES, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN SOUTH PLAINFIELD, MIDDLESEX COUNTY, NEW JERSEY. THE ORGANIZATION OPERATES AN AGENCY FOR TEMPORARY STAFFING SERVICES, SUCH AS NURSES AND ADMINISTRATION PRIMARILY TO SBHCS ENTITIES AND OTHERS. NEW JERSEY HEALTH CARE SYSTEM, INC. AN INACTIVE FOR-PROFIT CORPORATION. PREMIUM HEALTH SYSTEMS, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS SBC. THE ORGANIZATION IS LOCATED IN BELLEVILLE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY DERIVES INCOME FROM THE OPERATION OF A MRI MACHINE AND THE RECEIPT OF RENTAL INCOME. PROFESSIONAL QUALITY LIABILITY INSURANCE COMPANY, A RISK RETENTION GROUP A VERMONT BASED INSURANCE COMPANY. SBC MANAGEMENT CORPORATION A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS LSC. THE ORGANIZATION IS LOCATED IN WEST ORANGE, ESSEX COUNTY, NEW JERSEY. THIS ENTITY PROVIDES MANAGERIAL ADMINISTRATION AND SUPPORT TO THE SBHCS. |
| COMMUNITY BENEFIT | SCHEDULE H, PART VI; QUESTION 7 | KMC IS AN AFFILIATE OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SBHCS"). ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE SAINT BARNABAS HEALTH CARE SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. SBHCS SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED BELOW FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7G; PART I, LINE 7, COLUMN (F); PART I, LINE 7; PART III, LINE 4; PART III, LINE 8; PART III, LINE 9B ARE REFLECTED OF THAT POLICY. |
| COMMUNITY BENEFIT | SCHEDULE H, PART VI; QUESTION 8 | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF NEW JERSEY. |
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 | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD J DEL MAURO | |||||||||||||
| 0 | 1439507 | 0 | 0 | 0 | 39625 | 0 | 290000 | 0 | 258724 | 0 | 2027856 | 0 | 0 |
| GERALD J PICERNO | |||||||||||||
| 0 | 652698 | 0 | 0 | 0 | 63911 | 0 | 0 | 0 | 18523 | 0 | 735132 | 0 | 0 |
| GEORGE HICKS | |||||||||||||
| 359440 | 0 | 116125 | 0 | 23005 | 0 | 0 | 0 | 18754 | 0 | 517324 | 0 | 0 | 0 |
| GERALD L TOFANI CPA | |||||||||||||
| 0 | 240020 | 0 | 0 | 0 | 307082 | 0 | 0 | 0 | 19580 | 0 | 566682 | 0 | 295541 |
| DEANNA SPERLING | |||||||||||||
| 205917 | 0 | 9870 | 0 | 11284 | 0 | 0 | 0 | 12600 | 0 | 239671 | 0 | 0 | 0 |
| CARYL L SINGER | |||||||||||||
| 145465 | 0 | 6225 | 0 | 1239 | 0 | 0 | 0 | 19993 | 0 | 172922 | 0 | 0 | 0 |
| MICHELE H SCHWEERS | |||||||||||||
| 125400 | 0 | 6344 | 0 | 2940 | 0 | 0 | 0 | 20578 | 0 | 155262 | 0 | 0 | 0 |
| BRUCE FEINBERG MD | |||||||||||||
| 311077 | 0 | 0 | 0 | 104045 | 0 | 0 | 0 | 3620 | 0 | 418742 | 0 | 0 | 0 |
| STEVEN A CULBERT MD | |||||||||||||
| 246960 | 0 | 0 | 0 | 12559 | 0 | 0 | 0 | 3040 | 0 | 262559 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | SCHEDULE J, PART I; QUESTION 4B | THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A LONG TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: RONALD J. DEL MAURO, $290,000. |
| COMPENSATION INFORMATION | CORE FORM, PART VII AND SCHEDULE J, PART I; QUESTION 7 | THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: GEORGE HICKS, $116,125; DEANNA SPERLING, $9,870; CARYL L. SINGER, $6,225; MICHELE H. SCHWEERS, $6,344; JAMES L. PEQUEEN, JR., $4,193 AND ANTHONY LOMBARDINO, M.D., $500. |
| COMPENSATION INFORMATION | SCHEDULE J, PART II, COLUMN F | THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN 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 AND REPORTED ON THE INDIVIDUAL'S 2010 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: GERALD L. TOFANI, CPA, $295,541. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 64579FKX0 | 2006-12-19 | 199960047 | EQUIP/CONTRUCTION/RENOV/REFUND | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 64579ERM0 | 2010-03-12 | 7432296 | EQUIP/CONTRUCTION/RENOVATION | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 64579E2T2 | 2010-03-12 | 638085 | EQUIP/CONTRUCTION/RENOVATION | false | false | true |
| NJ HEALTH CARE FACILITIES FINANCING AUTHORITY | |||||||
| 221987084 | 64579FKXO | 2010-03-12 | 391618 | EQUIP/CONTRUCTION/RENOVATION | false | false | true |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 199960047 | 19711965 | 0 | 63069859 | 3854079 | 0 | 0 | 100298388 | 13025756 | 0 | 2008 | true | true | true | true |
| 0 | 0 | 7432296 | 0 | 0 | 0 | 0 | 0 | 0 | 7432296 | 0 | 0 | 2009 | false | false | true | true |
| 0 | 0 | 638085 | 0 | 0 | 0 | 0 | 0 | 0 | 638085 | 0 | 0 | 2009 | false | false | true | true |
| 0 | 0 | 391618 | 0 | 0 | 0 | 0 | 0 | 0 | 391618 | 0 | 0 | 2009 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | true | true | false | true | 0.01555 | 0.00000 | 0.01555 | true |
| false | true | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | true | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | true | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | false | false |
| false | false | false | false | false | true |
| false | true | false | false | false | true |
| false | false | false | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TAX-EXEMPT BOND ISSUES | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | The tax-exempt bond issuances reflected in Schedule K, Part I are issued on behalf of the Saint Barnabas Health Care System obligated group; which includes this organization. Please note that Schedule K, Parts II, III and IV have been completed based upon the total amount of the tax-exempt bond issuances for the obligated group; not by each individual institution or entity. PLEASE ALSO NOTE THAT THE MARCH 12, 2010 ISSUE IN THE AMOUNT OF $638,085 INCLUDES MULITPLE CUSIP NUMBERS. THE CUSIP NUMBER REFLECTED IN PART I, 64579E2T2, REPRESENTS THE SERIES A PORTION. 64579E2U9 IS THE CUSIP NUMBER FOR THE SERIES B PORTION. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (43 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BENEFIT STATEMENT | CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BACKGROUND ========== KIMBALL MEDICAL CENTER ("KMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. KMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, KMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. KMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. KMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. KMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF KMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF SAINT BARNABAS CORPORATION. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF KMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF KMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. KMC'S SOLE CORPORATE MEMBER IS SAINT BARNABAS CORPORATION ("SBC"). SBC IS THE TAX-EXEMPT PARENT OF THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"). 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 SYSTEM AFFILIATE CONTROLLED BY SBC. SYSTEM IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY THAT PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. SYSTEM IS CURRENTLY ONE OF THE LARGEST MULTI-HOSPITAL SYSTEMS IN NEW JERSEY. SYSTEM CONSISTS OF FREE-STANDING HOSPITALS, A FREE-STANDING PSYCHIATRIC HOSPITAL, MEDICARE-CERTIFIED HOME HEALTHCARE AND HOSPICE PROGRAMS, MULTI-SPECIALTY AMBULATORY CARE FACILITIES, OUTPATIENT BEHAVIORAL HEALTH CENTERS, AND OTHER ENTITIES. SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, SYSTEM 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. PATIENT STATISTICAL INFORMATION/ACCOMPLISHMENTS/MILESTONES ========================================================== KMC IS A 330-BED FULLY ACCREDITED NON-PROFIT ACUTE CARE HOSPITAL DEDICATED TO PROVIDING THE FINEST MEDICAL AND HEALTHCARE SERVICES TO THE RESIDENTS OF OCEAN COUNTY AND THE SURROUNDING AREAS. KMC IS LOCATED IN LAKEWOOD, OCEAN COUNTY, NEW JERSEY. KMC SERVES A DIVERSE URBAN POPULATION INCLUDING A PROPORTIONATELY HIGHER MIX OF ELDERLY AND UNINSURED/UNDERINSURED COMMUNITIES. DURING 2010, KMC SERVICED APPROXIMATELY 13,600 INPATIENTS AND NEARLY 50,000 EMERGENCY VISITS. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. A RULL RANGE OF ULTRA-MODERN DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT KMC IN ALL MAJOR SPECIALTIES: MEDICAL-SURGICAL PROGRAMS INCLUDING LASER AND ARTHROSCOPIC SURGERY, EMERGENCY AND TRAUMA CARE, MATERNITY AND PEDIATRICS, CANCER AND DIABETES CARE, LEVEL II SPECIAL CARE NURSERY, INPATIENT DIALYSIS, REHABILITATION PROGRAMS AND OCCUPATIONAL THERAPY. CENTERS OF EXCELLENCE ===================== - RECIPIENT OF THE MAGNET AWARD FOR NURSING EXCELLENCE -THREE TEAMS OF EMPLOYEES WERE SELECTED IN 2010 TO PRESENT THEIR CLINICAL RESEARCH PROJECTS AT THE 21ST ANNUAL NATIONAL FORUM ON QUALITY IMPROVEMENT IN HEALTHCARE, HOSTED BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT KMC'S RECOGNIZED MEDICAL SERVICES CENTERS OF EXCELLENCE INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: THE MOTHER-INFANT PAVILION -------------------------- COMMITTED TO THE HIGHEST LEVEL OF MEDICAL CARE FOR OBSTETRICAL SERVICES, THE MOTHER-INFANT PAVILION HELPS TO DELIVER OVER 1,350 OF OUR LITTLEST PATIENTS EACH YEAR. KMC PROVIDES A COMFORTABLE AND SUPPORTIVE SETTING FOR LABOR AND DELIVERY AND A PRIVATE UNIT FOR POST PARTUM CARE. OUR FACILITIES ALSO INCLUDE A FULLY-EQUIPPED OPERATING SUITE FOR CESAREAN BIRTHS, 24-HOUR ANESTHESIOLOGY AND IN-HOUSE NEONATOLOGY. KMC'S MOTHER-INFANT PAVILION HAS THE LOWEST CESAREAN-SECTION BIRTH RATE IN THE STATE OF NEW JERSEY AND ONE OF THE LOWEST IN THE NATION. KIMBALL'S LOW CESAREAN SECTION RATES ARE ATTRIBUTABLE TO THE TEAM APPROACH TAKEN TO PREGNANCY - MIDWIVES, DOCTORS, NURSES AND PRENATAL SPECIALISTS ALL WORK TOGETHER TO PRESERVE THE OPPORTUNITY FOR A NATURAL BIRTH FOR AS LONG AS POSSIBLE. THE EMERGENCY DEPARTMENT AT KIMBALL MEDICAL ------------------------------------------- THE EMERGENCY DEPARTMENT TREATS APPROXIMATLY 50,000 PATIENTS ANNUALLY, UTILIZING THE MOST MODERN TECHNOLOGY COUPLED WITH A TOTAL FOCUS ON PATIENT AND FAMILY SATISFACTION. THE EMERGENCY DEPARTMENT HAS REVOLUTIONIZED HOW PATIENTS ARE TREATED IN MODERN HEALTHCARE SETTINGS BY EXPEDITING THE PROCESS WHICH PATIENTS MUST UNDERGO PRIOR TO RECEIVING MEDICAL TREATMENT. THE MAIN EMERGENCY DEPARTMENT INCLUDES 31 TREATMENT BAYS, ALL EQUIPPED WITH THE LATEST IN CARDIAC MONITORING EQUIPMENT, INCLUDING SPECIALIZED ROOMS FOR TRAUMA, ORTHOPEDICS, EAR/NOSE/THROAT, OBSTETRICS/ GYNECOLOGY, PEDIATRICS, SUTURING AND PSYCHIATRIC EMERGENCIES. THE STAFF IS FOCUSED ON RESPECTING THE INDIVIDUAL NEEDS OF ALL ADULT AND PEDIATRIC PATIENTS. KMC IS A STATE-DESIGNTED PRIMARY STROKE CENTER AND JCAHO CERTIFIED CHEST PAIN CENTER AND HAS OCEAN COUNTY'S ONLY PSYCHIATRIC EMERGENCY SCREENING PROGRAM. EVERY ASPECT OF THE EMERGENCY DEPARTMENT HAS BEEN DESIGNED TO PROVIDE THE ULTIMATE IN EFFICIENCY AND COMFORT FOR PATIENTS AND THEIR FAMILIES, WHILE OFFERING THE HIGHEST QUALITY MEDICAL CARE. THIS HAS LED TO NUMEROUS RECOGNITIONS AND AWARDS FOR PATIENT SATISFACTION AND QUALITY MEDICAL CARE. THE CENTER FOR HEALTHY LIVING ----------------------------- THE CENTER FOR HEALTHY LIVING OFFERS AN ARRAY OF PROGRAMS DESIGNED TO KEEP THE COMMUNITY HEALTHY THROUGH EDUCATION AND SCREENINGS. AMONG ITS AWARD WINNING PROGRAMS ARE THE CAREGIVERS EDUCATION & SUPPORT BY A LICENSED CLINICAL SOCIAL WORKER TO PROVIDE COUNSELING AND SUPPORT GROUPS. THE CENTER ALSO OFFERS DIABETES EDUCATION AND SUPPORT WHICH IS DESIGNED FOR NEWLY DIAGNOSED DIABETES AND PROVIDES EDUCATION THROUGH A SERIES OF FOUR CLASSES. THE CENTER IS ALSO HOME TO THE ARTHRITIS EDUCATION CENTER WHERE PEOPLE SUFFERING FROM ANY OF THE DEBILITATING FORMS OF ARTHRITIS CAN SEEK EDUCATION ABOUT DIAGNOSIS, TREATMENTS, NEW MEDICATIONS AND PHYSICAL THERAPY AND ALSO PARTICIPATE IN SPECIALLY DESIGNED CLASSES SUCH AS T'AI CHI, YOGA AND THE ARTHRITIS FOUNDATIONS EXERCISE PROGRAM. PARTICIPANTS IN ALL OF THE PROGRAMS AT THE CENTER FOR HEALTHY LIVING WILL EXPERIENCE ENHANCED PHYSICAL, EMOTIONAL AND SPIRITUAL HEALING THROUGH INDIVIDUAL AND GROUP PROGRAMS IN AN ENVIRONMENT WHERE THEY CAN JOIN WITH OTHERS TO LEARN AND SHARE EXPERIENCES, STRENGTH AND HOPE. MEDICAL SERVICES ================= KMC HAD OVER 450 PHYSICIANS ON ITS MEDICAL STAFF DURING 2010, COMPRISED OF THE FOLLOWING SPECIALTIES: - ALLERGY/IMMUNOLOGY - ANESTHESIOLOGY - CARDIOLOGY - CRITICAL CARE MEDICINE - DENTISTRY - DERMATOLOGY - EMERGENCY MED - ENDOCRINOLOGY - FAMILY PRACTICE - GASTROENTEROLOGY - GERIATRICS - GYNECOLOGY - HAND SURGERY - HEMATOLOGY/ONCOLOGY - INTERNAL MED - INFECTIOUS DISEASE - NEONATOLOGY - NEPHROLOGY - NEUROLOGY - NEUROSURGERY - OBSTETRICS - OTOLARYNGOLOGY - OPHTHALMOLOGY - ORAL SURGERY - ORTHOPEDIC SURGERY - PAIN MANAGEMENT - PATHOLOGY - PEDIATRIC CARDIOLOGY - PEDIATRICS - PERI-NATAL MEDICINE - PHYSICAL MEDICINE & REHABILIATION - PLASTIC SURGERY - PODIATRY - PSYCHIATRY - PULMONARY MEDICINE - RADIOLOGY - RADIATION ONCOLOGY - REPRODUCTIVE ENDOCRINOLOGY - RHEUMATOLOGY - SURGERY - SURGERY-BREAST - SURGERY-COLON - SURGERY-ONCOLOGY - SURGERY-THORACIC - SURGERY-VASCULAR - UROLOGY |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | COMMUNITY PROGRAMS ================== MEDICAL SCREENINGS ------------------ KMC PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - SKIN CANCER SCREENINGS - BLOOD PRESSURE SCREENINGS - GLUCOSE SCREENINGS - SKIN CANCER SCREENINGS COMMUNITY EDUCATION ------------------- KMC OFFERS A FULL ARRAY OF WELLNESS PROGRAMS, INCLUDING NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: 1. SELF DEFENSE FOR OLDER ADULTS 2. EXERCISE 3. TOBACCO DEPENDENCE TREATMENT PROGRAM 4. VARIOUS SEMINARS 5. WOMEN'S HEALTH - KEEPING YOUR HEART HEALTHY - ADVANCEMENTS IN OBSTETRICS & GYNECOLOGY - THE IMPORTANCE OF MAMMOGRAPHY - INNOVATIONS IN BREAST SURGERY 7. OTHER SUPPORT GROUPS - CAREGIVER'S - DIABETES - BEREAVEMENT - GRANDPARENTS - SMOKING CESSATION 8. CHILDBIRTH PREPARATION AND PARENTING CLASSES - BREASTFEEDING EDUCATION - GRANDPARENTING - INFANT AND CHILD CPR - LAMAZE REFRESHER SERIES - PRENATAL AND POSTPARTUM EXERCISE - PARENTING INSIGHTS - PREPARED CHILDBIRTH SERIES - PREPARED CHILDBIRTH / LAMAZE SERIES - SIBLING CLASS - WOMEN'S RESOURCE LIBRARY 9. CPR AND FIRST AID INSTRUCTION - BASIC LIFE SUPPORT - ADVANCED CARDIAC LIFE SUPPORT - PEDIATRIC ADVANCED CARDIAC LIFE SUPPORT - NEONATAL RESUSCITATION - AUTOMATED EXTERNAL DEFIBRILLATOR (AED) TRAINING - FIRST AID - HEART SAVER - INSTRUCTOR DEVELOPMENT 10. INSTRUCTIONAL CLASSES AND PROGRAMS - CPR - FIRST AID - MOMS IN MOTHERS: PRENATAL AND POSTPARTUM EXERCISE - DEFENSIVE DRIVING - LOOK GOOD, FEEL BETTER - YOGA - TAI CHI APPROXIMATELY 2,500 INDIVIDUALS PARTICIPATED IN MEDICAL SCREENINGS AND EDUCATIONAL PROGRAMS AT KMC IN 2010. |
| 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. |
| GOVERNANCE, MANAGEMENT, AND DISCLOSURE | CORE FORM, PART VI, SECTION A; QUESTION 2 | DEANNA SPERLING, CARYL L. SINGER AND GERALDINE SMITH, M.D. - BUSINESS RELATIONSHIP |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | SAINT 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 INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11A | THE ORGANIZATION IS AN AFFILIATE IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("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 MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO THE FILING OF THE FEDERAL FORM 990 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 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 MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING OF THE TAX RETURN 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 THE SAINT BARNABAS HEALTH CARE SYSTEM, WHOSE PARENT ORGANIZATION IS SAINT BARNABAS CORPORATION ("SBC"). 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 CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER KEY OFFICERS AND KEY EMPLOYEES OF THE SAINT BARNABAS HEALTH CARE SYSTEM; INCLUDING, WITHOUT LIMITATION, THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM'S HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION COMMITTEE, WHICH IS REQUIRED BY SBC'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 CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER AND EXECUTIVE VP OPERATIONS. 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 SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE CHIEF EXECUTIVE OFFICER, PRESIDENT/CHIEF OPERATING OFFICER, EXECUTIVE VP OPERATIONS AND THE EXECUTIVE DIRECTORS OF THE SAINT BARNABAS HEALTH CARE SYSTEM HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE SAINT BARNABAS HEALTH CARE SYSTEM'S 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 HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. MR. HICKS ALSO SERVES AS EXECUTIVE DIRECTOR OF SAINT BARNABAS BEHAVIORAL HEALTH CENTER; A RELATED TAX-EXEMPT AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. MR. TOFANI ALSO SERVES AS CHIEF FINANCIAL OFFICER OF ANOTHER TAX-EXEMPT ACUTE CARE HOSPITAL WHICH IS ALSO AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM. BETWEEN THESE TWO HOSPITALS MR. TOFANI WORKS APPROXIMATELY 55 HOURS PER WEEK. |
| OTHER CHANGES IN NET ASSETS | CORE FORM, PART XI; QUESTION 5 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - PENSION CHANGES OTHER THAN NET PERIODIC BENEFIT COST - ($706,257) - NET CHANGE IN UNREALIZED GAINS AND LOSSES ON INVESTMENTS - $944,646 - OTHER INCREASES IN NET ASSETS, NET - $2,446,721 - NET ASSETS RELEASED FROM RESTRICTION FOR PURCHASES OF PROPERTY AND EQUIPMENT - ($39,000) |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS SAINT BARNABAS CORPORATION. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT BARNABAS CORPORATION AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; 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. |
| FINANCIAL STATEMENTS AND REPORTING | CORE FORM, PART XII; QUESTION 3 | THIS ORGANIZATION IS AN AFFILIATE IN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED A BIG FOUR INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RAYMOND SHEA TITLE:CHAIRMAN - TRUSTEE HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID SICKEL TITLE:VICE CHAIRMAN - TRUSTEE HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRED VAN LOOY TITLE:TREASURER - TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM SMITHERS TITLE:SECRETARY - TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MOSHE BACHARACH MD TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:FRANK COCCO MD TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RONALD J DEL MAURO TITLE:TRUSTEE HOURS:59 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HOWARD KAPLAN TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS F KELAHER ESQ TITLE:TRUSTEE HOURS:30 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JERRY KOKES TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RABBI AARON KOTLER TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:REV MONSIGNOR C H LADZINSKI TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN LANE III TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GERALD J PICERNO TITLE:TRUSTEE HOURS:52 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM M SCHULMAN MD TITLE:TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAWRENCE SILVERS MD TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:NILES SPIER DDS TITLE:TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GEORGE HICKS TITLE:EXECUTIVE DIRECTOR HOURS:30 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GERALD L TOFANI CPA TITLE:CFO, VP HOURS:30 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEANNA SPERLING TITLE:VICE PRESIDENT HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CARYL L SINGER TITLE:VICE PRESIDENT HOURS:52 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHELE H SCHWEERS TITLE:VICE PRESIDENT HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES L PEQUEEN JR TITLE:VICE PRESIDENT HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANTHONY LOMBARDINO MD TITLE:VP MEDICAL AFFAIRS HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ERIC G LEHNES MD TITLE:MEDICAL STAFF PRESIDENT HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BRUCE FEINBERG MD TITLE:MEDICAL DIRECTOR HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEVEN A CULBERT MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:VINCENT L MOSS MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANDREW HARRISON MD TITLE:PHYSICIAN HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS KEDERSHA MD TITLE:PHYSICIAN HOURS: |
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 |
|---|---|---|---|---|---|---|---|---|---|
| CENTER STATE HEALTH GROUP INC | |||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222939956 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC |
| CENTER STATE PROPERTIES CORPORATION | |||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 521571939 | TITLE HLDNG. | NJ | 501(C)(2) | N/A | CSHG |
| CENTRAL JERSEY BEHAVIORAL HEALTH ASSOC | |||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 223343959 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBBH |
| CLARA MAASS FOUNDATION | |||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222132516 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC |
| CLARA MAASS HEALTH SYSTEM INC | |||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 222802778 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC |
| CLARA MAASS MEDICAL CENTER | |||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 221500556 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| CLARA MAASS PROPERTIES INC | |||||||||
| ONE CLARA MAASS DRIVE | BELLEVILLE | NJ | 07109 | 521855420 | INACTIVE | NJ | 501(C)(2) | N/A | SBC |
| COMMUNITY MEDICAL CENTER | |||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 223452306 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| COMMUNITY MEDICAL CENTER FOUNDATION | |||||||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | 222597592 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC |
| COUNTRY MANOR AT DOVER | |||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 222462909 | INACTIVE | NJ | 501(C)(3) | 509(A)(2) | CSHG |
| EMTAC INC | |||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222549945 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | SBC |
| IRVINGTON GENERAL HOSPITAL | |||||||||
| 832 CHANCELLOR AVENUE | IRVINGTON | NJ | 07111 | 223452411 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | SBC |
| IRVINGTON HOSPITAL FOUNDATION | |||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 237025428 | INACTIVE | NJ | 501(C)(3) | 509(a)(3) | SBC |
| KENSINGTON MANOR CARE CENTER | |||||||||
| 16 WHITESVILLE ROAD | TOMS RIVER | NJ | 08753 | 521571883 | NURSING LTC | NJ | 501(C)(3) | 509(a)(2) | CSHG |
| KIMBALL MEDICAL CENTER FOUNDATION | |||||||||
| 600 RIVER AVE ANNEX BLDG E | LAKEWOOD | NJ | 08701 | 222630076 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC |
| 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 |
| MEGA CARE INC | |||||||||
| 1020 GALLOPING HILL ROAD | UNION | NJ | 07083 | 222578561 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | CSHG |
| MMC AMBULATORY SURGERY CENTER INC | |||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 753166377 | INACTIVE | NJ | 501(C)(3) | N/A | MMC |
| MONMOUTH MEDICAL CENTER | |||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223452412 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| 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 |
| MONMOUTH MEDICAL CENTER FOUNDATION | |||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222456079 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC |
| MONMOUTH MEDICAL GROUP PC | |||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 223316007 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(2) | MMC |
| NBI HEALTH PARTNERS PA | |||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 271694034 | INACTIVE | NJ | 501(C)(3) | N/A | NBI |
| NEWARK BETH ISRAEL MEDICAL CENTER | |||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 223452311 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| SAINT BARNABAS ASSIST LIVING AT LAKEWOOD | |||||||||
| 77 WILLIAMS STREET | LAKEWOOD | NJ | 08701 | 223451655 | NURSING LTC | NJ | 501(C)(3) | 509(a)(2) | CSHG |
| SAINT BARNABAS BEHAVIORAL HEALTH CENTER | |||||||||
| 1691 ROUTE 9 | TOMS RIVER | NJ | 08754 | 222977312 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | CSHG |
| SAINT BARNABAS CORPORATION | |||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222405279 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | NA |
| SAINT BARNABAS DEVELOPMENT FOUNDATION | |||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222378422 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(2) | SBHCSRI |
| 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 |
| 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 |
| SAINT BARNABAS MEDICAL CENTER | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 221494440 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| SAINT BARNABAS MEDICAL CNTR RESEARCH FDN | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 227146916 | RESEARCH | NJ | 501(C)(3) | 170, BOX 4 | SBHCSRI |
| SAINT BARNABAS OUTPATIENT CENTERS | |||||||||
| 200 SOUTH ORANGE AVENUE | LIVINGSTON | NJ | 07039 | 222458479 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | SBC |
| 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 |
| SAINT BARNABAS PHYSICIAN ASSOCIATES PA | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 271259104 | HEALTH SVCS. | NJ | 501(C)(3) | 509(A)(2) | SBMC |
| SAINT BARNABAS REALTY DEVELOPMENT CORP | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222940008 | TITLE HLDNG. | NJ | 501(C)(3) | 509(a)(3) | SBHCSRI |
| SBHCS RESEARCH INSTITUTE INC | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222458481 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(3) | SBC |
| THE NEWARK BETH ISRAEL MEDICAL CNTR FDN | |||||||||
| 201 LYONS AVENUE | NEWARK | NJ | 07112 | 222587176 | FUNDRAISING | NJ | 501(C)(3) | 509(a)(1) | SBC |
| UNION HOSPITAL | |||||||||
| 1000 GALLOPING HILL ROAD | UNION | NJ | 07083 | 221413947 | INACTIVE | NJ | 501(C)(3) | HOSPITAL | SBC |
| UNION HOSPITAL FOUNDATION | |||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 222470286 | INACTIVE | NJ | 501(C)(3) | 509(a)(2) | SBC |
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 | 0.10000 |
| KIM-MED ASSOCIATES | |||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222775619 | REAL ESTATE | NJ | KHCA | false | $0 | false | 0.05073 |
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. | ||||||
| HEALTHCARE SYSTEMS MGT INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 542104844 | INACTIVE | NJ | 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 | ||||||
| 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 | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | 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