UNION HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- UNION HOSPITAL (EIN 22-1413947)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201123149349300817
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T09:55:40-06:00 | 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 | 221413947 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIO | NameControl |
| Phone | 7329238072 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 GALLOPING HILL ROAD | AddressLine1 |
| City | UNION | City |
| State | NJ | State |
| ZIP Code | 07083 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICK M AHEARN | Name |
| Title | CFO, VP | Title |
| Date Signed | 2011-11-03 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Scott Mariani | Name |
| 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 | 0 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SBHCS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 0 | TotalRevenuePriorYear |
| Total Revenue Current Year | 0 | 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 | 310880 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 0 | OtherExpensePriorYear |
| Other Expenses Current Year | 0 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 310880 | TotalExpensesPriorYear |
| Total Expenses Current Year | 0 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -310880 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 0 | RevenuesLessExpensesCY |
| Total Assets BOY | 1191756 | TotalAssetsBOY |
| Total Assets EOY | -13935587 | TotalAssetsEOY |
| Total Liabilities BOY | 89289181 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 74257862 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -88097425 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -88193449 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDED MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS 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 | 0 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | NONE | Description |
| Total Program Service Expense | 0 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | 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 | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 30 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| 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 (4 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JOHN P MEYERHOLZ | ||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |
| RICHARD ONEILL | ||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | |
| BARRY H OSTROWSKY ESQ | ||||||
| TRUSTEE | 1.0 | X | 0 | 978112 | 244045 | |
| PATRICK M AHEARN | ||||||
| CFO, VP | 3.0 | 0 | 319085 | 24160 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1297197 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 268205 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SBC MANAGEMENT CORPORATION | |||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | MANAGEMENT | 8552961 |
| SAINT BARNABAS MEDICAL CENTER | |||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | MEDICAL | 437914 |
| COMMUNITY MEDICAL CENTER | |||||
| 99 HIGHWAY 37 WEST | TOMS RIVER | NJ | 08755 | MEDICAL | 429075 |
| CENTER STATE COLLECTION SERVICE INC | |||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | MANAGEMENT | 169639 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
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 | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | 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 | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4679082 | BOY |
| EOY | -14805641 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 870838 | BOY |
| EOY | 870054 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000000 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1191756 | BOY |
| EOY | -13935587 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119101 | BOY |
| EOY | -182651 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89170080 | BOY |
| EOY | 74440513 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89289181 | BOY |
| EOY | 74257862 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -88097425 | BOY |
| EOY | -88193449 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -88097425 | BOY |
| EOY | -88193449 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1191756 | BOY |
| EOY | -13935587 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 0 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -96024 | ReconcilationOtherChanges |
| 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 | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER RECEIVABLES, NET | Description |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 0 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| THIRD-PARTY PAYORS; CURRENT | $114,426 |
| DUE TO AFFILIATES; NON-CURRENT | $73,354,837 |
| PARTY PAYORS; NON-CURRENT | $707,637 |
| OTHER LIABILITIES | $263,613 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 74440513 | 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 |
| Explanation | THE ORGANIZATION IS AN AFFILIATE WITHIN THE SAINT BARNABAS HEALTH CARE SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2007 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN JULY 2006, FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH FASB STATEMENT NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JANUARY 1, 2007, THE CORPORATION ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON THE CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | UNION HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 GALLOPING HILL ROAD | AddressLine1 |
| City | UNION | City |
| State | NJ | State |
| ZIP Code | 07083 | 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 | UNION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARRY H OSTROWSKY ESQ | |||||||||||||
| 0 | 894128 | 0 | 0 | 0 | 83984 | 0 | 225000 | 0 | 19045 | 0 | 1222157 | 0 | 0 |
| PATRICK M AHEARN | |||||||||||||
| 0 | 310505 | 0 | 0 | 0 | 8580 | 0 | 0 | 0 | 24160 | 0 | 343245 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | COMPENSATION INFORMATION | Identifier |
| Return Reference | SCHEDULE J, PART I; QUESTION 4B | ReturnReference |
| Explanation | 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: BARRY H. OSTROWSKY, ESQ., $225,000. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 SAINT BARNABAS CORPORATION AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM BUT DID NOT PERFORM AN ACTUAL REVIEW OF EACH AFFILIATE FEDERAL FORM 990 WITH THE EXCEPTION OF SAINT BARNABAS CORPORATION. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING IN HOUSE COUNSEL, VICE-PRESIDENT OF FINANCE, DIRECTOR OF INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING THOSE INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO THE FILING 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 PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VP/GENERAL COUNSEL 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 PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VP/GENERAL COUNSEL 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 PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VP/GENERAL COUNSEL, 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 PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY 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. AHEARN, IS EMPLOYED ON A FULL-TIME BASIS AT A RELATED SAINT BARNABAS HEALTH CARE SYSTEM TAX-EXEMPT ACUTE CARE MEDICAL CENTER. |
| STATEMENT OF FUNCTIONAL EXPENSES | CORE FORM, PART IX | EXPENSES INCURRED BY THIS ORGANIZATION DURING 2010, INCLUDING PAYROLL, ACCOUNTS PAYABLE AND OTHER EXPENSES ATTRIBUTABLE TO THE CLOSING OF THE HOSPITAL WERE BORNE BY OTHER SAINT BARNABAS HEALTH CARE SYSTEM AFFILIATES. |
| OTHER CHANGES IN NET ASSETS | CORE FORM, PART XI; QUESTION 5 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - SALE OF THE UNION HOSPITAL BUILDING - ($76,375) - LEGAL FEES RELATED TO SALE OF UNION HOSPITAL BUILDING - ($16,648) - OTHER CHANGES IN NET ASSETS - ($3,001) |
| 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. |
| SCHEDULE H | SCHEDULE H WAS NOT PREPARED OR FILED BY THIS ORGANIZATION BECAUSE THE ORGANIZATION HAS CEASED ALL ACUTE CARE MEDICAL SERVICES. A CERTIFICATE OF NEED WAS FILED WITH THE STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES ON APRIL 2, 2007 SEEKING APPROVAL FOR THE ORGANIZATION TO CEASE ALL BUSINESS ACTIVITY AND CLOSE ALL BUSINESS OPERATIONS. FOLLOWING A REVIEW THE STATE OF NEW JERSEY DEPARTMENT OF HEALTH AND SENIOR SERVICES APPROVED THE APPLICATION PERMITTING THE ORGANIZATION TO CEASE ALL ACTIVITY AND CLOSE ON SEPTEMBER 20, 2007. ON SEPTEMBER 30, 2007 THE ORGANIZATION CEASED ALL BUSINESS OPERATIONS, INCLUDING ALL INPATIENT, OUTPATIENT AND EMERGENCY ROOM SERVICES. | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN P MEYERHOLZ TITLE:TRUSTEE HOURS:12 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD ONEILL TITLE:TRUSTEE HOURS:33 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARRY H OSTROWSKY ESQ TITLE:TRUSTEE HOURS:59 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PATRICK M AHEARN TITLE:CFO, VP HOURS:52 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (41 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 | |||||||||
| 600 RIVER AVENUE | LAKEWOOD | NJ | 08701 | 223452413 | HEALTH SVCS. | NJ | 501(C)(3) | HOSPITAL | SBC |
| 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 BURN FOUNDATION | |||||||||
| 94 OLD SHORT HILLS ROAD | LIVINGSTON | NJ | 07039 | 222812647 | HEALTH SVCS. | NJ | 501(C)(3) | 509(a)(2) | SBHCSRI |
| 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 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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| INNOVATIVE PURCHASING CONCEPTS | ||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223786557 | PURCHASING | NJ | SBC | $0 | false | 0.00000 |
| KIM-MED ASSOCIATES | ||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222775619 | REAL ESTATE | NJ | KHCA | $0 | false | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LSC HOLDING COMPANY INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223569598 | HOLDING CO. | NJ | NA | C CORP. | ||||||
| LIVINGSTON SERVICES CORP | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222465402 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| ACC PHARMACY INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223555334 | PHARMACY SVCS. | NJ | NA | C CORP. | ||||||
| LIVINGSTON INFUSION CARE INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223190756 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| MAJOR SECURITY SERVICES INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223040539 | SECURITY SVCS. | NJ | NA | C CORP. | ||||||
| MEDICAL CTR HEALTH CARE SVCS | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223011742 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE HEALTH SVCS | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222592293 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE MANAGEMENT CORP | ||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222506125 | MGMT SVCS. | NJ | NA | C CORP. | ||||||
| CENTER STATE COLLECTION SVCS | ||||||||||||||
| 2 CRESCENT PLACE | OCEANPORT | NJ | 07757 | 222629075 | COLLECTION SVCS. | NJ | NA | C CORP. | ||||||
| COMMUNITY KARE INC | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 222993840 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| KIMBALL HLTH CARE AFFILIATES | ||||||||||||||
| 300 SECOND AVENUE | LONG BRANCH | NJ | 07740 | 222701213 | INVESTMENT | NJ | NA | C CORP. | ||||||
| HEALTH CARE FACILITIES MGT | ||||||||||||||
| 1 CRAGWOOD ROAD SUITE 3D | SOUTH PLAINFIELD | NJ | 07080 | 223532988 | MAINT. SVCS. | NJ | NA | C CORP. | ||||||
| PREMIUM HEALTH SYSTEMS INC | ||||||||||||||
| ONE FRANKLIN AVENUE | BELLEVILLE | NJ | 07109 | 222779395 | HEALTHCARE SVCS. | NJ | NA | C CORP. | ||||||
| SBC MANAGEMENT CORPORATION | ||||||||||||||
| 95 OLD SHORT HILLS ROAD | WEST ORANGE | NJ | 07052 | 223414332 | MGMT SVCS. | NJ | NA | C CORP. | ||||||
| PROFESSIONAL QUALITY LIAB | ||||||||||||||
| 100 BANK STREET | BURLINGTON | VT | 05401 | 205163819 | INSURANCE SVCS. | VT | NA | C CORP. | ||||||
| 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 | true | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| SAINT BARNABAS CORPORATION | |
| D | 679124 |
| SAINT BARNABAS CORPORATION | |
| D | 139438 |
| SAINT BARNABAS CORPORATION | |
| D | 4923624 |
Comments