R W J BARNABAS HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
R W J BARNABAS HEALTH INC (EIN 22-2783298)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201133139349300613
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

FieldValueIRS element (for citing)
Timestamp2011-11-09T15:34:49-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222783298EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJERSNameControl
Phone2015215920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HARMON MEADOW BLVDAddressLine1
CitySECAUCUSCity
StateNJState
ZIP Code07094ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL GOLDBERGName
TitleCFOTitle
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOSEPH F SCOTT FACHENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE HARMON MEADOW BLVDAddressLine1
CitySECAUCUSCity
StateNJState
ZIP Code07094ZIPCode
FieldValueIRS element (for citing)
Gross Receipts309571713GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIBERTYHCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission Descriptionthe organization's mission is to offer healthcare services with compassion and dignity.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2500TotalNbrEmployees
Total Nbr Volunteers261TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year31227373ContributionsGrantsPriorYear
Contributions Grants Current Year20679246ContributionsGrantsCurrentYear
Program Service Revenue Prior Year261885574ProgramServiceRevenuePriorYear
Program Service Revenue CY286782880ProgramServiceRevenueCY
Investment Income Prior Year145015InvestmentIncomePriorYear
Investment Income Current Year86307InvestmentIncomeCurrentYear
Other Revenue Prior Year1455422OtherRevenuePriorYear
Other Revenue Current Year1643713OtherRevenueCurrentYear
Total Revenue Prior Year294713384TotalRevenuePriorYear
Total Revenue Current Year309192146TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year136406853SalariesEtcPriorYear
Salaries Etc Current Year144136183SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year147354212OtherExpensePriorYear
Other Expenses Current Year159299617OtherExpensesCurrentYear
Total Expenses Prior Year283761065TotalExpensesPriorYear
Total Expenses Current Year303435800TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10952319RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5756346RevenuesLessExpensesCY
Total Assets BOY248977891TotalAssetsBOY
Total Assets EOY247084877TotalAssetsEOY
Total Liabilities BOY243252211TotalLiabilitiesBOY
Total Liabilities EOY252108404TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5725680NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5023527NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO OFFER HEALTHCARE SERVICES WITH COMPASSION AND DIGNITY. LIBERTY HEALTH PROVIDES PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY HEALTH IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, GENDER, RELIGION, ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIP WITH OTHER HOSPITALS AND SYSTEMS. LIBERTY HEALTH WILL BE GUIDED BY BOARD OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. THROUGH DIFFERENTIATION, COORDINATION AND CONSOLIDATIMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense37419323Expense
Grants0Grants
Revenue44305357Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY CARDIAC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED CARDIAC SERVICES TO 3,301 PATIENTS FOR A TOTAL OF 12,372 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense29425514Expense
Grants0Grants
Revenue36750039Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY PSYCHIATRIC SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED PSYCHIATRIC SERVICES TO 17,297 PATIENTS FOR A TOTAL OF 14,672 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20442419Expense
Grants0Grants
Revenue15721670Revenue
DescriptionEXPENSES INCURRED (THE ABOVE AMOUNT REFLECTS DIRECT EXPENSES ONLY; IT DOES NOT INCLUDE INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OBSTETRICS SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PROVIDED OBSTETRICS SERVICES TO 9,594 PATIENTS FOR A TOTAL OF 6,483 PATIENT DAYS. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp176653341TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev190109824TotalOfOtherProgramServiceRev
Total Program Service Expense263940597TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096313NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2500NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL GOLDBERGNamePerson
Telephone Number2015215920TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE HARMON MEADOW BLVDAddressLine1
CitySECAUCUSCity
StateNJState
ZIP Code07094ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HARRY MELENDEZ
CHAIR - TRUSTEE3.0XX000
BISHOP THOMAS P ROBINSON PHD
VICE CHAIR - TRUSTEE3.0XX000
MARVIN GLAZERMAN
SECRETARY - TRUSTEE3.0XX000
ABEGAIL DOUGLAS JOHNSON EDD
TRUSTEE3.0X000
KIM HAAS
TRUSTEE3.0X000
JEREMY KAPLAN
TRUSTEE3.0X000
SALEEM MAHMOOD MD
TRUSTEE3.0X150000
EDGAR MARTINEZ
TRUSTEE3.0X000
W NEVINS MCCANN ESQ
TRUSTEE3.0X000
JOSEPH A PANEPINTO JR
TRUSTEE3.0X000
KAREN SAMINSKI ESQ
TRUSTEE3.0X000
JOSEPH F SCOTT
TRUSTEE - PRESIDENT/CEO3.0XX0711741148741
KABILI TAYARI
TRUSTEE3.0X000
PAUL GOLDBERG
CHIEF FINANCIAL OFFICER3.0X043002013033
KENNETH GARAY MD
CHIEF MEDICAL OFFICER3.0X033894824286
RITA V SMITH
SVP, PATIENT CARE SERVICES35.0X288502023429
PAUL R MURPHY ESQ
SVP, GENERAL COUNSEL3.0X02956679821
BRENDA HALL
SVP, PATIENT SAFETY3.0X020762019998
JOHN J DOYLE
SVP, CORP ADMIN(1/1-1/31/2010)3.0X3541507735
DOUGLAS RATNER MD
VP, CHAIRMAN MEDICAL55.0X324631026854
HENRY C IRVING MD
VP, CHAIRMAN ORTHOPEDICS55.0X26109307914
MARY CATAUDELLA
VP, HUMAN RESOURCES3.0X022391020560
STEVEN MOSSER
VP, FACILITIES & CONSTRUCTION3.0X020829226811
ROBERT VALENTINE
CORPORATE CONTROLLER3.0X020512021269
JAMES MARTIN
VP, BEHAVIORAL HEALTH SVCS55.0X181775024209
SHARI L GRENIER
VP RISK MGT & CORP COMPLIANCE3.0X017131013053
MICHAEL PEKAREK
CORPORATE DIRECTOR3.0X016674316967
ANDREW T SUKALA
VP, INTERNAL AUDIT3.0X014485919313
BARRY A MALTZMAN
VP, OPTHAMOLOGY55.0X124291016471
RITU CHANDAK MD
DEPUTY CHAIR55.0X282998026767
ANTHONY LAMONACA MD
DEPUTY CHAIR55.0X234267022642
ADRIANA GRIGORIU MD
CHIEF DIR., INFECTIOUS DIS.55.0X212011026367
CHRISTOPHER RINN
EXC DIR EMS&GOV REL(1/1-11/18)55.0X13140903952
PAUL M ROTUNDA
ACTING DIRECTOR55.0X12346702959
KIRK A MCMURTY MD
CHIEF OF CARDIOTHORACIC55.0590177028607X
ZIAD HANHAN MD
SURGEON, PHYSICIAN55.0586952023640X
NIRMALA RAJAKUMAR MD
STAFF PYSCHIATRIST55.0240572010883X
NIMER ISKANDARANI MD
STAFF PSYCHIATRIST55.0223442019443X
ZDENA RUBIN MD
STAFF PSYCHIATRIST55.021211908624X
ROYSTON CRUICSHANK MD
Staff Psychiatrist55.0210495017111X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4265116TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3104230TotalReportableCompFrmRltdOrgs
Total Other Compensation631459TotalOtherCompensation
Number Individuals GT100 K221NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SHERIDAN ANESTHESIA SERVICES OF NJ
1613 NORTH HARRISON PARKWAY SUITESUNRISEFL33323MEDICAL4137382
EMERGENCY MEDICAL ASSOCIATES OF NJ
651 WEST MOUNT PLEASANT AVENUELIVINGSTONNJ07039MEDICAL2370125
JERSEY LIBERTY RADIOLOGY PC
68 BLAZIER ROADMARTINSVILLENJ08836MEDICAL2160714
NEWARK BETH ISRAEL MEDICAL CTR
201 LYONS AVE OSBORNE TERRACENEWARKNJ07112MEDICAL920215
COHR DBA MASTERPLAN
9582 TOPANGA CANYON BLVDCHATSWORTHCA91311BIO MEDICAL SERVICES802210
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
Related Organizations104010RelatedOrganizations
Government Grants20561812GovernmentGrants
All Other Contributions13424AllOtherContributions
Total Contributions20679246TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE541900278835252278835252
OTHER HEALTHCARE RELATED REVENUE54190079476287947628
FieldValueIRS element (for citing)
Total Program Service Revenue286782880TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column86307TotalRevenueColumn
Exclusion$86,307ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real301597Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real379567Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-77970Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-77970TotalRevenueColumn
Exclusion-$77,970ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PARKING REVENUE812930913057$913,057
CAFETERIA REVENUE722210372988$372,988
GIFT SHOP REVENUE453220367537$367,537

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column68101TotalRevenueColumn
Exclusion$68,101ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1721683TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column309192146TotalRevenueColumn
Related Or Exempt Function Income286782880RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,730,020ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3007942Total
Program Services2707148ProgramServices
Management And General300794ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total113251269Total
Program Services111204200ProgramServices
Management And General2047069ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3246437Total
Program Services3184048ProgramServices
Management And General62389ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15477323Total
Program Services15183731ProgramServices
Management And General293592ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9153212Total
Program Services8969734ProgramServices
Management And General183478ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total35555587Total
Management And General35555587ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7279428Total
Program Services7270435ProgramServices
Management And General8993ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total73384Total
Program Services73203ProgramServices
Management And General181ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47464224Total
Program Services47145357ProgramServices
Management And General318867ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5652372Total
Program Services5557585ProgramServices
Management And General94787ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total424324Total
Program Services415017ProgramServices
Management And General9307ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total11369771Total
Program Services11132349ProgramServices
Management And General237422ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9537050Total
Program Services9345878ProgramServices
Management And General191172ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6036007Total
Program Services5915014ProgramServices
Management And General120993ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHYSICIAN & RESIDENT FEES15502749155027490
PROVISION FOR BAD DEBTS12366960123669600
CONTRACTED SERVICES4641020460212538895
REPAIRS AND MAINTENANCE2617041258536431677
LINEN7797007797000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total303435800Total
Program Services263940597ProgramServices
Management And General39495203ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16342942BOY
EOY17358898EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2517530BOY
EOY3237668EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23479400BOY
EOY26787248EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY28517314BOY
EOY26025367EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1056418BOY
EOY1113331EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY312102BOY
EOY315749EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis242236415LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec77744856LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY169487065BOY
EOY164491559EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3910317BOY
EOY4410323EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3354803BOY
EOY3344734EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY248977891BOY
EOY247084877EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25227530BOY
EOY30908991EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY4005344EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY164798248BOY
EOY160149644EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53226433BOY
EOY57044425EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY243252211BOY
EOY252108404EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5092066BOY
EOY-5426647EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY633614BOY
EOY403120EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5725680BOY
EOY-5023527EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY248977891BOY
EOY247084877EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5756346ReconcilationRevenueExpenses
Reconcilation Other Changes-16505553ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$125,756RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB125756TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINE 1HReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE PARENT ENTITY OF THE SYSTEM. LHCS PAYS DUES TO THE NEW JERSEY HOSPITAL ASSOCIATION AND VARIOUS OTHER ORGANIZATIONS ON BEHALF OF JERSEY CITY MEDICAL CENTER. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $15,756. IN ADDITION, LHCS PAID AN OUTSIDE INDEPENDENT FIRM $110,000 TO PERFORM LOBBYING EFFORTS ON A FEDERAL AND STATE LEVEL ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10863354OtherCostOrOtherBasis
Book Value10863354BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis181352040OtherCostOrOtherBasis
Depreciation41449387Depreciation
Book Value139902653BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1546324OtherCostOrOtherBasis
Depreciation609761Depreciation
Book Value936563BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis47363926OtherCostOrOtherBasis
Depreciation35685708Depreciation
Book Value11678218BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1110771OtherCostOrOtherBasis
Book Value1110771BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings164491559TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COST$20,089,087
ESTIMATED MEDICAL MALPRACTICE$2,307,000
OTHER LIABILITIES$18,009,795
SETTLEMENTS$15,227,543
ADVANCES FROM GOVERNMENT AGENCIES$1,411,000
AMOUNTS DUE TO AFFILIATES$0
FieldValueIRS element (for citing)
Total Of Amounts57044425TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierTEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationTHE ORGANIZATION IS AN AFFILIATE IN A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). LIBERTY HEALTHCARE SYSTEM, INC. IS THE TAX-EXEMPT PARENT OF THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2010 AND DECEMBER 31, 2009; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE JERSEY CITY MEDICAL CENTER AND SUBSIDIARIES YEAR ENDED DECEMBER 31, 2010 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48: THE MEDICAL CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNIZED THRESHOLD IN 2010 AND 2009.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense62997161TotalCommunityBenefitExpense
Direct Offsetting Revenue47563366DirectOffsettingRevenue
Net Community Benefit Expense15433795NetCommunityBenefitExpense
Percent Of Total Expense0.05300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense91080699TotalCommunityBenefitExpense
Direct Offsetting Revenue78332912DirectOffsettingRevenue
Net Community Benefit Expense12747787NetCommunityBenefitExpense
Percent Of Total Expense0.04380PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense154077860TotalCommunityBenefitExpense
Direct Offsetting Revenue125896278DirectOffsettingRevenue
Net Community Benefit Expense28181582NetCommunityBenefitExpense
Percent Of Total Expense0.09680PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense480036TotalCommunityBenefitExpense
Net Community Benefit Expense480036NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8324187TotalCommunityBenefitExpense
Direct Offsetting Revenue4428497DirectOffsettingRevenue
Net Community Benefit Expense3895690NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9569488TotalCommunityBenefitExpense
Direct Offsetting Revenue6716844DirectOffsettingRevenue
Net Community Benefit Expense2852644NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense29035TotalCommunityBenefitExpense
Net Community Benefit Expense29035NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18402746TotalCommunityBenefitExpense
Direct Offsetting Revenue11145341DirectOffsettingRevenue
Net Community Benefit Expense7257405NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense172480606TotalCommunityBenefitExpense
Direct Offsetting Revenue137041619DirectOffsettingRevenue
Net Community Benefit Expense35438987NetCommunityBenefitExpense
Percent Of Total Expense0.12170PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,366,960BadDebtExpenseAmount
Amount Reimbursed By Medicare55865235AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare57926735CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2061500MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1355 GRAND STREETAddressLine1
CityJERSEY CITYCity
StateNJState
ZIP Code07302ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JERSEY CITY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
JERSEY CITY MEDICAL CENTER
115 CHRISTOPHER COLUMBUSJERSEY CITYNJ07302OUTPATIENT CLINICS
JERSEY CITY MEDICAL CENTER
953-961 GARFIELD AVENUEJERSEY CITYNJ07302OUTPATIENT CLINICS
JERSEY CITY MEDICAL CENTER
9 NUNDA AVENUEJERSEY CITYNJ07302RESIDENTIAL PSYCHIATRIC SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITYSCHEDULE H, PART I, LINE 3CThe 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 2009 poverty guidelines (department of health and senior services). Federal Poverty Guidelines are included in the criteria for determining eligibility for charity and discounted care.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ATHE MEDICAL CENTER HAS PREPARED AN ANNUAL REPORT FOR 2010 REPORTING ON ITS ACCOMPLISHMENTS AND SERVICES PROVIDED. THE REPORT IS AVAILABLE TO THE PUBLIC.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTSCHEDULE H, PART I, LINE 7The 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 $12,366,960.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IICommunity building activities undertaken by Jersey City 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. Jersey City 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. We have also done programs on safety for children in our community.
BAD DEBT EXPENSESCHEDULE H, PART III, LINE 4Bad debt expense was derived from the providers' bad debt expense as reported on its audited financial statement, net of accounts written off at charges. The organization and its affiliates 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 organization Accounts Receivable, Patients Accounts receivable, patients are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages. Charity Care The Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Medical Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenues.
MEDICARE SHORTFALLSCHEDULE H, PART III, LINE 8Medicare 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 includable on the form 990, Schedule 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;
DEBT COLLECTION POLICYSCHEDULE H, PART III, LINE 9BAccounts 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 Liberty HealthCare System business office and its hospital affiliates to treat all patients equally regardless of insurance and their ability to pay. For all accounts determined to be 'self-pay" and/or accounts with balance after primary insurance payments, the collection policy requires: sending a minimum of three statements which includes a pre-collection letter. We have charity care and Hill Burton access policies to assure patients are provided with charity care assistance determined by State and Federal regulations. It is our 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 needed to complete a charity care application. At the time of the patient's visit and as part of the registration process, the following options are made available to patients: - Financial counseling for possible eligibility for medical assistance, including Medicaid and SSI. - Financial counseling to evaluate eligibility for a reduced payment rate when coverage is not available under charity care, Medicaid, or New Jersey's Hopsital Care Payment Assistance programs (Liberty's Compassionate Care program). - Other financial arrangements we offer including: 1. Cash/credit card (American Express, Discover, visa, MasterCard), 2. Flexible payment plans.
FACILITY POLICIES AND PRACTICESSCHEDULE H, PART V; SECTION BNot applicable.
NEEDS ASSESSMENTSCHEDULE H, PART VI; QUESTION 2Liberty engages a planning consultant to assist us in monitoring utilization in our service area so we can identify trends in community health needs. The data we gather is shared with our physician leadership and other community leaders to corroborate the data we gather and to receive feedback on other health issues of concern. These activities contribute to the development of a strategic plan for the Medical Center that we follow to expand existing services or develop new services for our community.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI; QUESTION 3Charity care signs are posted throughout the facility, mainly in patient registration areas. Signs are posted in both English and Spanish. All patients deemed self pay are screened for financial assistance by a resource advisor according to the federal poverty guidelines and referred to appropriate agencies or programs.
COMMUNITY INFORMATIONSCHEDULE H, PART VI; QUESTION 4Jersey City Medical Center ("Jersey City") is located in Jersey City, New Jersey and serves the greater Hudson County community Hudson County is a diverse suburban community and one of the most populous communities in New Jersey.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI; QUESTION 5THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
AFFILIATED HEALTHCARE SYSTEMSCHEDULE H, PART VI; QUESTION 6Not For-Profit Affiliates: LIBERTY HEALTHCARE SYSTEM, INC. Liberty Healthcare System, Inc. is the tax-exempt parent of the Liberty Health Care System ("LHCS"). This integrated health care delivery system consists of a group of affiliated health care organizations. Liberty Healthcare 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 supporting organization pursuant to Internal Revenue Code 509(a)(3). LIBERTY BEHAVIORAL HEALTH ASSOCIATES Liberty Behavioral Health Associates 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 was established to provide medically necessary professional health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. LIBERTY CHILD HEALTH SERVICES Liberty Child Health Services 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 was established to provide medically necessary health services to the medically underserved communities of Hudson County, New Jersey, in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. LIBERTY HEALTHCARE SYSTEM FOUNDATION Liberty Healthcare System 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)(2). The organization solicits and maintains gifts, grants and other contributions for the promotion of health and overall wellness in the Hudson County, New Jersey community served by the Liberty Healthcare System. LIBERTY HOME CARE Liberty Home Care 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 established to provide medically necessary home care services to the medically underserved communities of Hudson County, New Jersey, in a non-discriminatory manner regardless of race, color, national origin, religion or ability to pay. The organization sold substantially all of its assets on April 19, 2010 to an unrelated third party. LIBERTY REHABILITATION CENTER FACULTY PRACTICE PLAN Liberty Rehabilitation Center Faculty Practice Plan 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 staffs a 25-bed rehabilitative care unit which provides medically necessary professional rehabilitative health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. LIBERTY SURGICAL ASSOCIATES Liberty Surgical Associates 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 professional health services to the medically underserved communities of Hudson County, New Jersey served by its not for-profit affiliate, Jersey City Medical Center. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. NEW MARGARET HAGUE CENTER WOMENS JERSEY MEDICAL CENTER OB/GYN New Margaret Hague Center Women's Jersey Medical Center OB/GYN 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 professional obstetrical and gynecological health services to the medically underserved communities of Hudson County, New Jersey. Patients are seen regardless of race, color, national origin, religion or ability to pay for the professional services rendered. JERSEY CITY FAMILY HEALTH CENTER Jersey City Family Health Center ("JCFHC") is located in Secaucus, Hudson County, New Jersey. JCFHC is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, JCFHC provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. This organization ceased operations as of August 31, 2008. Effective September 1, 2008 all operations were assumed by an unrelated healthcare provider. MEADOWLANDS HOSPITAL MEDICAL CENTER Meadowlands Hospital Medical Center ("MHMC") is a non-profit tax-exempt medical center located in Secaucus, Hudson County, New Jersey. MHMC is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, MHMC provides medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, MHMC operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Effective December 7, 2010 the organization sold substantially all of its assets to an unrelated third party. The transaction was approved by the New Jersey Department of Health and Human Services. The purchaser will continue to operate the facility as a general acute care hospital. GREENVILLE HOSPITAL Greenville Hospital ("GH") was a non-profit tax-exempt acute care community hospital located in Secaucus, Hudson County, New Jersey. GH is recognized by the Internal Revenue Service as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, GH provided medically necessary health care services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Prior to its closing, GH operated consistently with the criteria outlined in IRS Revenue Ruling 69-545. For-Profit Affiliates: LIBERTY HEALTHCARE MANAGEMENT, LLC A limited liability company taxed as a partnership located in Secaucus, Hudson County, New Jersey which provides management services. Liberty Healthcare System, Inc. and Liberty Healthcare Capital, Inc. are the partners in this partnership with 99% and 1% ownership interests, respectively. LIBERTY HEALTHCARE CAPITAL, INC. A for-profit entity whose sole shareholder is LHCS. The organization is located in Secaucus, Hudson County, New Jersey. This entity provides leasing and financing support to Liberty Healthcare System.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI; QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT STATEMENT WITH THE STATE OF NEW JERSEY.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH F SCOTT
0689198000225430123450025291086048200
PAUL GOLDBERG
0421945000807502450010583044305300
KENNETH GARAY MD
0335953000299502450021836036323400
RITA V SMITH
27376300014739036750197540311931000
PAUL R MURPHY ESQ
029180200038650367506146030548800
BRENDA HALL
0204718000290202986017012022761800
DOUGLAS RATNER MD
29185003000002781036750231790351485000
HENRY C IRVING MD
254235000685803675042390269007000
MARY CATAUDELLA
0222638000127203338017222024447000
STEVEN MOSSER
020750900078303125023686023510300
ROBERT VALENTINE
0203106000201402982018287022638900
JAMES MARTIN
1794110002364027170214920205984000
SHARI L GRENIER
017065800065201635011418018436300
MICHAEL PEKAREK
0164515000222802431014536018371000
ANDREW T SUKALA
0141289000357002141017172016417200
KIRK A MCMURTY MD
5881070002070036750249320618784000
RITU CHANDAK MD
282482000516036750230920309765000
ANTHONY LAMONACA MD
233713000554034010192410256909000
ADRIANA GRIGORIU MD
2102030001808031530232140238378000
ZIAD HANHAN MD
37703402091680750036750199650610592000
NIRMALA RAJAKUMAR MD
238135000243703344075390251455000
NIMER ISKANDARANI MD
2211840002258024500169930242885000
ZDENA RUBIN MD
21180700031200086240220743000
ROYSTON CRUICSHANK MD
2060980004397030940140170227606000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, AS TAXABLE WAGES: JOSEPH F. SCOTT, FACHE, $121,000.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 7THE FOLLOWING INDIVIDUAL RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH BONUS AMOUNT WAS INCLUDED IN COLUMN B (II) HEREIN AND IN THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DOUGLAS RATNER, M.D., $30,000; AND ZIAD HANHAN, M.D., $209,168.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (51 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART IIILIBERTY HEALTHCARE SYSTEM, INC. ("LIBERTY") IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HUDSON COUNTY, NEW JERSEY. LIBERTY IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. THE IRS HAS RECOGNIZED LIBERTY AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). LIBERTY'S MISSION IS TO PROVIDE PATIENTS, THEIR FAMILIES AND ALL IN NEED, EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES AND PROGRAMS TO ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY, IN COLLABORATION WITH ITS PHYSICIANS, NURSES AND STAFF, WILL: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL, REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY INCLUDING REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. - LIBERTY WILL BE GUIDED BY BOARDS OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. AS A MULTI-HOSPITAL HEALTH SERVICE SYSTEM, LIBERTY PROVIDES THE REGION WITH A WIDE RANGE OF HEALTH SERVICES, FROM HIGH TECHNOLOGY INFANT AND ADULT CARE TO IN-HOSPITAL REHABILITATION AND HOME CARE SERVICES. LIBERTY HEALTHCARE SYSTEM AFFILIATES INCLUDE THE JERSEY CITY MEDICAL CENTER: THE JERSEY CITY MEDICAL CENTER ("JCMC") IS A REGIONAL REFERRAL TEACHING HOSPITAL AND A MAJOR TEACHING AFFILIATE OF THE MOUNT SINAI SCHOOL OF MEDICINE. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED LIBERTY AND JERSEY CITY MEDICAL CENTER AS TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C) (3). PURSUANT TO ITS CHARITABLE PURPOSES, JCMC 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, JCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. MEDICALLY NECESSARY HEALTHCARE SERVICES ARE PROVIDED TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF PAY, MEDICARE, AND MEDICAID PATIENTS. 2. EMERGENCY ROOMS ARE OPEN 24 HOURS A DAY SEVEN DAYS A WEEK, 365 DAYS A YEAR. 3. OPEN MEDICAL STAFFS ARE MAINTAINED, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. CONTROL OF JCMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF LIBERTY HEALTH. THE BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. JCMC TREATS ALL ADULTS AND CHILDREN REGARDLESS OF AGE AND OF THEIR ABILITY TO PAY FOR SERVICES RENDERED. LIBERTY IS ONE OF THE LARGEST PROVIDERS OF CHARITY CARE SERVICES IN THE STATE OF NEW JERSEY. JCMC IS THE FLAGSHIP AFFILIATE OF LIBERTY HEALTHCARE SYSTEM, INC. ("LIBERTY"). LIBERTY IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN HUDSON COUNTY, NEW JERSEY. THE IRS HAS RECOGNIZED LIBERTY AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C) (3). LIBERTY'S MISSION IS ENHANCING LIFE. LIBERTY PROVIDE PATIENTS, THEIR FAMILIES, AND ALL IN NEED EXCELLENCE IN HOSPITAL AND HEALTHCARE SERVICES THAT ENHANCE COMMUNITY HEALTH. TO ACHIEVE THIS MISSION, LIBERTY COLLABORATES WITH ITS PHYSICIANS, NURSES AND STAFF TO: - PROVIDE A FULL RANGE OF CLINICAL SERVICES FOR ALL REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, RELIGION, OR ABILITY TO PAY. OUR CLINICAL SERVICES INCLUDE REGIONAL SPECIALTY AND SUBSPECIALTY CARE. - ESTABLISH APPROPRIATE ACADEMIC AND CLINICAL AFFILIATIONS. - DEVELOP EDUCATIONAL PROGRAMS FOR MEDICAL STUDENTS, PHYSICIANS IN RESIDENCY TRAINING, NURSES, EMT'S-PARAMEDICS AND OTHER HEALTHCARE PROFESSIONALS. - BUILD INNOVATIVE RELATIONSHIPS WITH OTHER HOSPITALS AND SYSTEMS. - LIBERTY IS GUIDED BY BOARDS OF TRUSTEES, REPRESENTING A DIVERSITY OF COMMUNITY AND BUSINESS LEADERS, PUBLIC OFFICIALS, AND HEALTHCARE AND OTHER PROFESSIONALS. JERSEY CITY MEDICAL CENTER - CARE CENTERS ========================================= THE CRISTIE KERR WOMENS HEALTH CENTER --------------------------------------------------------------------- OUR NEW CRISTIE KERR WOMENS HEALTH CENTER OPENED IN 2010 OFFERING IMAGING AND OTHER DIAGNOSTIC SERVICES TO WOMEN IN OUR COMMUNITY. THE CENTER OFFERS BREAST CANCER SCREENING PROGRAMS INCLUDING MAMMOGRAMS AND EDUCATION TO WOMEN IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE CENTER IS THE FIRST FULL-SERVICE FACILITY IN HUDSON COUNTY TO PROVIDE DETECTION, HEALING, SUPPORT, AND RECOVERY SERVICES. THE EPILEPSY CENTER AT JERSEY CITY MEDICAL CENTER ------------------------------------------------- THE EPILEPSY CENTER AT JERSEY CITY MEDICAL CENTER OPENED IN 2010 AND PROVIDES DIAGNOSTIC, EVALUATION, AND TREATMENT PLANS ON AN INPATIENT AND OUTPATIENT BASIS. COMPREHENSIVE SPINE INSTITUTE ----------------------------- OUR COMPREHENSIVE SPINE CENTER WAS ESTABLISHED IN 2010 IN RECOGNITION OF A NEED IN THE COMMUNITY FOR THIS SPECIALTY SERVICE. THIS CENTER OFFERS EVALUATION, DIAGNOSTIC TESTING, AND SURGICAL INTERVENTION FOR A WIDE RANGE OF ACUTE AND NON-SURGICAL CHRONIC DISORDERS OUTPATIENT BALANCE CENTER ------------------------- OUR NEW OUTPATIENT BALANCE CENTER WAS ESTABLISHED TO DIAGNOSE AND TREAT INDIVIDUALS SUFFERING FROM DIZZINESS OR BALANCE PROBLEMS. OUR STAFF IS TRAINED TO DIAGNOSE CONDITIONS THROUGH A SERIES OF RELATIVELY BRIEF AND NON-INVASIVE TESTS. WE WILL INTERPRET THE TEST RESULTS AND PROMPTLY SHARE THEM WITH THE PATIENTS' PHYSICIAN. FANNIE E. RIPPEL FOUNDATION HEART INSTITUTE (THE "INSTITUTE") ------------------------------------------------------------- THE INSTITUTE FEATURES STATE-OF-THE-ART DIAGNOSTIC TECHNOLOGY TO PROVIDE EXEMPLARY OUTPATIENT CARDIAC CARE. THE INSTITUTE PROVIDES TWO HIGH-RISK CARDIAC CATHETERIZATION LABORATORIES, A SINGLE PLANE AND A THREE-DIMENSIONAL BI-PLANE ALONG WITH OTHER CRITICALLY IMPORTANT DIAGNOSTIC TECHNOLOGY. THE MEDICAL CENTER IS THE REGION'S "HIGH-RISK" DESTINATION FOR PATIENTS. JCMC IS HUDSON COUNTY'S ONLY FULL-SERVICE HEART HOSPITAL. CARDIAC SERVICES PROVIDED INCLUDE: - ANGIOPLASTY - DIAGNOSTIC CARDIAC CATHETERIZATION - INTRAVASCULAR ULTRASOUND - PACEMAKER & IMPLANTABLE CARDIOVERTER DEFIBRILLATOR THERAPY - MINIMALLY INVASIVE VEIN HARVESTING AND CARDIAC ARTERY BYPASS GRAFT - THORACIC AND ABDOMINAL AORTIC ANEURYSM REPAIR - MITRAL AND AORTIC VALVE REPAIR AND REPLACEMENT - PERIERAL VASCULAR PROCEDURES, INCLUDING ENDO VASCULAR PROCEDURES PORT AUTHORITY HEROES OF SEPTEMBER 11 TRAUMA CENTER ---------------------------------------------------- THIS REGIONAL TRAUMA CENTER IS THE STATE-DESIGNATED LEVEL II TRAUMA CENTER FOR HUDSON COUNTY. IN ADDITION TO SERVING THE GROWING COMMUNITIES OF JERSEY CITY, THE SERVICE COVERS HUDSON COUNTY NEW JERSEY WATERWAYS, NEW JERSEY TURNPIKE, THE HOLLAND AND LINCOLN TUNNELS, AND LIBERTY STATE PARK. THE TRAUMA CENTER PROVIDES 24 HOUR TRAUMA SURGERIES FOR ADULTS AND CHILDREN. THE CENTER HAS BEEN ACTIVE IN ALL REGIONAL DISASTERS INCLUDING THE 1993 AND 2001 WORLD TRADE CENTER BOMBINGS; SEVERAL TRAIN DERAILMENTS, AND VARIOUS HAZMAT INCIDENTS.
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART IIIOUTPATIENT SERVICES ------------------- JCMC OPERATES AN AMBULATORY CARE CENTER ADJACENT TO THE HOSPITAL AS WELL AS TWO SATELLITE CLINICS TO ENSURE ACCESS TO THOSE MOST IN NEED. OUR OUTPATIENT SERVICE OFFERINGS INCLUDE OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, DENTAL, PHYSICAL AND SPEECH THERAPY, AND AUDIOLOGY. WE PROVIDE NEEDED OUTPATIENT SERVICES TO SPECIAL NEEDS POPULATIONS IN OUR COMMUNITY, INCLUDING THE HOMELESS AND ADULTS AND CHILDREN NEEDING BEHAVIORAL HEALTH SERVICES, HIV/AIDS PATIENTS, AND THOSE IN NEED OF DIALYSIS. JCMC IS THE REGIONAL PSYCHIATRIC REFERRAL CENTER PROVIDING CRISIS INTERVENTION AND EVALUATION, VOLUNTARY AND INVOLUNTARY IN-PATIENT SERVICES, COMMUNITY PSYCHIATRIC OUTREACH SERVICES AND A FULL SPECTRUM OF OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES. VOLUNTEER SERVICES ------------------ JCMC HAS AN ACTIVE AND DIVERSE VOLUNTEER PROGRAM PROVIDING COMPANIONSHIP AND SUPPORT TO PATIENTS OF ALL AGES HOSPITALIZED ON OUR NURSING FLOORS, THE EMERGENCY DEPARTMENT, AND OTHER PATIENT AREAS. THE JCMC VOLUNTEERS ADVOCATE FOR PATIENT FAMILIES AND PROVIDE THEM WITH INFORMATION AND SUPPORT. THEY ALSO PROVIDE CLERICAL AND OTHER SUPPORT TO OUR STAFF. OVERALL, JCMC ADMITTED OVER 18,000 PATIENTS PROVIDING APPROXIMATELY 87,000 DAYS OF INPATIENT CARE. THE EMERGENCY DEPARTMENT DELIVERED EMERGENCY MEDICAL CARE TO OVER 80,000 INDIVIDUALS AND OUR OUTPATIENT PROGRAMS SERVICED OVER 194,000 VISITS. COMMUNITY --------- JCMC IS ACTIVELY ENGAGED IN COMMUNITY EDUCATION INCLUDING OUTREACH TO SCHOOLS, CHURCHES AND COMMUNITY GROUPS ADDRESSING TARGETED, APPROPRIATE EDUCATION NEEDS. HEALTH FAIRS ARE HELD ANNUALLY IN CONJUNCTION WITH BUSINESSES AND COMMUNITY GROUPS TO PROVIDE A WIDE RANGE OF SCREENING AND EDUCATION. A DINNER WITH THE DOCTOR PROGRAM WAS IMPLEMENTED IN 2009 WHERE DOCTORS SPOKE TO THE COMMUNITY ABOUT VARIOUS HEALTH ISSUES. WE ALSO PROVIDE RECURRING SAFETY PROGRAMS IN OUR COMMUNITY SCHOOLS TO EDUCATE CHILDREN ON WELLNESS AND BICYCLE SAFETY. OUR EMS SERVICE PROVIDES MEDICAL CARE AT COMMUNITY EVENTS DURING THE YEAR. AWARDS AND DESIGNATIONS ======================= JCMC HAS BEEN RECOGNIZED FOR EXCELLENCE IN PROVIDING CARE AND SUPPORTING THE HEALTH AND WELLNESS OF OUR COMMUNITY. THE FOLLOWING IS A LISTING OF AWARDS AND DESIGNATIONS AFFORDED THE MEDICAL CENTER IN RECOGNITION OF ITS SERVICE: - "TOP NJ HOSPITAL" UNDER 350 BEDS BY CASTLE CONNOLLY - JOINT COMMISSION GOLD STANDARD - MAGNET AWARD FOR NURSING EXCELLENCE - AMERICAN NURSES CREDENTIALING CENTER - ONLY TRIPLE ACCREDITED EMS SYSTEM IN THE UNITED STATES (OPERATIONS, DISPATCH, AND EDUCATION) - LEAPFROG AWARD FOR QUALITY - AMERICAN CONFERENCE ON DIVERSITY - DIVERSITY EXCELLENCE AWARD - HUDSON COUNTY CHAMBER - BUSINESS LEADERSHIP AWARD - NJBIZ INNOVATION ORGANIZATION HERO - JCMC EMS - FINALIST "HOSPITAL OF THE YEAR" NJBIZ - ROTARY CLUB OF JERSEY CITY - GOOD CORPORATE CITIZEN AWARD - STATE AND COUNTY DESIGNATED TRAUMA CENTER - STATE DESIGNATED PRENATAL CENTER - AMERICAN CONFERENCE OF RADIOLOGISTS - ACR CERTIFICATION - STATE DESIGNATED STROKE CENTER AND RECOGNIZED WITH A GOLD AWARD - AMERICAN HEART AND STROKE ASSOCIATION
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCORE FORM, PART III; QUESTION 4DEXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
DISCLOSURE INFORMATIONCORE FORM, PART IV, SECTION A; QUESTIONS 6 & 7LIBERTY HEALTHCARE SYSTEM, INC. ("LHCS") IS THE SOLE MEMBER OF THIS ORGANIZATION. LHCS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION b; QUESTION 11ATHE ORGANIZATION IS AN AFFILIATE WITHIN LIBERTY HEALTHCARE SYSTEM, INC. AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM") IS THE PARENT 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. 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. A JOINT MEETING WAS THEN HELD WITH THE SYSTEM'S AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE AND THE SYSTEM'S COMPENSATION AND PERFORMANCE COMMITTEE TO REVIEW THE FINAL DRAFT OF THIS ORGANIZATION'S FEDERAL FORM 990. FOLLOWING THIS REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE ORGANIZATION IS AN AFFILIATE IN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VP RISK MANAGEMENT/CORPORATE COMPLIANCE FOR REVIEW. THEREAFTER THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP RISK MANAGEMENT/CORPORATE COMPLIANCE OF THE ORGANIZATION PRESENTS ANY CONFLICT CONCERNS TO THE ORGANIZATION'S AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE FOR ITS REVIEW AND DISCUSSION.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15The organization is AN AFFILIATE IN the LIBERTY HEALTHCARE SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE parent entity of THE SYSTEM IS Liberty HealthCare System, Inc. ("LHS"). LHS' Board of Trustees maintains a Compensation and Performance Committee (the "Committee") consisting entirely of independent trustees. The Committee has a written executive compensation philosophy which it follows when it reviews the compensation and benefits of senior management and key employees. The Committee approves the compensation of the Chief Executive Officer. The Chief Executive Officer, in consultation with the Committee, approves the compensation of the Senior Vice-President and General Counsel, and the Chief Financial Officer. The Committee relies upon comparison data provided by a nationally recognized independent benefits consulting firm to determine fair market value. The Committee also reviews the compensation of other senior management and key employees as recommended by the Chief Executive Officer in consultation with the human resources department on the basis of comparison data provided by independent sources to determine fair market value. In performing these reviews, the Committee takes into account the total compensation payable to each individual, including both current and deferred compensation and all employee benefits, both qualified and non-qualified. The Committee's review is done annually. 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, SENIOR VICE PRESIDENT/GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN LHS SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE 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 DISCLOSURE INFORMATIONCORE FORM, PART VII AND SCHEDULE JPart VII and Schedule J reflect a board member and officers receiving compensation from THIS ORGANIZATION OR a related organization. Please note that this remuneration was for services rendered as full-time employees of THIS ORGANIZATION OR A related organization and not for services rendered as A voting member or officer of this organization's board of trustees.
OTHER CHANGES IN NET ASSETSCORE FORM, PART XI; QUESTION 5OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY & EQUIPMENT - $141,006 - PENSION LIABILITY ADJUSTMENT - ($1,819,005) - POSTRETIREMENT LIABILITY ADJUSTMENT - ($797,850) - TRANSFERS TO AFFILIATE - ($13,799,209) - CHANGE IN NET ASSETS; TEMPORARILY RESTRICTED - ($230,495)
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE WITHIN THE LIBERTY HEALTHCARE SYSTEM, INC. ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS LIBERTY HEALTHCARE SYSTEM, INC. AN INDEPENDENT CPA FIRM AUDITS THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM ANNUALLY. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITS THE FINANCIAL STATEMENTS OF JERSEY CITY MEDICAL CENTER AND ITS AFFILIATES ANNUALLY. THE LIBERTY HEALTHCARE SYSTEM, INC. AUDIT, COMPLIANCE AND RISK MANAGEMENT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF BOTH THE CONSOLIDATED FINANCIAL STATEMENTS REFERENCED ABOVE AND THE SELECTION OF AN INDEPENDENT AUDITOR.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HARRY MELENDEZ TITLE:CHAIR - TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BISHOP THOMAS P ROBINSON PHD TITLE:VICE CHAIR - TRUSTEE HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARVIN GLAZERMAN TITLE:SECRETARY - TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ABEGAIL DOUGLAS JOHNSON EDD TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIM HAAS TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEREMY KAPLAN TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SALEEM MAHMOOD MD TITLE:TRUSTEE HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDGAR MARTINEZ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:W NEVINS MCCANN ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH A PANEPINTO JR TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KAREN SAMINSKI ESQ TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH F SCOTT TITLE:TRUSTEE - PRESIDENT/CEO HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KABILI TAYARI TITLE:TRUSTEE HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL GOLDBERG TITLE:CHIEF FINANCIAL OFFICER HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH GARAY MD TITLE:CHIEF MEDICAL OFFICER HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RITA V SMITH TITLE:SVP, PATIENT CARE SERVICES HOURS:20
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL R MURPHY ESQ TITLE:SVP, GENERAL COUNSEL HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BRENDA HALL TITLE:SVP, PATIENT SAFETY HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN J DOYLE TITLE:SVP, CORP ADMIN(1/1-1/31/2010) HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DOUGLAS RATNER MD TITLE:VP, CHAIRMAN MEDICAL HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HENRY C IRVING MD TITLE:VP, CHAIRMAN ORTHOPEDICS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARY CATAUDELLA TITLE:VP, HUMAN RESOURCES HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEVEN MOSSER TITLE:VP, FACILITIES & CONSTRUCTION HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT VALENTINE TITLE:CORPORATE CONTROLLER HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES MARTIN TITLE:VP, BEHAVIORAL HEALTH SVCS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SHARI L GRENIER TITLE:VP RISK MGT & CORP COMPLIANCE HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL PEKAREK TITLE:CORPORATE DIRECTOR HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDREW T SUKALA TITLE:VP, INTERNAL AUDIT HOURS:52
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BARRY A MALTZMAN TITLE:VP, OPTHAMOLOGY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RITU CHANDAK MD TITLE:DEPUTY CHAIR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY LAMONACA MD TITLE:DEPUTY CHAIR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ADRIANA GRIGORIU MD TITLE:CHIEF DIR., INFECTIOUS DIS. HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHRISTOPHER RINN TITLE:EXC DIR EMS&GOV REL(1/1-11/18) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL M ROTUNDA TITLE:ACTING DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIRK A MCMURTY MD TITLE:CHIEF OF CARDIOTHORACIC HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ZIAD HANHAN MD TITLE:SURGEON, PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NIRMALA RAJAKUMAR MD TITLE:STAFF PYSCHIATRIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NIMER ISKANDARANI MD TITLE:STAFF PSYCHIATRIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ZDENA RUBIN MD TITLE:STAFF PSYCHIATRIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROYSTON CRUICSHANK MD TITLE:Staff Psychiatrist HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LIBERTY BEHAVIORAL HEALTH ASSOCIATES
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223506358HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMC
LIBERTY CHILD HEALTH SERVICES
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223386849HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMC
LIBERTY HEALTHCARE SYSTEM FOUNDATION
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223113911FUNDRAISINGNJ501(C)(3)509(a)(2)LHCS
LIBERTY HEALTHCARE SYSTEM INC
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223113960HEALTH SVCS.NJ501(C)(3)509(a)(3)NA
LIBERTY HOME CARE
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223327677HEALTH SVCS.NJ501(C)(3)509(a)(2)LHCS
LIBERTY REHAB CTR FACULTY PRACTICE PLAN
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223605610HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMC
LIBERTY SURGICAL ASSOCIATES
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223386850HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMC
MEADOWLANDS HOSPITAL MEDICAL CENTER
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223284894HEALTH SVCS.NJ501(C)(3)HOSPITALLHCS
NEW MARGARET HAGUE CTR WOMENS JCM OBGYN
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223363012HEALTH SVCS.NJ501(C)(3)509(a)(3)JCMC
JERSEY CITY FAMILY HEALTH CENTER
ONE HARMON MEADOW BLVDSECAUCUSNJ07094223579538HEALTH SVCS.NJ501(C)(3)HOSPITALLHCS
GREENVILLE HOSPITAL
ONE HARMON MEADOW BLVDSECAUCUSNJ07094220963805HEALTH SVCS.NJ501(C)(3)HOSPITALLHCS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LIBERTY HEALTHCARE MANAGEMENTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE HARMON MEADOW BLVDAddressLine1
CitySECAUCUSCity
StateNJState
ZIP Code07094ZIPCode
FieldValueIRS element (for citing)
EIN223597891EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateNJLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LIBERTY HEALTHCARE CAPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE HARMON MEADOW BLVDAddressLine1
CitySECAUCUSCity
StateNJState
ZIP Code07094ZIPCode
FieldValueIRS element (for citing)
EIN223444345EIN
Primary ActivityLEASE/FINANCINGPrimaryActivity
Legal Domicile StateNJLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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