2022-11-15T10:17:16-06:00 2021-12-31 WithumSmithBrown PC 200 JEFFERSON PARK STE 400 Whippany NJ 079811070 990 2021-01-01 222405279 BARNABAS HEALTH INC % CATHERINE DOWDY CPA BARN 9733224032 C/O CORP FINANCE 2 CRESCENT PLACE OCEANPORT NJ 07757 CATHERINE A DOWDY SVP FINANCE 7329238929 2022-11-11 true CATHERINE A DOWDY 000000000 Scott J Mariani P00642486 9738989494 3 2021 2022-09-23 18:48:47Z X RWJBH CORPORATE SERVICES BARRY H OSTROWSKY 2 CRESCENT PLACE OCEANPORT NJ 07757 1417493962 false X WWW.RWJBH.ORG X 1982 NJ SUPPORTS RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BY PROVIDING INTEGRAL CORPORATE SERVICES. 4 1 2519 0 2717358 542214 171946 2094118 937857408 1057396340 231578688 357423241 591684 580263 1170199726 1417493962 308062 5252879 0 0 263904906 285404475 0 0 0 649793660 730653211 914006628 1021310565 256193098 396183397 6701827004 7403719280 5195767134 5793303550 1506059870 1610415730 X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION IS A SUPPORTING ORGANIZATION Of THE RWJBARNABAS HEALTH TAX-EXEMPT HOSPITALS AND MEDICAL CENTERS. THE ORGANIZATION SUPPORTS VARIOUS RWJBARNABAS HEALTH ENTITIES WHICH ARE AFFILIATES WITHIN A TAX-EXEMPT NOT FOR-PROFIT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN NEW JERSEY WHOSE CHARITABLE PURPOSES INCLUDE PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE COMMUNITY AND ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. false false 599586012 5252879 696408243 EXPENSES INCURRED IN SUPPORTING RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BY PROVIDING INTEGRAL CORPORATE SERVICES. RWJBARNABAS HEALTH 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. 305795841 0 349956308 EXPENSES INCURRED FOR ALL COVERED RWJBARNABAS HEALTH EMPLOYEES RELATING TO RWJBARNABAS HEALTH'S SELF-INSURED HEALTH PLAN, INCLUDING MEDICAL CLAIMS AND PRESCRIPTIONS. 14322942 0 13749147 EXPENSES INCURRED IN OPERATING RWJBH ACCOUNTABLE CARE, LLC, AN ACCOUNTABLE CARE ORGANIZATION WHOSE SOLE MEMBER IS BARNABAS HEALTH, INC. 919704795 true true false true false false false false false false true false true false true true false true false true true false false false false false false true false true true false false false false false false false false true false false false false false true true true true false false true 1279 0 true 2519 true true true false false false false false false false false false false true false X 4 1 false false false false true true true true true false false true true true true true true true true true true NJ X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X BARRY H OSTROWSKY TRUSTEE - PRESIDENT/CEO 60.0 0.0 X X 5594237 10615775 1133430 THOMAS A BIGA PRESIDENT, HOSPITAL DIVISION 60.0 0.0 X 4143826 6223954 998748 DAVID A MEBANE ESQ TRUSTEE - EVP, GENERAL COUNSEL 55.0 0.0 X X 1650288 3750513 459834 MICHELLENE DAVIS ESQ EVP,CHIEF CORP AFF.(TERM 6/30) 55.0 0.0 X 3594337 1777441 156073 JOHN W DOLL CPA EVP, CHIEF FINANCIAL OFFICER 60.0 0.0 X 2848751 2001371 625194 JOHN F BONAMO MD MS EVP, CHIEF MED & QUALITY OFF. 55.0 0.0 X 2501760 2184428 547744 WILLIAM CUTHILL SVP, FACILITIES 55.0 0.0 X 1032048 2021189 237499 STEPHEN P ZIENIEWICZ FACHE PRESIDENT/CEO - CBMC 55.0 0.0 X 2404638 0 223133 NANCY HOLECEK EVP, CHIEF NURSING OFFICER 55.0 0.0 X 911894 1373942 212476 MARK E MANIGAN EVP, BUSINESS DEVELOPMENT 55.0 0.0 X 1859001 0 508381 EILEEN K URBAN EVP, CHIEF INVEST OFF & TREAS 55.0 0.0 X 1770895 0 319883 PATRICK KNAUS EVP, SYSTEM STRATEGY 55.0 0.0 X 1498613 0 347906 WILLIAM S ARNOLD PRESIDENT/CEO - RWJUHNB 55.0 0.0 X 1599188 0 237489 LORI A COLINERI CNO SO REGION (TERMED 3/15/21) 55.0 0.0 X 1671043 0 68654 MARTIN S EVERHART EVP, CHIEF HR OFFICER 55.0 0.0 X 1434881 0 259378 RURIC C ANDERSON MD CEO RWJBH MEDICAL GROUP 55.0 0.0 X 1304820 0 373386 GLENN MILLER EVP, CHIEF DEVELOPMENT OFFICER 55.0 0.0 X 1268751 0 294969 ROBERT G IRWIN SVP, CHIEF INFORMATION OFFICER 55.0 0.0 X 1259782 0 237583 JOHN J GANTNER FORMER TOP 5 EE 0.0 0.0 X 1280586 0 868 JOSHUA BERSHAD MD EVP, MEDICAL AFFAIRS 55.0 0.0 X 1009489 0 216199 MICHAEL KNECHT EVP, CHIEF MARKETING & COMM. 55.0 0.0 X 989653 0 234811 RICHARD FREEMAN PRESIDENT/CEO - RWJUHH 55.0 0.0 X 1011466 0 196116 PAUL G ALEXANDER MD EVP, CHIEF HEALTH EQUITY 55.0 0.0 X 910378 0 186110 TRINA PARKS EVP, CHIEF CORP DIVERSITY 55.0 0.0 X 765021 0 168227 DEANNA L MINUS-VINCENT EVP, CHIEF SOCIAL JUSTICE OFF. 55.0 0.0 X 532642 0 136567 AMY B MANSUE FORMER KEY EMPLOYEE 0.0 0.0 X 314704 0 1050 MARC E BERSON CHAIRMAN - TRUSTEE 1.0 0.0 X X 0 0 0 JACK MORRIS TRUSTEE 1.0 0.0 X 0 0 0 44847988 29948613 8380658 745 true true false QUEST DIAGNOSTICS INCORPORATED 500 PLAZA DRIVE SECAUCUS NJ 07094 MEDICAL 39584338 CERNER CORPORATION 2702 ROCKCREEK PARKWAY KANSAS CITY MO 64117 CONSULTING 22090467 RUTGERS THE STATE UNIVERSITY OF NJ 33 KNIGHTSBRIDGE ROAD PISCATAWAY NJ 08854 MEDICAL 16826344 HARMELIN AND ASSOCIATES INC 525 RIGHTERS FERRY ROAD BALA CYNWYD PA 19004 MARKETING 13493919 COMPORT CONSULTING CORPORATION 78 ORCHARD STREET RAMSEY NJ 074461112 CONSULTING 11513187 88 2094118 2094118 PROGRAM SERVICE REVENUE 541900 1057396340 1057396340 1057396340 78647000 2717358 75929642 11446 11446 0 469015 469015 0 469015 469015 278736936 27859 278736936 27859 278764795 278764795 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 111248 111248 111248 1417493962 1057396340 2717358 355286146 X 5252879 5252879 0 0 0 43779927 39401934 4377993 0 0 190752364 171677128 19075236 12634766 11371289 1263477 20943309 18848978 2094331 17294109 15564698 1729411 0 29633198 26669878 2963320 1900000 1710000 190000 477642 429877 47765 0 0 154429664 138986698 15442966 20626988 18564289 2062699 15751049 14175944 1575105 66367844 59731060 6636784 0 7519364 6767428 751936 649151 584236 64915 0 0 11444043 10299639 1144404 0 32560822 29304740 3256082 7490369 6741332 749037 BH HLTH PLAN; MED. CLAIMS 292147270 262932543 29214727 BH HLTH PLAN; PRESCRIPS. 47625887 42863298 4762589 REPAIRS & MAINTENANCE 8507116 7656404 850712 DUES & SUBSCRIPTIONS 3136857 2823171 313686 30385947 27347352 3038595 1021310565 919704795 101605770 0 0 0 179956208 214754661 0 0 0 0 0 0 0 0 0 0 23978194 15439325 33087795 37053491 540223328 190386419 276145084 349836909 0 0 0 0 5970300486 6514911374 45000000 45000000 173359237 226723520 6701827004 7403719280 138800303 133758861 0 0 578931 47831262 306984857 288673031 0 0 0 0 54376255 52062426 0 0 4695026788 5270977970 5195767134 5793303550 X 1506059870 1610415730 0 0 1506059870 1610415730 6701827004 7403719280 X 396183397 -12617959 -279209578 X X false true X true true true X X 11 CHILDREN'S SPECIALIZED HOSPITAL 221487148 3 true 0 0 CLARA MAASS MEDICAL CENTER 221500556 3 true 0 0 COMMUNITY MEDICAL CENTER 223452306 3 true 0 0 COOPERMAN BARNABAS MEDICAL CENTER 221494440 3 true 0 0 JERSEY CITY MEDICAL CENTER 222783298 3 true 0 0 MONMOUTH MEDICAL CENTER 223452412 3 true 0 0 NEWARK BETH ISRAEL MEDICAL CENTER 223452311 3 true 0 0 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL 221487243 3 true 0 0 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON 210634572 3 true 0 0 ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 221487305 3 true 0 0 SAINT BARNABAS BEHAVIORAL HEALTH CENTER 222977312 3 true 0 0 11 0 0 false false false false false true false false false false false false false false false true false SCHEDULE A, PART I THE ORGANIZATION IS AN INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3), 509(A)(3) SUPPORTING ORGANIZATION OF THE RWJBARNABAS HEALTH TAX-EXEMPT IRC SECTION 501(C)(3) ORGANIZATIONS CLASSIFIED AS IRC SECTION 509(A)(1) AND 509(A)(2) PUBLIC CHARITIES. PLEASE REFER TO SCHEDULE R AND R-1. SCHEDULE A, PART IV, QUESTION 1 ALL OF THE SUPPORTED ORGANIZATIONS OF BARNABAS HEALTH, INC. ARE LISTED IN THE ORGANIZATION'S GOVERNING DOCUMENTS BY WAY OF A CLASS OF ORGANIZATION'S; HOSPITALS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). SCHEDULE A, PART IV, QUESTION 6 PLEASE REFER TO SCHEDULE I, PART II. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true true false true 477642 477642 false SCHEDULE C, PART II-B THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION MADE PAYMENTS FOR LOBBYING ACTIVITIES ON BEHALF OF THE RWJBARNABAS HEALTH SYSTEM WHICH TOTALED $468,000 DURING 2021. THIS ORGANIZATION IS A MEMBER OF THE NEW JERSEY BUSINESS AND INDUSTRY ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES DURING 2021. THIS ALLOCATION AMOUNTED TO $1,683 IN 2021. A PERCENTAGE OF THE 2021 TOTAL COMPENSATION FOR THE DIRECTOR, POLICY DEVELOPMENT AND GOVERNMENT AFFAIRS HAS BEEN ALLOCATED TOWARD LOBBYING ACTIVITIES PERFORMED ON BEHALF OF RWJBARNABAS HEALTH AND ITS AFFILIATES ON BOTH A FEDERAL AND STATE LEVEL. THIS ALLOCATION AMOUNTED TO $7,959 IN 2021. 1242569 1242569 36987688 11785910 25201778 7339940 1282079 6057861 258767321 177318430 81448891 235885810 235885810 349836909 ALATU UNDER BOND INDENTURE 532658176 F BOARD DESIGNATED CASH; LTD USE 5580791886 F INTER & EXTERN LTD USE ASSETS 37056666 F OTHER PROGRAM RELATED ASSETS 364204646 F OTHER INVESTMENTS 200000 F 6514911374 0 DUE TO AFFILIATES; CURRENT 4858584438 SELF-INSURANCE LIABILITIES 163615291 EST AMOUNTS DUE TO 3RD PARTY PAYORS 88578 ACCRUED PENSION LIABILITY 29018019 OTHER CURRENT LIABILITIES 81409318 OTHER LONG-TERM LIABILITIES 138262326 5270977970 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH ("RWJBH"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJBH ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBH HOSPITALS AND CERTAIN OTHER RWJBH AFFILIATES. THE FOOTNOTE BELOW IS FROM RWJBH'S 2021 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS RWJBH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE CORPORATION DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021 AND 2020. Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 64692544 1 1 1 1 64692544 64692544 true false false false false false SCHEDULE F, PART I THIS ORGANIZATION ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., A FINANCIAL VEHICLE, $64,692,544 FOR THE BENEFIT OF BARNABAS HEALTH, INC., ITS TAX-EXEMPT HOSPITALS AND VARIOUS OTHER RWJBARNABAS HEALTH SYSTEM ENTITIES. A FORM 5471 IS ATTACHED TO THE FORM 990 OF RWJ BARNABAS HEALTH, INC. - SUBORDINATES (FEID: 85-1296795) WHICH INCLUDES COOPERMAN BARNABAS MEDICAL CENTER (FEID: 22-1494440); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AS THIS ENTITY IS THE OWNER OF COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., NOT BARNABAS HEALTH, INC. true ELIZABETH HEALTHCARE FOUNDATION 1160-1164 ELIZABETH AVENUE ELIZABETH NJ 07202 222473474 501(C)(3) 1606000 SPONSORSHIPS MISSIONS IN HAITI po box 2996 claremore OK 74017 731594533 501(C)(3) 1581079 SPONSORSHIPS SISTERS OF CHARITY OF SAINT ELIZABETH PO BOX 476 2 CONVENT ROAD CONVENT STATION NJ 079610476 221487343 501(C)(3) 1500000 SPONSORSHIPS COMING HOME OF MIDDLESEX COUNTY INC 75 BAYARD STREET 2ND FL NEW BRUNSWICK NJ 08901 263667672 501(C)(3) 160050 SPONSORSHIPS TIDES CENTER PO BOX 399385 SAN FRANCISCO CA 941399385 943213100 501(C)(3) 150000 SPONSORSHIPS THE COMMON MARKET MID ATLANTIC 428 E ERIE AVENUE PHILADELPHIA PA 19134 813440182 501(C)(3) 100000 SPONSORSHIPS GREATER NEWARK CONSERVANCY 32 PRINCE STREET NEWARK NJ 07103 222691309 501(C)(3) 50000 SPONSORSHIPS NEW JERSEY INSTITUTE FOR SOCIAL JUSTICE 60 PARK PLACE SUITE 511 NEWARK NJ 07103 223478143 501(C)(3) 40000 SPONSORSHIPS SOUP KITCHEN 411 PO BOX 1698 BETHLEHEM PA 180161698 474438062 501(C)(3) 40000 SPONSORSHIPS URBAN AGRICULTURE COOPERATIVE 58 CRAWFORD STREET NEWARK NJ 07102 821079237 501(C)(3) 8750 SPONSORSHIPS ST BARNABAS HEALTHCARE SYSTEM FOUNDATION C/O CORP FINANCE 2 CRESCENT PLACE OCEANPORT NJ 07757 223769036 501(C)(3) 7000 SPONSORSHIPS 11 0 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X true true X X X X X false true false false false false false true false BARRY H OSTROWSKY TRUSTEE - PRESIDENT/CEO 2242530 0 2103603 0 1248104 10615775 1113654 0 19776 0 6727667 10615775 1146250 3478823 THOMAS A BIGA PRESIDENT, HOSPITAL DIVISION 1778046 0 1158400 0 1207380 6223954 979178 0 19570 0 5142574 6223954 1176000 5518164 DAVID A MEBANE ESQ TRUSTEE - EVP, GENERAL COUNSEL 763868 0 434200 0 452220 3750513 429965 0 29869 0 2110122 3750513 433500 2440148 MICHELLENE DAVIS ESQ EVP,CHIEF CORP AFF.(TERM 6/30) 2756985 0 429300 0 408052 1777441 152351 0 3722 0 3750410 1777441 178500 1092512 JOHN W DOLL CPA EVP, CHIEF FINANCIAL OFFICER 1384273 0 914500 0 549978 2001371 594575 0 30619 0 3473945 2001371 543750 1365843 JOHN F BONAMO MD MS EVP, CHIEF MED & QUALITY OFF. 1317080 0 653100 0 531580 2184428 525425 0 22319 0 3049504 2184428 475000 1748106 WILLIAM CUTHILL SVP, FACILITIES 514188 0 325000 0 192860 2021189 209150 0 28349 0 1269547 2021189 170000 1823216 STEPHEN P ZIENIEWICZ FACHE PRESIDENT/CEO - CBMC 1550166 0 328000 0 526472 0 211253 0 11880 0 2627771 0 225596 0 NANCY HOLECEK EVP, CHIEF NURSING OFFICER 574294 0 190200 0 147400 1373942 181857 0 30619 0 1124370 1373942 130000 607557 MARK E MANIGAN EVP, BUSINESS DEVELOPMENT 1309201 0 522200 0 27600 0 478775 0 29606 0 2367382 0 0 0 EILEEN K URBAN EVP, CHIEF INVEST OFF & TREAS 998535 0 500000 0 272360 0 316801 0 3082 0 2090778 0 230000 0 PATRICK KNAUS EVP, SYSTEM STRATEGY 686473 0 521900 0 290240 0 320102 0 27804 0 1846519 0 263000 0 WILLIAM S ARNOLD PRESIDENT/CEO - RWJUHNB 1016731 0 470000 0 112457 0 235905 0 1584 0 1836677 0 0 0 LORI A COLINERI CNO SO REGION (TERMED 3/15/21) 1261715 0 191000 0 218328 0 66791 0 1863 0 1739697 0 130000 0 MARTIN S EVERHART EVP, CHIEF HR OFFICER 818774 0 342400 0 273707 0 249430 0 9948 0 1694259 0 227917 0 RURIC C ANDERSON MD CEO RWJBH MEDICAL GROUP 960440 0 318400 0 25980 0 341511 0 31875 0 1678206 0 0 0 GLENN MILLER EVP, CHIEF DEVELOPMENT OFFICER 688119 0 305200 0 275432 0 264350 0 30619 0 1563720 0 265000 0 ROBERT G IRWIN SVP, CHIEF INFORMATION OFFICER 711422 0 296000 0 252360 0 218050 0 19533 0 1497365 0 210000 0 JOHN J GANTNER FORMER TOP 5 EE 19840 0 810000 0 450746 0 635 0 233 0 1281454 0 355000 0 JOSHUA BERSHAD MD EVP, MEDICAL AFFAIRS 564189 0 270000 0 175300 0 187850 0 28349 0 1225688 0 169000 0 MICHAEL KNECHT EVP, CHIEF MARKETING & COMM. 550035 0 273900 0 165718 0 205685 0 29126 0 1224464 0 158000 0 RICHARD FREEMAN PRESIDENT/CEO - RWJUHH 591406 0 228000 0 192060 0 175546 0 20570 0 1207582 0 165600 0 PAUL G ALEXANDER MD EVP, CHIEF HEALTH EQUITY 593883 0 172500 0 143995 0 172400 0 13710 0 1096488 0 95833 0 TRINA PARKS EVP, CHIEF CORP DIVERSITY 487748 0 250000 0 27273 0 147875 0 20352 0 933248 0 0 0 DEANNA L MINUS-VINCENT EVP, CHIEF SOCIAL JUSTICE OFF. 457275 0 55500 0 19867 0 134499 0 2068 0 669209 0 0 0 AMY B MANSUE FORMER KEY EMPLOYEE 0 0 0 0 314704 0 1050 0 0 0 315754 0 280833 0 SCHEDULE J RWJ Barnabas Health has a robust and vigorous process relating to the establishment, review and approval of compensation and benefits ("total compensation") for members of the senior management team throughout the system. This process is designed to ensure the system pays each individual reasonable and fair market value total compensation consistent with IRS procedures and guidelines. Rwj bh's board of trustees maintains an executive compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of rwj bh's senior management. The committee, which is required by the corporation's bylaws to be comprised solely of independent trustees, seeks guidance and substantiation from a nationally recognized compensation consultant. The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable RWJ Barnabas Health 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. These three factors 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. SCHEDULE J, PART I; QUESTIONS 1A AND 1B THE ORGANIZATION PROVIDED, FOR WORK PURPOSES ONLY, A CAR AND DRIVER FROM BARNABAS HEALTH'S TRANSPORTATION POOL FOR BARRY H. OSTROWSKY, PRESIDENT/CHIEF EXECUTIVE OFFICER, SO HE COULD WORK DURING TRAVEL FOR RWJBARNABAS HEALTH RELATED BUSINESS, INCLUDING COMMUTING TO AND FROM ALL RWJBARNABAS HEALTH'S FACILITIES AND OFFICES. MR. OSTROWSKY'S 2021 FORM W-2 INCLUDES AN AMOUNT WHICH REPRESENTS HIS PORTION OF PERSONAL USAGE AND TAX GROSS-UP PAYMENT. THIS TRANSPORTATION BENEFIT IS PROVIDED PURSUANT TO A WRITTEN EMPLOYMENT AGREEMENT. MR. OSTROWSKY, PRESIDENT/CHIEF EXECUTIVE OFFICER, TRAVELED FIRST CLASS ON A BUSINESS TRIP FOR RWJBARNABAS HEALTH WORK PURPOSES. SCHEDULE J, PART I; QUESTION 4B The amount reflected in column b(iii) for the following individuals includes an amount reported on a form w-2, Box 1, as federal taxable wages issued by fidelity investments institutional operations co., the employer's third-party administrator of the organization's supplemental executive retirement plan ("serp"). The SERP was terminated and Fidelity made a distribution of the entire balance to each participant. This amount included employer contributions previously taxed on Form W-2, Box 5, for Medicare wage purposes (and reported on prior years Forms 990) and account earnings. Accordingly, the amounts outlined herein are also included in schedule j, part ii, column e, total compensation column: BARRY H. OSTROWSKY, $10,615,775; THOMAS A. BIGA, $6,223,954; DAVID A. MEBANE, ESQ., $3,750,513; MICHELLENE DAVIS, ESQ., $1,777,441; JOHN W. DOLL, CPA, $2,001,371; JOHN F. BONAMO, M.D., M.S., $2,184,428; WILLIAM CUTHILL, $2,021,189 AND NANCY HOLECEK, $1,373,942. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTINGS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY H. OSTROWSKY, $1,146,250; THOMAS A. BIGA, $1,176,000; DAVID A. MEBANE, ESQ., $433,500; MICHELLENE DAVIS, ESQ., $382,664; JOHN W. DOLL, CPA, $543,750; JOHN F. BONAMO, M.D., M.S., $475,000; WILLIAM CUTHILL, $170,000; STEPHEN P. ZIENIEWICZ, FACHE, $396,703; NANCY HOLECEK, $130,000; EILEEN K. URBAN, $230,000; PATRICK KNAUS, $263,000; LORI A. COLINERI, $215,259; MARTIN S. EVERHART, $258,947; GLENN MILLER, $265,000; ROBERT G. IRWIN, $210,000; JOHN J. GANTNER, $358,487; JOSHUA BERSHAD, M.D., $169,000; MICHAEL KNECHT, $158,000; RICHARD FREEMAN, $165,600; PAUL G. ALEXANDER, M.D., $107,250 AND AMY B. MANSUE, $314,704. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS 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 INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: BARRY H. OSTROWSKY, $1,088,401; THOMAS A. BIGA, $954,528; DAVID A. MEBANE, ESQ., $405,315; MICHELLENE DAVIS, ESQ., $135,325; JOHN W. DOLL, CPA, $578,625; JOHN F. BONAMO, M.D., M.S., $500,775; WILLIAM CUTHILL, $170,000; STEPHEN P. ZIENIEWICZ, FACHE, $198,930; NANCY HOLECEK, $157,207; MARK E. MANIGAN, $468,050; EILEEN K. URBAN, $305,000; PATRICK KNAUS, $309,227; WILLIAM S. ARNOLD, $213,000; LORI A. COLINERI, $59,450; MARTIN S. EVERHART, $233,480; RURIC C. ANDERSON, M.D., $329,600; GLENN MILLER, $251,300; ROBERT G. IRWIN, $199,200; JOSHUA BERSHAD, M.D., $169,000; MICHAEL KNECHT, $198,435; RICHARD FREEMAN, $165,600; PAUL G. ALEXANDER, M.D., $169,500; TRINA PARKS, $137,000 AND DEANNA L. MINUS-VINCENT, $121,727. SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F The amounts reported in schedule j, part ii, column (f) include amounts reported on prior years' forms 990 in schedule j, part ii, either in column (b)(iii) as Form W-2, Box 5, taxable Medicare wages or in column (c) as non-taxable unvested deferred compensation that is now being reported again on this year's form 990. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 64579ERMO 2012-11-29 106685000 REFUND/BOND ISSUANCE COSTS false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2014-12-03 129925000 REPAY OF JCMC TAXABLE REVENUE BOND false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 645790FR2 2016-11-02 755808475 SEE PART VI false false false D NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2017-02-01 13899984 REFUND CSH SERIES 2013A false false false A 0 81250000 106685000 0 0 0 1722302 0 0 0 104962698 0 2009 true false true true B 0 129925000 129925000 0 0 0 0 0 0 0 0 0 2014 true false true true C 0 550873190 755808475 0 0 0 4856153 0 0 0 200079132 0 true false true true D 0 13899984 13899984 0 0 0 0 0 0 0 0 0 true false true true A false false false false 0 false false false true B false true true true false 0 false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false false false 0 false 0 false true B false false true false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true TAX-EXEMPT BOND ISSUES - SCHEDULE K; PART I THE TAX-EXEMPT BOND ISSUANCES REFLECTED IN SCHEDULE K, PART I ARE ISSUED ON BEHALF OF THE RWJBARNABAS HEALTH OBLIGATED GROUP WHICH INCLUDES THIS ORGANIZATION. PLEASE NOTE THAT SCHEDULE K, PARTS II, III AND IV HAVE BEEN COMPLETED BASED UPON THE TOTAL AMOUNT OF THE TAX-EXEMPT BOND ISSUANCE FOR THE OBLIGATED GROUP; NOT BY EACH INDIVIDUAL INSTITUTION OR ENTITY. PLEASE NOTE THAT THE PROCEEDS FROM THE NOVEMBER 29, 2012 TAX-EXEMPT BOND ISSUANCE IN THE AMOUNT OF $106,685,000 WERE USED SOLELY TO REFUND TAX-EXEMPT BOND ISSUANCES THAT WERE ISSUED PRIOR TO JANUARY 1, 2003. THE PROCEEDS OF SERIES 2016A TAX-EXEMPT BONDS WERE USED TO PROVIDE FUNDS TO FINANCE (I) THE LEGAL DEFEASANCE OF (A) SAINT BARNABAS HEALTH CARE SYSTEM ISSUE, SERIES 2006A; (B) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ISSUE, SERIES 2013B; (C) VARIABLE RATE COMPOSITE PROGRAM - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL PROJECT SERIES 2003A-3; AND (D) RWJ HEALTH CARE CORPORATION AT HAMILTON OBLIGATED GROUP ISSUE, SERIES 2013; (II) THE REFINANCING OF THE BRIDGE LOAN; (III) THE FINANCING BY, AND REIMBURSEMENT TO, RWJ BARNABAS HEALTH, INC. FOR VARIOUS CAPITAL IMPROVEMENTS AT CLARA MAASS MEDICAL CENTER, COOPERMAN BARNABAS MEDICAL CENTER AND MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS; AND (IV) THE PAYMENT OF THE COSTS OF ISSUANCE. THE PROCEEDS OF SERIES 2019AB TAX-EXEMPT BONDS WERE USED TO PROVIDE FUNDS TO FINANCE (I) THE REFUNDING OR DEFEASANCE OF (A) BARNABAS HEALTH ISSUE, SERIES 2011B; (B) RWJ BARNABAS HEALTH OBLIGATED GROUP ISSUE, SERIES 2017B; (C) ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON OBLIGATED GROUP ISSUE, SERIES 2002; AND (D) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL ISSUE, SERIES 2014B; (II) REIMBURSEMENT FOR VARIOUS CAPITAL IMPROVEMENTS; AND (III) THE PAYMENT OF THE COSTS OF ISSUANCE. The proceeds of series 2021 tax-exempt bonds were used to provide funds to finance (i) the financing of, and/or reimbursement to rwj barnabas health, inc. ("parent") for, the expansion of and various capital improvements at the rutgers cancer institute of new jersey through the construction of a comprehensive care center; (ii) the financing of, and/or reimbursement to parent for, various capital improvements at clara maas medical center, community medical center, cooperman barnabas medical center, jersey city medical center, monmouth medical center, monmouth medical center - southern campus, newark beth israel medical center, robert wood johnson university hospital - new brunswick, robert wood johnson university hospital rahway and robert wood johnson university hospital - somerset; and (iii) the payment of the costs of issuance. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2019-10-24 230080000 SEE PART VI false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 2021-09-30 870301283 SEE PART VI false false false A 0 230080000 230080000 0 0 0 0 0 0 0 0 0 true false true true B 0 0 870301283 865000000 0 0 5301283 0 0 0 0 0 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true WILLIAM S ARNOLD FAMILY MEMBER - KEY EE SEE SCHEDULE L, PART V false SCHEDULE L, PART IV Nancy Holecek, barnabas health, inc. evp/chief nursing officer, is married to william s. arnold, president/ceo of robert wood johnson university hospital. Mr. arnold receives a Form w-2 from barnabas health, inc. rather than Robert wood johnson university hospital. Please refer to Core Form, part VII for the amount of transaction. CORE FORM, PART I, LINES 3 & 4 & PART VI, SECTION A; Q'S 1A & 1B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AS REFLECTED ON CORE FORM, PART I, LINES 3 AND 4 AND ALSO IN PART VI, LINES 1A AND 1B, THERE ARE A TOTAL OF FOUR VOTING MEMBERS ON THE BOARD OF TRUSTEES. AT YEAR END, OF THESE FOUR VOTING MEMBERS, ONE IS CONSIDERED INDEPENDENT UNDER THE INTERNAL REVENUE SERVICE RULES AND REGULATIONS. HOWEVER, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(3). IN ADDITION, THIS ORGANIZATION IS CONTROLLED BY RWJ BARNABAS HEALTH, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH IS GOVERNED BY A BOARD OF DIRECTORS, A MAJORITY OF WHICH ARE COMPRISED OF INDEPENDENT VOTING MEMBERS. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION. RWJ BH 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. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). RWJ BARNABAS HEALTH, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS, THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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 EXECUTIVE VICE PRESIDENT/GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF SYSTEM INTERNAL AUDIT AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") 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 FOR 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. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THIS CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, TRUSTEES AND KEY EMPLOYEES ANNUALLY. IN A SITUATION IN WHICH A TRUSTEE DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE TRUSTEE'S POTENTIAL CONFLICT IS REFERRED TO THE SYSTEM'S CORPORATE NOMINATING AND GOVERNANCE COMMITTEE WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE TRUSTEE'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES WHICH MAY COME BEFORE THE BOARD. AS APPROPRIATE THE COMMITTEE WILL TAKE ACTION TO ADDRESS THE CONFLICT. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. RWJ BH'S BOARD OF TRUSTEES MAINTAINS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE PRESIDENT, HOSPITAL DIVISION AND THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF RWJBARNABAS HEALTH'S HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION COMMITTEE, WHICH IS REQUIRED BY THE CORPORATION'S BYLAWS TO BE COMPRISED SOLELY OF INDEPENDENT TRUSTEES, SEEKS GUIDANCE AND SUBSTANTIATION FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE PRESIDENT, HOSPITAL DIVISION AND THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES; EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEW OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE PRESIDENT, HOSPITAL DIVISION, THE EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICERS OF RWJBARNABAS HEALTH'S HOSPITALS AND MEDICAL CENTERS. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE RWJBARNABAS HEALTH PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION B; QUESTION 16B RWJBARNABAS HEALTH MAINTAINS A WRITTEN POLICY TO ENSURE THAT ANY JOINT VENTURE ENTERED INTO BY A RWJBARNABAS HEALTH TAX-EXEMPT ENTITY WITH A FOR-PROFIT PARTICIPANT IS REVIEWED AND FOLLOWED SO AS TO EVALUATE ITS PARTICIPATION UNDER APPLICABLE FEDERAL TAX LAW, AND TO ENSURE THAT THE ORGANIZATION TAKES STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF RWJBARNABAS HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART VII FOR THE YEAR ENDED DECEMBER 31, 2021, BARNABAS HEALTH, INC. FILED A FORM 4720 AND REMITTED TAX ON EXCESS EXECUTIVE COMPENSATION for the following individuals: - BARRY H. OSTROWSKY; - THOMAS A. BIGA; - JOHN F. BONAMO, M.D., M.S.; - MICHELLENE DAVIS, Esq.; - JOHN W. DOLL, CPA. The calculation of the Form 4720 Excise Tax was based on 2021 Barnabas Health, Inc. Form W-2 and earnings from January 1, 2018 through plan termination date of the SBC Management Corporation SERP plan. Please note that the part vii; column E, reflects the entire SBC Management Corporation SERP distribution that includes all principal contributions and associated earnings related to the plan, not all of which is subject to the form 4720 excise tax calculation. THE FOLLOWING COMPENSATED EMPLOYEES LISTED IN PART VII OF THE ORGANIZATION'S 2021 FORM 990 SERVED AS CEO'S OF RWJBARNABAS HEALTH TAX-EXEMPT HOSPITALS AND MEDICAL CENTERS. UNDER THE COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP THE FOLLOWING AFFILIATES COMPLETED A 2021 FORM 4720 AND REMITTED TAX ON EXCESS EXECUTIVE COMPENSATION FOR THE FOLLOWING INDIVIDUALS ALTHOUGH THESE INDIVIDUALS RECEIVED A 2021 FORM W-2 FROM BH: - JOHN J. GANTNER - FORMER PRESIDENT AND CHIEF EXECUTIVE OFFICER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL (FEID: 22-1487243); - WILLIAM S. ARNOLD - PRESIDENT AND CHIEF EXECUTIVE OFFICER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL (FEID: 22-1487243); AND - STEPHEN P. ZIENIEWICZ, FACHE - PRESIDENT/CHIEF EXECUTIVE OFFICER, COOPERMAN BARNABAS MEDICAL CENTER (FEID: 22-1494440). CORE FORM, PART X; LINE 20 THE ORGANIZATION IS A MEMBER OF RWJ BARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2021A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2019A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2019B-1; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2019B-2; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2019B-3; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2017A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2016A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2014A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY REVENUE AND REFUNDING BONDS SERIES 2012A; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY SERIAL BONDS SERIES 2019; - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAXABLE REVENUE BONDS SERIES 2016; AND - NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY TAXABLE REVENUE BONDS SERIES 2012. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY BARNABAS HEALTH, INC. TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES REFLECTS A DUE TO RELATED PARTY LIABILITY AND ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: - CHILDREN'S SPECIALIZED HOSPITAL, EIN: 22-1487148 - CLARA MAASS MEDICAL CENTER, EIN: 22-1500556 - COMMUNITY MEDICAL CENTER, EIN: 22-3452306 - COOPERMAN BARNABAS MEDICAL CENTER, EIN: 22-1494440 - JERSEY CITY MEDICAL CENTER, EIN: 22-2783298 - MONMOUTH MEDICAL CENTER, EIN: 22-3452412 - NEWARK BETH ISRAEL MEDICAL CENTER, EIN: 22-3452311 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, EIN: 22-1487243 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, EIN: 21-0634572 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, EIN: 22-1487305 - SAINT BARNABAS BEHAVIORAL HEALTH CENTER, EIN: 22-2977312 - SAINT BARNABAS REALTY DEVELOPMENT CORPORATION, EIN: 22-2940008 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 OF BARNABAS HEALTH, INC., EIN: 22-2405279. THE ORGANIZATIONS OUTLINED ABOVE WITH THE EXCEPTION OF SAINT BARNABAS REALTY DEVELOPMENT CORPORATION, FILE A CONSOLIDATED GROUP FORM 990, EIN: 85-1296795. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION AND POST RETIREMENT CHANGES OTHER THAN NET PERIODIC BENEFIT COST - $470,706; - PENSION ADMINISTRATION COSTS - ($219,845); - INTEREST RATE SWAP FMV - $1,636,055; - GAIN ON EARLY EXTINGUISHMENT OF DEBT - $144,320; - INCREASE IN INVESTMENT IN JERSEY ASC VENTURES, LLC - $20,291,643; - CONTRIBUTED CAPITAL - $897,400; AND - NET TRANSFER OF EQUITY TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AND FOR-PROFIT ORGANIZATIONS - ($282,138,214). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS RWJBARNABAS HEALTH, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF RWJ BARNABAS HEALTH, INC. AND ALL AFFILIATES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS FOR THE RWJBARNABAS HEALTH HOSPITALS AND CERTAIN OTHER AFFILIATES. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE RWJ BARNABAS HEALTH, INC. AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THIS ORGANIZATION IS AN AFFILIATE WITHIN RWJBARNABAS HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:58454227 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:30174545 FORM 990 PART IX LINE 11G DESCRIPTION:CLINICAL SYSTEM FEES TOTAL FEES:28295841 FORM 990 PART IX LINE 11G DESCRIPTION:RESEARCH FEES TOTAL FEES:15718803 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:8357329 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL ASO FEES TOTAL FEES:6939474 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PRACTICE COSTS TOTAL FEES:2791683 FORM 990 PART IX LINE 11G DESCRIPTION:PRESCRIPTION ADMIN FEES TOTAL FEES:1525848 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1017963 FORM 990 PART IX LINE 11G DESCRIPTION:DIETARY MANAGEMENT FEES TOTAL FEES:296332 FORM 990 PART IX LINE 11G DESCRIPTION:REGULATORY FEES TOTAL FEES:92501 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:765118 RWJBH ACCOUNTABLE CARE LLC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 454531828 HEALTH SVCS. 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NJ NA C CORP. false MAJOR INVESTIGATIONS INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223040539 SECURITY SVCS. NJ NA C CORP. false NJ HEALTH CARE SYSTEM INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223536986 INACTIVE NJ NA C CORP. false RWJ MED SVCS ORG AT HAMILTON C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223454270 HEALTH SVCS. NJ NA C CORP. false RWJ MEDICAL ASSOCIATES PA C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223586872 HEALTH SVCS. NJ NA C CORP. false RWJ PHYSICIAN ENTERPRISE PA C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 453967414 HEALTH SVCS. NJ NA C CORP. false RWJ SURGERY CENTER INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223698431 HEALTH SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 223414332 MGMT SVCS. NJ BH C CORP. -29948613 0 1.00000 true SHC ENTERPRISES INC C/O CORP FIN 2 CRESCENT PLACE OCEANPORT NJ 07757 222665595 MGMT SVCS. 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FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE RWJBARNABAS HEALTH ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.