2021-11-12T11:24:15-06:00 2020-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2020-01-01 223316007 BARNABAS HEALTH MEDICAL GROUP PC % CATHERINE DOWDY CPA BARN 9733224032 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 CATHERINE A DOWDY SVP FINANCE 7329238929 2021-11-10 true CATHERINE A DOWDY 000000000 Scott J Mariani P00642486 9738989494 2 2020 2022-09-23 18:48:47Z RWJBH PRIMARY CARE SERVICES JOHN F BONAMO MD MS 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 319981732 false X WWW.RWJBH.ORG X 1994 NJ TO SUPPORT THE GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. 1 0 2090 0 0 0 751301 26218336 289283362 293326367 61291 3368 201220 433661 290297174 319981732 0 0 0 0 67800542 84908786 0 0 0 222496632 235098312 290297174 320007098 -25366 73493992 106639972 76760452 109933451 -3266460 -3293479 X THE PROVISION OF PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. ("RWJ BH") AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH MEDICAL GROUP, P.C.'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS (COLLECTIVELY, "RWJ BH TAX-EXEMPT HOSPITALS") INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - TO SERVE AS THE RWJ BH PHYSICIAN LINE OF BUSINESS AND SEE PATIENTS IN THE COMMUNITIES SERVED BY THE RWJ BH TAX-EXEMPT HOSPITALS; - TO RENDER MEDICAL SERVICES FOR PATIENTS OF THE RWJ BH TAX-EXEMPT HOSPITALS AND ELSEWHERE; - TO PROVIDE MEDICAL CARE TO ALL OF THE SICK AND INJURED WHO PRESENT FOR DIAGNOSIS, TREATMENT, AND CARE AT THE RWJ BH TAX-EXEMPT HOSPITALS, WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY FOR SERVICES AND ELSEWHERE; - TO PARTICIPATE AS true false 288006389 0 293326367 EXPENSES INCURRED IN THE PROVISION OF PROFESSIONAL MEDICAL PHYSICIAN SERVICES WITHOUT REGARD TO ABILITY TO PAY AND IN A CHARITABLE MANNER TO SUPPORT THE GOALS AND OBJECTIVES OF RWJ BARNABAS HEALTH, INC. AND ITS AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. BARNABAS HEALTH MEDICAL GROUP, P.C.'S ACTIVITIES AND CHARITABLE PURPOSES INCLUDE, WITHOUT LIMITATION, ACTIVITIES IN FURTHERANCE OF ITS AFFILIATED TAX-EXEMPT HOSPITALS. 288006389 true true false false false false false false false false true false true true true true false true false false true false false false false false false false false true false false false false false false false false false false false false false true false false false true 535 0 true 2090 true false false false false false false false false false false true false X 1 0 false false false false true true true true true false false true true true true true true true true true true X CATHERINE DOWDY CPA 7329238929 2 CRESCENT PLACE OCEANPORT NJ 07757 X FRANK A LIPORACE MD PHYSICIAN 55.0 0.0 X 3169185 0 39378 ARASH SALEMI MD PHYSICIAN 55.0 0.0 X 2549713 0 45020 JOHN F BONAMO MD MS TRUSTEE - PRESIDENT 0.0 55.0 X X 0 1937293 518451 RURIC C ANDERSON MD CHIEF EXECUTIVE OFFICER 55.0 0.0 X 0 1500348 317568 MICHAEL J JARONCZYK MD PHYSICIAN 55.0 0.0 X 1674652 0 41610 FREDERIC SARDARI MD PHYSICIAN 55.0 0.0 X 1486591 0 51153 RICHARD SEUNG HYUN YOON MD PHYSICIAN 55.0 0.0 X 1272974 0 21884 AMATO R AMARAIN CHIEF FINANCIAL OFFICER 55.0 0.0 X 623001 0 137455 TIPTON H FORD CHIEF OPERATING OFFICER 55.0 0.0 X 636894 0 114541 LINA SHIHABUDDIN MD CHIEF MEDICAL OFFICER 55.0 0.0 X 523723 0 108692 CHARLES S CATHCART MD VP MEDICAL AFFAIRS 55.0 0.0 X 512054 0 19662 KELLY L FULTON SENIOR VICE PRESIDENT 55.0 0.0 X 420508 0 105092 RITU CHANDAK MD CHAIR M.D. 55.0 0.0 X 442330 0 41572 JESSICA ISRAEL MD CHAIR M.D. 55.0 0.0 X 406348 0 45216 GARY ROGAL MD CHIEF OF CARDIOLOGY 55.0 0.0 X 329906 0 4530 14047879 3437641 1611824 377 false true false DIAGNOSTIC AND CLINICAL CARDIOLOGY 375 MOUNT PLEASANT AVENUE WEST ORANGE NJ 07052 MEDICAL 17815318 AFFILIATES IN GASTROENTEROLOGY PA 101 OLD SHORT HILLS ROAD SUITE 217 WEST ORANGE NJ 07052 MEDICAL 13556266 CERNER CORPORATION 2702 ROCKCREEK PARKWAY KANSAS CITY MO 64117 CONSULTING 6715712 CONSULTANTS IN CARDIOLOGY PA 741 NORTHFIELD AVENUE WEST ORANGE NJ 07052 MEDICAL 4069790 MONMOUTH HEMATOLOGY ONCOLOGY 100 STATE HIGHWAY 36 STE 1B WEST LONG BRANCH NJ 07764 MEDICAL 3797122 23 26218336 26218336 NET PATIENT SERVICE REVENUE 541900 293326367 293326367 293326367 0 0 0 433661 433661 0 433661 433661 3368 3368 3368 3368 0 0 0 0 0 0 0 0 0 0 319981732 293326367 437029 X 0 0 0 0 4471524 4024372 447152 0 58133003 52319703 5813300 3798124 3418312 379812 9494929 8545436 949493 9011206 8110085 901121 0 1146 1031 115 0 0 0 0 40870481 36783433 4087048 0 267923 241131 26792 3765472 3388925 376547 504728 454255 50473 0 14640068 13176062 1464006 266690 240021 26669 0 27116 24404 2712 0 0 2045516 1840964 204552 3671591 3304432 367159 PHYSICIAN SALARIES & FEES 160416071 144374464 16041607 0 MEDICAL SUPPLIES 6098277 5488449 609828 0 OTHER EXPENSES 2523233 2270910 252323 0 320007098 288006389 32000709 0 X 58623 46277 0 0 0 0 20533204 26190622 0 0 0 0 0 0 0 0 7138615 7202998 23953299 10530079 12134584 13423220 0 0 0 0 4173519 6605246 119000 119000 29336447 53052609 73493992 106639972 19380296 27810561 0 0 487221 661078 0 0 0 0 0 0 28671176 42057386 0 0 28221759 39404426 76760452 109933451 X -3266460 -3293479 0 0 -3266460 -3293479 73493992 106639972 X -25366 -1653 X X false true X true true true X 440220 782574 639375 751301 26218335 28831805 191206386 205400370 234058831 289283362 293326367 1213275316 0 0 0 191646606 206182944 234698206 290034663 319544702 1242107121 0 0 0 1242107121 105723 197198 139588 262511 437029 1142049 0 105723 197198 139588 262511 437029 1142049 0 0 191752329 206380142 234837794 290297174 319981731 1243249170 0.99908 0.99929 0.00092 0.00071 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13142812 3364108 9778704 10577691 7165971 3411720 232796 232796 13423220 INTERN & EXT LTD USE ASSETS 6630612 F OTHER PROGRAM RELATED ASSETS -25366 F 6605246 DUE FROM AFFILIATES 10693916 SECURITY DEPOSITS 487861 OTHER RECEIVABLES 358658 OTHER ASSETS 140000 RIGHT OF USE ASSET 41372174 53052609 0 OTHER LIABILITIES 32247684 DUE TO THIRD PARTY PAYORS 7156742 39404426 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 2020 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, 2020 AND 2019. Central America and the Caribbean Program Services FINANCIAL VEHICLE false false false false false false SCHEDULE F, PART I BARNABAS HEALTH, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO COMMERCIAL PROFESSIONAL INSURANCE CO., LTD., $1,818,018; A FINANCIAL VEHICLE, ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. X X X X X false true false false false false false true false FRANK A LIPORACE MD PHYSICIAN 3166875 0 1500 0 810 0 9372 0 30006 0 3208563 0 0 0 ARASH SALEMI MD PHYSICIAN 2353603 0 175800 0 20310 0 17025 0 27995 0 2594733 0 0 0 JOHN F BONAMO MD MS TRUSTEE - PRESIDENT 0 1140908 0 750000 0 46385 0 496375 0 22076 0 2455744 0 0 RURIC C ANDERSON MD CHIEF EXECUTIVE OFFICER 0 703629 0 375000 0 421719 0 286003 0 31565 0 1817916 0 0 MICHAEL J JARONCZYK MD PHYSICIAN 1672666 0 1500 0 486 0 12825 0 28785 0 1716262 0 0 0 FREDERIC SARDARI MD PHYSICIAN 1228277 0 235250 0 23064 0 24225 0 26928 0 1537744 0 0 0 RICHARD SEUNG HYUN YOON MD PHYSICIAN 1216589 0 51500 0 4885 0 21158 0 726 0 1294858 0 0 0 AMATO R AMARAIN CHIEF FINANCIAL OFFICER 538521 0 73140 0 11340 0 107121 0 30334 0 760456 0 0 0 TIPTON H FORD CHIEF OPERATING OFFICER 485180 0 137156 0 14558 0 94783 0 19758 0 751435 0 0 0 LINA SHIHABUDDIN MD CHIEF MEDICAL OFFICER 407131 0 110400 0 6192 0 92085 0 16607 0 632415 0 0 0 CHARLES S CATHCART MD VP MEDICAL AFFAIRS 501581 0 1500 0 8973 0 18320 0 1342 0 531716 0 0 0 KELLY L FULTON SENIOR VICE PRESIDENT 327961 0 84825 0 7722 0 77526 0 27566 0 525600 0 0 0 RITU CHANDAK MD CHAIR M.D. 396588 0 25000 0 20742 0 13296 0 28276 0 483902 0 0 0 JESSICA ISRAEL MD CHAIR M.D. 405106 0 0 0 1242 0 18525 0 26691 0 451564 0 0 0 GARY ROGAL MD CHIEF OF CARDIOLOGY 321923 0 1125 0 6858 0 4200 0 330 0 334436 0 0 0 SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RURIC C. ANDERSON, M.D., $396,194. 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 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN F. BONAMO, M.D., M.S., $475,000; RURIC C. ANDERSON, $275,000; AMATO R. AMARAIN, $90,471; TIPTON H. FORD, $91,823; LINA SHIHABUDDIN, M.D., $76,560 AND KELLY L. FULTON, $61,474. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 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. CORE FORM, PART III; QUESTION 2 THE ORGANIZATION ADDED LICENSED PHYSICIANS AND OTHER INDIVIDUALS WHO WORK IN THE RWJBARNABAS HEALTH TAX-EXEMPT HOSPITALS IN THE EMERGENCY DEPARTMENTS AND OBSERVATION DEPARTMENTS. THESE INDIVIDUALS WERE LEASED FROM THIS ORGANIZATION TO RWJBH MEDICAL GROUP, P.C.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. SALARY AND EMPLOYEE BENEFIT COSTS WERE CHARGED TO THIS ORGANIZATION. RWJBH MEDICAL GROUP, P.C. BILLED FOR THE SERVICES RENDERED BY THESE INDIVIDUALS. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 RWJ BARNABAS HEALTH, INC. ("RWJ BH") IS THE SOLE MEMBER OF THIS ORGANIZATION WHICH EXISTS THROUGH A LICENSED PHYSICIAN NOMINEE AGREEMENT DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITIONS. RWJ BH HAS THE ULTIMATE AUTHORITY AND 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 WHICH INCLUDES RWJ BARNABAS HEALTH, INC. ("RWJ BH"); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. 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 ALSO REVIEWS THE COMPENSATION AND BENEFITS OF OTHER OFFICERS AND KEY EMPLOYEES OF RWJBARNABAS HEALTH; INCLUDING, WITHOUT LIMITATION, THE CHIEF EXECUTIVE OFFICERS OF THE RWJBARNABAS HEALTH HOSPITALS AND MEDICAL CENTERS. 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 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. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE 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 THE BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN RWJ BH SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990, WHERE APPLICABLE, 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'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 REFLECTS THE TRUSTEE - PRESIDENT AND CHIEF EXECUTIVE OFFICER RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII AND SCHEDULE J JOHN F. BONAMO, M.D., M.S. IS THE NOMINEE OWNER OF BARNABAS HEALTH MEDICAL GROUP, P.C. SOLELY DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS. DR. BONAMO IS NOT INVOLVED WITH BARNABAS HEALTH MEDICAL GROUP, P.C. IN ANY OTHER CAPACITY; HE PROVIDES NO SERVICES TO OR FOR BARNABAS HEALTH MEDICAL GROUP, P.C. AND IS NOT INVOLVED IN THE MANAGEMENT OF BARNABAS HEALTH MEDICAL GROUP, P.C. DR. BONAMO IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME IN A CORPORATE SYSTEM ROLE FOR RWJBARNABAS HEALTH AS THE SYSTEM'S EXECUTIVE VICE PRESIDENT, CHIEF MEDICAL AND QUALITY OFFICER. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH BARNABAS HEALTH, INC. (EIN: 22-2405279). BARNABAS HEALTH, INC. FILED A 2020 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. BONAMO'S COMPENSATION IN EXCESS OF $1M. RURIC C. ANDERSON, M.D. IS THE CHIEF EXECUTIVE OFFICER OF BARNABAS HEALTH MEDICAL GROUP, P.C. DR. ANDERSON IS EMPLOYED BY A RELATED ORGANIZATION WITHIN RWJBARNABAS HEALTH. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH BARNABAS HEALTH MEDICAL GROUP, P.C. (EIN: 22-3316007). BARNABAS HEALTH MEDICAL GROUP, P.C. FILED A 2020 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. ANDERSON'S COMPENSATION IN EXCESS OF $1M. FRANK A. LIPORACE, M.D., ARASH SALEMI, M.D., MICHAEL J. JARONCZYK, M.D., FREDERIC SARDARI, M.D. AND RICHARD SEUNG HYUN YOON, M.D. ARE INCLUDED WITHIN THE ORGANIZATION'S FORM 990, PART VII. THE ORGANIZATION WAS NOT REQUIRED TO FILE A FORM 4720 FOR ANY REMITTANCE OF EXCISE TAX RELATED TO THESE INDIVIDUALS BECAUSE THEIR COMPENSATION WAS ATTRIBUTABLE TO CLINICAL SERVICES AND THUS EXEMPT FROM EXCISE TAXES AS PROVIDED FOR UNDER INTERNAL REVENUE CODE SECTION 4960. 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 XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDES: - PENSION ADMINISTRATION COSTS - ($587); AND - NET TRANSFER OF EQUITY TO RELATED ORGANIZATIONS - ($1,066). 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 RWJ BARNABAS 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, 2020 AND DECEMBER 31, 2019; 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. DEPARTMENTAL EIN LISTING THE ORGANIZATION'S FEDERAL FORM 990 INCLUDES CERTAIN REVENUE RECEIVED AND EXPENSES INCURRED BY VARIOUS BARNABAS HEALTH MEDICAL GROUP, P.C. HEALTHCARE RELATED PROGRAMS, DEPARTMENTS, ACTIVITIES AND BARNABAS HEALTH MEDICAL GROUP, P.C. EMPLOYEES. REVENUE EARNED FROM THESE PROGRAMS AND ACTIVITIES WAS RECEIVED BY BARNABAS HEALTH MEDICAL GROUP, P.C. UTILIZING FEDERAL IDENTIFICATION NUMBERS OTHER THAN 22-3316007. BELOW IS A LIST OUTLINING THE VARIOUS BARNABAS HEALTH MEDICAL GROUP, P.C. PROGRAMS, DIVISIONS, DEPARTMENTS AND PHYSICIAN EMPLOYEES AND THEIR RESPECTIVE FEDERAL IDENTIFICATION NUMBERS. BARNABAS HEALTH MEDICAL GROUP, P.C. - NORTH 45-4832340 BARNABAS HEALTH MULTISPECIALTY - AIG 46-2784071 BHMG - UNITED MEDICAL 46-4762508 BHMG - CORPORATE CARE 81-4437269 RWJBH PRIMARY CARE SERVICES 85-3737205 IN ADDITION, BELOW IS A LIST OUTLINING VARIOUS ALTERNATIVE NAMES UTILIZING THE BARNABAS HEALTH MEDICAL GROUP, P.C. FEDERAL IDENTIFICATION NUMBER OF 22-3316007. BARNABAS HEALTH MEDICAL GROUP, P.C. - SOUTH BARNABAS HEALTH MEDICAL GROUP, P.C. - CERNER PATIENT FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:31766512 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:9103969 BARNABAS BAYONNE DEV URBAN RENEWAL CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 352219655 STAFFING SVCS NJ 501(C)(3) 509(a)(3) SBRDC false BARNABAS HEALTH INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222405279 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) RWJ BH false CENTER STATE HEALTH GROUP INC 2 CRESCENT PLACE OCEANPORT NJ 07757 222939956 HEALTH SVCS. 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CONSULTING NJ NA C CORP. false HEALTH CARE FACILITIES MGT 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223532988 MAINT. SVCS. NJ NA C CORP. false LIBERTY HEALTHCARE CAPITAL 355 GRAND STREET JERSEY CITY NJ 07302 223444345 LEASE/FINANCE NJ NA C CORP. false LIVINGSTON INFUSION CARE INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223190756 HEALTH SVCS. NJ NA C CORP. false LIVINGSTON SERVICES CORP 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 222779395 HEALTH SVCS. NJ NA C CORP. false LSC PHARMACY SERVICES INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 452552776 PHARMACY SVCS. NJ NA C CORP. false MAJOR INVESTIGATIONS INC 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223040539 SECURITY SVCS. NJ NA C CORP. false NJ HEALTH CARE SYSTEM INC 94 OLD SHORT HILLS ROAD LIVINGSTON NJ 07039 223536986 INACTIVE NJ NA C CORP. false RWJ MED ASSOC AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454267 PROF. SVCS. NJ NA C CORP. false RWJ MED SVCS ORG AT HAMILTON ONE HAMILTON HEALTH PLACE HAMILTON NJ 08690 223454270 HEALTH SVCS. NJ NA C CORP. false RWJ MEDICAL ASSOCIATES PA ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223586872 HEALTH SVCS. NJ NA C CORP. false RWJ PHYSICIAN ENTERPRISE PA 3 EXECUTIVE DRIVE SUITE 400 SOMERSET NJ 08873 453967414 HEALTH SVCS. NJ NA C CORP. false RWJ SURGERY CENTER INC ONE ROBERT WOOD JOHNSON PLACE NEW BRUNSWICK NJ 08901 223698431 HEALTH SVCS. NJ NA C CORP. false SBC MANAGEMENT CORPORATION 95 OLD SHORT HILLS ROAD WEST ORANGE NJ 07052 223414332 MGMT SVCS. NJ NA C CORP. false SHC ENTERPRISES INC 110 REHILL AVENUE SOMERVILLE NJ 08876 222665595 MGMT SVCS. NJ NA C CORP. false SOMERSET REALTY GROUP INC 110 REHILL AVENUE SOMERVILLE NJ 08876 223269525 REAL ESTATE NJ NA C CORP. false VISION HEALTHCARE INC 865 STONE STREET RAHWAY NJ 07065 204285005 INVESTMENT NJ NA C CORP. false WARREN INTERNAL MEDICINE PC 110 REHILL AVENUE SOMERVILLE NJ 08876 352366107 INACTIVE NJ NA C CORP. false CPIC 44 CHURCH STREET HAMILTON BD HM11 FINANCIAL VEHICLE BD NA FOREIGN CORP. false false false false true true false false false false false false false false true true true true true BARNABAS HEALTH INC R 11937887 COST SCHEDULE R, PART V This organization is a member of RWJBarnabas Health; a tax-exempt integrated healthcare delivery system. 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.